820271_Inspection_20190423

is on of Water Resources
Facility,Number ,�� 7 I 0,Division of Soil and Water Conservation"
0 Other Agency,
Type of Visit: CT�omm�pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit:. (De outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 7 vt Arrival Time: Departure Time: ; S County:
FarmName: -ff' Owner Email:
Owner Name: -Aa 5'l� 1 r G Phone:
Mailing Address:
Physical Address:
Facility Contact: 1�)Uy y yr-C it ,,,P Title:
it
Onsite Representative:
Certified Operator: jd
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Region:t--zGy
Integrator: }4
Certification Number:/ 9 q % 7
Certification Number:
Longitude:
Design . Current Design Current . , ' ° Desigg, Currentt .`
Swine Capacity .''Pop. Wet Poultry' Capacity' 'Pop.' ` Cattle' ° . ;Capacity Pop.
Layer _
Non -Layer
Design Current'.
Dry Poultry Ca pacify- Po .
Other
Other
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
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?
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes LD-Ne U NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
25A ❑NE
❑ Yes
❑ No
❑INA'�
❑ NE
❑ Yes
❑-N—o
❑ NA
❑ NE
❑ Yes
fl-No
❑ NA
❑ NE
Page I of 3 21412015 Continued

Facilty Number: - 2 % Date of inspection: Z-3 ft
aste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [1To__ ❑�NA
NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �Z
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 2-11T65 ❑ 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 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 - oo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ED-No ❑ 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes EjNo ❑ 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
Drift ❑ Application Outside of Approved Area
12. Crop Type(s): �/�� s ,c � Cs0�uZ l�'lJ/
'
13. Soil Type(s): /-i�tij�� �i v c�l % �I - I myk
v
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Q-Adtf— D 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
©'?<o" ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
0-° ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
I__I No ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
E No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
E 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
[31�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
[�No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
E(No
❑ NA
❑ NE
Page 2 of 3 21412015 Continued

Faci�ty Number: jDate of Inspection: 9,J�-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes []]-16"' ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes []-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?
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 CAW 4P?
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?
CIVU 3%ry 1 q
C-i( `N'13 02-, k 51
Reviewer/Inspector Name: 11� f I
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes D-W ❑ NA ❑ NE
❑ Yes Q�do ❑ NA ❑ NE
❑ Yes [�o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes LD-?V ❑ NA ❑ NE
❑ Yes Eff No ❑ NA ❑ NE
❑ Yes E],No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes [; o ❑ NA ❑ NE
%,
Phone: qO L ;3
Date:
21412015