310816_Compliance Evaluation Inspection_20210506

vision of'E?�'Ater Resources,,
Facility `Number �j( =°�' . vision oforl and Water. Copservatton
Otheer,Agency°
Type of Visit: Com fiance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: O outine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: 540— c L, Arrival Time: Departure Time: � � County: PLIIQ Region: 1.� f P-6
Farm Name: (l c�c�; S�, 1' ,-r ca 1 4 a OwnEmail:
Owner Name: 50"whS +11C. Phone:
Mailing Address:
.Physical Address:
Facility Contact: Title: Phone:
Onsite Representative:
Certified Operator: S&S-v - �t %, kSe)%-,
Back-up Operator:
Location of Farm:
Latitude:
Integrator: /
Certification Number: f D d- Z- a
Certification Number:
Longitude:
Design ° Current, 'Design Current° ° Design Current,
Swine Capacity .,Pop. 'Wet Poultry Capacity Po' p.Caftle ° Capacity °Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish q p
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
other.
Layer
Non -Layer I I—;
° Design: Current °
Dry Poultry Canaelty • 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 .6 No ❑ NA ❑ NE .
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes EfNo ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes DNo ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (eallons)? ,

Facility Number: '!)I - 21& Date of Inspection: 5- 6 -"10a j
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes El'*No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: I
Spillway?:
Designed Freeboard (in): q S
Observed Freeboard (in): '3l7 `3a
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?
Structure 5 Structure 6
❑ Yes VrNo ❑ NA ❑ NE
❑ Yes To ❑ 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 E:fNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes E31<0 ❑ 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 �o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [2No ❑ 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
12. Crop Type(s): S (?-Q, Q 1114 , C� Ln
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ET�No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ YesE?<(o ❑ 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?
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 ZNo
❑ Yes eNo
❑ Other:
DNA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
n1 -__ ______i 1_____ '___. ____1 ____ -___-_ten rr____ 1_ _ _1 " 1 1_ _. 1 _1 _

Facility Number: jDate of Inspection: — _';I a
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
ElYes NoNo ❑ 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 to provide documentation of an actively certified operator in charge?
❑ Yes Ef No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes ❑ No ff NA ❑ NE
Other Issues
No
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes [] ❑ NA ❑ NE
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?
[:]Yes A ❑ NA ❑ NE
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
❑ Yes [�To ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes 2/No ❑ NA EJ<E
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes &No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes ff No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
Yes ❑ No ❑ 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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