090156_Inspection_20201014

Division of Water Resources � �� , 2
'Faclhty�Number - / : 0 Division°of"Soil and Water Conservation
0 Other Agency -
Type of Visit: a-Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
G Reason for Visit: 'xoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:I/p_j4i-AYA? Arrival Time: / s 0 0 Departure Time: W,'/. County: c51-cedr.i.. Region: rF'O
Farm Name: O.(ai.:/±r Owner Email:
Owner Name: ;i/`r..i t1 ,r1� ! fr.,.--' Phone:
Mailing Address:
Physical Address: / ``77�'--''
Facility Contact: 7Ze, exi%Gk Title: ,5 e.... Phone:
Onsite Representative: . �' Integrator: gj-747r-`of .
Certified Operator: ..--;- .- 7;e75,y,,i...-- Certification Number: ? 'c23
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
.. Design' Current Design °Current Design -Current
Swine: Capacity Pop. Wet Poultry Capacity Pop. Cattle Cattle ' capacity Po apa p.°
Wean to Finish Layer Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
-Feeder to Finish a j73D �� ' Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder D Poul ' Ca I aci Po 1.'', Non-Dairy
Farrow to Finish MEM=--" Beef Stocker
Gilts •Non-La ers -- Beef Feeder
Boars •Pullets -- Beef Brood Cow ,
-- °
s Other ° •Turke Poults , ,; .
Other •Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes [1 N ❑ 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 ErI\-lo ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes Q'cTo ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: ' - /� � Date of Inspection: /1 b/%fir,9AD
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes lE N ❑ 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):
Observed Freeboard(in): 3�
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Ia1 o ❑ 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 IZI/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? es gi7No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes lEl No ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9.Does..aiiy'part of the waste management system other than the waste structures require° ❑ Yes ago ❑ 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 EFICro NA ❑ NE
❑ Excessive Ponding ❑ HydrauliOverload ❑ 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): �p�y�l 5 - /I ',' /fib/iX
13. Soil Type(s):
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? 1'es J1 o ❑ 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 2 No ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes I3/No ❑ 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 �o ❑ 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 E"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 [1No ❑ NA 0 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

Facility Number: - trb Date of Inspection: %e --/� ))
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes [2]'1\To ❑ 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 ❑1 o ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes Q'No ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑4Io ❑ 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 E '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 0--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 [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 ErNo ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes 'No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes [ No ❑ NA ❑ NE
Co0mments'(refer to questiowers and/or additional reco ot s ormmendati •any other connnents t
�:. n##);Explain any:YESanss
any
Use drawzngs of facility_to better_explain situations(use additional-pages as necessary)
;11 %l II — ' - - — 01'S � 1t' —' r7
CSC
raf„ A jGc7 n czi 7- Cam'
go-z-e-- (90P W:':"6
Reviewer/Inspector Name: �$'%ya�� � r� ®'` Phone: ?j f 0 P,3 6),j�
Reviewer/Inspector Signature: / Date: //���
Page 3 of 3 2/4/2015