820101_Inspection_20210505

Type of Visit: Tht1.Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint
0 Follow-up
0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 5 61 a d Arrival Time:
Farm Name: 'o wMne Rirm
Departure Time:
Owner Name.CrgQ CjUI NG Fq rr fl5 Luc.
Mailing Address:
Physical Address: Facility Contact: germ K/(yyCi
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Owner Email:
Phone:
CountyK4 ffl WN Region: M
Title: Tech "if€C
Latitude:
Integrator:
Phone:
Gmrthf */
Certification Number:
Certification Number:
Longitude:
LQ ' tN4zec're4 bi Bttt
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
(a(N)
(vont)
Non -Layer
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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 Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes~®No ❑ NA ❑ NE
❑ Yes
Q,No El NA ❑NE
❑ Yes ®,No ❑ NA ❑ NE
❑ Yes Q No ❑ NA ❑ NE
❑ Yes‘-❑jo ❑NA ❑NE
❑ Yes _ ` No ❑ NA El NE
Page 1 of 3
2/4/2015 Continued

Facility Number: 'A2 - (Q j
Date of Inspection: 5. 5. 2�
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 Structure 4
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
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environm\ tal threat, notify DWR
❑ Yes\h No ❑ NA ❑ NE
❑ Yes ❑ o ❑ NA ❑ NE
Structure 5 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 II 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 AcceptableCropWindow(' 1 ❑ Evidence Drift ❑ Application Outside of Approved Area
12.CropType(s): [eex I lilac 1� je ove ed
❑ Yes 0 No ❑ NA ❑ NE
O Yes ❑\o ❑ NA ❑ NE
13. Soil Type(s): NOFWIK.- wagramm
O Yes \No ❑ NA ❑ NE
❑ Yes \No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
No ❑ NA ❑ NE
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No ❑ NA ❑ 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 0 No ❑ NA ElNE
acres determination? \CCC
17. Does the facility lack adequate acreage for land application? ❑ Yes 0 No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes \No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes LI 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
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections
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 i
Page 2 of 3
box below.
❑ Soil Analysis ❑ Waste Transfers
❑ Yes 0 No ❑ NA ❑ NE
❑ Weather Code
❑ Monthly and 1" Rainfall Inspectionts ❑ Sludge Survey
❑ Yes \j\No ❑ NA ❑ NE
rigation equipment? ❑ Yes No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: E -
D
Date of Inspection: 6- (j • 2)
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
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:
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 ❑ NA ❑ NE
7
Yes `❑No ❑ NA ❑ NE
non-compliance:JDClDce iaggo `t 1 O"7a
❑ YeCfl o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑,No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ YesN❑No DNA ❑NE
❑ Yes v 4o ❑ NA ❑ NE
❑ Yes N ❑ NA ElNE
❑ YesN ❑NA ❑NE
❑ Ye\❑ No ❑ NA 0 NE
Comri ents (refer to question #) Explain any' k';ES answers and/or any.additionailrccornmendations ur any o rerycamments.
Use" dt awings of facility to better" explain,situations:(use additronal,pages as necessary:,
Reviewer/Inspector Name:
Katie Rnfi-enot
Reviewer/Inspector Signature:
Page 3 of 3
-KetzLe, -ei10f
Phone: 9 t'F?l(o- 11
Date: I✓"J' pC1
2/4/2015

FACILITY#:Ba [DI FARM NAMEM6e SUJINe
FREEBOARD ACTUAL LAGOON LEVEL
PERMIT (#1s)
DUE EVERY 5 YEARS j
EXPERIATION DATE ¶l 30f al
OIC CARD YES OR NO
NUMBER OF ANIMALS WOO
WASTE UTILIZATION PLAN p(WUP) (#20)
SOIL TYPES fD\tDtK ?Qcev(1IQ1 mgrwll I
CROP TYPES t'Tn
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 n
DATE ([as! I NITROGEN LEVEL I- I
I
SOIL REPORT (#21)
EVERY 3 YEARS: DATE b(I JIB /'�
P-I (NO MORE THEN 400) PH (Note if 4 or less) 13g
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 TYPO-An/Oa)
FLOW RATES NITROGEN (N)
120 Min inspection initialed Weather Codes
Commercial Fertilizer Chicken Litter