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Home My WebLink About490058_Compliance Evaluation Inspection_20181106Facility Number 0 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: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: Farm Name: Owner Name: Mailing Address: Physical Address: Facility Contact: Arrival Time: /tom=1c, ///ad Departure Time: �. /%74 k .J d 6 h5avi �. tc)r JchllKjd'l Owner Email: Phone: Region: Mee Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: S,i d r c) Grr-e-el< (3/f) ogi ( r //S) 1/.7 set Title: Phone: %P 3(87 3(66. y-Fro v-5'6 v 2d` Latitude: Integrator: Certification Number: Certification Number: Longitude: /6(74 Cie Swine Design Current Capacity Pop. Wean to Finish Wean to Feeder Feeder to Finish 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 Pop. Layers Non -Layers Pullets Turkeys Turkey Poults Other Cattle Dairy Cow Dairy Calf Dairy Heifer Dry Cow Non -Dairy Design Current Caitity Pop. 13 -7 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? 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Lana' mum sr `saA ji •g Laiunbapu uugi ssal (TIsjulsi ,inuaq snid o2sHus uuois snid'uzruanzis) Xiiasdda aggzois si y ;uaui;uaas ' uouaaiioD a;sum 9 — /1 :uoipadsu1 Jo a;uQ - :aaguinN SlHPud Facility Number: - Date of Inspection: / 1/-6 7 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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: ❑ Yes ❑ Yes ❑NA ❑NE ❑NA ❑NE 26. Did the facility fail to 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: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? es 34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ Yes To ❑ NA ❑ Yes ❑ No 1"._ NA ❑ Yes ❑ No l A ❑ Yes ❑NA ❑ Yes [ a ❑ NA ❑ Yes ❑ No ❑ NA ❑ NE ❑ NE ❑ NE ❑ NE ❑ NE y^� ❑NA ❑NE ❑NA ❑NE ❑ NA ❑ NE Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments. Use drawings of facility to better explain situations (use additional pages as necessary). Jh& I ( C - (`rU'e""- Cty fly i4) dal b.sc_cC del 5 6 : (l e (Ce G-1-- a 1. <a.th-L c,5 p(4,11 tko zeci r Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of 3 Phone: Date: 2/4/2014