960013_Inspection_20210929

Facility Number 191-1
Division of Water iic4nurces
0 Division of Soil and l%'atcr conservation
o Other Agency
Type of Visit: 40 ('ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 'I'echniea[ AysistJncc
LReason for Visit; • Routine 0 Complaint 0 Follow-up Q Referral 0 Emergency O Other 0 Dented Access
County: V Region: __
Date of Visit: Arrival Time: J): . v\ Departure Time:
Farm Name: if' yc".4-4-* 'a ` 1GI V YV_
Owner Name: t7t''C> "01^10Phone:
Mailing Address: bl Gi T12.6, Oft Y ti l" C. t 61_
Physical Address:
Facility Contact:
Owner Email:
j M f I Ll Lief.:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
rf0.- ;1,'t,,,j
n
J i ., ik C .{) Vol
Latitude:
Phone:
Integrator:
"uJf
Certification Number: 0
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
571,0
' j`6 1
Farrow is Wean
Farrow to Feeder
Farrow to Finish
Gilts
Hours
Other
1 'Other
r
Design Current
Wet Poultry. Capacity. Pop. Cattle
.,Lvcr
Non -I. a}cr
Design Current
Dry Poultry Capacity Pop.
I ..s4•crs
Non -Layers
Pullets
ftirkeys
Turkey Pnultti
Other
Design Current
Capacity Pop.
Dairy Cow
1);urt
t?airy Reiter
I}ry Cow
Nun -(Dairy
Ilea Stocker
Beet' Feeder
13cef Drool Coss
Discharges and Stream Impacts
I. Is any discharge observed front any part (tithe operation?
Discharge originated at: ❑ Structure: ❑ Application Field ❑ [Aileen:
a. Was the conveyance Iran -made?
b. ?id the discharge reach waters ofthc Slate? (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 then evidence of a past discharge from any pan ol'the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other titan horn a discharge?
Page 1 of 3
i s No ❑ NA ❑ NE
❑ 1 c' ❑ No ❑ NA ❑ NE
❑ 1 ❑ do ❑ NA ❑ NE
El Yes ❑ o ❑NA ❑NE:
❑ Yes LJ 'y ❑ NA ❑ NE
El Yes DAti ❑NA ®NE
2l4.12#15 Continued

FFIICillity Numbers ti ' - ri 1 Mite of in tcctiuun, 1—,I -J, J
Waste Collection & Treatment
4• Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Ycs pNo El NA ® NE
a. Ifyes, is waste level into the structural freeboard? ❑ Ycs No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in}:
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [ No ❑ NA Q 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 Q Yes [yin ❑ NA ❑ til".
waste management or closure plan'}
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or ern ironmental threat, notil} I)W It
7. Do any of'the structures need maintenance or improvement?
8• Do any oldie 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. Arc there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
❑ Yes EeN0 ,Q NA ❑ \t'.
❑ 'ties No ❑ NA [] NE
❑ Yes o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
1 I. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
• PAN ❑ PAN > 10% or 1 O lbs. [] Total Phosphorus ❑ Failure to Incorporate ManureiSludge into Hare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drat ❑ Application Outside of Approved Area
12. Crop Type(s):
13, Soil Type(s}:
[4. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 'No ❑ NA ❑ NE
15, Does the receiving crop and/or land application site need improvement? El Yes ,'No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No El NA El NE
acres determination`'
17. Does the facility lack adequate acreage for land application? ❑ Yes 01,4jo ® NA ❑ NE
IS. is there a lack of properly operating waste application equipment? 0 Yes No D NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 0 Yes o d NA ❑ Ni:
20. Duct' the facility fail to have all components of the CAWMP readily available? Ifyes, check 0 Yes Al No ❑ NA Q NI
the appropriate box.
❑WI,JP ❑Checklists ❑Deesign El Maps ❑ Lease Agreements ❑other:
21. Does record keeping need improvement? if yes. check the appropriate box below. ElYes 0,4 0 'VA ❑ NE
❑ Waste Application ❑Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis 0 Waste Transfers ❑ Weather Code
❑ Rainfall ['Stocking ❑Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall inspections ❑Sludge Survey
22. Did the Facility fail to install and maintain a rain gauge?
23. Ifselected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
El Yes bilp NA ❑ NE
]Ycs Q4o I❑ NA El NE
5/UJ2O20 ('untintaed

Estcility Nttrnber: i, - 13
'Date of Inspection.
24. ])id the facility fail to calibrate waste application equipment as required by the permit'
25, Is the facility out of compliance with permit cooditions related to sludge? If yes. check
the appropriate boxes) below.
[] Failure to complete annual sludge survey ['Failure to develop a POA for sludge levels
0 Non -compliant sludge levels in any lagoon
List structure(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 assesstncrtts (PLAT) certification?
Other Issues
28. Did the facility fait to properly dispose of dead animals tsith 24hours and; or document
and report mortality rates. than were higher than mortal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
if ycs, contact a regional Air Quality representative immediately _
3U. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit"' i i.c., discharge, freeboard problems, over -application)
3 l , Do subsurface tilt drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes
❑ Yes
NA ❑ NE
No NA NE
D yes 'o ❑ NA ❑ NE
▪ Yes No ❑ NA ❑ NE
❑ Yes g(No ❑ NA ❑ NE
❑ Yes L_l No D NA ❑ NE
❑Yes No ❑NA El NE
❑ Yes a ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer. Inspector fail to discuss review/inspection with an on -site representative?
34 the facility require a (ollovv-up visit by the same al..encv'°
❑ Yes [ No ❑ NA [] NE
Yes [ ❑ NA ❑ NE
❑ 4"; Nc ❑N_1 El NE
C uminents (refer to question #). Explain any YES answers andior any additional recommendations or any other comments.
t tit drassin;;s of facility to better explain situations (use additional pages as necessary).
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Rcviewcrilrtspe or Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone;u } -C�. 5 (i
Date:
21r2U1