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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> M: < <br /> 304 E Weber Avenue 3"'Floor Stockton • CA 95202-2708 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.cosan joaquin.caus/ehd <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> � i J <br /> SITE LOCATION: PA#: <br /> REPORT DATE: <br /> 5 = u ic <br /> ImSan Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = InsufScirnr <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br /> /9 �t/ ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. <br /> ,],j L� ❑ 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 concern identified for the project site. <br /> 2.0 GROUNDWATER ANALYSIS <br /> 2.1 Description ot:,depth tp groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient. <br /> ❑ 2.2 DescriptioN iscuss�n of any exMngor potential ground_watw oontamination issues in the general location of the <br /> site. <br /> Id ❑ 2.3 Description of the current use of groundwater at the she and of th future expected 44se of gro ndwater as related <br /> to the proposed development Rrrgject. &.jw O -Y06' m T '✓cSpd <br /> 0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br /> F-1 Z3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the <br /> �{ contnbu n of nitrate load from these sources to t project site. �o�,c� <br /> ❑ IYJT ?�yGr Com-✓ iP'O �ieG 7,+ ,11���' <br /> 3.2 Descri4oki o rel IIcontrib tin o pitra load to the sect she❑ 3.3 Descrips�9tources of nitrate to soil and groundwater and the contribution of nitrate load from <br /> these sources to the project site. <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. <br /> ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br /> Hanztch/Finnemore,or other appropriate formula/model,if applicable. <br /> ❑ 3.6 Calculated impact of, Llrogeen 3 tog from site project to down gradient wells,rivers,lakes etc. <br /> 4.0 DISCUSSIO/IN RATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> ❑J ❑ 4.1 Discussion of total nitrate impact from proposed project <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 concern,at and/or around the project site. <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> ❑ 5.1 The report was signed,dated and stamped by a qualified environmental professional. <br /> 12 ❑ 5.2 The attachmentslappendices co in sufficient documentation to std ort dairns made in the report. <br /> 00, <br /> Reviewed By: dam'-' Reviewed Date: GG v <br /> EHD2&02-0 2 Page 1 of 2 Surface&Sub Checklist <br /> �\ <br /> 7/132003 <br />