110558_Inspection_20201112

Division of Water Resources
Facility Number ts% - p$ 8 O Division of Soil and Water Conservation
O Other Agency
type of Visit: 0 Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
1eason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: L20Arrival Time: (0113IIp Departure Time: I:oD e, County: UFCOMb Region: 4eo
Farm Name: InJNvA1�_ tin l�.ehfe_V' t6s-= Owner Email: f1 i�w4•lte_^naha teen Q.�ne. a4 ay
Owner Name:
Mailing Addres
Physical Address:
Facility Contact: ( p.ano i'6lJ !�Y`GP h2� Title: ",J- T-
Onsite Representative: �44as�IL..J �j r'trpr„ Integrator
Certified Operator:
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Certification Number:
Certification Number:
Latitude:
Design Current
Wet Poultry Capacity Pop.
La er
Non -Layer
Design Current
Discharees and Stream Impacts
1. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: _
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Longitude:
Szk-4.b -I1Plicl
• 7jt-
Design Current
Cattle Capacity Pop.
Dairy Caw
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yea Na ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
J�D No
❑ NA
❑ NE
[:]Yes
VNo
❑ NA
❑ NE
Page 1 of 21412015 Continued

Facili Number: jDate of Inspection:
Zp
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
K71 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?: 1 I S w&tl" `t7)177 WJS
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[_No
❑ 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
�LNo
❑ 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
®,No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Sallo
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other han the waste structures require
❑ Yes
QNo
❑ NA
❑ NE
maintenance or improvement?
Waste Aoulication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes WNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes EZ No ❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN> 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Haze Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): &/0 6,12 - ' _rY PL� —
13. Soil Type(s): ' �' '-' - ✓ No wn /
14. Do the receiving crops differ from those designated in the CAWME?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
❑ Yes
0 No
❑ NA
❑ NE
❑ Yes
VNo
❑ NA
❑ NE
❑ Yes
[ANo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
54 No
❑ NA
❑ NE
I S. Is there a lack of properly operating waste application equipment?
❑ Yes
bZ No
❑ NA
❑ NE
Rewired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[�-No
❑ NA
❑ NE
20, Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
1g No
❑ NA
❑ NE
the appropriate box.
❑WUP El Checklists []Design ❑Maps ❑Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
Q 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
gNo
❑ NA
❑ NE
23, If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[:]Yes
E,No
❑ NA
❑ NE
Page 2 of 3
214120I5 Continued

Facili Number: jDate of Inspection: 11 Z�
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [,ZNo
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 2�No
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 stmcture(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes E�,No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes E'I�No
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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?
Ifyes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes
tNo
❑ NA
❑ NE
❑ Yes
E�LNo
❑ NA
❑ NE
❑ Yes
O'No
❑ NA
❑ NE
❑ Yes
4'No
❑ NA
❑ NE
❑ Yes
j2ZNo
❑ NA
❑ NE
❑ Yes
RXNo
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
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Reviewer/Inspector Name: � t1/yAp y--��C. Phone: �0 1
Reviewer/Inspector Signature: A ✓ Date:
Page 3 of ttt 21412015