780101_Routine Inspection_20230912

�i/3�2a93
of Visit: k
Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ,a Arrival
Time:Departure Time: County: "'"`"" / Region:
Farm NamelE�G+��'��r� /_� //��e•vn G
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: aial_ Title:
Onsite Representative:
Ir
Certified Operator:
Back-up Operator:
Location of Farm:
Owner Email:
Phone:
Phone:
Integrator: lzu�
Certification Number: 17 763
Certification Number:
Latitude: Longitude:
$
Wean to Finish
(!t�
Layer
Dairy Cow
Wean to Feeder
on -Layer
Dairy Calf
1 I Feeder to Finish
Dairy Heifer
I! Farrow to Wean 0
fi
i � I
Dry Cow
Farrow to Feeder
h "`
Non -Dairy
j Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
'u ��+
1717T7.177x r"')
• �:,�
+t
Turke s
j I �,
i:0 ti ai#
't!i
ti,�i, 1I I
i!�!tf
Turke Points
t i
�`` ' I' I(� '� f�� '11
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
El"No
❑ NA
❑ NE
Page I of 3 511212020 Continued

Facili Number: Date of Inspection:
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 J2 No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
oy
Designed Freeboard (in):
Observed Freeboard (in): E�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ZNo ❑ 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 4D`&o ❑ 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 _E]'1'es ❑ 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 _L2No ❑ 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 EvidenceofWind Drift ❑ Application Outside of Approved Area
/Winnddow /❑
12. Crop Type(s): .�s`a( C✓' Cum `CJ�jaaj �E7 1. ea/)' & 14IL". _46 /�•?G� �f
13. Soil Type(s): /!i/ L . L2 , J'j 1Vo IT
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?
.TYes ❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes J:�FNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes, [2-No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
JfVo
❑ Yes [,—
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes ❑ No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes .❑ No
❑ 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 ❑ tVo
❑ 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?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ffl'Ro
❑ Yes 0No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑NA ❑NE
Page 2 of 3 511212020 Continued

Facility Number: - 10 Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes '[2'No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check [:]Yes qNo ❑ 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? ❑ Yes f3`No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes f yNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ZNo ❑ 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?
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 Jallo ❑ NA ❑ NE
❑ Yes P'No ❑ NA ❑ NE
❑ Yes [3-No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWW?
❑ Yes -E:rNo
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes [:[No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes oNo
❑ NA
❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
e /h%�e eisoJ
.�%z�i^� t-I'
Phone: qly g".,,S_-57%9.S'
Date:
Page 3 of 3 511212020

FACILITY#: / �' /y� FARM NAME: 'k-j �,dil/1 LAGOON
PERMIT (n9>
DUE EVERY 5 YEARS
EXPERIATION DATE
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO
NUMBER OF ANIMALS
WASTE UTILIZATION PLAN (WUP) (#20)
SOILTYPES
CROP TYPES
- ODOR CONTROL CHECKLIST YES OR NO
- Irrigation Plan Maps YES OR NO
WASTE REPORT (# 1)
-GOOD FORK 60 DAYS BEFORE OR AFTER 1 G
DATE 511(o47 NITROGENLEVEL l /�F22�
DATE I -'0 /J NITROGEN LEVEL .J
DATE !C 2-3 d)— NITROGEN LEVEL
SOIL REPORT (#zt)
- EVERY 3YEARS: DATE `9/2-/
- P-1 (NO MORE THEN 400)
- PH (Note H4.,Ie.)
- Cu/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUTS NO MORE THEN 300)
Not over PAN CROP TYPES
FLOW RATES
IRR2 (mt)
NITROGEN (N)
Not over PAN CR T
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
003 zK ;� z

CALBRIATION (sza)
- EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION
FLOW RATES a h
.Ad-c
a-35� RAIN FALL(#21)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
DUSLUDGE (mt a 257
--O�E��YYEPR:3, 24 �4 %RATIO OF SLUDGE i Y�
0: P: % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS (a22 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
AREASTREES 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 30*
Small Grain Over seed: Opens October 1� - Ends March 31st
Corn: Opens February 15t - Ends June 30t
Cotton: Opens March 15t - Ends August 1�
Rye: Opens September 1st- Ends March 31 st
Oats: Opens September irt- Ends April 15t
Wheat: Opens September 1st - Ends April 30*
Soybeans: Opens April 1 st- Ends September 15t
Fescue: Opens August 1 st- Ends July 31st
Sorghum Hay: Opens March 15t - Ends August 31 st