Document daNpa6d7XdagJE6XwVd5K1z7q

U.S. Environmental Protection Agency Region 4 61 Forsyth Street Atlanta, GA 30303 Chemical Management and Emergency Planning Section EPCRA Inspection Checklist/Inspection Report Company Name Heritage Farms Dairy Lead Inspector Name Bethany Terpin Inspection Team Members ___Jordan Noles_ SIC/NAICS 311511 Inspection Date December 16, 2021 1. State purpose of the inspection and present credentials. 2. Record names and titles of the facility representatives participating in the inspection. Name/Title Megan Bane/Regulatory Compliance Manager Phone (509) 366-2025 Name/Title Jerry Sartain/Maintenance Engineer Phone (615) 907-6809 Obtain exact name and address of the facility being inspected, as well as any Parent Company information Facility Name: Heritage Farms Dairy____________ Address: 1000 New Salem Highway Murfreesboro, Tennessee 37129 County: Rutherford Owner/Operator/Parent Company (Name, Address, Phone): Kroger Company 1014 Vine Street, Cincinnati, Ohio 45202 (513) 762-4000 How long owned/operated, recent sale of facility (date)? 1981 3. Obtain/review facility description a. Officers' names and titles Megan Bane- Regulatory Compliance Manager Jerry Sartain- Maintenance Engineer b. Incorporation date and location c. Other facilities owned by the company d. Number of employees 181 e. Annual Corporate Sales f. Process Description and Process Diagrams Heritage Farms Dairy is a refrigerated milk manufacturing facility. Anhydrous ammonia is used as a refrigerant to manufacture and store food products for distribution. The facility has a maximum of 25,300 pounds of anhydrous ammonia on site. g. Jurisdictional Fire Department Murfreesboro Fire Department Inspection Identifier: B.T.EPCRA 12/16/2021 Page 1 of 3 4. Compliance Review by Statute: Section 302 a. EHSs present above TPQ? b. Notification to SERC and LEPC of EHSs c. Obtained list of inventory of EHSs Y N N/A Y N N/A Y N N/A Section 303 (if subject to 302) d. Facility Emergency Coordinator Reginald Nesbitt e. Date identified to LEPC? f. Emergency Contingency Plan submitted (date)? g. Obtained copies of notification letters and verified mail return receipts, where appropriate? Section 304/CERCLA 103 h. Has facility had a reportable emergency release? i. Release reported to: NRC? SERC/ Follow-up? LEPC/Follow-up? j. Obtained copy of facility's incident report Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A Section 311 k. MSDS to SERC, LEPC, fire dept (Haz. Chem 10,000 lbs)? Y N N/A l. MSDS to SERC, LEPC, fire dept (EHSs 500 lbs or TPQ)? Y N N/A m. Reviewed documentation of submissions? Y N N/A Section 312 n. Obtained chemical inventory list Y N N/A o. View purchase records (where applicable) Y N N/A p. Tier II reports to SERC, LEPC, fire dept (Haz. Chem 10,000 lbs)? Y N N/A q. Tier II reports to SERC, LEPC, fire dept (EHSs 500 lbs or TPQ)? Y N N/A r. Reviewed documentation of maximum daily amounts stored? Y N N/A s. Reviewed MSDSs? Y N N/A t. Reviewed documentation of submissions? Y N N/A Section 313 u. Form R/A to State and EPA for Toxic Chemicals: Manufactured, processed, and caused to be imported 25,000lbs, otherwise used 10,000 lbs Y N N/A v. Obtained list of 313 chemicals MPOU at the facility Y N N/A w. Obtained documentation of submissions? Y N N/A Inspection Identifier: B.T.EPCRA 12/16/2021 Page 2 of 3 Report Prepared By: Name (Printed): Bethany Terpin Title: Signature: Life Scientist, Inspector-In-Training BETHANY Digitally signed by BETHANY TERPIN TERPIN Date: 2022.02.07 11:19:34 -05'00' Date: Name (Printed): Jordan Noles Title: Signature: Inspector Digitally signed by JORDAN JORDAN NOLES Date: 2022.02.07 12:49:03 NOLES -05'00' Date: Report Authorized By: Name (Printed): Jason Dressler Title: Signature: Chief, North Air Enforcement Section JASON DRESSLER Digitally signed by JASON DRESSLER Date: 2022.02.07 15:27:14 -05'00' Date: Inspection Identifier: B.T.EPCRA 12/16/2021 Page 3 of 3