090165_Routine Inspection_20240827

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Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ,ETRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 7 Arrival Time: I Departure Time: 7_Z County: ,r Region:
Farm Name: �UGi) �� # 7 Owner Email:
/���o. '
Owner Name: L L (r Phone:
Mailing Address:
Physical Address:
Facility Contact: (f y7iZ iCZtGt Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone: //
Integrator: .:O ` 'ii.
Certification Number:
Certification Number:
Latitude: Longitude:
inishLayer
Dai Cow
ederINon-La
rFarrow
er
Da Calf
inish
yw'-)
III
€
Dai Heifer
ean;�;{ID
Cow
Feeder
;f
`
Non -Dairy
Farrow to Finish
{
Layers
Beef Stocker
Gilts
i}
Non -Layers
Beef Feeder
Boars
(1P,j't
ip
'
Pullets
Beef Brood Cow
ti
#
Tuk
�:ijn l i
,t�
TurkeyPuults
� a
�
Other
!i=Ili{i
. iYRb
Discharges and Stream Imoacts
1. Is any discharge observed from any part of the operation?
❑ Yes _L Io
❑ 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 _,ENo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes ,E�J`No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Facili Number: Zrj - Date of Inspection: , 7 3
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ETNo ❑ 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 ZNo
❑ 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 JZ"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?
``CCU es ,❑ No
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑l Yes J�fNo
❑ 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 dNo
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes FfrNo
❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
[:]Yes ,rNo
❑ NA ❑ NE
❑ Excessive Pending ❑ 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 WWindow❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop TYpe(s): C. 2n-� ee ' / id/lo e2!5,
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes PTNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 1�]-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?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes OlNo ❑ NA ❑ NE
❑ Yes [2-No ❑ NA ❑ NE
❑ Yes Ca"No
❑ Yes -No
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 4E]'No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" 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 eNo
❑ Yes �' o
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 51I212020 Continued

Facility Number: 0 - Date of Inspection: 7
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ETNo
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 0—No
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:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes —E]'Ro ❑ NA ❑ NE
❑ Yes ETiVo ❑ NA ❑ NE
❑ Yes O No ❑ NA ❑ NE
❑ Yes ,❑'No ❑ NA ❑ NE
[]Yes j2No ❑ NA ❑ NE
❑ Yes E2'No ❑ NA ❑ NE
❑ Yes
❑'No
❑ NA
❑ NE
❑ Yes
Vf'�To
❑ NA
❑ NE
❑ Yes
Fj*o
❑ NA
❑ NE
Phone: �y5Y6j �J
Date: 4/aa/5"y
511212020

raomty NO. (T7 Time In Time Out _
Farm Name / L� ti� � � Integratm
Owner Site Re;
Operator No.
lack up No. _
COC Circle: General or NPDES
Dare
Des' n
Current Design Current
Wean - Feed
Farrow - Feea
Wean- Finish
Farrow - Finish
Feed _ Finish
Gilts / Boars
Farrow -.Wean
( I Other
FREEBOARD: Design
Observed
Crop Yield .
Rain Gauge
Soil Test Wettable Acres
Weekly Freeboard /// Daily Rainfall
Spray/Freeboard Drop
Weather Codes 11-"� 120 min Inspections _ /
Waste Analysis: L� —
Date Nitrogen (N)
a��laC-1 Ul
— U y i
a S �o
Sludge Survey `U l d-5-7' -j ' S d
CallbrationlGPM0
Waste Transfers
Ram Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
�� /�✓ 3
r2 l `6 V-3 /-'4 9