430004_Compliance Inspection Routine_20210419

pivision of WatorRResources
Division;of Soil; and Water, Conserva
Other„Agency
i 1 7 )-ij t9(
Type of Visit: 9.,Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ISkRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
LIMPIE
Farm Name: LP .IQCK farm
Owner Name:
Arrival Time:
LID B1QCK
Departure Time:
Mailing Address:
Physical Address:
Facility Contact: LP IMCK
9
p)
Owner Email:
Phone:
County: Hgmeth
Region: FRO
ENTERED TO
LASERFICHE
APR 1 9 2021
Onsite Representative:
Title:
FAYETRAL# REGIONAL OFFICE
Integrator:
preGtage
Certified Operator: Certification Number:
t 1 (Pg.41
Back-up Operator:
Location of Farm:
Certification Number:
Latitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Longitude:
❑ YesNo ❑ NA ❑ NE
❑ Yes \No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes `lNo ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes l 4o ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number: IS - 0'f
(Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2
2
N N
i9 9
33 3(a
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
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?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ YeshISt‘No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ YesNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload 0 Frozen Ground 0 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 0 Application Outside of Approved Area
12. Crop Type(s): C 13
GGn
❑ Yes No ❑NA ❑NE
❑ Yes No ❑NA ❑NE
❑ Yes `J No ❑ NA ❑ NE
13. Soil Type(s): ginned, 31 l e a d
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes No ❑ NA ❑ NE
O Yes 0 NA 0 NE
Structure 5 Structure 6
O Yes �No ❑ NA 0 NE
O Yes ‘No ❑ NA ❑ NE
❑ YesnNo
❑ Yes 'SNNo
❑ Yes\\No
❑ Yes
❑ Yes m No
N
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
O Yes No ❑ NA 0 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes'� NNNo ❑ NA ❑ NE
the appropriate box.
❑WUP D Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes o
❑ Waste Application 0 Weekly Freeboard ❑ Waste Anal sis y ❑Soil Analysis ❑Waste Transfer
❑ Rainfall 0 Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? 0 Yes�No 0 NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes tRib 0 NA 0 NE
Page 2 of 3 2/4/2015 Continued
❑ NA ❑ NE
❑ Weather Code

Facility Number: 43 0i
Date of Inspection: a}I 1I I2I
24. Did the facility fail to calibrate waste application equipment as required by the permit.
❑ Yes allo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 1SIZo ❑ 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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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?
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
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes No ❑ NA ❑ NE
❑ Yes • ❑ NA 0 NE
O Yes • ❑ NA ❑ NE
❑ Yes • ❑ NA ❑ NE
O YesNo ❑ NA ❑ NE
❑ Yess No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
eef iti
❑ Yes
❑ Yes
❑ Yes
Div it
Note: t cove form toGi t IN67.ected nN ' 020.
SIU�2 r-eport dye b- dee 31 aoa.J.
-Lp ooh5 had 11on4 vegP-Otl DN
_houses IN gooq Cohd/t;'oN.
No El NA ❑NE
No ❑NA ❑NE
No ❑NA ❑NE
Ilf
Reviewer/Inspector Name: Kq f e Fo
Reviewer/Inspector Signature:
Page 3 of 3
tel I01
Phone: 119 U9 p 110
Date: 4111I94
2/4/2015