780047_Inspection_20200207

Date of Visit: -1 f- ;iW Arrival Time: ep Departure Time: County: 12tke5--L
Farm Name: Owner Email:
Owner Name: c co � ��''�($ � /-cc.c�. �7 1K� ne:
Mailing Address:
Physical Address:
Facility Contact: Cr'vt,o Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Region:
Integrator: _r_
Certification Number: 1-7 L_'_)_j
Certification Number:
Longitude:
„' Design
Current; = Des�gmCua'rent .Design
` Curre t
Capas�ty,
Papa' .
Wet Poultry Capacity ''
Pop.
Cattle =Capad P�
tz"Swine
,
�. m :Da
_
P 3
Wean to Finish
La er
y
iry Cow
Wean to Feeder
I INon-Layer
-Cur�rent � _
Pm t "
Dairy CalfA-Aist
''
Feeder to Finish
„ „
1)ry'Poiiltry .n 'Capacity
Layers
Non -Layers
Design
;Ca
Dairy Heifer'`
Farrow to Wean
Mco I I Cl
Dry Cow
Non -Dairy
Farrow to Feeder
Farrow to Finish
Beef Stocker
Gilts
Beef Feeder
Boars
Pullets
113eef Brood Cow
—
Turkeys
Turke Poults
Other _:.: _
� .
Other
Other
zn
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ®�Io ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No [3-<A ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No [E 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 A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes [�;rNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes F:(No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued '

Facility Number: $' - ®v LC-7 jDate of Inspection:-. 7
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
❑-?O
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
0 No
E]- A�❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
q
Observed Freeboard (in): l
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
E!J'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
El -No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Q-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
n No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
r0 o
❑ NA
❑ NE
. maintenance or improvement?
11. 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 ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): p (f I- S(,- D
13. Soil Type(s): Ny-,A ( k
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes "Q-fNo ❑ NA 0 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 El"No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
El"No
❑ NA
❑ NE
Is there a lack of properly operating waste application equipment?
Fjy,6s
ER/No
❑ NA
❑ NE
uired Records & Documents
1 . Did the facility fail to have the Certificate of Coverage & Permit readily available?
O/Yes
❑ No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
FD- o
❑ 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 ❑ 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 E3"No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: -7- 1 Date of Inspection:
c�
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
Q,lo
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
E 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?
❑ Yes
[3] No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
EDN�o
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
�o
❑ 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
❑'K—o
❑ 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
[3lo
❑ 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
Eg,] 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
ET]No
❑ NA ❑ NE
•34. Does the facility require a follow-up visit by the same agency?
❑ Yes
Ff f/No
❑ NA ❑ NE
(� (% �C C✓( / L
7
g10-3o�- 6'�5 C
Reviewer/Inspector Name:
Reviewer/Inspector Signatur
Page 3 of 3
Phone:q( (%" g33-3 33 Y
Date: ''7-F-yk- Z c a G
21412015