090039_Routine Inspection_20240827

for Visit: RJRoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: 7 Arrival Time: J Departure Time: ; V m County: .44" i:--t
qq I
Farm 11 3 Owner Email:
Owner Name: IJZ44ealo Phone:
Mailing Address:
Physical Address:
Facility Contact: �Cctsrz Title:
Phone:
Region: 11"�te
Onsite Representative: �� Integrator:y/t�
Certified Operator: /J l� (ci7Jd(�>'t Certification Number: 16z %'Ld'j—
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
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Wean to Finish
(
Layer
DairyCow
Wean to Feeder
Non -Layer
Da Calf
Feeder to Finish %3 y
41!!
Y�
DairyHeifer
Farrow to Wean
3�(I
t
sr
D Cow
�! Farrow, to Feeder
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
r Gilts
Non -Layers
Beef Feeder
Beef Brood Cow
Boars Pullets
I Turkeys
Turkey Poults
I
�+ a «
F tti•�!; J II
Other
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 _No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ,e'No ❑ NA ❑ NE
❑ Yes PNo ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facility Number: 061j Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes jE!j`No
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No
❑ NA ❑ NE
Structure 1 Structure Structure 3 Structure 4
Structure 5 Structure
6
Identifier:_
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
—of
5. Are there any immediate threats to the integrity 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 E j"NVo
❑ 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 .EfrNo
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes FZTNo
❑ 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 �e No
❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes -ETNo
❑ 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): C-.'� �''�,
13. Soil Type(s): A 0/
14. Do the receiving crops differ from those designate in the CAWMP?
❑ Yes _❑ 1No
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
rFrl�es ❑ No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑Yes [D'No
❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes ID -No
❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes J2'1�o
❑ NA ❑ NE
Reguired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes eNNo
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes [3"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 ETNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" 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?
[-]Yes allo
❑ Yes E�No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑NA ❑NE
Page 2 of 3 511212020 Continued

Facility Number:
Date of Inspection: -52 _
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes _,D 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?
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 [No ❑ NA ❑ NE
[—]Yes No ❑ NA ❑ NE
❑ Yes &No ❑ NA ❑ NE
❑ Yes [O]"No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Z?1�0
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ;ZNo
34. Does the facility require a follow-up visit by the same agency? ❑ Yes �No
'VIt fT,M" } l � Sit
/5� %vv"
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Phone: ��(/ �✓�S- y 7
Date: t7/�
Page 3 of 3 511212020

racaay rvo. 3 ✓ /�� Time In �? Time Out _
Farm Name_ 7_zp , _4 tntegratw
Owner Site R4
Operator No. _
Back-up No. _
COC Circle: General or NPDES
Dam
Design
Current Design Current
Wean - Feed
Farrow -Feed
Wean- Finish
I I Farrow - HOW"
Feed : Finish
I I Gilts / Boars
Farrow -.Wean
I I Other.
FREEBOARD: Design
Observed
Crop Yield
Ram Gauge
Soil Test _ Wettable Acres
Weekly Freeboard Daily Rainfall
SpraylFreeboard Drop r
Weather Codes ._1e� 120 min Inspections 1/
Waste Analysis:
Date Nitrogen (N)
Sludge Survey
Calibration/GPM aa�
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
/6
/ i v/
Ib/,16-16y_7 :