Document yprqMoN5DZ3w1y9myJpMdQqy2

version 9.27.2022 HFC Import Inspection Worksheet This workskeet is for inspection of Imported Hydrofluorocarbons (HFCs) subject to 40 CFR Part 84 Insp. No: 202404171340 -001 Inspector(s): Prendergast, Felix, Mullenix Insp. Date: 4/17/2024 Start Time/Stop Time: 1:40pm - 2:05pm Facility Name: Custom Goods, LLC Address: 9431 Bay Area Blvd, Pasadena, TX 77507 Indicate here if entry was not filed at time of inspection Importer Name: Technical Chemical Co. Importer Address: 3327 Pipeline Rd, Cleburne, TX 76033 Importer No : 75-100247200 Location of Inspection Facility Type: CES Warehouse CBP POC Contact Information: CBPO Darden; shamia.l.darden@cbp.dhs.gov Importer Information (from Entry Documents) Indicate here if consignee is the same as importer Consignee Name: Consignee Address: POC Contact Information: Salvatore Distefano 516-887-2400 Product Description: 410A - 25lb tank(s) Visual Inspection #1 Shipment/ Entry No: BNI-01254067 Chemical name/formula: Difluoromethane and Pentafluoroethane Container Type: Service Can Ton Tank ISO Tank Refillable Cylinder Disposable Cylinder Shipping Container No: MSMU1186426 and MSDU1336018 Arrival Date: 4/3/2024 Listed Qty: 2,280 Listed Mass: 25764.0 Actual Mass: Not Obs. lb kg ton Visual Inspection Notes: 25764kg of 152A listed, several boxes have been taped and resealed in both shipping containers, listed of 2280 individual cylinders split between the two contianers, roughly 1140 were inside container located at warehouse door 104. Evidence/Samples taken and Description: None Inspection Summary Potential Follow-Up/Areas of Concern (e.g. potential deficiencies, actions taken by facility (if applicable)):Listed in ACE as importing R152A, upon physical inspection 410A was observed. Inspectors-in-training Prendergast & Mullenix led this inspection while being observed by credentialled inspector Felix. Additional EPA inspectors-in-training accompanied for this inspection. Inspection photo numbers: 142-167 Camera Information: Nikon Coolpix W300 Lead Inspector Signature: Liam Prendergast Other: Photographer: Mullenix Supervisor Signature: Digitally signed by AMELIE AMELIE ISIN Date: 2024.05.28 16:19:42 ISIN -04'00' Inspector should obtain copies of the following when conducting inspections for CBP: Entry documents Invoice/Packing lists Bill of lading Inspector should obtain the following key photographs: All sides of container to include any labels. Guidance for Inspectors: