960070_Inspection_20220505

4
Facility Number
Cve
0
IDivision of Water Resources
0 Division of Soil and Water Conservation
Q Other Agency
T. Pe of Vi.it. Compliance inspection 0 Operation Rct iew 0 Structure E► Moat ion Q Technical Assistance
Reason for Visit: • Routine °Complaint 0 Follom-up 0 Referral 0 Emergency 0 Other Q Denied Access
Date of Visit: 5—S 2.T Arrival Time: C•,, e---1 Departure Time:
Farm. Name: - C,t 5 StiC'*- rr
Owner Name: , C'W-t5 YN
Owner Email:
Phone:
County:L j a Region: taNO
Mailing Address: O 1 5 CA ‘ 1Y.A , • 0,15.c , # " L ),`6SS 5
Physical Address:
Facility Contact: rip -al S (- i —,r. Title: Phone:
Onsitc Representative: O )
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator: 3F'ii TYI }tt
Certification Number:
Certification Number:
Lon;;iiude:
S►%ine
Design Current
Capacity Pop.
A earl to Finish
Wean to Feeder
13eg
Feeder to Finish
Farrow to Wean
Darrow to Ftcdtr
Farrow to Finish
Gilts
Boars
l er
1 1
Design Current
Wet Poultry Capacity Pop.
La.tr
Novi- 1.ay er
Design Current
Dry Poultry Capacity Pop.
..T
!Layers
Non -Lay cr.
1'ullcls
Turkeys
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dain C•u .
Dair Calf
Dairy lieiter
Dry Cow
Non -Dairy
Reel Stocker
Iircf Feeder
134.1•ct'B3rood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation'?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a, Was the conveyance man-made?
El Yes
❑NA ❑\I
❑ 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 hypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ a ❑ NA ❑ TIE
2. is there evidence ofa past discharge from any part of the operation? ❑ Yes a ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ ,�+o ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
5112/2020 Continued

ITacilib, Number: L� L _ 70
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) Tess than adequate?
a. If yes, is waste level into the structural freeboard?
Date of Inspection: S-5-22 _
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes liNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity ofany of 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 D yet, I N0 ❑ NA. ❑ NE
waste management or closure plan?
If are. of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any oldie 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.r'or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ yes. o ❑ IDEA ❑ NE
❑ Yes ❑'Io ❑ NA ❑ NE
❑ Yes ❑/llo ❑ NA ❑ NE
❑ Yes LJ' o 0 NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes to ❑ NA ❑ NE
❑ Excessive Ponding ❑ hydraulic Overload El Frozen Ground '❑ Heavy Metals (Cu, Zn, etc)
❑ PAN 0 PAN > 10% or 10 lbs. ❑ Total Phosphorus 0 Failure to incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable
Crop Window ❑ Evidence of Wind Drift 0 Application Outside of Approved Area
12. Crop Type(s): 1
13. Soil Type(s);
14. Do the receiving crops differ from those designated in the CAWMP? 0 Yes o ❑ NA [j NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ N.\ ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑4Io ❑ N1.\ ❑ NE
acres determination?
17. Does the facility Zack adequate acreage for land application? ❑ Yes l 1 o ❑ NA ❑ NE
1 t. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes o ❑ NA ❑ NE
20, Does the facility fail to have all components of the CAWMP readily available? if yes, check © Yes % No ❑ NA ❑ NE
the appropriate box.
❑ WUP El Checklists ❑ Design ❑ Maps ❑ Lease Agreements ['Other:
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑ Yes No 0 NA ❑ NE
❑ IVaste Application 0 Weekly Freeboard ['Waste Analysis ❑ Soil Analysis 0 Waste Transfers ❑ Wrather Code
Q Rainfall ❑stocking ❑ Crop Yield 0 120 Minute Inspections ❑ivIonthly and 1" 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''
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❑ Yes arCryl 0 NA 0 NE
❑ yes [!o ❑ NA ❑ NE
5I12(2020 Continued

Faeilit Number= q , - ► o J
Date of Inspection:
❑ Yes 1211Vo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. 1s 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
© Non-conipliani sludge levels in any lagoon
List structure(S) and date of first survey indicating non-compliance:
Failure to develop a POA for sludge levels
26. Did the facility fail to 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 normal?
29. At the time of the inspection did the facility pose an odor or air duality concern?
If yes, contact a regional Air Quality representative imtncdiarcly.
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? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
32. Were any additional problems noted which cause non-compliance of the permit orCAWMP?
33. Did the Reviewer/Inspector fail to discuss reviewlinspection with an an -site representative?
34_ Does the facility require a follow-up visit by the same agency?
❑ Yes
Yes
❑ Yes
❑ NA NE
[] NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #): Explain and YES answers and/ur any additional recommendation% or an} other comments.
Use dram. ings of facility to better explain situations (use additional pages as necessary).
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f.. imerr'lnspector Name:
Reviewer/Inspector Signature:
Page 3 of3
Phone:
Date;
2/412011