290034_Inspection_20221110

Type of Visit: lit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Z6Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Arrival Time:
Farm Name: LA YI1 1 Vl 'e(\S
Owner Name:
I rf lyS 1,6 CI i A
10:00a
Departure Time:
Owner Email:
Phone:
County: atiA&5Od\ Region: lAXSIZZ
33L, 75O • ,-3g(o l LG1
Mailing Address: l 63 \ svptA 9 (� DQ,l\-4>v\ t c:-
Physical Address:
Facility Contact: IVennl5 16 f 1111 Title: Phone:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Geue6SOA �1AsselI
Integrator:
Certification Number:
Certification Number:
Latitude: gsc' 3 5 1 CJZ n Longitude:
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Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure D Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes No E NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes 0 No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
❑ Yes ' No ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number: 2G
Date of Inspection: III 10 7?
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1
t
Jv
Structure 2 Structure 3
Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
❑ Yes No ❑ NA ❑ NE
❑ Yes '94 No ❑NA ❑NE
Structure 5 Structure 6
❑ Yes gNo ❑ NA ❑ NE
❑ Yes (No ❑ NA ❑ NE
7. Do any of the structures need maintenance or improvement? ❑ Yes CZNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes cNo ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes VNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes f2r,No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes lallo ❑ NA ❑ NE
E Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP
❑ Yes ENo
❑ Yes [o
❑ Yes '�( No
❑ Yes T0,No
❑ Yes ,No
M. Yes ❑ No
❑ Yes
❑ Checklists ❑ Design D Maps ❑ Lease Agreements ❑Other:
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. , 1Yes ❑ No ❑ NA ❑ NE
e pp tca t'f'on 1ZCWeeldy Freeboard ❑ Wast Analysis- ► l4 oil Analysis n r� rat1s€e c
Rainfall - EI-Stink—glerop--Y-ielel--E-1-2Hylinute-inspestions_ IN Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes tacNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [$No ❑ NA ❑ NE
Page 2 of 3 5/12/2020 Continued

Facility Number: 2q -
Date of Inspection: I i 10I 22
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
5. Is the facility out of compliance with permit conditions related to sludge? If yes, check 17r,Yes E No ❑ NA ❑ NE
the appropriate box(es) below.
Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes igNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No Z NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes tgNo ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yesl'No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes piNo ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes O No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes 171 No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
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Phone:
Date:
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11I I n 1167
5/12/2020