540023_Inspection_20220511

Facility Number
• Division of Water Resvurres
0 Der ision of Soil and 1%ater (.'onsersalien
d Other _agency
l'y1pe of Visit: • Compliance inspection 0 Operation Review 0 Structure Evaluation O'I'echnical Assistance
Reason far Visit: • Routine d Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
5-11 -�
Arrival Time:
V-ctr (fa LL B
Departure Time:
�. ?J
Owner Email:
Counts.: ,''*•' '- Region:
O►►ncr tiame_ G . 1 \j` '1 oo-' S Phone:
Mailing Address: �cv5� t �• i 4 r o- 1 ( Sr °
Physical Address:
.275-g Li
i acilit► Contact: l rc �I Title: Phone:
Onsite Representative: ,I—Q. I1/.1lt4—C-in-'.0
Certified Operator:
Beck -up Operator:
Location of Farm:
T) o cur
Latitude:
Integrator:
c
Certification Number:
Certification Number:
Longitude:
), 1
ine
Design Current
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
1 u�3sit
Wean to Feeder
Feeder to Finish
]Farrow to Wean
WOO
0
Farrow to Feeder •
Farrow to Finish
Gilts
I.;oa rs
Other
1.a\er
\tut -I aver
Design Current
Dry Poultry Capacity Pop.
Layers
Non- I _ayers
Pullets
Turkeys
Turkey Poults
1iher
Cattle
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
I3ecl'Stocker
Heel' Feeder
Eieef Brood Cow
Discharges and Stream Impacts
I. is any discharge observed 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? Or 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 there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potentiak adverse impacts to the waters
oldie State other than from a discharge'?
Page 1 of 3
❑ Yes io 0 NA ❑ tit.
O Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ID No El NA El NE
❑ Yes d [] NA ❑ NE
El Yes Nn ❑ NA ❑ NE
5/1212020 Continued

',Facility Number: rl4 _
Date of Inspection: '3-)1J
Waste C:ollection & Treatment
4 Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes. is u-aste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
ko
5. Are there any immediate threats to the integrity of any ot'the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
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
gi4
U No
❑ Yes No ❑ l •1 ❑ NE
❑ Yes ❑emu ❑ NA ❑ NE
Structure 5 Structure 6
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, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement'
Waste Application
lD. Are there any rcquircd buffers. setbacks. or compliance alternatives that need
maintenance or improvement?
l 1. Is there evidence of incorrect land application? If yes, cheek the appropriate box below. ❑ Yes
O Yes �No ❑ NA ❑ NE
O Yeso ❑ NA ❑ NE
[] Yes
❑ Yes
❑ NA
❑ NA
❑ NE
❑ NE
❑ Yes No 0 NA El NE
❑ Yes prNo ❑ NA ❑ NE
'No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Iiydraulic Overload ❑ Frozen Ground ❑ Eleavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10%or 10 Ibs. 0 'filial Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drill ❑ Application Outside of Approved Area
12. Crop Typels):
l3. 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 irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components ol'the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ['Checklists ❑ Design ❑ Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application
['Weekly Freeboard ❑ Waste Analysis
[] Rainfall ❑Stocking ['crop Yield ❑ 120 Minute Inspections
22. bid the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page2of3
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
[J Yes
Yes
❑Other:
cYes ❑ No ❑ NA
❑ Sail Analysis ❑ Waste Transfers 0 Weather Code
['Monthly and t" Rainl:kll Inspections ❑Sludge survey
�la ❑ NA ❑ NE
❑ NA (] NE
5/12/2020 Conanued
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ NA ❑ NE
❑r No ❑ NA ❑ NE
LJNp El NA ❑NE
❑NA ❑NE
❑ Yes
❑ Yes
N
❑ NE

[Facility Number:
S
[Date of Inspection: 5
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes d o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate boxes} below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
O 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? El Yes o ❑ NA El NE
27, Did the facility fail to secure a phosphorus lass assessments (PAT) ATj certification? ❑ Yes o ❑ NA ❑ NE
Other Issues
2R. Did the facility fail to properly dispose of dead animals with 24 hours and'or document
arid 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 UK', ❑ 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 ❑ Yes 124o ❑ 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 EK. ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes L:! i�o ❑ NA ❑ NE
32. Were any additional problems noted which cause nan-compfiance of the permit or CAWMP?
33. Did the Reviewerllnspector fail to discuss review.rinspecuon with an on -site representative?
31. Does the facility require a follow-up visit by the same agency?
❑ Yes Q +!a ❑ NA ❑ NE
Yeso ❑ NA ❑ IEEE
❑ Yes allo ❑ NA 0 NE
Comments (refer to question #): Explain any YES answers andfor any additional recommendations or any other comments.
Use drawings of facilit3 to better explain situations (use additional pages as necessary).
Pf
NC -A- 1° —15-'-f r �a s
\tV
Rev iewerllnspector Name:
Reviewer/Inspector Signature:
Page 3af3
_ Si-;\\*\„
L-4
Phone: q q 7�
Date:
5,) -2_
2/4/2t011