760060_Inspection_20221118

Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: C Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: IRilji Arrival Time: Farm Name: VCYJrnan d f/1OAS) I1n1 'G Owner Email:
Owner Name: ArrkLft 1»enc 1 1' Mailing Address: (`J/D4-I Lci Q-d . dv�e /�u 0 G -O�•1 C
Physical Address: 4 06 /1l lei�.1edeM farm (a) L ►�e rt N G 0/ 12-0
Facility Contact: 7v`Pflr /�l Title:
to Doto
Departure Time: County:a [d *
Region :SV
Onsite Representative: I
Certified Operator: l\ /
Back-up Operator: al O (612,V
Location of Farm:
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
Layer
Phone:
Latitude!
Non -Layer
Non -La ers
Pullets
Turke Poults
Other
Integrator:
Phone:
Certification Number:
Certification Number:
Longitude:1CP SZI. �4tl
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 Heifer
Dry Cow
Non-Dai
Beef Stocker
Beef Feeder
Beef Brood Cow
ri^SSE
,1'�Z7�C�2+�
❑ Yes Vsl No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ' No ❑ NA ❑ NE
El Yes YYrK.No ❑NA ❑NE
Page 1 of 3
5/12/2020 Continued

Facility Number: /1D -
Date of Inspection: C l I k 7j
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
OPT
Structure 2
�o \ C.Y
tructure 3
1 et
Structure 4
Ned
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 publi
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
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
ro
12.CropType(s): COM DIIn3g, cari11 hiith sr'I IO3orc't,n sity, roYOr rrep
�
❑ Yes
❑ Yes
Structure 5
1,0 No ❑ NA ❑ NE
❑No El NA ❑NE
Structure 6
❑ Yes No El NA ❑NE
❑ Yes No ❑ NA ❑ NE
c health or environmental threat, notify DWR
13. Soil Type(s):
❑ Yes
❑ Yes
No ❑ NA
No ❑ NA
❑ NE
❑ NE
❑ Yes csi No ❑ NA ❑ NE
❑ Yes rpNo ❑ NA ❑ NE
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ 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? El Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes No El NA El NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? ❑ Yes [g No ❑ NA ❑ NE
O
Waste Application Weekly Freeboard1kWaste Analysis sis ❑ Waste Transfers [Weather Code
Rainfall Stocking Crop Yield n' " " I` rss Monthly and 1" Rainfall Inspections ❑ Sl 0 -ey -
22. Did the facility fail to install and maintain a ram gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
❑ Yes O No ❑ NA ❑ NE
❑ Yes jp) No ❑ NA ❑ NE
❑ Yes
❑ Yes
VI No ❑NA ❑NE
❑ No XNA ❑ NE
5/12/2020 Continued

Facility Number:l b - b l i
Date of Inspection: `\ I I t U e-
❑ Yes 0 No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ 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? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus Loss assessments (PLAT) certification? ❑ Yes jv No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 71 No ❑ NA E NE
and report mortality rates that were higher than normal? t VAC; VOW
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes KNo ❑ 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 E Yes [ ]. No ❑ NA D 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 X No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes No ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
34. Does the facility require a follow-up visit by the same agency?
5 6i l5 in 2-023
Cal. brc.-h (rn
(31:2'3 -
❑Yes [ No ❑NA ❑NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
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Phone
Date: