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O.Wry SAN JOAQUIN COUNTY <br /> N: I ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304E Weber Avenue 3`d 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 <br /> SITE LOCATION: <br /> REPORT DATE: <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = 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 /> ET' ❑ 2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> [Z/ ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the <br /> site. <br /> [g" ❑ 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 /> ❑ ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. <br /> [� ❑ 3.3 Description of all 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 /> ❑ 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 /> [J_' ❑ 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 /> M ❑ 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 /> D ❑ 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 proiect site. <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> [� ❑ 5.1 The report was signed,dated and stamped by a qualified environmental professional. <br /> E ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: --2) Reviewed Date: ley Z_�rJ <br /> EHD 26-02-002 Pagel of 2 Nitrate Loading Study Checklist <br /> 7/14/2003 <br />