310849_Compliance Evaluation Inspection_20230620

Type of Visit: ® Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
[Zeason for Visit: 9 Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Z3 Arrival Time: Departure Time: c, County: Region:
Farm Name: C-avr ru C—gry._ Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: S o av, CG vt% Title:
Onsite Representative:
I
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone: 0A (® Z1 ( �'b'i ?
Integrator:
Certification Number:
Certification Number:
Longitude:
' Z'Y�. E
'
3� x
Deny Cuerent
De gn Current` RIM�gn.
y.
g
IDesi n Cu[rret
Swine Capuc�ty 'op � et oultry Capocify . o
-
Cattle
op� s:
,Capuctty
Wean to Finish Layer
Dairy Cow
O:
Wean to Feeder I jNon-Layer
Dairy Calf
Feeder to Finish 7, 0 Z �
Dairy Heifer
Farrow to Wean Design Cu en[t
�.
Dry Cow
Farrow to Feeder 3xy,P©ult :: Capacay ,1'o
Non -Dairy
Farrow to Finish Layers
Beef Stocker
Gilts Non -Layers
1
Beef Feeder
Boars Pullets
Beef Brood Coww
Turkeys€
_ -
Other Turkey Poults
Other
.;$
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ONo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
F--LXA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
❑�)M
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does tlfe discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
❑ No
�NA
❑ NE
2. Is there evidence of al past discharge from any part of the operation?
❑ Yes
21-NO
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
�2 No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facility Number: Date of Inspection:
'Z
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
Ea A
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:_
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �—
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
2<o
❑ 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 envir mental 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? ��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 04o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑moo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes E; - ❑ 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
❑'Ro
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑I
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑,P ao/o
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
�o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑'I�To
❑ 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, check the appropriate box below. [—]Yes [�,,No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall 0 Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �//o
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑fro
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: 3 % - V H Cj Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Ea<o
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes L9 1 o
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 No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No
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?
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
E A ❑ NE
❑ Yes 0-N—o ❑ NA ❑ NE
❑ Yes 2 o ❑ NA ❑ NE
❑ Yes E2<o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA &E
❑ Yes
[fNo
❑ NA
❑ NE
[:]Yes
[2"Ro
❑ NA
❑ NE
❑ Yes
0 1" o
❑ NA
❑ NE
-� \ C_ y0--d
Phone: 9 Ui
Date: !b Z0 Z
511212020