110011_Inspection_20231208

'o 0 Division of Water Resources I '.
Facility Number ©-.�/ O Division of Soil and Water Conservation
O Other Agency
Type of Visit: ® Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: j� / /8) /'ky� Arrival Time: _ Departure Time: County: j 1p7j{taegio'n:
Farm Name: (.--G/�{t� ? t{/e-y(n Owner Emaih-��!_"6[.e�S
Owner Name: - e' Gj.G/ri " /�,1 C-& J m. 2� Phone: io
Mailing Address:
Physical Address:
Facility Contact: -judi'l(I yt7ct ka'— Title:
Onsite Representative: )tw-ry,t Its f?4,ka t,`,
Certified Operator: L /?Zs7,..444�
Back-up Operator:
Phone:
Integrator:
Certification Number: ? / 7 O U�J--
Certification Number:
Location of Farm: 90'qo'A&kw P'/ Latitude: ;F514155?� Longitude: 1Ra r6W --7-
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation? [-]Yes [ kNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
:,� ❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ 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)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ No
❑ Yes RNo
❑ Yes $�No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 511212020 Continued

Facili Number: a. If - tj jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Snuc[u{k'a I S fracture 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?: r{
Designed Freeboard (in):
Observed freeboard (in):
T
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
0 No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
,,,___,,,((t
L/
ENo
❑ NA
❑ NE
waste management or closure plan?
T
If any of questions 4-6 were answered yes, and the situation poses an immediate public health
or environmental
threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
F�No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
E5�No
❑ 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 armatures require
❑ Yes
FNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes fUNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? if yes, check the appropriate box below. ❑ Yes VNo ❑ NA ❑ NE
❑ 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 ❑YAApplication Outside of Approved Area
12. Crop Type(s): Gy7Lc>) Sill//II--II�S�C�,,t�lhs'ILyyiV�� SYUELYI C�QH�n/i LJ�—Q/T
13. Soil Type(s): �73Le.0 l��LkdLLPSL.I� oil/ AaW ,�/5.�%jI-IZ Oln" %.0h ISSN
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
%No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
O No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
PA
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
No
❑ NA
❑ NE
IS. Is there a lack of properly operating waste application equipment?
❑ Yes
No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
D4�,( No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
[A No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
EANo
❑ NA FINE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑Monthly and l" Rainfall Inspections
❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
[I No
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
[2�No
❑ NA ❑ NE
Page 2 of 3
21412015 Continued

Facility, Number: Date of Inspection: Z
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 'g No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ YesiVo
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? ❑ Yea No
27, Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [—]Yes No
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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?
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
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit orCAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34, Does the facility require a follow-up visit by the same agency?
[-]Yes t4N.
❑ Yes j4No
❑ NA
❑ NE
❑ NA
❑ NE
❑ NA
❑ NE
❑ NA
❑ NE
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes (No ❑ NA ❑ NE
❑ Yes RNo ❑ NA ❑ NE
❑ Yes
r5)1\lo
❑ NA
❑ NE
❑ Yes
�No
❑ NA
❑ NE
❑ Yes
SjNo
❑ NA
❑ NE
Ieomments (rmer to question a): EXPlam any xLe answers and/or any adm amord recommendations or any other comments.
Use drawings of facility to better explain situations (use additional ogees as necessary).
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Reviewer/Inspector Name: i�� it& �K Phone:
Reviewer/hrspector Signature: Date:
Page 3 of 3 51122020