960064_Inspection_20211005

Facility Number
(ilivision of Water Resources
Q Division of Soil and Water Conservation
❑ Other Agency
Type of t isit: O ('o+npli.ance lnspeetion Operation I;eF iel% 0 Structure E►aluafiura 0 '1 cchntcal :assistance
Reason for Visit: Routine 0 Complaint 0 I.ollom-up 0 Referral 0 Emergency 0 other 0 Denied Access
Arrival Time: . �5 �-- Departure I i inc: l i � ,' r _: County: i.� f1.1_. Region:LOCK)
Date of Visit:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
()►sner Email:
Phone:
4°i 1 MeArk. ivIwa.- s �, L ��+ A N C )55'S
Onsite Representative:
Certified Operator:
13aek-up Operator:
I.aieatiun tit' I•anu:
Tkt1e:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish
Wean lu Feeder
Feeder to Finish
Farrow to Wean
)1546
ran -ow to Feeder
Farrow to Finish
Gilts
I -I i,irs
Other
)thee
Design Current
1.,tyer
Non -Layer
Design ('alrrcnt
1)r4 Poulin,- C'apnett%PO 1.
I .n crs
ton -Layers
Pullets
Turkeys
Markey Pool's
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy kleifer
Dry Cow
Non -Dairy
13eef Stocker
Reel Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. is any discharge observed from any part of the operation?
Discharge originated al: ❑ Structure ❑ Application field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? Of 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? []ryes. notify DWR)
2, Is there evidence of a past discharge from any part (lithe operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page 1 of
El YesID/No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
El Yes ❑No NA ❑NE
Q Yes o El NA 0 NE
❑ Yes ❑ NA ❑ l4E
❑ Yes No El NA ❑ NE
214/2015 Continued

f acilit) Number: C ( - but 1 IDate of Inspection: 10 -5- !
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) Tess than adequate?
a. 1 f yes, is waste level into the structural freeboard?
Structure l Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 4
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/
if any of questions 4-6 were answered yes, and the situation poses an immediate public health or em ironmental threat. not if► 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
maintenance or improvement?
1 I. is there evidence of incorrect land application? If yes, check the appropriate box below.
❑yes ❑NA ❑NE
❑ Yes ffNo 0 NA ❑ NE
❑Yes iNo ❑NA D NE
❑ Yes [No ❑ NA ❑ NE
❑ Yes l,lo ❑ 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
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?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
l7. Does the facility lack adequate acreage for land application? ❑ Yes
18, is there a lack of properly operating waste application equipment? ❑ Yes
Rewired Records & Documents
19. Did the facility sail to have the Cenilicate of Coverage 21: Permit readily available"? ❑ Yes
20. I3oes the facility fail to have all components of the CAWMP readily available? lfyes, check 0 Yes
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑OIher:
21. Does record keeping need improvement? if yes, check the appropriate box below.
Q Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑Soil Analysis
❑ 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?
Page 1 of 3
❑ Monthly and
D Yes
0 Yes
Structure 5 Structure 6
❑ Yes ZNo ❑ NA ❑ NE
❑Yes No El NA ❑NE
❑ Yes
❑ Yes
❑ Yes
No
INo
❑ NA ❑ NE
❑ NA ❑ NE
o []NA ❑ NE
�NA ❑NE
No ❑ NA ❑ NE
Ai No ❑ NA ❑ NE
o ❑NA ❑NE
No ❑ NA❑ NE
No []NA ❑NE
❑ ye, ❑ lUc
❑ Waste Transfers
1" Rainfall Inspections
U+
lyo
❑ Yes
❑ Yes
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
5/12/2020 Continued

Facili Nutstber ra - , Date of Inspection: i �
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes
25. is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yew
the appropriate boxes) below_
[] Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Nan -compliant sludge levels in any lagoon
List structurc(s) and date of first survey indicating non-compliance:
26, Did the facility fail provide documentation of an actively certified operator in charge?
27, Did the facility fail to secure a phosphorus loss assessments (PLAT) Certification?
Other issues
28. Did the facility tail 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 ❑ Lagoon/Storage Pond ❑ Other:
32. 'Were any additional problems noted which cause non-compliance of the pantie or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review.inspection with an on -site representative?
34. Does the !a: [Ilt. nquerL a follow-up visit by the same agency?
( No ❑ NA
EP'° ❑ NA
p NE
0 NE
Yes [J El NA ❑NE
❑ Yes [! No El NA ❑NE
n Yes 'No ❑ NA ❑ NE
❑ Yes LJ 4) ❑ NA ❑ NE
❑ YcsNo ❑ NA ❑ NE
El Yes o ❑NA ❑NE
❑ yes d ❑NA ❑NE
❑ Yes ❑ NA ❑ NE
O yci ti ❑ " •\ ❑ NE
{ nnnnent+ (refer to question #j: Explain any YES answers and/or any additional recontniendations or any other comments.
ra;, intts of facility to better explain situations (use additional pages as necessary).
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Reviewer/Inspector Name:
Reviewer/inspector Signature:
Page 3af3
P one - col -0-Th3I
Date: )0 - 5
2/4/2015