820110_Routine Inspection_20240201

Type of Visit: QJCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: <5—Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: ! Departure /Time: © County:
FarmName: / ��- �``C��"'�/ Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
OnsiteRepresentative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Region: f ;eU
Integrator: ::i:�
Certification Number: L qO -74o
Certification Number:
Latitude: Longitude:
ii
Wean to Finish
E Layer
Dairy Cow
Wean to Feeder
; Non -La er
Dairy Calf
Feeder to Finish
Dairy Heifer
{1';
Farrow to Wean
Dry Cow
ill
Farrow to Feeder
E
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
!
1
I3
Gilts
Non -Layers
Beef Feeder
1111
Pullets
Beef Brood Cow
i Turke s�'
+(
Turke Poults
�
l...
Other
�� 4irf
FOP1tItllRiill„8lli , 3 1.5N,t..dlSCi Ii:Liii, {{}t A
3
Illt
Dischar¢es and Stream Imuacts
1. Is any discharge observed from any part of the operation?
❑ Yes
PNo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
T
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
allo
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
-E]'No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
t-EfiNo
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facili Number: Date of Ins ectiow
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes _F:t�o ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Stricture 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: G
Spillway?:
Designed Freeboard (in): H
Observed Freeboard (in): c23
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes,,EfrNo
❑ 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 .f:rNo
❑ 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 _4EfrNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes ..®'Rto
❑ 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 4ET—No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes o
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes .E�'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) �'�?/I6J f U�t�rvKGY� G� �islu���(3•
LCit�i ! .
GJ�
Z lei>;
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes�E:;J-No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes ®"No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes _E ^] No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
[—]Yes ..❑`No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes _EErNo ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes J21Vo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [:]Yes F,--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 -E 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 F]"No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes eNo ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 'L�?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.
❑ 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 J2-No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [—]Yes 4D-No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ja0go ❑ 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?
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:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
WDZA 071 � &'2"XX, oil IR-14
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes _ IVo ❑ NA ❑ NE
❑ Yes ,�No ❑ NA ❑ NE
❑ Yes -El—No ❑ NA ❑ NE
❑ Yes - f No
❑ Yes J�pNo
❑ Yes ,._®'No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Phone: `G6U D %J`� 279-Sf
Date:
511212020

FACILITY#: FARM NAME: 7zz4;ez —LAGOON LEVEL
PERMIT M+v)
DUE EVERY 5 YEARS
EXPERIATION DATE
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO
NUMBER OF ANIMALS
WASTE UTILIZATION PLAN (WUP) (#20).
SOILTYPES
CROP TYPES
- ODOR CONTROL CHECKLIST YES OR NO
- Irrigation Plan Maps YES OR NO
WASTE REPORT (s21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE 42 /' /%L)'3 NITROGEN LEVEL 3,
_ DATE l/Ia_J
NITROGEN LEVEL
DATE
NITROGEN LEVEL
S 0 1 L EPORT(uH)
YEARS:
DATE /0 h c3
- EVERY 3
- P-1 (NO MORE THEN 400)
- PH (NoteiF4.,I..)
- Cu/ZN (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 TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION (x24)
- EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION Y1=-
FLOW RATES .2 co
RAIN FALL (#21)
-INITIAL AFTER I" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
SLUDGE (#21a2s)
-DUE EVERY YEAR: DATE %�„ �� / 2'✓
O: �I_P: 7. N % RATIO OF SLUDGE ✓ V
0: P: _ % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND u21)
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 30*
Small Grain Over seed: Opens October 1st- Ends March 31n
Corn: Opens February 15* - Ends June 30u
Cotton: Opens March 15w- Ends August 1st
Rye: Opens September 1" - Ends March 31st
Oats: Opens September IA -Ends April 15th
Wheat: Opens September 1st- Ends April 302
.Soybeans: Opens April 1st -Ends September 15w
Fescue: Opens August 1st- Ends July 31 �
Sorghum Hay: Opens March 15* - Ends August 31 st