820214_Routine Inspection_20240730 (2)

Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: -Q�Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: ; Q Departure Time: i j County: 71
Farm Name: �i,%�, / Ll c y, t Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Region: F/Ca
Facility Contact: f3�y Title: Phone:
Onsite Representative: t Integrator:
Certified Operator: 1__1L2rr. 97 (,�,� r'� Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
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?
Longitude:
❑ Yes 0-5o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [—]No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
],No
❑ NA
❑ NE
❑ Yes
_[31No
❑ NA
❑ NE
Page I of 3 511212020 Continued

Facility Number: Iq I Date of Inspection: 3
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Q'I�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: 2 3 ALL
s
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �_ ----�- 1:�2
—`--��-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes &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 ZrNo
❑ 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 effNo
❑ 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 4ffNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes �,FNo
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [:]Yes _�o ❑ 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 Cryop- Window ❑ Evidence of Wind Drift ❑ ApprovedApplication Outside of ApproveArea
12. Crop TYpe(s): �z/&G2t�� kili r DSi�itGi n� , i.�/
13. Soil Type(s): (Vy
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes -0'No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes eNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E ]rNo ❑ NA ❑ NE
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 .[ErNo
❑ Yes ,&No
❑ Yes -ErNo
❑ Yes ETNo
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ZINo
❑ 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 ZINO
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ONO
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
mm�mw
Page 2 of 3 511212020 Continued

Facili Number: - Date of Inspection:d
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑Yes �IVo
❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes ETNo
❑ NA
❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
nD
r !T
❑ Non -compliant sludge levels in any lagoon A� A
A
'A
y61
List structure(s) and date of first survey indicating non-compliance:
G
s-
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes J-No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes .[3-No
❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes _E2"No ❑ 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? ❑ Yes 4.�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
ff 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
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
'[2'No
32. Were any additional problems noted which cause non-compliance of the permit or CAV NW?
❑ Yes
OrNo
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
,aNo
❑ NA
❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 7/0y5--qV6�
Date:
511212020

Farm Name
Integratw.
Owner
Site ftac.
Operator
No. _
lack -up
No. _
COC Circle: General or NPDES
FREEBOARD: Design
Observed
Date
/a/i/a3
Sludge Survey q�l3b-3 (e(v , sV , u3 s-3
Calibration/GPM
Crop Yield Waste Transfers
Rain Gauge Rain Breaker
Soil Test Wettable Acres PLAT
Weekly Freeboard ✓ Daily Rainfall � 1-in Inspections
SpraylFreeboad Drop
Weather Codes 120 min inspections
Waste Analysis: -Z '1 5— (�
Date Nitrogen (N) Date Nitrogen (N)
311/l-v / v a ura,l ed )<5_