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SAN JOAQUIN COUNTY <br /> 2r 2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> 4;b-- <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> SITE LOCATION: - PA#: dd J1 <br /> REPORT DATE: <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> 1 = Insufficient <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br /> © ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. <br /> ❑ 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 of:depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> ® ❑ 2.2 Descri ion/discussion of any existing or potential groundwater contamination issues in the general location of the <br /> site. <br /> EZ ❑ 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 fL6 <br /> 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br /> E ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the <br /> contribution of nitrate load from these sources to the project site. <br /> f <br /> E- ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. <br /> �r � 1Z <br /> © ❑ 3.3 Description of ad current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from <br /> these sources to the project site. <br /> y o <br /> ®� ❑ 3.4 Descriptlod df&11' <br /> 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 /> ® F] 3.5 Calculated mass balancd f njtrogen loading considering all potential sources identified. Use of <br /> Hanztch/Finnemore, or other appropriate formula/model, if applicable. <br /> /Z // <br /> (� ❑ 3.6 Calculated impa�ct of�f ni}roJe/n loading from site project to down gradient wells, rivers, lakes etc. <br /> 4.0 DISCUSSIOI�OF NI CRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> ® ❑ 4.1 Discussion of total nitrate impact from proposed project. <br /> ❑ 4.2 Description o7 <br /> the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, <br /> and/or anv other constituent of concern, at and/or around the proiect site./,5 <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> ® ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br /> ❑ 5.2 The attachments/appendices <br /> �contain sufficient documentation to support claims made in the report. <br /> Reviewed By: ���/ Reviewed Date: lllB 6 <br /> ERD 11-11 Page I of 2 Surface&Sub Checklist <br /> 7/1412003 <br />