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it <br /> SAN JOAQUIN COUNTY ts <br /> z , <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> II}''"' x'":be .. ,•( - <br /> ;' 344 East Weber Avenue, 3`d Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> NITRATE'LOADING STUDY REQUIREMENT CHECKLIST <br /> IS <br /> 1TE LOCATION: REPORTDATE: <br /> 0 <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br /> I = Insufficient <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br /> ® ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. <br /> B– ❑ 1.2 Description of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other <br /> constituent of concernidentified for the project site. <br /> 2,0 GROUNDWATER ANALYSIS <br /> [G� ❑ 2.1 Description ofd:. + epth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> [D� ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issue's in the general location of the <br /> � site, � <br /> [� ❑ 2.3 Description of the current use of groundwater at the site and of the future expected use of groundwater as related <br /> to the proposed development project. !� <br /> 3:0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER !� <br /> V,1_4 3.1 description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the <br /> Contribution of_pitrate load from these sources to the project site. <br /> [ ❑ 3.2 Description of impact of rainfall contribution�f gitrate tod to the pr <br /> ect site. <br /> ® ❑ 3.3 Description of.all current on-site sources of to oil ndgroundwater and the contribution of nitrate load from <br /> these sources to the project site. z Ut <br /> ❑ 3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate . <br /> load from these sources to the project site. I� 'r <br /> [o ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br /> HanztchlFinnemore, or other appropriate formula/model, if applicable. <br /> 1?�I � '? ' <br /> ®— ❑ 3.6 Calculated impact of nitrogen loading from site eo'lyt to ow+_gradient wells, rivers, lakes etc. <br /> 4.0 DISCUSSION OF NITRATE LOADING RESU S RELATIVE TO PROPOSED!iIMETHOD <br /> OF WASTEWATER DISPOSAL <br /> ®_ ❑ 4.1 Discussion of total nitrate impact from proposed project. �f6 <br /> 1 ❑ 4.2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, <br /> and/or any other constituent of concern, at and/or around the project site. /. 16 <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> I <br /> P- ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. JI <br /> ❑ 5.2 The attachmentslap .ndices contain sufficient documentation to support claims made in the repo . <br /> Reviewed By: Reviewed Date: d <br /> EHD 26-02 Page 1 of 2 Surface&Sub Checklist <br /> 7/14/2003 <br />