820131_Routine Inspection_20230810

v
Type of Visit: J2)Tompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: G Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
�/J
Arrival Time2 ; d
Departure Time: ?; cXJ J97
County:
Farm Name:
,l"F'It, //j,/[r�l,..U�r/r�
t�
Owner Email:
Owner Name:
Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: tQQ
Certified Operator: 0 /
_V
Back-up Operator:
Location of Farm:
Latitude:
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)?
Phone:
Region: Ftb
Integrator: ..Z4
Certification Number: l% / 6/
Certification Number:
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?
Longitude:
❑ Yes j2j�o ❑ NA ❑ NE
[—]Yes [—]No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ',EJ No ❑ NA ❑ NE
❑ Yes E],No ❑ NA ❑ NE
Page I of 3
511212020 Continued

Facility Number: I Date of Ins ection: GJ
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes E]�No ❑ 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: r 2
Spillway?:
Designed Freeboard (in): 0/
Observed Freeboard (in): 22 2 1
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑j 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
4E]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
EJ'No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
.❑7No
❑ 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
Q o
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
2'No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑-No ❑ 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 ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): (/G C�✓�GCc'n/ td-Gtirt.ruGG�i �iLG%y1 �.3,` CAS
13. Soil Type(s): %D lry go ttl ej
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑^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
J2 No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
�ZNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
fallo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[TNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
Callo
❑ 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
[�J'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
E] No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
2 No
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facilit Number: -I Date of Inspection: )
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Q''No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 2 No ❑ NA ❑ NE
the appropriate box(es) below. J��
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List stracture(s) and date of first survey indicating non-compliance: Wi 7
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes J�No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes _EErNo ❑ NA ❑ NE
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:
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?
A-) # /Z/' zz'_ ,, -'e
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes rE]—No ❑ NA ❑ NE
❑ Yes --ffNo ❑ NA ❑ NE
❑ Yes eNo ❑ NA ❑ NE
❑ Yes .[]'Go
❑ NA
❑ NE
❑ Yes 't:fNo
❑ NA
❑ NE
❑ Yes -ETNo
❑ NA
❑ NE
❑ Yes EIJNo
❑ NA
❑ NE
Phone:
Date: ?_/9Gy;
511212020

FACILITY#. 1"�r3 FARM NAME: —LAGOON LEVEL
PERMIT (ns)
- DUE EVERY 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 (u i) n
-GOOD FOR 60/DAYS BEFORE OR AFTER
DATE 3/a2/`/�',3 NITROGEN LEVEL 3 OJ V/V/Dn_(1y
DATE )/5 Fa'✓� NITROGEN LEVEL 3
/�
DATE /9 / ;-Y- NITROGEN LEVEL J �,1.2.
EVERY 3 YEARS:
P-1 (NO MORE THEN 400)
PH (Note if 4 or leas)
CuIZN (NO MORE THEN 3000)
(IF PEANUTS NO MORE THEN 300)
SOIL REPORT (�)
DATE / ( 13,6) - l
Not over PAN CROP TYPES
FLOW RATES
IRR2 (# q
NITROGEN (N)
Not over PAN CROP TYP
FLOW RATES NI ROGEN (N) _
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION tnul
EACH REEL SHOULD BE CALI RAT EVERY OTHER YEAR
DATE OF CALIBRATION V,, , �-.z
FLOW RATES
.. RAIN FALL pet)
-INITIAL AFTER 1" RAIN EVENT ,
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
SLUDGE (zzi szs)
-DUE EVERY YEAR: DATE `� //" a'"; _
0: ems° P: 2-'�OFSLUDGE
O: P: % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND #21)
a
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
AREASTREES OR GRASS NEED TO BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) HARVESTED FIELDS_ GOOD HEALTHYCORPS_CORRECT
CROPS NO PONDING REELS— FEED BINS LAGOON GARBAGE
Bermuda grass: Opens March 1=t-Ends September30t
Small Grain Over seed: Opens October 1 n- Ends March 31.t
Corn: Opens February 15tt - Ends June 30t^
Cotton: Opens March 15t - Ends August 1st
Rye: Opens September 1 °t- Ends March 31 A
Oats: Opens September 1 °t- Ends April 15t -
Wheat: Opens September 1 st - Ends April 3P
Soybeans: Opens April 1 st- Ends September 15t
Fescue: Opens August 1st- Ends July 31,t
Sorghum Hay: Opens March 15tn - Ends August 31 st