820073_routine_20221014

Facility Number
12)
Division of Water Resources
Division of Soil and Water Conservation
0 Other Agency
Type of Visit:
Reason for Visit:
Compliance Inspection O Operation Review O Structure Evaluation 0 Technical Assistance
Routine 0 Complaint 0 Follow-up o Referral Emergency 0 Other
I
Date of Visit:
72 J Arrival Time:
Farm Name: V?Qcte,J SO‘'/ �" b
Owner Name: 7
Mailing Address:
0 Denied Access
Departure Time:FL
ONi net- Email:
Phone:
ICounty:
SIN
Region:
Physical Address:
Facility Contact: Nam curl
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
gme
Title: in Phone:
Latitude:
Integrator:Tarn*
Certification Number:
Certification Number:
Longitude:
0[1()I'S
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
9910
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Wet Poultry
Layer
Non -Layer
Dry Poultry
Design Current
Capacity Pop.
Design Current
Capacity Po p.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: [T Structure I Application Field Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State'? (1! 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`? (II yes, notify D��%tz) Yes No 7 NA 1-1 NE
2. Is there evidence of a past discharge from any part of the operation`? 1-1YesNo 7 NA NE
Design Current
Capacity Pop.
Cattle
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
7Yes No riN• A
NE
riYes K. No fN• A [1]NE
El Yes `I, No in N• A riNE
3. Were there any observable adverse impacts or potential adverse impacts to the waters j Yes 'vj No NA 7 NE
of the State other than from a discharge'?
Page 1 of 3
5/12/2020 Continued

Facility Number:
Date of Inspection:
❑ Yes No n NA n NE
Yes NNo n NA ❑ NE
nYes Etj No El NA ❑NE
❑ NA ❑ NE
N, gtI(79o1)
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 of the CAWMP readily available? If yes, check
the appropriate box.
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? n Yes No ❑ NA 0 NE
a. If yes, is waste level into the structural freeboard? n Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
5-1
P f�
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 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
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'? n Yes No ❑ NA n NE
8. Do any of the structures lack adequate markers as required by the permit? 7 Yes No n NA 0 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
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
n Excessive Ponding n Hydraulic Overload n Frozen Ground ❑ I-feavy Metals (Cu, Zn, etc.)
0 PAN ❑ PAN > 10% or 10 lbs. n Total Phosphorus n Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window U Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):\J1 I L
V Drt
14. Do the receiving crops differ from those designated in the CAWMP? n Yes lt No ❑ NA 0 NE
15. Does the receiving crop and/or land application site need improvement? Yes ❑ No n NA ❑ NE
7Yes No ❑NA (7NE
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? C Yes No
7 Yes No
❑ Yes No
n Yes No
(� WUP ❑Checklists i Design Maps ❑ Lease Agreements Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard
Waste Analysis ❑ Soil Analysis
NA NE
❑ NA ❑ NE
❑ NA ❑NE
❑NA 7NE
❑ Yes No NA ❑NE
Waste Transfers n Weather Code
[1 Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections 7 Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? n Yes
23. I f selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? n Yes
Page 2of3
n Sludge Survey
No ❑NA ❑NE
No n NA ❑ NE
5/12/2020 Continued

Facility Number: (rag_ -
Date of Inspection: 10 - 9il22
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.
n Failure to complete annual sludge survey n Failure to develop a POA for sludge levels
n Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
• Yes No nNA 7NE
❑ Yes No ❑ NA ❑ 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
ri Lagoon/Storage Pond U Other:
n Yes o
n Yes fqNo
❑ Yes No
n Yes No
Yes
❑ Yes
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
n Yes N No
❑ Yes 1 No
n Yes [] No
n NA ❑ NE
nNA El NE
nNA El NE
nNA NE
Ell NA 7NE
nNA ❑NE
❑ NA ❑ NE
El NA ❑NE
nNA El 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).
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
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Phone:
Date:
gwPAr� 911e
w1iy 22.
5/12/2020