TRANSMITTAL of OMAH A LEAD SITE 

SOIL REMEDIATIO N FILE FOLDER 

SAID #: ^051 ) Date: W^ ^ / " 

Address: 2F)UfS TrKj ^ ^\^ ^ 

Remediation Contractor: Coastal Environmental Group_ Year: _2010ARRA 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Q^ ^ Video ofproperty (DVD) 

^a Executive Summary 

\y ^ EPA-provided property sketch 

l-H ~ Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacerit propeily 

Restoration Agreement 

Settlement documents (i.e., for damage or to replace plants, etc.) 

Confirmation data 

Photographs 

As-built sketch 

^fl' ' Satisfactory restoration signed by Property Owner 

H J Property close-out check list signed by EPA 

-B ^ Description ofareas not meeting ROD cleanup criteria 

\y ^ Utility clearances 

""Oy Property information from Douglas County Assessor's Office 

D 

30261025 

Superfund 

II 
Property Access Checklist 

Property ID: LfC^ i ( 

Property Address- ^Sli^ V ^^hly^^UT . 

n

D

 WORK STARTED

 WORKCOMPELTED

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Address: 

Phone: 

Fax: 

^5/ ­ .-^?9y 

Ccll/Pager: 

Renter: 

Phone: 

Fax: 

Ccll/Pager: 

Additional Information: 

D Notification Letter 

^JK Aceesii Agreement 

C4 Restoration Agi-ecment 

I CD Topsoil Sampling (if applicable) 

D Disposid Sampling (if applicable) 

G Garden Sampling (if applicable) 

D Utility Clearance 

S Video/Photos (Before) 

n Video/Photos (During) 

D Video/Photos (After) 

D Video/Photos (30-Day) 

• Property Completion Agreement 

D Final Report 

Sent: / / 

Signed: ) 0 lZ( /( D 

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1 1 

1 1 

1 1 

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Results: 

Omaha Lead Site 
Douglas County Account InfaBnatio tjjKaat n Page 1 of2 

W 

Douglas County, Nebraska Property Record - R1750660000 

Information is valid as of 2010-8-30 

New Feature

Owner 

HILL MARY L 

2561 TITUS AVE 

OMAHA NE 68112-0000 

Property Informatio n 

Key Number: 5066 0000 17 

Account Type: Residential 

Parcel Number: 1750660000 

Parcel Address: 2565 TITUS AV 

OMAHA NE 68112-0000 

Legal Description: MINNE LUSA LOT 4 BLOCK 12 44 X 120 

Vaiue Information 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Land Informatio n 

Acres 

0.12 

SF 

5280.0 

Units 

0.0 

Depth 

120.0 

Print Report 

View Interactive GIS Mao 

Treasurer's Tax Report 

 ->-*- > Subdivision Sales Search 

Total 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

Width 

44.0 

Vacant 

Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R17... 9/15/2010 
3/31/2011 www.dhon.org/irthinternet/DHONNotic..J 

# - Create Another Ticket Backrmrth intemet r Send Email # 

c rmrt 

YOUR TICKET NUMBER IS 2700351. 

Original Call Date: 3/31/11 Time: 3:49 pm Op: ALFONSO18790 


Work to Begin Date: 4/04/11 Time: 4:15 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2565 Street: TITUS AVE 


Twp: 16N Rng: 13E Sect-Qtr: 33-NE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Lead Remediation 


Location of Work: LOCATE ENTIRE PROPERTY, ALL EASEMENTS AND TO THE PEDESTAL 


Remarks: FAX ALL CLEARS TO: (402)934-2811 


: PLEASE INCLUDE ALL EASEMENTS 


Company : COASTAL ENVIRONMENTAL SERVICE 


Contact Name: ALFONSO Phone: :402)934-2837 


Work Being Done For: Coastal 


Depth of Excavation: 4ft Corner Lot: N Front: Y Rear; 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Utility Service Area Contact Phone Number Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 4025047823 

METROPOLIT/iN UTILITIES MUDOl S/WDYMUD Ah: DISTRICT 

Emerg: 4025047970 

Day: 4024447197 


CITY OF OMAHA- OMAHACOF RICnmiAFFIC Ah: 4024445161 TRAFFICSEWER 

Emerg: 4024445160 

Day: 4067289343 


OMAHA PUBLIC POWER ELM 0PPDGPR5 Ah: 4062071494 DISTRICT LOCATING 

Emerg: 8887289343 


dhon.org/irthinternet/.../MessageText.as... 1/2 
3/31/2011 ^H ^ www.dhon.org/irthinternet/DHONNotic., 

