090005_Inspection_20190719

�-
Division of Water Resources
acility Number . p.� �� O Division of Soil and Water Conservation'-_',� _
O Other Agency
Type of Visit: O Compliance Inspection O Operation Review O Structure Evalua
Reason for Visit: O Routine O Complaint O Follow-up O Referral O Emerge
Date of Visit: — r Arrival Time: Departure Time:
Farm Name: �j-��`jY S �d �°'��C'ycr`Sr;%J/� -/Owner Email:
Owner Name:Phone:
Mailing Address:
Physical Address:
Facility Contact: �,e,171i5 Title:
O Technical Assistance
O Other O Denied Access
County: 7/.:7
_ • Region: ./ /A
Phone:
Onsite Representative: v Integrator:
Certified Operator: �j�� ,�� j�-�p �y�r j Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Design, ,Current. Design Current
Swine b' Capacity Pop.- Wet Poultry Capacity Pop:``
Wean to Finish
can to Feeder
71--'00—
Feeder to Finish
/L15-/
4000
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
La er
on -Layer
Design Current
Dry Poultry Canacity Pan.
La ers
Non -Layers
Pullets
Turkeys
Turke 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 D WR)
Longitude:
Cattle
Design `'`Current,
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Yes
❑ No ❑ NA ❑ NE
'au or- Hog-
4ollhY_
I Yes
❑ No ❑ NA ❑ NE
[:]Yes
EJ 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 ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? D-Ves [:]No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes D- o ❑ NA ❑ NE
of the State other than from a discharge? (+
Page 1 of 3 21412015 Continued

Facility Number: - 0j jDate of Inspection: 5► �,+>
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): / 9
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 [] 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 Ea No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes O'1Vo ❑ 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 Q Y s [-]No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes <o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes Z 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): _s°Y7z4a
13. Soil Type(s):
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?
❑ems
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
[3-No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
D-No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
0 Yes
Q o
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
0"No
❑ 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 0'-No ❑ 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 0-1q�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:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Q�lo ❑ 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 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [3No ❑ NA ONE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
EP No
❑ NA ❑ NE
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?
❑ Yes
EJNo
❑ NA ❑ NE
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
❑ Yes
No
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
To
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
®No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
El'-N"o
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
[Yes
❑ No
❑ NA ❑ NE
pry AV_7i--, "
7�
. m Gvv" fc"7-'-4 eaY`o /`P� 7�Z r' .511 : d P�- rc� ��- a�i 7L%�- �I
Gvz` �f1�.y �--t��.'� � `�5`�.� 7✓O /�u.�r��l= `tc�of' f1 er.��/�d
T/✓i !f/G/� z' /'�✓Y/ iJ/Z �� rr�� Gam/ j57'
Reviewer/Inspector Name:
Reviewer/Inspector Signatm
Phone:
Date: 9 v/i`
21412015
Page 3 of 3