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C'. SAN JOAQUIN COUNTY oG INA . + ENV ,ONMENTAL HEALTH DEPARTML�T 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 rc s Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd p�tFORr'�P NITRATE LOADING STUDY REQUIREMENT CHECKLIST SITE LOCATION: p/9 r � tzc �5sj PA#: /// > REPORT DATE: S = Sufficient San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 1 = Insufficient S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL P4 ❑ 1.1 Description of the chemical and physical properties of the soils underlying the (te. ® ❑ 1.2 Description of the mass transport properties of the soils underlying the site with re.&pect to nitrate and/or any other constituent of concern identified for the project site. 2.0 GROUNDWATER ANALYSIS P9 ❑ 2.1 Description of: depth to grqund<w�ater, seasonal fluctuations of groundwater depth, directional flow and gradient. kky B ❑ 2.2 Descripion/discussion of any existing or potential groundwater contamination issues in the general location of the site. Cw::\ ® ❑ 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 projegt. 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER E3 ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in he general up gradient area and the contribution of nitrate load from these sources to the project s* ® ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site�(�� g�lCr�6(2) R ❑ 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 si�e. JV 1.0) 11) (� ❑ 3.4 Description of all proposed future on-site sources of l'trate to soil and groundwater and the contribution of nitrate load from these sources to the project sit W!► ® ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources idetified. Use of Hanztch/Finnemore, or other appropriate formula/model, if applicab�nt( ) IT) ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc./ 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL M ❑ 4.1 Discussion of total nitrate impact from proposed projects. Fq ❑ 4.2 Description 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 1 vj) 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION ❑ ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professionalj-8 R) ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. Reviewed By: Reviewed Date: g EHD 26-02 Page ] of2 Surface&Sub Checklist 7/14/2003