090103_Inspection_20191203

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C�"Division of Water Resources
Facility Number - /D3 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: O'Csompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint ollow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: /QZ—,j—/`j Arrival Time: -3 c3 Departure Time:I 3 ;£5 County: Region: � (D
Farm Name: fhtyyL #pe. 7 t,tt, Owner Email:
Owner Name: hij 3 1k1(4 e0,22/! Phone:
Mailing Address:
Physical Address:
Facility Contact: 6_1)-1 .5 ZJ W i Title: /e S Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder D Pouf Ca s ad Po.. Non-Dairy
Farrow to Finish EIME __ Beef Stocker
Gilts - II Non-La ers —_ Beef Feeder
Boars II Pullets -- Beef Brood Cow
111153
Other •Turke Poults
Other •Other --
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No ❑ NA Elicr-
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 LattF -
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ No ❑ NA Q-NEe-
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

(Facility Number: c" - /1)3 'Date of Inspection: /22 3-- `
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ❑ No ❑ NA 124
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA 13 E
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA EKE
(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 Er<1E
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 l_J
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ No D NA I�IE
(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 0 Yes ❑ No ❑ NA IE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need D Yes ❑ No ❑ NA E/NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ❑ No ❑ NA EKE
NE
❑ Excessive Ponding D Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. 0 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 0 NA EKE
15. Does the receiving crop and/or land application site need improvement? ErYes ❑ No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA []-NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA IJ1 E
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ No ❑ NA ❑TIE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes ❑ No ❑ NA EKE
20.Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes ❑ No ❑ NA Er-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 ❑ No 0 NA laNE
❑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 ❑ No ❑ NA 2.1cfE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA 1 •1E
Page 2 of 3 2/4/2015 Continued

'Facility Number: ei— - /03 'Date of Inspection: 4,Z-.3 /9-
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes El No ❑ NA
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 1211(
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No ❑ NA Et<
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ 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 (ago ❑ 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 ❑ No ❑ NA Q-NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Q'No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes Erislo El NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? E'es ❑ No ❑ NA ❑ NE
Comments(refer to question#):Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
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Reviewer/Inspector Name: , 7w`-L ( ��--_, Phone: 91l9',ji3 i)15 /
Reviewer/Inspector Signature: Date: 6 ZCt 3 20/7
Page 3 of 3 2/4/2015