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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E Weber Avenue 3' Floor Stockton • CA 95202-2708 <br />(209) 468-3420 • Fax: (209) 464-0138 • Web: www.co.san-joaquin.ca.us/ehd <br />NITRATE LOADING STUDY REQUIREMENT CHECKLIST S "P0'.0'83 <br />SITE SITE LOCATION: 12 <br />PA #: ZOL1 000 Lj- <br />REPORT DATE: <br />S = Sufficient <br />I = lnsufficie <br />$ e(-41-041 <br />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_ Diption of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other <br />s-eon ti nt of concern identified for the project site. Q,c410 et, ci <br />UNDWATER ANALYSIS <br />2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br />2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the <br />site. <br />2.3 Description of the current use of groundwater at the site and of the future expected use of groundwater as related <br />the proposed development project. <br />S-ez <br /> 3.0-1)OURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br />c:(10 S' <br />fl 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 />-6 E 3.2 Description of impact of rainfall contribution of nitrate load to the project site. <br />an oaquitrCOu, Development Title Chapter 9-1105, Section 9-1105.2 <br />An 0 <br />ISI 0 <br />11 0 <br /> <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 /> <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 /> <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 /> <br />3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. <br />.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br />OF WASTEWATER DISPOSAL <br />n 0 4.1 Discussion of total nitrate impact from proposed project. 13 , / n -/2 ----) <br />Et El 4.2 Description of the methods proposed to mitigate any know re impact to soil and ground er from nitrate, <br />and/or any other constituent of concern, at and/or around the proiect si e. <br />5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br />-Kr 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br />LI 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br />Reviewed By: Reviewed Date: <br />EHD 26-02-002 <br /> Page 1 of 2 <br />Nitrate Loading Study Checklist <br />7/14/2003