760059_Inspection_20221115

Type of Visit: l Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: *Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
Arrival Time:
Co rarks2. rant\
tU fn
ibmnsnn Coi hrc�v,
Mailing Address:
Physical Address:
Facility Contact:
Departure Time:
12tV
Owner Email:
Phone:
County:9 WAOI Region: V V J91d
i')Sq tvU1se vv M i U Reosa&1- Garden IJ a 9-11313
flDt n\-Av\A \9j •'Qu ia.3- (-tie Ayrj t G 'y e
Vt c Co t krart_e_ Title: Phone:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
@r �d3t$$$t!%{#I}
�= 6A
6 22
a+P3'��i3'k
2ijjjttj Yf'•t¢ tg {^i, $t�k$ $$$&&$%jN'P
$`F@iR4 ��,t',%CCf44#pt}$$X$"�4'fi'af" ult#d% a apety#SQ
�a$S#�"Adiik aip w<,e rxl z•aai i9��iYSn
S �.v rtt da wa
Wean to Finish _-
Layer
Dairy Cow
ILOO
d9
____
• Wean to Feeder --�
Non -Layer
Dairy Calf
6i
Feeder to Finish -w
F �x m n ..fid"
r.ta
.,
DairyHeife
Y�'
O
#z$t a
Farrowto Weansae#wi,nsne +•uxx
:==ce,.
DyCow
100
r k
Farrow to Feeder -- „ r3ou�'tiyc kiei,aSlyal }}'
Non -Dairy
c
� Farrow to Finish _-r� $
Layers
Beef Stocker
+�
Gilts --
Non -Layers
°r
Beef Feeder
Boars --
b
Pullets
Beef Brood Cow
%#4
ip # as mv.::sr ## air Ee
ai auk
Turkeys
a e4tt YtSha^rm
e
Turkey Poults
$$
$$
Other
irnv t..x4--n***kkwi,:e.$d,,,,,
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ 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 that 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 ip No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes 14 No ❑ NA ❑ NE
El Yes No ❑NA ❑NE
Page 1 of 3
5/12/2020 Continued

Facility Number:16 - 59
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
Identifier: V t,VVvtexls
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
tl n , Y1 4t
Date of Inspection: ( I <
❑ Yes j cX No ❑ NA ❑ NE
❑ Yes T❑ No ❑ NA ❑ NE
Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes
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?
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
No ❑NA ❑NE
I] No ❑ NA ❑ NE
❑ Yes 411No ❑ NA ❑ NE
❑ Yes , y,No ❑NA ❑NE
�/�� ❑ Yes No ❑ NA ❑ NE
❑Yes ANo ❑NA ❑NE
No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.5j
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): C Of irl Gt J C� fL. s,9 ro,:i n 61 (ay �e SLOP ha 1/4'
13. Soil Type(s):
14. Do the receiving crops differ from those designated 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?
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.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? I ems, _ H �P ��— ❑ Yes IX No ❑ NA ❑ NE
rig Waste Application Weekly Freeboard ®� Waste Analysis tiq Soil Analysis ❑-frasteRI 'tors Weather Code
Rainfall Stocking Crop Yield R120 Minute Inspections Monthly and 1" Rainfall Inspections 77�
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes rAT Nor❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No I7� NA ❑ NE
Page 2 of 3 5/12/2020 Continued
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE

Facility Number: 16 - C{
Date of Inspection: 11 15 i
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
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
❑ Yes
❑ Yes
['Failure to develop a POA for sludge levels
No ❑ NA ❑ NE
No ANA ❑NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes ,VI { No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes EA No ❑ NA ❑ 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 concem? ❑ Yes No ❑ NA ❑ 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 X 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. ❑ Yes ❑ No A NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
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?
Yes
Yes
❑ Yes
❑ No ❑ NA ❑ NE
gNo El NA ❑NE
No ❑ NA ❑ NE
& 4. I x �t�e�efi•:sa�'i"o�iaqh�f3.kd�"�" tr#c 5i1
Ct•ICX gat sods- C - Oe- a� n �'0'�-�' • t t
`� t�5-t
43-Cti) currewa ly Wurcihi on c.ck i n\ new cas=1->J;res 4- I rOw
(Otl'eCMAQLAnem'na. ckee*ccu4,ems ovd c 60 cy win J0 J - no
I (at i b vu h CoT g LtA-e C oO2.2- ' civ.e a_ 4" n 2ibra24'
S'Uges arc( .c4 ,in?i'"rec;3..
Ilsi(aiseNick c
Ldwel 6-7)/165 4S
fie IJS co)I ter
Crop (
COYIIs�-c'✓�
Reviewer/Inspector Name:
Reviewer/Inspector Signatur
Page 3 of 3
5/12/2020