820106_Routine Inspection_20231116

Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: AD Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: ,' D Departure Time: fli d County:
Farm Name: iitrLG Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: /y Title:
Onsite Representative: Ll:
Certified Operator: ZfLnq� ;Zd.
Back-up Operator:
Location of Farm:
Phone:
Region: F4�
Integrator: r�
Certification Number: 10O2`31(13
Certification Number:
Latitude: Longitude:
L,1
( i 1 `y'
1�. 1i�i,
�`(;�(
FBI lint
� iif i 1(7� 4r i.
I
i
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
00
Non -Layer
Dairy Calf
Feeder to Finish
(1�`
f
DairyHeifer
Farrow to Wean
Dry Cow
Farrow to Feeder
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
r Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
NEW
t ({{
Turkeys
Y
€ e F
!;.
Turkey PoulYs
01,lu
41
j
a ( Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes )2'No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes ❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes ❑ No
❑ NA
❑ NE
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)
❑ Yes ❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes __J:�VNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes '[:�No
❑ NA
❑ NE
of the State other than from a discharge?
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 2 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?:
Designed Freeboard (in):C�"
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes .e-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 .ErNo
❑ 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?
19des ❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes _2 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 A�]`No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes L3'No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
[:]Yes Q &o
❑ 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 ofWind Drift ❑ Application O�utsidee of Approved Area
//
12. Crop Type(s):6711Lr�=irul�G
13. Soil Type(s):yN
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ,e"No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes 0 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 r No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes 40 No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes Jallo
❑ 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 Q 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 Gam' No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [—]Yes .21 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 j2-1Vo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes `❑i'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
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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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)
❑ Yes -En�No ❑ NA ❑ NE
❑ Yes _allo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes n No ❑ NA ❑ NE
❑ Yes allo ❑ NA ❑ NE
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes
34. Does the facility require a follow-up visit by the same agency? ❑ Yes
i
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
4ErNo
❑ NA
❑ NE
allo
❑ NA
❑ NE
E:?No
❑ NA
❑ NE
❑' No
❑ NA
❑ NE
Phone: ql0 ., O ,air %;?Ps —
Date: 6/ �lo�a3
511212020
Page 3 of 3

CALBRIATION (n4)
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION
FLOW RATES 2,15'
RAIN FALL laz l
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
SLUDGE Wm a2s)
-DUE EVERY YEAR: DATE loZ ;'Y%2-�
0:..y /l_P: b, % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND 921)
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�t- Ends September 30t
Small Grain Over seed: Opens October 1-t- Ends March 31 A
Corn: Opens February 15w - Ends June 30t
Cotton: Opens March 15w - Ends August 1�
Rye: Opens September 1n- Ends March 31st
Oats: Opens September i �t- Ends April 15t
Wheat Opens September 1st- Ends April 30i
Soybeans: Opens April 1st- Ends September 15t
Fescue: Opens August 1st- Ends July 31st
Sorghum Hay: Opens March 15N - Ends August 31 st

FACILITY#: � FARM NAME: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) (*2o)
SOIL TYPES
CROP TYPES
- ODOR CONTROL CHECKLIST YES OR NO
- Irrigation Plan Maps YES OR NO
WASTE REPORT (#n)
-GOOD FOR 6/0 DAYS BEFORE OR AFTER p
DATE /d-Y/I NITROGEN LEVEL !�
DATE t1116 tom' NITROGEN LEVEL
DATE ° %/J"1- NITROGEN LEVEL
EVERY 3 YEARS:
P-1 (NO MORE THEN 400)
- PH (Note T4 o, I.)
Cu2N (NO MORE THEN 3000)
(IF PEANUTS NO MORE THEN 300)
SOIL REPORT
DATE 3/iA1d'6)-6
IRR2 (zzI)
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)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)