400153_Inspection_20221222

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Type of Visit: D-Cfompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: G 1 utine 0 Compl:• it 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
al Tim : :
Farm Name: £?o'/ '1 yt#,,,
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: 1 7 Cu
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
..t., Wean to Finish
//,Kw
Departure Time:
Owner Email:
Phone:
County• Region: .M`
n
et. Title: ZP-e,Lit Phone:
mean to Feeder
•
Feeder to Finish
, Farrow to Wean --'
Farrow to Feeder
Farrow to Finish
Gilts
Boars
2F
+ h• Y _ •
Latitude:
Layer
catmokt-
Integrator:
Certification Number:
Certification Number:
Longitude:
Non -Layer
t ..
Discharges and Stream Impacts
1. Is any discharge observed from any part o . e operation?
Discharge originated at: ❑ Struc - ❑ Application Field ❑ Other:
a. Was the conveyance man-made'
b. Did the discharge reach waters rr f the State? (If yes, notify DWR)
c. What is the estimated volume 1
d. Does the discharge bypass the
2. Is there evidence of a past discharge from :
3. Were there any observable adverse impac •
" of the State other than from a discharge?
▪ •
rg,
:.. ;.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
ekr
{
440
wR�r'�"Y •_+, `k7 +3.c�x+.'.'-ma's
❑ Yes 12'I Io ❑ NA ❑ NE
: t reached waters of the State (gallons)?
aste management system? (If yes, notify DWR)
•y part of the operation?
or potential adverse impacts to the waters
Yes ❑No ❑NA Li NE
❑ Yes ❑No ❑NA ❑NE
❑ Yes No El NA ❑NE
OJfes ❑ No ❑ NA ❑ NE
❑ Yes Er‹o ❑ NA ❑ NE
Page I of 3
5/12/2020 Continued

Facility Number:
- 147
(Date of Inspection: 4.1—7,--#01%'
12. Crop Type(s):
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?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
r9t-
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
❑ Yes ❑ No ❑ NA
Structure 5 Structure 6
❑ NE
❑ NE
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?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
❑ Yes
lirT:Io ❑NA
'No ❑ NA
❑ NE
❑ NE
Yes No ❑NA ❑NE
❑ Yes Ea-K. ❑NA ❑NE
es ❑No ❑NA ❑NE
❑ Yes dNo ❑ NA
❑ Yes 1No ❑ NA
❑ 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
❑ Outside of Acceptable Crop Window Q❑l Evidence of Wind Drift ❑ Application Outside of Approved Area
4(r1/4..
13. Soil Type(s): if-i7hwti/ (' ti �i
n< I Ir -- 7
14. Do the receiving crops differ from those cesignated in the CA ' 1'?
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 fo land application?
18. Is there a lack of properly operating w application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificat
20. Does the facility fail to have all compone i is of the CAWMP readily available? If yes, check ❑ Yes / to
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement?
['Waste Application ❑ Weekly Freeb
❑ Rainfall ❑ Stocking ❑ Crop Yield
22. Did the facility fail to install and main
23. If selected, did the facility fail to install
Page 2 of 3
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
Erfslo ❑ NA
rNo ❑ NA
Er/No ❑ NA
o ❑ NA
7[ 1No ❑ NA
of Coverage & Permit readily available? ❑ Yes [ No
yes, check the appropriate box below. .
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
es ❑ No ❑ NA
❑ NE
and ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers Bather Code
120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections Sludge Survey
a rain gauge? ❑ Yes to ❑ NA ❑ NE
d maintain rainbreakers on irrigation equipment? Is ❑ No ❑ NA ❑ NE
5/12/2020 Continued

Date of Inspection:
Facility Number: it ? - J5
24. Did the facility fail to calibrate waste app i cation equipment as required by the permit?
25. Is the facility out of compliance with pe t conditions related to sludge? If yes, check
the appropriate box(es) below.
❑ Failure to complete annual sludge sury
❑ Non -compliant sludge levels in any la;
List structure(s) and date of first surve
26. Did the facility fail to provide documenta
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 rep
30. Did the facility fail to notify the Regional
permit? (i.e., discharge, freeboard proble
31. Do subsurface tile drains exist at the fac
❑ Application Field ❑ I.agoon/S
32. Were any additional problems noted whic
33. Did the Reviewer/Inspector fail to disc
34. Does the facility require a follow-up visit
❑ Yes
❑ Yes
❑Failure to develop a POA for sludge levels
oon
indicating non-compliance:
11
0No ❑ NA ❑ NE
2•1(❑NA ❑NE
ion 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.
•
ffice of emergency situations as required by the
, over -application)
ty? If yes, check the appropriate box below.
rage Pond ❑ Other:
❑ Yes
❑ Yes
12 No ❑NA ❑NE
[Io ❑ NA ❑ NE
ErYes ❑ No
❑ Yes Er<o
❑ Yes ENo
❑ Yes El<
cause non-compliance of the permit or CAWMP?
review/inspection with an on -site representative?
�y the same agency?
❑ Yes
❑ Yes
❑''des
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NE
❑NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date: 1,1,—,ZZ —
5/12/2020