040008_Inspection_20190930

I YPV Ul V 151L. TB1.U111p11ill UU 111JpeCHUn l.J Vperation Kevlew l.J structure Evaluation V I ecnnicai Assistance I
Reason for Visit: c1xoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time:
Farm Name: kc U "'� �'(i�`4 ��� �uaM7 Owner Email:
Owner Name: 6LI-1 � u%C� 1 Phone:
Mailing Address:
Physical Address:
Facility Contact: Kea lti rRO14 r Title-
Onsite Representative: 1
Certified Operator: It
Back-up Operator:
Location of Farm:
Latitude:
County: }�y(S�✓j, Region:
Phone:
Integrator: cN�'ky�l 1G (OP
Certification Number:
Certification Number:
Longitude:
s
Design CurrenCLm
Design
Current"
Design Current
Swine
= Capacity
Pop
Wet Poultry
Capacity Pop
Cattle Capactfty Pop
....,t
�-
Layer
_��
13
Non -La er
12,
°
Design
Current
Di P©ulti
Ca ac`
Po
Layers
_
_
Non -Layers
Pullets
Turkeys
_
Qfher„
Turke Pouets
Other
Other
Wean to Finish
Wean to Feeder
SS 2
�
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Discharees and Stream Imaacts
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
E3 6' ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
[-]Yes
❑ No
[]-IQA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
�NA
❑ 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
[?TA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
gXo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
� No
❑ NA
❑ NE
of the State other than from a discharge?
Page l of 3 21412015 Continued

Facility Number: - Date of Inspection: O S,r
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Identifier:
❑ NA ❑ NE
❑ No [�IA ONE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): a
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
❑ Yes E�No ❑ NA ❑ NE
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?
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
2 o
❑ 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
[&I-o
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
MNo
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes Ef'No ❑ 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): CcGd 9
�-O'
13. Soil Type(s): jJLo""Vti J
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes E�`No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ENo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes Ra NO ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
�No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[j***No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
ER<0
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑'No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ["No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes P"No
❑ Yes �10
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

y�
Facility Number: jDate of Inspection: O
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes El}
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [i-tQo
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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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?
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes
E4-1d'o
❑ NA
❑ NE
❑ Yes
U go
❑ NA
❑ NE
❑ Yes
®.?dD
❑ NA
❑ NE
❑ Yes 3-go ❑ NA ❑ NE
❑ Yes 10 ❑ NA ❑ NE
❑ Yes ®n<o ❑ NA ❑ NE
[-]Yes
®moo
❑ NA
❑ NE
❑ Yes
®'Ko--
❑ NA
❑ NE
❑ Yes
ED,?416
❑ NA
❑ NE
Comments (refer to question_#): Explain.any YES answers and/or any additional recommendations, -or any other comments.X
Use'drawings of facility.to Better explain situations (use additional pages as necessary).
vt gees
C'X 01d0—
Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
09r & $ 51 L ( k 1 0 �vw(e;:�(
Phone:l(o-03-33 3
Date: d
21412015