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°PgU IN SAN JOAQUIN COUNTY n <br /> •''�Ji.CpG <br /> r.. .Z ENVIRONMENTAL HEALTH DEPARTAIMNT <br /> 304 E Weber Avenue 3rd Floor Stockton• CA 95202-2708 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.co.sanjoaquin.ca.us/ehd <br /> /FOR <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST p <br /> [;I:LOCATION: PA#: <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 /> a 2R� ❑ 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 /> El� ❑ 2.1 Description of:depth to groundwater,seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> i�+.7SP 1f ❑ 2.2 Description/discussion of any existing or potential groundwater contamination Issues in the general location of the <br /> site. <br /> a ❑ 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 and the <br /> contribution of nitrate load from these sources to the project site. <br /> 3 ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. <br /> Q -F± � ❑ 3.3 Description of all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from <br /> y these sources to the project site. <br /> ;D- ❑ 3.4 Description of all 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 /> �S� ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br /> Hanztch/Finnemore,or other appropriate formula/model,if applicable. <br /> S ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells,rivers,lakes etc. <br /> 4.0 DISCUSSION OF NITRATE 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 of 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. <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> ®'" ❑❑ 5.1 The report was signed,dated and stamped by a qualified environmental professional. <br /> L� U 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: Lisa Medina Sr. R.E.H.S. Reviewed Dater, <br /> rtro26-ozmz Page 1 of 2 Swfam&Sub cnerklisc <br /> 7//42003 <br />