<p> Dairy Land Application Area Visual Inspections Form</p><p>Reporting Year: ______Dairy Name: ______Dairy Address: ______Prior to each application, and daily when process wastewater is being applied - inspect the land application area and note any conditions or changes that could result in discharges to surface water and/or from property under control of the Discharger. Record date, mark appropriate column and provide notes as needed. Irrigation Conditions of land application area visual inspection (check whether the Note any Date conditions listed are ABSENT (A) or PRESENT (P) during the inspections both conditions or before (B) and during (D) irrigations) changes that could result in discharges to surface water and/or from property under control of the Discharger. Provide/attach notes on actions taken. C o D n is T d c a it h il C i a w o o r a n n g t d s e e it o s r i f fr d o a o N Fie is n lt F m u ld c s e i is val h o r e p a ves a f n l i n cor P r a a d E p c rec Ro Ba o g n ti s r e e tly de nk n e y v Pip a o s c set nt ero d s v e ing t si o o to hol sio i fr e c u o r n pre es n n o g o r n o d clu g m e n a t it de t t s ti h i dis h a e o e o ch e t r n r n arg e e v c s es n d a o d b ti n o u o v f ff n e fi e p y e r r a l s a n d c c s ti e c s e s B D B D B D D D D D D D D D B D NOTE: This record must be maintained on-site for a period of five years after it is created. Information in this document was compiled by CDQAP to assist dairy producers in understanding and complying with the General Order Waste Discharge Requirements for Existing Milk Cow Dairies (Central Valley Regional Water Quality Control Board Order R5-2007-0035). Effort has been made to ensure accuracy, but these summaries are not official regulatory guidance and are not legal advice. Producers are advised that these summaries are not intended to be a substitute for producers reading the complete order and consulting their own legal counsel to ensure compliance with the waste discharge requirements. Should any information here conflict with the General Order and/or official information provided by the Regional Board, Board- provided information takes precedence.</p>