010002_Inspection_20191101

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Type of Visit: cp Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: to Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 11111M1 Arrival Time: 'q)o Departure Time: County:yi1anAnCc Region:WSP-0
Farm Name: V\e d ,mov,..4' Li v t.S-1-0 CY- Owner Email:
Owner Name: 3-0e Toy es Phone: / �_ 664— ?�b—1(� (W O`uK)
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Mailing Address: o \Jej* g-n. At-h mammy N(,' 4' ao?-
Physical Address: ,\ `Ci�ls l Y� (XL* 12d_ ' (1 GU—` Y�0\to In C 21 at i
Facility Contact: AA I. 0/`Ke r, Title: J Phone: "9j?j6—2 j0 — (&9
Onsite Representative: Integrator:
Certified Operator: t4 0 Y\.f Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: S \b' 2 T' Longitude: 1q a` 5'j"
-40 E - k-twy 'gi U Tit) mi rr.al�aw 7 ® has;n �.e�K.-. y 4-e (v
_ , _ ,_. , „,., , ,, .,.,: ..„., ,. .,, .... _..,:„.„,„-,--,,,•,,,,i,,,,.4,;..,,„,„--,..,,-in------ „,_,.,,,'. .. ,-,7-4
, : ' . ,.., „,„,„........,, _ :,c*ttr'oa,-;47,-vi::-O-r*-i'.::FF ,z1F. ''-:,--'''7,,r:Z,'..ipeitsit 7 li .,.,. :,..: %:::-.,,T.7: 1::-,p,:',,t -:, .,-,r, -7, 1-:--,..'!-'7,,--77.77-.,".:,..;,--:..._,!,,-a ,4-.- ..,a.
Wean to Finish Layer Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
1 Farrow to Wean 2 )0 Dry Cow
�� b 4
Farrow to Feeder : - .` i 4 Y Non-Dairy 3(�
Farrow to Finish -;M ��,., i Beef Stocker
Gilts Non-La ers __ Beef Feeder
Boars =•Pullets Beef Brood Cow
F•Turke Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 1X No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
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)?
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 El NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

(Facility Number: V 1 - Oa. I (Date of Inspection: 1� t 1reo(q
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes KNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: S
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): ci/ I
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes TA 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'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 rogl No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ No LANA ❑ 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 ❑ No t,g1 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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No yj NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No gj NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes 12:1 No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ] No ❑ NA ❑ NE
Required Records& Documents
19.Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes KNo ❑ NA ❑ NE
the appropriate box.
❑WUP ['Checklists ❑Design ❑Maps ❑ Lease Agreements ['Other:
21. Does record keeping need improvement? ❑ Yes No ❑ NA ❑ NE
Ia Waste Ap li a ion 131Fee..1.ly F,LA,L.,aiJ R Wa3L.Aiialys;s U641-Analysis rs ��y Baer ode
-ARftiofel+-74 Stocking op-\Lield I—I f. thl and , R i_f ll , ag1-._D—"ix_
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑l NA El NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No IA NA ❑ NE
Page 2 of 3 2/4/2015 Continued

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