820595_Routine Inspection_20240821

Type of Visit:
ompliance Inspection 0
Operation Review O Structure Evaluation
Q Technical Assistance
Reason for Visit:
Q Routine 0 Complaint
0 Follow-up Q Referral 0 Emergency
Q Other 0 Denied Access
Date of Visit: a/ Arrival Time: Departure Time: I / Countyil`7F--'
Farm Name: Owner Email:
Owner Name: v J Phone:
Mailing Address:
Physical Address:
Facility Contact: _!/ ' ,(4j Title:
Onsite Representative: i
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Region:
/ /W
Integrator:�,id
Certification Number: f y/s—
Certification Number:
Longitude:
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes 40ONo ❑ NA ❑ NE
Discharge originated at: ElStructure ❑ 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 rffNo ❑ NA ❑ NE
❑ Yes E'No ❑ NA ❑ NE
Page I of 3
511212020 Continued

Facili Number: 5 7Date of Ins ection: 1
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �o ❑ 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: l
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
waste management or closure plan?
❑ Yes J2-No ❑ NA ❑ NE
❑ Yes 'J2-No ❑ NA ❑ NE
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 a20No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes PMo ❑ 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 ❑ YesC;Ilfilo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ YesE;�1lo ❑ NA
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ,31�o ❑ NA
❑ 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): J�—&�� !/ 45
❑ NE
❑ NE
13. Soil Type(s): �Aj 61
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ,o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes PNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes f2�o
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes j To
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes I .VNo
���""
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes ;allo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes ZrNo
❑ 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 ZNo
❑ 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 [2�No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes 4ffNo
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

[Facility Number: - Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes &allo ❑ NA NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes; check Yes jE-No ❑ NA Ej NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey Ej Failure to develop a POA for sludge levels
❑Notscompliant 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? El Yes 2'No M NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? El Yes E3-No M NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document El Yes P3'No Ej NA ❑ NE
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?
Reviewer/Inspector Name:
A)
El Yes „ETNO NA QNE
El Yes fNo Ej NA ❑ NE
El Yes ONO Ej NA Ej NE
El Yes ,.'No NA ❑ NE
❑ Yes fNo NA NE
El Yes �No ❑ NA ❑ NE
Phone: 171a (?2g5—
Reviewer/Inspector Signature:
Page 3 of 3
Date: F/,2 //9 y
511212020

racnny No. V -6r7Y Time In Time Out
Farm Name
"dam'=` tntearaco,
Owner Site Ra^
Operator No,
Sack -up
No. _
HOC Circle: General or NPDES
FREEBOAmu.- uesign
Observed
Crop Yield c/
Rain Gauge
Soil Test Wettable Acres
Weekly Freeboard // Daily Rainfall.
Spray/Freeboards Drop
Weather Codes 120 min Inspections
Waste Analysis:
Date Nitrogen (N)
5-
/ �a
Date
Sludge Survey -ar z!e r 2 Si
Calibration/GPM 51j6-12-3
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
�U a S�l.? / S