090204_Inspection_20200331

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pe of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: ' *Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
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.te of Visit: 3 ,M1 c.�t� Arrival Time:� /06.IS�- Departure Time: j'J;3.5 County: �1(z�J ey1. Region: �P� b
14 (�r `(� �t� Owner Email: r V l.74( 1'l 1 �.0�.� ���'
rm Name: �,�� S
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vner Name: 14'l 0,7111 doh e• I- Phone: -
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ailing Address:
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iysical Address: /I// j
cility Contact: t i FAY- A"11'a'i,octtS Title: ' Phone: i
mite Representative:
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Integrator: ;;�►44.-er'� 1 -
:rtified Operator: 2.
{( Certification Number:
e6e 72
rick-up Operator: Certification Number:
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)cation of Farm: Latitude: Longitude:
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Discharges and Stream Impacts `
.Is any discharge observed from any part of the operation? n Yes (� O- El NA El NE
Discharge originated at: ElStructure ❑ Application Field El Other:
a. Was the conveyance man-made? ❑ Yes Ell No [ A ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No [ A ❑ 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 ( A El NE
2.Is there evidence of a past discharge from any part of the operation? ❑ Yes t No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [nNo ❑ NA ❑NE
of the State other than from a discharge?
Page I of 3 2/4/2015 Continued ';

Facility Number: 1 - 7"0t"( Date of Inspection: 3 I f la-rat X
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 [ icA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 3©et*?
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): Li 6 •
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Q6lo ❑ 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 [ ❑ NA El 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 laiCro ❑NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 'o ❑ NA El 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 [o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes �No ❑ NA El NE
maintenance or improvement? , ,
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ❑✓SNo ❑ NA ❑ NE
❑ Excessive Ponding El Hydraulic Overload El Frozen Ground - ❑ Heavy Metals(Cu,Zn,etc.)
El PAN El PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
El Outside of Acceptable Crop Window ; ❑I Evidence of Wind Drift El Application Outside of Approved Area
12..Crop Type(s): - ,�I'l C r l�6 g'b .i"f �'-' -
13.Soil Type(s): - &0�. L C e-tom. f
14.Do the receiving crops differ from those designated in 7
e CAWMP? ❑ Yes E No El NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? El Yes E No ❑ NA El NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable , ❑ Yes [o ❑ NA El NE
acres determination?
17.Does the facility lack adequate acreage for land application? El Yes [ No ❑ NA El NE
18.Is there a lack of properlypperating waste application equipment? El Yes dNo El NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? El Yes 'No ❑ NA El NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check El Yes [ No El NA ❑ NE
the appropriate box. -
❑WUP El Checklists ❑Design ❑Maps El Lease Agreements ❑Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. El Yes 1No El NA• El NE
El Waste Application El Weekly Freeboard ❑Waste Analysis El Soil Analysis -El Waste Transfers El Weather Code
El Rainfall El Stocking El Crop Yield ❑120 Minute Inspections ❑Monthly and 1" Rainfall Inspectior1ss El Sludge Survey
22.Did the facility fail to install and maintain a rain gauge? El Yes [t],No El NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [ 'No El NA ❑ NE
Page 2 of'3 2/4/2015 Continued

i
Facility Number: - -,` I Date of Inspection: 7 I .f1c 2(2)
14.Did the facility fail to calibrate waste application equipment as required by the permit?, ❑ Yes -No ❑ NA ❑ NE
15.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes Q'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 Q!No ❑NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes []'No ❑ NA ❑ NE
Other Issues
28..Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes- la .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 []' .o ❑ 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 ["'to ^ ❑ 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 Erg; ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? , ❑ Yes L/No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes'-i ErNo ❑ NA ❑ 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: Ill 1I `�V1LLp Phone:41 3I3(
Reviewer/Inspector Signature: t VI) CO4
Date: a 1 -4 o a 0
Pare 3 of 3 2/4/2015