820626_Compliance Inspection Routine_20210708

Facility Number
va
Kf 6Im1Ir2I6?
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Arrival Time:
Departure Time:
Farm Name: 11 O '4 € I v t • New fB1Y1
Owner Name: «obem Tho ttDNI
Mailing Address:
Physical Address:
: 00
Owner Email:
Phone:
County: P) O f' Region: Fio
Facility Contact: CAK ( F&I I Vv 1
Onsite Representative:
Title: CI) c
Certified Operator: ualo iiDt'I
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
Phone:
re(31-Mie
Certification Number:
Certification Number:
Longitude:
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
Other
Design Current
Wet Poultry Capacity Pop.
Cattle
Design Current
Capacity Pop.
Layer
Non -Layer
Dairy Cow
Dairy Calf
Dairy Heifer
Design Current
D Poult Ca ' aci Po
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 VI No ❑ NA ❑ NE
❑ Yes r No 0 NA 0 NE
❑ Yes ' No ❑ NA ❑ NE
Page 1 of 3
❑ Yes
❑ Yes
❑ Yes
No ❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: ipx,a. -lw
Waste Collection & Treatment
Date of Inspection: ,
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
❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
No ❑ NA ❑ NE
No ❑ NA ❑ NE
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [p No 0 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 [' 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? n Yes No 0 NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? n Yes No 0 NA ❑ NE
(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 n Yes VI No 0 NA ❑ NE
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 No 0 NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground
0 Yes No ❑ NA 0 NE
D 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
12. Crop Type(s): d1 UU ma.M mi�� Vial e c; .r V F\tErze4 anvil �
13. Soil Type(s): N o t f ®1 K- MINA- plawtoiv
14. Do the receiving crops differ from those designated in the CAWMP? n Yes Vij No 0 NA
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 73 No ] NA
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No 0 NA
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ;f4 No ❑ NA ❑ NE
11
❑ NE
❑ NE
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes r 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 0 Yes No 0 NA ❑ NE
the appropriate box.
❑ WUP ❑ Checklists 0 Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yesr No ❑ NA ❑ NE
❑ Waste Application n Weekly Freeboard 0 Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield 0 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA 0 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? n Yes No ❑ NA ❑ NE
Page 2 of 3
2/4/2015 Continued

Facility Number: - (CVO
Date of Inspection: 1.004
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 non-compliance:
❑ Yes
❑ Yes
No ❑ NA ❑ NE
No ❑ NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes Tgl No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes F No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes '/j No ❑ NA ❑ NE
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? ❑ Yes p No ❑ NA 0 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 0 Yes 91No ❑ 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. ❑ Yes 74 No 0 NA 0 NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 0 Yes 11 No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Comments (refer to 'qni
Use drawings of facility
rlain any YES answers and/or any additional
lain situations (use additional pages as ne+
siugge 3 (Dorl ancGypS are 4ve by i2
fi1 io9 goal.
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
1(1*
'-et 0`
al
5d&it.) Phone: I lq' ff11-7 Ti 16
Dater S.21
2/4/2015

FACILITY #:42a` -(441 FARM NAME: 1 110 Il�l94 NW Ftwri
FREEBOARD ACTUAL LAGOON LEVEL %-f-
PERMIT (#19)
- DUE EVERY 5 YEARS - EXPERIATION DATE NUMBER OF ANIMALS 99
I ro
- OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPESNQrRAK- wiM�� fJ�IM�t°N
CROP TYPES CB•— 61-1- � - WR
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHECK LIST YES OR NO
Irrigation Plan Maps
WASTE REPORT (#21)
-G000 FOR 60 DAYS BEFORE OR AFTER
DATEt411tSlabab NITROGEN LEVEL 111.
EVERY 3 YEARS
SOIL REPORT (#21)
DATE 11 to
P-I ( NO MORE THEN 400) V PH (Note if 4 or Tess)
Cu/ZN (NO MORE THEN 3000) CU / ZN
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
6,1
is
3IRR2 (uzi)
ZONE ACRES PAN35 CROP TYPERM1%01(1)1qP
FLOW RATESaic.x)
120 Min inspection initialed
NITROGEN (N1 I'�3
Weather Codes G9
Commercial Fertilizer Chicken Litter

CALBRIATION (#24)
, n
- EACH REEL SHOULD BE CALIBRATED '
- DATE DUE EVERY TWO YEARS
- FLOW RATESROtJ
FWN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT ,/
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED
-LOOK FOR BIG NUMBER DIFFERENCES SEE THAT THEY MATCH THE IRR2
FORM
§rt.UDGE (#21 & 25) ck
-DUE EVERY YEAR: DATE c3( I AO t
0: A . ;2, P: 0/0 RATIO OF SLUDGE
RAIN BREAKER FORM
OTHER FORMS (#22 AND #21)
CROP YEILDS MORTALITY
VISUAL CHECK
I
FOUNDATIO/ig OR PIT LEAKS 1 PlrE LEAKS LAGOON
SEEPAGE y LAGOON BARE AREAS '',./ TREES OR GRASS NEED TO
BE REMOVED N/ EROSION k,1 ' DITCHES
WINTER CROP(OVERSEEDED) ALIVE CROP ',/ HARVESTED
FIELDS ', GOOD HEALTHY CORPS - , CORRECT
CROPS -/ , NO PONDING REELS
/ FEED
BINS ../ LAGOON GARBAGE