820610_Routine Inspection_20230821

a#§3 Aki*xa+#kp ga 44a Oat 't t #xo- a:#xa
P- kSskA w }n Pa v.%.KK KKKK rd%aS+K:avM Rt0.n%a:Ga k AxY as-# •ua wk x. xa 1VISlOnkOfr.. B�YY89�InzrC883S�Kt+dr§ ssT%axg Ra xsta s#,#F z�san Rsk ktr k.,a azP R$
m=SY aYa„# niT s}.Ph�d #x } R9sak aam#+R'.
S'rr P+r; k# trnX TT£Pi XR, atd -0' 2YM by dpA } Y# • 43 k Y } #. 4tsb :5 x5M1 A4d # #4 fttr+x #..h2CL}$+}rr #bb#
x"P'�a�lll�'SI�n1T111B7'=+*r #ii /�KKa t.r r a�i �lviSlon'Oik�.�m(ran�a�,At�eCa�r8nB8CYzatton5w �'x, x + x�r,ndw.saw5#tm •x atw�xa
+.wP ma i #x .•.tr aya;'natx#u»+Y<r.'3T:k#ax34h n'•'#Risk#teen=`ik Yda -1tvE a #a#kAx#i ##i4vt
i AM.''S}{'iNk4b&dRf V'4.*.' 3 tP43 bkYYS?k?i"xa tr it Moot
Y+Y k.}Y JSfiW Yj-� ,�• �� ¢, Y46 §#k4t?.{&ot13k4e A%:&Yk RR ik V}#. '#21da=h AYtr #
#ai#wiaf*ib N4x}d"'o@#N 3k4&%#kfk*k'4f:$F.kn#$d'#k'.de'Xnva�.l'/•��Rr�t tlg4.�ley#Wt.ii•$*�'kvi .k59'R:ent•:'#sm4xt+r}r43µ3' 9iYki�[e#' 4��§tkn#.t
L to{p bta'k Y�d3fvr .6 .XA S
Type of Visit: Compliance 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: la Arrival Time:' Departure Time: nod ounty: (�Region: Fled
Farm Name: T A/- �C�W,y Owner Email:
Owner Name: Lcry. ��y Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
N
Title:
Latitude:
Phone:
Integrator:
qR
Certification Number:
Certification Number:
Longitude:
PKK P .•vab W�kv t#a a #°�`x4Y%'Aha ^iWdbfeB RWd�xdaa&trt+#$R#9'#. ^Pg d
e# t$a#KK:•t`#Rd..a nd dt µ: apmRi aiS eta p#i49a #m a k•a x ysk:baa#nax#aMmp'.€#�a�##�v{;Rant/ tdt#R•',. 'Wda
xidadxd##& RN.Ra&$t4 xs # # 2B8% 4 P s#HY%# mFKKm6#Xfi^xde 41 #,#'P#?
q six 4a#bd S949:k $m Mae we#k 4a # � 3k
me sfdi44t9Y�*kt+r+trta§§Yk 4R�d6 +P'4ka "w d��&g,1#6,di#g#Po 89
xaiisei&snM+ka�xik{9µau rl4 "%831 �Rda k54�t$�.
S#Y stt{0vg0bl"4 4'#a-0 {6
{EIIt
# lib �+ b.+4x PaM&. t3&5tffi PY#B maLa frtb5' a#d�M kx 'adx+p "+5k%bda
a mna• i+meYfRasuabd$da�mar:toeppa€ `}}yy KK'��8(Inn. aggar.. a sad t aui# Pt vl)'aa*a .P ear
is §Rd kt 9#§ P
adaa M 2#
:e:''°P mear„arR a v G as i #944
&t4&b"'saaa3aw'r &pBRmR #s dr'RKK ts'as mrRb4•P+P#MMaa#.4bxRd3 airA..w,naxa+a 9axMmas`>t•ax§f %.
+aaa t>_a0cs bHd s' m»xx x.p axes t,
Wean to Finish Layer *
DairyCow b il
Wean to Feeder {q Non Layer *
Dairy Calf,
Feeder to Finish �i s} bb•cr•R s
Farrow to Wean �� d
Dairy Heifer]
Dry Cow _.
pa d• �-
Farrow to Feeder � D `' S♦Prift: �G,I 5 .
Non-Dai iy
g. . . .. . ...a
P6't Farrow to Finish ao Layers a).;
Beef Stocker lob'
Gilts Non -Layers
Beef Feeder to
s. M
ae4rtCow
dMRS8i§d<#i.aM#-0BuH9i4{28e8#Aedfi+aSf.1.4trtrMBrood
okaw .•..
bfriar4bWx+4rRYMtKK4sdxMdb. •bRIDm•,.Mu4m t'Gs•.tr#'xat9bb Adat$Y9a&kb#. 9#6axaiE' s d#A $$gSMbgR§3b'#p '•isb#d
3nwx
i%rmst�wedaxrxbarF %•e td§bu -0{qy �: d+{� ,{,;
$ 0#aam fipph xA xkfi $ 8la¢g.R`"9 g'yti
•4v4§a,daati'# &ri
t+i BSti dam-0&x!�bei x�'Ra 8#8 R4X .9
as ts#
itBoars
oars40B
Pullets
ba
Ya§b&t
to
{iN S
9rmyP e&#. tn84d« &xa
4YR0tR+%x2##.'9ittr4btn$#AkW}rMidr#de �KK@9Rd#k&&x#0&'k4...44i0daa.N#$a#6%td &d#'�4&bS�'e#RrRn•RM#�4xYdm#x.aa4BdM4t,•+...
TurkeysR4W Turkey Pouets4t*wiiai&t
§A
Other
k. &ffiO4+9 NRb#^i9 b4#a-BaIDad4#(#A'}i..
:>P
x wa r s5+,. ah RR $0
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 E�J<o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes _L2-No ❑ NA ❑ NE
❑ Yes _f2-ldo ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facility Number: -% Date of Inspection: E:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
[-]Yes
12'1t o
❑ 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?
[3 Yes
,rNo
❑ NA
[:] Nl
(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
J'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
Qo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
_[3'8Io
❑ 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
®'info
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
eNo
❑ 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 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): (`)��c �e�j u < � C,i//40cas , 6Z"7, Jn�
,,ll ,//�� .E.JrJ i
13. Soil Type(s): /�/D,6 t6i � 4f A
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 E;No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes ETNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes L�FNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[—]Yes .Q�o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes O_1�0
❑ 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. O'Yes ❑ 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 �o ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number:
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Ye�o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes D-5o ❑ 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:
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?
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
jgh I°1�.Q.eisa�J
❑ Yes E-`No
❑ Yes - f:�No
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes -f7t'�o ❑ NA ❑ NE
❑ Yes .E] No ❑ NA ❑ NE
❑ Yes ,❑ No ❑ NA ❑ NE
❑ Yes ©-<o' ❑ NA ❑ NE
❑ Yes -]-No
❑ Yes Y`-
❑ Yes -93-f;o
IMMIRMI-AMM
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Phone: '?6 F'35 = lF % y5
Date: O < ii 612-2
Page 3 of 3 511212020

