820464_Inspection_20190304

Facility Number: M, Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑Yeso
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes M-1 o
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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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 or CAWMP?
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?
_ < s-
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑NA ❑NE
❑ NA ❑ NE
❑ Yes
❑10
❑ NA
❑ NE
❑ Yes
E o
❑ NA
❑ NE
❑ Yes &o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ©No ❑ NA ❑ NE
❑ Yes
b No
❑ NA
❑ NE
❑ Yes
�N0
❑ NA
❑ NE
❑Yes
Yes
❑N-
eNo
❑NA
❑ NA
❑NE
❑ NE
off : &3
Date:
21412015