670062_Compliance Inspection_20180621

rFacility Number - 0 O Division of Soil and Water Conservation
O Other Agency
for Visit: G Routine O Complaint O Follow-up O Referral O Emer¢encv O Other O Denied Access
Date of Visit: / Arrival Time: Q3 DepartureTime:County:
Farm Name: D cwb'Q, Y );Nl Owner Email:
Owner Name:
Mailing Address:
Phone:
Physical Address: Facility Contact: PrM7 - /n4�./�/i Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
to
to Wean
to Feeder
to Finish
Other
Other
Latitude:
Phone:
Integrator:
Region:
Certification Number:
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
]Layer
OUOI INon-Layer
Pullets
Poults
Design Current
Dischar¢es 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 o ❑ NA ❑ NE
[—]Yes [—]No
❑ Yes ❑ No
[-]Yes ❑ No
❑ Yes MNo
❑ Yes krNo
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑NA ONE
❑ NA ❑ NE
Page I of 21412015 Continued

Facili Number: jDateof Inspection: /
W liste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 5Z-?90 ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes C❑� No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: t!
Spillway?:
Designed Freeboard (in): /
Observed Freeboard (in): -�
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 � 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 L�TNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes WNo ❑ 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 E�No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes )7No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes W No ❑ 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements
❑ Yes I No
❑ Yes Iff No
❑ Yes IV] No
❑ Yes �No
❑ Yes XNo
[—]Yes DjqNo
❑ Yes W No
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes PNo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �ErNo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes Wo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑NA ❑NE
Page 2 of 3 21412015 Continued

Facili Number: Date of Inspection:
24�Did tie facility fail to calibrate waste application equipment as required by the permit? ❑ Yes P� No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Jam' No
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 XNo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [:]No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
O: NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
q 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
XNo
❑ 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
RNo
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other.
32. Were any additional problems noted which cause non-compliance of the permit or CAWIvIP?
❑ Yes
q No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
PTNo
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[-' No
❑ NA ❑ NE
Comments (refer to question #): 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).
UVP If 1 FC °h; d on RK 2-
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ofAei- w;AA&Ws. c
5oiI PM 4.q ;in 544ple, 10%0M102 or,
recvri Gt ed ,l4 et°p Coo j d l�✓Ll � arc%&,7L
Reviewer/Inspector Name:
Reviewer/Inspector Signatur
Page 3 of
so; l fesf , l;/lt�
Phone: k 2,26--7.3-36-
/
Date: O
2/4/2015