820733_Routine Inspecton_20240806

Type of Visit: Compliance Inspection 0 Operation Review p Structure Evaluation O Technical Assistance
Reason for Visit: J2 Routine 0 Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: t 1=1J Arrival Time: Departure Time: ,'c1U 1%1 County_
Farm Name::���7�� j L �,� # Owner Email:
Owner Name:�� Phone:
Mailing Address:
Physical Address:
Facility Contact: dt4' -1Title:
Onsite Representative: / I
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Region: lr"�
Integrator: �GYcrf
Certification Number: / d o 3&
Certification Number:
Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes J: PI ❑ NA ❑ NE
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)?
] Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
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 ❑ No ❑ NA ❑ NE
[—]Yes EE�No ❑ NA ❑ NE
❑ Yes D No ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facili Number:3M - Date of Ins ection: (p
a
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes E3^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: 3
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
sQ-No
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes ,ETNo
❑ 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?
S t es ❑ No
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
(not
❑ Yes No
❑ NA ❑ NE
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
❑ NA ❑ NE
maintenance or improvement?
-L-No
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ YesE No
❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ,0 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. CropType(s): �? /_'i f/
13. Soil Type(s):
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 ❑Maps ❑ Lease Agreements
❑ Yes -ENo ❑ NA ❑ NE
❑ Yes .-E3-No ❑ NA ❑ NE
❑ YesE5-No ❑ NA ❑ NE
❑ Yes Q o ❑ NA ❑ NE
❑ Yes ,�rNo ❑ NA ❑ NE
❑ Yes'-,FJ-No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑Other:/`�
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [�No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste 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? ❑ Yes ETNo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes _;DNo
Page 2 of 3
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
511212020 Continued

Facili Number: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes E5No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �o
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 '�o ❑ NA ❑ NE
❑ Yes .- ffNo ❑ NA ❑ NE
❑ Yes _J:�FNo ❑ NA ❑ NE
❑ Yes •--Mo ❑ NA ❑ NE
❑ Yes E5*`No ❑ NA ❑ NE
❑ Yes, ETN ❑ 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 f�No
❑ NA
❑ NE
v13 Id- 3
Cdro laas'/d-3 1/.?s'/a3
d-Ce r /.bo /.(,S
Reviewer/inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date: Sly �2y
511212020