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4►�, SAN JOAQUIN COUNTY <br /> oP•� ' • c <br /> N y t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue 3d Floor Stockton -CA 95202-2708 <br /> (209)468-3420-Fax:(209)464-0138 -Web:www.co.san-joaquin.mustelid <br /> � 7FOR� <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> SITE LOCATION: Z r.L/v PA#: /a <br /> REPORT DATE: IG <br /> I = Insufficient <br /> ent <br /> San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I [nSutTlcieni <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. 1 ,2 / /V <br /> �❑ 1.2 Description of the mass transport properties of the oils underlying the site with respect to nitrate and/or any other/.t /N� <br /> constituent of concem identified for the project site. O <br /> �y 2.0 GROUNDWATER ANALYSIS <br /> 2.1 Description of:depth.to groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient. N�s <br /> ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues 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 ���.YNL S <br /> �❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradienUargoand{h ' <br /> contribution of nitrate load from these sources to the project site. <br /> �E] 3.2 Description of impact of rainfall contribution of nitrate load to the project site_ N C V <br /> ,,00ma,.1p Lc•-�:� / <br /> ❑ 3.3 Description of all current on-site sources of nitrate to soil and groundwater anYthe contribution of nitrate load from <br /> these sources to the project site. % ®,, •y�e sav+.c:i yI "V c-$C <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 thep,raj K site, pq y -.s �v��5 /d� 15 Ge c/ <br /> 3.5 Calculated mass balance of nitrogen loading considering all potential sources i entifie17-0—se-3—f--1 <br /> HanztchlFinnemore,or other appropriate formula/model,if applicable.p eR 7 ate► �� Z i,Jy <br /> ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells,rivers,la es�e`c`, 7 <br /> ry t- <br /> 4.0 <br /> 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> ❑ 4.1 Discussion of total nitrate impact from proposed project. n/L <br /> ❑ 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 concem;at and/or around the project site. N L� <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> ker 5.1 The report was signed,dated and stamped by a qualified environmental professional. 1�� d- N?-, <br /> ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: Reviewed Date:-y-,3!X40 ;z <br /> NEHD 25-02-002 Page 1 of 2 surface&Sub checklist <br /> 7/1412003 <br /> K <br />