820211_Routine_20221014

Facility Number
III
O Division of Water Resources
0 Division of Soil and Water Conservation
Q Other Agency
Type of Visit: Q Compliance Inspection O Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
l 12 Arrival Time:
cdd
_me
0
I
m
P-)® AM i 1 'iellal't![['e' T[iele:no 7 rt3![I:ty:`iQoa' c3a�r Region: 12-0
Ovk ner Email:
Phone:
7492, eo OgP
Onsite Representative: QN1C
Certified Operator: ctN
Back-up Operator:
Location of Farm:
Qc1Z�
Title:
'AU1 Sj9DC.
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Latitude:
Integrator:
Phone:
fltcroge
Certification Number: D 1 V
Certification Number:
Longitude:
Design Current Design Current
Wet Poultry Capacity Pop.
7--------F
Laver
Non Layer
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Points
■
Other
Discharges and Stream Impacts
1. 1s any discharge observed from any part of the operation'?
Discharge originated at:
Structure
Li Application Field
Other:
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Yes No fl NA fl NE
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State'? Of 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'? (lfyes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation'?
No NA [ NE
No P1 NA NE
C Yes \I No fl N• A ( N• E
No I INA flN• E
[Yes
3. Were there any observable adverse impacts or potential adverse impacts to the Waters Yes No fl N• A NE
of the State other than from a discharge?
Page 1 of 3
5/12/2020 Continued

Facility Number: C9
Waste Collection & Treatment
[Date of Inspection: 10. d '�-
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? Yes
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
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 or environmental threat, notify DWR
Yes
No NA n NE
No NA 0 NE
Structure 5 Structure 6
7. Do any of the structures need maintenance or improvement'?
El Y• es No f NA 7NE
7Y• es \No 0NA fNE
7Y• es \ INo 7NA ONE
8. Do any of the structures lack adequate markers as required by the permit'? n Yes No E NA ❑ 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.
n Excessive Ponding n Hydraulic Overload [ I Frozen Ground
PAN n PAN > 10% or 10 lbs. n Total Phosphorus
I
[Yes yNo III NA ENE
nY• es
n Yes
n NA ❑ NE
n NA IJ NE
Heavy Metals (Cu, Zn, etc.)
Failure to Incorporate Manure/Sludge into Bare Soil
Outside of Acceptable Crop Window [ [ Evidence of Wind Drift n Application Outside of Approved Area
12. Crop Type(s): fAcillit MU CU . 0
13. Soil Type(s): TO,U{TA K i (i 9tQ ►M
14. Do the receiving crops differ from those designated in the CAWMP'? n Yes No n NA
1.5. Does the receiving crop and/or land application site need improvement'? n Yes n No n NA
16. Did the facility fail to secure and/or operate per the irrigation design or wettable n Y• es No n NA NE
acres determination'?
1 7. Does the facility lack adequate acreage for land application'? Yes '"�-' No n NA
18. Is there a lack of properly operating waste application equipment'? - Y• es �s No n NA NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available'? Yes [ No n NA NE
20. Does the facility fail to have all components of the CAWMP readily available'? If yes, check Yes [] No n NA n NE
the appropriate box.
WUP nChecklists n Design n Maps n 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. 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''
Page 2 of 3
Other:
Yes In No
Soil Analysis [— Waste Trans• ecs H Weather Code
1-1 NE
NE
[�NE
n Monthly and 1" Rainfall Inspections
n Yes
n Y• esI
fNA NE
Sludge Survey
No n NA n NE
No NA NE
5/12/2020 Continued.

Facility Number: - gli
Date of Inspection: s•2,2.
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
Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
(Yes No EiNA NE
7Yes y]'No 7NA r]NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? 17 Yes t No ® NA 17 NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification'? Yes EE No ❑ NA n NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document n Yes No El NA 7 NE
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'? ❑ Yes ` No ] NA n 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 No 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. n Yes 114 No NA NE
ri Application Field ri Lagoon/Storage Pond ri Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? n Yes sEj No ❑ NA El NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? [1 Yes No NA El NE
34. Does the facility require a follow-up visit by the same agency? n Yes 'N 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).
«\t"\ J)oKg goDd.
Reviewer/Inspector Name:
\<01/4ALQ,
n-teno--)-1 StC1R itOly
Phone: 91q bco77I5
Reviewer/Inspector Signature`
Page 3of3
QUtON
Date: 10' 19 - O^�J
5/12/2020