260016_Compliance Inspection Routine_20210623

Facility Number
Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Certified Operator: Cj Ik- Heatii
Back-up Operator:
Location of Farm:
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: S Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
co-aal
Arrival Time:
Farm NamF-it? ftP
Owner Name: fie&e INC
Mailing Address:
Physical Address:
Facility Contact: cL v I7ttc
Departure Time:
j:50
Owner Email:
Phone:
County:
Region: RP
Title:
Phone:
Onsite Representative: ( Integrator: fltqijc2v
Certification Number: (00 g607
Certification Number:
Latitude:
Longitude:
oct irog7ute4 19i RobeYt
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Dry Poultry
Design Current
Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
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 NI No 0 NA ❑ NE
El Yes It No ❑ NA ❑ NE
❑ Yes J No ❑ NA ❑ NE
❑ Yes] No ❑ NA ❑ NE
❑ Yes tcl No ❑ NA ❑ NE
❑ Yes I No ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number: C.p -
Date of Inspection: (p a% • og
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?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1
IL" A
Structure 2
Structure 3 Structure 4
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?
❑ Yes IV No ❑ NA ❑ NE
❑ Yes ] No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes c No ❑ NA ❑ NE
❑ Yes rV No ❑ 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? ❑ Yes No ❑ NA ❑ NE
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?
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes h No ❑ NA ❑ NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ YesN:1No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
D 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): CDQ1tU e*ThT)Lzj(v. GC70
13. Soil Type(s):ak*t9v 114 j Cct,ncjof,. q(l/d °�zt'�' { �o)tr)rh 0-7 ta
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 belo 4.bj�
❑ Waste Application El Weekly Freeboard ❑ Waste Analysis ❑ Soil alysis
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
No
No
• No
• No
No
No
pEl No
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ Other:
❑ Yes IX] No ❑ NA ❑ NE
❑ 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
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
rdeNI)r er
Page 2 of 3
®No El NA ❑NE
yNo ❑NA ❑NE
2/4/2015 Continued

Facility Number:
24. Did the facility fail to calibrate waste application equipment as required by the permit? 10r1/ 17 ❑ Yes
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
ce.g
❑ F cur to complete annual sludge survey
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
❑ Yes
❑ Failure to develop a POA for sludge levels
No
11 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:
❑ Yes
❑ Yes
❑ Yes
❑ 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
❑ Yes
lyNo ❑NA ❑NE
No ❑NA ❑NE
IN No ❑ NA ❑ NE
NI No ❑NA ❑NE
NI No ❑NA ❑NE
NINo ❑NA ❑NE
�No
No
No
❑ NA
❑ NA
❑ NA
O NE
❑ NE
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other co
Use drawings of facility to better explain situations (use additional pages as necessary).
records revi-ew2ct off git-e
NO2:t-farm uSe,s Robb 3 Galt set.
Note-. 5.ai-al pump-ed field �A
Note:. caiibraubloN due bj al
—field LoOt<s goo4
f41m h q fry ge4 bore ore N I 99oaNS
COV4
()Jilt or Ntri/ man. VJOTK IooKs
Reviewer/Inspector Name:
;VW
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
111.np-(171r.7
m a3 al
2/4/2015