540034_Inspection_20220621

Facility Number
H
Type of Visit: GCompliance inspectiontiou Review11
I Q Structure Evaluation Q Technical Assistance
Reason for Visit: Routine Q Complaint 0 Follow-up Q Referral 0 EmergencyO Other 0 Denied Access
Date of Visit:
Arrival Time: E ;Lf0 Departure Time:
Farm Name: Che'-'.CQ r 15 f fC C1 .
Owner Email:
Owner Name: 1\3 1.5 S ,
Phone:
County: /.u1.
Mailing Address: if q (74c6 - f1 0 act i }tt f )g 57.2_,
Physical Address:
Facility Contact: C L[ S '
Onsitc Representative: 5) i
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Region;
tip
Latitude:
Phone:
Integrator: Syv 1' 3A
Certification 'umber:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Fender
Frcder to Finish
cY'l `i f
Farrow to Weans
..S2LD
Farrow to Feeder
Farrow to Finish
Lilts
Boars
Other
Design Current
Wei Poultry Capacity Pop.
Layer
Non
-Laser
Dry Poultry
Design Current
'.al nit
t_a�lrti
r
Non-L aers
Pullets
Turkeys
Turkey Poults
i.lther
Cattle
Design Current
Capacity Pop,
Dairy Cow
Dairy Calf
_
Dairy Heifer
Dry Cow_J
Non -Dairy
Beef Stocker
Beet Feeder
B
Beet- Brood 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?
• Division ofWater Resources
Q Division of Soil and 1Vater Conservation
Q Other Agency
YesNo NA ❑ ME
0 yes rJ No 0 NA 0 NE
b. Did the discharge reach waters of the State? (If yes, notify DWR1 d Yes 0 No 0 NA Q NE
c, What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? tlf yes, notify DWR) El Yes 0 N 0 NA 0 NE
2. Is there evidence of a past discharge from any pan of the operation? [] Yes [ El NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters El Yes No ❑ NA 0 NE
of the State other than from a discharge?
Page 1 of 3
5I1222020 Continued

1 Facility tiuntber:t}
Waste Collection & Treatment 77
4_ is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. if Yes, is waste level into the structural freeboard?
Date of inspection: 6 `j i _0)
Identifier:
Spillway?:
❑ Yes 0 No 0 NA ❑ NI
El Yes ❑Nu ❑NA ❑NE
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Stnrr•lurL 6
Designed Freeboard (in):
Observed Freeboard (in): 2 7
5_ Are there any immediate threats to the integrity of any ofthe structures observed? ❑ Yes E No ❑ 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 EiNo ❑ NA 0 NE
waste management or closure plan?
if any ofquestlons 4-6 were answered yes. and thr situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes [lo © 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)
Does any pan of the waste management system other than the waste structures require ❑ Yes ['No ❑ NA 0 NE
maintenance or improvement?
Waste Arsulicatinn
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑4Vo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 1Vo ❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc,)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
1.3_ 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? ❑ Yes ❑Nn ❑ NA ❑ NE
16, Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes Eo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reuuired Records & Documents
19, Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes [,No ❑ 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.
❑Win' ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? if yes, check the appropriate box below_ ❑ Yeslo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard 0 Waste Analysis 0 Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ['Stocking ❑ Crop Yield ❑ l20 Minute Inspections ❑Monthly and 1" Rainfall inspections ❑Sludge Survey
22- Did the facility fail to install and maintain a rain gauge? El Yes N ❑ NA El NE
21lfselected, did the facility fail to install and maintain rainbreakers on irrigation equipment? El Yes sIo ❑ NA ❑ NE
Page 2 of 3 5/12I2020 Continued
❑ Yes No © NA 0 NE
❑ Yes Er -No ❑ NA 0 NE
❑ Yes 'No ❑ NA ❑ NE

[Facility Number: rj t� _ - `Date of Inspection: b --II _1 ,
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes
the appropriate box(es) below,
0 Failure to complete annual sludge survey
Non -compliant sludge levels in any lagoon
List structures) and date of first survey indicating non-compliance:
26_ Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes
❑ Failure to develop a POA for sludge levels
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
2S. 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 quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Itcgional Office of emergency situations as required by the
permit? (Le, discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist al the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
0 Yes
33, Did the Reviewerllnspector fail to discuss review/inspection with an on -site representative? f Yes
34, Does the facility require a follow-up visit by the same agency? d Yes N
Comments (refer to question tf): 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),
❑NA El NE
No DNA ❑ NE
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Reviewer/inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
l � � f-U rt s
Er/No
ErN
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA 0 NE
El NA ❑NE
Phone:
Date:
2/J/20l P