540042_Inspection_20180416

facility Number
Division of Water Resources
❑ Dh ision of Soil and Water Conservation
O Other Agency
1 } pc of Visit: • Compliance Inspection 0 Operation Review 0 Structure 1-,:valuation 0 Technical Assistance
Reason for Visit: • Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I+4-41 `1$ I Arrival Time:
Li 11
Farm Name: ■�Gl'
Departure Time:
Owner Email:
County: F..k,rN71 J. Region: Wc1-6'-r
Oi ner Name: ►eel Er C Phone:
NfailingAddress: 3ia rSe 'F Let `-1rex'" { `'rC " %55
Physical Address:
Facility Contact:
br- Atk(t
"Title.
Onsite Representative: RD a 11 AO(1fff
Certified Operator: a C.\ IL, c 1 -A 5
Back-up Operator: _
1.1,c:itiun of Farm: 1-atitude:
Phone:
Integrator:
Certification Number: I 0 3 ` CO
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Bears
Other
1tlther
Design Current
Wet Poultry Capacity Pop.
Layer
or
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Lavers
Pullets
Turkel
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer _
Dry Cow
Non -Dairy
'
Beef Stocker
Beef Feeder
Reef Brood Cow
AMBIL
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes
Discharge originated at ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? ([f 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) ❑ Yes ❑ N ❑ NA ❑ 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 No NA ❑ NE
of the State other than from a discharge?
❑NA ❑NE
Yes No 0NA ❑NE
Yes ❑ No ❑ NA ❑ NE
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2/412015 Continued

Facility N umber: 5 i.f4 1
(late of Inspection: ; - r_• fA
Waite Collection & Treatment
4. Is storage rapacity (structural plus stone storage plus heavy rainfall) less than adcquaie".
a, I I' yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes o D NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
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.)
h. Are there structures on -site which are not properly addressed and/or managed through a 0 Yes `: o ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation pules all immediate public health or environmentl threat, notify MR
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, Es there evidence of incorrect land application? if yes, check the appropriate box below.
❑ Yes o ❑ NA ElNE
ElYes IN° ❑ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
❑ Yes E!J t To ❑ NA ❑ NE
❑ Yes No ❑ 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 ofAcceptableCrop Window ❑ Evidence of Wind Drib ❑ Application Outside of Approved Area
12, Crop Typc(s): 1) 1
13, Soil Type{s): 1K0.11 r14 t,1 i-afteick& 1
14. Do the receiving crops differ from those designated in the CAWMP? 0 Yes ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ 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? ❑ Ycs 1=1"N.'—y ❑ NA ❑ NE
1S, Is there a lack of properly operating waste application equipment? 0 Yes aNro ❑ NA ❑ NE
Required Records & Documents
10. Dart the facility fail to have the Certificate of Coverage & Permit readily available'? ❑ Yes ElNA ❑ NE
20. Does the facility fart to have all cornponenis of the CAWMP readily available' If yes. check 0 Yes No ❑ NA ElNE
the appropriate box.
❑WEJP ❑Checklists ❑ Design ❑ Maps © Lease Agreements Other:
21. Does record keeping reed improvement? If yes, check the appropriate box below, ❑ Yes 121No ❑ NA ❑ NE
El Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Sod Analysis 0 Waste Transfers 0 Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections 0 SIudge Survey
22. Did the Facility fail to install and maintain a rain gauge? ❑ Yes Io ❑ NA ❑ NE
23, If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 24A ❑ NE
Pane 2 of 3 21412015 Continued

Fac[litti `umber:
1}t of Inspection: L —16 A
24. bid the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes gNo ❑ NA ❑ NE
25, Is the facility out of compliance with permit conditions related to sludge? [ryes, check ❑ Yes ❑ No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
El Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the Indity fail provide documentation of an actively certified operator in charge? ❑ Yes dNo ❑ N ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 0 No LJ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yesa ❑ NA [I 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 ❑ No El NA L,� 1
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 o ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems. over -application)
31. Do subsurface tile drains exist at the facility? Ifves, check the appropriate box below. ❑ YesNo ❑ NA ❑ NE
❑ Application Field ❑ LagooniStorage Pond
❑ Other:
32. Were any additional problems noted which cause zton-compliance of the permit or CAW MP?
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 saute agency'
❑ Yes ['No 0 NA ❑ NE
] Yeso ❑ NA ❑ NE
❑Yes , El NA ❑NE
Comments {refer to question #): Explain anti YES answers and/or any additional recommendations or any other CmmenIs.
Use drawings of facility to better explain situations (use additional pages as necessary).
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(Cr.'14-411
Reviewer/Inspector Name- ' g CI ! Phone: 9`17 q -
Reviewer'[nspector Signature: Date:Li—
Page 1 `"
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