310162_Compliance Inspection_20180829

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Facility Number F � O Division of Soil and Water Conservation
O Other Agency
Review O Structure
for Visit: &TRoutine O Complaint O Follow-up O Referral
Other O Denied Access
Date of Visit: a lot Arrival Time:®® Departure Time: p County:
Farm Name:� 14 Jti 1 2 Owner Email:
Owner Name: C k a4- le-5 E (gift i Phone:
Mailing Address:
Physical Address:
Facility Contact: C• _fgGC'tL" Title:
It
Onsite Representative:
Certified Operator: C f acI e-3 EdW S
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Other
Other
Latitude:
Integrator:
U II r` Region: tALI L
Phone:
ma-Ck
Certification Number: -I I Z,.n
Certification Number:
Design Current
Wet Poultry Capacity Pop.
(Layer
Non -La er
Design Current
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)?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes Dx,6 ❑ NA ❑ NE
[—]Yes [—]No
[:]Yes ❑ No
g�A, ❑ NE
NA ❑ NE
d Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No LArNA U NE
2 Is there evidence of a past discharge from any part of the operation? ❑ Yes GD Ko ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [ Jo ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facili ,Number: jDate of Inspection: .19
Waite Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
0'11—o
❑ NA
❑ NE
a If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
[Deb
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):2 t
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
O <o
❑ 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 threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
[] N
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
gj!' o
❑ 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
No
❑ 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
Io
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic 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): CC,-
13. Soil Type(s): My ..1
14. Do the receiving crops differ from those d ignated in the CAWMP?
❑ Yes
Q'lo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[�Io
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
[2'gfo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
2'5o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
M'No
❑ 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
❑ Yes
E ; '<o
❑ 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
[i] No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fad to install and maintain a rain gauge?
❑ Yes
0/o
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
El Yes
No
❑ NA
❑ NE
Page 2 of
21412015 Continued

Facili plumber: 2 I jDate of Inspection:
24. Did thelcility fail to cahbrate waste application equipment as required by the permit? ❑ Yes To ❑ NA ❑ NE
r 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes E ,,Ko� Q 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 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 �o ❑ 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-apphcation)
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?
❑ Yes 940 ❑ NA ❑ NE
❑ Yes D,Po ❑ NA ❑ NE
❑ Yes EK ❑ NA ❑ NE
❑ Yes 21<0 ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
V[] N ❑ NA ❑ NE
No ❑ NA ❑ NE
E2 No ❑ NA ❑ NE
Comments (refer to question Pi): 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).
7
,kt qi0- Soo- 0 , si
Reviewer/Inspector Name . S I `
Reviewer/Inspector Signature:
Page 3 of 3
� ' 0 - 4,c( _ P - S, ;4, q K7,,
Phone:9j0-43 'S33q
Date: M( O
2/4 015