740022_Inspection 2021_20210923

Fiiciiily Number
•
[{r)2 1
Division of Water Resources
o Division rif Snil and Water Conservation
Q Other Agency
Ty pc of 1 kii: • Compliance Inspection (]peratiun Rev ie►* 0 Structure Esaluation 0 Technical
Reason for 1 isit: • Routine p Complaint Q Follow-u r Q Referral 0 !E mergenc
Dale of Visit:
Faros Name:
Owner Name: sJ L{� i i1.e
' Mailing Address:
Physical Address:
Lly So
Arrival 'lime:
Ta.1
Departure Time:
Owner Entail:
Phone:
Counts,: e
❑ther 0 Denied Access
Region:
Facility Contact:
novice Representative:
Certified Operator: 59 Li LA0 )<, [tG C
Rack -up Operator:
Location of Farm:
'Fitly: Phone:
integrator:
c
t d
���j
'xi) [
Certification Number: I. i% 1 t 3
Certification Number:
Latitude: Longitude:
Swine
Design Current Design Current Design Current
Capacity Pop. Wet Poultry Capaciry Pop. Capacity Pop,
Wean to Furnish
Wean to Feeder
Feeder to Finish
Farrow to Wean
4ipo
Farrow to Feeder
Farrow to Finish
Gilts
Roars
Other
Laver
Non -Layer
Design Current
Dr; Pnultrs Caachy Po
Cattle
Dairy Corr
[]airy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Coy,
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 rruin-made?
b. Did the discharge reach waters of the State? (Oyes. notify DWR)
c. What is the estimated volume that reached waters of the State {gallons)?
d. Does the discharge bypass the waste management system? (i1 yes, notify DWR )
2. Is there evidence of a past discharge From any pan of the operation`.
3. Were there any observable adverse impacts or potential adverse impacts to the waters
ofthe State other than From a discharge?
Page 1 of 3
❑ 1..
[]NA NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Q NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
511212020 Continued

Facili I�utnher: _ c`
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate''
a. If yes, is waste level into the structural freeboard?
Date of Inspection:
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes JN El NA 0 NE
❑ Yes o ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 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 andfor managed through a
waste management or closure plan`'
Ilan!, of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notif4O R
•
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. andfor 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.
❑ Yes ®'i 10 0 NA
El yes N1 ❑ NA
❑ NE
❑ NE
❑ Yeso ❑ NA [] NE
❑ Yes No ❑ NA ❑ NE
❑ Yes DNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes Er No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN PAN 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate ManureiSludge into Bare Soil
❑ Outside of Acceptable Crop Window 0 Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): i J
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [ a ❑ NA ❑ NE
15. Does the receiving crop andfor land application site need improvement"? ❑ Yes o ❑ NA ❑ NE
�{i
16. Did the facility fail to secure andfor operate per the irrigation design or wettable ❑ Yes ICJ No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes &No ❑ NA ❑ N
18. Is there a lack of properly operating waste application equipment'? 0 Yes Q'No ❑ NA ❑ NE
Required Records & Documents
19. Did the Facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA ❑ 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 0 Design 0 Maps 0 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 ID Stocking 0 Crop Yield 0 120 Minute Inspections ❑ Monthly and l" Rainfall Inspections ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes © No ❑ NA ❑ NE
23. If selected. did the Facility fail to instal' and maintain rainbreakers an irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 5/12/2020 C onfirrued

Facilit4 Number: T1 L1 . 3 l- I [Date of Inspection: �. - rj
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Ycs
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes
the appropriate box(es) below.
❑ Failure to complete annual sludge sun•cy ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first suney indicating non-compliance:
CI NE
❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes Q" 1, 0 NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessrncnts (PLAT} certification? ❑ Yes El. No ❑ NA 0 NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours andior document ❑ Yes Qltin D \' ❑ NE
and report martalirs 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 0 NA ❑ NE
11 yes, contact a regional Air Quality representative immediately.
30. Did the facility fait to notify the Regional Office of emergency situations as required by the ❑ Yes D No ❑ NA ❑ NE
permit? (i.e,. discharge. freeboard problems. over -application)
31. Do subsurface tile drain, exist at the facility? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE.
❑ Application Field ❑ LagoonStorage Pond ['Other:
32. Were any additional problets noted which cause non-compliance of the permit or CAWMP? ❑ Ycs io ❑ NA 0 NE
33. Did the Reviewer::Inspector fail to discuss reviewiinspection with an on -site representative? ❑ Yes ❑(110 El NA ❑ NE
34_ Does the facility require a follow-up visit by the same agency? [� Yes Oh ❑ NA 0 NE
Continents (refer to question 4): Explain an YES answers and/or :ins additional recunmtendatiuns or any other curnntcnts.
Use drat) inks of facilit► to better explain situations (use additional pages as necessanI.
AJoc,S,L. So --z1 ; 51 c31,0
-I .41
1C&
0?dam
Reviewer/1nspcctor Name:
Re► tewr:riInspector Signature:
Pugr 3 of 3
fiVe,
Date:
5/12/2020