820367_Inspection_20200722

Division of Water Resources IV)As 1,3 741
Facility Number ' - 3(0'7 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: a(;o liance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 'U Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: y Arrival Time: c( J c)-- Departure Time: /p;i) ;l County: sip psy)u Region:c1 `j-y
Farm Name: ffS Owner Email:
Owner Name: G.0 - f C 6./(ell. Phone:
Mailing Address:
Physical Address: //
Facility Contact: Gt l4L c-CiA- e-v1 Title: Phone:
Onsite Representative: Integrator: pV'tS•1---4 �
Certified Operator: �� Certification Number: /f 7 g
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 Non-Layer Dairy Calf
Feeder to Finish I (C7 ('j/,L Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes ©ado❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No F❑-NN ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No Q'I�IA ❑ 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 NE
2.Is there evidence of a past discharge from any part of the operation? ❑ Yes © ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes To ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: Z - .3((,"7 Date of Inspection: 2Cj/ Zo Z
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 ❑ Noa‹-A. ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): �:J
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 1114o ❑ 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 ❑ 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? s ❑ No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 11'1`1e ❑ 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 To ❑ NA ❑ NE
maintenance or improvement?
Waste Application
1
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes 11 No ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ❑moo ❑ 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): , �- 66-0 '(.)
13. Soil Type(s): R-4 At(*_ 1g 01(6T
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 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 lalqo ❑ NA ❑ NE
Required 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 [1No ❑ 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 allo ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [ K\lo ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: 9 2, - Date of Inspection: Z2—`duly Zp 2
24.Did the facility fail to calibrate waste application equipment as required by the permit? l ❑ Yes [r'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? 0 Yes �To ❑ NA ❑_NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes [ To ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes [ lo ❑ 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 co 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 ❑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 IHI 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 MTo ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes �10 ❑ 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).
COL,( 41-d'k _14_0 e-
yb-e-ye,"1---'641 ot-1 4"-e, of- 5-16 F.--(2•
C-4 °t t- 3 0 - (0 .51
tj LOl9A,6 P
Phone:11v' to 3`�3 3 3Reviewer/Inspector Name: L
Reviewer/Inspector Signature: Date: V-
Page 3 of 3 2/4/2015