310312_Compliance Evaluation Inspection_20200403

UorDivision of Water Resources. 'j/ : --
. , .:..
F'aeility„Nuiriber . '� j - j� O'Division of Soil and "water Conservation.:
Q Other Agency
Type of Visit: Co fiance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
04011
Date of Visit: p`% o3-96 Arrival Time: 0 0% - Departure Time: ter" County: '- 'FRS Region: O'
Farm Name: -s — Owner Email:
Owner Name: 64- S oy, Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: :o�v�
Certified Operator: tfAf4 jSrir'e
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
T y-3-;2QO
Phone:
Certification Number: 101057
Certification Number:
Longitude:
Design Current Design :Current ° , ' �, ;resign. Current ..
.!Swine Capacity Pop. Vet
Poultry ;Capacity Pop. CattleCapacity Pop:..
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to -Wean
Farrow to Feeder _
Farrow to Finish
Gilts
Other
Other
Layer
Non -Layer
Design Current.
Dry Poultry Capacity : Poo: .
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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
No ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
F2rNo ❑ 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
�<o ❑ 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: -3 1 a Date of Inspection:®g-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [i"No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes E No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): ! ,
Observed Freeboard (in):
,3-acyaZ;
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [?rNo ❑ NA ❑ NE
(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 5?rNo ❑ 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 2No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes FZNo ❑ 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 Yo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 6 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes TfNo ❑ 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): J F3
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ® N ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [N ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes Ls tT 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 EJ/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 F(No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes VNo
�❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: % 1 - 'S Date of Ins ection:Q —p j —ao-,X.0
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes []2No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes UNo
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 [KNo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Qj"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 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 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?
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes F-;KNo ❑ NA ❑ NE
❑ Yes ONo ❑ NA ❑ NE
❑ Yes [ZNo ❑ NA ❑ NE
❑ Yes [ZNo ❑ NA ❑ NE
[]Yes MNo
❑ Yes E6o
❑ Yes EN'o
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Comments (refer to question ft 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: � ��� N Ili'-y-(
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
21412015