Document a1o7NnNyXemQVB1g0XKY142Ob

version 12.03.2024 Refrigeration, Air Condition, and Heat Pump (RACHP) Field Inspection Worksheet for products subject to 40 CFR Part 84, Subpart B Use this form for: All RACHP Products (not all fields will be applicable for every product) General Inspection Information Inspection Number: Insp. Date: Insp. Time Start/End: R01-20250505-01 5/5/2025 10:05 - 10:30 Inspector(s): Photographer(s): Photograph # Range: Dana Donovan, Grace Perry, John Melcher Grace Perry IMG_0156 - IMG_0162 Facility Name: Address: Boston Freight Terminal 139 Shuman Ave, Stoughton, MA Location of Inspection Facility Type: CBP POC Information: CBP Warehouse william.c.troup@cbp.dhs.gov Entry Summary: Bill of Lading: Other (Please Describe): Check all that Apply Packing List: Invoice: Import Documents Collected Describe "Other" Documents: Name: Address: City/State/Zip: POC Name & Title: Email & Phone: Shipment Information (from Entry Docs) Entry/Shipment No: Arrival/Import Date: Entry File Date: Importer Information (from Entry Docs) 25390965313 4/26/2025 Trina Energy Storage Solutions (Jiangsu) Co. No. 2 Tianhe Road Trina PV Industrial Park New District, Changzhou, CN Islam Abosamra Islam.Abosamra@trinasolar.com, 951-517-9883 Name: Address: City/State/Zip: POC Name & Title: Email & Phone: Check box if entry was not filed at time of inspection Consignee Information (from Entry Docs) Check box if the same as Importer: Trina Energy Storage Solutions US, Inc. 7100 Stevenson Blvd Fremont, CA 94538 Islam Abosamra Islam.Abosamra@trinasolar.com, 951-517-9883 Item # 1 Contents of Shipment from Import Documents (Add additional lines in separate sheet as needed) Product Description/Subsector Indicated HFC(s) Air-cooled chiller R-410A Listed Quantity 9.6kg (339oz) Item # 1 Product Manufacturer Shenzhen Envicool Technology Co., LTD Physical Inspection and Label Information required by 84.58(a) Product Name on Package SKU HFC or GWP Indication on label Air-cooled Chiller EMW400HC NC1A R-410A DOM 2/20/2025 Listed Charge 9.6 Units kg Quantity 1 Comments (include areas of concern (e.g., no label observed)) EPA inspectors observed a refrigeration unit with a label that indicated it was charged with 9.6kg (339oz) of R-410A. The product was labeled as an "Air-cooled Chiller" produced by Shenzhen Envicool Technology Co. with the model number EMW400HCNC1A and barcode number MO1310112000154252180001. The label was visible on the outside of the packaging. The product is described by the manufacturer's website as an "air-cooled chiller for energy storage container" that is used "for container battery cooling in the energy storage industry." The package also included 14 plastic totes, each filled with 20L of ethylene glycol. Inspector Signature & Date: DANA DONOVAN Digitally signed by DANA DONOVAN Date: 2025.05.28 11:15:32 -04'00' Supervisor Signature & Date: DARREN FORTESCUE Digitally signed by DARREN FORTESCUE Date: 2025.05.30 07:56:17 -04'00' Page 1 of 1