310581_Compliance Evaluation Inspection_20200716

C� Division►. of Water Resources
Facility Number - ej$ j 0 Division of Soil and Water Conservation °
Q Other Agency
Type of Visit: QF C�o�fiance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: C9'Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: apfivl Region:
Farm Name: $1 CH iA RV S WA A rAA10 Owner Email:
Owner Name: (Zj Lg11 RD 7, S H oLA g Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Integrator:
Phone:
Certified Operator: &-a"A S610'--- Certification Number: �pZ�
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
° Design Current " ` ,Design Current Design Current.
Swine ° Ga acity " Pop. Wet Punitry ° °. , CaPac tty ,'Pop, . ,Cattle ` . :Capacity . pop. .
Wean to Finish
Wean to Feeder
Feeder to Finish 3;L0 00
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Layer
Non -Layer
Design Current °
DmPoultry Capacity . Pon.'.
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
®I
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?
❑ Yes RNo
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yesrj�-Wo
❑ 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 N
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes VNo
0 NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes To
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number: 31 - rj$ Date of inspection: 61-16
Waste Collection & Treatment
heavy less
NA
❑ NE
4. Is storage capacity (structural plus storm storage plus rainfall) than adequate?
❑Yes
MIN
❑
a. If yes, is waste level into the structural freeboard?
❑ Yes
[No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): 1�
Observed Freeboard (in):1 5-
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.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
EJ'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? dyes [:]No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes VNo ❑ 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 EdNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [:]Yes dNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [�(No ❑ 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
i
12. Crop Type(s): &U I SG-O ,
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes EZNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes &d-No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes j'No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
dNo
❑ 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
&?<o
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, chec the appropriate box below. dyes ❑ No
❑ Waste Application ❑ Weekly Freeboard M Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [ No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: 1 - 59 1 Date of Ins ection- - 0 -
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [ I o ❑ 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 RfNo ❑ 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
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?
❑ Yes [?fNo ❑ NA ❑ NE
❑ Yes WNo ❑ NA ❑ NE
❑ Yes eNo ❑ NA ❑ NE
❑ Yes [:]No ❑ NA dNE
❑ Yes IV() o
❑ Yes F
[:]Yes VNo
❑NA ❑NE
❑NA ONE
❑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). -16-;ti-,
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Reviewer/Inspector Name: 1,54M Fgg7 Phone: (11024ff' q'�77
Reviewer/Inspector Signature: Date: ' 10_;0A0
Page 3 of 3 21412015