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�'pUIN' SAN JOAQUIN COUNTY Q ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Ave Stockton, CA 95205 (209)468-3420 • Fax: (209)464-0138 • Web: www.sjgov.org/ehd Nitrate Loading Study Requirement Checklist SITE LOCATION: RECORD ID: REPORT DATE: S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 I = Insufficient S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL [r] ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. E� ❑ 1.2 Description of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other constituent of concern identified for the project site. 2.0 GROUNDWATER ANALYSIS E� ❑ 2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. E� ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the site. E� ❑ 2.3 Description of the current use of groundwater at the site and of the future expected use of groundwater as related to the proposed development project. 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER E� ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the contribution of nitrate load from these sources to the project site. [7S ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. [/S ❑ 3.3 Description of all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources to the project site. [�] ❑ 3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources to the project site. EHD 26-02-002 Pagel of 2 Nitrate Loading Study Checklist 7/14/2003