090181_Inspection_20200331

1y 1 . 3 ' i k � � arm t# ._.7,! s�3 `i.a,3 t t� Y
pe of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit:, 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access ,
to of Visit: g i At, . Z0 Arrival Time: 3 r�t7 Departure Time:13`k'SP County: 6� e`'l Region: , y
rm Name: 1'ec.f 4-1_ I Z Owner Email: $t W 5 / ,i^o() 00 [) i
vner Name: .61 utio1'1y 13 o 11 LLG Phone:
l( i
ailing Address: 1
iysical Address: 1
i
Lcility Contact: IA i k-C. ,4 o''L$ Title: Phone: 1
I
usite Representative: l Integrator: g I1 1 /T f ELL i
ii 8g 73 1 _
rtified Operator: Certification Number: r�
ad Certification Number: aL 7_3 3 ,,
Eck-up Operator: f(i 1
_.
cation of Farm: Latitude: Longitude:
9
'
_ 1
VL
'-16
■Wean to Finish La erIII Dai Cow
—Kill Non La er - il Dai Calf 4 '
zmil Wean to Feeder a
_� '— a IN Dai Heifer
,. Feeder to Finish o� �� x -k a
F-im Farrow to Wean ; °''" , 3 � --1� 3 D Cow --
al Farrow to Feeder ' iz .4'' - ` , ' ' ;, Non-Dairy
La ers : ,Beef Stocker ?
Farrow to Finish _ `-'`j
t�Gilts :1 El Non-La ers �Beef Feeder
Boars , a Pullets Beef Brood Cow .
E Turke Poults 4 � `„' '
Other ,4 K �. � ,
rt Other � ' ;�, �- F ,-
ti' _. ;; .>:.:� yu , . ,:- ,...„. ,. -:in'^;�,x�mP.'e.; . -a ,a * O, s;.A sag `:�
)ischarges and Stream Impacts �,�,�
.Is any discharge observed from any part of the operation? ❑ Yes L'�"1V ~❑ NA ❑ NE
Discharge originated at: ❑ Structure. ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes E No 1'A ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No [Tr IAA ❑ 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 ,a1Rro ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes fNo ❑ NA ❑NE
of the State other than from a discharge?
Paee 1 of 3 2/4/2015 Continued

1Facility Number: - le/ Date of Inspection: &( t moo
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑_Aie—❑ NA ❑ NE
a.If yes, is waste level into the structural freeboard? ❑ Yes ❑ No laisaTEI NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?: - -
Designed Freeboard(in):
Observed Freeboard(in): .,6
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 (o ❑ 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 ID-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 allo ❑ NA ❑ NE.
maintenance or improvement?
WasteApplication
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes ago ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ❑'I ❑ 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): . Cr�r, ll ,/Y/I-61 SC5 0
13.Soil Type(s): W3. L
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes `E - o ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? 0 Yes �o ❑ NA ❑NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No Li NA 0 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 Li-No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? 0 Yes �o ❑ NA ❑ 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 [�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 IfNo ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ]�No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

1
Facility Number: 9 r f e / I Date of Inspection: / _II1c
24.Did the facility fail to,calibrate waste application equipment as required by the permit? ❑ Yes [Z].No ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑i 1*r ❑ 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 a_ie, ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ® . ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes - 1' ❑ 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 Erg; ❑ 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 �No ❑ 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 [r 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 1 to ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes 0 CrO ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes ©'Icio ❑,NA ❑ NE
C('� ��'�.y.�.-en s re€er>to qnuestio ifi :-- ain-auy�YESS answers�aud/or'aiy_addit<ona1 reco�nmendatLons-;or any other comments -:M_ -
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c(;l 6'1- c I . 9 f etf s�,:rt 16 p.ec., t c
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f,, � 1 i`tcce5 r s Qi 11):C.- n tti-ci D.P©(Jcv^ f�-ee9 a,I rr y OLDce <--,e a- c ,
(i.t..C.00411-4 k 0 C-ergy I Or tic.( c2-s�► bte,ks
c c,(t) —3 b- $ 6 sf
``( j'� �v. f „J Phone:1,k1" cfS 3 <)3 3
Reviewer/Inspector Name: t ( �1� 1/`e 99 �
''c,7 , •tAl
Reviewer/Inspector Signature:
( 0 (A..), Date: `,� Ittt(1620 kV
Pare 3of3 11{ - 2/4/2015