820335_Inspection_20190731

Facility Number: - 27 Date of Inspection:
Waste Collection & Treatment
4. 1 storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes � NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No E ❑ 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
be' 1� ❑ 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
[o ❑ 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
E! 1 o ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
0 Yes
E -r% ❑ 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
0 Yes
P-No- ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑'TTO ❑ NA
❑ NE
maintenance or improvement?
I L Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ETNo ❑ 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 C ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s): ��Gl
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 ❑"No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 214-o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
D�o
0 NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
E2--N
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
Ei <o
❑ 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 E!rNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ZNo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 6] No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - -z,7z;7 Date of Inspection:
24._I id the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [o ❑ 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?
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:
❑ Yes
❑ NA
❑ NE
❑ Yes
UIo
❑ NA
❑ NE
❑ Yes
QNd
❑ NA
❑ NE
❑ Yes E3-Ko' ❑ NA ❑ NE
❑ Yes g--No ❑ NA ❑ NE
❑ Yes [E"No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes o; ❑ NA ❑ NE
r
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes []�4do ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes to ❑ NA ❑ NE
Reviewer/Inspector Name: t J"� t I l G- (1-.�*(j Phone: ttU " tJ -'
Reviewer/Inspector Signature:
Date: lf/
Page 3 of 3 214120

" Division of Water•Resources
Facility Number 0 Division of Soil and Water Conservation 3`
' 0 Other Agency
Type of Visit: TC-Ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Q40outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
11
Date of Visit: Arrival Time: 10riS O Departure Time: .rl�l County: Region: _
Farm Name: Ali. y IO" rz;� Owner Email:
Owner Name: � d bat ✓y 4-000. Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
A6 60 Title:
�t
Back-up Operator:
Location of Farm: C ��lrlsyp,,. L I Latitude:
Phone:
Integrator:
Certification Number: lC)0 ZZJ(
Certification Number:
Longitude:
jkS f%3 c W (? ao l . wm S 1 ?611
Design Current Design Current ; . Design . Current,'
Swine.. .Capacity, Pop. Wet Poultry` Capacity Pop.. . Cal a "Capacity Pop. , ,
Layer
Non -Layer
Design, Current'.
Dry Poultry Capacity Pop.'
Other
Other
Discharnes and Stream Impacts
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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 []-N ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No C7NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) [:]Yes ❑ No En5'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 ,E®rNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes RNo ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued