820173_routine_20240909

„ vision of WaterResources
Facility Number, - 0 Division of Soil and Water°Conservation f'
• _ _ . 0 Other Agency
Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
treason for Visit: D-ebutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: � Arrival Time: } © Departure Time: j 0 i County: ,�� / Region: -Frl o
Farm Name: !2,LA,1 � J�Cpdylti Owner Email:
Owner Name: -B%artda- �(it�,6 Phone:
Mailing Address:
Physical Address:
Facility Contact: e'-Me 1 Title: kz-,, Phone:
Onsite Representative: 15-1-Integrator: � �t. f0j
Certified Operator: ��"t-�� y �/�� Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
. Design Current
Swine,' Capacity -. Pop:
Wean to Finish
Wean to Feeder l7 jam'
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other: .
Latitude:
Design Current
Wet Poultry
Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultrv'
Capacity Pon.
Layers
Non -Layers
Pullets
Turkeys
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?
Longitude:
Design+ Current
Cattle ¢Capacity ` Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes 4alVo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
E5-f�o
❑ NA
❑ NE
❑ Yes
[ Io
❑ NA
❑ NE
Page 1 of 3 511212020 Continued

Facility Number: - Date of Inspection:
6
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
ET -No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Struc e l Struc e 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: '
Spillway?:
Designed Freeboard (in):_
Observed Freeboard (in): /V 3
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[fNTo
❑ 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
[:I -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 [D No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? [:]Yes [;�Xo ❑ 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 O110 ❑ 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 O o
❑ 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): �/ /W Y ��L �-/h am .
c-e Id
p�yS
13. Soil Type(s): .C�� l a�
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes [a -No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes [ o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes []-N-o
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reauired Records & Documents
❑ Yes [J]No ❑ NA ❑ NE
❑ Yes T No ❑ NA ❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes Dngo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes [3-No ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Ea -go ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes E5No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E5No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - Date of Inspection: —�}--
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [�-I�o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [3-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 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?
24. 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
2lo
❑ NA
❑ NE
❑ Yes
0 o
❑ NA
❑ NE
[:]Yes �o ❑ NA ❑ NE
[::]Yes �o ❑ NA ❑ NE
❑ Yes ❑-No ❑ NA ❑ NE
❑ Yes 10 [__j NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
[],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
to
❑ NA
❑ NE
as necessarv).
Coln
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: /to _3c7_�— ES/
Date:
511212020