090086_Inspection_20200331

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acility Number •C0 Division of Soil and Water Conservation' ,
__ (' LOthej Agency...._.__. ; _ _ `` .. k -�_s
pe of Visit: ®'Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
ason for Visit: ®Koutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
/� eK R ion:
ate of Visit:111. .v,� Arrival Time: P!A s A Departure Time:I T: 'r t(o A County: 13. I� eg> Al
rm Name: F,f.-‘
2 L 0 Z Owner Email: +J I VW-5 (, f t\ Z d.LA; (�
vner Name: 61(4 He) h Y` 6/00 n L t_C Phone: •
ailing Address:
,
iysical Address:
tcility Contact: I '' i [` - 4 Y1't 144 OAS' Title: Phone:
( Integrator: ,4,4h it�e (t asite Representative: ( g
:rtified Operator: l Certification Number: q t% 7(3
ick-up Operator: Certification Number:
nation of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow 4
Wean to Feeder Non Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean 'V-tO' 2 tl i.q . Design Current - Dry Cow
Farrow to Feeder Dry PPulfry,_ .Caapaclty.,' 'Pop..., Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
F':. ,° Turkeys
$,.. Other' Turkey Poults
t.t: ill Other
Other
)ischarges and Stream Impacts
.Is any discharge observed from any part of the operation? ❑ Yes Ergo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No [9 NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ 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 [1' A ❑ NE
2.Is there evidence of a past discharge from any part of the operation? ❑ Yes []'Sio ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes EfNo ❑ NA ❑ NE
of the State other than from a discharge?
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2/4/2015 Continued

'Facility Number: 11 - 6o I Date of Inspection: '3 eet ersl
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes [ -I�o ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No [aNA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 2-7
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes lEr510 ❑ 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 [f(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 Ill/No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes [ No ❑ 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 [ '‹o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes [t]'f10 ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes [ NO ❑ NA ❑ NE
El Excessive Ponding ❑ Hydraulic Overload El 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 CropWindow El Evidence of Wind Drift El Application Outside of Approved Area
12.Crop Type(s): 14,C L� —s( U GU�
13.Soil Type(s): tt, C70 �jG l
14.Do the receiving crops differ from those designated in e CAWMP? ❑ Yes [' ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? 0 Yes "No D NA ❑ 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 �No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes la-No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes No ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes arSIo El NA ❑ NE
the appropriate box.
❑WUP ['Checklists El Design ❑Maps ❑Lease Agreements ['Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes [-IQo ❑ NA El NE
❑Waste Application El Weekly Freeboard El Waste Analysis El Soil Analysis ❑Waste Transfers ❑Weather Code
El Rainfall ❑Stocking El Crop Yield ❑120 Minute Inspections El Monthly and 1" Rainfall Inspections El Sludge Survey
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes [r No ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑' ❑ NA ❑ NE
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Facility Number: - k (Date of Inspection: ?t `ti 1_
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ago ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes Lld'I ❑ 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 110 ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 113No ❑ NA n 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 12'Z o ❑ 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 [a No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [e N ElNA ❑ NE
P
33.Did the Reviewer/Ins ector fail to discuss review/inspection with an on-site representative? ❑ Yes No ElNA ElNE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes 1 o ❑ 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 I V 0111.6p Phone:D 1)—-l3 3 3 3 3 ti
Reviewer/Inspector Signature: IS(4 -0 Date:~J[
1'W4i
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