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SAN JOAQUIN COUNTY <br /> �.. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fav(209)464-0138 Web:www.sjgov.org/ehd <br /> .0 a�tyi <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> ` PA#: <br /> SITE LOCATION: , LLQ 33 <, �CN at4 Q�1 �ay�_ �jy 3�� <br /> ��`�7 REPORT DATE: 'i � t 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 SOI1\ <br /> K, El1.1 Description of the chemical and physical properties of the soils un erlying the sit ?-) <br /> El 1.2 Description of the mass transport properties of the oils underlying the site with respect tonitrateand/or any other <br /> constituent of concern identified for the project sit w <br /> 2.0 GROUNDWATER ANALYSIS <br /> M— ❑A 2.1 Description of:depth to groprkdwAer,seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> ❑ 2.2 Description/discussion of istin or potential groundwater contamination issues in the general location of the <br /> 9 P 9 <br /> site.0. 't6 7—)(m�—P2.3 Description e current use of ground ter 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 /> [- ❑ 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 ate ad from these sources to the project site. <br /> [ ❑ 3.2 Description of irnl: rainfall contrib"of nitrate load to the project site. <br /> [ ❑ 3.3 Description of all current on-sit�-stiurces of nitrate to soil and groundwater and the contribution of nitrate load from <br /> these sourctto t�"roject site. <br /> ❑ 3.4 Description of aproposed future on-site ur:es 9f nitrate to soil and groundwater and the contribution of nitrate <br /> load from these sources to the project SF- ) <br /> a ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br /> Hanztch/Flnnemore, or other appropriate formula/model,if applicable. <br /> ❑ 3.6 Calculated impact of nitrogen loa ' g site project to down gradient wells, rivers, lakes etc. <br /> 4.0 DISCUSSION OF NITRALOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> ❑ 4.1 Discussion of total nitrate impact from proposed project. (R�' <br /> a ❑ 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 /> ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br /> ❑ 5.2 The attachmentsla endices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: o u evlew Date: ll O <br /> ExD 26-02 Pagel of 2 Surface&Sub Checklist <br /> 7/14/2003 <br />