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,oPQ I�_•�A SAN JOAQUIN COUNTY Z ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 . P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd NITRATE LOADING STUDY REQUIREMENT CHECKLIST SITE LOCATION: d/`U( N Ili � a. t REPORT DATE: �1 I = Sufficient le—d'� / I = Insufficient San Joaquin County Development Title Chapter 9-1105, ection/9-1 5.2 (/ 11�� [!� S I 1.0 CHEMICAL AND PHYSICAL PROPERTI 1 SOIL F.1 . 35°l l and physical a . — b� ,—,L� ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. LD' ❑ 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 SsANALYShSo� / st ��5 tb ❑ 2.1 Description of: depth 9r undwateer, seasonal fluctuations of groundwater depth, directional flow and gradient. ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the site. ❑ 2.3 Description of the current use of groundwater at the site and of the future expected use of ground w er as related to the proposed development project. '``y4 [/_ L' A a \f..kk U1-V\, S 3.0 SOURCES AND 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. L]- ❑ 3.2 Description of impact of rainfall 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. Ly/ ❑ 3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources to the project site. ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of Hanztch/Finnemore,or other appropriate formula/model, if applicable. ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL ❑ 4.1 Discussion of total nitrate impact from proposed project. ❑ 4.2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, and/or anv other constituent of concern, at and/or around the proiect site. 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION [.� ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. ❑� ❑ 5.2 The attachments/appendices contain sufficient docum tation to support claims made in the report. l Reviewed By: Reviewed Date: T—P L-�-r EHD 26-02-002 Page I of 2 Nitrate Loading Study Checklist 7/142003