820169_Routine Inspection_20231010

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Type of Visit: Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: Q Routine O Complaint O Follow-up 0 Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: /Y/Y1 Departure Time: County:— Region:
Farm Name:
Owner Name:l3iGL
Mailing Address:
Physical Address:
Facility Contact: /� Title:
Onsite Representative: /
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Owner Email:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Wean to Finish
Layer
jDairy Cow
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
7�
�'ialIsm
Dairy Heifer
Farrow to WeanE
Dry Cow
Farrow to Feeder
,
Non -Dairy
Farrow to Finish
Layers
I Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
I
IPullets
Beef Brood Cow
Turkeys
11
I ITurkey Poults
E(
Other
atuun"
��
w
!.
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__[Er3No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes❑�No
❑ NA
❑ NE
❑ Yes
f j No
❑ NA
❑ NE
Page I of 3 511212020 Continued

Facility Number: jDate of Inspection: / !O
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes f3,IVo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes [:]No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Q� Structure 5 ja, Structure 6
Identifier: All,/ sr� y r �p ,Z Y flxe /0yH,4
Spillway?:
Designed Freeboard (in): y,'2 go, y f cJ ay • y 9 !g 0
Observed Freeboard (in): _ 34- y L) j 3(�P ?q
5. Are there any immediate threats to the integrity of any of the structures observed? 'o-Yes On ❑ 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 eNo ❑ 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? '2'�'es ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Efr-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 .e-74o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [r]-N"o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes E2-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
l /Window ❑ Evidence of Wind Drift ❑ �Applliication Outside
sof7Approved
�Area
, �sjc_�Cr�,-,�
12. Crop Type(s): C OGt�LGd t7�v�ue �9am GJ�/2O i 1 (�SIIZ�, u)4 'j. +a r r/
13. Soil Type(s):l/�
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
[2/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?
❑ Yes
Q'No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑-No
❑ NA
❑ NE
_Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
ff No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[—]Yes
.e'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
4�:fNo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
ETNo
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
B No
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facility Number: jDate of Inspection:
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
aYes
o
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ZfFailure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon n
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
'EyNo
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
allo
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
_[2)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
E]/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
E ' o
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
.ZNo
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
JErNo
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
ZTNo
❑ NA ❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: tFlj�) 6r-3-5-- F7?S—
Date: /4 //y/'3V
Page 3 of 3
511212020

FACILITY#: 912 /0 FARM NAME: 4-.12 LAGOON LEVEL
PERMIT M1s)
- DUE EVERY 5 YEARS
- EXPERIATION DATE NUMBER OF ANIMALS
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WUP) (#20)
SOILTYPES
CROP TYPES
- ODOR CONTROL CHECKLIST YES OR NO
- Irrigation Plan Maps YES OR NO
WASTE RE/P�Qj RT (R21)
""
W1,13
-GOOD�/F9R 0 DAYS BEFORE OR AFTER
DATE 0 ��/�'Z
NITROGEN LEVEL
! • 1 �
J`
/`/` � 3
A
/' (/-7
a
/ ��
DATEE�
NITROGEN LEVEL
•'�
/
DATE`
t//, La
NITROGEN LEVEL /.J
J`/ j
/•L1,3
/<«
/. a3
y
/ ��
g
SOIL REPORT (#211
113l/-6
- EVERY 3 YEARS:
DATE
P-1 (NO MORE THEN 400)
PH (Not.rc4.,Ie..)
Cu/ZN (NO MORE THEN 3000)
(IF PEANUTS NO MORE THEN 300)
Not over PAN CROP TYPES
FLOW
Not over PAN CROP TYPES
FLOW
Not over PAN CROP TYPES
IRR2 (#21)
NITROGEN (N)
NITROGEN (N)
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Lt
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a.2S',9(, ,8S
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G�YLI�� G#�ti

CALBRIATION p24l
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION ///s/3
FLOW RATS
S a 3s ;7 s— y o Is-6 /31 196 A-6 Y /
/7� !S 9 38�—p l2_//2 2
IC X
RAIN FALL (*21)
-INITIAL AFTER 1° RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
-DUE
EVERY YEAR: DATE /
v[ld-II&LUDGE(u21a25) .L(
�nJN O: D P: •S� % RATIO OF SLUDGE J 7 a/316 1
L+5mp 0:TP: 7- %RATIO OF SLUDGE qF
'(y5M.S O: k° P: 7 %RATIO OF SLUDGE t/'
SIC O: S�P: L/-O %RATIO OF SLUDGE 15-65-6
(� • d
Y,5 ..5-0
�yL�iP q.3 3 S OTHER FORMS (#22AND #21),37 /
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 30u
Small Grain Over seed: Opens October 1st- Ends March 31st
Corn: Opens February 15� - Ends June 30t
Cotton: Opens March 15� - Ends August 1�
Rye: Opens September 1n-Ends March 31-t
Oats: Opens September lst- Ends April 15w -
Wheat: Opens September 1st- Ends April 30t
Soybeans: Opens April 1 rt- Ends September 15t -
Fescue: Opens August 1 st- Ends July 31A
Sorghum Hay: Opens March 15� - Ends August 31 st