410014_Inspection_20221121

Arrival Time:
Type of Visit: )tompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: )$/Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
IIIit( ZZ
Farm Name: *ILA .— cektak
Owner Name: lj(c,(oe Tea 3kt
Mailing Address: -7647 ¶(LIt-wellI v21 r16A NC Z 2LILI
Physical Address: \°)
Facility Contact: (1) (il f (� f MTh f G LL , Title:
Onsite Representative: J `J Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
jO 10ct
Departure Time:
), LI `So,
Owner Email:
County: (tft IIfhva Region: I,t)S1Z41
Phone:
Phone:
T 400 -s) © \ZzOcCreelt-- 003N 4-Loy 6c -' Q 14wy 100 w --4() w tm61:0S-
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Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
Layer
Non -Layer
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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
Non-Dai
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes SNo ❑ NA ❑ NE
❑ Yes ,No ❑NA ❑NE
❑ Yes t No ❑NA ❑NE
❑ Yes ENo ❑ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
❑ Yes Vi No ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number: PI) -
Date of Inspection: 1I \ 9ii) 7i2
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 gNo ❑ NA ❑ NE
❑ Yes �,No ❑ NA ❑ NE
Structure 1 \ Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
\
✓
Co(tl i "(e
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes it 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 gNo ❑ 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? Ejj Yes ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes N,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 SNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes IZI 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): H 5(.4AL Qa ) \A re.
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes gNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 0 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? ❑ YesNo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes allo ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes gNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes •R'No ❑ 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 IWeeldy Freeboard tZfwaste Analysis taloil Analysis - ❑- te--Transfers 21Weather Code
%.Rainfall ptistocking Q-Grep-Yis1d--2120 Minute Inspections pMonthly and 1" Rainfall Inspections -_❑ Sludge-Survoy
22. Did the facility fail to install and maintain a rain gauge? AN \ q,t ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes gNo ❑ NA ❑ NE
Page 2 of 3 5/12/2020 Continued

Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Facility Number: Li4-
114
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
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
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
YI j zl 1 27_
❑ Yes
❑ Yes
❑ Failure to develop a POA for sludge levels
,No ❑ NA ❑ NE
No ❑ NA ❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes
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
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
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
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes
34. Does the facility require a follow-up visit by the same agency? ❑ Yes
FMNo ❑ NA ❑ NE
p/No ❑ NA ❑ NE
pr_No ❑NA ❑NE
Sf No ❑ NA ❑ NE
1,No ❑NA ❑NE
WNo ❑ NA ❑ NE
gNo ❑ NA ❑ NE
jEtNo ❑ NA ❑ NE
gi No ❑ NA ❑ NE
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Phone: IJIn _ .et (Ogg
Date:
UIZI)76-77
Page 3 of 3 5/12/2020