510015_Inspection Report_20181128

r;
Drvasron of Water2esonrces
Facility Namber _ � D Drv�s�on of Soil ani 'Waer Conservatioh ., �
n-,
Type of Visit: Coin 'cc
Inspection 0 Operation Review'0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency O.Other 0 Denied Access
Date of Visit: Arrival Time: v i v�J Departure Time: County: Region:
Farm Name: pl - Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: / Title: Phone:
Onsite Representative: r3lde)lz� Grizri`� 'Integrator:
Certified Operator: Certification-Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Swine Capacity fop city Wet Poultry Capa Plop Cattle CapacityPop'
Wean to"Finish La er DairyCow `"
Wean to Feeder Non-Layer
Dairy Calf
Feeder to FinishDairyHeifer
�..
Farrow to Wean Desi' a Current Dry Cow
z Farrow to Feeder , Poult Ca°ac ,-it I':o Non-Dairy
Farrow to Finish La ers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars jPullets Beef Brood Cow
3
Turke s
_ _
Turkey Poults
IiS
Other Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes ZNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? 0 Yes o NA ❑ NE
b. Did the discharge.reach waters of the State?(If yes,notify DWR) ❑ YesffNo ❑ 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 NA ❑ NE
2.Is there evidence of a past discharge from any part of the operation? ❑ YesrNoEo]
NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ YesNA ❑ NE
-of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili Number: - Date of Inspection: Z
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes N ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): �( 2 Z �� 22�L o`Z �O "
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No 0
NA ❑ NE
(i.e.,large trees,severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes o ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environment threat,notify DWR
7.Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ YesVN6 ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9.Does any part of the waste management system other than the waste structures require ❑ Yes 2XNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 101bs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑/Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): (" Cie12,57
/ 13 Zr'1k J94 '�Y e,
13. Soil Type(s):
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes N ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes FN?o
� ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ YesVNo ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists [:]Design ❑Maps ❑ Lease Agreements ❑Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes UNo ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and V Rainfall Inspections Sludge Survey
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes ff] o ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes d No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - Date of Inspection: l
24.Did the facility fail to calibrate waste application equipment as required by the permit? Yes ❑ No NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ZNo the appropriate box(es)below. ❑ NA NE
❑
❑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 provide documentation of an actively certified operator in charge? ❑ Yes N ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? [:] Yes :No
No A ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ 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 CAWA V? ❑ Yes ❑ No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ❑ No ❑ NA 0 NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA ❑ NE
Comments(refer to question 4):Explain any YES ansevei and/or any additional recommendations or any other comments.,
Use drawings of facility fo better explain situations(use additional pages as necessary).
yl� % esu �-✓��� 16-
D e ? - as
S A n/�-�J c e 0 F= pe ire.Q n C -� �V 0 c� .
Reviewer/Inspector Name: Phone: 7/ L-1 Z U b
Reviewer/Inspector Signature: (T5 ���/Qj�A Date: r2�
Page 3 of 3 21412015