820115_inspection_20210223

Facility Number
Division of Water Resources
O 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:
Farm Name:
Arrival Time:
7
Departure Time:
Owner Name:
Mailing Address:
Physical Address:
Owner Email:
Phone:
County:
Region:
. (:
Facility Contact: )
Onsite Representative:
Title:
Certified Operator: % i,e�
Back-up Operator:
Location of Farm:
Swine
n. J
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
'�> ,
. _:3' n?
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Latitude:
Integrator:
Phone:
Certification Number:
Certification Number:
Longitude:
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: it Structure r1 Application Field ri 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) fl Y• es L'_J No [ NA NE
2. Is there evidence of a past discharge from any part of the operation? fl Yes Eij No ri NA NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters fl Y• es n. No NA ❑ NE
of the State other than from a discharge?
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
n Y• es
[NA [NE
Yes No [NA [NE
fY• es [j No NA []NE
Page 1 (4'3
2/4/2015 Continued

Facility Number: 4 � - — //.S—
Date of Inspection: 3 /)/
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? de c Yes
a. If yes, is waste level into the structural freeboard?
Structure 1
Identifier: t
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 2
NU
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
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
No ❑ NA ❑ NE
—o ❑ NA ❑ NE
Structure 5 Structure 6
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy
❑ Yes ti No ❑ NA ❑ NE
❑ Yes
❑ NA ❑NE
Yes No ❑ NA ❑ NE
❑ Yes NNo ❑ NA ❑ NE
❑ Yes
❑ NA NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
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):
13. Soil Type(s):
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 ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
ce'17/r) e; .2Ctvu
❑ Yes No ❑ NA
❑ Yes No ❑ NA
D Yes qNo ❑ NA
❑ Yes IN No ❑ NA
❑ Yes No ❑ NA
❑ Yes No ❑ NA
❑ Yes No ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
Ni No
❑ Waste Tran fers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
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
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
No ❑ NA ❑ NE
No ❑ NA ❑ NE
2/4/2015 Continued

Date of Inspection:
15
Facility Number: C) - if C3
24. Did the facility fail to calibrate waste application equipment as required by the permit.
❑ Yes
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes
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:
No ❑NA ❑NE
No ❑ NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [] No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ 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 NNo ❑ 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 0 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 n Lagoon/Storage Pond ❑ Other:
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?
O Yes
❑ Yes
❑ Yes
No ❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
Comm
se
,t) o •
rs and/or any additional recomn'endations or any Other comments.
additional pages as necessary).
Rio /Z / a /00,-
/ ieetl`''Z'-Z2-e4.4 , 2 / 3 i /fin,
-w i . roow bfltK5
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Kate Furnript. Phone: 9I�I-HIP
<(UXQor� �riofi
Date:
2/4/2015