790002_Inspection_20190812

41 it,it iF i
Type of Visit: 9DCompliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: a
Owner Email: q0-rincl Mccol llkm lam;
Owner Name: ILcm Phone: J 2-7-20-,�AD
Mailing Address: 2-10 Ra_ssev aecjL_ 'P,4 210�15
Physical Address: 1,
Facility Contact: C�.Ox kXMIJ RC-'60(IUJV'N Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: 7ebb 2_-j' 0511 Longitude: 'IT, 4q eW
U,; vo [+wj Man&,, Ore_� P—C-3
0,11
IIIIIIPlv
Wean to Finish Layer Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
7
Feeder to Finish Dairy Heifer
Farrow to Wean Dry Cow
Farrow to Feeder Non-Dairy
Farrow to Finish Layers Beef Stocker It
Gilts Non-La ers Beef Feeder
Wears pallets Beef Brood Cow
E!,I Turkeys
lm MM Turkey Poults
I ,v,jOther Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ElYes EZNo Ej NA ❑ NE
Discharge originated at: E] Structure E] Application Field F-1 Other:
a. Was the conveyance man-made? ❑ Yes E] No E] NA E] NE
b. Did the discharge reach waters of the State?(If yes,notify DVvrR) E] Yes Ej No E] NA Ej NE
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) M Yes E] No Ej NA [—] NE
2. Is there evidence of a past discharge from any part of the operation? Ej Yes ®No E] NA Ej NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters E] Yes [Ef No Ej NA 0 NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facili Number: - YjZ Date of Inspection:
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ED Yes ❑ No ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
S ructure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
i
Designed Freeboard(in): _
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ YesETT ❑ 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 2/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 envur nmental 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? des ❑ No ❑ 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 do ❑ NA ❑ NE
maintenance or improvement?
Waste Application �--� �,/
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes dNo ❑ 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 ❑ No A ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes ❑No E A ❑NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No o ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑ No NA ❑ NE
18. Is there a lack of properly operating waste application equipment? es ❑,No ❑ NA ❑ NE
Required 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 Io ❑ NA ❑ NE
the appropriate box.
❑WUP —]Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Oth
21.Does record keeping need improvement?If yes,check the appropriate box below. des ❑ No ❑ NA ❑ 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 install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No LK lit' ❑ NE
Page 2 of 3 21412015 Continued

/ Z
Facility Number: - i Date of Inspection:
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check EUXes ❑ No ❑ NA ❑ NE
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:
f
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No 6 A ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No [g/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 dNo ❑ 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 [D'<o ❑ 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 Er<o ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes E], T, ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes [�No ❑ NA ❑ NE
W (
{
�
UJer� ��� �`IPeS n de 011S1 hoes c� p��d? ND
Ze4D CkN,k V- al pIrml {� � -� �� 3Ii'� IIl NO
Pr'eebo3md r�e_a)ojs hod Q\CA- Ploy,F4 6iVkce 2 ;00 . Vecccr�S
D IV-\ VVI Of
s� Flo
Reviewer/Inspector Name: Je n Phone:
Reviewer/Inspector Signature: Date: 9 12-
Page 3 of 3 21412015