990012_Inspection_20220824

Type of Visit: '
Reason for Visit:
Date of Visit:
Farm Name:
Owner Name:
11
Facility Contact:
Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ly Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
MOM
Departure Timed \ ( 4.County:
Shady GI rove, t r-\
&COI &rout 0a,1
Mailing Address: Ot1 & /�Hto-}- (�y� I fn11 O, \ / ��j us - J n� y £ j� f 10 I\�-/
Physical Address: I V� v r 1✓l(� Gam__ �V ' K /1 Jf t� GSI ! onoi v v �'-On L d
Region: UAK-6
24-11 cl-rfr Arrival Time:
s e t'l l ne ,6 a'i 1Q Y(Ylt��re�.
Onsite Representative:
Certified Operator:
Owner Email:
Phone:
Phone:
Back-up Operator: AAa U 4 ct (v l l k-I\{ Y" A...
Location of Farm:
Integrator:
Certification Numbeekto
Certification Number:
c32)o Ors Yw.i.rc
Longitude:
I us itilVt 6"I --. D ee rgtha . — hctc�.� GZrovc, Ch . . -2)exi'7v1 E' J
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Latitude:
Layer
Non -Layer
'�.45ii!fp '.Itl6i
Layers
Non -Layers
Pullets
Turkey Poults
Other
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?
Page 1 of 3
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Yes % No NA NE
Yes No D NA NE
Yes No NA NE
Ei Yes
Yes
ID Yes
�No DNA NE
4 No NA NE
No NA NE
2/4/2015 Continued

,{cilityNumber: C-1(1 -
0
'Date of Inspection: (l 1a,-)
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):\
rci Yes ❑t No ❑ NA ❑ NE
f l Yes ly I No 0 NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 / Stmcture 5\ Structure 6
rrCa-earn' t j ok 2— x 4- -3
oN
'yv-1.=1(," \7-'-241t
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 ❑ Yes I /V No ❑ NA ❑ NE
waste management or closure plan? 7
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
5k314111:‘
❑ Yes No ❑ NA ❑ NE
7. Do any of the structures need maintenance or improvement? 0 Yes 01 No 0 NA 0 NE
8. Do any of the structures lack adequate markers as required by the permit? 0 Yes 0 No ❑ 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 p Yes 0 No 0 NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 1f No 0 NA 0 NE
maintenance or improvement? TT''
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. cgl Yes ❑ No ❑ NA 0 NE
O Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
❑ PAN Cgi PAN > 10% or 10 lbs. 0 Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
O Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
12. Crop Type(s): CO{ flSI(cxo\c 61b2ctfl3/6'3►7x.'
13. Soil Type(s): V �J
14. Do the receiving crops differ from those designated in the CAWMP? 0 Yes No 0 NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? 0 Yes No 0 NA 0 NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable 0 Yes 0 No x NA 0 NE
acres determination? 7T
17. Does the facility lack adequate acreage for land application? ❑. Yes No ❑ NA ❑ NE
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? 0 Yes No 0 NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check 0 Yes No ❑ NA 0 NE
the appropriate box.
❑WUP ❑Checklists 0 Design 0 Maps 0 Lease Agreements ❑Other:
21. D es record keeping need improvement? If yes, check th- . . .ropriate box below. ` Yes 0 No ❑ NA 0 NE
�s
Waste Application Weekly Freeboard■�� ■ �[ Waste Transfers LjV Weather Code
❑ Rainfall DitocIdng �rop Yield n '� Monthly and 1" Rainfall Inspections ❑ Si.4 0ta ,.,y
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
❑ Yes No ❑NA ❑NE
❑ Yes [A No ❑ NA ❑ NE
O Yes 0 No KNA 0 NE
2/4/2015 Continued

Facility Number: q cl
'Date of Inspection: ,.1
24. Did the facility fail to calibrate waste api. .dion 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.
❑ Yes I/�� No ❑ NA ❑ NE
❑ Yes 7❑l No NA El NE
❑ Failure to complete annual sludge survey ❑ 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:
26. Did the facility fail 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 ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes X No ❑ NA ❑ NE
❑ Yes 7kNo ❑ NA ❑ NE
El Yes 41 ❑NA ❑NE
❑ Yes X No ❑ NA ❑ NE
❑ Yes ❑ No cgl NA ❑ NE
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 01No ❑NA ❑NE
❑ Yes No ❑ NA ❑ NE
❑ Yes 0 No ❑ NA ❑ NE
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Reviewer/Inspector Name: ee,beU o GaYadiQ
Reviewer/Inspector Signature:
Page 3 of 3
2/4/2015