090078_Inspection_20201006

ivision`of Water Resources Kf tilt 5(
Facility Number ` M - 77 , 0 Division of Soil and Water Conservation .
O Other Agency
Type of Visit: O-compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: - utine 0 Complaint 0 Follow-u Ko p 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:1 Arrival Time: 9')O Departure Time:%)O County: j JAL Region: (�
Farm Name: 105 rel,t— nu-7 A1yyL Owner Email:
Owner Name: (,�'�4,1/— L ,,f"7`7 Phone:
Mailing Address:
Physical Address:
Facility Contact: , -t)1i 74-u 7e Title: Phone:
Onsite Representative: Integrator: i - -
Certified Operator: j9.a`j i t M' 76 Z( - Certification Number: /Z,?7 j�
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
oeeder to Finish ��c7 Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder D =Pouf Ca i aci Po.. - Non-Dairy
Farrow to Finish IIIIMMIM-- Beef Stocker
Gilts U Non-La ers -- Beef Feeder
Boars I Pullets -- Beef Brood Cow
Other . •Turke Poults
Other MI Other
Discharges and Stream Impacts
1."Is any discharge observed from any part of the operation? ❑ Yes EK ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ 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 ❑ NA ❑ NE
2.Is there evidence of a past discharge from any part of the operation? ❑ Yes Er13 ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes (<o ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: 5 - ?F'..- Date of Inspection: /p—&--A9v-��
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes Io ❑ 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?:
Designed Freeboard(in): /9
Observed Freeboard(in): Zf
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 la‘To ❑ 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 [-1(n ❑ 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 E No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes a< ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes to ❑ NA n 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 ❑//icae'
Evidence of Wind Drift `❑ Application Outside of Approved Area
12.Crop Type(s): S-,1�2/.!G+a 46iev` Y - e /iDt/rt /GUIs,, /S,7,F•r S
13. Soil Type(s): :/Dn to r--�.r �i�jrk... tx.„,,,,,,4,.../fir frail--
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes To ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? Et< ❑ No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E 1 I ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes to ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes to ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes ago ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes EN-0 ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps n 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
i
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes �o ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: C-fr - 7fS Date of Inspection: jp—��
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Ergo ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ON< ❑ 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? r] Yes Ei< ❑ 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 �Io ❑ 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 io ❑ 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 I'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 Ell< ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Ergo ❑ NA ❑ NE
[�]
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes 'N/o ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes [2-I<o ❑ NA ❑ NE
Comments(refer to question#):Explain any YES answers and/or anyadditional=recommendations or any other comments.Use drawings of facility to better explain situations(use additional pages as necessary).
tt o, oda--e177D1 LSD
/4S p''etre 00L9
r11, liens t. �,20 t� d��,
Pt&lLYJ/Y/� Si c7 / .O �!// t' S f
L;
�� �dO^Z� c.x/ 2—yam
Reviewer/Inspector Name: j��� � y Phone: 9P—M;Of5
Reviewer/Inspector Signature: - Date: /0--- 2V-0
Page 3 of 3 2/4/2015