710014_Compliance Evaluation Inspection_20200221 (2)

("ivision of Water Resources
Facility Number I -J 1 - ��r 0 Division of Soil and Water Conservation
0 Other Agency
for Visit: .@fRoutiue O Complaint VFollow-up O Referral O Emergency O Other 0 Denied Access
Date of Visit: pa Arrival Time: Departure Time: V q County: ?.rvvF Region:
Farm Name: /(� ft/la,fN15 LLC. Owner Email:
Owner Name: I T �e.Yl / 'aoen QV ° k Phone:
J
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: CXK\l ;r)0,0
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to F
Wean to F
Feederto
Farrow to
Farrow to
Other
Other
Title:
Latitude:
Phone:
Integrator: "of
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer—�
Non -Layer
Design Current
Dry Poultry Canaeity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: ��
a. Was the conveyance man-made? El Yes o ❑ 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
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
��9"NNo/
t,( Ng ❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
=L ji /No ❑ NA
❑ NE
of the State other than from a discharge?
Page I of 21412015 Continuer!

Facility Number: Date of Inspection: -a 1- OdO
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes L1Ll 110
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2
1
❑ NA ❑ NE
❑ NA ❑ NE
Structure 3 Structure 4 Structure 5 Structure 6
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?
❑ Yes No ❑ NA ❑ NE
❑ Yes dNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmen
tal threat, notify DWR
7. Do any of the structures need maintenance or improvement? El ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? El Yes ❑ 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 [R/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 VNo ❑ 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): m u �1 , ,SCr
13. Soil Type(s): i
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
Ro
El 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
WV o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[V NNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
o
1No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check�he appropriate box below.
2(Yes
❑ No
❑ NA ❑ NE
❑ Waste Application El Weekly Freeboard L—JJWaste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall []Stocking ❑Crop Yield ❑ 120 Minute Inspections ❑Monthly and 1" Rainfall Inspections
Is,
No
❑ Sludge Survey
NA NE
22. Did the facility fail to install and maintain a rain gauge?
—{_7Tj/Yes
❑ ❑
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? des
No
NA NE
Page 2 of 3
21412015 Continued

Facility Number: - ILI Date of Inspection:(
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [V�No
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yes ❑V NNo
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
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes FP/No
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 An 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?
❑ Yes C No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ Yes 2/No ❑ NA ❑ NE
❑ Yes dNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes Z(No
❑ Yes �No
❑ Yes 02�No
❑ NA ❑ NE
❑NA ❑NE
❑ 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: IG�'� Phone: C91U� IIAS77
rU,
Reviewer/Inspector Signatue: z�-r I Date: 9—oZ (—RarAo
Page 3 of 3 21412015