960122_Inpsection 2021_20211116

('ertified Operator:
Rack -up ilperator:
location ofFarm;
llli4,isitm at i{ ast'r Rrwiurrri.
0 Dren M Sn]I and IA arrr t rrnrerz abut!
Othicw trmrrch
C.111110sace islicvmati..J Operation s*i111orr 1 ! tin 7cthnirrrl tti4r�sancr
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C Irirr Q IFyrll♦i7r..410 0 RrirrraI 0 Emergent" 0 l}rher_ nen" .Acreti�
1!idr�e ■! x%ar A iiri e:
Fare.'saw: zg,)C (7,1 4-'4044 ."-
Owner Name: L-,rae L"�+:trl+. .� Phew;
'main ;lid Ass � 'tr1 l r 1 6,)lcbtia.rwezt
PrilienI 'rddru :
Faciiin Contact: _" it-tt t TRW
`1M=
ileparnirr Thine:
()Auer F malt:
� 5 3o
Phone:
()nsite Reprriest ve: , r'li • 4.. integrator: 1)I- Sh
['trtificatinn \urnher;
C erlifreation 'Number:
t nngitntle;
latitude:
11r'+tin (burnt
t sl+a: in Ptap.
Lt::trl i.' 17tkI.h
Lk ann 10 FmlM
Feeder to I'ini0t
Farmia t1111 r'an
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Farrrilk F ec'dei
r.,nnw i,,
F arro io F initih
llrr.�ftn ('urrrnt
et Nutt') ['Mpart'11,► Pop.
yl :ilri
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lltsdgn Current
Dry Poultry
I" I .T ti ctN
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11it'keys
llthrr Lurk i P'uli'
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Ile%ign ('urrent
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DiSetiarizrli and SU i' ; ur !MAIM
1. Is any discharge , 'I•-,.i, 4.E lil+nt nn% pail of the operttt1.1i ?
17ischarge t'rt nlilr4Yi at: ❑ ti1ni.'nrir ❑ Applicatirtit held ❑ tlihrr
tl. 11ri. the 4'ti+ltl c►t11h'C Itlttri-111pr�C F
h Ilyd du: 4Ii14'h irjtr reach 'it liters 01' IN,' State'.' t t1'Lt'r. it,+11It 11'' R
11 tlal Im the' CM !Nil i1'nt'lied 11411e1'++,I iIic' Slaie tsalhnlsl'
d 1)ot % the discharge I. '1.i.'nt' ill 14 � it,}iii► IPA
Is rlicvc r ltiCIh'e 01 a pa+t ilot'ti:lrge IIt1t11 inn 1+311 .it INC tit+,'rnir,,il '
11 crt ;hem An► 1I1.c1 irhlc adLrnsc irYlMO% ,+i I,,,i,•ill,ril :rill ,-i r,' iiill+n, l4 1,+ ilk' 11:11%T.,
r1} the Stale others than Eirrnt i1 altli'haipe''
!'age ! rrf 1
C♦ U No ❑ '' D NE
L_Jti El NO
❑ NA
❑ NA
❑ Ni:
El NI.
121 ❑ 1`cs ❑ N,, ❑ NA ❑ NC
❑ [ZINO ❑ NA j'1 NE
❑ 14`, Ertlo ❑ NA ❑.1 N,,
t� F 2,2020 [ nppNh+red
-1

Ftleility \umber: O� _
t
Waste Collection & Treatment
4, Is storage capacity /structural plus storni storage plus heavy rainfall) less than adequate?
a, If yes, is waste level into the structural freeboard?
Structure l Structure 2 Structure 3 Structure 4
(late of Inspection: i 1♦- ) 4 =
Identifier:
SpilIway?
,
Designed Freeboard (in):
Observed Freeboard (in):
D Yes
pYes
Structure 5
❑NA ONE
No ❑ NA ❑ NE
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yeso ❑ NA 0 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 dNio ❑ NA ❑ NE
waste management or closure plan?
if any of questions 4-6 were answered }es, 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 fret stacks)
9. Does any pan of the waste management system other than the waste structures require
Eyes ❑ No ❑ NA ❑ NE
❑ Yes E'+lo ❑ NA ❑ NE
❑ Yes El/No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ 3 e> Ej No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes a No ❑ NA ❑ NE
El Excessive Ponding ❑ Hydraulic Overload ❑ Frozen (iround ❑ Heavy Metals (Cu, in, etc,)
O PAN ❑ PAN > 10% or 10 lbs. D Total Phosphorus ❑ Failure to incorporate Manure: Sludge into Bare Soil
E] Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
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?
I6. 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?
1 S. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to hake the Certificate of Coverage & Permit readily available? D Yes
20. Does the facility fail to have all components of the CAWMP readily available? [f yes, check ❑ Yes
the appropriate box.
❑ WUP ❑Checklists ['Design ❑ Maps 0 Lease Agreements ❑other:
❑Yes
❑ Yes
ElYes
❑ Yes
0 Yes
o ❑ NA
Dor No ❑ NA
Digo ❑NA
,_ "No ❑ NA
LJ No ❑ NA
21. Does record keeping need improvement? if yes, check the appropriate box below.
❑ Yes a -No
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
NE
❑ NE
❑ NE
❑ NE
❑ NA Q NE
0 Waste Application ❑ Weekly Freeboard El Analysis 0 Soil Analysis 0 Waste Transfers ❑Weather Code
❑ Rainfall ❑Stocking El Crop Yield ❑ 120 Minute Inspections ❑Monthly and 1" Rainfall Inspections
2?. Did the facility fail to install and maintain a rain gauge? ❑Sludge Surrey
❑ Yes 12(N NA 0 NE
23, [I -selected, did the facility fail to install and maintain rainbreakers on irrigation equipment.? ❑ Yes j�r
CIiVA pNE
Page 2 of 3
sa2/202O continued

Uate of Inspectlnn:
24. L)td the tacility 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 bom(es) below_
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structurets) and date of first survey indicating non-compliance:
26, Did the facility fail to provide documentation ot'an actively certified operator in charge?
27, Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
2K. Did the facility fail to properly dispose of dead animals with 24 hours andfor 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
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
�] Yes
32. Were any additional problems noted which Cause non-compliance of Mc permit or ('AWMP?
33. Did the Reviewer/Inspector fail to discuss review inspection with an on -site. representative?
34. Does the facility require a fallow -up visit by the same agency'
Q'No ❑ NA ❑ NE
❑ NA ❑ NE
UN4
o
04,
❑ Yes Er -No
❑ Yes 2'N
❑ NA
❑ NA
❑ NE
❑ NE
DNA ONE
DNA ❑NE
❑ NA n NE
❑ NA ❑NE
El NA
❑ NA
❑ 'tit'
❑ NE
❑ NE
❑ NE
Comment► (refer to question #): Explain any YES answers andlur any additional recommendation% ur .iu} other comments.
l se dra.+ings of facility- to better explain situations (use additional pages as necessary).
5 ~ 5 -ro11
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A CD ty
Revicwerllnspectar Name:
Reviewer/Inspector Signature'
Page 3 of 3
Date : I h
5/12/2020
1