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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />Nr:'� 1868 E Hazelton Ave, Stockton - CA 95205 <br />• c .. P (209) 468-3420 - Fax: (209) 464-0138 • Web: www. sjgov.org/ehd <br />NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br />RECORD ID: Skvo ksl 1-%q <br />SITE LOCATION: ( -1 r A �— (4 , \O* 0 ,` 1 �U,�,vnA'� } 2 � REPORT DATE: q(sq-z, <br />S = SLIInsufficientent <br />San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br />I = ]nsufficient <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 />R/i El2.1 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 />7` 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 />to the proposed development project. <br />3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br />FZil ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the <br />LP contribution of nitrate load from these sources to the project site. <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 />Q❑ 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: �,; �c- 6�� _ Reviewed Date: to' 1/'t t, <br />EHD 26-02-002 Page I of 2 Nitrate Loading Study Checklist <br />7/14/2003 <br />❑ <br />3.2 <br />Description of impact of rainfall contribution of nitrate load to the project site. <br />❑ <br />3.3 <br />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 />❑ <br />3.4 <br />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 />❑ <br />3.5 <br />Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br />Hanztch/Finnemore, or other appropriate formula/model, if applicable. _ cq(t, `,4ko y eccl ,� to/`711 Z <br />❑ <br />3.6 <br />Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. <br />4.0 <br />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 />Q❑ 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: �,; �c- 6�� _ Reviewed Date: to' 1/'t t, <br />EHD 26-02-002 Page I of 2 Nitrate Loading Study Checklist <br />7/14/2003 <br />