090016_routine_20240725

l
i ype of visit: w o t-ompuance inspection V uperation Review U Structure Evaluation U Technical Assistance I
Reason for Visit: (7) Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 7 � 4 Arrival Time: 10:06 Departure Time: County:
Farm Name: �Q t\NP njj Owner Email:
Owner Name: H v+ 1 " � 1 C� fc� M S Phone:
Mailing Address:
Physical Address:
Region:
^r
Facility Contact: �,t'1 VV Title: �,jJ� � 6 ' Phone
Onsite Representative: Integrator• GM i1h f1 C_/I
Certified Operator: Ca vsto [ V C -1) rq Certification Number: l o o7 o "d 3
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design
`Current"
Design Current
Design, Current
Swine Capacity
s�,
`"°Pop
Wet,Poultry
Capacity Pop
Cattle' Capacity Pap
_
Wean to Finish
�"j
ILayer
Dairy Cow
Wean to Feeder
I
jNon-Layer
I
Dairy Calf
_
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
k
Dry="Poultry •''
Ca iacity _ Pop '°;
Non -Dairy
Farrow to Finish
-
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
_
Pullets
Beef Brood Cow
Turkeys
Turkey Poults`Other
a.
.
a
Others
t
x j
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?
❑ Yes 'qNo ❑ NA ❑ NE
❑ Yes '® No
❑ Yes �J.No
❑NA ❑NE
❑ NA ❑ NE
❑ Yes
E No
❑ NA
0 NE
❑ Yes
q No
❑ NA
ONE
❑ Yes
E� No
❑ NA
❑ NE
Page I of 3 511212020 Continued

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Date of lug -
Facility Number• -
facili fail to calibrate waste application equipment as required by tl�e
24. Did the tY '
25. Is the facility out of compliance with permit condit1011ST%mt1 %%\'v to If yes, CheCk
ZUe appropriate box(es) below.
Yes o\z ,
104 C
Yes QNo U-NA [
❑ Failure to complete annual sludge survey ❑Failure to develop a PDX for sludge levels
IoNon-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 allo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes allo ❑ NA ❑ NE
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?
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?
f mG Qt wom i iooK be-�ter conVim-e to
�pta� wends as hoeded .
on lagoon Igo Ks 9000 bur It Inds c(,
1 I ftlz %11- M()M W()
oVi- 0¢ C®mn o ce C)JU d r-e. 1- /)I5 '
Name:
Mt fOhIK1Yl0
❑ Yes LIT
❑ Yes .❑ No
1
❑ Yes •RNo
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes 'Eg\No ❑ NA ❑ NE
l] Yes qNo ❑ NA ❑ NE
❑ Yes - No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
MCI e
collbiahow 2oz�
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er
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Phone: 1f M
Date: n
51
1212020

Reviewer/Inspector
Page 3 of 3