HomeMy WebLinkAbout82-408 compliance inspection 9-23-24Facility Number: jDate of Inspection: 3
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
[3-N�o
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
Ohs
7—
E To
❑ 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: , - —
A��
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
❑ No
❑ 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
❑ No
❑ 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
❑ No
❑ 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
❑ No
❑ 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
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
,311r 35
J ;g '%0
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: �U _:3a__D (6-1
Date:
511212020
Page 3 of 3
panulluoi SIOZ/f/Z £ fo z OWvd
aN ❑ dN ❑ ON saA ❑ Lluauidinbo uoils2i.iit uo sia3Isaiqutsi uts;utsui pus Ilslsui of Iiu•I fl?I?as.I oql pip `Poloolos JI '£Z
gN
El �'N El o� ri-I sa'k ❑ Laiins2 umi s uimu?sut pus Ilsisui of I?si Xi?I?as3 Qqi P?Q 'ZZ
,SanmS a�pnlS ❑ %'su—oiloodsuI Iisju?sg „I pus )(ppow ❑ suoiloodsul ainu W OZI ❑ ploiA doiD ❑ 5unlao;S ❑ iis3uTs?I ❑
apoD iaglsaM ❑ sza�suuiZ alsum ❑ sts,tluud I?oS ❑ sis,tlsud alsum ❑ pzuogaaiq fplaaM ❑ uoilso?Iddd a;suM ❑
aN ❑ dN ❑ >E saA ❑ ls •molaq xoq audo.idds otp �loogo `sa,C31 Lluauianoiduii paau Buidaa-I pz000i saoQ 'IZ
/� :ioglo ❑ sluauiaw5V osuo l ❑ sduW ❑ aisaQ ❑ s;s?plaai D ❑ dfIM ❑
-xoq aluudoiddu ail;
gN ❑ vx ❑ >,E] s3A ❑ Aoailo `sofj1 Lolqultuns XI?psaz d➢ AA Vo aql jo sluouoduioo IIu ansq of I?u.I �l?Itosj oql saoQ 'OZ
gN El `�N El oN� saA ❑ Lalgsltunu ,iI?Pua.i l?uiiad V a&sianoD jo olsoUllioD ail; ansq of I?uj X4il?ou3 oq; p?Q '61
s;uouinaoQ 78 spJoaag palm ag
aN ❑
dN El
o
saw. ❑
�luauidinbo uoiluoildds alsum Suils.iado Aliodoid jo 3Iasl u onip sI 'gI
aN ❑
dN ❑
oNn
�� `"
sau ❑
duo?luallddu puul loj oSuaios alunbopu Maul fl?Itouj ai{l saoQ 'Li
duo?luumuolop sazou
gN ❑
dN ❑
ON
saw ❑
olquuoAt jo uSisap uo?lu�un oql iod oluiado .zo/puu amaas of I?uj A4!jjauj oql p?Q •9I
gN ❑
dN ❑
oN;,E]
soA ❑
Lluauianoidua paau ails uoiluoilddu pull io/puu doio Suumooi oql saoQ 'SI
aN ❑
dN ❑
o�IZ
s3A ❑
LdVjjWVD aitl ui poluatsop osoill uioi•I zajI?p sdozo BuiAiaocu oql oQ •pl
�fe�W h'j- :(s)ad,CZ I?oS '£t
ff `vim
' ✓� :(s)adfCZ doiD 'ZI
sand Panoiddddo op?s;no uolluoilddd ❑ 8?iQ PU!AkJo aauap?ng ❑ mopu?M doio alguld000dp optslno ❑
poS ong
olut a2?PniS/omuvW
ols.iodiooul of omlred ❑ sruogdsoild IMo.L ❑ sgt 0I io %0I < Ndd ❑ MVd ❑
slM0W,insag ❑ puno.io uazoi3 ❑ Puouano ognuipfH ❑ i?uipuod antssaoxa ❑
aN ❑
dN ❑
of-D
soA ❑
•molag xoq alsudoiddu aql 3Io3go `soXjj Luoilso?Iddu pull loauoout jo aouaptna aiagl sI .I I
Lluauianoiduzi zo oousuoluium
aN ❑
dN ❑
oN-El
soA ❑
paau lsgl santlsuialls oous?Iduioo io `gosglas `siajjnq paiinbai Auu azaill azd -01
u048311aaV a;sRAk
4luauianoiduii io oouuualuiuui
gN ❑
dN ❑
old❑
saA ❑
aiinboi samloruls 3ISEM agl usill .iaillo uials,Cs luaui02sum alssm otpjo pud Xuu saoQ •6
(slouls la* .io/puu `s)jouls ,Cip `slid pajooi of alquoilddu ;ou)
UN ❑ dN ❑ o�l-Q sau ❑ 411iiuod ailj Xq pa.imbai su sio3l w olsnbopu 31oul somlanus oql jo Auu oQ •g
all ❑ `dN ❑ ON ❑ sa Lluauzanoidun jo oouuualuisui paau sam;omps aql JO AM oQ •L
HMQ ,flgou `;eajq; Iu;uauiuoitAua ao q;luaq aRgnd a;uipa�uun ue sasod uoyun;is aq; puu `saS pa iomsuu anm 9-t, suoti;sanb 3o Suu 3I
Lusld amsolo so luauiaBuusui alssm
s g2no ql p3Suuuui jo/pus passaippu Xlzadoid lou aiu gonlm ails-uo samloiuls mail azd •9
aN El vtq El ��O sok El
(olo `oSudaas `uoisoia aianas `wail 32.rel `•a•i)
aN ❑ vN ❑ oi,,L ] soA ❑ Lpanjasgo sam;ones ailldo Xus jo AlpSow! oip of sl omp a;stpauuui,fus mail; aid -S
:(ut) piuogaaid PaA.iasgo
— % :(u?) preog3ai3 pougtsaQ
:4Xamll?dS
Uouiluopi
9 amloiulS S amlarLlS b amloiulS £ wmonilS Z aanlon uS I amlorL%
aN ❑ dN ❑ oN ❑ soA ❑ Zpiuog33i3 IEmloiuls aitl olut Ianal a;sum st `S3XJI •s
aN ❑ dN ❑ of s3A ❑ La;unbaps usq; ssal (Ilsjuru AAuaq snld o5mols uuols snld Iumlon.ils) )lloudso a2uiols sl -t,
luaui;u3JI V uogaall03 a;suM
:uogaa suI3o a;uQ oil - :.xagmnN f1mau,4
9-/-4-7-�PL
vision of Water Resources
Facility Number EMI - ((� Q Division of Soil and Water Conservation ,
O Other Agency
Type of Visit: Co�m�pliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: (DI outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: F_z_o7Ty71 Departure Time: J vc/ County:
Farm Name: Owner Email:
Owner Name: T12-s' Phone:
Mailing Address:
Physical Address:
Facility Contact: L_" Title: ,-�, fn 4, Phone:
Onsite Representative: ��—
Certified Operator: w-
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Integrator:,iL-���ai
Region:
Certification Number: / vJ3,31,
Certification Number:
Latitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Canacitv Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Pouets
Other
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?
Longitude:
Design Current
Cattle Capacity Pop.;
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes [2'No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
[:]Yes dNo ❑ NA ❑ NE
❑ Yes F3/No ❑ NA ❑ NE
Page I of 3 5/I212020 Continued