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The primary sources of nitrate in river water of Northeast, Northwest, Southwest, and South China were manure, septic waste, inorganic fertilizer, and soil organic matter nitrification. Manure and septic waste were the major source of nitrate in Central, East, and North China. Correlation analysis revealed that the nitrate concentrations of surface water has a positive relationship with GDP, nitrogen fertilizer application usage, wastewater discharge, and population in China. Non-carcinogenic risk of nitrate was identified in 80% of the regions in China, an