820034_Inspection_20200813

'W.:V.dr,rilFP'tt 'irivnko--;L'a-e-:W-AWo-!',S,,,tilc9 kot,r-3-,,,,1147-,ig-g."-AW,--4410,1,3404,tsefririv--,2.,
1 M . A0-' sa `je� �
;h
xvr ' t9 ,4M4 ,� '§ x5 5 _ >4 ,.�4 :, 3;f ..t.. 1'4-'.
pe of Visit: ( Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: •Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0QDeen�9ied Access
to of Visit: 13 72 oP Arrival Time:1 1 4$ fk-
Departure Time: e1;•�0 �— County: S�/�r���l �0 N Region: F4-1/
rm Name: <9 b 0 a-e'l Eay%44 Owner Email:
vner Name: it,e`i0 k 0 Lt., LL`—' Phone:
L
ailing Address: I
1
lysical Address: i
Lcility Contact: IM i A.0-Y2 _Iv 6 v`~15 Title: Phone:
q��
'site Representative: I( Integrator: /v4 (3g AA t✓ `� i j
l
:rtified Operator: tbt ref`t.-44-- Certification Number: 7/7_,[�.L 9 ? ,
a
ick-up Operator: Certification Number:
]
cation of Farm: Latitude: Longitude:
i
1
i
1
3 � i
a I I xp
¢ 9'. "' '' .Ms. aay ter` .",.. - ;g a «, k .a�`�'"�?�.-i§'# ... m ="€'..z.. ... ;�,.�,,, '». �..s�. - -- 'x`r. i
• Wean to Finish Layer N Dairy, Cow _______ I
Wean to Feeder Non Layer Dai ' Calf
• Feeder to Finish i -0 �0 — - r .. Dai Heifer
s
Farrow to Weans` ,.. '..' ' ",*
OD Cow
. - I': . ' o M Non-Dai
Farrow to Feeder —: � a: �;,
• Farrow to Finish Layers Beef Stocker
Gilts wai.At-
Non-Layers ES Beef Feeder %
I MI Boars Pullets - BeefBrood
-- Cow
Y , : j ■Turke S a
• 401 t
Turkeous
Fill Other -- Other ,, , :. '-�
,h,,,,.4:« C.—W,tU,�e.�"t?tn. 04 ,:31=1", r-4,'W: - ;, ' .-',:',,,., .. -s -*4r..k.:, ,17g;`=4a'"iTZ' eTr, ;�::. T S.j^*.m+z ,,"": ,.f;:A't ...: ''.,e, -.' '-�-.`,11&,.... r,,-ka
lischarges and Stream Impacts
.Is any discharge observed from any part of the operation? ❑ Yes 0--1 - ❑ NA ❑ NE
Discharge originated at: ❑ Structure E Application Field D 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 0'gIA ❑ NE
?.Is there evidence of a past discharge from any part of the operation? ❑ Yes [ o ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [r No ❑ NA ❑ NE
of the State other than from a discharge? -
i
Page 1 of 3 2/4/2015 Continued

Facility Number: - I.f Date of Inspection: 13 4.4) 6 3J
Waste Collection&Treatment -
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes [EJ)kr-❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ' ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .1 Z
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 3 I
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 '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? ❑ Yes lallo ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes [moo ❑ 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 El Yes . ®moo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes D' -No ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes Q No D 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 ElApplication Outside of Approved Area
C- 612.Crop Type(s): t-{
13.Soil Type(s): O,) of (, (A) C(
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes o ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? 0 Yes ['� ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 1:2>kr ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes ❑ ❑ NA ❑ NE
Required Records &Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes [p ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily,available?If yes,check ❑ Yes. ❑ ❑ 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 [ --1$ ❑ 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 ©— ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [hiQo ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: ( Z B I Date of Inspection: I 44)b `Z9
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 D 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 1:!7_1› ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes N o ❑ NA ❑ NE
Other Issues .
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes l[' 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 E 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 trNo. ❑'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 'o ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Ef ❑ NA ❑ NE
Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑-NA ❑ NE
33. p P
34.Does the facility require,a follow-up visit by the same agency? ❑ Yes �No ❑ NA ❑ NE
milt`tiOl reeomanendal iiii o°'an°i ther:� an rien..
CO�ients� refer=ta uestiunY# �1�p,1`affi;an�YE5::ansvtiersaII�%or,an ;a 4c . _ t� �. y :-:,� ��=
t.. Zr•}�:. 4- .f � l _ f+ � .F:.. 3 r-.*,Y+< _ .zr•, � -t-. `Yi.
Use dra mgs'of facAtiy to b,d er`.XP14 gAl.4_ions( $0144ttional pagO a Ae'Cg*.t.D` r _,�_,--- 2\SMaY� ;..Mi' AA M_.._
cou ec.).„ed
C 65 t Lt 0-ouk_ f Kec-e4 it(
t.AL I5 tetti . o`er G (tt,t -
J 1
r , ,
Reviewer/Inspector Name:• l 6` - uvvt a Phone: 4l o-l;33_3 3(1
Reviewer/Inspector Signature: ""l O-�I'4 Date: / 4_06. ZO
Page 3 of 3 - 2/4/2015