820100_Inspection_20210505

FACILITY#:ba I©® FARM NAME: T14IeW9 GWINe
FREEBOARD I 9 ACTUAL LAGOON LEVEL c 1
PERMIT (#19)
- DUE EVERY 5 YEARS
- EXPERIATION DATE 9(30 al
- OIC CARD YES OR NO
NUMBER OF ANIMALS 3 tP&3
WASTE (UTILIZATION PLAN (WUP) (#20)
SOILTYPESwQgra B�Q N,
CROP TYPES RIG W Wit )C P P
0, nV9,
THE UTLIZATION PLAN SHOULI1HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHECFSILI YESbR NO
Irrigation Plan Maps
WASTE REPORT (#21)
-GOOD FOR 6n0/DAYS BEFORE OR AFTER
DATE IIar'd�l NITROGEN LEVEL I.
SOIL REPORT (#21)
EVERY 3 YEARS: 6-5DATE 1130' (dab CC11
P-I (NO MORE THEN 400�D11 1 ID i 25, PH (Note if 4 or less) S.F.J. 9.1) eG. '5.,2) G.3
Cu/ZN (NO MORE THEN 3000) CU 1O0d ZN ?Di
(IF PEANUTS NO MORE THEN 300)
- MENTAL CHECK OF CROP AND FIELD NUMBERS
IRR2 (#21) �j
ZONE ACRES PANG l E CROP TYPE Be/MI/CIO; ; J) ail ✓ r) rg
FLOW RATES HS / NITROGEN (N)/
120 Min inspection initialed Weather Codes
Commercial Fertilizer Chicken Litter

Facility Number: 89 - I o()
Waste Collection & Treatment
Date of Inspection:
6161 al
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
❑ Yes -El No ❑ NA ❑ NE
❑ Yes O No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Spillway?: [�I
Designed Freeboard (in): i 9
Observed Freeboard (in): c `I
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yesti 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
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
iki
7. Do any of the structures need maintenance or improvement? JJ Yeo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes , 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
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 Window ❑I Evidence (of Wind pDrriiftt ❑ Application ,Outside of Approved Area
Area
12. Crop Type(s): C��1 t wheat-- Gyr,I�/U€ r�I.I i . W `9� I' F✓T/I II J 4a i\�L oVc'1 �LC�
13. Soil Type(s): WQgjam RIaI11U1V rnarvN
❑ Yes "❑ No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes D L o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes`-'0.49,2 ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes Q\o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes --EI.No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? 0 Yes rJ o ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes n No ❑ 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 ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes N, No ❑ 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 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 No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: ria -
()0
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 ❑ 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:
Date of Inspection: 51 Gig!
❑ Yesallo
❑ Yes �No
❑ NA
❑ NA
❑ NE
❑ 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:
❑ Ye I�INo
❑ Yess\\No
❑ Yes \o
❑ Yes
❑ 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?
❑ Yes
❑ Yes
U No
No
No
\No
n..No
❑ Yes QNo
Coninients (refer to question #) Explain any YES. answers and/or any addrhonal„ ecommendations or all
Use drawings of facility to better explain sttuation s (use`ac ditional pages as neces
❑ NA ❑ NE
❑ NA El NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA
❑ NA
❑ NA
NM: reel pvii\ed Dve; 1pelj Do fie4d t-cfoR Flra.ntiN3 rev/
❑ NE
❑ NE
❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Kaye Fom-ehnr
�ooraiatiralot;
Phone: l l 1" g 7( _/ I' 6
Date: 615 I 21
2/4 015