260064_Inspection_20191114

Type of Visit: d7Routine
Hance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: iv Arrival Time: 2V:4
Departure Time: r County: Region:
o
Farm Name: LA�✓� �1 s` klj�c, 1' 4 ��`s yJ Owner Email:
Owner Name: G., Vvr/ I aNtt, -it, 2-r<sDl-L Phone:
Mailing Address:
Physical Address:
Facility Contact: �A0IV11-leIA- �(•�S01- Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator: pS
Certification Number: 76 3 2o
Certification Number:
Longitude:
Design _`Current
f
`_ ;:
Desrgny Current
� _ Design Curren#
Swine ." ,:.. Capacrty Pop _r,
�a
O�Vet Poultry
Capackty Pop
Cattle Capacity Pop
_
_
Wean to Finish
aer
Dairy CowWean
to Feeder 6 (�
41L
on -Layer
HFeeder
DairyCalf
to Finish
Dairy Heifer
Farrow to Wean
e D3esagi.: Current
Dry Cow
Farrow to Feeder
_
DryPon ltr = ""Ca -'act ,. - Pop.
Non -Dairy
Farrow to Finish
Layers
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? [:]Yes ❑-tom ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No [�'f�lA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No [3'NA ❑ NE
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) ❑ Yes ❑ No E NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ YesFj/No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued
Page 1 of 3 21412015 Continued

Facility Number: jDate of Inspection:
OU
Waste Collection & Treatment
44. Is�capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
Ea'*go
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
Ej< ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 1-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
Quo
❑ 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 Ej<o ❑ 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 �o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes � lvc ❑ 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 0'Ko- ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes QNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 2To ❑ 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): r '9�� (it% -6
13. Soil Type(s):
14. Do the receiving crops differ froAhose 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?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes ElrNo ❑ NA ❑ NE
❑ Yes QNo ❑ NA ❑ NE
❑ Yes
NA
❑ NE
❑ Yes
Eg4o
❑ NA
❑ NE
❑ Yes
19<0
❑ NA
❑ NE
❑ Yes
2 No
❑ NA
❑ NE
❑ Yes
2 No
❑ NA
❑ NE
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes <o
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ 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 �FNO
o
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
El NA ❑NE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number - jDate of Inspection: V
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes eI�o
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No
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 provide documentation of an actively certified operator in charge? ❑ Yes KNo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes io
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)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ 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?
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
❑ Yes ®moo ❑ NA ❑ NE
❑ Yes Ej�-<o ❑ NA ❑ NE
❑ Yes 04o ❑ NA ❑ NE
❑ Yes Egll1 o ❑ NA ❑ NE
❑ Yes
[!]'P'o
❑ NA
❑ NE
❑ Yes
CIrNo
❑ NA
❑ NE
❑ Yes
2To
❑ NA
❑ NE
i~iamments.'(refer to question #): Explain any. YES a nswers"and/orlt y additional i"ecomrnendatrons or iiy other comments ' '
Use ciraoigs.of f464 fo better, explaid situations (use addittonso-e' 40 wask 1al-pages as necess'aiy).
C
C9
Reviewer/Inspector. Name: is ([
Reviewer/Inspector Signature:
Page 3 of 3
00
Phone: lV 3 -33
Date: A
21412015