Document pBO9Za3gXMedmdgpO6vX5ZBZw
U.S. Environmental Protection Agency Region 4 61 Forsyth Street Atlanta, GA 30303
Emergency Planning and Community Right-to-Know Act (EPCRA) Inspection Report
Company Name Monogram Assembled Foods
Lead Inspector Name
Bethany Terpin
Inspection Team Members_ Jordan Noles, Chet Gala
SIC/NAICS 311991
Inspection Date
7/28/2022
_
1. Record names and titles of the facility representatives participating in the inspection.
Name/Title Evan Ingersoll /EHS Manager
Phone: (615) 229-1841
Name/Title Willie Gordon /Plant Manager
Phone: (803) 439-6816
2. Obtain exact name and address of the facility being inspected, as well as any Parent Company information.
Facility Name:
Monogram Assembled Foods
Address:
1655 Old Columbia Road, Dickson, Tennessee 37055
County:
Dickson
Owner/Operator/Parent Company (Name, Address, Phone):
Monogram Food Solutions
530 Oak Court Drive Suite 400 Memphis, TN 38117
901-685-7167
How long owned/operated, recent sale of facility (date)? November 2021
3. Obtain/review facility description.
a. Officers' names and titles: Willie Gordon /Plant Manager
b. Incorporation date and location:
c. Other facilities owned by the company:
d. Number of employees:
350
e. Annual Corporate Sales:
f. Process Description and Process Diagrams:
Monogram Assembled Foods is a
facility that uses anhydrous ammonia as a refrigerant to manufacture packaged frozen
food products. The facility has a maximum of 27,099 pounds of anhydrous ammonia on
site.
g. Jurisdictional Fire Department:
Dickson County Fire Department
Inspection Identifier:
B.T.EPCRA 7/28/2022
Page 1 of 3
4. Compliance Review by Statute:
Section 312
a. Obtained chemical inventory list
Y N N/A
b. View purchase records (where applicable)
Y N N/A
c. Tier II reports to SERC, LEPC, fire dept (Haz. Chem 10,000 lbs)? Y N N/A
d. Tier II reports to SERC, LEPC, fire dept (EHSs 500 lbs or TPQ)? Y N N/A
e. Reviewed documentation of maximum daily amounts stored?
Y N N/A
f. Reviewed MSDSs?
Y N N/A
g. Reviewed documentation of submissions?
Y N N/A
h. Has each report from the past 3 years been submitted by March 1?
Y N N/A
Section 313
i. Form R/A to State and EPA for Toxic Chemicals: Manufactured, Processed 25,000lbs, Otherwise Used 10,000 lbs Y N N/A
j. Obtained list of 313 chemicals MPOU at the facility
Y N N/A
k. Obtained documentation of submissions?
Y N N/A
l. Has each report from the past 3 years been submitted by July 1?
Y N N/A
Additional Observations:
Inspection Identifier:
B.T.EPCRA 7/28/2022
Page 2 of 3
Report Prepared By:
Name (Printed):
Bethany Terpin
Title: Signature:
Inspector
Digitally signed by BETHANY
BETHANY TERPIN TERPIN Date: 2022.09.19 10:22:54 -04'00'
Report Authorized By:
Name (Printed):
Jason Dressler
Title: Signature:
Chief, North Air Enforcement Section
Digitally signed by JASON
JASON DRESSLER DRESSLER
Date: 2022.09.19 14:01:19 -04'00'
Inspection Identifier:
B.T.EPCRA 7/28/2022
Page 3 of 3