090168_Routine Inspection_20240827

for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied
Date of Visit: a7 d Mrival Time: � j Departure Time: County: R— Region: �U
Farm Name: /;�`.,y �} /' f L' tGm
OwnerName: /(/�� 111
Mailing Address:
Physical Address:
Facility Contact: �{� E`�(t�y�2 Title:
Onsite Representative:
Certified Operator: /Vx'd
Back-up Operator:
Location of Farm:
Latitude:
Owner Email:
Phone:
Phone:
Integrator:at'
Certification Number:
Certification Number:
Longitude:
/lid ,9
Discharges and Stream Impacts ,�,,�"
1. Is any discharge observed from any part of the operation? ❑ Yes )� tvo ❑ 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)
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 FrNo ❑ NA ❑ NE
❑ Yes Zg,4 o ❑ NA ❑ NE
Page I of 3
511212020 Continued

Facility Number: - /(o Date of Inspection: ?
3
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes 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):
Observed Freeboard (in):_
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes eNo
❑ 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 ❑-&
❑ 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?
,IYes [-]No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes JEJNo
❑ 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 -Eno
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes z❑No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes Io
❑ 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): 4,)Z 2O QS i
G u �ALGGf i
13. Soil Type(s): 42a4p
14. Do the receiving crops differ Join those designated in the CAWMP?
❑ Yes 'E�o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes.,E3'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
'J24No
17. Does the facility lack adequate acreage for land application?
❑ Yes [/]`I`Io
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes J2-No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes La -go
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes ;2&b
❑ 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 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes Q)No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes _®'Ao
❑ 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 E�No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes XNo ❑ 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 ®0 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 J2'No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes L2-�o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
E] 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
` : fNo
❑ 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 tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
dNo
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
&No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
2'iNo
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
No
❑ NA
❑ NE
riflilsi
�iJ,i
G Aglk�
c
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:(a%/� y
511212020

racsrty NO. " � Time � Time Out _
Farm Name lntegraia'
Owner Site Rez
Operator No.
Rack -up No. _
COC Circle: General or NPDES
Dace
Design
Current Design Current
Wean -Feed
Farrow - Feea
Wean- Finish
Farrow - Finist
Feed _ Finish
Gilts / Boars
Farrow -.Wean
I I Othecm
FREEBOARD: Design
Observed
Crop Yield
Rain Gauge
Soil Test Boa
Weekly Freeboard _
Spray/Freeboard Drop _
Weather Codes
Sludge Survey 1015J v _�
Calibration/GPM {�
Waste Transfers
Rain Breaker
Wettable Acres PLAT
Daily Rainfall 1-in Inspections
120 min Inspections
Waste Analysis:
Date Nitrogen (N)
I�
Date Nitrogen (N)
>o a3
2l y-,ly3 J S