820443_Inspection_20200813

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rpe of Visit: ®Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: l®Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access i
ite of Visit: I3 Hsi.- Arrival Time:L! Departure Time: s,. County: � ���N Region:
irm Name: r
A ( Owner Email:
ynerName: Kithi'-191t,1, 1 toc l� LI__(, Phone:
ailing Address: 1
tysical Address: 1
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icility Contact: VAt-c L 0 or-A t 5 Title: Phone: 1
�1 Integrator: 4 Svc c 1- ( i
usite Representative: g { �3'— 7 f('��e `�
zrtified Operator: 'Ca-q"'• Certification Certification Number: ��j I q
ick-up Operator: Certification Number:
e
)cation of Farm: Latitude: Longitude: j
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lischarges and Stream Impacts
.Is any discharge observed from any part of the operation? ❑ Yes ©'go ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No a NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No IE- --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 ❑NA ❑ NE
?.Is there evidence of a past discharge from any part of the operation? ❑ Yes El-No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [/]No ❑ NA ❑ NE
of the State other than from a discharge?
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2/4/2015 Continued

Facility Number: , j 2, 1-L.' Date of Inspection: ,I? 4-06 -p
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ,D-1Vo ❑ NA ❑ NE
a.If yes, is waste level into the structural freeboard? ❑ Yes ❑ No [JAY ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 7 7�
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ago ❑ 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
7.Do any of the structures need maintenance or improvement? ❑ Yes [j— ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑moo ❑ 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 [a.N ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes Digo ❑ NA ❑,NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes © ❑ 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): IA)
13.Soil Type(s): �-tn (Tc� J`► ek
14.Do the receiving crops differ from those designated in the CAWMP? L ❑ Yes (ig-No ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes El-go ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yeso ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes Erg; ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes ([ go ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes [ o ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes 0'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 ❑ < ❑ 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 1:11,1157 ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0 ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: t-k - 1-1-3 Date of Inspection: tt A-(I & d
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 0 ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes Eft< D 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 QI,No ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes InNo ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes C3 No ❑ 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 10 ❑ 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 ❑ Yeso ❑ 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 a to ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes To ❑ NA ❑ NE
Comments(refer to question#) Explain any YES answers and/or any additional recommendations or anylother comments 4
Use drawings'of facility to better explain situat ons,(use additional pages as.necessary�, ; .
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c-a( at(2_3 c.)q -
Reviewer/Inspector Name: 13 1` 0 b(r.lc Phone: J 0—{3 J v 3
Reviewer/Inspector Signature: L Date: IR 4
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