090042_Routine Inspection_20240725

Operation Review
for Visit:
Referral
Other U Denied Access
Date of Visit:
Arrival Time: ,U !g/ti
Departure Time: .!J ti 1
County:4
Farm Name:
GZ'-Zjt-",(�jy-ry-r �¢j'yy.�(�Zliyt�
Owner Email:
Owner Name:
Phone:
Mailing Address:
Physical Address:
Facility Contact: IJ le Title:
Onsite Representative:
I.
Certified Operator: C2 ral .y G 2
Back-up Operator:
Location of Farm:
Region: lz�;GCj
Phone:
Integrator: 5'
Certification Number:
Certification Number:
Latitude: Longitude:
I•i � i � ilst,a �il p (�'l�tt
#i ,�} ttttti� { i
b,t! 4+ �}`.
( 6�, i
,L�1 i{it �+t;
if
Wean to Finish i
Layer
Dairy Cowr
Wean to Feeder S
Non -Layer
Dairy Calf{
Feeder to Finish ��!� {
Dairy Heifer
Farrow to WeanI,
Dry Cow
4�
Farrow to Feeder1
Non-Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts i
Non -Layers
Beef Feeder
„)
Boars �(t$
Pullets
Beef Brood Cow
`t
II
Turkeys
H11 (177%l�sj{i` l � ki
,
j lir"I
A{{ r„ y
Turkey Poults
�,;� '
{
Other
„ U n„ a,,. m, t
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes E5No
❑ 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 _❑'5Io
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes f 2"&o
❑ 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 F, Vo
❑ 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): f
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes 2No
❑ 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�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 E]"No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes ❑--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
❑ NA
❑ NE
maintenance or improvement?
_[�Wo
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[:]Yes f No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes 2-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 AcceptableCropWindow ❑ Evidence of Wind Drift ❑ Application
Outside of Approved Area
12. Crop Type(s): �ja"J' c G}2�+ gh / y / ✓ /G S
i
13. Soil Type(s): %()jaw
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes la'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 �No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes E]-No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes 12�No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ YesAfrNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes A!j 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 /Z No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes ENO
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes 0 No
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes /EfNo M NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
EJ Yes 5jNo NA NE
the appropriate box(es) below.
Failure to complete annual sludge survey Ej 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 '[21190 NA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Yes J ' o NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
Yes �o NA NE
and report mortality rates that were higher than normal?
T
29. At the time of the inspection did the facility pose an odor or air quality concern?
El Yes L2 NNo 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 �No ❑ NA NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
❑ Yes -E]'No NA NE
❑ Application Field El Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWW?
❑ Yes ,No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
Yes ;jNo ❑ NA ❑ NE
.. _., _., ..._-_.,....� ...y...... .. ..........`"F .m-, „ y we aaum agcucy:
Z ie,
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
L_I Yes Ujlo U NA U NE
Phone: q1)0- 93'5 - g2gs—
Date: -7 / � �, 12 y
511212020

racntty NO. 4:�19 6 y Time In Time Out _
Farm Name Integrate
Owner Site Ptar ,
Operator No. _
Back up No. _
HOC Circle: General or NPDES
Dace
Des' n
Current
- Design Current I
Wean — Feed
Farrow —Feed
Wean— Finish
IFarrow
—Finis`
Feed _Finish
Gilts /Boars
Farrow —.Wean
I Imo=
FREEBOARD: Design
Observed
Crop Yield
Rain Gauge
Soil Test 6n Wettable Acres
Weekly Freeboard c/
Daily Rainfall Li
SprayfFreeboar:, Drop
`Heather Codes
120 min Inspections _
Waste Analysis:
Date
Nitrogen (N)
i a �y
36;-3
Sludge Survey
CalibrationlGPM lL7 S�J t/
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
13 0-6-