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a?�u IN••o SAN JOAQUIN COUNTY <br /> .� ENVIRONMENTAL HEALTH DEPARTMENT <br /> aic , A <br /> 1868 East Hazelton Avenue, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjcov.org/ehd <br /> 60 <br /> NITRATE <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> SITE LOCATION: ��zs3 �/Id�., L' S' PA#: <br /> REPORT DATE: gyp_ 7 <br /> = Sufficient <br /> I = Insufficient <br /> San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br /> [�]/ F11.1 Description of the chemical and physical properties of the soils underlying the site. <br /> u ❑ 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 /> E� ❑ 2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> EZ ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the <br /> site. <br /> CJS ❑ 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 /> P ❑ 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 /> [� ❑ 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 /> E' ❑ 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 /> Er ❑ 4.2 Description of 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 prosect site. <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> E]' ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br /> [ ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: 4 1-e 4115� Reviewed Date: /- "A02.6 <br /> EHD 26-02 Page 1 of 2 Surface&Sub Checklist <br /> 7/14/2003 <br />