820199_Routine Inspection_20240321

Type of Visit: J2Yrompliance Inspection 0 Operation Review Q Structure Evaluation O Technical Assistance
Reason for Visit: _QrRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: sfj //j�� Arrival Time: ;Q Departure Time: pU County:/� Region:
Farm Name: CJ.-(z; ;'? 1 lQ�1\JU/�� �Ciriyt Owner Email:
Owner Name: (',xP�j� '✓ jaAe _ Phone:
Mailing Address:
Physical Address:
7
Facility Contact: ( C�(i fiL(ii 7 Title:
Onsite Representative:
Certified Operator: P
Back-up Operator:
Location of Farm:
Discharges and Stream Impacts
Latitude:
Phone:
Integrator:
Certification Number: 4 / a�3
Certification Number:
Longitude:
1. Is any discharge observed from any part of the operation?
❑ Yes _,ETNo
❑ 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
❑ 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
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes ,ffNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes Ej No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facility Number: Date of Inspection: ( d
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes E5'No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 2*7
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Z'No
❑ 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 E�'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 ..®'No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 1:]-No
❑ 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 4EI"'No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes J-No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes .-E'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 ❑ Application Outside
❑/ Evidence of Wind Drift
Area
/of�Approved
//// nn
12. Crop Type(s): ( l� t 110l ec(,e_� (�lJaj&& �Jce< CP%L � /G cca�
�
4'W
13. Soil Type(s): W0
4 /M
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes' No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? [—]Yes 12 No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable [:]Yes ❑'No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes [3 No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes allo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes J2'No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes j]-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 ,.allo
❑ 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 ❑'No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[:]Yes E3"No
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facility Number: Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes [;A�o
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes „®'No
❑ 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 to provide documentation of an actively certified operator in charge?
❑ Yes ❑'No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes _;2,No
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ NA ❑ NE
and report mortality rates that were higher than normal?
'12`No
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
❑ Yes L3 No
❑ 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 '[30No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes �o ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes � No ❑ NA ❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 916
Date: c3/_z//-y
511212020

racmry NO. —1 Z I Time In
Time Out
Farm Name
Owner
Integraro.
---
Operator Site fiver
Back-up No.
No.
COC Circle: General or NPDES
FREEBOARD: Design
Observed
Crop Yield._
Rain Gauge
Soil Test /( 31i Wettable Acres
Weekly Freeboard ___�L_ Daily Rainfall
Spray/Freeboard, Drop
Weather Codes 120 min Inspections
Waste Analysts:
Date Nitrogen (N)
/d
C-Y/Lo/ 3
Sludge Survey
Dare
Calibration/GPM �i�
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
4,2 el C) , Y(,-