820184_Routine Inspection_20240319

�. ype u1 v isu: .c.'; v.umpuance inspection v uperarion xeview U structure E;vamanon U t ecnmcat Assistance I
Reason for Visit: —Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: �/Ja Arrival Time: ,'p0I9p7 Departure Time: County:(
Farm Name: �n// Owner Email: —`
Owner Name: JC&,e_ � 14a,4,�1' Phone:
Mailing Address:
Physical Address:
Facility Contact: .1�21U( Title:
Onsite Representative:
ti
Certified Operator:
Back-up Operator:
Location of Farm:
//
Latitude:
Region: Z.-)
Phone:
19
Integrator: Z_ (�
Certification Number: 99 3c cll
Certification Number:
Longitude:
hil
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i
i
E
$
Wean to Fin
ILayer
Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
�Nb
`
Dairy Heifer
Farrow to Wean
Dry Cow
Farrow to Feeder
Non -Dairy
Farrow to Finish
Layers
Beef Stockerjl
�a
j Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
jE q;m-
'I4'
itE+:
! � i�� �'
Turkeys
t El4j
4 Ei ��f
Turkey Poults���1
J,
Other
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i £ ",4i0N
{Pill
€♦�
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 �0'110 ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
®'&o
❑ NA
❑ NE
❑ Yes
J J No
❑ NA
❑ NE
Page I of 511212020 Continued

Facility Number: - Date of Inspection: 5;
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes_,E2'No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): �y
Observed Freeboard (in):
Illy
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ..®'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 �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 gTNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes EENo ❑ 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 Af 1-yes rNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes -E�J'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 of Wind /Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
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 „allo ❑ NA ❑ NE
I� t' 'es E5No ❑ NA ❑ NE
r❑ Yes J2No ❑ NA ❑ NE
❑ Yes -ff'No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes .®'No ❑ NA ❑ NE
❑ Yes A;]No ❑ NA ❑ NE
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. 2rYes ❑ No
Ej Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ Yes _No ❑ NA ❑ NE
❑ Yes 4E�rNo ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: F- - / Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [21'No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [ 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?
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)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
[:]Yes
F_j-No
❑ NA
❑ NE
❑ Yes
JE] No
❑ NA
❑ NE
❑ Yes
®'No
❑ NA
❑ NE
❑ Yes Q'No ❑ NA ❑ NE
❑ Yes Ej`No ❑ NA ❑ NE
❑ Yes [5No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? [:]Yes .E�f No ❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss
review/inspection with an on -site representative? ❑ Yes E5 No ❑ NA
❑ NE
34. Does the facility require a follow-up visit
by the same agency?y
❑ Yes i No ❑ NA
❑ NE
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Reviewer/Inspector Name: `Qv+ < so )1) Phone: 916 973S — ` 2&S
i
Reviewer/Inspector Signature: Date: �j / `,'l y
Page 3 of 3 511212020

FACILITY#: " a - l a FARM NAME: "alLAGOON
PERMIT (Nv)
DUE EVERY 5 YEARS
EXPERIATION DATE
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO
NUMBER OF ANIMALS
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES
- ODOR CONTROL CHECKLIST YES OR NO
- Irrigation Plan Maps YES OR NO
WASTE REPORT (*21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE 07//Ll aJ NITROGEN LEVEL'2'641
DATE y� NITROGEN LEVEL 2 720
r
DATE (fr15_`a-3 NITROGEN LEVEL_ {
SO1LJREPOR? (4211
- EVERY 3 YEARS: DATE
- P-1 (NO MORE THEN 400)
- PH (Note if4 or less)
- Cu/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUTS NO MORE THEN 300)
Not over PAN CROP TYPES
FLOW RA
Not over PAN CROP TYPES
FLOW
Not over PAN CROP TYPES
FLOW RA
IRR2 (=q
NITROGEN (N)
NITROGEN (N)
NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Az 2_0 a 1�r

CALBRIATION (uza)
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION //Z 3 d /;X 2
FLOW RATES a E6
RAIN FALL ym)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
LUDGE (zzi 625)
DU jEYERY YEAR: DATE ' W 11; 43
O: J Q0 % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS ($22 AND #21)
RAIN BREAKER FORM CROP YEILDSMORTALITY_
'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 1�- Ends September 30*
Small Grain Over seed: Opens October 1st- Ends March 31A
Corn: Opens February 15t5 - Ends .tune 30u
Cotton: Opens March 15* - Ends August 1st
Rye: Opens September 1st- Ends March 31 st
Oats: Opens September 1�t-Ends April 15th
Wheat: Opens September 1st - Ends April 30u
Soybeans: Opens April 1 �- Ends September 15t
Fescue: Opens August 1st- Ends July 31A
Sorghum Hay: Opens March 15t - Ends August 31 st