820499_routine_20231115

r ATMtri
for Visit: 91outine
Referral
0 Other 0 Denied Access
Date of Visit: {1472iz Arrival Time: Departure Time: / ` County: a Region:
Farm Name: JF/ZG>/��L �C�. y�, t r/S `GZ�^ rvL Owner Email:
Owner Name: S1, g-"' Phone:
Mailing Address:
Physical Address:
Facility Contact: ��'Jy�yy ,. Lfl�' Title: �r'd'/7�.i`- Phone:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator: % j //I
Certification Number: / 3ItL
Certification Number:
Longitude:
}S gb45
tX�$a424
#�ar4ax&x
xA5R#a##d"#x,E.:sybl5 xbe Sb
#b5kb###+ eft >ta # ##Y4q db at 4W** 8#A:O i•bx
ab s0eb§#au•N:tt> faa &a k 8E Aab#trb4v b4#t tz 63.4 asp grAV YRmee * ##k..b¢exw•2}rl
a%ratYu w.em a'aa'ba
s9+x:PU#xm.ero a++
t a� �.� �a''a°#`a����^bx(aurron�t§•$+
St#98�$ffi iP-b•.
4#
$b#4
gatrtuw
aaa##a$#r1a$be xeaszumsam
'a..etraea§exa aft$ r#tbax5a$�1Unta
U}y9¢pyy#&�y}}b'$a#� # #a u&(4Fl gi�l#y$+#y#A 11
"& '} Ikr RIU#h R 43 Futb((�0yyky y5v4 yµ.g$1%"DD#Y##p. 'NE ✓+i�d:.
Px a #� b•••g trq$&kM1 •et# #t,1
ca,ean p¢#Ye 44 Abtrpxxy§% aaF =}
#4tv�#'b`8'#s� sb$�•`a # •�• §$a
g §Ye4 `KS'A
AtXB& A%# #
xaa§ems§AV `oi `k
mx &Y# 44e .flm#4h %x�bai$kb§}Y3 aavb+#b a#trxbik
.w
t& 0&fr##fie�e F�$9 O
s;e§ems§aa$#
;�
Wean to Finish
La er
y
1a Dairy Cow eon
a
canto Feeder 6 —J —I INon-Layer Ib
Feeder to Finish a amaaaa� aaa"
Farrow to Wean AV Aa n�'��
Dairy Calf
Dairy Heifer s$
14
• D Cow
{,,.�
tr11
xx
Farrow to Feeder aaar1�tl+�axffi`ifa..
Non -Dairy I
Farrow to Finish
Layers
Beef Stocker)
Gilts a#
Non -Layers
Beef Feeder
Boars as'
Pullets'
Beef Brood Cow
aama
g$$$#$83$5#g}gp$#s•41#§i.#ih*Ya#'$Dla
iSFB#
aaax#axe x+tN,t�w #a'k# #8.
# 4 flaAqy#$#1.tMa'Rt1t+B!*'kteFgblY'N§§.d9thd@$ e#'35.
*9 apt#d3k#
Turke s
a .kptr$4#mb^c�x4##&W%tirr
*'""
:#btues969't4ufi#"'#h#'kPi}H#43•$s#trY#*b7dt3#Sds#
i :'#Ys
tb.4F&a4'rc blkt'#+i1ta53'ak
Turke Pon
3 8
iamagaaes e��§#orb �..v�amx ms. aax� bxdr x: $xa ��'a•k
841
1b9
OteLe#b;.--
#'kW§R�4=kbk#&L4a#Y$aa&4#&F#5
I3
o•
„. a..ax§.:.+,niYz .•--a$
+.a.s e:t4.
;:, ache&aaaau�aaaaaaaaazea#ax#x#a
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 Is1VO ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes [:]No
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
DAo
❑ NA
❑ NE
❑ Yes
OtKo
❑ NA
❑ NE
Page I of 3 511212020 Continued

Facility Number: Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes o ❑ 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): 3
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
1 No
❑ NA ❑ NE
waste management or closure plan?
If any of questions 44 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
[] o
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
[3Ves
❑ 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
E3 lxo
❑ 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 0-Tqo- ❑ 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
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.
❑ Yes
0 No
❑ NA
❑ NE
❑ Yes
0No
❑ NA
❑ NE
❑ Yes
[] No
❑ NA
❑ NE
❑ Yes [i]No
❑ Yes E No
❑ Yes Q 1Vo
❑ Yes
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [] No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes /❑"No ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facilit Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes E3<o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes E3<o ❑ 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 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Io ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
E] 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
ro
❑ 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
L_I Ro
❑ 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
PKo
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
Q'Kro
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
Fl-�o
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
F—_t'Tqo
❑ NA ❑ NE
wo 5 &-peci/ T✓U�t i y i rl or erect/
/WDws
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: 9y- m
Date: / % 13 ! /©� Z
511212020
Page 3 of 3