090027_Inspection_20200331

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pe of Visit: ®Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
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to of Visit: 3( r�, Arrival Time:1 /j to f Departure Time: �;�C /-' County: 131a Jl Region:F-14Y
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rm Name: �r c /t.`�t'1 �"�✓ �a�"^'� Owner Email: `,) ,�l r3,A .!`1 \ It) 6/
vner Name: m k,p IL y i?'-6-c,,;tA �J C Phone:
ailing Address: l
ysical Address:
cility Contact: ('11 i I` c A-1,4,►tit o,f Title: Phone:
'site Representative: ti 1 Integrator:`S 06 t-'s(t'e `el
Ttified Operator: yy ���� Certification Number:
ate 70
ick-up Operator: {'l i Re, T.
Certification Number: 2_6-2-3'3
•cation of Farm: Latitude: Longitude:
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►ischaraes and Stream Impacts
.Is any discharge observed from any part of the operation? ❑ Yes [ 'coq ❑ NA D NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? (l Yes Quo NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) Yes [II No ❑ti\+ ❑ 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 0 No IE NA ❑ NE
>.. Is there evidence of a past discharge from any part of the operation? n Yes ❑'NO [A fl NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 10 ❑ NA n NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: - 2-7 Date of Inspection: If 110,- (L 1-c%
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes [ ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes n No [a-NA— ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 3 L
5.Are there any immediate threats to the integrity of any of the structures observed? n Yes - ❑ 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
G7 Do any of the structures need maintenance or improvement? Mires Q-4C; ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes Q'g; ❑ NA n 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 ago ❑ NA n NE
maintenance or improvement?
Waste Application ��
10.Are there any required buffers,setbacks,or compliance alternatives that need n Ll "'�'Yes n NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes, check the appropriate box below. ❑ Yes [2--n 5--- NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload n 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): (4 C
13.Soil Type(s): Led d 3 l`z-Ki elk (A)a s [QG�
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes o n NA n NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes [ 6 I NA n NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes [ o n NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ljpqz ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? n Yes ([ ' To ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes n/N.0 n NA n NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check n Yes 27No n NA n 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 [11(1C2 ❑ NA ❑ NE
I I Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑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 ENo ❑ NA n NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ll 4o ❑ NA ❑ NE
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Facility Number: ct - /1_ Date of Inspection: ( (ice 1, 13
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 ❑ No ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No ❑ NA 0 NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No n NA n 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 ❑ 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 ❑ No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes n No 7 NA ❑ NE
Comments(refer to question#) Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
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Reviewer/Inspector Name: 13 t t1 Q(2✓�(0)v Phone: i -43 3`3 33
Reviewer/Inspector Signature: ( Ca-.J1279 Date: 3( )V)
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