820281_Routine Inspection_20230824

Type of Visit: ompliance Inspection 7D 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: ' 3J ✓I'I Departure Time: County: Region: %` Ace
Farm Name: _,&W
s,
L L C.
Owner Email:
-
Owner Name: e
,(iG i��im
G G 6
Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: 61
Certified Operator: 4 J6wzyk
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
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Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
,E:rNo
❑ 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
'[J'No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
2 No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Facility Number: Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ 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:
Spillway?:
Designed Freeboard (in): S�
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes ®)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 ,❑'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 ,®"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 eNo ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes _[D�No ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes 13'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): CVVa J*(,ray� 4C, �! 44e 05
13. Soil Type(s): �� %� leo
14. Do the receiving crops differ from those designated in the CAWMP? [—]Yes E5No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes . / lNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable [:]Yes []�o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
E�No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
En'No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
Q-1qo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
eNo
❑ 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 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 EE�No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ,E�`No ❑ 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? ❑ Yes.D'No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑-Ro
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:
❑ NA ❑ NE
❑NA ❑NE
❑ Yes
E]No
❑NA
❑ NE
❑ Yes
ENo
❑ NA
❑ NE
❑ Yes
E]­Ro
❑ NA
❑ NE
❑ Yes E] No ❑ NA ❑ NE
❑ Yes _[ o ❑ NA ❑ NE
❑ Yes ,INo ❑ NA ❑ NE
❑ Yes .--E No ❑ NA ❑ NE
❑ Yes ,-eNo ❑ NA ❑ NE
❑ Yes 12-i�o ❑ NA ❑ NE
Phone: 8,35 —F, Idj
Date:
511212020
Page 3 of 3

FACILITY* c0>2—?5 FARM NAME: LAGOON
PERMIT (Ms)
- DUE EVERY 5 YEARS
- EXPERIATION DATE NUMBER OF ANIMALS
- 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 (u i)
-GOOD FOR 600 DAYS BEFORE OR AFTER 1 �/
DATE �C/ �gb/`NITROGEN LEVEL
DATE �< /al "'3 NITROGEN LEVEL �V�
DATE �lO/ NITROGEN LEVEL .2 —�"� --
�/l s/fir 1'Sj
SOIL REPORT (tr24)
- EVERY 3 YEARS: DATE ^f/ Ve
- P-1(N.O MORE THEN 400)
- PH(N.t U4.,Ie.)
- Cu/ZN (NO MORE THEN 8000) CU ZN
(IF PEANUTS NO MORE THEN 300)
I RR2 (a21)
Not over PAN CROP TYPES
FLOW
Not over PAN CROP TYPES
NITROGEN (N)
FLOW RATES NITROGE!/
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N) _
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION Iszal
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION �a-1
FLOW RATES
RAIN FALL (mot)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
// LUDGE(�+a25)
-DUE EVERY YEAR: DATE Ga `,-�"
0:3:1 P: 3: SI % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
0: P: %RATIO OF SLUDGE
OTHER FORMS (n22AND #21)
Y2
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 1-t- Ends September 30th
Small Grain Over seed: Opens October 1 n- Ends March 31 st
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August 1st
Rye: Opens September IA -Ends March 31st
Oats: Opens September 1't- 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