290007_Inspection_20190702

Type of Visit: MCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ` 40
I Arrival Time: Departure Time: County: b3VI y Region: W SIRD
Farm Name: Loge lt✓Q. Far m,51P H 1- L LIC
C-
Owner Name: er>�G rF to Sm
� ,I 1 I
Mailing Address:
Physical Address: t(5 15 L1 ✓ll l)Dl
Facility Contact: GeDY'6j ¢r ij 5" 1 +16 Title:
Onsite Representative: V
Certified Operator:
Back-up Operator:
Location of Farm:
Owner Email:
Phone:-* J -&" 2_y ! 9'53 ce0
Phone:
Integrator:
CG C l,2 sWl I Lk I Certification Number: f
<VK I '� h Certification Number: Y1V S �v I Z Zo�O
Latitude: -35" q31 >_2I' Longitude: �Do 18 r 7t
U5* 52 6) -I-V Liviwmcl
6✓(,i4
a_l' I L
0V1 fkrTavei
b ovt O(01 C1✓ItdlMd Rd
IHIII
Wean to Finish
La er
Dai Cow 7 pt3Wean
to Feeder
Non -La er
31111V
Dai Calf
D
Feeder to Finish"
I'���3t1 IDai
HeiferFarrow
to Wean
# iD
�Non-Dairy
Cow
Farrow to Feeder
E:.
Farrow to Finish
11
Layers
jBeef Stocker
l,
Gilts
�i
Non -La ers
1°
Beef Feeder
F
Iti'
Boars
�)
Pullets
�' l�
Beef Brood Cow)
II
I t ��i i
����j kk �
TuTke 9JIM
tl�:ki}
a j
I�Gid ;
Turke Poults
ij
MENOther
11
ili1317
ll4E((1=t1 }ry}(tt(
Ii
fl.!ti! it
S"t4 k
t
fill ltil III
ryi kii
Discharees 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?
❑ Yes `i"' No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes l+i`sl , No ❑ NA ❑ NE
❑ Yes lye No ❑ NA ❑ NE
Page I of 3 21412015 Continued

11
Facility Number: - Date of Inspection: "7 2
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [� No
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No
Structure 1
Structure 2 Structure 3
Identifier:
NQiN/
Spillway?: ✓
a/
Designed Freeboard (in):
pp
Observed Freeboard (in):
❑ NA ❑ NE
❑NA ❑NE
Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [)Q 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? T�
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 ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes M 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 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 ❑ NA
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)r
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Ai
12. Crop Type(s):
13. Soil Type(s):
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
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.
❑ NE
❑ Yes
[� No
❑ NA
❑ NE
❑ Yes
[8] No
❑ NA
❑ NE
❑ Yes
[K No
❑ NA
❑ NE
[—]Yes ® No
[—]Yes © No
❑ Yes 0 No
❑ Yes [S] No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Pries record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ® No ❑ NA ❑ NE
19Waste Applic tion [/fP Weekly Freeboard Analysis Soil Analysisxlaste T-�n�rs [�]�Weather Code
EKRainfall Stocking [Crop Yield onthly and I" Rainfall Inspections midge 3m ey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes M No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No [A NA ❑ NE
Page 2 of 3 1 214120-15 Continued

Facility Number: 0-7 jDate of Inspection: '1 2
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No
C❑j
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
No
® NA ❑ NE
the appropriate box(es) below.
74l
❑ 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
No
❑ 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?
21. Soi Is d(kC 2,0-2_0
24 . Co U twl dut 2-of 01 - m
H 2°lf 20 ( 11
21. C IneC -Nor foreeb C�1 � us
40 (r� i�C Q �e s � UAD b� i ll vw_�
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes [XNo ❑ NA ❑ NE
❑ Yes A No ❑ NA ❑ NE
❑ Yes']
No
❑ NA
❑ NE
❑ Yes
['g No
❑ NA
❑ NE
[—]Yes
& No
❑ NA
❑ NE
�OS
� j
�I"
21. 6nQv\
1
�5hlm c'0`1 N 1)57\
Reviewer/Inspector
Reviewer/Inspector
Page 3 of 3
1 hoh G. o� N vw1
Phone:
Date:--? Z
21412015