740109_Inspection 2021_20210819

Facility Number
rALl
Division of Water Resources
O Division of Soil and Water Conservation
o Other Agency
pe of Visit: • ('nmplianre Inspection 0 Operation Revicr► 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: e Routine 0 Complaint Q Folhm-up 0 Referral 0 P:mergcrtcy 0 Other 0 Denied :tecetis
Date of Visit:
Arrival Time: 10: Departure Time:
Farm Name: CCI co -di ,SC.A 4 .1,-C
Owner !lame: Jc.0 > rr l A _
Mailing Address: '4 .c -L A ty S RCI
Physical Address:
I
Owner Email:
Phone;
County: ► Region: - vet
41-0
4,J 1 dreY U t R 12
Facility Contact: 1 CC\ ))\ ,
Onsitc Representative: it t' C
Certified Operator:
Bak -up Operator:
Location of Farm:
Title: Phone:
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
Swine
Design Current Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish
Wean 1c Feeder
h
Feeder to Finish
Farrow to Wean
4D
Farrow to Feeder
Farrow to Finish
{Slits
Roars
Other
[ )ther
I
Layer
Non -Laver
Design Current
Dry Poultry Capacity Pot>'.
Layers
Non -Layers
Ptillci
• Turkeys
I in hey Pouits
11tll�r
I):iiry ('out
1).iiry (':elf
Dairy Heifer
I)ry Cow
Non -Dairy
IIce I'Stocker
Reef. feeder
Best' Brood Cow
Discharees and Stream Impacts
is any discharge obscricd from any part of the operation? ❑ 1'eh ❑ No ❑ NA 0 NE
Discharge originated at: ❑ Structure El Application Field ❑ Other;
a. Was the conveyance man-made? ❑ Yes El No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? Of yes. notify DWR) ❑ Yes E] No D NA ❑ NE
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) ❑ 5'es I r0,10 J D NA ❑ NE
7. Is there evidence c>fa past discharge from any part of the operation's 5'es N ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters yesNA El NE
of the State other than from a discharge`?
Page 1 of 3 2/4/2015 Continued

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d. Is storage capacity {Structural plus storm 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):
❑ Ycs n No ❑ NA ❑ NE
❑ Ycs j No ❑ NA ❑ NE
Structure l Structure 2 Slrueturc 3 Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
(ix_ large trees, severe erosion. seepage, etc.)
6. Arc there structures on -site which are not properly addressed and/or managed through ii
waste management or closure plan?
if any of questions 4-6 were answered yes, and the situation poses an immediate public health or environme al threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes o ❑ NA ❑ N1i
8. Do any of the structures lack adequate markers as required by the permit? ❑ YesLJ 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 ❑ Yes ['Nu ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Arc there any required buffers, setbacks, or compliance alternatives that need ❑ Yes E'No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes. check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Yes d'Na ❑ NA D NE
❑ Yes gNo ❑ NA 0 NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, ete.)
❑ PAN ❑ PAN > 10%or l0 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Rare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Typc(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 irritation design or wettable ❑Ycs [ll
No ❑ NA ❑ NE
acres determination?
l7, Does the facility lack adequate acreage for land application? ❑ Ycs [ Io ❑ NA ❑ NE
IS. ]s there a lack of properly operating waste application equipment? ❑ Yes 0 No El NA El NE
Required Records & Documents
l9. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes 4lo [] NA ❑ NE.
20. Does the facility fail to have all components of the CAWMP readily available? 'ryes. check ❑ Yes ❑ +lo ❑ NA ❑ NE
the appropriate box.
❑ WUP ['Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
2 I . hoes 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 ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑Yes [Nn CI NA ID \!.
23. if selected, did the facility fail to install and maintain rainhreakers on irrigation equipment? ❑ Yes 9 No ❑ NA ❑ NI•
Page 2 of 3 214/2015 Continued
❑ Yes d a ❑ NA ❑ N1.
❑ Yes of No ❑ NA ❑ NE

acilitti lumber: Date of Inspection: •l 1--, I
24. Did thecility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? 1f yi s. check
the appropriate boxes) below.
0 Failure to complete annual sludge survey 0 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:
No ❑ NA ❑ NE
No ❑ NA D NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus Toss assessments (PLAT) certification''
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or docwncnt
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'? Ifyes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes ❑ Nu
❑ Yes pNcf
❑ Yes
® Yes
❑ Yes
❑ Yes
32. Were any additional problems noted which cause non-compliance of the permit or CAW MP?
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
34. Does ,he facility require a follow-up visit by the sonic agency'?
❑ Yes
❑ Yes
❑ Yes
allo
El/No
1217rila
ErNo
Eel
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ L_'
❑ NE
❑ NE
❑ Nl:
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any ether comments.
Use drawings of Facility to better explain situations (use additional pages sts necessary).
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❑ Yes
❑ Yes
CPr res r�C (..4 rr► �—
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Revicwcr/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
G.� SI,I?,:cik173
Date:
2/4,2015