820110_Complinance routine inspection_20210324

Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I I 2 i Ig I
Farm Name: Trrple Y farrns
Arrival Time:
Owner Name: Tre nT Ti 12I�
Departure Time:
Owner Email:
Phone:
County: C04111F00n Region: fro
Mailing Address:
Physical Address: f1 ✓✓}}
Facility Contact: Ti 2 i 1 { T`i I e Title: OI C Phone: 10 ' 6 9 P . OW 9
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
(t 1)
Latitude:
Certification Number:
Certification Number:
Longitude:
Integrator: GM I th f I44
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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 WNo ❑ NA ❑ NE
❑ Yesilkiglo 2 IA ❑ NE
❑ Yes ❑ No JIA ❑ NE
❑ Yes ❑ No ErNA ❑ NE
❑ Yes 44o ❑ NA ❑ NE
❑ Yes 11-t4o ❑ NA D NE
Page 1 of 3
2/4/2015 Continued

Facility Number:
ID
Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
1
?-3
❑ Yes 2rNo ❑ NA ❑ NE
❑ Yes ❑ No .121NA ❑ NE
Structure 5 Structure 6
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 SNo ❑ 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 ,laVo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes No ❑ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
❑ Yes el21Vo ❑ NA ❑ NE
❑ Yes„El/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): fXm(l d OJ f e c V e IrGp (.-1
13. Soil Type(s): Or€O( K, Nio h unfai
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 ID Checklists
❑ Yes ja'No ❑ NA ❑ NE
❑ Yes 12^No ❑ NA ❑ NE
❑ Yes .2'No ❑ NA ❑ NE
❑ Yes 124\Io ❑ NA ❑ NE
❑ Yes 124To ❑ NA ❑ NE
❑ Yes jallo ❑ NA ❑ NE
❑ Yes 2No ❑ NA ❑ NE
❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate
❑ Waste Application 0 Weekly Freeboard ❑ Waste Analysis
❑ Rainfall ❑ Stocking ❑ Crop Yield 21120 Minute 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 i
Page 2 of 3
box below. ❑ Yes 2rNo ❑ NA ❑ NE
0 Soil Analysis ❑ Waste Transfers ❑ Weather Code
0 Monthly and 1" Rainfall Inspections ❑ Sludge Survey
❑ Yes ilB'No ❑ NA ❑ NE
gat on equipment? ❑ Yes L'No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: is -
Date of Inspection: 3I 2Si 2/
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ,0^No ❑ NA ❑ NE
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 provide documentation of an actively certified operator in charge? ❑ Yes ..'iNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes e NNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ."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 o ❑ 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 .1744o ❑ 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 .21 o ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Q1Qo ❑ NA ❑ NE
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?
Comments (re ferao gnestton #) „Explain
Use drawings of facility'to better explain
❑ Yes E'No El NA ❑NE
❑ Yes .12'I10 ❑ NA ❑ NE
ny"YES an veers and/or any.addtttonaf recornmetidations orany other cowmen
ituations (use addiHanal,page as necessa'ry).:
Note farm NOt jN!4-e(t-d zgo
Notit rnelk..a rr,7c *el nera-el y J0)-0
Reviewer/Inspector Name: KQ 11 Q vo 1 t to n t/ t £ 11 L' N I tle %o Q Phone: 919 ? I P ' (NUS
1S
Reviewer/Inspector SignatureX%.L)
at-
• sieL4., Date: T 12Gi (9- i
Page 3 of 3 2/4/2015

FACILITY#: t2--Ml6 FARM NAME: er.!
FREEBOARD � ACTUAL LAGOON LEVEL �3
PERMIT (#1s)
- DUE EVERY 5 YEARS
EXPERIATIO PATE q 30/ 2 NUMBER OF ANIMALS Sc. 00
- OIC CARD IPESI OR NO
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES /vU Nei
CROP TYPES �J
- THE UTLIZATION PLAN SHOUL
- ODOR CONTROL CHECK LIST
Irrigation Plan Maps V
VE A (-) NEGATIVE NUMBER
OR NO
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER c�
DATE a I tI9-01-1 NITROGEN LEVEL pC • 01-3
SOIL REPORT (#21)
- EVERY 3 YEARS: 13(0 DATE (/ 5O 19-U l S
- P-I (NO MORE THEN 400) / )0f/V 3 PH (Note if 4 or less) 4. 1 5 ; 7 S, V
- Cu/ZN (NO MORE THEN 3000) CU a-O ZN 3 4fy
(IF PEANUTS NO MORE THEN 300) 94
- MENTAL CHECK OF CROP AND FIELD NUMBERS Pa-7
mi
3, 71
Feld Q/ 3,77 IRR2 (#21)
ZONE ACRES
PAN 30S-d CROP TYPE
FLOW RATES s2 1 "I NITROGEN (N)
120 Min inspection initialed Weather Codes t/
Commercial Fertilizer LQ Chicken Litter