310253_Compliance Inspection_20180413

'I A:rDivision of Water Resources /
" Facility Number --} O Division of Soil and Water Conservation V
O Other Agency
of
for Visit: U Routine
Referral
Date of Visit: T/Arrival Time: Departure Time: ® County:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
OnsiteRepresentative: e7r t, Qp R'k,' �
Certified Operator:
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
Other
Other
Owner Email:
Phone:
Title:
Latitude:
Phone:
Integrator
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
IN
Non--
La er
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
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. Whai rthe estimated volume that reached waters of the State (gallons)? _
d. Does the dis barge 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?
Denied Access
Region:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes O<o ❑ NA ❑ NE
[:]Yes [—]No
[—]Yes [-]No
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes ��NoE]
❑ NA ❑ NE
❑ Yes ❑ ❑ NA NE
❑ Yes NA ❑ NE
Page 1 of 3 21412015 Continued

Facili Number: Date of Inspection: /
Waste Collection & 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? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Z3
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ 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 NA ❑ NE
waste management or closure plan? 777777"''''
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 ❑ No%� NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes �o U 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 U NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ NA NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. []Yes o ❑ 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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 0 NA
15 Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ NA E <s
16. Did the facility fad to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA I�
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ No ❑ NA VNE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA [a E
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA I "
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 ❑ Sod 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 NE i
23. If selected, did the facility fad to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ Fig/
Page 2 of 3 21412015 Continued

Facill Number: - 1 jDate ofInspection: 03/
14. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA E N _
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 levelsnh any lagoon
List structure(s) and date of fast survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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 CAWNIP?
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 ❑ No ❑ NA ❑.NE —
❑ Yes ❑ No ❑-N E] NE
❑ Yes ❑,N6'�o NA ❑ NE
❑ Yes Qom❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑-NE___
❑ Yes ❑ No ❑ NA [J l
❑ Yes rNZ
/ NA
❑ Yes NA
❑ Yes o ❑ NA
comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better
,n/eta lain situations (use additional pages as necessary). /J
(&Jan�C�
7 0, �� -0 s
l
Reviewer/Inspector Name:
tdi%-_e b
❑ NE
❑ NE
❑ NE
Phone. IID 11V1304
Reviewer/Inspector Signature:
Date:
Page 3 of 21412015