260025_Compliance Inspection Routine_20210524

Type of Visit: *Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: O Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Arrival Time:
Farm Name: gik \j'elVFew
Owner Name:
cew
Departure Time:
Mailing Address:
Physical Address: j,
Facility Contact: V u j� �T C,(� �{ 1
l� �l
Onsite Representative:
15
Owner Email:
Phone:
County: C,umbf l(1ljdRegion: Fib
Title: Teal "I Phone:
Integrator:
Certified Operator:
1. i 1
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
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Desi n
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Curienf< best of urrent'
a FN ,3 .f r g �s
w 1!o Cattle Gi<pacity F?kb
Wean to Finish
Layer
Dairy Cow„
Wean to Feeder
NEXT
Non Layer
Dairy Calf
Feeder to Finish
"
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D .iPoiilt
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Dairy Heifer
Farrow to Wean
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Dry Cow
awl
Farrow to Feeder
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Non -Dairy
Farrow to Finish
Beef Stocker
Gilts
G, • Non -La ers
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Beef Feeder
Boars
;".Pullets
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Beef Brood Cow
} �f�"i.�,
ther i.5 ..
v
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(Xt■ Turke 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?
❑ Yes j.No ❑ NA ❑ NE
❑ Yes ,No ❑ NA ❑ NE
El Yes lANo ❑NA ❑NE
❑ Yes Ip No ❑ NA ❑ NE
❑ Yes 1, No ❑ NA ❑ NE
❑ Yes (No ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number:',., (,p J
Waste Collection & Treatment
(Date of Inspection: GI Lill .94
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):
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
J a
19 !1
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [tNo ❑ 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 pa 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
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
O Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground 0 Heavy Metals (Cu, Zn, etc:?
O PAN 0 PAN > 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
O Outside of Acceptable Crop Window 0 Evidence of Wind Drift ❑ Application Outside of Approved Area
4 44J
12. Crop Type(s):
13. Soil Type(s):
kYes ❑ No ❑ NA ❑ NE
OYes FNo ❑NA ❑NE
❑ Yes ? No ❑ NA ❑ NE
❑ Yes ' No ❑ NA ❑ NE
No ❑ NA ❑ NE
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No 0 NA 0 NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA 0 NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable 0 Yes p No ❑ NA 0 NE
acres determination?
17. Does the facility lack adequate acreage for land application? 0 Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records & Documents l7C
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes 12-No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check 0 Yes [XIo ❑ NA 0 NE
the appropriate box.
❑ WUP 0 Checklists ❑ Design 0 Maps 0 Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
,Yes ❑ No ❑ NA ❑ NE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ['Weather Code
❑ Rainfall _Stockingt7rCrop Yield ❑ 120 Minute nspe`� Monthly and 1" Rainfall Inspections El Sludge Survey
22. Did the facility fail to install and maintain a rain gauge. ❑ Yes No 0 NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No 0 NA 0 NE
Page 2 of 3 5/12/2020 Continued

Facility Number: Q(.p -
Date of Inspection: sI vJ 2-
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes
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:
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?
❑ Yes �No ❑ NA ❑ NE
❑ Yes No El NA ❑NE
❑ Yes 9( No ❑ NA ❑ NE
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes E.No ❑ NA ❑ NE
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 ❑Yes ®No ❑ NA ❑ NE
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 9 No ❑ NA ❑ NE
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 9No ❑ NA ❑ NE
❑ Yes 12No ❑NA ❑NE
❑ Yes-17i No ❑ NA ❑ NE
62,-le11-064;/ taw
a /Lees &top. yado / 6 ' too,. 04,07
wo-vc\1 z. um)] tN Mr . WIG, (\MAy9* Pre i -€04
Reviewer/Inspector Name:
1. 1e nfto1- tQ rce
Pio r-9'iY
Phone: It Gl ' 1719
Reviewer/Inspector Signature:
Page 3 of 3
Date: 5129 191
2/4/2015

FACILITY #: c:X.0 — FARM NAME: /2� gete-tr
FREEBOARD 1, ACTUAL LAGOON LEVEL
PERMIT (#19)
- DUE EVERY 5 YEARS /
- EXPERIATION DATE -7/ 3o1a q NUMBER OF ANIMALS /S`qd
- ACTUAL NUMBER OF ANIMAL
- OICCARD(ADORNO -
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES G7tosi
CROP TYPES 6-nl c1 cc' tad./ 4i3Orwl� �edi1(ri c
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE
NUMBER
- ODOR CONTROL CHECK ST YES O
Irrigation Plan Maps
WASTE REPORT (#21)
-GOOD FOR 6/// 0 DAYS BEFORE OR AFTER
DATE 3(/�i/�( NITROGEN LEVEL G �7/
SOIL REPORT (#21)
EVERY 3 YEARS: DATE L!/a 1?
P-I (NO MORE THEN 400) fib, Ars j /%7
PH (Note if 4 or less) 4' o6T / f•�-
Cu/ZN (NO MORE THEN 3000) CU 307/ 4" 1 S' ZIP l €737 3O? /a %
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
(l11tR2 (#21)
ZONE ACRES PAN r q/ CROP TYPE
NITROGEN (N) C I
FLOW RATES
120 Min inspection initialed v Weather Codes ✓
Commercial Fertilizer
Chicken Litter
CALBRIATION (#24)

g ! /3
?�•5-.
EACH REELS OULD BE CALIBRATED
DATE DUE EVERY TWO YEAR /i1,�3 /a a
FLOW RATES la 4) /a1/ 77
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT t/
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED
-LOOK FOR BIG NUMBER DIFFERENCES SEE THAT THEY MATCH THE IRR2
FORM
-DUE EVERY YEAR: DATE ��%///GE (#2� a2s)
?.A
/ 0: -5,a P: 3)0/ %RATIO OF SLUDGE t y�
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM CROP YEILDS MORTALITY Z-
VISUAL CHECK /
FOUNDATION OR PIT LEAKS 1//PIPE LEAKS t/ LAGOON
SEEPAGE LAGOON BARE AREAS TREES OR GRASS NEED TO
BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) ALIVE CROP HARVESTED
FIELDS V GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING ✓ REELS 1/ FEED
BINS ✓ LAGOON GARBAGE v