820002_Routine Inspection_20240129

IType of visit: L Mompliance inspection U Operation Review U Structure Evaluation U Technical Assistance I
Reason for Visit: (:)-Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: aU Departure Time: ; )6 County:r 7 Region: id
Farm Name:�nn //ll � "'
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Q _ �y� �y[� Title:
Onsite Representative:
rT
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Owner Email:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
105s
(€} Wean to Finish
ILayer
Cow
Wean to Feeder
Non -Layer
_�Dairy
Dairy Calf
Feeder to Finish
` �1
DairyHeifer
i
Farrow to Wean
jFarrow
• I
I
a
�
Dry Cow
to Feeder
{
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
r3
=°s Gilts
Non -Layers
Beef Feeder
Boars
Pullets
lBeef Brood Cow
;ji'
�1���,�,�;`I "
��11
Turkeys
I IS
M
",ii
6
Turke Poults
zz
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
E244o
❑ 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
fjNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
f�No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facility Number: jDate of Inspection: 2
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
❑ Yes 2-No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
Structure 5 Structure 6
Spillway?:
Designed Freeboard (in): C
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes ,, 7Mo
❑ 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 e12"go
❑ 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?
,®_1es ❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes [ Ro
❑ 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 E2,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):
13. Soil Type(s): X)/A Ee.. /'>&h
14. Do the receiving crops differ fromthosedesignated in the CAWMP?
❑ Yes
ZrNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[allo
❑ NA
❑ NE
16. Did ,t4e facility fail to secure and/or operate per the irrigation design ox wettable
❑Yes
, o
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
E2 No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[Po
❑ 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
ZpNo
❑ 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
[3"Ko
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑' o
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facili Number: Date of Ins ectionC a
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes -ErNo
❑ 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.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon y
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 Q'No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes NNo
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes E�LNo
❑ 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 -QNo
❑ 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 -El 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 -RNo
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes 'K] No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes NQ No
❑ NA ❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
,17
Phone: (Flo FjS -9 iSi
Date: / `a-9� C/
511212020

FACILITY#: FARM NAME: LAGOON LEVEL
PERMIT(ne)
- DUE EVERY 5 YEARS
- - EXPERIATION DATE NUMBER OF ANIMALS
. - CURRENT NUMBER OF ANIMAL
- OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES
- ODOR CONTROL CHECK LIS E OR NO
- Irrigation Plan Maps YES OR
WASTE REPORT (#2+)
-GOOD FOR 60 /DAYS BEFORE OR AFTER _
DATE�j7/a 6 �f� NITROGEN LEVEL 2 /��/ �a3 3, ?S'
DATE J l d7 / �3 NITROGEN LEVEL J 1
DATE NITROGEN LEVEL
SOIL REPORT (#2i)
EVERY 3YEARS: DATE lDI�UIa%
P-1 (NO MORE THEN 400)
PH (Note if4 or less) ��
Cu1ZN (NO MORE THEN 8000) CU. ZN
(IF PEANUTS NO MORE THEN 300)
IRR2 (#21)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP T PES
FLOW RATES NITROGEN (N) _
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION (mal
EACH REEL SHOULD BE CAL R T D EVERY OTHER YEAR
DATE OF CALIBRATION Q
FLOW RATES 1�
I S�
RAIN FALL Imtl
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS IS THEN THE DESIGNED FREEBORED PDA NEEDED.
SLUDGE (mt a2s)
-DUE EVERY YEAR: DATE �r �� 2-
O; P; % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
S- f4�,t- u/f;_0 aoa /
OTHER FORMS (u22 AND #21)
RAIN BREAKER FORM 4—
CROP YEILDS_X__MORTALITY_
"If fields are grazed there will be no crop yields
VISUAL CHECK
FOUNDATION OR PIT LEAKS _ PIPE LEAKS_ LAGOON SEEPAGE LAGOON BARE
AREASTREES 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 1st- Ends September 30t
Small Grain Over seed: Opens October 1st- Ends March 31st
Corn: Opens February 15t - Ends June 30t
Cotton: Opens March 15t^ - Ends August 1st
Rye: Opens September 1s<-Ends March 31st
Oats: Opens September 1st -Ends April 15t
Wheat: Opens September 1st- Ends April 30t
Soybeans: Opens April 1st -Ends September 15t -
Fescue: Opens August 1st- Ends July 31 st
Sorghum Hay: Opens March 15* - Ends August 31 st l