090199_Inspection_20201014

' II EP'— /u '7.7 A'
; ".vision of Water Resources •
Facility Number= -1f I - /? --O Division of Soil and Water Conservation
x 0 Other Agency
Type of Visit: G-Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: C-,1fldfiltine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: /O-/4 Arrival Time: jr,!pa Departure Time: eI j�� County: fah ,Region: t x.o
Farm Name: J�lyf%�J i 49Zf //CAlt- i4c¢/ It-2— Owner Email: «5
Owner Name: dee.,47i^ f y �s„s //C- Phone: r
Mailing Address: -
Physical Address:
Facility Contact: ��d%/i� ,„ �F\ k Title: � '2--e__,, Phone:
Onsite Representative: .5sr ve_ Integrator: jylfre 1-/1
Certified Operator: %/Y2 /1 tZ, Certification Number: ,,z2 o,
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 'WO Non-Layer Dairy Calf
Feeder to Finish ` _ Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder D Pout Ca s aci Po. = Non-Dairy
Farrow to Finish • -- . Beef Stocker
Gilts •Non-La ers Beef Feeder ,
Boars - •Pullets Beef Brood Cow
•IMEEMM ,
Other •Turke Poults -
Other Other •Other --
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes [ o ❑ NA ❑ NE
Discharge originated at: ❑ Structure El Application Field El 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 [ —KO ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 0 ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: - ! 1 ' J 'pate of Inspection: /0/Ij.-
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): 3 ) 3
Observed Freeboard(in): V I 332-
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes D' 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 [6]No ❑ 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? ales ❑ No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes Er 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 Q-io ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes 12 N ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes No ❑ 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): 1m oelo /`/, /�
13. Soil Type(s): )C)G�/A1T` 1(46,% jfl / ('DG1
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ 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 []No ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? 0 Yes la110 ❑ NA 0 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? 0 Yes [r No ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes I[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 la -No ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes Q No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: �}-- / 99 Date of Inspection: /0—iti'.;2
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes To ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes 12-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 Erg-Cr ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑�Vo ❑ NA ❑ NE
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 12 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 l 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 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 134 ❑ 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 [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). _'
a1,5 re7-970.ez-1 Dom'/now
/J 1D ► `P'\.,4)ere, E' �'r.G-�/�9 c �'2 t' Gt4/ - SI-75167TAIA
Reviewer/Inspector Name: ✓ " "cr-e_ Phone: 0 Z 3 O,tz
Reviewer/Inspector Signature: Date: /U
Page 3 of 3 2/4/2015