640074_NOV-2019-DV-0114_20190214

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1' Orbivision of Water Resources
Facility Number 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: a /y I Arrival Time: :D Departure Time: / 7,1j County: Region:
Farm Name: Lirri3al r0i- ML k Owner Email:
Owner Name: LUI {�� q-4✓Y1 60,b✓ Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Oep b44O U I 010 PI-lit't- Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish I ILayer I I Dairy Cow
Wean to Feeder I INon-Layer I I I Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars I I I Pullets jBcefBroodCow
Turkeys
Other Turkey Pouets
Other Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the opera Yes ❑ No ❑ NA ❑ NE
Discharge originated at: El structure Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ZNo ❑ 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)? AUrg GPM SpreV-c'g'-3
d. Does the discharge bypass the waste management system? (If yes,notify DWR) ❑ Yes -No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes - o ❑ 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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Facili Number:' . 6 tt 7 t Date of Inspection:
Waste Collectioh&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes No NA ❑ NE
a If yes,is waste level into the structural freeboard? ❑ YesrNo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
cRll J
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): L( _ Z `/ 7
5.Are there any immediate threats to the integrity of any of the structures observed? E:j Yes No ❑ 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 No ❑ 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 environmental th eat,notify DWR
7.Do any of the structures need maintenance or improvement? ❑ Yes i Io NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes � NA ❑ NE
,(not applicable to roofed pits,dry stacks, and/or wet stacks)
s.:.P
�.Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes 2<0 ❑ NA ❑ NE
maintenance or improvement?
11.Is the vidence of incorrect lan application?If yes,check the appropriate box below. Yes ❑ No ❑ NA ❑ NE
Excessive Ponding [/] an
Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ 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): p yws-&rl
13.Soil Type(s):
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 2-1 o ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? Yes ❑ No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable Yes ❑ No ❑ NA L dE f j1
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes No ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? Yes ❑ No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes ❑ No ❑ NA NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes ❑ No ❑ 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 ❑ No ❑ 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 ❑ No ❑ NA uJ
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? [—] Yes ❑ No ❑ NA NE
Page 2 of 3 21412015 Continued

Facili Number: & y - 7 t jDate of Inspection: Z / /
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA I:JNIE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No ❑ NA
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 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
Comments(refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
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Reviewer/Inspector Name: I Phone: ��[ 7�/ t/ Z®v
Reviewer/Inspector Signature: 3 /ti `54ape G� Date: 19
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