820047_Routine Inspection_20230901

Visit:
for Visit: JaRoutine O
Structure
O Follow-up O Referral
Other O Denied Access
Date of Visit: Arrival Time: 5' Departure Time: t®S County _ � Region: /`—�G
Farm Name: / Llfi�=�Y`�'a"r.7-ter yG'r t-o—r� 'CY'�""�`dbwner Email:
Owner Name: Qua" j Phone:
Mailing Address:
Physical Address:
Facility Contact: {tea" t/' J'y. Title:
Onsite Representative: It
Certified Operator:
Back-up Operator:
Location of Farm:
4
Latitude:
Phone
Integrator: �u p
Certification Number:
Certification Number:
Longitude:
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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 ❑ NA ❑ NE
❑ Yes [—]No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ,oNo ❑ NA ❑ NE
❑ Yes ;2,�o ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facili Number: Date of Inspection: d3
Waste Collection & Treatment
4. Is storage capacity (structural heavy less than
Yes
plus storm storage plus rainfall) adequate?
❑ E:f'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?:
q
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes „Q-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 ©CVO
❑ 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 environment threat, threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
IV
'CJ 'V o
❑ 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 J:],No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[:]Yes ,❑/ "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 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): Zej-r, `�1/t.-W <'
�t�
13. Soil Type(s): 2 (',)a k> P2
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes _F7T`N0 ❑ 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?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes []"`No
❑ Yes allo
[—]Yes �o
❑ Yes ,®'No
[]Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [i]'No
❑ 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? ❑ Yes 12--Pdo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E5"No
❑NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: Date of Inspection: / �2
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes eNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes „❑'No ❑ 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 r G
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 i No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes � No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes E�No
❑ NA
❑ NE
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?
❑ Yes ®"No
❑ NA
❑ NE
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
[:]Yes [3)No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes )No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes ,E No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes _[D'No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes J_,'No
❑ NA
❑ NE
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Reviewer/Inspector Name:
I an e /40V'4 Eelsokj
Phone: Fl/G iJys_
Reviewer/Inspector Signature:
Page 3 of 3
Date: 5�/t 6s
511212020

FACILITY#: V� FARM NAME: LAGOON LEVEL
PERMIT W9)
- DUE EVERY-&4EARS
- EXPERIATION DATE NUMBER OF ANIMALS
- CURRENT NUMBER OF ANIMAL
- Of 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 (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE dCID �/-3 NITROGEN LEVEL //� ✓q
DATE 6. 11: a'.3
NITROGEN LEVEL
DATE `lL®l J-.3
NITROGEN LEVEL !- %7 �• %�
! a
SOIL REPORT (#21)
- EVERY 3 YEARS:
DATE
- P-1 (NO MORE THEN 400)
- PH (Note if4orlea)
�-
- Cu1ZN (NO MORE THEN 8000) CU ZN
(IF PEANUTS NO MORE THEN 300)
IRR2 (#21)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROG (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
��-cQe.Q/�/ � 14
G6. rs

CALBRIATION (n24)
EACH REEL SHOULD BE CAL GRATED EVERY OTHER YEAR
DATE OF CALIBRATION
FLOW RATES 96 O `gyp
/ _r>�
RAIN FALL p2tl
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
/ SLUDGE(m1a25) /
-DUE EVERY YEAR: DATE �`��`2 3 J/,7/'J �C �a��3
O: `if P: 3.8 % RATIO OF SLUDGE f 5 Q" "
0: P: D % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE V
0: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND #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 1 �- Ends September 30*
Small Grain Over seed: Opens October 1n- Ends March 31�
Corn: Opens February 15t - Ends June 30th
Cotton: Opens March 15w- Ends August 1st
Rye: Opens September 1n-Ends March 31st
Oats: Opens September 1�t- Ends April 15t -
Wheat: Opens September 1 st - Ends April 30th
Soybeans: Opens April 1st- Ends September 15th
Fescue: Opens August 1st- Ends July 31 �
Sorghum Hay: Opens March 15u - Ends August 31 st