820640_Inspection_20200812

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pe of Visit: &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 �oa°�
0, �Deniied Access
to of Visit:$-R` .- 2013 Arrival Time:Y O t3V 4 Departure Time:I(� so 4_i County: SA-0,,1d ' " Region: F,4.1(
rm Name: 9 1 j S Z, Owner Email:
vner Name: V .4,16k�,g)awl Phone:
ailing Address: •
ysical Address:
ii or,o. Title: Phone:
cility Contact: i� �( (r SA �a
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!site Representative:
( � Integrator: g J { / Y` a
;rtified Operator: nS T 2.,...14 a 't Certification Number: (c c'I -8 7
ick-up Operator: Certification Number:
!cation of Farm: Latitude: Longitude:
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lischarges and Stream Impacts
.Is any discharge observed from any part of the operation? 0 Yes [t1❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ 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 El 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 IA ❑ NE
?.Is there evidence of a past discharge from any part of the operation? ❑ Yes ,❑'Clo ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [�No ❑ NA El NE
of the State other than from a discharge?
Page I of 3 2/4/2015 Continued

Facility Number: 82 Gcio (Date of Inspection:
Waste Collection&Treatment '
4.Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [3.Dk❑ NA ❑NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 6 7 0(l 6702
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): ic S q e
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 13--I/1b - ❑ 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 ErCo ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 0'�0 .❑ 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 [r No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No ❑ 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): G G) lJ G T I-1
13.Soil Type(s): fror� ®7•l
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 0,4'6 ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes ©-o ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes To ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes Ion❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes ❑ NA ❑ NE
Required Records &Documents ,--,�
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes 1�1VO ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check El Yes 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 [dfiQa ❑ 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 ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: 6 tiO Date of Inspection: —t2.-�` '
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 1/1-114e ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions 'related to sludge? If yes,check ❑ Yes 0 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 [ Pdo'. ❑ NA ❑ NE
27.Did the facility fail to secure a'phosphorus loss assessments(PLAT)certification? ❑ Yes [jo ❑ NA ❑ NE
•
Other Issues '
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes [jJ to n NA 0 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 0 Yes ❑ g ❑ 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 0 NE
El Application Field ❑ Lagoon/Storage Pond ❑ Other:
.32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? - ❑ Yes ri:1- o -0 NA 0 NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes [-&2cT0 ❑ NA -❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes [ Ado ❑ NA ❑ NE
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Reviewer/Inspector Name: 3 C U U VA1L. o• Phone: " 633` 3 3- /
Reviewer/Inspector Signature: �J( `I ukn/� Date: tk19 1
Paee 3 of 3 2/4/2015