090197_Routine_20231010

Facility No. l I I Time In ii
' � Time Out Dam -
Farm Name inteararon . OAR
Owner . ol1INC
Site Re :
perafrr r1 '��e i G No.
flack -up
No.
Circle: General or NPDES c p�. U) d gle ; 66v vl,le
Wean — Feed
Wean— Finish
Feed Finish
Fnrrntnr _ Mk
­
FREEBOARD: Design
Observed
Crop Yield*5__
Rain Gauge
2
n
111 S
c6
Soil Test W Wettable Acres
Weekly Freeboard Daily Rainfal f
SprayfFreeboard Drop
Weather Codes
Waste Analysis:
Farrow — Feed
Farrow — m iw
120 min inspections —
Date Nitrogen (N)
VIM3 . 2
53 2. I
.`ly 1-61
Sludge Survey
Calibration/GPM
Waste Transfers
Rain Breaker
PLAT
1-in-inspections �J
Date Nitrogen (N)
Current
= 5��
a :zo 17
ww d
i
(tva1'01 i*AP RoUlfall QMCA)�.dx , S0(,v -(dtC n C I o1C

Ir r" "- • •"•�• "'•••y,�••�� =••�y��••�•• \J VFl QH AXcV &U" `J Uu uuul c L' vAmduvu ` 1 1 cCu11MAI tXNb1b Ld11t;V I
-Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: I"I (fi Departure Time: �County: ,
Farm Name: Y_ � q Owner Email:
Owner Name: W(MR tmc; Phone:
Mailing Address:
Physical Address:
Region:
Facility Contact: JQ % {Limb Title:TrW caft e Phone:
Onsite Representative: 9a I ' I Integrator:
Certified Operator: W he� 1 i o Certification Number: I I'"► (Q
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Design Current
Design
Current -`
Design ,Current `
Swine
Capacity' ' Popp
__
Wet Poultry . ,
Capacity
Pop
4 Cattle r Capacity ° Pap. �.
F
=a u
Wean to Finish
°`
Layer
Dairy Cow'
Wean to Feeder
Non-Layer
s°
Dairy Calf
Tf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current''
Dry Cow
,3 A
Farrow to Feeder
I)i Poultry°"
Capacity
Pop
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
aE'
Gilts
3 O1f,=
Non-Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow!
Turkeys
"Other
a
Turkey Poults
, Zb
Other
--
m
�.
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
❑ Yes
No
No
❑ NA
❑ NA
❑ NE
❑ NE
❑ Yes E] No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes [ ' No ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facility Number: 9 - j Date of Inspection: 10 %
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes N No
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes �j No
❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Structure 5 Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ✓ l_
5. Are there any immediate threats to the integrity of any of the structures observed?
0 Yes RNo
❑ 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 N 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
6`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
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): G 9 Uu I I N -1?
13.SoilType(s): QVI NV) Jj�, WDOd i 0to V, fo ✓tol / UM buU
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
n No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
N No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
6 No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
N 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
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 [!N 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 6 No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes X] No ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: 'I - Date of Inspection: 10 110 123
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 ❑ NA ❑ NE
the appropriate box(es) below. 1P
❑ 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: f (' 2olT �� �' 022
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes ❑S10 ❑ 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
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 �jNo
❑ Yes qNo
❑ NA ❑ NE
❑ NA ❑ NE
[:]Yes allo ❑ NA ❑ NE
[:]Yes qNo ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ENo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? [:]Yes nNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes 'LgNo ❑ NA ❑ NE
y , ,4
Carttments (refer to question #); Explain any,YES answers;and/or.amy additional irecommeudatons or:ai�y other com�rieuts.
Use drawings mf facility to better" explam,situatious•,(use additional pagesas necessary). - s"
S. I�Iq�bh ft has hod high cj�igq_e clAI(,Q
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
511212020