090058_Routine Inspection_20230320

mS 31a�-4a3
Type of Visit:. ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ---erRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: JJ County: Region:
Farm Name: ., �� .J Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Zz_j�__ 'oo—' � Title:
Onsite Representative: I'r
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator: 6;o)"e",�'l-IT-ee4-11
Certification Number: ` 29 S—C
Certification Number:
Longitude:
Design Current
Design
Current
Design C
Swine
Capacity Pvp.
Wet Poultry
Capacity
Pop,
Cattle Capacity, Pvp..., .
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
(r;,C)
Non -Layer
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
Dry Poultry
Ca aci
Pop.
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Points
yMa
Other'
£ ,
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 No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ❑NE
❑ NA ❑ NE
❑ Yes [:]No ❑ NA ❑ NE
❑ Yes A0 o ❑ NA ❑ NE
❑ Yesl�No ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facility Number: - Date of lnspection:34�?c)
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes E NIo
❑ 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:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes .�!rNo
❑ 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 _❑-1'10
❑ 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 e'1\l0
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes E3 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
❑ No
❑ NA
❑ NE
maintenance or improvement?
,ET'es
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes -F-- Io
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 12fiNo ❑ 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): //�7
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes E]IRo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes E -No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination? 1��a
17. Does the facility lack adequate acreage for land application?
❑ Yes J2-No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ NA
❑ NE
Required Records & Documents;],No
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes E2-No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes []-No
❑ 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 ' "�o
❑ 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?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ,ETNO
❑ Yes—E:rNo
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑NA ❑NE
Page 2 of 3 511212020 Continued

Facility Number: - 4; , " Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes o
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 to provide documentation of an actively certified operator in charge? ❑ Yes �Io
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes f7l No
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:
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?
6 a ,
Reviewer/Inspector Name: 6,42 /1 'e //'W' /_'� C)e'L)
Reviewer/Inspector Signature
Page 3 of 3
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ Yes EDXo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA 0 NE
❑ Yes`E2,No ❑ NA ❑ NE
❑ Yes�iQo ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes J" " o ❑ NA ❑ NE
Phone: <2n)
Date: 3 //A:d94�
511212020

FAOI LITY #. FARM NAME. I w/ l� LAGOON LEVEL
PERMIT c9>
- 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 CHECK LIST ES R NO
- Irrigation Plan Maps YES OR
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER DATE P lly-b-3 NITROGEN LEVEL 1,03
DATE l l 'Z I NITROGEN LEVEL i
DATE a l l ��- NITROGEN LEVEL l. 3/
SOIL REPORT
EVERY 3 YEARS: DATE
P-1 (NO MORE THEN 400)
PH (Note if 4 or less)
CU/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUTS NO MORE THEN 300)
Not over PAN CROP TYPES
FLOW RATES
IRR2 (#21)
NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN )
Not over PAN
FLOW RATES
Not over PAN
FLOW RATES
CROP TYPES
NITROGEN (N)
CROP TYPES
NITROGEN (N)
) �, 0 /Y,-,/

CALBRIATION (#24)
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION
FLOW RATES Ar- _5—
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
-DUE EVERY YEAR: DATE
0: P:
0: P:
0: P:
0: P:
SLUDGE (#21 &25)
• RATIO OF SLUDGE
• RATIO OF SLUDGE
• RATIO OF SLUDGE
• RATIO OF SLUDGE
OTHER FORMS (#22 ANo �#21)
RAIN BREAKER FORM CROP YEILDS 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 31 st
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August 13t
Rye: Opens September 1st -Ends March 313t
Oats: Opens September 13t- Ends April 15th
Wheat: Opens September 13t - Ends ,April 30th
Soybeans: Opens April 13t- Ends September 15th
Fescue: Opens August 13t- Ends July 31 st
Sorghum Hay: Opens March 15th - Ends August 31 st