Document jg7LOydD1ygxpB9Dgx8oEYQ2Q

U.S. Environmental Protection Agency Region 4 Enforcement and Compliance Assurance Division EPCRA Inspection Checklist/Inspection Report Company Name Sysco Knoxville, LLC Lead Inspector Name Jordan Noles Inspection Team Members Callie Sotolongo SIC/NAICS Inspection Date 42441 9/12/24 1. State purpose of the inspection and present credentials 2. Record names and titles of the facility representatives participating in the inspection. Name Jim Squibb/ Ammonia Plant Operator Phone (865) 635-1172 Name Scott Gray/ EHS Director Phone (865) 223-3000 3. Obtain exact name and address of the facility being inspected, as well as any Parent Company information: Facility Name: Sysco Knoxville, LLC Address: 900 Tennessee Avenue, Knoxville, Tennessee 37921 County: Knox Owner/Operator/Parent Company (Name, Address, Phone): Sysco Corporation 1390 Enclave Parkway, Houston, Texas 77077 How long owned/operated, recent sale of facility (date)? The facility was built in 2007; Sysco has owned it the whole time. 4. Obtain/review facility description: a. Officers' names and titles Todd White/Owner / Operator b. Incorporation date and location N/A c. Other facilities owned by the company Yes d. Number of employees 270 e. Annual Corporate Sales N/A f. Process Description and Process Diagrams The Sysco Knoxville, LLC facility uses anhydrous ammonia for cold food storage purposes. g. Jurisdictional Fire Department Knoxville FD Inspection Identifier: JN - EPCRA09122024 Title: EPCRA Inspection Checklist/Report DCN: ECAD-FRM-008-R0 Effective Date: April 15, 2020 Page 1 of 3 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 - EPCRA09122024 Title: EPCRA Inspection Checklist/Report DCN: ECAD-FRM-008-R0 Effective Date: April 15, 2020 Page 2 of 3 Report Prepared By: Name (Printed): Jordan Noles Title: Signature: EPCRA Inspector JORDAN Digitally signed by JORDAN NOLES NOLES Date: 2024.11.08 12:02:31 -05'00' Report Authorized By: Name (Printed): Jason Dressler Title: Signature: Chief, North Air Enforcement Section JASON Digitally signed by JASON DRESSLER DRESSLER 08:59:39 -05'00' Date: 2024.11.08 Inspection Identifier: JN - EPCRA09122024 Title: EPCRA Inspection Checklist/Report DCN: ECAD-FRM-008-R0 Effective Date: April 15, 2020 Page 3 of 3