090075_Routine Inspection_20240827

Arrival Time: `L Departure Time: (i, County:
Mailing Address:
Physical Address:
Facility Contact: (�j q rd �Cc� yv C� Title:
Onsite Representative: /
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Region:
Integrator:ii1G
Certification Number:
Certification Number:
Latitude: Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes .2<o ❑ 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)?
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
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes _E�[-n!o ❑ NA ❑ NE
❑ Yes e No ❑ 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 ONo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):/
Observed Freeboard (in): oc 7
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes ETNo
❑ 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�JlNo
❑ 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 ,J�!rNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes J2-IQo
❑ 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 ,O'No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes J2"No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes �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. Crop Type(s): CiJZCr/at�
crr� �J�ivr� C Lc9�i
13. Soil Type(s): _✓rn ,Lji�r
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes Z—No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
Yes ❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes 10-No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes E]IRo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes J[21�o
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes EiJ No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes )2FNo
❑ 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,)�^N
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?
❑ Yes ❑` No
❑ Yes _2No
o
Page 2 of 3 511212020 Continued

Facility Number: Z71 - -7
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes
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:
ONo ❑ NA ❑ NE
.0—No ❑ NA ❑ NE
❑ Yes 'o1Vo
❑ NA
❑ NE
❑ Yes O'No
❑ NA
❑ NE
❑ Yes E�[_No
❑ NA
❑ NE
❑ Yes P]-No ❑ NA ❑ NE
❑ Yes �' o ❑ NA ❑ NE
[—]Yes O—No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Jallo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes �JNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes _[2-No ❑ NA ❑ NE
Reviewer/Inspector Signature: /C/ OILI 14_1411c � Date: 5/d7XxLl
Page 3 of 3
511212020

raomry NO. C-5)- / 5-- Time In
---_.__ Time Out Daea
Farm Name � -,
Integraro,
Owner
Site Re;
Operator
Back-up
COC Circle: General
FREEBOARD: Design
Observed
Crop Yield
Rain Gauge _
Soil Test Wettable Acres
Weekly Freeboard_ /i Daily Rainfall-�
SpraylFreehoar; Drop
Weather Codes _� 120 min inspections
Waste Analysis:
Date Nitrogen(N)
aC/
No.
No.
or NPDES
Sludge Survey /D 12 5 �r}� , #7
qc�
Calibration/GPM G l a -
Waste Transfers
Rain Breaker
PLAT
1-in Inspection--- $
Date Nitrogen (N)
/r1 aSJ3 �O l Ulo