410016_Compliance Evaluation Inspection_20220607

Facility Number
Iivision of Water Resources
O Division of Soil and Water Conservation
O Other Agency
Type of Visit:
Reason for Visit:
ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Arrival Time:
Farm Name: '-yr\ALQ 4 , H t,l\i/
11�1 ' L
Owner Name:
Departure Time:
Mailing Address:
Physical Address:
Facility Contact:
Owner Email:
Phone:
County: C.1/(A 6),(8_ Region: (,JS
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Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator: 1111 C'e
Certification Number:
Certification Number:
Longitude:
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dmSmi-biwoad
Swine
Design Current
Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish
Wean to Feeder
)(Feeder to Finish
Farrow to Wean
1LI-a ci
Farrow to Feeder
Farrow to Finish
Gilts
Boars
n
Other
Layer
Non -Layer
Design Current
Dr v Poultry Capacity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Daily
Beef Stocker
Beef Feeder
Beef Brood Cow
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? ❑ Yes J`-' No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) Yes 172arNo ❑ NA ❑ 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)
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?
❑ Yes No ❑ NA ❑ NL
❑ Yes
❑ Yes
❑ Yes
NiNo
No
[%No
❑ NA ❑ NE
❑ NA El NE
❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number: L
.D
Date of Inspection: (pi i j Z, Z
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):
Structure 1
L i I Pt�
Structure 2 Structure 3
17 IT
Lir
Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
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, notify DWR
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground
❑ PAN ❑ PAN > 10% or 10 lbs.
❑ Outside of Acceptable Crop Window
IT Yes yfNo ❑NA ❑NE
❑ Yes No ❑ NA ❑ NE
n Yes 12rNo ❑ NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes ttgrNo ❑ NA ❑ NE
(l Yes gNo ❑ NA ❑ NE
❑ Yes 73 No D NA ❑ NE
❑ Heavy Metals (Cu, Zn, etc.)
❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 0 G44 RI( CT)2 S
T 13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? n Yes No ❑ 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?
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.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
aste Application Weekly Freeboard XWaste Analysis -43 Soil Analysis' ,_.❑Waste Transfers
Rainfall 'Stocking [ rop Yield K120 Minute Inspections gMonthly 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? D Yes ❑ No
Page 2 of 3
❑ Yes
❑ Yes
0 Yes
❑ Yes
❑ Other:
❑ Yes
JNo El NA ❑NE
eZNo ❑ NA ❑ NE
'No ❑ NA NE
'No ❑ NA I I NE
❑ NA ❑ NE
eather Code
ludge Survey
❑ NA ❑ NE
NA ❑ NE
5/12/2020 Continued

Facility Number: L
(1
Date of Inspection:
Lpi 1 I 7-Z
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 [ No ❑ NA ❑ NE
n Yes
❑ NA ❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes gNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No X NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes KNo El NA El 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 % 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 sNo ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application) 7�
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. El Yes ❑ No 'NA ❑ NE
El 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?
(—I Yes piNo ❑ NA ❑ NE
❑ Yes jA No ❑ NA ❑ NE
Yes .14 No ❑ NA ❑ NE
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:
Reviewer/Inspector Signature:
Page 3 of 3
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Phone:
Date:
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/12/2020