310181_Compliance Evaluation Inspection_20181212

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' Faciliiy Number F3t7 - O Division of Soil and Water Conservation
O Other Agency
Review
Reason for Visit: A.Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access''1 p
Date of Visit: / M( Arrival Time: � Departure Time: O County: to Region: `^� ( �` O
Farm Name: PYtiZ 'rr" a1r� FGyr d\ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: �-4v/Jv-\
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Phone:
Integrator:
Certification Number: I 1 I—) Le
Certification Number:
Longitude:
Design Current
Design Current
Design Current
Swine
Capacity Pop.
Wet'city
Pop.
Cattle Capacity Pop.
Wean to Finish
La\
Dairy
Discharges and Stream Impacts
I. 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 firom 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?
Page 1 of 3
Cow
❑ Yes 0�No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes �] No
❑ Yes M No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
1/4/2015 Conlinrrerl

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Facility Number: Date of Inspection:
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?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure I Structure 2
1
❑ Yes
WNo ❑ NA ❑ NE
❑No ❑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
❑ Yes 14 No
❑ NA ❑ NE
❑ NA ❑ NE
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 ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application ��,((
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes I7V No ❑ NA ❑ NE
maintenance or improvement? 7T�-''
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes K No ❑ NA ❑ NE
❑ Excessive Pending ❑ 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
1© 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 9 No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes 66 No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes gNo ❑ NA ❑ NE
Required Records & Documents
DthI Did the facility fail to have the Certificate of Coverage & Permit readily available? Yes 9No ❑ NA ❑ NE
oes the facility fail to have all components of the CAWMP readily available? If yes, check Yes ❑ No ❑ NA ❑ NE
e appropriate box.
g❑WU ❑ "`Checklists Design ❑ Maps ❑ Lease Agreements ❑Other:
Does record keeping need improvement? If yes, check the appropriate box below. [X Yes ❑ No ❑ NA ❑ NE
Waste Application ❑ Weekly Freeboard 14 Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall [:]Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections q Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 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 21412015 Continued

Date of Inspection: 'Z.
Facility Number: 31 -
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
kNo
❑ NA ❑ NE
025.
s the facility out of compliance with permit conditions related to sludge? If yes, check
t4 Yes
❑ No
❑ NA ❑ NE
the appropriate box(es) below.
Failure to complete annual sludge Failure to develop POA for levels
survey a sludge
Non -compliant sludge levels in any lagoon �II �''
List date first indicating
structure(s) and of survey non-compliance:
26. Did the facility fail 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
KNA ❑ NE
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 CAW MP?
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 IyXQY No
❑ Yes No
❑ Yes IxNo
❑ Yes MNo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
[—]Yes
[IyNo
❑ NA
❑ NE
❑ Yes
�dNo
❑ NA
❑ NE
❑ Yes ELNo ❑ 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� h �/I�Ih.I? Z d Phone: Otto � b bl.0 ✓0
Reviewer/Inspector Signature: Date: t
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