460003_Inspection_20210616

03
• Division_of Water Resources:
O Division of Soil and Water Conservation
O Other Agency
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: vo —16 l Arrival Time:
l! ` l3
Departure Time:
Farm Name: di 73 /9- "/'j�,�y
Owner Name: 0,0, ✓s �� 11 77
Mailing Address:
Physical Address:
Facility Contact
Owner Email:
County:
Region: Xi4rfe,
Phone:
Onsite Representative: �s
Certified Operator: (r-
Back-up Operator:
Location of Farm:
Title:
Latitude:
Integrator:
Phone: dVg ;33 — 75-1/7
Certification Number: jr,/re
Certification Number:
Longitude:
Design Current
Capacity 'Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
3f3'a -
a976—
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Wet Poultry Capacity Pop.,
.
Layer
Non -Layer
Design Curren
Dry Poultry 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 W(No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
❑,No ❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
Page 1 of 3
2/4/2015 Continued

Facility Number
%h
gq
(6 Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: I' Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ® Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I, 3 r5/ a/
Arrival Time:
/D;/X
Departure Time:
Farm Name: ,/7i cha e l /gQ$ e iff''/41
Owner Name:
Mailing Address:
36'
Owner Email:
Phone:
County:
Region: G(/k%rd
Physical Address: 3 '' //S /%,tl y ' 2 L c)
Facility Contact: / Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
_ 7.53e)
Phone:
Latitude:
Integrator: 5 F
Certification Number: / 3 , J%
Certification Number:
Longitude:
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
Design Current
Dry Poultry Capacity Po
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 jo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑No ❑NA ❑NE
❑ Yes
❑ Yes
❑ Yes
o ❑ NA ❑ NE
RNo ❑ NA ❑ NE
o ❑NA ❑NE
Page 1 of 3
' 5/12/2020 Continued

!facility Number: '/1 - �
Waste Collection & Treatment
Date of Inspection: ,1- 3/ —
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes 'No ❑ NA El NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 4 Structure 5 Structure 6
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
❑ Yes
No ❑ NA ❑ NE
1No ❑NA ❑NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environment
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.
threat, notify DWR
El Yes 61 No ❑ NA ❑ NE
❑ Yes [No El NA ❑ NE
❑ Yes ❑ NA ❑ NE
El Yes [j{] No ❑ NA ❑ NE
El Yes INo ❑ NA ❑ NE
El Excessive Ponding ❑ Hydraulic Overload El Frozen Ground El Heavy Metals (Cu, Zn, etc.)
❑ PAN El PAN > 10% or 10 lbs. ❑ Total Phosphorus El Failure to Incorporate Manure/Sludge into Bare Soil
El Outside of Acceptable Crop Window ❑ Evidence of Wind Drift El Application Outside of Approved Area
Ov
12. Crop Type(s): £ - (5,6
13. Soil Type(s):
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 El Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes o ❑NA ❑NE
❑ Yes o El NA ❑ NE
❑ Yes No ❑ NA El NE
❑ Yes 12(No ❑ NA El NE
❑ Yes [7"No ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Other:
❑ Yes
LJENA ❑NE
No ❑ NA ❑ NE
['Waste Application El Weekly Freeboard El Waste Analysis ❑ Soil Analysis ❑ Waste Trans
❑ Rainfall ❑ Stocking El Crop Yield El 120 Minute Inspections El Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? El Yes
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? El Yes
Page 2 of 3
No ❑ NA ❑ NE
fers ❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
No ❑NA ❑NE
5/12/2020 Continued