820341_Inspection_20200813

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pe of Visit: et 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
tte of Visit: lAAi)(,, (')Arrival Time: /E' f.3.5 Departure Time: /0(GTS County: S alliN 0 Region: F4
rm Name: F kV v-1., 3 '7 1_3 Owner Email:
vner Name: v1. I,i.I 1L(:p l"+roc�t�y &LC, Phone:
ailing Address: (,
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iysical Address: li
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icility Contact: �1,( C��i.L '
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nsite Representative: �� � �'Integrator: � 5���'l"�1"�'�
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rtified Operator: C �Lv (% Certification Number: G 1
ick-up Operator: Certification Number:
)cation of Farm: Latitude: Longitude:
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9ischarges and Stream Impacts
.Is any discharge observed from any part of the operation? 0 Yes ❑ NA ❑ NE
Discharge originated,at: ❑ Structure ❑ Application Field El 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 t 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 }N n NE
?.Is there evidence of a past discharge from any part of the operation? ❑ Yes [ o ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑E 1 o ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: 0,1 -3 L(( Date of Inspection:'/ 40 6 au-4.)
Waste Collection&Treatment •
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes EPIC- ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No j J K ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in): pp__
Observed Freeboard(in): .s 6
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [ o ❑ 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 co ❑ 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 N�o ❑NA El NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes ILK ❑ 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes L_I< ❑ NA ❑ NE
maintenance or improvement? -
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes 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 Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area/�
12. Crop Type(s): (�(A.) 8 W I t D
13. Soil Type(s): U v) 4 w, {2 - i v L [tot
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [],Nb ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes [} ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes M ❑ 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 ❑-ivo ❑ NA ❑ NE
Required Records &Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes Lo ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes ❑- ❑ 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 ] N - ❑ 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 El N ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

_ r
Facility Number: e 2 - 3-1(I 'Date of Inspection: f 3 6 Zo
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Q} ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes tf ❑ 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 L_!141 ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes Ko ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes Eit,Na' ❑ 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 1:11.3Go ❑ 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 [j�I ism ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond 0 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 o ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes �to ❑ NA ❑ NE
Comments(refer to question#) Explain5any YES answers and/or any additional recommendations'or any other comments
Use dravgtngs of facility to_better ezplatn situations(use;addittonal pages as,necessary)
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Reviewer/Inspector Name: � l �` ' I..� 11 VI,kb 0 / 1
Reviewer/Inspector Signature: 11___ 666 J Date: 3 ) D Q
Page 3 of 3 . 2/4/2015