770020_Inspection_20200219

-17 FAA 2v
Type of Visit: ('Compliance Inspection Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: GrTkoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: `d f. County: & j
P ty 6nta Region:
Farm Name: (J r1 d t/ 4 M 1M V114111 1-6tv-�.- Owner Email:
Owner Name: (nJ 1--vt J y hy)1 m o I, Phone:
Mailing Address:
Physical Address:
Facility Contact: (,] 14eT W\vkev-_5 Title:
Onsite Representative:
Certified Operator: 1/1
Back-up Operator:
Location of Farm:
c
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
`�
-
Deirgn Curren# _ lUes�gn Currentlesxgm
Outrret
Sdatue
Ca act'o _ Wet PoultCa
tS P ry p ?t3 p
Ca�ttleEE.;.. _ Capt fop
ANL
Wean to Finish
Layer
Dai Cow
Wean to Feeder
tl 2 CD •- 0 Non-LayerI
Dairy Calf
_
Feeder to Finish
Farrow to Wean
Farrow to Feeder
''
; lE3esign
Pont �`Capaei
Cuirrent
I'6.
Dai Heifer
D Cow'
Non -Dairy
Farrow to Finish
Layers
Beef Stocker u
Beef Feeder
Gilts Non -La ers
Boars Pullets
Turkeys
Beef Brood Cow'
Ober Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? [:]Yes [—]No [aNA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify D WR)
❑ Yes
❑ No,
EP-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
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 21412015 Continued

Facility Number: T7 jDate of Inspection: / .fU
2oz-Z
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
[3-N6- ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
[J'N-A—
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 2�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
Q-Iq°
❑ 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
ED 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
�o
❑ 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
[q'1`To
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
�o
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ 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): -er vvj,id% 144'y
13. Soil Type(s): cj-t.
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
❑ Yes
[�No
❑ NA
❑ NE
❑ Yes
E No
❑ NA
❑ NE
❑ Yes
E2' o
❑ NA
❑ NE
❑ Yes ONo ❑ NA ❑ NE
❑ Yes dNo ❑ NA ❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes 2No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check . ❑ Yes ["No ❑ NA ❑ NE
the appropriate box.
❑ WILT ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ 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 [ifNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ,4 No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - ZC-.� I jDate of Inspection: j
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes E�o ❑ 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 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 [ -56 ❑ NA ❑ NE
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?
❑ Yes [D Noo' ❑ NA ❑ NE
❑ Yes 10 ❑ NA ❑ NE
❑ Yes �o ❑ NA ❑ NE
❑ Yes [ZI-No ❑ NA ❑ NE
❑ Yes [3-No
❑ Yes �To
❑ Yes [,-lo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YESanswers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
C,GitI__�;o-�. - 6-IL-Il
Reviewer/Inspector Name: C V I. ' Phone: � b—q��—S3
Reviewer/Inspector Signature: v Date: 1 ',�
Page 3 of 3 21412015