770019_Routine Inspection_20240627

Type of Visit: 40-1Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: G-Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I Arrival) Time: Departure Time: UEEio County: &1,2 �Region: 15C6
Farm Name: �j/�{y L, r� Owner Email:
Owner Name: /�..�al Phone:
Mailing Address:
Physical Address:
A
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Phone: �'
Integrator: .�rw/v+ z
Certification Number: ! q ;75
Certification Number:
Latitude: Longitude:
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?
❑ Yes',E3'No ❑ NA ❑ NE
❑ Yes
[—]No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes _❑-No ❑ NA ❑ NE
❑ Yes -eNo ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facility Number: Date of inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes 21'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?:
G
Designed Freeboard (in): i
sp�
Observed Freeboard (in): °t
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes f�rNo
❑ 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 ❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes ,❑ 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 ❑ No
❑ NA
❑ NE
maintenance or improvement?
'..
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes F'J'No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes .,D 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
n❑
12. Crop Type(s): es
�
oo�/
��
13. Soil Type(s):�
14. Do the receiving crops diffeW 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 ❑ Maps ❑Lease Agreements
❑ Yes —13'No
❑ NA
❑ NE
❑ Yes _[3-�Io
❑ NA
❑ NE
❑ Yes ❑ No
❑ NA
❑ NE
❑ Yes J2,No
❑ NA
❑ NE
❑ Yes E�J'No
❑ NA
❑ NE
❑ Yes _allo
❑ Yes 4D No
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. —2--yes ❑ No
—1:1Waste Application ❑ Weekly Freeboard efTWaste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ Yes ,�fNo ❑ NA ❑ NE
[—]Yes eNo ❑ 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 2-No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ,2'No
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?
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:
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes _E]'No ❑ NA ❑ NE
❑ Yes [ -No ❑ NA ❑ NE
❑ Yes O'No ❑ NA ❑ NE
❑ Yes �❑ No ❑ NA ❑ NE
❑ Yes �o ❑ NA ❑ NE
❑ Yes .E]'No ❑ NA ❑ NE
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 �no ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes &No ❑ NA ❑ NE
c > qq
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: %/O 6�257:_, 975
Date: 6 Ig
Page 3 of 3 511212020

"CUI y NO.
-%% Time In
� Time Out
Farm Name
Iniegrato�
Owner
Site Feat
Operator • '
Sack -up No.
No.
t;OC Circle: General or NPDES
FREEBOARD: Design
Observed
Crop Yield ._
Rain Gauge
Soil Test 3 / h,3 Wettable Acres
Weekly Freeboard Daily Rainfall L---
SpraylFreeboard Drop.
Weather Codes 120 min inspections
Waste Analysis:
Date Nitrogen (N)
5"?41 3
3 to z d• qq
Date
Sludge Survey W/,-L [ (
Calibration/GPM 501 n c��y
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)