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SAN JOAQUIN COUNTY -" i ENVIRONMENTAL HEALTH DEPARTMENT •• 304 E Weber Avenue 3`d Floor Stockton ■CA 95202-2708 (209)468-3420•Fax:(209)4640138•Web:www.co.san ioaquin.ca.us/ehd NITRATE LOADING STUDY REQUIREMENT CHECKLIST SITE LOCATION: ^3 PA#: o REPORT DATE: ( -- s = Sufficient San Joaquin County p I = Insufficient 4 ty Develo ment Title chapter 9-1105,Section 9-1105.2 S 1 1.0 CHEMiCAL.AND PHYSICAL PROPERTIES OF SOIL i ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. 19). s, 12- ❑ 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. `a 3, Al L , 2.0 GROUNDWATER ANALYSIS ^ ❑ 2.1 Description of:depth to groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient. tq,'�y, E71- ❑ 2.2 Description1discussion of any existing or potential groundwater contamination issues i �� site. n the general rat location of p the ❑ 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. I 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER J E ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the 111 contribution of nitrate load from these sources to the project site. y -4- 3.2 i-3.2 Description of impact of rainfall contribution of nitrate load to the project site. . �r �I�.u.t�.y A '�"!':,7i! of L L - ❑ 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. y ru L- ❑ 3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate # load from these sources to the project site. ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of Hanztch/Finnemore,or other appropriate formulalmodel,if applicable. pd 7 Al L� ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers,lakes etc.r q, `7 iV I- 4.0 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL ❑ 4.1 Discussion of total nitrate impact from proposed project. r° -7 N L ❑ 4.2 Description of the methods proposed 10 mitigate any known or future impact to soil and groundwater from nitrate, and/or any other constituent of concern.at and/or around the proiect site. n on c O-j 7 L 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION L ❑ 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:� ,7 _ Reviewed Date: c,7 Erro2"2.002 Page 1 of 7!142003 Surface&Sub Checklist