860030_Inspection_20221114

Type of Visit:
Reason for Visit:
Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
14 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: "l I I'l k 7 p 1 Arrival Time:
4.60
Farm Name: Da\ F- (yea_ ` cor V U Owner Email:
Owner Name:
lac
Mailing Address: PD2
ti h nS
Departure Time:I [WW1 `l I County:SU{r'j
Region: V\ICIL.I`I
Phone: %1 3144 — b
9 GmD fr. N / 21 cM1
Physical Address: .bnj DUS
L
Facility Contact: Q. Title:
Onsite Representative:
Certified Operator: , \J/LY 14r45%(f(1�
Back-up Operator:
Location of Farm:
�.l
Latitude:
Integrator:
�e:36b-31H-831,3
Phon
Certification Number:
Certification Number:
111
Longitude:
Se 61
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Non -Dairy
Farrow to Finish
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Layers
Beef Stocker
Gilts
Non-Layers
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Boars
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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) ❑ Yes ��❑yyyy��++,,,, No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Date of Inspection: 1 \ I ic -
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1
qq
Structure 2 Structure 3
❑ Yes IYI No ❑ NA ❑ NE
El Yes `JJJJJ❑nNo ❑NA ❑NE
Structure 4 Structure 5 Structure 6
5. Are there any imrediate 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 No ❑ NA ❑ NE
waste management or closure plan? YYYY'����
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 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes tiK1 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 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 Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
-esn't, ►ryt?; Coin StraAn,nnu11e+-
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes po ❑ 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?
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? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
❑ Yes g No ❑ NA ❑ NE
❑ Yes ix No ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check Lhc appieI) at., Lv,r-1,.,luv>. ❑ Yes K. No ❑ NA ❑ NE
CgkWaste Application ig3 Weekly Freeboard Waste Analysis D"- " 44 ❑ Waet T,a.”f&rs,,� ix Weather Code
14 Rainfall 'Stocking Y,rTTTTTIIIII
Crop Yield ®120 Minute Inspections 0-4 Monthly and 1" Rainfall Inspections I N Studge Survey
22. Did the facility fail to install and maintain a rain gauge? ElYes cZ1 No❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No g NA ❑ NE
Page 2 of 3 5/12/2020 Continued

Facility Number: ICU) - 1)b
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑Yes x, No ❑NA ❑NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes rx l 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:
Date of Inspection: I
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes cs1No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes XI No
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24� /h�o�u�rps and/orI�n�Q- document ❑ Yes No
and report mortality rates that were higher than normal? t1' 4.IV Wr Gk. tt
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes rA No
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 X No
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 ANo
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 7�
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?
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❑ NA ❑ NE
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Reviewer/Inspector Name: ILt eCCa ('kia V\d ( fir
Reviewer/Inspector Signature:
Page 3 of 3
Phone
Date: