820610_Inspection_20210429

FACILITY #: /'a2 305---
FARM NAME: 47tec, 6_)6re�e�i�
FREEBOARD f
ACTUAL LAGOON LEVEL
PERMIT (#19)
DUE EVERY 5 YEARS //'NUMBEROFANIMALS
EXPERIATION-DATE Y'Cd
OIC CARD (V_EfrOR NO
WASTE UTILIZATION PLAN (WUP) (#20)
d"
SOIL TYPES
CROP TYPE 'j% `,`j,.:.. a w
THE UTLIZATION PLAN SHOULD HAVE A
ODOR CONTROL CHECK LIST ES ® R NO
Irrigation Plan Maps l'F
cr u-i 47
=) NEGATIVE NUMBER
WASTE REPORT (#21)
-GOOD FOR 60 AYS BEFORE OR AFTER
DATE gem NITROGEN LEVEL
SOIL REPORT (#21)
EVERY 3 YEARS: DATE / /3 /?O?
P-I (NO MORE THEN 400) 3. PH (Note if 4 or Tess)
Cu/ZN (NO MORE THEN 3000) CU 2 ZN�-
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
.35-1 p
IRR2 (#21)
ZONO_.6 ACRES -2. PAN CROP TYPE
FLOW RATES NITROGEN (N)
120 Min inspection initialed Weather Codes A-'
Commercial Fertilizer Chicken Litter
PO alpObi

CALBRIATION (#24)
- EACH REEL SHOULD BE CALIBRATED 1
- DATE DUE EVERY TWO YEARS / 76
- FLOW RATES
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED
-LOOK FOR BIG NUMBER DIFFERENCES SEE THAT THEY MATCH THE IRR2
FORM
SLUDGE (#21 & 25)
-DUE EVERY YEAR: DATE-°, :22 c
O: :- P: ;: % RATIO OF SLUDGE
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM 1.7 CROP YEILDS MORTALITY L/-
VISUAL CHECK
FOUNDATION OR PIT LEAKS PIPE LEAKS LAGOON
SEEPAGE LAGOON BARE AREAS TREES OR GRASS NEED TO
BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) ALIVE CROP HARVESTED
FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED
BINS LAGOON GARBAGE

Facility Number
--e x`vision of Water Resources
0 Division of Soil and Water Conservatio
0 Other Agency
Type of Visit: -E5 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 2-Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
G%r-Aafi
Mailing Address:
Physical Address:
Facility Contact:
Arrival Time:
Departure Time:
1/4..-erndP�
Owner Email:
Phone:
County:
Region: % /ej
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
41D-Z4-.
Title:
Phone:
Latitude:
Integrator:
Certification Number: i1906 %(
Certification Number:
Longitude:
Sw
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
WW
%/)
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Cattle
Design Current'
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure LI Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes ,, 1 o ❑ NA ❑ NE
❑Yes El No ❑NA ❑NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
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) ❑ Yes 0 No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? 0 Yes .2.1'No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ®.'"No 0 NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
2/4/2015 Continued

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Facility Number: - a Pc
Date of Inspection: V/5-9-4 /
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
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:
❑ Yes ..,e'Ko ❑ NA ❑ NE
❑ Yes ❑'No ❑ NA ❑ NE
26. Did the facility fail 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:
❑ Yes _Eri o ❑ NA ❑ NE
❑ Yes ja o ❑ NA ❑ NE
❑ Yes ErNo ❑ NA 0 NE
❑ Yes jallo ❑ NA ❑ NE
❑ Yes ErNo ❑ NA ❑ NE
❑ Yes er No ❑ NA ❑ NE
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?
❑ Yes _,E'No ❑ NA ❑ NE
❑ Yes _,e'No ❑ NA ❑ NE
❑ Yes ❑-'No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
-e // /Q,e/sew
Phone: qa).) 5 9,8.5`-
Date: r/ 9//
2/4/2015