400136_Inspection_20221129

'0`Dl Slott of Weser R!4rii tttcea • ' . • .
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0 Other 4onq •, ; ,..,•
Type of Visit: Q'Compli ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: //f2—Arrival Time:
Farm Name:
Departure Time:
Owner Name: � --R;Gti--
V,
Owner Email:
Phone:
CountyC.er- Region: MOO
Mailing Address:
Physical Address:
Facility Contact: f j�vl_71 Title: gtli/J t/ Phone:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator: .3F
Certification Number:
Certification Number:
Longitude:
%7D
wort' 'cut eu t
•
r ./ Wean to Finish
�'= Wean to Feeder
�;r• Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
• D1gu : arxent '
R�'et 1ouitri• Qapadty Pop,
Layer
Non -Layer
1
. • ..
.•
•Design • Current
Tyr Rost]* Caeity Pop-' ..,
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Dew e
Cattle '•Coodf:7
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
•
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structune ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume t1 at reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑No ❑NA El NE
❑ Yes ❑No ID NA El NE
❑ Yes No El NA El NE
❑ Yes No ❑NA ❑NE
❑ Yes El No ❑ NA ❑ NE
❑ Yes E< ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number:
Date of Inspection: //--��
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):
❑ Yes to ❑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 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
7. Do any of the structures need maintenance or improvement? alres ❑ No ❑ NA E NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Io ❑ 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 ❑ Yes ❑ No ❑ NA
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes Flo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Yes 121--4o ❑ NA ❑ NE
❑ Yes ao ❑NA ❑NE
❑ Excessive Ponding ❑ 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
El Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): �FJUC/J�7Y� �/1Y�y
13. Soil Type(s): /41„pj
14. Do the receiving crops differ from those cesignated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
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? ❑ Yes 12No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes 0 N ❑ NA ❑ NE
Required Records & Documents ��
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes LJ 1"0 ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes I2'�10 ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑ Yes LJ 1 o ❑ NA ❑ NE
El Waste Application El Weekly Freeboard El Waste Analysis El Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections �❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes []'No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0.--111 ❑ NA ❑ NE
Page 2 of 3 5/12/2020 Continued
❑ NE
❑ Yes [E]No ❑NA
tales ❑ No ❑ NA
❑ Yes ®No ❑ NA
❑ NE
❑ NE
❑ NE

Facility Number: G f0 - / 3 -
24. Did the facility fail to calibrate waste app
25. Is the facility out of compliance with pe
the appropriate box(es) below.
❑ Failure to complete annual sludge
❑ Non -compliant sludge levels in any 1
List structure(s) and date of first surve
26. Did the facility fail to provide documents
27. Did the facility fail to secure a phospho
Other Issues
28. Did the facility fail to properly dispose o
and report mortality rates that were highe
29. At the time of the inspection did the facili
If yes, contact a regional Air Quality repr
Date of Inspection: /,L_7— 2 . 2J.-
cation equipment as required by the permit?
t conditions related to sludge? If yes, check
oon
indicating non-compliance:
❑ Yes
❑ Yes
❑Failure to develop a POA for sludge levels
❑NA ❑NE
❑NA ❑NE
on of an actively certified operator in charge?
loss assessments (PLAT) certification?
dead animals with 24 hours and/or document
than normal?
pose an odor or air quality concern?
sentative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard proble
31. Do subsurface tile drains exist at the facil
❑ Application Field ❑ Lagoon/St
32. Were any additional problems noted whi
33. Did the Reviewer/Inspector fail to discus
34. Does the facility require a follow-up visit
, over -application)
ty? If yes, check the appropriate box below.
rage Pond ❑ Other:
❑ Yes
❑ Yes
1214 ❑NA ❑NE
Ia o ❑ NA ❑ NE
❑ Yes No
❑ Yeslo
❑ Yes 12 ‘
❑ Yes [(](o
cause non-compliance of the permit or CAWMP?
review/inspection with an on -site representative?
y the same agency?
❑ Yes
❑ Yes
❑ Yes
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
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Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature:
Page 3 of 3
Date:
5/12/2020