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P U`l SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT y 304 E Weber Avenue 3d Floor Stockton•CA 95202-2708 (209)468-3420•Fax:(209)464-0138•Web:www.co.san-joaquin.caus/ehd Brod? NITRATE LOADING STUDY REQUIREMENT CHECKLIST SITE LOCATION: PA#: dL �'/�/yJf' S, / ,r1am 2d. REPORT DATE: .2/2/ S = sufraient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 1 = Itmfricient S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL �r ❑ 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. r;� 3 N 2.0 GROUNDWATER ANALYSIS © ❑ 2.1 Description of:depth to groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient y —:501 ❑ F-12.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the y site. n5 `/g$ 4.Z © ❑ 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. ry '/N L P% 41-5 S 6 '/ 3 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 she. O5,/ry /" �5 3 y fi 3 ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. rrD y rJ ® ❑ 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. M if/V L Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate ❑ 3.4 load from these sources to the project site ❑ 3.5 Calculated mass balance of nitrogen loading cen!fdedng all potential sources identified. Use of Hanzlch/Finnemore,or other appropriate formula/model,if applicable. ,� G N"pjC tc /J ,© ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers,lakes etc. P5,,6 r c- 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL ❑ 4.1 Discussion of total nitrate impact from proposed project. N,y7&'t, /�_��• h��a-ra+.c / G �� "�v ❑ 4.2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, and/or am;other constituent of concern, at and/or around the Proiect site. N L 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 documentation to support claims made in the report. Reviewed By:. .4-01 � Reviewed Date:_31Z10-31- EHD 2&02 z Page I of Surface&Sub Checklist rn412N3