QLNNEIC QWEST LOCAL NETWORK

FTM 

 ^^T^.r ^

~ ~ Day:

 Ah:

 4067289343 

 4062071494 

LOCATING 

Emerg: 8887289343 

dhon.org/lrthinternet/.../MessageTextas... 2/2 
As-Built Drawing w 

COASTA L Omaha Lead Superfund Site 

OLS#: 40511 

Date Excavated: 4/12/2011 

Date USEPA Sianed Off: Sjij 40511 Area Sodden: 1575 sa f Mi 

Omah Exienor Paint a Lead Site • Good Site Sketch • Poor 

Sampling Address: 2565 TITUS AV [ J Not paif" 

Sample Lead Sample Samples Collected Number LAB Concentration Collect llectee d Finm: 

RYASCPXA-40511 Fl ppm Date: S -12 - 69 

RYBSCPXA-40511 F2 lOf" ppm D Time: Z:i6 P-tf\ 

RYCSCPXA-40511 Bl 213 ppm n Samples Analyzed RYDSCPXA-40511 B2 ppm a 

RDJ3CrXA-40511 BZ ppm D D XRF Unit: lO<^(-^1. Book: Tj h 

df- RQZOCPXA-40511 -« 2 ppm n Date: _ 

RPJOCPXA-40511 -PZ- ppm O n Time:_

, Lab RYASCPLA-40511 Staff: i Result 7Q 7 „_ _ Number of Samples = | ^ \ \ / | nsur _ 78-7 ppm 

-" Front Right, Bl = Back Left. B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = PI 

Al quadrants are as viewed trom the street, tacing property 

ft 

ENTEREI i : MAY 2 9 i m \ 

\ 

ZH3 

B2 = 159PP^ /l@8" 

: : 

t 

r ^ — — 

: L'.. 

^. ,.u... ^^ 

U9 .IDL> 

• .••.,,.,..,.•„,.,:..,i.., , 4­ 1

'<:;^""" 

EA=179PPM@1" . Ti ' /?uf. ;••« .-n: ttLl tas . 1.44701 0 

Legen d 

Dri p Zone Excavate d 

Area replaced with Area replace d wit h 

Concret e Quadrants Excavate d 

Area lef t bar e Sod ' ' Rock/Mulch 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
L^ "ii'i Q/y fiiillliii 40511 

Omah Exterior Paint North ArroMT a Lead Site • Good Site Sketch • Poor 

Sampling Address: 2565 TITUS AV i

[ J Not paint 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Finm 

RYASCPXA-40511 F1 JJ_5L ppm 

Date S - 2-2 • 69 

RYBSCPXA-40511 F2 ppm 

i^i£. D Time 

RYCSCPXA-40511 B1 ppm 

-in n Samples Analyzed 

RYDSCPXA-40511 82 7 5^ ppm 

RDZOCPXA-40511 DZ D

ppm D XRF Unit: M2Sti:^ Book: il l 

o f RQZ9CPXA-40511 Q i D

ppm or Date: _ (i> -/*=? O ^

RPZ3CPXA-40511 P2- D

ppm D Time: Ai 

J Lab RYASCPLA-40511 Staff: 

t Result Number of Samples = | ^ [ / n5ur 78,7 ppm 

Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla\ 

All quadrants are as viewed fnom the street, facing propeily 

^.y; . ••••} • ^ -'^ r ,j| - •„»"• - y 
ffl 40511 

Omah Exterior Paint North Arrow a Lead Site • Good Site Sketch • Poor 

Samolina Address: 2565 TITUS AV [3 Not paint f 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm: 

Samples Collected 

RYASCPXA-40511 Fl ±L ± ppm ef Date: 

RYBSCPXA-40511 F2 I0(P ppm n Time: 

