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SAN JOAQUIN COUNTY - `y-� ENVIRONMENTAL HEALTH DEPARTMENT ... 600 East Main Street, Stockton, CA 95202-3029 Telephone:(209)468-3420 Falx(209)464-0138 Web:www.sjgov.org/chd NITRATE LOADING STUDY REQUIREMENT CHECKLIST �a2 uP) 517E LOCATION: PAM o-7 _FS 7 C,� Q [[ \ T� REPORT DATE: i S = ins iufficciecile ent I = nt San Joaquin County Development Title Chapter 9-1105,Section 9.1105.2 S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL ® ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. 1.2 Description of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other constituent of concern identified for the project site. 2.0 GROUNDWATER ANALYSIS E ❑ 2.1 Description of:depth to groundwater, seasonal fluctuations of groundwater depth,directional flow and gradient. 17-71 ❑ 2.2 Description sclussion of any existing or potential groundwater contamination issues in the general location of the site. S ❑ 2.3 Description of the,current use of groundwater at the site and of the future expected use of groundwater as related to the proposed development project. 3.0 SOURCES AN/D CALCULATED IMPACT OF NITRATE TO GROUNDWATER ® ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the contribution of nitrate load from these sources to the project site. / 7l° 7III IZ 21 ❑ 3.2 Description of impact ofrainfall contribution of nitrate load to the project site. [� ❑ 3.3 Description of all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources to the project site. I0 II 1 -j- ❑ 3.4 Description of SII pro oseb future on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources to the project site. E] 3.5 Calculated mash bafa-hcei 6f nitrogen loading considering all potential sources identified. Use of Hanztch/Finnemore, or other appropriate formulatmodel,if applicable. U ® ❑ 3.6 Calculatliactnitrogen loading from site project to down gradient wells,rivers,lakes etc. 4.0 DISCUOF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL ❑ 4.1 Discussion of total nitrate impact from proposed project. t ❑ 4.2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, and/or any ther constituent of concern,at and/or around the proiect site. 5.0 CONCL _1Z. AND RECOMMENDATIONS SECTION ❑ 5.1 The report was signed,dated and stamped by a qualified environmental professional. a ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. Reviewed B �las� T_ y: �' Reviewed Date: i ERD 26-02 Pagel of 2 Surface&Sub Checklist 711412003 ILL