820655_Inspection_20210707

7
Facility Number
Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
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:
Farm Name:
Owner Name:
/2-1
Arrival Time:
rpo
-7D in 4/ L(61..eziei
Mailing Address:
Physical Address:
Facility Contact:
(1,44-e-rg
Departure Time:
Owner Email:
Phone:
Coun
Region:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
fo,
Title:
Phone:
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Other
Design Curret
Capacity Pop:
Design Current
let Poultry Capacity Pop.
Layer
Non -Layer
Other
D
Pauli
Design
Ca aci
Current
Pot.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Cattle
Design Curren
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?
❑ Yes [] No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes No ❑ NA ❑ NE
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) ❑ Yes VI No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes p No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes Etzi No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
2/4/2015 Continued

'Facility Number: - ( 6
Waste Collection & Treatment
Date of Inspection:
/7 /d-)
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):
El Yes CZ No ❑NA NE
❑ Yes [i No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
1
)9
Observed Freeboard (in): C;t
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ® No ❑ NA El NE
(i.e., large trees, severe erosion, seepage, etc.) 7�
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes It 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? ❑ Yes No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 11 No ❑ 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 ❑ Yes Q No ❑ 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 ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.
❑ PAN ❑ PAN > 10% or 10 lbs.
❑ Outside of Acceptable Crop Window
:e-
12. Crop Type(s):
13. Soil Type(s):
❑ Yes No ❑ NA ❑ NE
❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
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? n Yes VI
No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes p No 0 NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? El Yes No ❑ NA 0 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes `'] No ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ 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 p No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? n Yes 9 No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued
❑ Yes 1
7"C No ❑ NA ❑ NE
❑ Yes gi No ❑ NA ❑ NE
❑Yes No ❑NA ❑NE

Facility Number: q -- - 69`)
Date of Inspection:
/a /
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
0 Yes
No ❑ NA ❑ NE
No ❑ NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes [ ] No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes u 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] 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. ❑ Yes I,tJ No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes LI No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes p No ❑ NA ❑ NE
Comments (refer to quesfitiii ): Explain any YES
e drawings of faciliti to better explain situation+
al recommenda
essary�.
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spray fieiq, need to be cvt.
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
1-a/L,e isbA) 47'it Fe)ote/70
Phone:
Date:
9/6 '',5.5-9126-----
A7Al
2/4/2015

-7/-7/9-1
FACILITY #: _ ( 5 5-- FARM NAME:
FREEBOARD / ACTUAL LAGOON LEVEL
PERMIT (#19)
- DUE EVERY 5 YEARS
- EXPERIATIO ► I ATE NUMBER OF ANIMALS 3 C,3o
- OIC CARD t• R NO
/? -?-:.
easy.
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES f0/7?frZ
CROP TYPES
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHECK LIST OR NO
Irrigation Plan Maps 2/
/U.e.,(4,,geer-/
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE NITROGEN LEVEL
SOIL REPORT (#21)
EVERY 3 YEARS: DATE fq/g
P-I (NO MORE THEN 400) PH ( ote 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
IRR2 (nz1)
ZONE ACRESQ,' `'( PAN I W CROP TYPE RrTYv"i
FLOW RATES 90 NITROGEN (N) I ,
120 Min inspection initialed ' ,jC Weather Codes yec
Commercial Fertilizer Chicken Litter

CALBRIATION (#24)
- EACH REEL SHOULD BE CALIBRATED
- DATE DUE EVERY TWO YEARS
- FLOW RATES
RAIN 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
DGE (#21 & 25)
-DU EVERY YEAR: DAT
0: ( P: % RATIO OF SLUDGE
RAIN BREAKER FORM
OTHER FORMS (#22 AND #21)
CROP YEILDS MORTALITY 6--
VISUAL CHECK
FOUNDATION OR PIT LEAKS PIPE LEAKS LAGOON
SEEPAGE LAGOON BARE AREAS TREES OR GRASS NEED TO
BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) ALIVE CROP HARVESTED
FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED
BINS LAGOON GARBAGE