820378_Inspection_20200306

Ii ype of visit: U- -t ompuance inspection U uperation xeview U structure Evaluation U Technical Assistance I
Reason for Visit: Q"Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: b� Arrival Time: y c� Departure Time: S County: � �,{F17d, Region:
Farm Name: G �,"� "« &0 f LLL. Owner Email:
Owner Name: 1 ` Phone:
Mailing Address:
Physical Address:
Facility Contact: &' e�vL E 1-'c6Vuq e & Title:
Onsite Representative: 1 i
Certified Operator: 0 `n VL1-5
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator: 'TL) in
Certification Number: �(
Certification Number:
Longitude:
r
Des►gn
Current
Design Current
l)esigu Current
Swine
Capacity
Pop;
Wet Poultry "Capacity Pop.
Cattle
Capacity P®
t
_ F ,
Wean to Finish
Dai� i CowWean
to Feeder
+Layer
Non -Layer
Dairy Calf
R
Feeder to Finish
Dairy Heifer
Farrow to Wean
�
�
�
D'eslgn Currents
Dry Cow
o
Farrow to Feeder
I) , . Point
Ca act` 1?o
Non -Dairy
=
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
E Boars
Pullets
Beef Brood Cow
Turkeys
Other cep.
Turke Poults
_
Other
=
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)?
❑ Yes O-No, ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes [—]No
c[ [ A ❑ NE
9-NA ❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No E A ❑ NE
1 Is there evidence of a past discharge from any part of the operation? E3-Ve-s ❑ No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [R'Ii'o 0 NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: 6 'Z _ Date of Inspection: G Oja� -
ZC�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
E3-N66".
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
O-N-A-
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): g, S
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[3 1V O
❑ 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
Q_N6
❑ 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
�o
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
D<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
Q-Vo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes E 'Flo
❑ NA
❑ NE
maintenance or improvement?
�es
Isere evidence of incorrect land application? 1f yes, check the appropriate box
below. No
NA
❑ NE
j�E xcessive 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): C Li (iW i3
13. Soil Type(s):
C
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes LjKo
❑ NA
❑ NE
15. Does the receiving crop.and/or land application site need improvement?
❑ Yes [g"No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes D—No
❑ 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?
Reauired Records & Documents
❑ Yes �o ❑ NA ❑ NE
❑ Yes ❑ No- ❑ NA ❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
Quo
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
[ 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
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 []-No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: R �L- J -% Date of Inspection: oj,2
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Q-No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No
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 U_1�0
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [ o
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?
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes ®-No ❑ NA ❑ NE
❑ Yes �o ❑ NA ❑ NE
❑ Yes �o ❑ NA ❑ NE
❑ Yes B No ❑ NA ❑ NE
❑ Yes [-]No
[:]Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #): 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).
61L--12
u7
43 �a 5� t 4�z�cl� ea'teG C'r
lfo
'1i
G.'e_l(— C)B— �M
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Page 3 of 3
Phone: Jf--)33 ?,33 J
Date: �� lfi L ( IV
21412015