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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone:(209)468-3420 Fax(209)464-0138 Web:w .sjgov.org/ehd NITRATE LOADING STUDY REQUIREMENT CHECKLIST /�}� PA#: 07-�10 71 SITE LOCATION: �, ti � t Yq�`_ L� Vil REPORT DATE: �/ 7i) 1 = sufficimt ci I = InsutTicient San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 S 1 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL [� ❑ 1.1 Description // of the chemical and physical properties of the soils underlying the site. ❑ 1.2 Descripti)Ynt of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other constituent of on erg identified tfor the project site. 2.0 GROUNDWATER'ANALYSIS &f ❑ 2.1 Description of:depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. ❑ 2.2 Descript1615/dis ssion of any existing or potential groundwater contamination issues in the general location of the site. ❑ 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. G � 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER �f ❑ 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. ® ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. © ❑ 3.3 Descriptid/10 all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources tp the project site. ® F-13.4 DescripfiAof all4roposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sourFs to the project site. ® ❑ 3.5 Calculated masss bfilance of nitrogen loading considering all potential sources identified. Use of Hanztch/Finnemore or other appropriate formula/model, if applicable. [2' ❑ 3.6 Calculated impZ)io nitrogen loading from site project to down gradient wells, rivers, lakes etc. � Z/ S 4.0 DISCUSSf6N & NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL ❑ 4.1 Discussior1,of total nitrate impact from proposed project. ❑ ❑ 4.2 Descrription of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, and/or any other constituent of concern, at and/or around the project site. 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. Reviewed By� � Reviewed Date: EHo 26-02 Pagel of2 sada.&.sub checklist 7 14rzaas