310226_Inspection_20191018

1Tnmber I i ICO
ae �: Q Other a
Type of Visit: om ance Inspection Operation Review Structure Evaluation O Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
C] Departure Time: E= County: Region:
Date of Visit: Arrival Time: P
Farm Name: �,1�/hD�^�i YAP I �l%� t \ Owner Email:
Owner Name:Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: _
Back-up Operator:
Location of Farm:
r
Swine Cl
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other �
Other
Title:
Latitude:
of
et Poultr
L_
Phone:
Integrator:
Certification Number:
Certification Number:
Layers
Non -Layers
Pullets
Turkeys_
TurkPoults
Other
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:
2±nLC.ow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
❑ Yes
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No NA ❑ NE
❑ Yes o ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
21412015 Continued
Page I of 3

Facili Number: -
�a Date of Inspection: v
Waste Collection & Treatment ❑ NA ❑ NE
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ NE
a. If yes, is waste level into the structural freeboard? Yes ❑ No ❑ NA
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?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
1 e Ian?
❑ Yes � ❑ NA ❑ NE
❑ Yes E JX ❑ NA ❑ NE
waste management or c osur p
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, NA notify D❑WN
[-]Yes �o ❑
7. Do any of the structures need maintenance or improvement? Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Quo
(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 �10 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
Yes
❑ NA
❑ NE
maintenance or improvement?
incorrect land application? If yes, check the appropriate box below.
[:]Yes - o
❑ NA
❑ NE
11. Is there evidence of
❑ Excessive Ponding ❑Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals
(Cu, Zn, etc.)
Manure/Sludge into
Bare Soil
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate
❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
❑ Outside of Acceptable Crop Window
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑Yes `"C/
❑ NA
NA
❑ NE
❑ NE
15. Does the receiving crop and/or land application site need improvement?
°
❑ Yes �❑
❑ Yes �o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
❑ Yes o
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
`'d'
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage &Permit readily available?
Yes
❑ Q'N
o
❑ NA
❑ NA
❑ NE
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑Yes
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps Other:
❑Lease Agreements
❑ Yes o ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑ Sludge Survey
❑ Yes [�'l�0 ❑ NA E
22. Did the facility fail to install and maintain a rain gauge? ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
21412015 Continued
Page 2 of 3

Facili Number: - Date of Inspection: /�11019
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [v]'1Qo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes EE['No ❑ NA ❑ NE
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 E No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No C24A ❑ 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?
Comments {refer to question ft EVIairi any Maa ers am
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes [�o ❑ NA ❑ NE
[:]Yes [3-No ❑ NA ❑ NE
❑ Yes [ No ❑ NA ❑ NE
❑ Yes E3/No ❑ NA ❑ NE
❑ Yes ENo NA ❑ NE
❑ Yes EyNo ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
Phone: ( Q -1 % liff
Date: [0�10)tq
21412015