820478_Routine_20230327

vision'o �at'�er�',R,esolurce,s,,,,-,,��,,.,,
ivisio SW And Water, Cojiserva i n,
Wo
gency,
rype of Visit: (E�F_Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
leason for Visit: 01R"o—utine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: J,:2:;ZZ0, Arrival Time: /P,'O 4P I Departure Time: �� County:- Region:
I/ -
Farm Name:
OwnerName:
Mailing Address:
Physical Address:
Owner Email:
Phone:
Facility Contact: —Title: Oa'�Znl' Phone:
Onsite Representative: Integrator:
Certified Operator: CertificationNumber:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
f
Design Cuire f
S1
esign, urren De "','Current,
Sw*,'',_"�',
me, C
W, �i P�0' 6 ty 'P ttl P
Itry 1 00.
y apac op a, e,, ,",apa�cit
y
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish -
Gilts
Boars
I ILayer I
INon-Layer I
"Desib4 Cur rent,
g
Dry Poultry Capacity P22.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field F-1 Qther:
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?
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Be f Stocker
Beef Feeder
Beef Brood Cow
E] Yes E�<o [:] NA 0 NE
0 Yes 0 No
0 Yes 0 No
0 NA 0 NE
0 NA El NE
Ej Yes
Ej No
0 NA
0 NE
0 Yes
I
E�r<o
0 NA
0 NE
E] Yes
2'<o
0 NA
ONE
Page -1 of 3 511212020 Continued

IFacility Number: Wate of Inspection: 3­7,�7
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? 0 Yes En 'No E] NA E] NE
a. If yes, is waste level into the structural freeboard? Ej Yes Ej No E] NA E] NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 'Y'ak
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? E] Yes �o E] NA Ej NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a 0 Yes �o E] NA Ej NE
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?
[D-I'es
E] No
E] NA
E] NE
8. Do any of the structures lack adequate markers as required by the permit?
Ej Yes
[34o
E] NA
E] 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
F-1 Yes
G­J�'o
E] NA
E] NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
E] Yes
2<0'
E] NA
[] NE
mal enance or improveme I I-
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D-Y-e—s EeNo [:] NA [:] NE
F-1 Excessive Ponding F� Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
b-V�N F� PAN > 10% or 10 lbs. Ej Total Phosphorus [:] Failure to Incorporate Manure/Sludge into Bare Soil
F_� Outside of Acceptable Crop Window Ej Evidence of Wind Drift E] Application Outside of Approved Area
12. Crop Type(s): LZLe'-"_Ze9'0 Z!%/
13. Soil Type(s): ?"!F
14. Do the receiving cro/s differ from those designated in the CAWMP?
E] Yes
2<0
NA
[:] NE
15. Does the receiving crop and/or land application site need improvement?
Ej Yes
[EKo
NA
0 NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
Yes
F:�<o
Ej NA
E] NE
acres determination?
17. Does the facility lack adequate acreage for land application?
Ej Yes
Ea<o
E] NA
Ej NE
18. Is there a lack of properly operating waste application equipment?
Ej Yes
�o
[:] NA
E] NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? E] Yes [Er<o [:] NA Ej NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [::]Yes F;Ko Ej NA E] NE
the appropriate box.
F-1 WUP El Checklists E] Design [:]Maps [:]Lease Agreements E]Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ETIY�es F] No E] NA F] NE
Ef rwaste Application F-1 Weekly Freeboard E] Waste Analysis E] Soil Analysis 0 Waste Transfers E]Weather Code
F_j Rainfall E] StockingEj Crop Yield E] 120 Minute Inspections El Monthly and 1 " Rainfall Inspections E] Sludge Sui�vey
22. Did the facility fail to install and maintain a rain gauge? E] Yes E�J<o Ej NA E] NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? Ej Yes �o E] NA E] NE
Page 2 of 3 511212020 Continued

Facility Number:
f�,,; �- - - q 7,6 1 Fbateof inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? E] Yes EK0 E] NA E] NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check E] Yes 21"N"o E] NA E] NE
the appropriate box(es) below.
F-1 Failure to complete annual sludge survey F� Failure to develop a POA for sludge levels
F� Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to 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)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
F-1 Application Field Lagoon/Storage Pond F-1 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
Ea<o
E] NA
Ej NE
E] Yes
[]"N'o
[:] NA
E] NE
[:]Yes [��No E] NA [:] NE _
[:]Yes El -No [:] NA Ej NE
Ej Yes ED<0 Ej NA [:] NE
E] Yes Ea<o Ej NA E] NE
Yes E3"N o [:] NA Ej NE
Yes E5� E] NA [:] NE
[:]Yes rNo E] NA Ej NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone:
Date: __3 —2- 7
511212020
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