450007_Inspection_20201203

• Division of Water Resources
Facility Number - ,3(�"p O Division of Soil and Water Conservation
O Other Agency 11
Type of Visit: 0 Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: )L 3 Arrival Time: j�p Hsu. Departure Time: ! eN� County: ' `d Region: A�
Farm Name: S ms- D- AIL Q Owner Email:
Owner Name: /</( "CA ?' -I C..PJ�' Phone: �L-�'- !✓ca -' �
Mailing Address: -7&9 fk'fle4z. Vr Clan o l ,/ n ,, 1 '-I�
Physical Address: IL _1-0 C leT FE h�,$�$ _ / / 11 S- 1�/ 1�. (',y� 0�/O 75%
Facility Contact: M 1( /11�i 1 A/ Title: � OW Ke,(L_ Phone: �jin - GBy -O
Onsite Representative: \I C�'✓V✓1 °v ""7ht- Integrator:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Swine
Certification Number:
Latitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Lz er
Nan -La er
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Dry Poultry Capacity Pop.
=Layers
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
Cattle tl, e".. / Caps�ylty
Dairy Cow 15o
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
_
Beef Brood Cow
_
❑ Yes M No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
[:]Yes
❑ No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
7I
Page I of 3 21412015 Continued

Facilit Number: IDate of Imperil 1' 3 Z9J
Waste Collection & Treatment /I
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes M No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure Structure 3 Structure 4
Structure 5
Structure 6
Identifier: /_6J&N(��505H
Spillway?: (,,F+p
Designed Freeboard (in):
Observed Freeboard (in):}, TI
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
541 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
KNo
❑ 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
5LNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
fZL No
❑ 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 stmctuues require
❑ Yes
EaNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
KNo
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
ELNo
❑ NA
❑ NE
❑ Excessive Pending ❑ 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�,�.C,O`
12. Crop Type(s): �AAAJA
rai n
MC/l.OI-
13. Soil Type(s):
/
1�l�tn�LSU le—'
14. Do the receiving crops differ $om
those designated in the CAWMP?
❑ Yes
E�[ No
❑ NA
❑ NE
157DnesT e receiving crop and/or land application site need improvement?
❑ Yes
K No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
KNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
%No
❑ NA
❑ NE
18. Is there a lack ofproperly operating waste application equipment?
❑ Yes
5�No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
t�f_qNo
❑ NA
❑ NE
20, Does the facility fail to have all components of the CAWMP readily available? if yes, check
❑ Yes
1 ,,�6 No
❑ NA
❑ NE
the appropriate box.
T'
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? if yes, check the appropriate box below.
U'Yes
❑ No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑Waste Analysis Soil Analysis
❑ Waste Transfers
❑Weather
Code
❑ Rainfall Shocking ❑Crop Yield ❑ 120 Minute Inspections ❑ ant y and l" Rainfall Inspecti
on ❑Sludge Survey
��
m 22. Did the fa'lity fzjl to install and maintain a rain gauge?
❑ Yea
No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
RNo
❑ NA
❑ NE
Page 2 uf3
21412015 Continued

Facili Number: PEA 3 03 Date of Inspection: 2p7
24. Did the facility fail to calibrate waste application equipment as required by the permit? M Yes ❑ No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 17 No
the appropriate boxes) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structures) and date o£first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes MNo
Other Issues
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
MNo
❑ 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
VNo
❑ 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
0 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
ENo
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
KNo
❑ 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
MNo
❑ NA
❑ NE
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Reviewer/Inspector Name: —11AA Phone:
Reviewer/Inspector Signature: �� Date: 1242 / 7
Page 3 of 2/412015