140003_Inspection_20231101 (2)

Division of Water Res' g
Facility Number i� (L Up -' O Division of Soil and Water L_aservation
Other Agency
for Visit: O Routine O Complaint O Follow-up O Referral O Emereencv O Other O Denied Access
Date of Visit: G Arrival Time: Departure Time: County:L.J IJcueh Region: /11W
r
Farm Name: r - I�- aep G'-1 4 <J�1� Owner Email: A -7
Owner Name: `�—Ip�dn..l I�do Pe—IIL— Phone:
Mailing Address: /F � iq5- I .C2. 4( Ptd �V'G'�Ij ��� /v/G 00L. l3z:>
Physical Address: 4)-+3 T�Q-- I V`v l�\ ", C3t/Crvt � � ((
1 S �L a0
Facility Contact: (,��,c3��� 1T
Phone:
Onsite Representative: 1 ( Intl rator:
Certified Operator: (-lL".�Q(� �DpJ�iV2 Ls r�-..iJ �.--"e"Vtfation Number:
Back-up Operator: n I , /(Certification Number: y
Locationof Farm: L-�� �.''p I�ls,k Latitude: ��.`C ( (� Longitude: 3/
Layers
Non -La ers
Pullets
Turke
Turkey Poults
Other
Discharees 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 I of
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes XLNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
[:]Yes [:]No ❑ NA ❑ NE
❑ Yes KNc ❑ NA ❑ NE
❑ Yes X No ❑ NA ❑ NE
511212020 Continued

Facili Number: ( CY3 DateofInspection:
Waste Collection & Treatment
4. Is storage capacity (armature[ plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 54.jVo ❑ NA ❑ HE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 �S�hve�tu+re �2� Structure 3 Structure 4 Strut ur 5;.d,' Structu e6'
Identifier:
Spillway?:
Designed Freeboard (in): _ 7' e,2Ayl ')v f U
Observed Freeboard (in): b ILL-jj. I IV
5. Are there any immediate threats to the integrity of any of the strut nh es observed? ❑ Yes No ❑ NA ❑ 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 ❑ Yes [ANo ❑ NA ❑ 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 structures need maintenance or improvement? ❑ Yes ' RNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes d_No ❑ NA ❑ 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 ❑ Yes V.Nrr ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 'W�No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes VLNo ❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Dare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Are
12. Crop nme(s): 'Fca 0.,u f nl9�T rN : 4 l � C4QA-7IJ I '<'U A C �
13. Soil Type(s): e"h-. / ffi D.�
14. Do the receiving crops differ ffrom those designated in the CAWMP? ❑ Yes Z No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes EANo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes FNo ❑ NA ❑ HE
acres determination?
17. Dues the facility lack adequate acreage for land application?
❑ Yes
PNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
�,No
❑ NA
❑ HE
Regained Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
%o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
fgNo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists [I Design ❑Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
JANo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
E4,No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
gLNo
❑ NA
❑ NE
Page 2 of
21412015 Continued

aP
Facility Number: - D - Date of inspection: L/'9��
�l
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes fANo
25. Is the facility out of compliance with permit conditions related to sludge? Ifyes, check ❑ Yes qtNo
the appropriate boxes) below.
❑ Failure to complete amoral sludge survey ❑Failure to develop a PDA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating noncompliance:
❑ NA ❑ NE
❑ NA ❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes J�ZNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
ViNo
❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
VNo
❑ 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
%No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
TT
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
QNo
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface file drains exist atthe facility? If yes, check the appropriate box below.
❑ Yes
h1No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
i"
32, Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yea
WNo
❑ NA
❑ NE
33. Did the Review dhapector fail to discuss review/inspection with an on -site representative?
❑ Yes
R[No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
Q No
❑ NA
❑ NE
Comments (refer to question 1q: Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
fnJ6�g i d
.Le 1
tja'6iJl7 Gb
�1�5 I_i' 7�jo °a8 i�v" aln Cud
S I UV OT
�p clee� 3 % cw
l
fpvi C� Nu I S�cfu�Jle) Q �`��r�rzr 23 �UW�t1-7 %�
J car c 1�as
Ccifrh�riizvr Gv�zl �¢ CdC v r ao� F )Lo""c�ed hT la-31
ReviewerAnspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 1p�Zg—Dflp _�'r'r"'I
Date: (d I f
511212020