310789_Compliance Evaluation Inspection_20220919

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?acility umber
. Division ofWateraResources
O Division of Soil and;Water'Con servation
O Other Agency
Type of Visit: p 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:
Owner Name:
Arrival Time:
r ` Cr,,✓ahGv)I ."
Departure Time:
Mailing Address:
Physical Address:
Facility Contact:
So
Owner Email:
Phone:
County:
Region:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
cAND
Latitude:
Integrator:
Phone:
Certification Number:
Certification Number:
Longitude:
Swim
Design Current
CapacityPop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
°Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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?
❑ Yes
❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) 0 Yes 0 No ❑'IAA ❑ 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 [ TA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ENo ❑ 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?
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5/12/2020 Continued