820014_Routine Inspection_20241002

Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: P-Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: 7. ' Uh County: cj�egion: �1-eeb
Farm Name: e-2
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:��///��y Title:
Onsite Representative:
Certified Operator: L'/� 6��
Back-up Operator:
Location of Farm:
Latitude:
Owner Email:
Phone:
Integrator:
Phone:
Certification Number: ZiQd 733
Certification Number:
Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes. No ❑ NA ❑ NE
Discharge originated at: ❑ Structure
a. Was the conveyance man-made?
❑ Application Field ❑ Other:
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 ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ' ff No ❑ NA ❑ NE
❑ Yes—dNo ❑ NA ❑ NE
Page 1 of 3 511212020 Continued

Facility Number: jDate of Inspection: /y
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes K] 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: I
Spillway?:
Designed Freeboard (in): L %�
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ,[D-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
❑ NA
❑ NE
-ONo
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? 'L 3 es ❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes .❑'moo
❑ 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 j2Ro
❑ 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 .[D] 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 Crop Window ❑ Evidence of WindDrift❑ Application Outside of Approved Area
12. Crop Type(s): -
13. Soil Type(s): )jam , /Vd A7
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 '[2 No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes [2 <o' ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes 2] N
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ErNo
❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes ❑'No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes [o
❑ 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 I" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes :],No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes -D No
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

[Facility Number: - Date of Inspection: /Q : ;l
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 El Yes F,�o 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 o
NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Yes No
NA NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
Ej Yes .E]lN o
El 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 _[31lNo
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
JJ
Yes E3'1 o
El 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.
Ej Yes -[D�No
Ej NA ❑ NE
❑ Application Field Ej Lagoon/Storage Pond Q Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
Yes _E�o
NA El NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
Yes .&No
El NA ❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: '7A
Date:
Page 3 of 3 511212020

racmry rvo.
Time In Time Out
Farm Name , .GI
Integraw
Owner
Site RK .
Operator
No. _
lack -up
No.
COC
Circle: General or NPDES
Dare
Design
Current
Desi n Current
Wean — Feed
I Farrow — Feed
Wean— Finish
I Farrow — Firiist
Feed _ Finish
Guts !Boars
Farrow —.Wean
I
I Other:
FREEBOARD: Design
Observed
Crop Yield
Rain Gauge
Soil Test
Weekly Freeboard=
SpraylFreeboard Drop _
Weather Codes
Wettable Acres
.Daily Rainfall ci
120 min Inspections
Waste Analysis:
Date Nitrogen (N)
ay _
Sludge Survey LL_2=L_ q�
Calibration/GPM
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
/a h ,/g