040036_Inspection_20210329

FACILITY #: .✓ LP FARM NAME: white l'eocK 441 tj
FREEBOARD ACTUAL LAGOON LEVEL 7/
- DUE EVERY 5 YEARS
- EXPERIATION DATE -I
- OIC CARD YES OR NO
PERMIT (#19)
t*0(a't
NUMBER OF ANIMALS l'W - { 00-
�d✓
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES C1QyCI-22 rnQ9OC/Q " BgdiN
CROP TYPES cam; whd_C (5i ait q a,:N)
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHECK LIST YES OR NO C,hDif� U m
•
Irrigation Plan Maps ;well I Y
WASTE REPORT (#21)
-GOOD FOR 60/nDAYS BEFORE OR AFTER
DATE31a p( aJ NITROGEN LEVEL 2J• d7
SOIL REPORT (#21)
- EVERY 3 YEARS: DATE IO l I l l a1 n
P-I (NO MORE THEN 400) PH (Note if 4 or less) 5. d - 1-
Cu/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUTS NO MORE THEN 300)
- MENTAL CHECK OF CROP AND FIELD NUMBERS
IRR2 (#21)
ZONE ACRES PAN CROP TYPE
FLOW RATES NITROGEN (N)
120 Min inspection initialed Weather Codes
Commercial Fertilizer Chicken Litter

Type of Visit: Compliance Inspection 0 Operation
Reason for Visit: V Routine 0 Complaint 0 Follow -
Review 0 Structure Evaluation 0 Technical Assistance
up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I'__JJ 1124 Arrival Time:
9'-L15
Farm Name: CAh (� e �o[Doi+ r
Departure Time:
Owner Name: uihrjre 10G/K Farms, LI,C
Mailing Address:
Physical Address:
Facility Contact:
t2:5D
Owner Email:
Phone:
County: a n co N
Region:
Kodc1J Mgr
Onsite Representative:
11
Title:
Certified Operator: JDShvaJ put er
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
Phone:
.neI F
Certification Number:
Certification Number:
Longitude:
thols
�5r ric3p-eciel
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Non -La
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
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 -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
1ft7 fps
❑ YesNo ❑ NA ❑ NE
❑ Yes
Ntbko ❑
NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ YesVo ❑ NA ❑ NE
❑ Ye:13,,No ❑ NA ❑ NE
❑ Ye No ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number: +-I - 3Co
Waste Collection & Treatment
Date of Inspection: ?
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
11
Structure 2 Structure 3
❑ Yes o ❑NA ❑NE
❑ Yes.,No ❑ NA ❑ NE
Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
(Le., 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?
❑ Yes No ❑ NA ❑ NE
❑ Yes-NkNo ❑ NA ❑ NE
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. ❑ Yes
❑ 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): Col` rl , C TKJ 1(C. I CCl
13. Soil Type(s): CIq-jcr ,eK, Irigyodou], 3aCl/N
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?
❑ Yes IS ❑ NA
❑ Yes'No ❑ NA
❑ Yes'No ❑ NA
E YesNo ❑ NA
❑ YesNo ❑ NA
❑ Yes
❑ Yes
No ❑ NA ❑ NE
❑NA ❑NE
❑ Yes allo ❑ NA ❑ NE
❑ Yes allo ❑ NA ❑ NE
No ❑ NA ❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ Yes`o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ,No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps fl Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes.173.10 ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspeions ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
❑ Yes
❑ Yes
❑ NA ❑ NE
o ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: 9 - 3(0
Date of Inspection: '512-l124
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
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 NNo
❑ Yes N
❑ 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?
Comments (refer;to question #): Explain any X> S answers.and/or any addition
Use drawings of facilrty fo;be„tter explain. situations'(nse additional as ne
❑ Yes�No
❑ YePlEl\No
❑ Ye—s-)SNo
❑ NA ❑ NE
❑NA ENE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑NE
❑ NA El NE
Note due to Covk HIM WIC not iNqrcted iN o,ox.
Wfit: WV.R, Is iN holdlNg %Nd
Reviewer/Inspector Name: Ko ti e Font€ rI n N-
Reviewer/Inspector Signature:tKt Q,./ Ottena `
Page 3 of 3
Phone: 9I I ' UJ to . Ti 5
Date: a9lZl
2/4/2015