310065_Compliance Evaluation Inspection_20230912

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Reason for Visit: ® Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: L Arrival Time: Departure Time: �County: Region:
Farm Name: ;�o C'rc �—� , 1� Z Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address: `1 1r t? 1�kcf-C '.�y 0-7j`,
Facility Contact: �,� ; t ,�^ Title: Phone: q <U -27 1y 11
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Design Current Desi n Curren
g
Desi n C reent ,
g
°
3
Swine =
Capacity ...: Pap�ePUultry CiaCt,
Cattle 33Pity
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Wean to Finish
Layer
Dairy Cow'
Wean to Feeder
S 0 IN Layer
Dairy Calf
Feeder to Finish
M ��
ow
Dairy Heifer
Farrow to Wean
�,� _�
:.. Z eslgfii
,
Dry Cow
Y
Farrow to Feeder
y oultry_Ca aei_ iro
Non -Dairy
Farrow to Finish
Layers
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 ❑ No A NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No A ❑ 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 ❑?❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ®�lo ❑ 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?
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Facility Number: p - Date of inspection:
Waste Collection & Treatment
4. Is heavy
storage capacity (structural plus storm storage plus rainfall) less than adequate?
❑ Yes
❑'1�To
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
L2-Kti
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: ` Z
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): -31—
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
Fl "'
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
Im-
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
[�o
❑ 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 FLN ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ 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 E)"? <o❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes PKo' ❑ 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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the.CAWMP? ❑ Yes E No / ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? [-]Yes ❑,-I�O ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes e-fo ❑ 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
❑ Yes
[DXo
❑ NA
❑ NE
❑ Yes
❑X
❑ NA
❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
21FO
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
To
❑ 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.
es
❑ No
❑ NA
❑ NE
❑ Waste Applicatio ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall tocking ❑ 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
[ N
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No
❑ NA
❑ NE
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Facility Number: - Date of Inspection: "I I I
2
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
2401,❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
❑clef ❑ 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
E24 ❑ NA
❑'NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ No D<A
❑ NE
Other Issues
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?
7
7
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes Ea 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 ©� `o ❑ 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 [__W ✓
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes C�,Ko ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes E2*<o ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes E�r<o ❑ NA ❑ NE
Comments] (refer to question #):° Explaian any YE,S anwrs and/o`r any_additional rec6mmendations;or any athereomments.'-`-
Use drawings of facilitv:fa better exala`u situations (use'additionaVoitees as necessary
Reviewer/Inspector Name: &5�
Phone:'®�ZC)3sl
Reviewer/Inspector Signature: Date: 1 I i 2 L'3
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