RYCSCPXA-40511

RYDSCPXA-40511

 81 

 82 

JLU. ppm 

ppm 

D 

n Samples Analyzed 

RDZOCrXA-40511 DZ ppm o D XRF Unit: iofir.7. Book: 2d ± 

o f RQZOCPXA-40511 9 2 ppm n Date: _ 

RPZ0CPXA-4a5tl P2­ ppm D D Time: _ 

J. Lab 

S Result 

RYASCPLA-40511 

78.7 ppm 

Number of Samples = [ *^ 1 Staff: n>v{ 

Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla> 

All quadrants are as viewed from the street, facing property 
40511 

Omaha Lead Site Exterior Paint North Arrow 

Site Sketch • Good 

• Poor 

Samolina Address: 2565 TITUS AV \vf Not paint f 

Sample Lead 

Samples Collected Number LAB Concentration Collected Firm 

RYASCPXA-40511 F1 J_L9L ppm 

ef Date S-12 69 

RYBSCPXA-40511 F2 /Q ^ ppm 

nf D Time 

RYCSCPXA-40511 81 

23± ppm Q^ D

Samples Analyzed RYDSCPXA-40511 82 

759 ppm nf D

rtDZOCrXA-40511 DZ 

ppm D D XRF Unit: lO<;iU'L Book: Z H \ 

o f RQZOCPXA-40511 9 2 •^7 q ppm DT D Date: C -l* ^ -Q ^ 

RPZ3CPXA-40511 P2- ppm D 

D Time: Arr ^ 

J. Lab RYASCPLA-40511 Staff: n^ur Number of Samples t Result 78.7 ppm •\z 

Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Ganjen, PZ = Pia; 

All quadrants are as viewed from the street, facing property 

• y •••.' • I''".'^—1" ' • :>' ' 

•?• • ENTERE JU 

HAV 2 9 2009 

57^ 

- ; • 7 5 9 

' { tSi^STf^us 

i^0€ 

^ 

•^ 

r^.i yz 

iJ.9 \0.\p. 

^ 

.Tit.a^. k^.^ Rev MiS (.'realcd: i}6-Kov (1+1701 
,*"!ir*>* 

COASTA l *<i , ,,0 ^ inVlltONKfklJl l 

c K o u r . I »( c 

Consent for Access To Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States 

Environmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

following described premises: /J/n^t-^/f 

Owner' Daytime Phone: <::^J-1 _(^y^^ ^ s Name: T)::^U 14 "V^qSSi k 

Acidress of Property 

covered by this D-SC^ X.Tcr Agreement: ^ ^ 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of lead and may pose a health hazard. The area(s) will be 

excavated to remove contaminated soil. The removed contaminated soil will be 

replaced with clean materials and the area will be restored to its original condition. This 

work is being performed under the Omaha Lead Superfund Site remediation program. 

A representative of Coastal Environmental Group, contracted by USEPA, will contact 

the Grantor in-person to discuss the work to be performed, the Grantor will have an 

opportunity to review and approve the planned soil removal, and restoration work 

before it begins. Once the work is finished, the Grantor will be asked to review the work 

and confinn that it is complete and meets with the Grantor's approval. Upon 

completion, the Grantor will receive written documentation from EPA that the property 

has been remediated. 

ENVIRONMENTAL RESPONSE ACTIONS 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, at all reasonable times 

and with prior notice, for the sole purpose of perfonning the work. This access shall 

remain in effect until the work has been satisfactorily completed. The Grantor also 

agrees to: 

Page 1 of 2 
y^^J''% 

••*•' COASTA L ^*f y^ IHVKOKKfK m 

•*t f>no ^ c It o u ' I H c 

c Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

e Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

c Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

c Abide by health and safety guidance provided by EPA; 

f If the property is rented, assist EPA in obtaining tenant approval for access to 

the property to perform the work. 

c Allow videotaping and/or photographing of the property. 

AGREEMENT NOT TO INTERFERE 

The Grantor agrees not to interfere or tamper with any of the wort? activities, or with any 

of the work done, or with the equipment used on his property, or to undertake any 

actions regarding the use of said property which would tend to endanger the health or 

welfare of the Grantees or the environment, or to allow others to use the property in 

such a manner. 

Should you have any questions about this program, please contact Coastal 

Environmental Group, at (402) 991-1199 

D J grant access to my properties D ' do not grant access to my properties 

Signature Date Signature y Date 

G I would iike to be present during any sampling that is required. 

Page 2 of 2 
COASTA L eNVIROMMCNTAI. CROUP , INC . 

Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of the property prior to 

remediation activities. This will also serve as documentation for the purpose of assuring that restoration 

activities are completed to the satisfaction of the property owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: ^^57/ 

Property Address: ^/^^ ^ ~j;/i. ^ 

.^J^C-

Owner: "^vjv i TKc^^ M 

Phone: ^Ol-^S 7 ^ f^S^f 

On the attached diagram(s) indicate area(s) to excavate, sxirface structures and landscaping features and 

access location(s) to be used by the contractors. Indicate distances, depths, material types, etc. 

Photographically and Videographically document the existing conditions ofthe property and the basement if 

necessary. 

Items to bis Removed by the Owner before Start of Remediation: 

The removal, storage, disposal, and/or return of these items iis the Owner's responsibility. 

Item: 

KJcir^.. 

Item: 

Item: 

Item: 

Items to be Removed by the Contractor Durinq Remediation and Not Replaced 

Item: 

l\jQr^^-

Item: 

Item: 

Item: 

Page 1 of. 
COASTA L CNVIRONMENTA L 

C K O U P . INC . 

Items to Be Removed By Contractor During Remediation and Replaced 

Item: 

S^\\ 

Item: 

yj Item: 

Item: 

Landscape Inventory 

Item Quantity Unit Condition/Type/Species 

Pre-existing property area, Quadrants that will be excavated, that \2­ is covered with grass. 

Number of trees > 2 inch Eiach 

trunk diameter 

Number of trees <= 2 inch Each 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, Each Timers, Heads, etc. 

Attach a sketch of the 

sprinkler layout. 

Number of and size of 

each garden/ flower bed Each 

area. Square Feet 

Attach a sketch of relative 

sizes and locations. 

Agreed upon value of plant 

materials not to be 

replaced by contractor. 

Note this value will be 

used tb issue a plant 

voucher to the property 

owner. 

Easement Area, to be /+5 Each €Ci­ excavated 

Page 2 of. 
^^ 

COASTA L CNVinOMMC N T A L 

c M o u p . INC : 

Additional Comments / Instructions: 

The city of Omaha ordinances may prohibit you from using dirt or gravel areas on your property 

as driveways or vehicle parking areas. The Environmental Protection Agency (EPA) may be 

removing and replacing soil underlying a gravel or dirt area on your property that you may be 

using as a driveway or vehicle parking area. If this is the case, you should understand that this 

removing and replacing of soil does not mean that any illegal driveway or parking area on your 

property is made legal. To the contrary, you may be cited by the city if you use a gravel oi* dirt area 

as a driveway or parking area, not withstanding any rernoval or replacement of soil by the EPA 

If you have any question about legality of a certain driveway or parking area, you may contact 

the city of Omaha's Planning Department at (402) 444-5150. 

O Please check this box if you understand the information outlined above. 

U Check the box if Owner does not want CEG to document interior foundation walls and possible 

pre-existing damage. By checking this box CEG is not responsible for any damage done to the 

interior of house, including foundation cracks or fissures. 

Ql agree Q I do not agree 

PnuxM^rA y^h^-^K ^.e&^^i^^ fyj,.-) 

Owner's^ignature Date _-1 i 1 , \ , , \ \ > , Contractor' »- Contractor' 0 s Signatur Signature Date ' 

Page 3 of 
BVID# Hog 11 

XRF PROPERTY SAMPLE SHEET 


Date oM lyj^ \ 

Project Omaha Lead ARRA 

O .--1 L, ;- „ XRF ID# 

Shot# Reading Sample area 

y y t ifc C . •--' ' 

'^H yo-^\-^ Depth 

35 \ ' • y\zi^^ \s 

Average h^\ t vn 

Shot# Reading Sample area 

^ ^ \ y \- ife y^ 

3o lO'S i\ 4 Depth 

Sl XM) t i ^ y 

Average \ $^1 t- VL ^ 

Shot# Reading Sample area 

Depth 

Average 

Address 

Sample time 

sample length 

Shot # 

Average 

Shot# 

Average 

Shot# 

Average 

RETEST AREAS 

Shot# Reading Sample area Shot # 

^ ^ Depth 

/ / 

Average Average 

Signature 

Print M/lf ^ \\y(h \ 

vxc^^-Tinis am/pm 

30 sec 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 319.442 

Sr 145.882 

U < LOD 

Rb 60.935 

Th < LOD 

Pb 179.683 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 172.363 

W < LOD 

Cu 37.915 

Ni < LOD 

Co < LOD 

Fe 15279.320 

Mn 518.865 

Supervised By: 

Certificate of Verification 

36 

SOIL 

2011-04-12 21:52 

92.66 

Final 

Avg of 33-35 

2565 TITUS 

EA 

1" 

M. MATEUS 

CONFIRMATION 

CLEAR 

Error 

7.036 

± 12.587 

± 7.746 

12.886 

± 5.779 

11.157 

± 17.211 

4.922 

22.880 

\ 10.685 

± 20.763 

74.121 

± 19.401 

64.867 

157.352 

± 329.880 

± 95.785 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 308.421 

Sr 146.438 

U < LOD 

Rb 60.719 

Th < LOD 

Pb 222.030 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 173.192 

W < LOD 

Cu 34.357 

Ni < LOD 

Co < LOD 

Fe 15750.790 

Mn 541.528 

Supervised By: 

Certificate of Verification 

33 

SOIL 

2011-04-12 21:50 

31.37 

Final 

40511 

2565 TITUS 

EA 

1" 

M. MATEUS 

CONFIRMATION 

CLEAR 

Error 

6.875 

± 12.255 

± 7.662 

12.348 

± 5.666 

11.562 

± 18.716 

: 4.930 

24.975 

10.865 

± 20.609 

76.409 

± 18.936 

: 65.026 

:; 155.228 

± 330.633 

± 95.960 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 34 

Mode SOIL 

Time 2011-04-12 21:51 

Duration 30.59 

Sequence Final 

Flags 

BVID 40511 

ADDRESS 2565 TITUS 

QUADRANT EA 

DEPHT 1" 

XRF TECH M. MATEUS 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD 7.036 

Zr 327.865 ± 12.738 

Sr 136.726 ± 7.552 

U < LOD 12.242 

Rb 55.327 ± 5.528 

Th < LOD 10.693 

Pb 180.858 ± 17.381 

Se < LOD : 4.844 

As < LOD 22.636 

Hg < LOD 11.223 

Zn 173.802 ± 20.961 

W < LOD 75.520 

Cu 34.058 ± 19.159 

Ni < LOD 65.077 

Co < LOD 157.925 

Fe 15164.810 ± 330.129 

Mn 487.355 ± 93.472 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 322.041 

Sr 154.481 

U < LOD 

Rb 66.760 

Th 12.906 

Pb 136.161 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 170.094 

W < LOD 

Cu 45.329 

Ni < LOD 

Co < LOD 

Fe 14922.360 

Mn 527.712 

Supei •vised By: 

Certificate of Verification 

35 

SOIL 

2011-04-12 21:52 

30.70 

Final 

40511 

2565 TITUS 

EA 

1" 

M. MATEUS 

CONFIRMATION 

CLEAR 

Error 

7.198 

± 12.770 

± 8.025 

14.069 

± 6.144 

± 7.478 

± 15.535 

4.992 

21.030 

9.968 

± 20.720 

70.435 

± 20.108 

\ 64.497 

158.904 

± 328.878 

± 97.924 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 341.294 

Sr 139.007 

U < LOD 

Rb 59.228 

Th < LOD 

Pb ^i^^*' ! 59.597 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 175.672 

W < LOD 

Cu 29.514 

Ni < LOD 

Co < LOD 

Fe 17114.602 

Mn 562.719 

Supervised By: 

Certificate of Verification 

32 

SOIL 

2011-04-12 21:49 

92.47 

Final 

Avg of 29-31 

2565 TITUS 

82 

8" 

M. MATEUS 

CONFIRMATION 

CLEAR 

Error 

7.246 

± 13.106 

± 7.684 

12.848 

± 5.785 

11.093 

16.589 ± 

4.827 

22.351 

: 10.473 

± 21.195 

75.599 

± 19.178 

66.742 

168.138 

± 353.998 

± 100.466 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 359.226 

Sr 133.017 

U < LOD 

Rb 59.209 

Th < LOD 

Pb 199.463 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 192.696 

W < LOD 

Cu 32.037 

Ni < LOD 

Co < LOD 

Fe 19355.805 

Mn 496.218 

Supervised By: 

Certificate of Verification 

29 

SOIL 

2011-04-12 21:47 

30.64 

Final 

40511 

2565 TITUS 

B2 

8" 

M. MATEUS 

CONFIRMATION 

CLEAR 

Error 

7.285 

± 13.545 

± 7.633 

12.721 

± 5.836 

11.371 

± 18.566 

: 4.679 

1 24.306 

1 10.429 

± 22.362 

74.847 

± 19.631 

67.488 

180.303 

± 381.523 

± 98.427 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 30 

Mode SOIL 

Time 2011-04-12 21:48 

Duration 30.90 

Sequence Final 

Flags 

BVID 40511 

ADDRESS 2565 TITUS 

QUADRANT B2 

DEPHT 8" 

