820260_Routine Inspection_20230915

It(Ia v,
((ii{{l$I�
I
fjk y, � �fja-��(
lyili�lk
s j
,
Type of Visit: ompliance Inspection Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Routine O Complaint 0 Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: } Arrival Time: Departure Time: O 3d County: Region: F2d
Farm Name: /1,54- K /tl.(.!� � N; Owner Email:
OwnerName:_ yvyhtiC Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: /,
/®
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator: r�0
Certification Number: .4, 3 $—/
Certification Number:
Longitude:
t�;� kill d'
IidEf ill
�11r$
a
Wean to Finish
La er
aiWean
ID
to Feeder D
Non -La er
ai Calf
Feeder to Finish
Eft
airy Heifer
Farrow to Wea
n
p
Cow
Farrow to Feeder
'`"
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
i# E� tyli.
$,ii•i•��
Turkeys
i I�
# 1
Turkey Poults
t''liE�jjl
it'd
�I(
untOther
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 [allo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes 4'No ❑ NA ❑ NE
❑ Yes �yNo ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facility Number: ,2- - 0 I I Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes ❑-fNo
❑ 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):a
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes -0 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 ETNo
❑ 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 2-No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[:]Yes ,0 No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
[—]Yes ETNo
❑ 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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
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 L—=No
❑ Yes [�PNo
❑ Yes allo
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes �No
❑ NA
❑ NE
❑ Yes Q-�o
❑ NA
❑ NE
❑ Yes -EfNo
❑ NA
❑ NE
❑ Yes �No
❑ NA
❑ NE
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [2440
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections El Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes EfrNo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 00
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
mm�mm
❑ NA ❑ NE
Page 2 of 3
511212020 Continued

Facility Number: plod 1Date of Inspection: / . g�
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �/ No ElNA ❑ NE
the appropriate boxes) 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 ❑ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Q-No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes .E�o ❑ 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 _Q-j o
❑ 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 LjNo
❑ 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 EJ'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 ETNo
❑ NA ❑ NE
33. Did the ReviewerQnspector fail to discuss review/inspection with an on -site representative?
❑ Yes [3-No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
n Yes F,_j'Ko
n NA I —I NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 9/Q J5' �
Date:
511212020

FACILITY#: FARM NAME: r/J �l LAGOON LEVEL��
PERMIT
- 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 CHECK LIST YES OR NO
Irrigation Plan Maps YES OR NO
WASTE REPORT
-GOODFOR6/0 DAYS BEFORE OR AFTER �j
DATE ° II�II i� NITROGEN LEVEL .0 �
DATE y !l ! a' NITROGEN LEVEL
DATE lL, NITROGEN LEVEL
EVERY 3 YEARS:
P-1 (NO MORE THEN 400)
PH (Note R4 or less)
Cu/ZN (NO MORE THEN 3000)
(IF PEANUTS NO MORE THEN 300)
SOIL REPORT (*21)
DATE
Not over PAN CROP TYPES
FLOW RA
IRR2 (#21)
NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION (#24)
EACH REEL SHOULD BE C BRpTED EVERY OTHER YEAR
- DATE OF CALIBRATION ''��//JJ���y
FLOW RATES
RAIN FALL p2q
-INITIAL AFTER I" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
%11
, I��LUDGEf#21s251
-DUE,.EV f YEAR: DATF 6
O: �-i P: U v % RATIO OF SLUDGE
0: '� P: b(oS— % RATIO OF SLUDGE
0: 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
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 III- Ends September 30th
Small Grain Over seed: Opens October 13t-Ends March 31st
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 151^ - Ends August 1st
Rye: Opens September 1,t-Ends March 31 It
Oats: Opens September 1-t- Ends April 151h -
Wheat: Opens September 1st- Ends April 30th
Soybeans: Opens April 1st -Ends September15th
Fescue: Opens August 1st- Ends July 31 It
Sorghum Hay: Opens March 15th - Ends August 31 st