860030_Compliance Evaluation Inspection_20190826

Evaluation U Technical Assistance
for Visit: 'Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: ounty: C.JUY_! lj Region: W S 12C
Farm Name: lJY� [L(iY�/L Owner Email: �—
Owner Name: Xt ('Kt ,Q . :�)k vi {� I Phone:
Mailing Address: % Q Q2 �'�� r �10CkYVI,,, ' C)
,
Physical Address:
J
Facility Contact: kk� KC) 0y ea Y/ + Title:
Onsite Representative:
V
Certified Operator: 'rjU'tV�.
Back-up Operator:
Location of Farm:
Phone:
Integrator: ��E
Certification Number:
Certification Number:
Latitude: b� \It u Longitude: 1 �35' 1
Awn W
E -) Copt;kaYLx .54kook
V bovbUi_ C.f e� °P-d..
t24.01
fA\JfN C?� W'Y'- eA.
- ( Chin vS kY,
ago
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
1, ;- Itji
Dry Cow
Farrow to Feeder
i' d ,i�i(�
i�
Non -Dairy
Farrow to Finish�l
� Layers
Beef Stocker
Gilts
i,;i Non -La ers
Beef Feeder
Boars
,,e
"` Pullets
+ Beef Brood Cow
' Turkeys
f
Turkey PoultsC'tii��v}(
�luii
Other
Other
7mm= 77mm=
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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?
❑ Yes Pq'No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes XI No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412015 Continued

Facility Number: - U jDate of Inspection:
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 ❑ NA ❑ NE
Structure 1 Structure 2
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
Structure 5 Structure 6
❑ Yes No ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes 0 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 XNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes <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 QI 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, 2 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?
Renuired 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.
❑ WIIP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [:]Yes No ❑ NA ❑ NE
Waste Application Weekly Freeboard X Waste Analysis Ej Svii petatysds=t-_«o m_ -r _ � weather Code
(,&] Rainfall LAN
Stocking Crop Yield 54120 Minute Inspections Monthly and 1 " Rainfall Inspections El Sludge`
022. Did the facility fail to install and maintain a rain gauge? ❑ Yes gNo
❑ Yes P4 No
[:]Yes � No
❑ Yes [ (No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
[:]Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
❑ Yes
KNo
❑ NA
❑ NE
❑ Yes
VkNo
❑ NA
❑ NE
❑ NA ❑ NE
❑ Yes ❑ No yV NA ❑ NE
21412015 Continued

S1UA6.c SVYvc.tj �Uk
Facility Number:36 Date of Ins ec 'on: �16
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [A No ❑ 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?
❑ Yes
�K No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
MNo
❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
No
❑ NA
❑ NE
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?
❑ Yes
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
PqNo
❑ 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
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWNIP?
❑ Yes
No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
No
❑ NA
❑ NE
cr'i I C _\�� V� n 'A- yza'- L��vuO�J
CCL\_i for �vP� v ewr(�j �� Cow,,pt>t=v�d 0,0kct, �e '-N ab '
�i .uJ o4 Az�f r y DoA
Grc65 eskabUrMkerA CuvvA,--oiled? �WML W07y�'6\n c�V6-S
v\u, by m(A. rwm codes
{AI, 2 O\
Reviewer/Inspector
Reviewer/Inspector
Page 3 of 3
6k kc,\
;11
Phone: �k_11 6- C1165
Date: 0 t 1i
21412015