040035_Inspection_20210321

FACILITY #: O/ - 3 FARM NAME: bokz- ,57,k
FREEBOARD ACTUAL LAGOON LEVEL
PERMIT (#19)
- DUE EVERY 5 YEARS
EXPERIATION DATE i PIa�
- OIC CARD YES OR NO
NUMBER OF ANIMALS G{ DD
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES Cn
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 3la(.Qla' NITROGEN LEVEL S.7(1)
SOIL REPORT (#21)
DATE ti la 119
EVERY 3 YEARS: n I r7
P-I (NO MORE THEN 400) OI2) I�Z-7 10( PH ( ote if 4 or less) 6.'t%+- %'I
Cu/ZN (NO MORE THEN 3000) CU ZN LtD
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
ZONE ACRES
FLOW RATES O�
120 Min inspection initialed "`�
IRR2 (#21)
PAN CROP TYPE
NITROGEN (N) ,
Weather CodesV
Fertilizer Chicken Litter

Type of Visit: clo Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ZS Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: o/ /,2/ Arrival Time:
Farm Name: Lu1 ,, i to ROOK
Yi
Departure Time: 1
Owner Name: W h 1 t C 1 \,o OK tm LA
Mailing Address:
Physical Address:
Facility Contact:
Owner Email:
Phone:
County: alt,oni-I Region: Fed
Title:
Onsite Representative: � 2t� cZ'e7~i P LU2g t 1
Integrator:
Phone:
Certified Operator: (1 Certification Number: 99101 '✓
Back-up Operator: si b M (/iJ P1 ref r
Location of Farm:
Latitude:
Certification Number:
Longitude:
M
Wean
to
i�,�Ii
Finish
I
Layer
Dairy Cow
Wean to Feeder
[
Non -La er
Dairy Calf
Feeder to Finish
Dair Heifer
Y
Farrow to WeanUt) pl�(� �
gg
(I
1
rant{�t
t���t
DryCow
M
Farrow to Feeder
!
t 1'
t kt d
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts Non -La ers
Beef Feeder
Boars - ' nl U Pullets --{ Beef Brood
Cow
{
Turkeys
tlttt,
Turkey Poults { � i li
j u au
Other j{ 1 Other
t t'1 r l l i
{{I
It I(J�I�. �. 1J lia 11
191[tlij 1 v i� 3+i fnt zf
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?
❑ Yes 1No ❑ NA ❑ NE
❑ Yes "No El NA ❑ NE
El Yes �No ❑ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number: }--
Date of Inspection: 3 2 7 / 2.1
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
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 ❑ Yes 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
❑ NA ❑NE
❑ NA ❑NE
Structure 6
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
❑ 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
❑ Y
s
No ❑ NA ❑ NE
12. Crop Type(s): CO1 N, cavil Jf alI lC.7
13. SoilType(s): CG►idoh CheCUade IQJ
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 ❑ Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below. •
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Yes
❑ Yes
❑ Yes
s
El Yes
❑ Yes
❑ Yes
No ❑ NA ❑ NE
No ❑ NA ❑ NE
N
❑ NA
No ❑ NA
No ❑ NA
❑ NA ❑NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NE
❑ NE
❑ NE
❑ Ye:t1 No ❑ NA ❑ NE
❑ YesNo ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Other:
❑ Yes
❑ Waste Tran
No ❑ NA
No ❑ NA
❑ NE
❑ NE
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
Page 2 of 3
No ❑ NA ❑ NE
ers ❑ Weather Code
❑ Sludge Survey
No ❑ NA ❑ NE
No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: '-j - 5U✓
Date of Inspection: 6121 21
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:
❑ Yes
❑ Yes
❑ Failure to develop a POA for sludge levels
❑ NA ❑ NE
❑ 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.
❑ Yes 'l No
❑ Yes—RNo
❑ Y
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
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?
s l�lN
❑ Yes No
❑ Yes o
❑ Yes No
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
El NA El NE
El NA ❑NE
❑ NA ❑ NE
Coninients (referyto question #)i.Explain an 1 ES, answers and/or;anyadtuhonalrebg,
Use of facility to better, explain situattonsv(use dditional pages a's,necessary
Note . fc,lf m not Ingfececf IN 200,
ons or any other commeuta.
Reviewer/Inspector Name: I 611 Q
Reviewer/Inspector Signature: /'(Lt-%VIWU
Page 3 of 3
Phone: ICj• `kp 97,'.
Date: VI/2J
2/4/2015