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4�U ``tea SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q. a <br /> N <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> v Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> !FOP <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> #: j t — 12_ <br /> SITE LOCATION: I (. :. �,`t�� '�t nom j 5 36s PA Jv1 <br /> y REPORT DATE: N1 \3 <br /> S = Sufficient <br /> 1 = Insufficient San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br /> `� ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. <br /> Er El 1.2 Description of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other <br /> constituent of concern identified for the project site. <br /> 3 <br /> 2.0 GROUNDWATER ANALYSIS <br /> ® ❑ 2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> ® ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the <br /> site. 6 <br /> ❑ 2.3 Description of the current use of groundwater at the site and of the future expected use of groundwater as related <br /> to the proposed development project. <br /> 1 <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 nitrate load from these sources to the project site. <br /> ® ❑ 3.2 Descripti �of impact of rainfall contribution of nitrate load to the project site. <br /> ® ❑ 3.3 Description of all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from <br /> these sourcesto the project site. <br /> EeJ_ E] 3.4 Description All proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate <br /> load from these sources to the project site. <br /> u <br /> �] ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br /> Hanztc�Finnemore, or other appropriate formula/model, if applicable. <br /> J <br /> U ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. <br /> 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> ❑ 4.1 Discussion of total nitrate impact from proposed project. <br /> �] ❑ 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 proiect site. <br /> 5.0 CONICUSIONS AND RECOMMENDATIONS SECTION <br /> ❑ 5.1 The report wa s signed, dated and stamped by a qualified environmental professional. <br /> F-15.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: ` �n�a 1U evtewe T)ate: <br /> ERD 26-02 Pagel of 2 Sudace&Sub Checklist <br /> 7/1412003 <br />