740109_Inspection_20230819

Division of Water Resources
Facility Number - 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Q Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: ( Departure Time: 'a County:
Farm Name :�c Cl "�C-b Tl \-C, • Owner Email:
AN
Owner Name: vOA M1. Phone:
Mailing Address:
P 4 Region:(J)1�0
Physical Address:
Facility Contact: R Title: Phone:
Onsite Representative: �A �t C� Integrator: Is tv� l/11-a t,(C�
Certified Operator:
Back-up Operator:
Location of Farm:
Design Current
iize ; .Capacity POP.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Certification Number:
Certification Number:
Latitude:
Design Current
Wetkou]try Capacity Pop.
La er
Non -La er
Design Current
Dry Foultry CaURCIN pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Pouets
Other
Discharses 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?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
.Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes [ Flo ❑ NA ❑ NE
❑Yes ❑No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ N ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
ElYes No DNA ❑ NE
Page 1 of 3 511212020 Continued

m
N
w
a
f
N
0
0
w N CD 90❑
g OOi~
C7
d 9� d w El El ❑ p Cr CD
5. CDCD CD CD CD
w b o CD w a cw� (�� `<b h°n eye �D cF�� ` .�i, CD eCD ��o
p ❑�: A- n O O n �C c�� v0^i o C a p P� a 0 a cD ccoo CD � o
m .y F N C' ry CD cD O `C O O CD m 0 0 `<. $ cr cn d
17 CD CD
o R° .0 p �' yyb 0. o p co o " °
oCD fD
to
❑ ❑ w `C �° ID
a cn O � G g (D 'b. (D CCD coo o O
C ((qq CC
CD O CD; P H cD
CD .�Oy c n o ��i' k' &, PDCD
❑ Le CD o 'b O p a tlq `C O r. p
CD
A CD
UQ a w
CD
CL op
o
cr
to
qq
CD
El 4
ElCD �,aq b
CD 0
�ppo CD ❑ p �' CD
(D �l' O �. CD TC� a M .y
CD 19
v, C p O �• P GCD n F OD
O 'd a. 'J C .d CCD �o ° o Q'
COn C pq A O
p a (�'D m rj' 0 p D a O 0 p a
Elk w p' CD ❑ R �' CDCD CD
�i ocoa
CA
CD o a ElEl>e o °CD a 2
� CD CD CD
g a s
CD
p ip CCD w O p
Fn p' 0 C
❑❑ �:0 ❑❑ ❑❑ ❑❑❑ CDCD 0
CD CD CD❑ ❑ ❑ ❑❑ p ❑ ❑ ❑❑
a CD �, 0 CD CDGo th
q o 00 0 qat CD 9-,, 1� mz�\ .0 F 2�
?R 0 0 0 rL 0 0 0 0 0
q
o er 0
z z� z z z z z z z z CAz z z z z C z z z z
a s a a s a s a a a 0 a s a a a a s a s

IFaciRty Number: I q - Date of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? _ ❑ Yes dN10 ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes &No ❑ NA ❑ NE
the appropriate box(es) below.
❑ 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 fast survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? [::]Yes o ❑ 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 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 concern? ❑ Yes E�rNo ❑ 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 ZNo ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface file drains exist at the facility? If yes, check the appropriate box below. ❑ Yes to ❑ 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
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
S k A, 00A.1answers. a]n�y ad i iot t�commca� iP a i l F` ,
%sb�e stiroris (use addi�iona� �' ` as n s ,,.. r� k 7 y,
� -S- 2 3 ► - � G
1-17-23 ,_�.i�
f.o- 11 - 2-Z IN3
SLoc � S L-1-2,3
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
i LA� CL 3 .
S �1
a hosne:� -Cy L7 -OJ3
P
Date: �- ) 9
511212020