010036_Inspection_20220907

Certified Operator: V.3e_p✓ 1 T\nr[�Qn
Back-up Operator: 2nan Starok
Location of Farm:
Type of Visit: (` Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: V Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: H 11271 Arrival Time: \006-ral Departure Time:I tOe()
Owner Email:
Phone:
Farm Name:
Owner Name:
k-YYncaf V)0,I n�
ace On ohh60Y)
Mailing Address: q lS kRasa) U v 11 k U -4� L1 bL 1 C/ ��`y
Physical Address: "I I�y sv t vU n �-E� • l LA%tr 1 1 RICjfl2°
County41MMof I, Region: WS12..O
Facility Contact:1J% pk �hnaY)
Onsite Representative: l fl an 5-scct YOk Integrator:
� O� G V't. V1 W `!6 I
Certification Number: -
Certification Number: t, ?! i'1fU
Title:
Latitude:
no' 61 rl
Phone:
Longitude:
D c- _ Mari Ce- C - t2d —7
G\Ka-I oc„
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
& D On. t 11 ur-ofi n1t
Turke
Turkey Poults
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)
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?
Dairy Cow
Dairy Calf
Dairy Heife
Dry Cow
Non -Dairy
Beef Stocker
Beef Feede
Beef Brood Co
El Yes ZNo ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

'Facility Number: UI - "v b
(Date of Inspection:
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):
❑ Yes J No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
U3CP 0 to oiSP
LOB
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
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 ❑ 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 I y�� No ❑ NA ❑ NE
maintenance or improvement? T
Waste Application
10. Are there any-required-buffersisetbacksor compliance altematives that need ❑Yes 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.)1)1
❑ 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):
Corr t Gn\a \ k y,
❑ Yes ] No ❑ NA ❑ NE
❑ Yes No ❑NA ❑NE
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes rp No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 14 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? ❑ Yes 7�� No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes '7°TC � No ❑ NA ❑ NE
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 9 Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, chec
Waste Application v]\Weekly Freeboard
Rainfall Stocking /Crop Yield ❑ 12.9-Mi.,utc 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?
Page 2 of 3
lriate box below �aya,`y Yes
❑ No
s ❑ °^ r ^psis ❑ Wabte-Transfers,
Monthly and 1" Rainfall Inspections
❑ Yes
❑ Yes
No
❑ No
❑ NA ❑ NE
pKtWeather Code
u ^artP Cnryey
❑ NA ❑NE
411 NA ❑ NE
2/4/2015 Continued

Facility Number: (
(Date of Inspection: q f 1 1, 217[-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes EANo ❑ NA ❑ NE
El Yes No , NA El NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
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 provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 171 No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes NI 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? El Yes 14 No ❑ 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 I] No ❑ NA El NE
El Application Field El Lagoon/Storage Pond El Other:
TT``
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 0 No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes No ❑ NA ❑ NE
34. -Does thefacility-require a followmp t visiby the same agency?— — _ — — — — ❑ Yes --No ❑ NA ❑ NE-
9-t • Sa' (5 4)-C 4-1'115 Year(nn-)
. Cal • bya h 0-05 due n0-1- \I Aev ('d�-3)
3. Oil ch es <An� �5�.
7 „,cak, mvs wtY u �+ - ln� hdt�
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Cal COWS SO 1011 7, ?an' -11,.)' 00.115 rk
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Rhyrnoy-e
Reviewer/Inspector Name: aloe CkGv✓l Olt( Q'
Reviewer/Inspector Signatur`
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