090183_Inspection _20200729

Division of Water Resources :s`
Facility4Number_ 1-1` I - „/ 0 Division of Soil and Water Conservation
`n= . . r : i = 0 Other_AgencY .
Type of Visit: 6Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral O Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time:1 }-D0 Departure Time:14--9,',07,0 County:,YjRegion: 0
Farm Name: v7 k Ti o L54/17 Owner Email:
Owner Name: Ec i e_ j7J _ T— Phone:
Mailing Address:
Physical Address:
Facility Contact: SaG / Title: .c,_)//e."--- Phone:
7
Onsite Representative: �d�` Integrator: r� Wi
Certified Operator: -fir i Certification Number: //3o 7
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
E .t. . .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 �,a� _ —0— -- - Dairy Heifer
Farrow to Wean ° Design Current Dry Cow
Farrow to Feeder D 'Pout Ca.aci Po 1 . Non-Dairy
Farrow to Finish MEEME -- Beef Stocker
Gilts •Non-La ers -- Beef Feeder
Boars IN Pullets -- Beef Brood Cow
Other., •Turke Poults
Other •Other a
Discharges and Stream Impacts ,-
1.Is any discharge observed from any part of the operation? ❑ Yes ICJ 1Io ❑ 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? 0 Yes EK ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes EnCro ❑ NA y NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: - �Tsj Late of Inspection: �, --4
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ❑No ❑ 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): �3
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes allo ❑ NA 0-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 EKO ❑ 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 Q No ❑ 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 laN<> ❑ NA ❑ NE
maintenance or improvement? .
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes ErNo ❑ NA ❑ NE
maintenance or improvement? •
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ErNro ❑ 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 ❑ A plication Outside of Approved Area
12. Crop Type(s): ��%ilY ��//7 a./4 �7jrer..-e,
13. Soil Type(s): /.7(4,
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [ 110 ❑,NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes 12 No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable •
❑ Yes Er< ❑ 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 Q No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes Ello ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes Ko ❑ 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 El Waste Analysis ❑Soil Analysis ❑Waste Transfers eather 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 laglo ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E I1 ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: 9 - /r3 Date of Inspection: �--�
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes alllo ❑ 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: f�� / � � 1)
26.Did the facility fail provide documentation of an actively certified operator m charge? ❑ Yes I2-1Cro ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes [rlco ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ErICio ❑ 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 U 1 o ❑ 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 121VO ❑ 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 DIVro ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Er< ❑ 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? ❑ Yes L No ❑ NA ❑ NE
Comments(refer to question#):Explainany YES answers and/or any additional recommendations or any other comments.
Use drarvings'of facility to_better explain,situations(use additional pages as necessary).
fill•cY/-
fUYOUt" �� svF4 /7- ,0 yovr !- j
iffalealr ;tor edov t eLA x717-
Reviewer/Inspector Name: '' Pho e: -- �17-‘31
Reviewer/Inspector Signature: s Da e: 0J '(2`31
Page 3 of 3 2/4/2015