040033_Inspection_20210329

Type of Visit: X) Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Ihla-1 17_I I Arrival Time: {��"r�t
Farm Name: I �.V111 oo 1�c9 fQ rl l l
9: 9g
Departure Time:
Owner Email:
County: QII G o N
Region: fro
Owner Name: WO � �ti , KOOK Fa rr I ✓ LU 0 Phone:
Mailing Address:
Physical Address:
Facility Contact:
G
Onsite Representative:
11
Title:
Certified Operator: JbQ \J / r V 1 c
Backup Operator:
Location of Farm:
Latitude:
Integrator:
Phone:
Grnith eteld
Certification Number
Certification Number:
Longitude:
117015
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Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a.
b.
c.
d.
Was the conveyance man-made?
Did the discharge reach waters of the State? (If yes, notify DWR)
What is the estimated volume that reached waters of the State (gallons)?
Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ YesIo ❑ NA ❑ NE
❑ Y
ez',No ❑
❑
NA ❑ NE
❑ Yes o NA ❑ NE
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?
• Yes
❑ Ye`
❑ Yes
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number: 07 -
Date of Inspection:.9/,29 /a-/
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?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
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 ❑ Yes ❑ 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
Y
❑ Yes
Structure 5
No ❑ NA ❑ NE
No ❑ NA ❑ NE
Structure 6
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
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window
Iw' ❑ Evidence of Wi dr%D�ri�ft ❑ Application Outside of Approved Area
12. Crop Type(s): GovN goo urn — `Z71 I o \ \ I a N ^ in l jiI
❑ Yes
❑ Yestlallo
❑ Yes KNo
❑ Y
s
❑ Yes
❑ Yes allo ❑ NA ❑ NE
No ❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
D Heavy Metals (Cu, Zn, etc.)
13. Soil Type(s): C,I U`\ (Xfl4K , €QdU 111) [n l C Octiv
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?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑Checklists ❑ Design D Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
Page 2 of 3
❑ Ye.. -)St No
❑ Yes No
❑ Yes'No
❑ YeNo
❑ Yes
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ Other:
❑ Yes No ❑ NA
❑ Waste Transfers ❑ Weather Code
❑ Sludge Survey
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: •
- 3�
Date of Inspection: 3I 0`(I
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
❑ Failure to complete annual sludge survey
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
❑ Yes
❑ Yes
❑ Failure to develop a POA for sludge levels
❑ NA ❑ NE
❑ NA ❑ NE
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:
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?
Yeso
Ye>_No
❑ Yes" No
❑ YessNra_No
❑ Yes�No
❑ Yes No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
El NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
El NA ❑NE
❑ NA El NE
❑ NA ❑ NE
(.onu teuts (refer:. to qucstio`n #) ,Explain any` YES'answcrs and/or`aiuy additional
Ifsg`drawings of facility to better explain situations (use,add tional`pages a tr}gcess ty
NOV NMI V1Ot In eLtec1 iN
Reviewer/Inspector Name:
a je F©PPTaL
Reviewer/Inspector Signature: KOCR.12, f o` :2410 t
Phone: I I T l/ 1 L1 9
Date:5Ji2 117I
Page 3 of 3
2/4/2015

FACILITY MI 0 4( _3 FARM NAME: / &i» 00-1/4
FREEBOARD ACTUAL LAGOON LEVEL
PERMIT (#19)
- DUE EVERY 5 YEARS
EXPERIATION DATE 1I 3D] oaf
- OIC CARD YES OR NO
SOIL TYPES
NUMBER OF ANIMALS 11U
WASTE UTILIZATION PLAN (WUP) (#20)
CROP TYPESGri gl-cuN- maNcu-p,
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
- ODOR CONTROL CHECK LIST YES OR NO
Irrigation Plan Maps
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE %ktPtal NITROGEN LEVEL (p
SOIL REPORT (#21)
- EVERY 3 YEARS: DATE ID NI IP (901 1
P-I (NO MORE THEN 400) 35 PH ( ote if 4 or less) Cp.."")- 6 a
Cu/ZN (NO MORE THEN 3000) CU a aD1{- ZN nip
(IF PEANUTS NO MORE THEN 300)
- MENTAL CHECK OF CROP AND FIELD NUMBERS
IRR2 (#21)
ZONE ACRES 3 a lP PANDO CROP TYPE 5I ITO (v-0
FLOW RATESfb 3. I(1 NITROGEN (N)
120 Min inspection initialed ' Weather Codes/Pi
Commercial Fertilizer 140 Chicken Litter NO