510020_Inspection_20170427

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� ivision of Water Resources
Facility Number - L6"S�J O Division of Soil and Water Conservation
i S O Other Agency
Type of Visit: (D Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: .6 Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: M�M] Arrival Time: Departure Time: County: TOW61 Region: RRO
Farm Name: -Soxv l l l T1f'n (howes I" Owner Email:
Owner Name: S Imp V fir ' Phone:
Mailing Address:
Physical Address: 260 LQflg6 ) keW1 (9(p)ve
Facility Contact: somnlw pJf) Title: 6 {'t'A?l Phone:
OnsiteRepresentaYive: (MAtV D( Integrator: %ge
ppe��r I6 ya Certified Operator: S((/mm V s�f' Certification Number:
Back-up Operator:
Location of Farm:
Discharges and Stream Imnaets
Latitude:
Certification Number:
Longitude:
1. Is any discharge observed frwn any part of the operation? ❑ Yes J�d No ❑ 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) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes 2n No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes f4 No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Pacilit Number: Date of inspection:..
Waste Collection &'Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
gNo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): y
5. Are there any immediate tau eats to the integrity of any of the structures observed?
❑ Yes
.4 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
[� No
❑ NA
❑ NE
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
7. Do any of the structures need maintenance or improvement?
❑ Yes
V No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[A 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 structures require
❑ Yes
r� No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
t�n No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below,
❑ Yes
W No
❑ 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
Fare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved
Area
12. Crop Type(s): �—K x�
13. Soil Type(s): Rat
14. Do the receiving crops differ rom those designated in the CAWMP?
❑ Yes
g No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
5? No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
C'No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
'j No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[�j No
❑ 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
[�? 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 ❑ No
5�Wastc Application ❑ Weekly Freeboard 'M Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment'?
❑ Yes V No
❑ Yes ❑ No
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
L NA ❑ NE
Page 2 of 3 21412075 Continued

Facilit Number: I - a Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes No NA NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes 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 provide documentation of an actively certified operator in charge? Yes `�K No NA MNE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Yes No M NA N NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document Yes "No M 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
M 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
M 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.
�?9 Yes
No
NA
M NE
Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
Yes
� No
0 NA
NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
Yes
[� No
❑ NA
M NE
34. Does the facility require a follow-up visit by the same agency?
Yes
� No
NA
NE
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Reviewer/Inspector Name: Jowl xhnak"
Reviewer/Inspector Signature:
Page 3of3 oM,Srjpei0ytjenr,r v
Phone: gig_W_L a
Date: *1d a 01-7_
21412015