XRF TECH M. MATEUS 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD 7.153 

Zr 325.310 ± 12.681 

Sr 143.043 ± 7.675 

U < LOD 12.379 

Rb 56.280 ± 5.561 

Th 13.850 ± 7.195 

Pb 108.487 ± 14.029 j 

Se < LOD 4.795 

As 24.541 ± 12.943 

Hg < LOD 10.279 

Zn 136.326 ± 18.761 

W < LOD 73.524 

Cu < LOD 26.362 

Nl < LOD 64.737 

Co < LOD 155.995 

Fe 14905.465 ± 326.170 

Mn 607.303 ± 100.970 

Superv ised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 339.348 

Sr 140.962 

U < LOD 

Rb 62.196 

Th <r 1 o n 

Pb 170.841 

Se < LOD 

As 25.985 

Hg < LOD 

Zn 197.995 

W < LOD 

Cu 42.790 

Nl < LOD 

Co < LOD 

Fe 17082.535 

Mn 584.636 

Supervised By: 

Certificate of Verification 

31 

SOIL 

2011-04-12 21:49 

30.93 

Final 

40511 

2565 TITUS 

B2 

8" 

M. MATEUS 

CONFIRMATION 

CLEAR 

Error 

7.299 

± 13.093 

± 7.744 

13.445 

± 5.959 

11.117 

± 17.173 

5.009 

± 15.555 

10.710 

± 22.462 

78.425 

± 20.328 

68.002 

168.116 

± 354.302 

± 102.002 
\ Omaha Lead Site—Fixed Price EP-R7-07-05 

a Coastal Environmental Group Inc. 

^ • "* www.coastalhazmat.com 

'^iPno^t^ COASTA L ENVlllONHINrAL 

GROUP . IN C 

EXECUTIVE SUMMARY: 

BVID #40511-(2565 TITUS AVE) 

No Issues or Concerns | ^ Issues/Concerns 

Detail Explanation: 
Property Completion Agreement 

This agieemeni documenis the completion ol remedial aciivmes perloimed on my properly. My signaiure 

will designate llial I am satisfied with the restoraiion of my propeily. and ihai no items are in questions, 

now, or al any lime in the future, excepi those ilems listed below, ifany 

Property W: ^O^j I 

Property Address: ^^ ^ ^-J^^ ^ ^^^ ^ 

Phone : Z-i-^..— • _ ^a- <g^" j / I) ' ./ Y^/ •- -5^^ ^ 

Restoration Items in Question: 

"2 frfn'-^ ^^i'?^>%^^'()jf^ -^r^r, 

Iterri: 

Item: 

Item: 

Item: 

Jr \ I nyrcc I c.'tor«(ion is complcied, except as nntert 

[_J I rio nol «t;rec restoration ij completed J 

Con Sicnaliirc Oa/t / 
w^^EPA 

EPA Property Close Out Form 

Property #: _ 

Property Address:- t^> ^ i^^^ Datc/TiiQc: Owner's Name:. / ^ ^ Y/_^ 

Quads Excavaied: Contraclor Group C^ " 

Excavatio Yes No n General 

1. If necessBiy, were thc correci quadranKs) excavated and restored? y 

2. If necessary, were the correci areas ofdrip zone excavaied and restored? y 

Yes No 

I Does the grading around the perimeter ofthe house in excavated areas generally slope a^vay 

Grading Sod and VcgcUtioii 

from lhe house? yA

2. Has sod been laid in all areas that were excavated? y 

J. Does thc sod appear to be generally healthy and growing? (Only evaluate ifinspected ai a 30 y day time period) 

4. Are sodded areas generally firm and evenly graded? y

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) y 

6. Was the property graded such that water will not pool on the property' y 

7. Was damage to landscaping or plant materiaU avoided? y 

Gates, Fences and Retaining Walb 

Ves Nu 

1. Do gates open and close freely? (If applicable) / 

2. Were all gates or fences taken down during restoration activilies reinstalled? (If applicable) y 

3. Was damage to gates or fences avoided? (Ifapplicable) 

y 

4. Was damage to retaining walls avoided? (Ifapplicable) y .. . 

Foundation, SidiOK and Gntter? Yes No 

I. Was damage to the siding or trim avoided? y 

2. Was damage to the foundation avoided? y 

.". Was damage lo windows avoided? y 

4 Was damage to windows or door screens avoided? y 

5. Was damage to downspouts or downspoul extensions avoided? 

y . . 

Sidewalks and Driveways (Concrete) 

Yes No 

I. Was damage to driveway surfaces avoided? y 

-xy 2.

 Was damage to walkway surfaces avoided? 
owners coihments: 

pFnspection no<es: 

Removal and restoration aclivates compleie including the 30-day sod warranry: 

EPA Representative Q^l ^ Date: s'^''"