710003_Inspection_20181219

Type of Visit: O Compliance Inspeelian Operation Review tructure Evaluation Technical Assistance
Reasonf Visit: O Routine O Complaint Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: (2' Arrival Time: OJ Departure Time: County:
Farm Name: V0 h l J- 2 Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
Title: Phone:
Onsite Representative: C A"ZI( Wod&") _ Integrator:
Certified Operator
Back-up Operator:
Location of Farm:
C
Certification Number:
Certification Number:
Latitude: Longitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
IN
Non--
La er
Farrow to Wean Design Current
Farrowto Feeder oultry, capacity Pop.
Farrowto Finish I rs
C,drs on -Layers
Boars Pullets
Turke s
Other Turke Poulis II II
Other 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 DW R)
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?
Region:
Design Curren)
Cattle Capacity Pop.
bairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non-Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes ❑ No ❑ NA [ZNE
[:]Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
NE
❑ Yes
❑ No
❑ NA
6 NE
Page f of 21412015 Continued

Facilitv Number: Date of Inspection: 12- °f -
Waste Collection &Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
❑ No
❑ NA
,..p,
ONE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): J^
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
❑ No
❑ NA
0 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
[Z 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
❑ No
❑ NA
W NE
8. Do any of the structures lack adequate markets as required by the permit?
❑ Yes
❑ No
❑ NA
[C�] NE
r_
(not applicable to roofed pits, dry stacks, and/or wet smelts)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
❑ No
❑ NA
[4 NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA W NE
maintenance or improvement?
11. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. ❑ Yes ❑ No ❑ NA M 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): ,f�r_I
14. Do the receiving crops differ from those designated in the CAWMP? ❑ IC
Yes ❑ No ❑ NA NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA [�{MNE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable [-]Yes ❑ ta
No ❑ NA li NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
W NE
18, Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
® NE
Reunited Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ No
❑ NA
®.p� NE
20. Does the facility mil to have all components of me CAWMP readily available? If yes, check
❑ Yes
❑ No
❑ NA
LL 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
On 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 fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
NE
23. If selected, did the facility fail to must and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
NE
Page 2 of 3
21412015 Cominued

Facility Number: Date of Ins ection:
2r4. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a PDA 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
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report morality 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 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?
❑ NA ONE
❑ NA [3 NE
❑ NA jFj NE
❑ NA NE
❑ Yes
❑ No
❑ NA
NE
00
❑ Yes
❑ No
❑ NA
W NE
❑ Yes
[:]No
❑ NA
®NE
❑ Yes
❑ No
❑ NA
® NE
❑ Yes
❑ No
❑ NA
Co NE
❑ Yes
JA No
❑ NA
❑ NE
❑ Yes
JQ No
❑ NA
❑ NE
jonsments, (refer to question 4): Explain any YES answers and/or any additional recommendations or any omer comments. yy
;drawings of facility to better explain situations (use additional pages as necessary).
V,Pi ,0l 4- e� S C,4- n Q,W Y'� ('lg lets in
LODI'-� CJ wk�er 0(\ b(,,� Sly c
dDe5,01+ )bol(, I;kc SeAPA�e J" 3l rave uNj-b
Reviewer/Inspector Name: m MPS Phone: 7VU-/Yy�'%j.
Reviewer/Inspector Signature: Date: 12' (�? _ 10
Page 3 of 21412015