330012_Compliance Evaluation Inspection_20190611

Facility Number
w vivision of water Resources
O Division of Soil and Water Conservation
O Other Agency
Type of Visit: =Routine
e Inspection Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit: O Complaint O Follow-up O Referral O Emergency 0 Other O Denied Access
Date of Visit: —/- Arrival Time: Departure Time: County: Region:
Farm Name: f ` i7C Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: Jd I 4nC L94.kArt/ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle
Wean to Finish
Weanto Feeder
Feeder to Finish so
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
La er
Nan -La er
Pullets
Other
Poults
Design Current
Dairy Cow
Dairy Calf
Dai Heifer
D Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Design Current
Capacity Pop.
Discharues and Stream Impacts
I. 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 ❑ 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) ❑ YesrNo[:]
❑ NE
?. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ NE
of the State other than from a discharge?
Page 1 of 2/4/2015 Continued

Facili Number: - Z__j Date of Inspection: v
�/
❑ NE
15. Does the receiving crop and/or land application site need improvement?
Waste Collection & Treatment
[:]NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
gNo ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
18. Is there a lack of properly operating waste application equipment?
Identifier:
VNo❑ NA
❑ NE
Required Records & Documents
Spillway?:
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
Designed Freeboard (in):
[] NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
Observed Freeboard (in):
No ❑ NA
❑ NE
the appropriate box.
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.)
21. Does record keeping need improvement? If yes, check the appropriate box below.
6. Are there structures on-site which are not properly addressed andlor managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute inspections ❑ Monthly and 1" Rainfall InspectionsP00
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmnNA
notify DWR
7. Do any of the structures need maintenance or improvement? ❑ YesNA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ 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
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): 13e -r A 2i
to
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ZVNq - ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[:]NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
]Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
VNo❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[] 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
P110❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute inspections ❑ Monthly and 1" Rainfall InspectionsP00
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
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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Facili Number: - /2— 1 IDate of Inspection: & --/
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes�NoO
NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ED Yes 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 provide documentation of an actively certified operator in charge? ❑ YesNo NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ED Yes No ❑ NA ❑ NE
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?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
[DNA
❑ 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).
S ftidSe 5uvtt�-j 12—(D-1% #2, i# 11-4x'
v - 3 0
r" S. 3 1 y 9
Reviewer/inspector Name:
Reviewer/Inspector Signature: 134, S4ir_
Page 3 of 3
Phone: i t V ZO p
Date: G l r'
21412015