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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd. <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> PA#: 1 —co 2..Xcl C 0) <br /> ITE <br /> SLOCATION: C'frj <br /> $� 5 1.�• vti�� , 3�� REPORT DATE: f i5 1 r <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1108.2 <br /> [ a Insuffi�t <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 /> ® ❑ 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 /> 2.0 GROUNDWATER ANALYSIS <br /> ❑ 2.1 Description of:depth to groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient. <br /> ® F] 2.2 Description discussion of any existing or potential groundwater contamination issues in the general location of the <br /> site. <br /> ® [❑ 2.3 Descriptin 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 /> I <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 Description of impact of rainfall contribution of nitrate load to the project site. <br /> ❑ 3.3 Descn'ptidn of all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from <br /> these sources to the project site. <br /> EP E] 3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate <br /> load fro:yrmass <br /> ese sources to the project site. <br /> ❑ 3.5 Calculatbalance of nitrogen loading considering all potential sources identified. Use of <br /> Hanztch/Finnemore,or other appropriate formula/model,if applicable. <br /> a <br /> ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells,rivers,lakes etc. <br /> G <br /> 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> Q] ❑ 4.1 Discussion of total nitrate impact from proposed project. <br /> ❑ 4.2 DescriAlon of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, <br /> and/or anv oder constituent of concern,at and/or around the proiect site. <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> $a ❑ 5.1 The report was signed,dated and stamped by a qualified environmental professional. <br /> J ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: - Reviewed Date: 1� It <br /> EM 26-02 Page 1 of 2 surface&sub CheckEiet <br /> 7/14/2003 <br />