540004_Inspection_20220210

Number cj
i Di%ision of \Niter Resources
0 Division of Soil and it ater Canse-nation
0 Other Agency
s'pe of Visit: ompi~ a Inspection
C) Uperacian Res ivo 0 Structure [I:du:Ilion 0 7 cchriical Assistance
Rea<.o=for Vi*i[; � 0 Complaint 0 Folloi► up 0 Referral 0 F'mergencv 0Other []�nied .�Ccer, ,
Count~:
Date of Visit_
Arrival Time:
Farm Name; } t i + 1cs1
Departure Time:
aK ner Email:
Owner Name- C \ l t t+r Na1,aY ^ LAX_
Phone:
Region:
Mailing Address: # Ion a4S { tIAA, C D557a.
Pki sical Address:
Facilir Contact:
0 end( e Representative e:
Certified Operator:
Back-up Operator:
LAC-rion of Farm:
Title: Phone:
Latitude:
Integrator SyY11 kL' s-{ CI
Certification Number:
Certification lumber:
Longitude:
5K int:
Design C urrent
C'apacin Pop.
l') can tt} Finish
.... to Feeder
::::der to Finish �
QR
cikriq
of
F--_,,,, xo Wean
_ _ A to Feeder
_
to FInisli
ifarro%%
Gilts
Boars
Design Current
VI et Poultry Capacity Pop.
Design Current
Dry Pualtr Cu i acit% Po
Cattle
Design Current
Capacity Pop.
Dairy Cum.
Dairy Call
[)airy Heifer
tar} Craw
Non -Dairy
i
ilec f Stocker
Beet Feeder
B
Beef Breed Cow
-
❑ischar•<<•+ and Stream Imparts
1 13 _ -. _ ._•__ --_: •cd tnQrnanr part of the operation?
Discharge originated at: ❑ Stricture [] .application Field ❑ Other:
a. 1• as the eon%etianre man-made
b. Red the discharge reach waters of the State? (If yes. notify DW R
r What is the estimated % olurne that reached K atcrs of the State i gallons)?
d. Does the dtcharge bypass the caste management System? fJf y,e. notify DWR) Yes
❑ No ❑h� Do NNE
Z. is there evidence of a past discharge from any put of the operation'E
❑ � et ❑ NA ❑ NE
A
3 li4'ere there am. observable ads erse imparts car potential adverse impacts to the waters ❑ y No N
n f he Stale other than from a discharge'N
❑ ti cti 6'Na ❑ LA1 ❑ NE
❑ Yes ❑ No 0 NA ❑ NE
❑ c` ❑ No ❑ NA ❑ NE
1
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5'I2I2020 C-rarti,rurd

Waste Collection &; Treatment
4. Is storage capacity [structural plus storm storage plus heavy rainfall) less than adequate? 0 Yes
❑ Yes
Date of Inspection: p -
a. If Yes, is waste level into the structural freeboard?
identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
o ❑ NA
❑ NA
Structure 6
❑ NE
❑ NE
5. Are there any immediate threats to the integrity❑ ago 0 NA ❑ NE
of any of structures observed? Yes
(i.e., large trees, severe erosion. seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a El yes L "o ❑ NA ❑ NE
waste management or closure plan?
If any of questions 44 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
1:1/es ❑ No ❑ NA ❑ NE
❑ Yeso ❑ NA ❑ NE
7. Do any of the structures need maintenance or improvement?
S. 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?
l 1. Is there evidence of incorrect land application? if yes, check the appropriate box below.
❑ Yes E1$' ❑ NA 0 NE
❑ Yes ❑Tfo ❑ NA ❑ NE
▪ Yeso ❑NA ❑NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN } 1O% or 10 lbs. ❑ Total Phosphorus ❑ Failure to incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window IDEvidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): B , I C.
13, Soil Type(s):
14. Do the receiving crops differ from those designated in the C'AWMP?
l5. Does the receiving crop and/or land application site need improvement?
15. 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? ❑ Yes
20. Does the facility fail to have all components of the CAW MP readily available? 1f yes, check ❑ Yes
the appropriate box,
❑ WUP ❑Checklists IDDesign ❑ Maps ❑ Lease Agreements ❑Other:
? pp riate box below. ❑Yes �No ❑ NA ❑ NE
21. Does record keeping need improvement. If check the a cop
El Waste Application ❑ Weekly Freeboard Waste Analysis ❑Sail Analysis ❑Waste Transfers ❑Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ I20 Minute Inspections ['Monthly and l" Rainfall Inspections ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes o ❑ NA ❑ NE
5/l2�2p2a Co uiiued
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ID Yes �o ❑NA ❑NE
❑ Yes DNo ID NA Li NE
❑Yes 04-o ❑NA ❑NE
❑ Yes 124 ❑NA ❑NE
ElYes 01,7o ❑ NA ❑ NE
L.d 10 ❑ NA ❑ NE
I/No CI NA El NE

FaeilitvNumber: 5\. -
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:
26. Did the facility fail to 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 fail 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 situation as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility's If yes, check the appropriate box below.
❑ Application Field ❑ LagoanfStorage Pond ❑ Other:
1Date of Inspection:, ,-r0— 22, 1
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33, Did the ReviewerfInspector fail to discuss review/inspection with an un-site representative`'
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ Yes
El Yes
❑ NA ❑ NE
❑ NA ❑ NE
p ❑ NA ❑ NE
No ❑ NA ❑ NE
/No
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
O NE
▪ NE
0 NE
❑ NE
❑ NE
❑ NE
❑ NI
Comments (refer to question #): Explain any YES answers sndlor any additional recommendations or any other comments,
Use drawings of Facilityto better explain situations (use additional pages as necessary).
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Rev iewerrinSpector Name:
Revlewerilaspoetor Signature:
Page 3 of 3
S7,\H
r
Date: a` 1 O — Q 2,
xi4/2Ol1