780063_Inspection_20200618

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pe of Visit: 0 Co fiance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: �J Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
to of Visit: C�_.j;,wY(.1C`Arrival Time: I I';v 0 (4- Departure Time: L c l_ `r" County: �� < � Region:
(-----1)y
rm Name: 0 e�k.� l,At a �� ` 0' Owner Email:
vner Name: C C (4 17 0 }6 'e`'Lc9'ttiY Phone:
ailing Address:
ysical Address: 1
cility Contact: i JL vtt r (7 eilPU Title: Phone: I
I
'site Representative: Integrator:
i
Ttifed Operator: Certification Number: a
1
ick-up Operator: Certification Number: 1
I
►cation of Farm: Latitude: Longitude: s
1
l
1
--t Design Current Design Current Design Current
. ` Caw t--';',:'-;:---r---,Po We .Poult Ca•acity Pop Cattle `S, Capaci Pop
si '''£_ sear''.-------
.- � k4' _ -x u. a'f`x.,-.' +. ram.' - _.
Wean to Finish Layer Dairy Cow
5. Wean to Feeder Non La er `.1,. Dairy Calf
y �, DairyHeifer
Feeder to Finish -? ,4 6 .''
Farrow to Wean IW���i' 'Design Current `' Dry Cow
"'�Farrow to Feeder ,_i i y ) '.Dry Poultry' Capacity Pop Non-Dairy
:vsFarrow to Finish r `Layers Beef Stocker
Gilts ,. Non-Layers Beef Feeder
Boars
Pullets Beef Brood Cow
r t , 4 -. t 3 , ; h Turkeys t rt �, t � y t
1, .-e,,:,, :' Turkey Poults ., r , }
Other Other X 04
lischaraes and Stream Impacts
. Is any discharge observed from any part of the operation? n Yes ❑ No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ["No ❑ NA n NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes [ No ❑ NA 1 ) 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
?.Is there evidence of a past discharge from any part of the operation? ❑ Yes [ 'No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters n Yes IE(No ❑ NA 1 l NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: 76 -9 3 (Date of Inspection: 't "
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ❑ No n NI, ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No L]—✓/NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in): r_
Observed Freeboard(in): ,Q,3
5.Are there any immediate threatsts 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 Er 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 hreat, notify DWR
7.Do any of the structures need maintenance or improvement? n Yes No I 1 NA n NE
8.Do any of the structures lack adequate markers as required by the permit? n Yes [3 No I 1 NA n 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 n Yes ❑ NA n NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need n Yes ❑ No n NA n NE
maintenance or improvement?
11. Es there evidence of incorrect land application?If yes, check the appropriate box below. ❑ Yes 0 No n NA n NE
n Excessive Ponding ❑ Hydraulic Overload n Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. n Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window n Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): e uku4,1
13.Soil Type(s): tiO(.(
14.Do the receiving crops differ from those designated in the CAWMP? n Yes I__I 1Vo n NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes E No n NA n NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes " No ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑N n NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes [r o ❑ NA ❑ NE
Required Records&Documents �-�,�
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? n Yes [ lvv n NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes No n 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 io ❑ NA ❑ NE
❑Waste Application n 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 ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? n Yes ❑ No ❑ NA n NE
Page 2 of 3 2/4/2015 Continued

Facility Number: '')(e p)- Date of Inspection: (8,rurt.k. ,'
24.Did the facility fail to calibrate waste application equipment as required by the permit? (l Yes [rNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes [r No ❑ NA 7 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? 7 Yes ❑'N�o ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes u l To ❑ NA ❑ NE
Other Issues ,--, LV°�
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes <� ❑ 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 'No ❑ 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 " Io ❑ 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 Erg-o ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes III No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes 'o El NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? El Yes ] No ❑ 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).
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Reviewer/Inspector Name: I J '�J Li\k_ '
Reviewer/Inspector Signature: cl l � p B' ..-K-47
Phone: 1w L(3 3 `� r(0 Date: 1 '.1 1 P'0 k)
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