Document e5v0zeMb9DNXdLjNX3vaGQeeE
U.S. Environmental Protection Agency Region 4 Enforcement and Compliance Assurance Division
EPCRA Inspection Checklist/Inspection Report
Company Name Sysco Nashville, LLC
Lead Inspector Name
Amy Federoff
Inspection Team Members
Marissa Maier
SIC/NAICS Inspection Date
42449 6/6/23
1. State purpose of the inspection and present credentials 2. Record names and titles of the facility representatives participating in the inspection.
Name Graham Miller/Safety Director
Phone
(615) 350-2210
Name Todd White/Fleet and Facility Manager Phone
(615) 289-0676
3. Obtain exact name and address of the facility being inspected, as well as any Parent Company
information:
Facility Name:
Sysco Nashville, LLC
Address: 1 Hermitage Plaza Nashville, TN 37209
County:
Davidson
Owner/Operator/Parent Company (Name, Address, Phone):
Sysco
1390 Enclave Parkway Houston, TX 77077
How long owned/operated, recent sale of facility (date)? 1975
4. Obtain/review facility description a. Officers' names and titles Todd White - Facility Manager b. Incorporation date and location c. Other facilities owned by the company N/A
d. Number of employees
260
e. Annual Corporate Sales N/A
f. Process Description and Process Diagrams Sysco Nashville, LLC uses anhydrous
ammonia for cold food storage purposes.
g. Jurisdictional Fire Department
Fire Station 13 and Fire Station 23
Inspection Identifier: JN - EPCRA06062023
Title: EPCRA Inspection Checklist/Report DCN: ECAD-FRM-008-R0
Effective Date: April 15, 2020
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5. Compliance Review by Statute:
Section 302 1. EHSs present above TPQ? 2. Notification to SERC and LEPC of EHSs 3. Obtained list of inventory of EHSs
Y N N/A Y N N/A Y N N/A
Section 303 (if subject to 302)
1. Facility Emergency Coordinator Todd White
2. Date identified to LEPC?
N/A
3. Emergency Contingency Plan submitted (date)?
N/A
4. Obtained copies of notification letters and verified mail return receipts, where appropriate?
Section 304/CERCLA 103
1. Has facility had reportable emergency release?
2. Release reported to:
NRC?
SERC/ Follow-up?
LEPC/Follow-up?
3. 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
1. MSDS to SERC, LEPC, fire dept (Haz. Chem 10,000 lbs)? Y N N/A
2. MSDS to SERC, LEPC, fire dept (EHSs 500 lbs or TPQ)? Y N N/A
3. Obtained documentation of submissions?
Y N N/A
Section 312
1. Obtained chemical inventory list
Y N N/A
2. View purchase records (where applicable)
Y N N/A
3. Tier II reports to SERC, LEPC, fire dept (Haz. Chem 10,000 lbs)?
Y N N/A
4. Tier II reports to SERC, LEPC, fire dept (EHSs 500 lbs or TPQ)?
Y N N/A
5. Obtained documentation of maximum daily amounts stored? Y N N/A
6. Obtained MSDSs?
Y N N/A
7. Obtained documentation of submissions?
Y N N/A
Section 313
1. 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
2. Obtained list of 313 chemicals MPOU at the facility
Y N N/A
3. Obtained documentation of submissions?
Y N N/A
Inspection Identifier: JN - EPCRA06062023
Title: EPCRA Inspection Checklist/Report DCN: ECAD-FRM-008-R0
Effective Date: April 15, 2020
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Report Prepared By:
Name (Printed): Jordan Noles
Title: Signature:
EPCRA Inspector
JORDAN
Digitally signed by JORDAN NOLES
NOLES
Date: 2023.09.14 18:36:32 -04'00'
Report Authorized By:
Name (Printed): Jason Dressler
Title: Signature:
Chief, North Air Enforcement Section
JASON
Digitally signed by JASON DRESSLER
DRESSLER 10:14:34 -04'00' Date: 2023.09.13
Inspection Identifier: JN - EPCRA06062023
Title: EPCRA Inspection Checklist/Report DCN: ECAD-FRM-008-R0
Effective Date: April 15, 2020
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