990012_Compliance Evaluation Inspection_20210818

Division of Water Resources
Facility Number - C ::1 Division of Soil and Wate, aservation
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 6 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time:=5�0 County:p� Region:
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Farm Name: wj Owner Email:
Owner Name: VL 4
03 Phone:
Mailing Address: I �— V v 4 y I V G
Physical Address: r UV� /`_ O
Facility Contact: I'4 Title: Phone: �J
Onsite Representative: I Integrator:
Certified Operator: Y ld [Q�
Certification Number: nI,
Back-up Operator: Lr����(� S �{,�� `�" �.
lN\ Certification Number: i ew '
Location of Farm: Latitude: Longitude:
q- �F&k r ,�-o�, 7 L C�►ro✓c, C,ti. f2k— L
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer DairyCow
Wean to Feeder Non-La on-Layer Dairy Calf WOFeeder to Finish Heifer
Farrow to Wean DairDesign Current Dr Cow
Farrow to Feeder Dr Poultr Ca acit Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-La ers
Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? Yes 0 No NA NE
Discharge originated at: Structure Application Field Other:
a. Was the conveyance man-made? Yes No NA NE
b. Did the discharge reach waters of the State?(If yes, notify DWR) Yes No NA Ej NE
Ohat is'the esttiimated volume that reached waters of the State(gallons)?
d. Does the disclarge pass tth waste management system?(If yes,notify DWR) 0 Yes No NA NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No NA Ej 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? El
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511212020 Continued

Facili Number: jDate of Inspection: 0 -)J
Waste Collection &Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? Yes ❑ No ❑ NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Sltr'uctur 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Q I ot� � old r IQVv yl"
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): _ ��I
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ( No ❑ NA ❑ NE
(i.e.,large trees, severe erosion,seepage,etc.) 7—
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?
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 C!kNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No ❑ 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): � C7l �3QC_ girls S OU'C�a�l �1"� CA
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. 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 ❑ 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 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 No ❑NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑Lease Agreements ❑Other:
21.Does record keeping need improvement?If yes,chec riate box below. Yes ❑ No ❑ NA ❑ NE
Waste Application [ Weekly Freeboard Waste Analysis 's aste Transfers Weather Code
Rainfall Stocking Crop Yield Monthly and 1"Rainfall Inspections
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes 0 No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [—] No 1A
NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste app—ation equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check Yes
the appropriate box(es)below.
❑ ❑ o NA ❑NE
❑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 No ❑ 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 ❑ Yes No ❑ 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 No ❑ 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 No ❑ 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 No ❑ NA ❑ NE
❑ 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 No ❑ NA 0 NE
34. Does the facility require afollow-up visit by the same agency? Yes ❑ No ❑ NA ❑ NE
9
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: MXC-cn . (^Ad Itr Phone
Reviewer/Inspector Signatur . Date:
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