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3a aUI C 1 1 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E Weber Avenue 3rd Floor Stockton-CA 95202-2708 (209)468-3420•Fax:(209)464-0138• Web:www.co.san joaquin.ca.uslehd �lfio�a NITRATE LOADING STUDY REQUIREMENT CHECKLIST SITE LocAmw _ �3 _ l (21 PA �C& 0c) _— _ REPORT DATE: Z S = Sufficient San Joaquin County p p I = Insufficienf q ty Develo ment Title Chapter 9.1105,Section 9-1105.2 S I 1.0 CHEMICAL.AND PHYSICAL PROPERTIES OF SOIL a ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. �� 5, gS�, ! ED—❑ 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.,, 2.0 GROUNDWATER ANALYSIS ❑ 2.1 Description of:depth to groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient. ❑� ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of 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. �+ r f P w � S ,5 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER f ❑ 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 site. 0�0 3.2 Description of impact of rainfall contribution of nitrate load to the project site. ED-` ❑ 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. P &f N D ❑ 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. ,,� S-LNL'.l 6a /c-,- 3.5 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of Hanztch/Finnemore,or other appropriate formulalmodel,if applicable. pp 7 N e-I/Lc�io ❑/ ❑ 3,6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers,lakes etc.r q> -7 N I- 4.0 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD �- OF WASTEWATER DISPOSAL i ED' ❑ 4.1 Discussion of total nitrate impact from proposed project, e� -,k ril L• ❑ 4.2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, F andlor any other constituent of concem;at and/or around the project site. 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION ❑ 5.1 The report was signed,dated and stamped by a qualified environmental professional. 17v-k- ❑� 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. i Reviewed By: Reviewed Date: 3 7 07 EHD 26.02-002 Page I of 2 7na12003 surface k sub Checklist 1