820204_Routine Inspection_20240730

Type of Visit: _E?rVompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit:-,EMoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: / Arrival Time: Departure Time: County:-!5; t
Farm Name: Owner Email:
Owner Name:Phone:
Mailing Address:
Physical Address:
Facility Contact: de. /tJE,t-L,G�ci�C%�Z Title:
Onsite Representative:
i(
Certified Operator: /412t�w/ LJC�i
Back-up Operator:
Location of Farm:
Phone:
Region: FA�O
Integrator: �tia�GL° rG�
Certification Number:
Certification Number:
Latitude: Longitude:
IY376
,
!
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish A416
Dairy Heifer
� `
Farrow to Wean
D Cow
Farrow to Feeder
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
oil Beef Feeder
Boars
Pullets
Beef Brood Cow
i
of I'€, iib `E (s �i,
Turkeys
Turkey Poults
3I i� i€ 3 �' 3
i, €
t, ,?
(�
Other
€I���,�i
. ,5, ,tlt;� Ikil.tl40ii ,tdf 6,l,,pk 4#flilll 14 N1,1 .8i4i flill i
4 2 4 `itiit F iifi, tV'P�fl4i1111I
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Iili:+
Discharges and Stream Imuacts
1. Is any discharge observed from any part of the operation?
❑ Yes&-ffNo
❑ 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
❑'No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑'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 (JC2,1�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: I
Spillway?:
Designed Freeboard (in): t
Observed Freeboard (in): _�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes A!TNo
❑ 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' 6 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
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
'Callo
9. Does any part of the waste management system other than the waste structures require ❑ Yes `
I No ❑ NA ❑ NE
maintenance or improvement? j
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 2]'No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes .E]"DIo ❑ 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
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?
❑ Yes
,TNo
❑ NA
❑ NE
❑ Yes
aF"f_i
❑ NA
❑ NE
[—]Yes
jNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes f 2No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes PNo
❑ 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 JZ 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 ,❑ No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes ,❑' No
❑ 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

[Facility Number: - U Date of Inspection: - ,3
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �[EI'No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes -E3-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 E f rNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes J:J No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ff]'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
ff No
❑ 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
[TNo
❑ 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
4�No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
,[g-No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
J�]ZIo
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
6 No
❑ NA ❑ NE
Reviewer/Inspector Name: 1) i a r1.e IVIM /S ClvO Phone:
9ro s2ss—
Reviewer/Inspector Signature:
Page 3 of 3
Date:
511212020

racm[y NO. �a Time In
Time Out
Farm Name
Owner
Site R4..
Operator
No.
Sack -up
No.
COC Circle: General or NPDES
FREEBOARD: Design
Observed
Crop Yield
Rain Gauge
Soil Test 7 d a-x Wettable Acres
Weekly Freeboard yi Daily Rainfall
Spray/Freeboar Drop _
Weather Codes
Waste Analysis:
120 min Inspections
Date Nitrogen (N)
f 4 /, u
Dam
Sludge Survey `�,l/i/ /d- �0 2
Calibration/GPM
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
-7/(T a- /, a o
1! 3ci ,to