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gUlry o SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E Weber Avenue 3rd Floor Stockton •CA 95202-2708 (209)468-3420•Fax: (209)464-0138• Web:www.co.san-joaquin.ca.us/ehd NITRATE LOADING gSTUDY REQUIREMENT CHECKLIST SITE LOCATION: .3 21 5 . 5y IZl- �// PA#: b Z - 000 3 9(. REPORT DATE: L>3 i7tT cient I = ImuSufffficie San Joaquin County Development Title Chapter 9.1105,Section 9.1105.2 1 = InsutTicien[ S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL NL y ❑ ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. >p'� e �O ❑ ❑ 1.2 Description of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other constituent of concern identified for the project site. 2.0 GROUNDWATER ANALYSIS ❑ ❑ y 'tS-kOL 2.1 Description of:depth to groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient.P9 IN F-12.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the 3`i t 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. N. ',,,t4 —ol, ib-S rb '05 N 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER Z] ❑ 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. Pg 111 � YJ ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. p(, fq�l ❑ ❑ 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 site. ❑ 3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources to the project site, 1,6 % - Ia r'l � ❑ ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of Hanztch/Finnemore, or other appropriate formula/model,if applicable. o W 4("& 1 t APPS ,a.,..Inj tV L- FA ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers,lakes etc. i b /t /V L. 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL ❑ ❑ 4.1 Discussion of total nitrate impact from proposed project. 0b 11 rJ v ❑ ❑ 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 concem, at and/or around the project site. Pb bl 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION ❑ ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. r Qp V„ r- ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. Reviewed By: yLG Reviewed Date: 311 -IlOff urru 2Q02m2 Pagel of 2 Surface&Sub Checklist 7114nW3