820095_Inspection_20200623

&I 0 119 -y-3 Yok-c)
4 .:I , ,,,.." ,.. (3l ivision of Water.Resources
Facility Number ,� N : 73 ;�, E
4 Division of Soil ands ater�onse atio * �� , /4
;; . ri ; , ,.._: , ,A P ;r.; +g,A: O Other Agency. .¢ £_ __ . gg g., ,,, - ,',"
Type of Visit: er&mpliance Inspection 0 Operation Review 0 Structure Evaluation .0 Technical Assistance
Reason for Visit: saYRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ?RdArrival Time: e.e•d Departure Time: S ii 11 County: Sc-s4 ;L Region:Rill
Farm Name: tj I li -a-4.ff 6LJ46f1\ev1 Owner Email: .
•
Owner Name: 'C Phone:
Mailing Address:
•
Physical Address:
Facility Contact: &r ((M. Kizar,Pc---) Title: Phone:
Onsite Representative: 1 c Integrator: V'L b - 5)14,-) ► "Ji
Certified Operator: • • Certification Number: 66-0 A I 0
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Ty __ Deslgn 'Cur"rent s ,x : Design Current
Swine Capacity pop , - NWet Poultry Capacity Pop. g 'P ty - p -'
, s Cattle � .-; Ca aci PO
Wean to Finish Layer Dairy Cow
Wean to Feeder S 5 y'o ,gt2fj p ,,, Non-Layer Dairy Calf
nA
Feeder to Finish �a = Dairy Heifer
Farrow to Wean Design Current Dry Cow ,.
Farrow to Feeder • • D .Poult Ca m Aci , Po Non-Dairy :,?.•Farrow to Finish 'G`a= " Beef Stocker -
Gilts ,f::w�Non-La ers T: Beef Feeder
Boars •Pullets Beef Brood Cow
Others _t- •Turke Poults
Other .Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes -No'` ❑ NA ❑ NE.
Discharge originated at: ❑ Structure D.Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ErISIo ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes El-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 [a-No ❑ NA ❑ NE
2.Is there evidence of a past discharge from any part of the operation? ❑ Yes []'No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [j]rNo ❑ NA 0 NE
of the State other than from a discharge?
. Page 1 of 3 . . 2/4/2015 Continued

Facility Number: ';,k. - ? ,5 Date of Inspection:01S,�'�� 200
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No J.N*—❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 9-2--
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes El-Nir ❑ 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 laNii ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes B_INlo ❑ 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 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes 12"go ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes �o ❑ 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): &z �.l` (���-0. (� P
13. Soil Type(s): 1 N10
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Er No ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes Er-1Z ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes Ergo ❑ 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 No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes Q'No ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes E N ❑ 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 []�o ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ElYes di No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued'

Facility Number: Pr), - S Date of Inspection: I? -4-f
24.Did the facility fail to calibrate waste application equipment as required by the permit? E Yes El—NO— ❑ 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:
26.Did the facility fail provide documentation of an actively certified operator in charge? E Yes ❑_dl E NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes E ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes El—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 ®_Fe ❑ 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 ENO ❑ 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 [f]to— ❑ NA E NE
❑ Application Field ❑ Lagoon/Storage Pond E Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes To ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ENO ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes ago ❑ 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).
CCI.Ct 0,1
Mee
cj, C1 Or 3 o - (9s> s (
Reviewer/Inspector Name: ;AI 19 Phoned v— (a3--`3 I
Reviewer/Inspector Signature: Thafk4rip Date: - ti 1- 0
Page 3 of 3 2/4/2015 /