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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E Weber Avenue 3rd Floor Stockton • CA 95202-2708 <br />(209) 468-3420 • Fax: (209) 464-0138 • Web: www.co.san-joaquin.ca.us/ehd <br />NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br />SITE LOCATION: Q ) Af, da(X Tblit_lai StocX-fo'm PA #: --Lte,r,ra <br />REPORT DATE: <br /> <br />San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br />I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br />jg. ▪ 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 sVe with respect to nitrate and/or any other <br />constituent of concern identified for the project site. felts 10 L/176.--t- <br />2.0 GROUNDWATER ANALYSIS <br /> <br />2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> <br />2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the <br />site. <br /> <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 />3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br /> <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 />0 <br /> <br />3.2 Description of impact of rainfall contribution of nitrate load to the project site. <br /> <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 sources to the project site. <br />LI <br />3.5 Calculated mass balance of nitrogen loading considering all potential sources identified, Upie <br />Hanztch/Finnemore, or other appropriate formula/model, if applicable. 3. 2„ -ex) 13. 5 <br />,Kr 3.6 Calculated impact of nitrogen loading fromile project to down gradient wells, rivers, lakes etc. 0 t.pc„ eNre cfe <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 CONCLUSIONS AND RECOMMENDATIONS SECTION <br />5.1 The report was signed, dated and stamped by a qualified environmental professional. <br />5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br />S = Sufficient <br />I = Insufficient <br />3.4 Description of 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 />Reviewed By: Sit,S3ck Reviewed Date: <br /> <br />EHD 26-02-002 <br /> Page I of 2 <br />Nitrate Loading Study Checklist <br />7/14/2003