310105_Compliance Evaluation Inspection_20210826

Facility Number
3►
IOS
Division of Water Resources
0 Division of Soil and Water Conn
0 Other Agency
Type of Visit: (7S Co pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Q'Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
s-a(,-a0a
Arrival Time:
l Vv a —
Departure Time:
n ao avv‘
Farm Name: &DEA (j i 9 fAfl.rirk Owner Email:
Owner Name: \J 1D'E1J ,\ , tlyOh11�
Mailing Address:
Phone:
County l7PL/fJ Region: _ i o
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: Nigdeh ��, {o`n t
Back-up Operator:
Location of Farm:
Title:
Latitude:
Integrator:
Phone:
Certification Number: I 1716
Certification Number:
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 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 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?
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Longitude:
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes [%�No ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
5/12/2020 Continued

Facility Number: 1 \ - \ OS
Date of Inspection: $-a6-x0R-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes dNo ❑ NA ❑ NE
❑ Yes EtNo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
tq, S
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes dNo ❑ 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 2fNo ❑ 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 environment threat, notify DWR
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(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 Dio ❑ 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 ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes L.a No ❑ 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): �} S cre)
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes m No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes Iii\;o ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ 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? ❑ Yes [ No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes QN o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes U No ❑ NA ❑ NE
the appropriate box.
❑ WUP El Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes El No ❑ NA ❑ NE
❑ 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? 0 Yes
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
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❑ Weather Code
❑ Sludge Survey
Nq ❑ NA ❑ NE
No ❑ NA ❑ NE
5/12/2020 Continued

Facility Number:
Date of Inspection: '$ db-d pa,
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
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:
❑ Yes 121110 ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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?
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?
Comments (refer to question #): Explain any YES answers and/or any additional recommendai
Use drawings of facility to better explain situations (use additional pages as necessary).
ov.19 QvrnP¢q On- B 1i cowl 6=0
- Idfl ILK SCro At*, men) v\ev-4..e4
Lenocvrx. Cooet Zoos q °e),0
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑i NA ❑ NE
❑ Yes o El NA ❑ NE
❑ Yes [3 No E NA ❑ NE
❑ Yes �o ❑ NA ❑ NE
❑ Yes 0 No El NA ❑ NE
❑ Yes ENo ❑ NA ❑ NE
❑ Yes C2tio ❑ NA ❑ NE
❑ Yes [lo ❑ NA ❑ NE
Reviewer/Inspector Name:
640 Fb24-,--1
Phone: Cf10) (1'7-11
Reviewer/Inspector Signature: Date: 'g -A
/� 5/12/2020
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