780021_Inspection_20191212

__ -_=Division of Water Reources: _ -
Fa'ciility Number , � � - Division of Soil and dVater Conse- Ittion
- �. Other- Agency -
rype of Visit: Commpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
2eason ^^
for Visit: �xoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: !Ge County: 12^So'1 Region: r
Farm Name: E '401` L �� ��(� off / Owner Email:
Owner Name: Na L(- ZjGLuL, o,,,(_ Phone:
Mailing Address:
Physical Address:
Facility Contact: ut�, Ji_g1 LI+L Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Latitude:
Phone: e
Integrator:
Certification Number: �l J
Certification Number:
Longitude:
Design"' Current, .`-,,.Design Current
rapacity Pop. Wet Poultry Capacity Pop. Cattle
Wean to Finish
Wean to Feeder
6
ex7
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
n+1, Ar
Discharges and Stream Imaacts
La er
Non -Layer
-- Designm ` Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Design Current
Capacity Pop
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
1. Is any discharge observed from any part of the operation?
❑ Yes
❑X-6—
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
[3 A
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
�TA
❑ 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
Eff NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
EJ N-o
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
[3fi4o
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facilityddumber: - -2-Date of Inspection: 2 !
7 i
Waste Collection & Treatment °
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes E-No ❑ NA ❑ NE
i
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No E] A ❑ NE
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 E],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 MNb ❑ 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
®moo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
To
❑ 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
0 No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
B-No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 0 o ❑ NA ❑ NE
❑ Excessive Ponding ❑ 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): i e� ct SG
13. Soil Type(s): NO
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑�o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [ o ❑ 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?
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.
❑ Yes [ o ❑ NA ❑ NE
❑ Yes D-N-o ❑ NA ❑ NE
❑ Yes [ o ❑ NA ❑ NE
❑ Yes ❑'lo ❑ NA ❑ NE
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [�o ❑ NA ❑ NE
❑ 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 t No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0-11'o ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facilit -Number: 26 - Z, j 7 1 Date of Inspection: � /71
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑moo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes EKO,
❑ 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 [g—Mo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ ❑ 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?
❑ Yes
Q'5o ❑ NA
❑ NE
❑ Yes
Q'No ❑ NA
❑ NE
❑ Yes
No ❑ NA
❑ NE
❑ Yes
No ❑ NA
❑ NE
❑ Yes , o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
[:]Yes �No❑ NA ❑ NE
Comments (tefer to quesdoti #): Explain any YES ansvveis and/or .any additional i ecommendations"or any other comments:
Use drawings of facility o'hetter explain° situations=(use additional pages as necessary).
7
Reviewer/Inspector Name: t �I
Reviewer/Inspector Signature: :c) ]
Page 3 of 3
Phone: Ile 33 <333
Date: �Dec, I l
21412015