330004_Inspection_20210621

Facility Number
"33
Qci
Division of Water Resources
O Division of Soil and Water Conservation
Q Other Agency
Type of Visit: Q'ACompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: V) Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name: ,
Owner Name: Jit hr' e' t o r
Mailing Address:
Physical Address:
Facility Contact:
Arrival Time:177M Departure Time:I j' , 5 f I County: r Db_.. Region: { n
Owner Email: Rick Fa I Q Osci - fl 4 t 1 . r nrjl
Phone:t
Onsite Representative:
i ator:
Back-up Operator:
Location of Farm:
Title:
i
Latitude:
Integrator:
Phone:
Certtfica bnt TWITIngf? ALLYR `)
Certification Number:
,11tr‘r-40 p,S
Longitude:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
Other
Design Current
Design Current
Capacity Po Wet Poultry Capacity Pop.
Layer
Non -Layer
D Poult
Non -La ers
Pullets
Turke Poults
Other
Design Current
Ca s aci Po
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
l . 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 eNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA E NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ,iNo
❑ Yes 21 No
❑ Yes 'No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

'Facility Number: 33 -
Waste Collection & Treatment
Date of Inspection: (...Lai /`,_. 1
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?
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 ❑ No ❑ NA ❑ NE
Identifier:..
Spillway?:
Structure 1 Structure 2 Structure 3
Fr
Designed Freeboard (in): jct1 CP 11,
Observed Freeboard (in): mom a
❑ Yes ZfNo ❑ NA ❑ NE
Co Co
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?
Structure 6
❑ Yes [rNo ❑ NA ❑ NE
❑ Yes 12'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?
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 ❑ Yes Vf No ❑ NA ❑ NE
maintenance or improvement?
1. 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 [] Evidence of Wind Drift ❑ Application Outside of Approved Area
l2. Crop Type(s): 3 n
13. Soil Type(s):
❑ Yes 'No ❑ NA ❑ NE
❑ Yes O.-No ❑ NA ❑ NE
❑ Yes [J 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? 0Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes L'No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes IZrNo ❑ NA ❑ NE
❑ Yes 6] No ❑ NA ❑ NE
❑ Yes 0No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, chec 124'es ❑ No ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps1Lease greements ❑Other:
21. Does record keeping need improvement? if yes, chec the appropriate box below. Yes ❑ No ❑ NA El NE
IAWaste Application El Weekly Freeboard ,Waste Analysis ❑ Soil Analysis Waste Transfers ❑ Weather Code
❑ 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 irrigation equipment?
❑ Monthly and 1" Rainfall Inspections El Sludge Survey
❑ Yes No ❑ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
Page 2 of 3 5/12/2020 Continued

Facility Number: [7L/ I (Date of Inspection: 49 1 I a[
24. Did the facility fail to calibrate waste plisation equipment as required by the permit? ❑ Yes
25. 11 the facility out ofco?an ith ermit con itions 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:
VNo ❑ NA
W./No ❑ NA
❑ NE
❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus Toss 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 El 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..lnspector 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
�No
IZNo
lJ_1 No
IZNo
,j No
No
'No
F5No
No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑NE
❑NA ❑NE
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
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Reviewer/Inspector Name: a:e.` +' a..
1Y {i_ t Date: 6'/2 //
Reviewer/Inspector Signature:
Page 3 of 3
93
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Phone: I? - 9 ] - 9 p33
\ey\c“-a. v 5/12/2020