090070_Routine_20240815

Type of Visit: (W Compliance inspection U Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit: ('gp5 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: r-2,Tj Arrival Time: ;? Departure Time: County: l Il duiy
Farm Name :`?l l n �q l ny fi �� r s ��� I� d Owner Email:
Owner Name:Ch L'l l l I Ion b G Nlme Phone:
Mailing Address:
Physical Address:
Region:
Facility Contact: (1 )j, Title: J-C, (��C_'
C�C , Phone:
Onsite Representative: C ti S VC, /�% � Integrator: (;M11-n- fj Pjd
Certified Operator: 1 rel I 7 XJIy Certification Number: q 1 V
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
w,
Design Ciirrent'
°
-Design Current
Design .'Current
Swine
Capacity n Pop a._,
Wet:Poultry
Capacity ' .Pop
Cattle
Capacity Pop °
Wean to Finish
Layer
F m
Dairy Cow
e.
Wean to Feeder
Z
Non -Layer
Dairy Calf
Feeder to Finish
=-
Dairy Heifer
Farrow to Wean
Resign --,-Current r °
Dry Cow
Farrow to Feeder
Dr =Potiltry :r
Ca acity Pop �:
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
a
°
_ .
Turkeys
'
C1t er.°
4
Turkey Poults
�
Other°
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ( No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: 7�
a. Was the conveyance man-made? ❑ Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
t
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facility Number: I Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: � .Qv Q C�1
Spillway?: N No
Designed Freeboard (in):
Observed Freeboard (in):�_ 9
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
Structure 5
No ❑ NA ❑ NE
No ❑ NA ❑ NE
Structure 6
❑ Yes No ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ 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 the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes] No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes Eq No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ 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): CPj w� V-1
13. Soil Type(s): R — CD I I%to-e - inl O
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?
❑ Yes b� No ❑ NA ❑ NE
❑ Yes [] No ❑ NA ❑ NE
❑ Yes
M No
❑ NA
❑ NE
❑ Yes
N No
❑ NA
❑ NE
❑ Yes
[q No
❑ NA
❑ NE
❑ Yes No
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes2SersNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: Date of Inspection: G
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check N/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 G(�v
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? ❑ Yes��No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
IN
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes allo ❑ 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"�MNo
❑ 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 �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 D11No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWW?
❑ Yes n 11 No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
[:]Yes �No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes `f�j No
❑ NA ❑ NE
Comments (refer to question,#): Ei'plain any YES answers_and/o"r any additional recommendationsor_any other comments:.'.
Use drawings of facili tWbelter°ex ht sit ations use addditloiial a es�as necessa ' 3
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: ( (
Date: 6102�
511212020