820205_Routine_20220627

5;2-
/05--
ivision of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: G-ermpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 6o-"?'Ag.._ Arrival Time:
Farm Name:
Owner Name:
Mailing Address:
Departure Time:
Owner Email:
Phone:
County:
egion: "FX 61
Physical Address:
Facility Contact:
Onsite Representative:
Certified AM9g,
Back-up Operator:
Location of Farm:
fy-rios ied_`5"
Title:
Phone:
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity' Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
( WP
47 M
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Wet Poultry Capacity Pop,
Layer
Non -Layer
Layers
Non -La ers
Pullets
Turkey Poults
Other
Cattle'
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: n Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes [ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ 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) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes L�f i`'o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters n Yes -1-1' No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 0.13
2/4/201 S Continued

Facility Number: r/---
Date of Inspection:
12. Crop Type(s):
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
61'
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes LJ l`'o ❑ NA ❑ 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 ❑ Yes U 1VO ❑ NA ❑ NE
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? 'es ❑ No ❑ 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 ❑ Yes [ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload D Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
0 PAN ❑ PAN > 1 0% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift
vrn P /wujJ
13. Soil Type(s): , 7� vfiJ� /—._----
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Application Outside of Approved Area
1 5. Does the receiving crop and/or land application site need improvement?
16. 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? ❑ Yes o ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? 0 Yes [(5 ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes H15o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ° ❑ NA ❑ NE
the appropriate box.
n WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes LJ ' o ❑ 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 E'`io ❑ NA f NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [-'moo ❑ NA ❑ NE
Page 2 of 3 5/12/2020 Continued
❑ Yes U 1VU ❑ NA ❑ NE
pi Yes []rcO ❑NA ❑NE
❑ Yes lalcio ❑ NA ❑ NE

Facility Number: ;4.-- - 2C6--
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes io ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 11.-'110 ❑ NA ❑ NE
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? ❑ Yes NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [ 'lCro— 0 NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes RI<❑ NA ❑ NE
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? ❑ Yes 10 ❑ NA ❑ NE
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 0 Yes ©.Vo ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes []ee ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 0 Yes No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes [ io ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ©'1�To ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendation
Use drawings of facility to better explain situations (use additional pages as necessary).
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71/4 rliele'j
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5
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone
Date: 60-- �� Z
5/12/2020