760061_Compliance Evaluation Inspection_20201231

� R Division of Water Resources
[ Facility Number I' I 1 1 - 0 Division of Soil and Watei iservation
0 Other Agency
Type of Visit: Compliance Inspection 0 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:I 10 0 JA County: Region:
Farm Name�ll jJ y U-4�► Owner Email:
Owner Name: �rn ( V\j eJ C� Phone: -60 D
Mailing Address: Y 'y�� �1 h sp
Physical Address: b I �/� I l I � (S(� (� C)
Facility Contact: 77) L� CA Ck) Title: Phone:
Onsite Representative: �I/ Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
tr 5�t r _74 S I2avld l etMa I 3 ( I e�1Ci�� 5 3�l 7 L �d1
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Da*r
Farrow to Finish Layers Beef Stocker
Gilts Non-La ers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Pouets
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? [:] Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Stricture ❑ 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 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 I o1'3 511212020 Continued

Facility Number: a-H- W —1 Date of inspection:
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes No ❑ NA 0 NE
a. If yes,is waste level into the structural freeboard? 0 Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: C
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
n
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [P No ❑ NA ONE
(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 ❑ 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 0 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 ❑ 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? 0
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes No ❑ N A ❑ N E
❑ 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 ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ 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? ❑ 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 ❑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. 7q
❑WUP []Checklists ❑Design ❑Maps ❑Lease Agreements ❑Other:
21. Does record keeping need improvement? ❑ Yes No ❑ NA ❑ NE
Waste Application Weekly Freeboard asst`e�Analysis oil Analysis M Weather Code
[�Rainfall g ❑czrep- ieki ❑ s �]Monthly and 1"Rainfall Inspections ❑d�
Stocki %V4*"'Wey
22. Did the facility fail to install and maintain a rain gauge? '` ❑ Yes P No ❑ 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 511212020 Continued

Facility Number: J - Date of Ins ection:
24. Did the facility fail to calibrate waste apl,_ ation equipment as required by the permit? r ❑ Yes No ❑ NA ❑NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check Yes
the appropriate box(es)below.
❑ [:] No NA ❑ NE
❑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 to 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 ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ 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 concern? ❑ Yes No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately. 7�
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 tile drains exist at the facility? If yes,check the appropriate box below. ❑ Yes 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 (� No ❑ NA ❑ NE
34. Does the facility require afollow-up visit by the same agency? ❑ Yes 7� No ❑ NA ❑ NE
Comments(refer to question ft Explain any YES answers and/or any additional recommendations or a y other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
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ry
DMV �_�d ) du'e 01�Ckj
Reviewer/Inspector Name: n L C (� Phone: —�iTl
of
Reviewer/Inspector Signatur . , Date:
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