040034_Inspection_20210329

FACILITY#: 0q'367 FARM NAME: Lc/ ,OcA taisinzat
FREEBOARD 11 ACTUAL LAGOON LEVEL 38
PERMIT (#19)
- DUE EVERY 5 YEARS
- EXPERIATION DATE 9
- OIC CARD YES OR NO
SOIL TYPES
NUMBER OF ANIMALS 9a D 0
WASTE UTILIZATION PLAN (WUP) (#20)
CROP TYPES C' it J
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
- ODOR CONTROL CHECK LIST YES OR NO
Irrigation Plan Maps
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER (�
DATE 1 J NITROGEN LEVEL a'
SOIL REPORT (#21)
EVERY 3 YEARS: /� DATE \OL I (QI p11
P-I (NO MORE THEN 400)'/ J PH ( ote 1 4 or less) it if
- Cu/ZN (NO MORE THEN 3000) CU cis ZN A /lei)
(IF PEANUTS NO MORE THEN 300)
- MENTAL CHECK OF CROP AND FIELD NUMBERS
IRR2 (#21) LOIN
ZONE ACRES'"f 1 PANjaa CROP TYPE LOIN
FLOW RATES I9B / NITROGEN (N) /
120 Min inspection initialed '<f/ Weather Codes 1✓/
Commercial Fertilizer Chicken Litter

Type of Visit: xp Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
19.95
(mob1// �%
S� gacern,
Arrival Time:
Owner Name: Wh--€ RN A< FQrl, IS
Mailing Address:
Physical Address:
Facility Contact:
Departure Time:
Owner Email:
Phone:
County: /'7`fki/7 Region: EEO
d d�I ruts-er
Title:
Phone:
Onsite Representative: 7 1 7 lcc4 124 Integrator: SJ'J e tl
Certified Operator: ` ) 1
Certification Number: 1611015
15
Back-up Operator:
Location of Farm:
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Latitude:
• La er
•Non -La
Layers
Non -Layers
Pullets
Turkeys
Turke Poults
Other
Certification Number:
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?
Longitude:
Dal Cow
Dai Calf
Dairy Heifer
D Cow
Non-Dai
Beef Stocker
Beef Feeder
Beef Brood Co
❑ YeNNo ❑ NA ❑ NE
❑ YesNo ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes lallo ❑ 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)
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?
❑ Yes JNo ❑ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
❑ Yes QNo ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number:
-
Date of Inspection: 31211 Z!
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?
Structure 1 Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
")U
❑ Yes 51%No ❑ NA ❑ NE
❑ Yes NNo ❑ NA ❑ NE
Structure 4 Structure 5 Structure 6
5. Are there any immediate 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 bklo ❑ 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?
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.
D Excessive Ponding ❑ Hydraulic Overload
❑ PAN > 10% or 10 lbs.
❑ Yes '% No
❑ Yes �No
❑ Yes tiro
❑ Yes aN
❑ NA
❑ NA
❑ NE
❑ NE
❑ NA ❑NE
❑ NA ❑NE
❑ Yes 'No ❑ NA
❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Wndow ❑ Evidence of Wind Drift
12. Crop Type(s):
13. Soil Type(s):
Una I l Gro CDbN
❑ Application Outside of Approved Area
cm cree , white'4trel creednoor
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
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?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑Checklists ❑ Design 0 Maps ❑ Lease Agreements
❑ Yes �No
❑ Yes b No
❑ Yes �o
❑ Yes etallo
❑ YesNo
❑ Yes �No
❑ Yes IN,,No
❑ Other:
❑ NE
❑ NA ❑NE
❑ NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes tiro ❑ NA ❑ NE
❑ Waste Application 0 Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ 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 "No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
o ❑NA ❑NE
Page 2 of 3 2/4/2015 Continued

Facility Number: 9
- 3i
Date of Inspection:
<<�2.1
❑ Yes
❑ Yes
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:
❑ Failure to develop a POA for sludge levels
No ❑ NA ❑ NE
No ❑ NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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?
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
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes No
❑ Yes ..n.‘190
O Yes 1.1a.No
❑ Yes"No
❑ Yes
❑ Yes
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?
❑ YesNo
❑ Yes tlatlo
O Yes �No
❑ NA ❑NE
❑ NA ❑NE
❑ NA ❑NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑ NE
Comments (refer, to question,any YES: answers and/or any additional room incnd!
Use drawings of facility to better explain sitnations use additional pages asrneeessaty;'
Nr e• fat rn Nor i h;rege d IN ?O2D,
Note.- wqs ttNed_
Reviewer/Inspector Name:
KQtft FortLonnf
Reviewer/Inspector Signature:
Page 3 of 3
Phone: I it Z H LQ (1 i i rr
tPli
2/4/2015
Date: