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,�?`l am•c� SAN JOAQUIN COUNTY G\ ENVIRONMENTAL HEALTH DEPARTMENT 304 E Veber Avenue 3d Floor Stockton• CA 95202-2708 (209)468-3420 Far:(209)464-0138• if eb:www.co.san-joaqui>Lraus/ehd 'fir FCO NITRATE LOADING STUDY REQUIREMENT CHECKLIST PA SITE LOCATION: �LD/��/ `O ad. )A'I&.* REPORT DATE: 7 Q> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-11052 I = Insufficient S I 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 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 ❑ 2.1 Description of:depth to groundwater,seasonal fluctuations of groundwater depth, directional flow and gradient. 0 ❑ 2.2 Description/discussion 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 thsite and of the future expected use of groundwater as related to the proposed development project. r r1'1 0.4 e'I`eAr 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER ❑ ❑ 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 Description of all current on-site sources of nitrate to sol and groundwater and the contribution of nitrate load from these sources to the project site.�' �Ghe ❑ 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. ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of Hanztch/Finnemore,or other appropriate fomwla/model,if applicable- 3.6 Calculated impact of nitrogen loading from site project to down gradient welts,rivers,lakes etc. 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD 1 OF WASTEWATER DISPOSAL �' ❑ 4.1 Discussion of total nitrate impact from proposed project- 0, roject-i r ❑ 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- 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION ❑ ❑ 5.1 The report was signed,dated and stamped by a qualified environmental professional. ❑ ❑ 5.2 The attachmentslappendices contain sufficient documentation to support claims made in the report. Reviewed By: Reviewed Date: EitD 26-02-002 Page I of 2 Surface S Sub Checklist 7/14/2003