820666_Inspection_20201222

Facility Number
V Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: -Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 142:s2,,2 Arrival Time: Departure Time:
Farm Name: h y, / y - ra0/►'L ""
Owner Name: y` � /JPZ
Mailing Address:
Physical Address:
Facility Contact:
Owner Email:
Phone:
County: — Region:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Wick Title: 7 i
Latitude:
Phone:
Integrator: e.7
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity o Pop.
Wean to Finish
Wean to Feeder
t/F
eeder to Finish
Moo
Farrow to Wean
Farrow to. Feeder
Farrow to Finish
Gilts
Boars
Other'''
Other
Design Current
Wet Poultry . Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Po .
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Cattle
Design Current
Capacity Pop. _„
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges 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?
❑ Yes I2Ko ❑ NA ❑ NE
❑Yes ❑No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ' No ❑ NA ❑ NE
❑ Yes I214 ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number: to,
Waste Collection & Treatment
Date of Inspection:
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 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):
/2
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
(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
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
8._Do any of the structures lack adequate markers as required by the permit? ❑ Yes
(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 U Leo ❑ NA
maintenance or improvement?
Waste Application ��
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 31 o ❑ NA
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes EK ❑ NA
❑ 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 ❑,QApplication Outside of Approved Area
, r'4`f711f//ne /-rz/,/%U: rf- /� / _ ��7i��r� 3`�% •
12. Crop Type(s):
13. Soil Type(s):
❑ NE
❑ NE
EKTo ❑NA ❑NE
[l]No ❑NA ❑NE
❑ NE
❑ NE
❑ NE
14. Do the receiving crops differ from those designated in the CAWMP?
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?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP El Checklists
❑ Design El Maps ❑ Lease Agreements
21. Does record keeping neediimprovement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Other:
❑ Yes
ff No ❑ NA
to ❑ NA
No ❑NA ❑NE
ago ❑ NA ❑ NE
La -No ❑ NA ❑ NE
10 ❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
<0
❑ NA
❑ NE
E Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking El Crop Yield El 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections El Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
Page 2 of 3
2No ❑NA ❑NE
ra<o ❑NA ❑NE
2/4/2015 Continued

!Facility Number: (2— - (, (, £,
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ NA
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Duo ❑ NA
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:
Date of Inspection: /
❑ Yes ElNo
❑ NE
❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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?
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
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:
❑ Yes 110 ❑ NA ❑ NE
❑ Yes 12- 10 ❑ NA ❑ NE
❑ Yes 13- o ❑ NA ❑ NE
❑ Yes 1'10 ❑ NA ❑ NE
❑ Yes [i] No ❑ NA ❑ NE
❑ Yes [r No ❑ NA ❑ NE
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?
❑ Yes
❑ Yes
❑ Yes
l ' o ❑NA ❑NE
LJNo ❑NA ❑NE
LJ No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additionalreconmendationsor any other;coinments.
Use drawings of facility tobetter explain situations (use additional pages as necessary).
GOcrt. L1)0/ 6-00 ,
69dJ171 DD DF J�YIJYsy/T�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 9/22---j63-0/ -/
Date: 42 ,
2/4/2015