090063_Inspection_20201217

Division of Water Resources
Facility Number 1 - 493 0 Division of Soil and Water Conservation I
0 Other Agency _ : 12-I
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance i
Reason for Visit: Q Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1'2I 20 Arrival Time: cl'. to Departure Time: j a:00 County: BLR b E fJ Region: r i2o
Farm Name: TL r Ke-d a ci-K N V ks-E 1"j Owner Email:
Owner Name:s h 6i ri rip r bf Do Ks Fci r mG L LC Phone:
Mailing Address:
Physical Address:
Facility Contact: C 11 r7 I S ea rut.) 1 cg Title: 1 C h C Phone:
Onsite Representative: e Integrator: C-In( � f�, d
Certified Operator:g"1 r t"e I>b S r1 (,�J�n Certification Number: 71 1 7 b U
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
as
Design Current Design Current Design°3 Current
Swine Capacity Pop. Wet Poultry Capacity Pop." Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
X Wean to Feeder g(c9 O( g)-U() Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder D Poultr Ca I aci Po. Non-Dairy
Farrow to Finish 111112 Beef Stocker
Gilts •Non-La ers -- Beef Feeder
Boars El Pullets -- Beef Brood Cow
Other- •Turke Poults
Other •Other -"
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes `-'S No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes No ❑ NA ❑ NE
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 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 I J No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: - ( 0 7) Date of Inspection:
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes 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:
Spillway?:
Designed Freeboard(in): l I
Observed Freeboard(in): .41
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 0 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 Q.No ❑ 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? ❑ Yes No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes p 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 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 I Window /❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
y
12. Crop Type(s): 'I I V c( oV e -e I/cj
13. Soil Type(s): r r� l . rypi N f U:"1 :17w °o rtGr(10i/b-h
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ' No 0 NA 0 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 ft No ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes 1ENo ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes p.No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? 0 Yes No ❑ NA E NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes JNo ❑ 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 'p No ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall 0 Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and 1"Rainfall Inspections ❑Sludge Survey
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes tj No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes Np No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: - 3 Date of Inspection: 12-I VG' '7 12.(
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes IN No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check n Yes 1 0 ❑ NA ❑ NE
the appropriate box(es)below. 7�
❑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: Li(j O'r1 I l z- l 3 - 1
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 IN No n NA n NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 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? ❑ Yes m 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 No ❑ NA 0 NE
❑ Application Field LI 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
34.Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Comments(refer to question#):Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
Reviewer/Inspector Name: tOtt r tal V f Phone: (I 1 7(/7"77/9
Reviewer/Inspector Signature: -0 LLQ, (014A1 V j Date: 12-I 11 iZo
L.
Page 3 of 3 2/4/2015