820216_Inspection_20200813

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pe of Visit: •Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: a"°Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
to of Visit: I O G p ;d j Departure Time: i �� County: 8 ii()t Region:
rm Name: '2Z'e-4 F---:my-vvt. Owner. Email:
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vner Name: 'WI(.,.�'r 1'r t., �0 wit 1 Lt� Phone: I
ailing Address:
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ysical Address: 1
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duty Contact: VIA f`1/it;&' i 1" try 1 5 Title: Phone:
( Integrator: ,•4 g S (RI -f (i `cf
isite Representative: g
:rtified Operator: IiA ow-l< 114 ti,'1:coCertification Number: 9 7() 00 7
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Lek-up Operator: Certification Number:
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(cation of Farm: Latitude: Longitude:
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ischarges and Stream Impacts
.Is any discharge observed from any part of the operation? ❑ Yes ©'fro ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No [ IAA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No Q4rA ❑ 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 ILIA ❑ NE
!.Is there evidence of a past discharge from any part of the operation? ❑ Yes 0 No El NA ❑ NE
i.Were there any observable adverse impacts or potential adverse impacts to the waters El Yes DNo ❑ NA ❑ NE
of the State other than from a discharge?
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2/4/2015 Continued

Facility Number: - 2- Z (b Date of Inspection: r 4A.'
6 '2-6
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes I0 NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No - VA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in): CC
Observed Freeboard(in): J 0
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 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 laiNfd ❑ 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 C3'ii'T ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 0-5 ❑ 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 0 10 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes Ergo ❑ NA ❑NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes El< ❑ 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): l �,v �3 S(yc) )-rr1 ct-
13. Soil Type(s): , l7 , tuG_` L y llo
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [ j_No ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? 0 Yes No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑'moo ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑ ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes la S ❑ NA ❑ NE
Required Records &Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes fo ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes [g 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 []-11.6- ❑ NA ❑NE
❑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 No ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes (f No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: 62 - rL[ ( Date of Inspection: 1 3.40(4 c
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [ Pdo/❑ NA El NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check El Yes ❑0Go ❑ 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 pl.../KTO ❑ 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 [ ❑ 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 To ❑ 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 111,11(0 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 0,Pifi ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes to ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes i__l l�� NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes o ❑ NA ❑ NE
Comments(re€er to4,uestaon#) Txplain any YES answers and/or ang aqMitranal tecommendatxctns or tnyother comments
Use drawingsof facility to;better explarn_satuatcons(use addit onai
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Reviewer/Inspector Name: i 1 t i(,v,,G Phone: I,( L(3' 05`( 3 V1
� `'�{'/J J
Reviewer/Inspector Signature:
Date: C 4E10 p,
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