820275_Routine Inspection_20230725

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Type of Visit: —C)Eompliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: ,& Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: UlJ Departure Time: :aU County: c'- Region:
Farm Name: o J— Owner Email:
Owner Name:� Phone:
Mailing Address:
Physical Address:
Facility Contact: !/" Title:
Onsite Representative: !/
Certified Operator: _ 0" 9p- Lr _
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:tGGs�L�//%''���C
Certification Number: G�/�G9ela
Certification Number:
Longitude:
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Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes jEj'No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes ❑ 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 ❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
[—]Yes [ o
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes -Ej No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facility Number: - ?.- Date of Inspection: - ,�Yr��
Waste Collection & Treatment
4.
No
NE
Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
,❑
❑ NA
❑
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):Q3
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
,LNo
❑ 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
&No
❑ 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
❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
E�-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
© No
❑ 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 [3-1�o ❑ NA ❑ NE
❑ Excessive Pending ❑ 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 c ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s): ZfJJ/,.�7� f
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Ej`No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
�No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
fNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
[:j"No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
-[n'No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes Ej-]�o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑-Ko ❑ NA ❑ NE
the appropriate box.
❑WUP El Checklists ❑Design ❑Maps ❑LeaseAgreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ,❑i No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis []Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? [-]Yes ,❑'No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E2"No ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facilit Number: - ; i77 Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes E3 Vo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 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 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�No ❑ NA ❑ NE
❑ Yes [—J-No ❑ NA ❑ NE
❑ Yes Q-No ❑ NA ❑ NE
❑ Yes - Qoo ❑ NA ❑ NE
❑ Yes Ea -No ❑ NA ❑ NE
❑ Yes "rTNo ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes JD -No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes , EJ] o ❑ NA ❑ NE
34. Does the facility require a follow-up visit
�r�iby the same agency? ❑ Yes �o ❑ NA ❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Awle'/S'd,-J
Phone: 9✓J{
Date: 7 / od61d.g
Page 3 of 3 511212020

FACILITY#: ' 4'V FARM NAME: LAGOON LEVEL
PERMIT
- 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 CHECKLIST YES OR NO
Irrigation Plan Maps YES OR NO
WASTE REPORT (n21)
-GOOD FOR 60 DAYS BEFORE OR AFTER r�
DATE `�` a/a� NITROGEN LEVEL
DATE / NITROGEN LEVEL 1'/y
/ate NITROGEN LEVEL
DATE 9/9L
SOIL REPORT
EVERY 3 YEARS: - DATE l101
P-1 (NO MORETHEN 400)
PH (Note if4or 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 (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN, CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION (#24)
EACH REEL SHOULD BE CALIPR TED EVERY OTHER YEAR
DATE OF CALIBRATION A d'a" �'
FLOW RATES I %�
RAIN FALL p2+)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED -
SLUDGE (#21 &26)
-DUE EVERY YEAR: DATE /0!/3l}
0: P: 3 e % RATIO OF SLUDGE
0: .3 P:-N % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND 921)
q�
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 1rt- Ends September 30t
Small Grain Over seed: Opens October 1�-Ends March 31st
Corn: Opens February 15th -Ends June 30t
Cotton: Opens March 15t - Ends August 1-t
Rye; Opens September in -Ends March 31A
Oats: Opens September 1k- Ends April 15w
Wheat: Opens September 1st- Ends April 30u
Soybeans: Opens April 1st -Ends September 15t
Fescue: Opens August 1st- Ends July 31 st
Sorghum Hay: Opens March 15t - Ends August 31st