780036_Routine Inspection_20220616

Facility Number
Type of Visit: .. 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 A 0 Denied Access
Date of Visit: Ifp l /6
Farm Name:
Owner Name:
Arrival Time:
Departure Time:
,:6eitlea4 04.7,
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
UMW 'a
Owner Email:
Phone:
County: l Region: 75V
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Title: Phone F RR ,/QROS
ONq� OFFI
nkLie,Ce,e.;de2aZecAIntegrator: CF
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Latitude:
Certification Number: 3
Certification Number:
Longitude:
Design . Curren
Capacity Pop.
Design Current
Capacity Pon.
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 Z;o ❑ NA ❑ NE
❑ Yes ❑No El NA ❑NE
❑ Yes ❑ No ❑ NA 0 NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes �No 0 NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number: "2
- 3(eo.
Date of Inspection: 6 472,3
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? n Yes 1Go ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
G
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?
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 No ❑ 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 211No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ,,o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes JNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus El 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): � .,ee %o1. 05
F4/6i7.6 T . /72 ,Z14 - Pci4raa14. Do the receiving crops differ from those designated in the CAWMP?
13. Soil Type(s): C�
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?
❑ Yes _"No ❑ NA ❑ NE
❑ Yes...-JNo ❑ NA ❑ NE
❑ Yes , Into ❑ NA ❑ NE
❑ Yes To ❑ NA 0 NE
❑ Yes , To ❑ NA ❑ NE
❑ Yes .a/No ❑ NA ❑ NE
❑ Yes 10 ❑NA ❑NE
❑ Yes „ No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check 0 Yes ❑'l�To ❑ NA ❑ NE
the appropriate box.
El WUP El Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes ,21No ❑ NA ❑ NE
El Waste Application El Weekly Freeboard El Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections El Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? n Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes --� No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: . -
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
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
Date of Inspection: ja��l�%�.�fi
❑ Yes a'No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Failure to develop a POA for sludge levels
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:
❑ Yes PAo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes 10 ❑ NA ❑ NE
❑ Yes N ❑ NA ❑ NE
❑ Yes .o ❑ NA ❑ NE
❑ Yes ,12o ❑ NA 0 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
❑ Yes Q'Ko
❑ Yes Affr No
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
O 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
7W1,5"ose)
lir."(4,6140-72-7
Date:
Phone: 9/6 =72/7(x167-
5/12/2020

FACILITY #: / -f FARM NAME:
PERMIT (#19)
LAGOON LEVEL
DUE EVERY 5 YEARS
EXPERIATION DATE NUMBER OF ANIMALS
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES
ODOR CONTROL CHE
Irrigation Plan Map
LIS
OR N
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE //7 /2-..-
DATE ` ` l O2-f
DATE ig/•V
WASTE REPORT (#21)
NITROGEN LEVEL
NITROGEN LEVEL
NITROGEN LEVEL
EVERY 3 YEARS: DATE
P-I (NO MORE THEN 400)
PH (Note if 4 or less)
Cu/ZN (NO MORE THEN 3000) CU
(IF PEANUTS NO MORE THEN 300)
.„6-3
� -0
SOIL REPORT (#21)
l272$ Ja 7
Not over PAN
FLOW RATES
ZN
IRR2 (#21)
CROP TYPES
NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES
Not over PAN
FLOW RATES
CROP TYPES
NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
/D/t

CALBRIATION (#24)
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION .3 /--24.% /2/
FLOW RATES ;2. /546
AIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
-DUE EVERY YEAR: DATE
SLUDGE (#21 &25)
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM CROP YEILDS ,it MORTALITY
*If fields are grazed there will be no crop yields
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) HARVESTED FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED BINS LAGOON GARBAGE
Bermuda grass: Opens March 1st - Ends September 30th
Small Grain Over seed: Opens October 1st - Ends March 31st
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August 1st
Rye: Opens September 1st - Ends March 31st
Oats: Opens September 1st- Ends April 15th
Wheat: Opens September 1st - Ends April 30th
Soybeans: Opens April 1st- Ends September 15th
Fescue: Opens August 1st- Ends July 31st
Sorghum Hay: Opens March 15th - Ends August 31st