820340_Inspection_20200812

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pe of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance 3
ason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Others 0 Denied Access i
�� Arrival Time:" Departure Time: 1' County: SP(P ' Region:F4 y i
to of Visit: ���C � ��%�.� P v' ' . f
rm Name:
7 f `I Owner Email:
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1�t C&4 Af/ 8 41 k,�, ice. Phone: i
vner Name: F
tiling Address: 1
ysical Address: 1
cility Contact: PI t'(,R 4v( 11)b 01.3 Title: Phone: i
<< 13 /` C
Bite Representative:
Integrator: — S , �� i
I
:rtified Operator: �OS`ti - .fCt.. Certification Number: (00 t2 8'?
a
ick-up Operator: Certification Number: i
1
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cation of Farm: Latitude: Longitude: 3
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yM Wean to Finish -- Layer- Dai Cow
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T � � ' ■Dai Heifer --
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�. Beef Stocker
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a N Boars -- Pullets --_ _�Beef Brood Cow --
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lischarges and Stream Impacts
.Is any discharge observed from any part of the operation? ❑ Yes 0 ❑ NA ❑ NE
•
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No 1A ❑ 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
1.Is there evidence of a past discharge from any part of the operation? ❑ Yes 0No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ErNo ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: S 2.; 3 t(O Date of Inspection:
Waste Collection&Treatment •
4.Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [CIS—❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No I1NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): �g
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ©i To ❑ 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 L. 1VO ❑ 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 1:f No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? - ❑ Yes No ❑ 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 No ❑ 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): CCJ9
13. Soil Type(s): C01 wa
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [ No Li NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes ZNo ❑ 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? ❑ Yes ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes L1 No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes 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 dNo ❑ 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 El Sludge Survey
22.Did the facility fail to install and maintain a rain gauge? El Yes j o ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facili Date of Inspection: ,g.. (L—Z
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes Q ❑ 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 ffgo ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes 124 ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 111-fizTo ❑ 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 Et 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 ❑'< ❑ 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 0(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 r No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes Er/o ❑ NA ❑ NE
require a follow-upvisit b the same agency? ❑ Yes [ No ❑ NA ❑ NE
34.Does the facility q Y
Continents(refer to°question#) Explam any YES answrers and/or any`add1!onal recommendations or any Other conuneflts s
. Ce,,tI`I.4.*4 % S- ( t--z0 c ss
f tk)- f, e -Pop- hd,...oki
3501:0,_ 4
bozi,
Reviewer/Inspector Name: C C(,(� '301b `(9 �c ( Phone: l,0o`'(3J--333f
Reviewer/Inspector Signature: ,� rl/V Date: 17_A.uce-2_01i
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