990012_Compliance Evaluation Inspection_20201202

i ype or visit: IN q:ompnance inspection LJ uperation meview U btructure Evaivanon U i ecnnicai Assistance I
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: County: �abn Region:`
Farm Name: �'i1QG�y �, r0V6 I , a', r�/ Owner Email:
Owner Name: Shadv C-I rrn/b h/ Phone:
Mailing Address:
k
Physical Address: d�0 �l ame Cyl
Facility Contact: l t n a Lry\ l �hevyMoitle:
Onsite Representative:
Certified Operator: u
Back-up Operator: Mau nI a SYYI t 1 Y I.2. -M a C)
Location of Farm:
Latitude:
Easy 6ar_d,
65V
N c �rj
Phone:
�& (�-i 0 l
Integrator:
Certification Number: {j 61S �\ I
Certification Number:��1
Longitude:
✓'*'1£
�i dXL-�y3•"��„ �^"� J Y ;� ,gi�+,,. �`z �� 5 W ass. 4 krt i 4 F. � i .is�" gt�
Wean to Finish La er
to ti
Dai Cow
Wean to Feeder Non -La er
Dai Calf
Feeder to Finish u
Dairy Heifer
i
Farrow to Wean,
Dry Cow q
x
Farrow to Feeder
Non -Dairy
Farrow to Finish Layers
Beef Stocker
Gilts Non -Layers
Beef Feeder
Boars Pullets
Beef Brood Cow
z � f Turkeys
Turkey Poults
}�U
t 4 �yy, #
Other.
n.
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes 9qNo ❑ NA ❑ NE
❑ 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 1 of 3 511212020 Continued

Facility Number: -I rK jDate 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? 9 Yes
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: �(1Ui C�f1��Y (�� �loi� QV�
Spillway?: /
Designed Freeboard (in): b
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any �of-the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
Structure 5
6
V11-
❑No ❑NA ❑NE
[—]No ❑ NA ❑ NE
Structure 6
• jo
❑ Yes � No ❑ NA ❑ NE
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?
7�
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 A No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
[:]Yes 5jNo
❑ 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 f No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
ArYes No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs.
window
12. Crop Type(s): l f y)�'(Aa b
13. Soil Type(s):
❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
S,,qM, jj c,11age/
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes No
❑ Yes No
❑ Yes o
❑ Yes No
❑ Yes allo
❑ Yes XNo
[:]Yes M No
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes *o
Waste Application Z Weekly Freeboard �] Waste Analysis Soil Analysis Waste Transfers
Rainfall Astocking A Crop Yield / ` t$ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ZNo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
[] Weather Code
❑NA ❑NE
NA ❑NE
511212020 Continued

Facili Number: - Date of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? [:]Yes KNO
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No
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 to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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?
to question #)1 Explain any YES
¢es as necessarv).
❑NA
❑NE
NA
❑ NE
[:]Yes
KNo
❑ NA
❑ NE
❑ Yes
MNo
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes
ZNo
❑ NA
❑ NE
❑ Yes
KNo
❑ NA
❑ NE
❑ Yes
®No
❑ NA
❑ NE
We ��ev2 tS Si hc,2 11.c�1� �ir2-Q Jo��-F; cc�i1 ` Cfi`n Yam, ►'1
C : S) 5 anC1 t\/6c—! fixAAQ_ ��(� , � a�-e ,rum � n NC O�1Vv�R—
AAA- c'nct � � �3
Ca 1, bYA" _ 4 C�- bra �', � W l 7 ���� to b��t h A4 a C �
C Ul brc�+ i "lsn o� Sly �k-5 moo.
IiJG� CohVj C,n C2 , e
�i �� ���
S We
Le0L� � 1 ove,� FIovJ boas �4� f- ��, sptxu ro � �
iYl�i C.�ii1 -4-y r'YI A{1�2 t' . , n S h 11 i r� 1�1QC�2, � Cat (� GV u eY
cmcr2_-c �Qad �; �e�-, 6�-u+us - r� s'� m �,{�,� � n C� In4,4
' sect 61SA-e wn a Ls i s;A h\ c��l\e�r� �l �+p o\,�d lam:► S 5 0 1'\ c�l-
Cor�n. �(- o,/C ,p�, Ca.� 6'V'_3
n aQ v cr�,�rn-s r\& .
��a c
CuM�o c � 5 nn r e-c 3-—fv <-eluu �a� ACAS '1`n
�l1`1 1� 1 i N -t-b �� rr� �k r2�ki ck,v�
1 �I (� ►� i D Lr , k 1 Y\ J e- -} w 5 V'_�
n (A - V ws� � vu q h free ba&Y�1 JQ� s chi p ; n -� to
Reviewer/Inspector Name: [ (� �Q� I L�, Phone: 2L= D - CG
Reviewer/Inspector Signat Date:
Page 3 of 3 5112 020
A

511212020