430001_Routine_20220926

Facility Number - 01
Division of Water Resources
Q Division of Soil and Water Conservation
0 Other Agency
s n , Lt
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation C) Technical Assistance
Reason for Visit: Routine 0 Complaint
Date of Visit:
Farm Name:
0 Follow -tip
0 Referral 0 Emergency 0 Other
0 Denied Access
14q. Arrival Time: Depart u Time: County: (IT t-F Region: f r o
K ° T Farm
Owner Name: m e� rn Qr
OWN rat r nail:
Phone:
Mailing Address:
Physical Address:
Facility Contact: JQfl1Qc, I i la J'J O 1 Title: (P/W"W Phone:
Onsite Representative: g r1 -e Integrator: Regmg--e
Certified Operator: C U -C. Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Swine
Design Current
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish
Wean to Feeder
(p
1900
Feeder to Finish
L{ 0
14.51)
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Layer
Non -Layer
Dry Poultry
Layers
Design Current
Capacity Pop.
Non -Lavers
Pullets
Turkeys
Turkey Pot.rlts
Other
Discharges and Stream Impacts
l . Is any discharge observed from any part or the operation`?
Discharge originated at: [1 Structure ri Application Field pi Other:
a. Was the conveyance man-made'?
b. Did the discharge reach waters ofthe State'? (11 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) ❑ Yes T\No PI NA NE
2. Is there evidence of a past discharge from any part of the operation? [7 Yes No ( I NA fl NE
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Yes No L]NA piNE
Yes
pi Yes
No p]NA 0NE
No Li NA f NE
3. Were there any observable adverse impacts or potential adverse impacts to the v eaters i Yes No f I NA NE
of the State other than from a discharge'?
Page I (rf.3
5/12/2020 Continued

�� acility Number: 93 - Ol
Date of Inspection: 9. Ofr• 22
Waste Collection & Treatment
4. 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):
Structure 1 Structure 2
Structure 3 Structure 4
Yes
Yes
Structure 5
5. Are there any immediate threats to the integrity of any 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
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health
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
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
1 1. Is there evidence of incorrect land application? If yes, check the appropriate box below.
Excessive Ponding
Hydraulic Overload [1 Frozen Ground
No NA I NE
No riN• A I—INE
Structure 6
LI Yes EJ No fl N• A ri NE
Yes N-
No NA (l NE
or environmental threat, notify DWR
n Yes
IT Y• es
El
NA n NE
NA NE
Yes ' No NA pi NE
Yes No fl N• A fl NE
Yes
Heavy Metals (Cu, Zn, etc.)
NA n NE
PAN PAN > 10% or 10 lbs. fl Total Phosphorus LI Failure to Incorporate Manure/Sludge into Bare Soil
Outside of Acceptable Crop Window
E Evidence of Wind Drift fl Application Outside of Approved Area
12. Crop Type(s): ) CO b
13. Soil Type(s): f*1 N O
14. Do the receiving crops differ from those designated in the CAWMP'? In Yes No fl NA NE
15. Does the receiving crop and/or land application site need improvement? Yes No NA NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable Yes No [1 NA
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?
Yes
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check (1 Y• es
the appropriate box.
WUP Checklists Design 17 Maps I I Lease Agreements LiOther:
21. Does record keeping need improvement? If yes, check the appropriate box below.
Waste Application I Weekly Freeboard r1 Waste Analysis fl Soil Analysis
LI Rainfall U Stocking
Crop Yield fl 120 Minute Inspections
r Monthly and 1" Rainfall Inspections
22. Did 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'?
Prate 2 of 3
No
No
IlNE
NA i-NE
NA 1 I NE
NA NE
NA fNI
n Yes No Li NA NE
Waste Transfers �1, Weather Code
Sludge Survey
Yes N No ❑ NA fl NE
fl Y• es No Li NA [] NE
```��� 5/12/2020 Continued

Facility Number: 9' - 01
Date of Inspection: 9-Np-4
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is 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 n 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:
❑ Yes IN.,
No
n Yes N-No
fNA pi NE
fNA ❑NE
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 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? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? E Yes
34. Does the facility require a follow-up visit by the same agency?
n Yes \
n Yes V
No
No
❑ Yes No
p Yes No
n Yes No
❑ Yes No
❑ Yes
❑ NA
fl NA
n NE
n NE
❑NA ❑NE
• NA NE
❑NA El NE
❑ NA NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
Comments (refer to question #): 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).
OW'f\ iooK5 goo
reUA \DD1< gyeot,
Reviewer/Inspector Name:
(al-qA Phone: 9 IT MO- CM
Reviewer/Inspector Signature:
Date:
0440
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