820349_Compliance Inspection_20210622

Facility Number
P2)v\
i7
JD Division of Water Resources
suns K�
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: .'j Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
t
Reason for Visit: it) Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
(Fc);.m.
P-aa
Frc?cotaqe fatn INC
ti.cst0
Mailing Address:
Physical Address:
Facility Contact:
20 al
Departure Time:
Owner Email:
Phone:
Region:
Title:
Phone:
Onsite Representative: Integrator: ppotae
Certified Operator:
Back-up Operator:
Location of Farm:
andi)i €ot—
ufflue dem lhdr-Ni-ON
Latitude:
Certification Number: I 776169
Certification Number:
Longitude:
u1�1- 1NGr 012e it
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
WOO
i
Farrow to Finish
Gilts
Boars
Other
Wet Poultry
Design Current
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 Vo ❑ NA ❑ NE
D Yes IS,No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes tb4o ❑ NA ❑ NE
❑ Yes ILNo ❑ NA ❑ NE
❑ Yes n No ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

_Facility Number: Fxa - 0 4j 9
Waste Collection & Treatment
Date of Inspection: (p •-0,1
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 Structure 2
t9"
9,1
Structure 3 Structure 4
❑ Yes 'No ❑ NA ❑ NE
❑ Yes tf.No ❑ NA ❑ NE
Structure 5 Structure 6
C IroChoWINgGON4L-
N
;7"
35
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
❑ Yes �No ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes
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 E:31\lo ❑ NA ❑ NE
❑ Yes'IE No ❑ NA ❑ NE
❑ Yes allo ❑ NA ❑ NE
❑ Yes .1:ZNo
❑ Yes 4M. No
El NA ❑NE
El 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 ElEvidence of Wind Drift ❑ Application Outside of Approved Area
Kit 1C L T e
Yp( s): NorfoiK u �Noi• crDp
�
13. Type(s): COt\L Wheat at )Oy be cci 7
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
❑ Yes EI,No
❑ Yes �No
❑ Yes
N
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ Yes NNo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes
❑ Yes
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
lip No ❑ NA
AI No ❑ NA
❑ NE
❑ NE
21. Does record keeping need improvement? If yes, check the appro riate box below. ❑ Yes No
3.
Waste Application WeeklyFreeboard Wal sis Soil Analysis Waste Transfers
❑ pp ❑ ❑ Y ❑ Y ❑
❑ Rainfall E Stocking D Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
❑ Yes t No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 14 No
rou Nbre-
22. Did the facility fail to install and maintain a rain gauge?
Page 2 of 3
❑NA ❑NE
El NA I] NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑ NA ❑ NE
2/4/2015 Continued

Facility Number: ag_ -
Date of Inspection: (P•X-). g
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appro5i e o es) below.
L
❑ Failure to IOr1e
24. Did the facility fail to calibrate waste application equipment as required by the permit? IDI ) I ❑ Yes
❑ Yes
tt 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
al 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 nNo ❑ NA ❑ NE
❑ Yes tl No ❑ NA ❑ NE
❑ Yes [S\No ❑ NA ❑ NE
❑ Yes NNo ❑ NA ❑ NE
❑ Yes IENNo ❑ NA ❑ NE
❑ Yes II\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 NsNo ❑ NA ❑ NE
❑ Yes NNo ❑ NA ❑ NE
❑ Yes NNo ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recomniendations'or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
ou- Pur1Wec on cP11001 SPt ON corN
a0a0 hq'vftc wheat 6-ecuq, corN
Reviewer/Inspector Name: KCf1
Reviewer/Inspector Signature:
Page 3 of 3
Fbrde1nOJ
ectIL
Pn°n, ql� 3q( .q7Jc
Date:
2/4/2015