820131_Routine Inspection_20240821

of Visit: -(
in for Visit: ,.E) Routine 0
0 Referral 0 Emergency 0 Other
Date of Visit: / .1 fy] Arrival Time: Departure Time: �rOG
Farm Name: Me
Faz,?71
Owner Name:yi�
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Owner Email:
Phone:
0 Denied Access
Region: Fi
Phone: e
Integrator:
Certified Operator: &i(A Certification Number:
#
Back-up Operator:
Location of Farm:
Certification Number:
Latitude: Longitude:
Fq$fii$kaigN eq�tl 'W .,
§xiaaa qtq
a axva#adagq asr�pa. qax
'&
f## d�'kdm Wk xx'$LL i8.94+k$0a"gd$#+4'$e#aKq''s*�iP##Zg
x##§rt mmas ua
$mo-#
ouar, es'l yr`�u mar reawam n$"a "a se�>aa*z�'�6r i ; uRa
RS&&H#M@•Ntb4.*�q.. yY3g�bg3bQygfi&4#'d
xa ma`
a °#�s61$ o
���t"x asp, mn" rr 4 of
xn �§�§rxams
xi§
d6#g3t29d$g 4a xtac:rNf»
N .nsaer pp,,��{{fur, aa$a
4a#q-.
g a #axa
55i k #q4 *8##9#¢�$ tl 9 3+& 4'.•
aaeg�t.q, xygra•aw. �, *�aa eMmgaApa'ix'"»si
3 ##6qq 6§$��,1 `!}t�o-nx{ry-
N•ot9N#m840 1 Xc. i�<
X3� 6Edg### fr##�5#$.A ka'da4.s Rd 4:as ussss X#iz ajn
q$ H %k'm yq k,i a.$sa
" Wean to Finish
Layer Da' Cow
Wean to Feeder
oax Feeder to Finish
a Non -Layer
$�ayg$r
Da' Calf
Dai Heifer $
r
Farrow to Wean
Farrow to Feeder
$g a,$*s# I.&r�t. t D Cow 1
f ;rt• t• @Ito a a'c aa o ,a� Non -Dairy )
+ Farrow to Finish
r
a Layers
xai
9¢+ Beef Stocker
* Gilts
**I Non -La Non -Lavers
41
mn4 Beef Feeder to
qn
�a Boars
N
as Pullets
x> Beef Brood Cow *'
aaq{
nxwxra Nq a**s•wan"mNr Turke s
a4aq�kp mbonewuee NONixa"nr•k3Ndr
q ¥6frrt499t9k9M44
s.°rani°..*.c*"�uoa�"a=r";sasf''a$xas$
�k$4b wtq V4$ 'q§
a#$ kiI xttt gk6+go JO kb6$#
g"*cast+1b�lie'�m°s"mx;s.,#1lrceaxi Turkey Poultsea••.�r�
p
iiOR tq4#i '79 ffihH " 4Hs SagRt S;'§&d g
sum,Y"'xixaa""rrxa*gr$sa$.
$C9N
xxiNt
# Other
gg
ak@
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
❑N
❑NA
El NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
[]No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ADNo ❑ NA ❑ NE
❑ Yes E:j'No ❑ NA ❑ NE
Page 1 of 511212020 Continued

Facili Number: 3 Date of Inspection: of (/
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes _ga No ❑ 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): / �f / 9
Observed Freeboard (in):7_ 7-
5. Are there any immediate threats to the integrity of any of the structures observed? e Yes A2_r'4No
❑ 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 J2*$40
❑ 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 Eno
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes J:J-No
❑ NA [:3 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 �No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes t] No
❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes . ]-Do
❑ 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): tal2a Ny2� cc��s aay: ,Z CS
13. Soil Type(s):R n
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes JNo ❑ 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? T
17. Does the facility lack adequate acreage for land application? ❑ Yes JZ"No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ,ENo ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes E�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 ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements Mother:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 0 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 ' : rvc ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes .E]"NNo ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: I Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
❑ 1Go
❑ 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: ld/ �o
, &-7 An 0-O a y
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
,,F;rNo
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
[—]Yes
allo
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
; D"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 E]'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
EJONo
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface file drains exist at the facility? If yes, check the appropriate box below.
[:]Yes
eNo
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
L_ I No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[D'No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[20iVo
❑ NA ❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
n
Phone: (!D—
Date: '?/a
Page 3 of 3 511212020

r-acmty NO. _ Time In Time Out
Farm Name L°�,q /— ('
tntegraro'
Owner
Site Rep
Operator• '
BNo.ack-up
No. _
COC Circle: General . or NPDES
FREEBOAKu: Design
Observed
Crop Yield
Rain Gauge
Soil Test ,9®� Wettable Acres
Weekly Freeboard c/ Daily Rainfall
Spray/Freeboard, Drop
Weather Codes
120 min Inspections
Dare
Sludge Survey 47
Calibration/GPM
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Waste Analysis;
Date Nitrogen (N) Date
Nitrogen (N)
�/
to 11LI 9u