310123_Inspection_20181001

Division of Water Resources
0 Division of Soil and Water Conservation
Facility;Numbeir 0
`0 Other Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review tructure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 r'ollow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: j D 9, Arrival Time: Departure Time: ` County: 0-Alo
Farm Name: R-6 5a I�Iji4//y� Owner Email:
Owner Name: G� PPhone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Other'
Other
Title:
Latitude:
Phone:
Region: n
Integrator:
u �
Certification Number:
Certification Number:
Longitude:
Design Current
Wet Poultry Capacity _ Pop.
La er
Non -La er
Design Current
Dry Poultry Canneity Pnn.
Layers
Non -Layers
Pullets
Turkeys
-Turkey Poults
Other
Design . Current
Cattle , x'. }Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? Yes ❑ No ❑ NA ONE
Discharge originated at: ❑ Structure ❑ Application Field ]%Other: �'lh 6, 3
a. Was the conveyance man-made? ( ❑ Yes "No ❑ NA ❑ NE
b. Did the discharge reach waters'bf the State? (If yes, notify DWR) [, Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)? km W 0
d. Does the discharge bypass the waste management system? (If yes, notify DWR) W Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ] No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: jDate of inspection: I
Waste Collection & Treatnlent 0_3
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? V Yes
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2
Identifier:
Spillway?:
Designed Freeboard (in): _
Observed Freeboard (in): _
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
Structure 3 Structure 4
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
1A Yes
Structure 5
[:]No ❑NA ❑NE
[—]No ❑NA ❑NE
Structure 6
❑ Yes ® No ❑ NA ❑ NE
❑ Yes E� No ❑ NA ❑ NE
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 ❑ No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks) T
9. Does any part of the waste management system other than the waste structures require ❑ Yes [�j 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 ❑ No ❑ NA 17] 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.
❑ Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [—]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ 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 ❑ No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
❑ NA X NE
❑ NA NE
❑ NA NE
❑ NA NE
❑ NA NE
❑ NA NE
❑ NA / NE
❑ NA [X NE
❑ Weather Code
❑ Sludge Survey
❑ NA (] NE
❑ NA NE
Page 2 of 3 21412015 Continued

FaciliNumber: -am j a 3 jDate of Inspection: I
24. 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 POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
■ 10
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ No ❑ NA Z NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑Yes ❑ No ❑ NA 5Q NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ NA NE
and report mortality rates that were higher than normal? T
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes M No ❑ 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 ❑ No ❑ NA [W NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes i No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ No " NA NE
LAJ FT
34. Does the facility require a follow-up visit by the same agency? tiYes ❑ No ❑ NA ❑ NE al
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).
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.Reviewer/Inspector Name: e- (� �(il -�t� r Phone: �}0
Reviewer/Inspector Si a e /I hy
Date: U
Page 3 of 3 2/4 2015