710003_Inspection_20181217

Q9 Division of Water Resources
Facility Number /�` Division of Soil and Water Conservation
O Other Agency
Type of Visit: U Compliance inspectem v vperanon rrewew auucr amauv.. tJ .a,,.....a....,.,�.o....
R f Visit: 0 Routine 0 Complaint 0 Follow-up Referral Emergency Other Denied Access p
Date of Visit: II LI B /y, pUQT`—r t ArrivalITime: Departure Time: County: PI 2.rd'fi Region: I,N I IC D
V Farm Name: p �, 2, Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator
Back-up Operator:
Location of Farm:
C
Design Current
Capacity Pop.
Phone:
Title: Phone:
Integrator:
Certification Number:
Certification Number
Latitude:
Design Current
Wet Poultry Capacity Pop.
La ver
Non -La er
Design Current
D poultry Capacity Pop.
Layers
Non -La ers
Pullets
Tots
urke s
Pouets
Other
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated 9: ❑ 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 pan 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 gallo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑{j No ❑ NA ❑ NE
❑ Yes M No ❑ NA ❑ NE
❑ Yes &No ❑ NA ❑ NE
Page I of 21412015 Continued

Facility Number: Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
�,('
ySJ Yes ❑ No
[Q�.
❑ NA
❑ NE
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: 2
Spillway?:
Designed Freeboard (in):
/Observed Freeboard (in): � D _
No
❑ NE
❑ NA
1. 5.41re
there any immediate threats to the integrity of any of the structures observed?
Yes ❑
(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 G 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, no DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes ❑ No
❑ NA
'ITT, NE
8. Do any of the structures lack adequate markets as required by the permit?
❑ Yes ❑ No
❑ NA
NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
❑ Yes [:]No
❑ NA
�y((ll
*E
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes [:]No
❑ NA
yL�q�� NE
ry
maintenance or improvement?
j�(j
11. Is them evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes [:]No
❑ NA
17a1' NE
7i�
❑ 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 Rare 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?
❑ Yes ❑ No ❑ NA 4 NE
❑ Yes ❑ No ❑ NA NE
[:]Yes ❑ No ❑ NA E
❑ Yes ❑ No ❑ NA HE
❑ Yes ❑ No ❑ NA NE
Rep 'red 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 ❑[.ease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysi
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and l"
22, Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain minbreakers on irrigation equipment?
Page 2 of 3
s
❑Otter:
❑ Yes ❑ No ❑ NA 6NE
❑ Waste Transfers ❑ Weather Code
Rainfall Inspections ❑ Sludge Survey
[:]Yes ❑ No ❑ NA "KNE
❑ Yes ❑ No ❑ NA ONE
2/4/1015 ConAnued

Facili Number: q i jDateoflaspection:
EVNE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes ❑ No ❑ NA
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes ❑ No ❑ NA
NE
the appropriate boxes) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a PDA for sludge
levels
❑ Noncompliant 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
E
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes ❑ No ❑ NA
'f�ji�/3gE
Other Issues
28. Did the facility fail in properly dispose of dead animals with 24 hours and/or document
❑ Yes [:]No ❑ NA
yyy(((���
NNE
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
y�[`I
I IUME
If yes, contact a regional Air Quality representative immediately.
T
30. Did the facility fail to nodty, the Regional Office of emergency situations as required by the
❑ Yes 4 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
ONE
❑ Application Field ❑ Lagoon/Stamge Pond ❑ Other:
32. Were any additional problems noted which cause noncompliance of the permit or CAWMP?
❑ Yes [:]No ❑ NA
PoJE
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?
(Y„jq! Yes ❑ No ❑ NA
❑ NE
Comments (refer to question 0): Explain any YES answers and/or any additional recommendations or any other comments.
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Reviewer/Inspector Name: s u✓l CV ` 0 Phone: _ f.�,�� � � I�u.�'�� 3 a
Reviewer/Inspector Signature: LA Date:\ LI 1 i I I K
Page 3 of 21412015