040031_Inspection_20191014

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�- Div�s10n of:WaterResaurce`s f� a
Fae�ty Number ® Obi Soil and Water Conservation ,
r 0 Other Agene'y,. _
Type of Visit: Oltompjiance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: eRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: bL Arrival Time: Departure Time: County: g 8rt Region:(---r*—
Farm Name: tIAF- Q l�'� Owner Email:
Owner Name: �t=G Ld�jl( Phone:
Mailing Address:
Physical Address:
Facility Contact: �,ue�j �ol�Ct/��� Title:
Onsite Representative: <
Certified Operator: (c
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator: '�j� �S
Certification Number: 2�-C7�7
Certification Number:
Longitude:
:.
Design Current ;_
Desegn torrentDesignCurrent
: Swine _ Capacity
Pop ,
F
`� Wet Poultry
_ Capacity Pop
Cattle Ca acaf `'Pop
-
jj
Layer
Non -La er
-
Design Current
ultry , ` Ca , neiiy Po =
-=
surkeys
--
Ober
- -
_�
-
s
3
Other
-
-
E
-
y
Wean to Finish
Wean to Feeder
$ 5 Z
�O
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
ers
Turkey Poults
Other
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
on- airy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Imaacts
I. Is any discharge observed from any part of the operation?
❑Yes
�ff
❑ NA
❑ NE
Discharge originated at: ❑Structure El Application Field ❑Other:
a. Was the conveyance man-made?
❑Yes
❑ No
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑Yes
❑ No
[]' T1�A
❑ 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
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑Yes
No
❑ 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 1 of 3 2/4/2015 Continued

cility Number: - Date of Ins ection:
aste Collection & Treatment
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
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): q
5;. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
Structure 5
(o ❑ NA ❑ NE
❑ No NA ❑ NE
Structure 6
❑ Yes [g-m ❑ 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?
I
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 Ej<o ❑ NA
❑ NE
8I. 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)
4. Does any part of the waste management system other than the waste structures require ❑ Yes I-1 9 ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes t<o ❑ NA
❑ NE
maintenance or improvement?
1'1. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [2�,?o DNA
❑ 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 AcceptableCropWindow ❑ Evidence of Wind Drift 0 Application Outside of Approved Area
12. Crop Type(s): (� lJ P g6 -0
11 . Soil Type(s): I J 1� c y 4� K P o
r�
l . 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
I acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑DrNo
❑ NA
❑ NE
❑ Yes
[E]No
❑ NA
❑ NE
❑ Yes
[✓] No
❑ NA
❑ NE
❑ Yes ENo ❑ NA ❑ NE
[:]Yes [2No ❑ NA ❑ NE
ncuwicu nccuiu� a LUCULICLLLJ
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[� No
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
YNO
❑ 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
[ o
❑ NA ❑ NE
El 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
o
❑ 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: jDate of Inspection: _®G
24., Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Ergo
r
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Eq<o
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 E5,PFo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes EA,<o
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
❑ NA ❑ NE
❑ NA ❑ NE
0 Yes [;],Go ❑ NA ❑ NE
❑ Yes oil ' o ❑ NA ❑ NE
❑ Yes [?lq-o ❑ NA ❑ NE
❑ Yes [3155 ❑ NA ❑ NE
❑ Yes ❑.No
❑ Yes E ' o
❑ Yes E;FNo
❑ NA ❑ NE
❑NA ONE
DNA ❑NE
Corsi nts (ref to question #): Explain any YES answers and/or any additional recommendations or_=any otherzcomments.
Use drawings of facility to better explain situations (use additional pages as necessary).
CIO
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
11 pvg 16p Phone 2L!B �
Date: 114 nGr l
21412015