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0.NaL 1N'•c SAN JOAQUIN COUNTY 2 ENVIRONMENTAL HEALTH DEPARTMENT N'• { 1868 East Hazelton Avenue, Stockton, CA 95205 cce Telephone:(209)468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd ORS\ NITRATE LOADING STUDY REQUIREMENT CHECKLIST 22�ESITELOCATION: 20 �,• 0utlelo Whet UhdtV) q 29WIT, PA#: 7� SU�ZI��J�Z✓) I�pN CD�13-�3�"102 ZZ��.� REPORT DATE: garGh Z s = Sufficient I = Insufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 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 l9 ro u I ❑ 2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the site. .1] ❑ 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. `r x VMhA mmric VJ& 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 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. ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of Hanztch/Finnemore, or other appropriate formula/model, if applicable. ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL �\ ❑ 4.1 Discussion of total nitrate impact from proposed project. ❑ 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. RkpUrt - h0 MTV Y)r),1 Ati M 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION recomy u r"( r0a ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. P ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. Reviewed By: Reviewed Date: EHD 26-02 Pagel of 2 Nitrate Loading Study Checklist 7/14/2003