310352_Compliance Evaluation Inspection_20230623

Type of Visit: E) Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: b L3 1 Arrival Time: j Departure Time: County:
Farm Name: �xj; N Ujn kg Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: �c� 1 �v� ( Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Region:
,. Ems.
Des Curarent Design Current
Design Current_
„
Swore
�
Capa lty 'o - Viet Poultry �Capacily I aIr
Cattle — Capa ty lC
ply
Wean to Finish
ayer
Dairy Cow
Wean to Feeder
[TNon-Layer
Dairy Calf
Feeder to Finish
�i� C3t7
_
Dairy Heifer
Farrow to Wean
Design Cori en
Dry Cow
Farrow to Feeder
Dry�P uIt ",
75
Capacity t o
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
E
Boars
_
Pullets
Beef Brood Cow
= -
_ _
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes 0 No NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ NoF2<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)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page I of 3
❑ Yes [:]No [],?(A ❑ NE
❑ Yes �To ❑ NA ❑ NE
❑ Yes ;No ❑ NA ❑ NE
5
/12/2020 Continued

Facility Number: I - 3; Z I jDate of Inspection: L 23
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
- o ❑ NA 0 NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No ❑-N`A ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: Z ��-�- 2 3 7 3 °l L i D b (.e (�.ce�
Spillway?:
Designed Freeboard (in): 14(o
Observed Freeboard (in): _ 'Z L4 '?
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
/
[2'No ❑ 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
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
Ejl<o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
F24o0 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
No
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
21 ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
E]Xo ❑ 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? Vy No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable 0 Yes EIINo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes EK ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes [D 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 E<No ❑ 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. ❑ Yes ETNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections
22. Did the facility fail to install and maintain a rain gauge?
❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑Monthly and 1" Rainfall Inspections ❑ Sludge Survey
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
[::]Yes VNo
❑ NA ❑ NE
❑ Yes ❑ NA E,
511212020 Conti1

Facility Number: - _T jDate of Inspection: i, 1 2.j Z)
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [ 10 ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes D40 ❑ 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?
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 the 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 E34o
❑ Yes ❑ No
❑ NA ❑ NE
DINNA ❑ NE
❑ Yes E;,NC ❑ NA ❑ NE
❑ Yes [�No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
❑ Yes
0 No
❑ NA
gl] o
❑ NA
❑ NE
[] No
❑ NA
❑ NE
6"No
❑ NA
❑ NE
10
Reviewer/Inspector Signature: Date: _3
Page 3 of 3 511212020