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Home My WebLink About780095_Routine Inspection_20240509IType of Visit: .QJ Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance Reason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access Date of Visit: 0 Farm Name: — Owner Name: Mailing Address: Physical Address: Facility Contact: DQ� zX?, C.r7, Title: Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Latitude: Time: Q; County: Owner Email: Phone: Phone: Integrator: Certification Number: 27// % 3 Certification Number: Longitude: ��+i41�� li�,�h�Y{{{{IIICs a��. S+Ro .n'I&f°t. Finish La er Dai Cow to Feeder Non -La er Dai Calf to Finish Dai Heifer to Wean D Cow EFarrowtoFeeder to Feeder Non-Dai to Finish La ers Beef Stocker Non -La ers Beef Feede Pullets Beef Brood Cow <<c. ! 7t :ITurf S �i Tue Poults� tlOther 777m= .,LEA HIS .tt ll Li tt i i Discharges and Stream Imoacts 1. Is any discharge observed from any part of the operation? ❑ Yes LD 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 (0 No ❑ NA ❑ NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes,. Z No ❑ NA ❑ NE of the State other than from a discharge? 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 ZNo ❑ 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): r;i 7 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 _L�J`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 _❑"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 -f:fNo ❑ 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 -Efr 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): i� / e4cc/ /� �) 13. SoilType(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes_4EJ'No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes [a -No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes IDNo ❑ 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 _❑e'No ❑ 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 ,e'No ❑ NA ❑ NE the appropriate box. ❑ WUP ❑ Checldists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysi ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" 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? El Yes -'No s ❑ Waste Transfers Rainfall Inspections ❑ Yes 25'&0 ❑ Yes J;�]' No ❑ NA ❑ NE ❑ Weather Code ❑ Sludge Survey ❑NA ❑NE ❑ NA ❑ NE Page 2 of 3 511212020 Continued 7<��' , Facili Number: Date of Inspection: 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes .4�] No ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ZNo ❑ 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 1No ❑ NA ❑ NE Other Issues ffff 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 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 'ffNo ❑ 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 IXf No ❑ NA ❑ NE permit? (i.e., discharge, freeboard problems, over -application) 'e 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. eyes _Q"No. ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? es ,❑'No A//yyes ❑ NA ❑ NE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ,❑/'No ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? "Y es -.P-,rNo ❑ NA ❑ NE / r PA � VIA / ii Reviewer/Inspector Name: Reviewer/Inspector Signature: Phone: Date: Page 3 of 3 511212020 '7 �!S' racmty rvo. Time In Time Out Farm Name Integrasy" Owner Site Re;— Operator No. back-up No. COC Circle: General or NPDES FREEBOARD: Design Observed Crop Yield Rain Gauge Soil Test % l 3 y Wettable Acres Weekly Freeboard_ Daily Rainfall Spray/Freeboaru Drop - Weather Codes 120 min Inspections — Waste Analysis: Date Nitrogen (N) Date Sludge Survey IV-1.%-_� Calibration/GPM Waste Transfers Rain Breaker PLAT 1-in Inspections Date Nitrogen (N)