HomeMy WebLinkAbout620006_routine_20240612_
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Q Division ofwaterResouri es
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Facility Nuanber ®-°
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O Division r
of.Soii and.W, icouservaliotl
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Other Agency
Type of Visit: p Compliance Inspection O Operation Review O Structure Evaluation p Technical Assistance
Reason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: 0 1�1•) Arrival Time: Departure Time: County: ma b
Farm Name:U' S Owner Email:
Owner Name: I Rf U — Phone:
Mailing Address:
Physical Address:
Facility Contact: rD M 0 DT. Title:
Onsite Representative: �� I•
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design CiirrentE;
_
Design Current
DesignCurrent
Swine a° Capacity a fop,
as �mx
WerPonitry =
Capacity ° fop
Cattle ,aCapacriy Pop
Layer =
Non -Layer
3esignz Curren t
Dry
Farrow to Feeder
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Finish
Gilts
Boars
Layers
Non -Layers
Pullets
Turkey Poults
Other
Layers
Non -Layers
Pullets
Turkey Poults
Other
Cow
Discharges and Stream Impacts `
1. Is any discharge observed from any part of the operation? ❑Yes �No ❑ NA ❑ NE
Discharge originated at: ❑Structure ❑Application Field ❑Other:
a. Was the conveyance man-made? ❑Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑Yes [�No ❑ NA ❑ 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 o ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑Yes No ❑ 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?
OD
Turkeys
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Turkeys
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Facility Number: I Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes N No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes XNo ❑ NA ❑ NE
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:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes o ❑ 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 �lo
❑ 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 ltallo
❑ 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 "SNo
❑ 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 [ o
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes K�No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes [jNo
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
0 Yes 4t�ZNo
❑ NA ❑ NE
Comments (re"fei to question, #)"; Explain any YES answers and/or any, additional recommendations or any other comments,
Use drawings offacilityto better explain situations (use additional pages as necessary). r
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Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature:
Page 3 of 3
Date:
511212020