960137_Inspection_20210930

Facility Number
coe
• Division of Water Resources
0 Division of Soil and Water (-Unser►'allot)
0 Other Agency
Type of Visit:
Compliance Inspection
0 Operation Re% iew Structure EN aluativn 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral Q Emergency 0 Other 0 D_niied Access
Gate of Visit:
Farm Name:,
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
b
Arrival Time:
zsekim
Departure Time:
.11 v5,4--1
County:
1+.c Region: -)C1
"5 J 0t-; ner Email:
l(Y
Phone:
a)c () \)t .t1 4, il`, c
VCV4 Title:
Onsite Representative: 1r fN' 9 11
Certified Operator:
Back -op Operator:
Location of farm:
I.atilude:
Phone:
integrator:
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Design Current
CapacityPop. Wet Poultry Capacity Pop.
Wean to Finish
\l`can to Feeder
Feeder to Finish
Narrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Later
\un-Layer
Dn Poultry
Design Current
Capacity Pao.
Non -Layer
Pullets
Turkeys
Turkey Pouhs
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
tiun-Dairy
Beef Stocker
Beef Feeder
ttee1' Brood Cow
Discharges and Stream Impacts
1. Is any discharge obsersed from any part of the operation?
Discharge originated at. ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes. notify DWf)
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 tau RI
2. Is there evidence of a past discharge from any part of the 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 3
E Yes l_J o El NA ❑ NE
▪ Yes 0 No ❑ NA ❑ NE
❑ Yes ❑No El NA ❑NE
• Yes ❑ do ❑ NA ❑ NE
❑ Yes [ ti, ❑ NA 0 NE
❑ �.< , ❑ NA 0 NE
5/1212020 Continued

(Facility Number:
Date of Inspection: t"— 3 21
Waste Collection & Treatment
4. is storage capacity (structural plus stoner storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes Q NA ❑ tit.
❑ Yes [J No ❑ NA 0 NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure o
S. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ['No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc,)
6. Are there structures on -site which arc not properly addressed and/or managed through a ❑ Yeti No 0 NA ❑ NI
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes } ❑ NA ❑ NE
8, Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ® NA [] NE
(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 ❑ Ycso ❑ NA ❑ NE
maintenance or improvement?
Waste Applies tion
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ®No D NA ❑ NE
maintenance or improvement?
1 1. is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ Nu ❑ NA Q NE
❑ Excessive Pending ❑ Hydraulic Overload El Frozen firound ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10°,u or 10 Ibs. ❑ Total Phosphorus ❑ Failure to Incorporate ManurelSludgc 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 Prole those designated in thc CAWMP? ❑ Yes o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvemcnrl ❑ Yes ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes I El no ❑ NA 0 NE
acres detcmtination?
17. Does the facility lack adequate acreage for land application? ❑ Yes y it ❑ NA 0 NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes [ Nu ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Ycs u ❑ NA ❑ NE
20. Does the facility fail to have all components of theCAWMP readily available;? If yes, check 0 Yes L' No 0 NA ❑ NE
thc appropriate box.
❑ WUP ❑Checklists ❑ Design 0 Maps ❑ Lease Agreements ['Other:
2.1.Does record keeping need improvement? If y[., check the appropriates box below. ❑ Yes ❑ No ❑ NA ❑ NE
0 Waste Application ❑ Weekly Freeboard ❑ Waste Analysis 9 Soil Analysis ❑ Waste Transfers ❑ Weather Code
0 Rainfall El Stocking ❑ Crop Yield ❑ 120 Minute Inspections 0 Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [N ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbrcakcrs on irrigation equipment? 0 Yes No ❑ NA ❑ NE
Page 2 of 3
2/412a;5 Continued

Fa rry Number: , - i . 2 +
-Date of Inspection: Cik-" ' 3
24, Did the faeilit> tail to calibrate waste application cquiprncnt 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
LJ 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 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 norm]?
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? l i.c., discharge, freeboard problems, over -application)
3l. Do subsurface tile drains exist at the facility? lfyes. check the appropriate box below.
❑ Application Field 0 Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the perntii or CAWMP?
33, Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does thL facility require. a follow-up visit by the same agency:'
Ei ties
❑ Yes
• Yes
El Yes
❑ Yes
• Yeti
❑ Yes
❑ Yes
El/No
Q NA El NE
DNA CINE
®NA El NE
❑ NA ❑ NE
DNA 0NF
ILI NA NE
No ❑ NA ❑ NE
Na ❑ NA ❑ NE
❑ Yes f o ❑ NA Q NE
❑ Yes [ o ❑ N.\ NE
❑ Yes No ❑ N.t ❑ NI.:
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
m D
(SO t - - i - 2 0 ) 1►.task- 0 ' n5
,—2_
�,6 — -- �,
Reviewer/Inspector Name: (A ti _ itYlH
Reviewerrinspcctor Signature: LI/'
Page 3 of 3
r
Phone: `iL) -7 - 3 91,
Date:
2/4I2015