310354_Compliance Evaluation Inspection_20230727

Facility Number
c—.-�Division of Water Resources
® O Division of Soil and Water Conservation
O Other Agency
for Visit:
Review
O Follow-up O Referral O Emergency O Other O Denied Access
�
Date of Visit: j Arrival Time: Departure Time: A
County: Q6_1 Region:
Farm Name: Cj((/ t(j ( NQN � . , ,, �iLNc °'1 Owner Email: "tr�"—
Owner Name: rV CIiL( 7 /ai //L(Q z Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: JlJ�/44 Ls1 %%7/,/"
Certified Operator.
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
to Finish
to Finish
to Feeder
Other
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current
Wet Poultry Capacity Pop.
La er
Non -Layer
Poults
Design Current
Design Current
Cattle Capacity Pop.
A)
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharees 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
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
❑ NA
❑ 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
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
y6
❑ 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?
Page I of 3 511212020 Continued

lFacility Number:
Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Ejlvo ❑NA ❑NE
❑ No ❑ NA ❑ NE
Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any —offtthe structures observed? r
(i.e., large trees, severe erosion, seepage, etc.) [—]Yes LJ ` am:° ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes
❑ 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
[]'No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks,
❑ Yes
�/
U No
❑ NA
❑ NE
and/or wet stacks)
9. Does any part of the waste management system other than the waste structures re re ui
maintenance or improvement? q
❑Yes
Q IQo
❑ NA
❑ NE
_Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
❑ Yes
�o
❑ NA
❑ NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes �o ❑ 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reguired 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
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste A 1'
❑ Yes
INO
❑ NA
❑ NE
❑ Yes
2"No
❑ NA
❑ NE
El Yes
[�No
❑ NA
❑ NE
❑ Yes ❑Ao ❑ NA ❑ NE
El Yes [240 ❑ NA ❑ NE
[3 Yes EIo ❑ NA ❑ NE
[:]Yes Lam! o ❑ NA ❑ NE
❑Other:
❑ Yes Q No ❑ NA ❑ NE
pp tcatton ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ 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 [,�ddo ❑ NA [3 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes No ❑ NA ❑ NE
Page 2 of 3
511212020 Continued

Facilit Number: -3-
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a PDA 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 tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑NA ❑NE
❑ NA ❑ NE
❑ Yes NA ❑ NE
❑ Yes [—]No ❑.IAA ❑ NE
❑ Yes Q.DFQ ❑ NA ❑ NE
❑ Yes Q No ❑ NA ❑ NE
❑ Yes U21110 ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes U>o ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes � o ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes [No ❑ NA ❑ NE
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).
5/U6' JU/Uc's'
"Af wdlkil�3—
Reviewer/Ins ectorName: t( 4c( (Wk'
P � Phone: 0 Sv
Reviewer/Inspector Signature: Date:
Page 3 of 3 511212020