860010_Compliance Evaluation Inspection_20190826

Division of Water Resource,
Facility Number - I 1 0 Division of Soil and Water C_ .servation ( r�
0 Other Agency
E
pe of Visit: Compliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
ason 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: U c Region: W S (�
Farm Name: �7� Q". n C' 'E2 Y-Y`" , Owner Email:
Owner Name: �L . Phone:
Mailing Address: pa
Physical Address: X1 C- (� n
KI c,1 El'ork nv� MMM- 40I - q o
Facility Contact: Title: Phone:•
05
Onsite Representative: Integrator:
Certified Operator: 46S 6 Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
�w 1 6-�-9 - U
r �\V'�-L ekA c,
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish La er Dairy Cow Q
Wean to Feeder on-Layer Dairy Calf
Feeder to Finish Dairy Heifer UEAU
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other TurkeyPoults
Other HOther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes �K No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ 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) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes M 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 1 of 3 21412015 Continued

Facility Number: - Date of Inspection: (�
Waste Collection &Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? Yes ❑ No ❑ NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ul�
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): t
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
GNo ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage,etc.)
Are there structures on-site which are not properly addressed and/or managed through a � Yes ❑ 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 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)
9. Does any part of the waste management system other than the waste structures require b4 Yes ❑ 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 %LNo ❑ 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 (❑ E��vidennjce of Wind Drift ❑p 'Application Outside of Approved Area
12. Crop TYpe(s): C On) BSI (A ej Y�
U
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes KNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes �KNo ❑ 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 X No ❑ NA ❑ NE
GIs there a lack of properly operating waste application equipment? ❑ Yes KNo ❑ 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 No ❑ NA ❑ NE
the appropriate box. 4
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements El Other:
21. Does record keeping need improvement? If yes,ch o riate box hrin Yes ❑ No ❑ NA ❑ NE
Waste Application Weekly Freeboard Waste Analysis ❑Soil Analysis Weather Code
Rainfall Stocking [ Crop Yield [Month y and 1" Rainfall Inspections [— 1QC1�}
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes NWNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: �{� - �� Date of Inspection: J
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes A No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ 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:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
IN
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes [A No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or d�ocuirtent t ❑ Yes No ❑ 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 ❑ Yes ANo ❑ NA ONE
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 the drains exist at the facility? If yes,check the appropriate box below. ❑ Yes �t No ❑ 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 KNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? �l}V
� Yes ❑ 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: r Phone' .
Reviewer/Inspector Sign e: yGa- � 1 yf
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