r
FACILITY* w Q� -6/b FARM NAME: �;[_LAGOON
PERMIT gns)
- DUE EVERY 5 YEARS / �y
- EXPERIATION DATE NUMBER OF ANIMALS /o V
- CURRENT NUMBER OF ANIMAL
- OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WUP) (420)
SOIL TYPES
CROP TYPES
- ODOR CONTROL CHECKLIST YES OR NO
- Irrigation Plan Maps YES OR NO
WASTE REPORT Iasi)
-GOOD FOR 60 DAYS BEFORE OR AFTER p
DATE ! NITROGEN LEVEL o94't
DATE J // d_3 NITROGEN LEVEL l O /
DATE (l j�- l01J NITROGEN LEVEL -9 "K
EVERY 3 YEARS:
P-1 (NO MORE THEN 400)
PH (Note it 4 or less)
CUIZN (NO MORE THEN 8000)
(IF PEANUTS NO MORE THEN 300)
SOIL REPORT
DATE
IRR2 (a21)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PA
FLOW RATF
Not over P
FLOW RA �9�tisy�
Not over
FLOW R
Z� i-q63
9 -7j
(-�� /.�-(-) yp-za

CALBRIATION ryas)
- EACH REEL SHOULD BE CAR TED VERY OTHER YEAR
- DATE OF CALIBRATION �L) Paz ��,
FLOW RATES Q /)o
.. RAIN FALL(xzt)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
SLUDGE lur azs
-DUE EVERY YEAR: DATE 16 Y
t O: 3 Z P. IeK % RATIO OF SLUDGE
0: 3_, ;?,ClP: .,S % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS (azz AND #21)
RAIN BREAKER FORM CROP YIELDS 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 POND.ING REELS FEED BINS LAGOON GARBAGE
Bermuda grass: Opens March `�- Ends September 30t
Small Grain Over seed: Opens October 1-t-Ends March 31st
Corn: Opens February 15w - Ends June 30th
Cotton: Opens March 15N - Ends August 1,t
Rye: Opens September in - Ends March 31st
Oats: -Opens September 1 k- Ends April 15w -
Wheat: Opens September 1 st- Ends April 30th
Soybeans: Opens April 1st -Ends September 15t
Fescue: Opens August 1st- Ends July 31 �
Sorghum Hay: Opens March 15* - Ends August 31st