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°p0.U1N' SAN JOAQUIN COUNTY <br /> e 2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95202-3029 <br /> • c P.. Telephone:(209)468-3420 Fa_v:(209)464-0138 Web:www.sjgov.org/ehd <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> SITE LOCATION: '*w- 6;. -e PA#: <br /> �t/'�/ " <br /> REPORT DATE: 5--3 _On L3 <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 /> ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. <br /> 1" El1.2 Description of the mass transport properties of the soils underlying thAite-wit /respect to nitrate and/or any other <br /> constituent of concern identified for the project site. <br /> 2.0 GROUNDWATER ANALYSIS <br /> X, ❑ 2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional wand gradient. <br /> R] F-12.2 Description/discussion of any existing or potential groundwater contamination issues in the ref; raPocation of the <br /> site. 0"--_3 <br /> ® ❑ 2.3 Description o1'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 /> Ji ❑ 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 /> [N.• ❑ 3.2 Description of impact of rainfall contribution of nitrate load t�thecproject site. <br /> ® F-] 3.3 Description of all current on-site sources of nitrate to soil a/A gr undwater and the contribution of nitrate load from <br /> these sources to the project site. <br /> g ❑ 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 /> R ❑ 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 /> [, ❑ 3.6 Calculated impact of nitrogen oa Ing fr 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 /> ❑ 4i4N .1 Discussion of total nitrate impact from proposed project. /2 <br /> 54 ❑ 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 /> �c] ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br /> 5d ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: 11145t'4/"I AllMd) Reviewed Date: ,4/9'ML} <br /> EHD 26-02 Page 1 of 2 Surface&Sub Checklist <br /> 7/14/2003 <br />