090167_Inspection_20200331

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pe of Visit: ©Compliance Inspection b Operation Review 0 Structure Evaluation 0 Technical Assistance
a son for Visit: ®Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
to of Visit: Z'1 ILA 9 Arrival Time: Z 5 0 Departure Time: Z-i`E'r County: B tj Region:F'r
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rm Name: . .,i'j tfrL .0G 4-1". 5 Owner Email: k . �l‘7 1
vner Name: ,Vat ti�VP t�Lott. �---1__G Phone: - 1
ailing Address: - 1
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ysical Address: A- k I 1
cility Contact: lilif K,e, L-- Title: ) Phone:
isite Representative: /( Integrator: 5'1 / VTR'�—
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:rtified Operator: ,U. Certification Number: `(-g 8 713 s
ick-up Operator: r tC Certification Number: 2_5' 2-33 :
C-v b 0 - 1
Ovation of Farm: Latitude: Longitude: i
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' Wean to Finish - Layer ' Dairy Cow 4 1
Wean to Feeder Non-La er -- II Dai Calf
'_ Feeder to Finish, = t°g .M Dai Heifer
/ Farrow to Wean gx , -•D Cow AIt
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'•Farrow to Feeder -� ,`.--`£ ' + g , . c 4,.r ' Non-Dai
Farrow to Finish
Layers Beef Stocker :;
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,; Gilts 0 Non-Layers Beef Feeder
•Boars ' (ry I 6 ir Pullets Beef Brood Cow
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lischarges and Stream Impacts •
.Is any discharge observed from any part of the operation? ❑ Yes ❑<o ❑NA ❑ NE
-
Discharge originated at: ❑ Structure ❑ Application Field El Other:
a. Was the conveyance man-made? ❑ Yes ❑No [ A ❑ 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 [i NA ❑ NE
Z.Is there evidence of a past discharge from any part of the operation? El Yes ErNo El NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued
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Facility Number: - / '7 Date of Inspection:-21 itt.` -6( 2)
Waste Collection&Treatment i
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes 111-Isitrin NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No0 NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):_ c-
Observed Freeboard(in): J S -
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes t[}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 [31.`do ❑ 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 9-1175- ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes R ❑ 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 No n NA n NE
Maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes [ t1 ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes EMT- ❑ 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): Q �LR.o/& h (2-Y
C�, . /
13.Soil Type(s): 1.&-tet
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes &HQ& ❑ 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 I0 0 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 caN ❑ NA ❑ NE .
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes No ❑ NA El NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes No ❑ 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 E o ❑ 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 n o ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ElYes No ❑ NA .❑ NE
Page 2 of 3 2/4/2015 Continued

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Facility Number: - - /61 Date of Inspection: a
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑. ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑f--1 ❑ 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 111...Ntr ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes [11-31-r ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ElYes 1_Ntr ❑ 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 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 [ 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 J_N❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [21-N ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑.Yes Q'N10 ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? 0 Yes Q-NO ❑ NA ❑ NE
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Reviewer/Inspector Name: "� `t l 01.911v
Phone: (,�l�— l��3-�`�
-Reviewer/Inspector Signature: tt Date: ULCl.41l719
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2/4/2015