550018_Inspection_20201124

Fac�tty Number 5— ( C. °Division of Soil and Water Conservation
0;Other,Agency:'
Type of Visit: &'t;ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: t t-2,t4-1,07,10 Arrival Time: j i Departure Time: i 1 30 County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address: -
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
I
Design Current, Desi n Current Design Current
Swine .. ' Capacity Pap :Wet"Poultry ':Capacity Pop. Cattle Capacity `� "op.
Wean to Finish Layer Dairy Cow /
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean lies Current Dry Cow
Farrow to Feeder I1 Pultr Ca aet Pot. ':' Non-Dairy
Farrow to Finish 11111La ers Beef Stocker
Gilts Non-La ers Beef Feeder
Boars Pullets __ Beef Brood Cow
Other Turke Poults
Other •Other MIN�
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes a<o ❑ NA Ej NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes El No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA Ei 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 ❑ N El NA El NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ NA NE
u
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 'vv ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number: -- / Date of Inspection:
Waste Collection&Treatment
4. Is storage capacity(structural plus stoics storage plus heavy rainfall)less than adequate? ❑ Yes DiNo ❑ NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
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 [} 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"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 ErNo ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 $hlo ❑ NA ❑ NE
maintenance or improvement?
Waste Application 7
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes [ 'No ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes E$Vo ® 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):
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes laiNo ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes [ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes [TNo ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes EA/No ❑ NA ❑ NE
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes allo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes ❑N ❑ NA NE
the appropriate box.
❑WUP El Checklists ❑Design El Maps Lease Agreements El Other:
21. Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes '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 LNo ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA 134
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Facility Number: - l Date of Inspection: f— I
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ® Yes ❑ No 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 o ® NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes LI No A ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes O ❑ 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 al 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 0 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 ❑ No ❑ NA E
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes o ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ❑4' ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes O ❑ NA ® NE
Comments(refer:to gtiestion ) plain anyYE answers and/or any additionai'recommendations or any,other comments
Use drawings af.facili to'better explain situations use additional a ges as'necessa
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Reviewer/Inspector Name: J
p 1C., iLtiti
I Phone:
Reviewer/Inspector Signature: Date: //
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