820047_Inspection_20190507

ME
— 0 _lam-/ _t
Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: s— / Arrival Time: Departure Time: Ov County: Region:
Farm Name: �j�� L �) par
/"� : S/ cJ i , Y/ha ss- �O Owner Email:
Owner Name: �� ��j `j p/ n�t7"'—' Phone:
Mailing Address:
Physical Address:
Facility Contact: 0p b `� © r KL`7y r,— Title: © LU, fl Y.— Phone:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Integrator: jpr�-_5
Certification Number: 7-1—
Certification Number:
Latitude: Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
[:]Yes No ❑ NA ❑ NE
❑ 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)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
[ N�
E]NA
E] NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
F] Yes
[3 o
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

• Facility Number: - Date of Inspection: 5--Z-421
Waste
— —
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
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: 13-1(-
3r-/toSpillway?:
21. Does record keeping need improvement? If yes, check the appropriate box below.
14. Do the receiving crops differ Kom those designated in the CAWMP?
❑ Yes
Spillway?:411N�r )o1'b .r� h;,/�r✓
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
Designed Freeboard (in):
❑ No
❑ NA
❑ NE
Observed Freeboard (in): .30
❑ Yes
El"No
❑ NA
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
to
❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
21412015 Continued
17. Does the facility lack adequate acreage for land application?
❑ Yes
6. Are there structures on-site which are not properly addressed and/or managed through a
❑ Yes
No
❑ NA ❑ NE
waste management or closure plan?
Ej<o
❑ NA
❑ NE
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?
es
❑ No
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
El -No
❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
❑ NA
❑ NE
the appropriate box.
9. Does any part of the waste management system other than the waste structures require
❑ Yes
El -No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
No
❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes E] N ❑ 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 ❑ Application Outside of Approved Area
12. Crop Type(s): /
13. Soil Type(s): L U M 1 r V—`, fC <r
r-1 Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
14. Do the receiving crops differ Kom those designated in the CAWMP?
❑ Yes
o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
E2-1es
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
El"No
❑ NA
❑ NE
acres determination?
❑ NA ❑ NE
Page 2 of 3
21412015 Continued
17. Does the facility lack adequate acreage for land application?
❑ Yes
E3-lq'o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
Ej<o
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
Q o
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
r-1 Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
Ej o
❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall E] Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
E] No
❑ 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
21412015 Continued

Facility Number: - Date of Inspection: _- 7- /
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes EJ -14o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check D<es ❑ No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
BNon-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ YesNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [3<o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
0-11; o
❑ 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?
❑ Yes
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
[ ] No
❑ 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
Q o
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
Q No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
❑ Yes
Q o
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[j No
❑ NA ❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signatur
Page 3 of 3
Phone: 4# 3
Date:
2/4/2015