170007_Inspection_20190715

visit: W compliance inspection U Uperation Review U Structure Evaluation U Technical Assistance
for Visit: (,,Routine O Complaint 0 Follow-up 0 Referral 0 Emergency O Other 0 Denied Access
Date of Visit: I ly Arrival Time: Departure Time: (y County: `�WeI Region:Lkg2
Farm Name: d pkvl SkUPIC4 y ti56 �.f FiV Wl Owner Email: I IVY tAMaC e_�_@2UVL(0C(j Cj tyVA
_r >�
Owner Name: f'�Iy% Phone: how-3,-Mp—%R4-g032.
Mailing Address: 12-44p (cam vi� jyvl<c :Pad 3,_>,lavxNL -2 2) Z
Physical Address:
Facility Contact: V D�N Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone: cefl > % 51 q- f l i -?
Integrator:
Certification Number: ��. f V�>3
Certification Number:
'o` U
Latitude:jko Z5 2A l Longitude: -1 9 " IT 42
r iG
N t P- Cwv4+ e
-kJ
Hu1y IS3 E
Wean to Finish
Layer
Dairy Cow
Zb C)
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
€ Dairy Heifer
Farrow to Wean'
Dry Cow
Farrow to Feeder
I i
� ,l ,it il.tl
1, ((.} Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
yj�E Beef Brood Cow
Turke sis
Turke Poults
Other
Otherrl
llIs�
1
t�"�°"�9$ NJ
III
i u9I B
N! tax+i ii t' lilt{yiHE
i
P., t�t
ft Ik t
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?
[—]Yes ErNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
El No
❑ NA
❑ NE
❑ Yes
ER5o
❑ NA
❑ NE
Page I of 3 21412015 Continued

Facili Number: J - 7 - p` Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ENo ❑ 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: IL to
Spillway?:
Designed Freeboard (in): l�
Observed Freeboard (in): �!
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes E9 o ❑ 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 E Vo ❑ 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 ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [j 4o ❑ 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 dNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes fNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ENo ❑ 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
12. Crop TYpe(s): � 1 1 � ,I Q Vv! f k("j
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.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes
❑ No
❑ NA
❑ NE
No
❑ Yes
❑
❑ NA
❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
1 es
2
�No
NA
NE
❑ Yes
[ o
❑ NA
❑ NE
❑ Yes
EA/No
❑ NA
❑ NE
[:]Yes
[ /No
❑ NA
❑ NE
❑ Other:
21. Does record keeping need i provement? If yes, check t e appropriate box bel [_]Yes o ❑ NA ❑ NE
Waste Application [" eekly Freeboard [Waste Analysis Soil Analysis �ansfers E3 Weather Code
[Rainfall �toeking [Crop Yield [Monthly and 1"Rainfall echo Q Si4ifgz§urvey
22. Did the facility fail to install and maintain a rain gauge? does [] No NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: [Date of Inspection: —�
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [ZNo
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No
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 surveyindicating non-compliance:
❑ NA ❑ NE
� NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
ff No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ No
B/NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
[1] No
❑ NA
❑ NE
and report mortality rates that were higher than normal? 0� �`
No
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑
❑ 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
permit? (i.e., discharge, freeboard problems, over -application)
❑ Yes [2No ❑ NA ❑ NE
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes
34. Does the facility require a follow-up visit by the same agency? ❑ Yes
No ❑ NA ❑ NE
No®N ❑NA ❑NE
No ❑ NA ❑ NE
dNo ❑ NA ❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector
Phone: 4o __7%`7 9CW
Date: IZ5 2�)I!j
Page 3 of 3 ( / / / 21412015