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p4U N' SAN JOAQUIN COUNTY n <br /> 2 y EYv dIRONMENTAL HEALTH DEPARTMENT <br /> 600 Fast Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> 1 <br /> F <br /> TE LOCATION: //�� �, �R�'! <br /> A . Ll�I I� <br /> l J REPORT DATE: UHe ;_5 201b <br /> S = Sufficient San Joaquin CountYDevelo Development Title Cha ter9-1105, Section 9-11052I = Insuficint <br /> *' re`'� - <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL `(5 S� °lp`Ro�7 <br /> lots-ke „ 'i�A-a6-0*3i>7 <br /> ca ❑ 1.1 Description of the chemical a d physicalroperties of the ils underlying the site.so <br /> ❑ l crZheQs . <br /> 1.2 Descrip on of them s transport pro erties of the soils underlying the site with respect to nitrate and/or any other <br /> constituent concern idegtified for t p project site. <br /> 2.0 GROUNDWATER ANALYSIS <br /> ❑ 2.1 Description of:depth to groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient. <br /> El ❑ 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 /> i <br /> 3.0 SOURCES AND CALCULATED IMPACT F NITRATE TO GROUNDWATER <br /> Alla � ria nrJ�rF <br /> [� ❑ 3.1 Description of all current o7fSscite sourc'�of nitrate o soil and groundwater in the general up gradient area and the <br /> 1 contribution of nitrate load from these sources to the project site. <br /> ��3 12 Ill l� <br /> ❑ 3.2 Description}}4 impad of rrainfa`contribution of nitrate load to the project site. t <br /> ❑ 3.3 Description' call cu�rent or7-site�oj-uroes of nitrate to soil and groundwater and the contribution of nitrate load from <br /> these sour a{o the project jsite.I D <br /> ❑ 12 <br /> 3.4 Description of all priiposO- future on-site sources of nitrate to soil and groundwater and the contribution of nitrate <br /> load from these sources to theVact))siit. <br /> ❑ 3.5 Calculated mas n�emnitrogeli Ibading considering all potential sources identified. Use of, <br /> Hanztch/Finnem r <br /> o e,or other appropriate fonnula/model if applicable. <br /> PP <br /> t3-fv lq <br /> ❑ 3.6 Calculated impaq oloading frorin site project to down gradient wells, rivers, lakes etc. <br /> 4.0 DISCUSSA� OF NITR/1T LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> ❑ 4.1 Discussion of total nitrate impact from proposed project. <br /> ER ❑ 4.2 DescriptioAl'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. p I� <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br /> a ❑ 5.2 The attachments� contain sufficient documentation to support claims made in the report. <br /> Reviewed By: viewed Dater 2 <br /> EHD 26-02 Pagel of 2 Surface 8.Sub Checklist ' <br /> 7/14/2003 <br />