090103_Inspection_20191101

ivision of Water Resources
Facility Number - /0_3 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: -Compliance Inspection 0 Oper 'on Review 0 Structure Evaluation 0 T clinical Assistance
Reason for Visit: 0 Routine 0 Complaint Follow-up 0 Referral 0 Emergency Cher 0 Denied Access
Date of Visit:1'f-'-' " I Arrival Time: / !Uu Departure Time:( /;v j County: ,. RegiontJ
Farm Name: ylam Owner Email:
Owner Name: id 3 g)PT1L 4-i i,8,s Phone:
Mailing Address:
Physical Address:
Facility Contact: cc)Tt 3 /k) G Title: 741 c. Phone:
Onsite Representative: 1Q1J b- -i- Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location 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
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder D Poul Ca aci Po•. Non-Dairy
Farrow to Finish -- Beef Stocker _
Gilts •Non-La ers -- Beef Feeder
Boars •Pullets -- Beef Brood Cow
MIEEZIM
Other •Turke Poults
Other •Other --
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No ❑ 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 ❑ 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 ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ No ❑ NA EK
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ No ❑ NA EKE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

(Facility Number: ` . - J 103 Date of Inspection: //--1 r 42•Z Fr
Waste Collection&Treatment �/
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ❑ No ❑ NA 1=J (
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA `
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA [9'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 ENE-
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 ❑ No ❑ NA
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ No ❑ NA ❑ gr
(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 ❑ No ❑ NA [ -
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes ❑ No ❑ NA [1—NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ❑ No ❑ NAal‘
❑ 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 0 Application Outside of Approved Area
12.Crop Type(s):
13. Soil Type(s):
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No ❑ NA lalql
15.Does the receiving crop and/or land application site need improvement? . S'es ❑ No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA a3Qr
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA 1:1-1hte
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ No ❑ NA
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes ❑ No ❑ NA lEr<
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes ❑ No ❑ NA —
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 I31QE-
❑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 ❑-1d1
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA lag
Page 2 of 3 2/4/2015 Continued

(Facility Number: C" - /t3 (Date of Inspection: /t— 1,0/
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No El NA Ifr<
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No El NA ❑'I(E
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 algE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No ❑ NA E'1'IE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ 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 I 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 IZr•-lo ❑ 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. El Yes ❑ No ❑ NA IE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 13 No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes [�No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? Erfeis ❑ 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).
6 "V�,�r. W rt`7��re,c / va1C 7 c"�ur7-,S pP. err-0,•�
/YLO c iJ i 13 `T r (-raa 7 Yt. lAihed' 1,5 S 74CA.94 TO h ��/WI Giol a
.57,Te..4 e .--Iret,As 1-30 4 4iS hi)e‘e. -T-7- „.„0--, Hy'
Reviewer/Inspector Name: s.'T—�,;�y Phone: 9---__ZO3--O I St
Reviewer/Inspector Signature: 4e5:1/---- Date: //— (—a /
v
Page 3 of 3 2/4/2015