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° U <br /> o SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> r Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �/FOR <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST /��^� <br /> B YJ PA#: 05_ y6S(_�q) <br /> F <br /> ITE LOCATION: 3 5� 338 W. �...�v.v1� ��_ ���t.Y <br /> a\co 2,0 REPORT DATE: <br /> S = sufficient <br /> [ = Insufficient San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL L/ <br /> l� ❑ 1.1 Description of the chemical and physical properties of the soils underlying the sit 3 <br /> ER/ El1.2 Description of the mass transport properties of the soils underlying the site with respect t"itrae and/or any other <br /> constituent of concern identified for the project site. <br /> 2.0 GROUNDWATER ANALYSIS __� <br /> -6 �Ja6 <br /> ❑ 2.1 Description of: depth to groundwater; eason I fldo�uaf ns of groundwater depth, directional flow and gradient. <br /> E3'/ 0 2.2 Description/discussion of any existing or pot ntiahroundwater contamination issues in the general location of the <br /> site. y,I <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 /> 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br /> [� ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area d the <br /> contribution of nitrate load from these sources to the project sit <br /> / r, <br /> ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project ssiite. <br /> L� El 3.3 Description of all current on-site sources of nitrate to soil and grouhidwater and the contribution of nitrate load from <br /> these sources to the project site. �//// (0 <br /> L7 r_13.4 Description of all proposed future on-site sources of4ate to soil and groundwater and the contribution of nitrate <br /> load from these sources to the project site. I/ !� <br /> F-13.5 Calculated mass balance of nitrogen loading considering ail/el ppo 4ial s rtes identified. Use of <br /> Hanztch/Finnemore, or other appropriate formula/model, if plicable. <br /> 3/ ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradi(nt Zils,�rlv)rs, lakes etc. <br /> 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> / OF WASTEWATER DISPOSAL <br /> in ❑ 4.1 Discussion of total nitrate impact from proposed project/r� -) <br /> [� ❑ 4.2 Description of the methods proposed to mitigate any known or future impagt to so`l1�nd groundwater from nitrate, <br /> and/or any other constituent of concern, at and/or around the prosect site. 1 O <br /> / 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> LTJ ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br /> 13, ❑ 5.2 The attachments/appendi s contain sufficient documentation to support claims made in the report. <br /> Reviewed By: lciO Reviewed Date:3 <br /> FHD 20-02 Page 1 of 2 Surface&Sub Checklist <br /> 7/142003 <br />