820246_Routine Inspection_20240917

Type of Visit: Compliance Inspection 0 Operation Review O Structure Evaluation p Technical Assistance
Reason for Visit: ,O'Moutinc 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: d UZI Departure Time: Couuty:s� Region: Ir—F—d
Farm Name: Owner Email:
i
Owner Name: "Ide Phone:
Mailing Address:
Physical Address:
Facility Contact: K'1 Raz'e� Title:
Onsite Representative:
Certified Operator: �✓ ��y2+�/
Back-up Operator:
Location of Farm:
Latitude:
Dischar¢es 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?
Phone:
Integrator:
Certification Number: / f,
Certification Number:
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?
Longitude:
❑ Yes „❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes )❑ o ❑ NA ❑ NE
❑ Yes ❑TNo ❑ NA ❑ NE
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 eNo
❑ 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): ITT —
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes ❑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 �' o
❑ 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 _L2'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 [7'No
❑ 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 O`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 Acceptable CropWindow ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): AGi t�C� LDS '�5
13. Soil Type(s): an
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes E]'�No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes L2'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes Ea'�No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes [�rNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ,❑ No
❑ NA
❑ NE
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 ,fNo ❑ NA ❑ NE
❑ Yes ®'No ❑ NA ❑ NE
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes EVNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V 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 ,®No
❑ Yes e'No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: - Date of Inspection: ,,2
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes DNo [] NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes '[2-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:
32. Were any additional problems noted which cause non-compliance of the permit or CAWIbIP?
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:
El Yes 'P-No NA M NE
El Yes Q-No NA M NE
El Yes )2-No NA ❑ NE
El Yes EErlQo NA NE
Yes -E No NA NE
Ej Yes ETNo NA NE
El Yes -ffNo
Yes 'EEfNo
❑ Yes .�No
NA NE
NA NE
n NA n NE
Phone: id 035_—97fi_
Date:
511212020
Page 3 of 3

r-acsrry No 0,?- Time In
Time Out
Farm Name �o���
Iniegraro
Site Re;
Owner
Operator •
No. —
Back up
No. —
COC Circle: General .
or NPDES
Dow
Des n
Current - I DesignI Current
Wean - Feed
Farrow - Feed
Wean- Finish
Farrow - Finis`
Feed _ Finish
Farrow -.Wean`
Gilts f Boars
FREEBOARD: Design
Observed
Crop Yield
Rain Gauge r/
Soil Test o 7 Wettable Acres
Weekly Freeboardy_ Daily Rainfall
SpraylFreeboar , Drop
�Neather Codes 120 min Inspections
Waste Analysis:
Date Nitrogen (N)
Sludge Survey
CalibratiONGPM G�ay
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
A4 aS a3 75'
, 4(;o 31;'�
4/(.