090198_Inspection_20200211

Ii ype u■ v 151t: %Gxulupliance inspection V operation tceview lJ structure Evaluation U l ecnnlcal Assistance I
Reason for Visit: Q-Ifoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ) ' `Z'd O Arrival Time: E Departure Time: . %; �o County: `
Farm Name: �j �� ��G�r scio r—a_ r-m Owner Email:
Owner Name: ►0 h j+l a���. �g.rwt S `"& Phone:
Mailing Address:
Physical Address:
Facility Contact: (Jeq C.1, k -- Title:
Onsite Representative: 1
Certified Operator: �'e
Back-up Operator:
Location of Farm:
Latitude:
Region:¢
Phone:
Integrator: "ol15
Certification Number:
Certification Number:
Longitude:
Design :Current
besig Ctea rent Desxg>i
Swine Capacity:.
Pop . Wet Poultry
Capacity PopCaCtleCapacity
.Current
Wean to Finish
La er:
v ° Dai Cow
Wean to Feeder . 00
�i Non -La er
Dai Calf
Feeder to Finish f 1, C'C
Farrow to Wean
I vo
_
Dairy Heifer
Destgn Cn rent Dry Cow
Farrow to Feeder
IDr1Duultr 3
Ca acto - Non -Dairy
Farrow to Finish
Layers
IR_ Beef Stocker
Gilts
Non -Layers
Beef Feeder
e.
Boars
S Pullets
Beef Brood Cow
Turkeys
�Oaer_ T urkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
MITo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
[—]No
/ NA
❑ 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
15 NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
[g No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
[:]Yes
KNo
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: 7 - f Date of Inspection:
Waste Collection & Treatment
4. Is heavy less
storage capacity (structural plus storm storage plus rainfall) than adequate?
❑ Yes
® o
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
Q" 1�A
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ^3 2-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
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
❑ N
❑ 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
[D No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
�Ko
❑ 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
Ea o
❑ 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 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):
13. Soil Type(s): Ali,, L_�G
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ETNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable [:]Yes To ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ Yes
10
❑ NA
❑ NE
❑ Yes
ETNo
❑ NA
❑ NE
❑ Yes
D<o
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ WUP [:]Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Q 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 E:fNo ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: Ct - 17 P, jDate of Inspection:Feb `W 2-6
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Ewo ❑ 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? ❑ Yes [3-<o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑moo ❑ NA ❑ NE
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?
❑ Yes © o ❑ NA ❑ NE
❑ Yes D-N-6 - ❑ NA ❑ NE
❑ Yes 0 ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
[DNo
❑ NA
❑ NE
❑ Yes
[]No
❑ NA
❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any ,other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
N-e_4 Cw- s ew CS C
Aiu _ '� ® .' -- 6 e S l
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Page 3 of 3
Phone
Date: .-'6'� Iey'l)
21412015