### TRANSMITTA Lo f OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R
SAID, : "^hF l Date : ^ ^ 

# t( 7 Address : ^^1^ 1 fc^^^f ^ Remediatio nContractor : Coasta l Environmenta l Group

_Year : 200 1 ^ 

### SOI LREMEDIATIO N PROPERT Y nLEFOLDE RDOCUMENT S / 3

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### Vide o o f property (DVD ) Executiv e Summar y EPA-provide dpropert y sketc h Signe dAcces s Agreement fo r subjec t propert y Signe dAcces s Agreeraent(s ) fo r adjacen t propert y Restoratio nAgreement Settlemen t document s (i.e. , fo r damag eo r t o replac eplants , etc. ) Confiimatio ndat a



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/ Photograph s fk ^Ct^^^^S ^ As-built sketch Satisfactor y restoratio nsignedb y Propert y Ovraer Propert y close-out diec k lis t signedb y EP A Descriptio no f area s no t meetin g RO D cleanup criteri a Utilit y clearance s Propert y informatio nfro mDougla s Count y Assessor' s Office

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## CONTACTFOR M Propert y I D # 

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Comment : Owner Comment (s) :
Site Coordinato r Comment (s) :

### Dougla s Count y Accotm t Info : >rn^H) r Pag e 1 of 2
Dougla s County , Nebrask a Propert yRecor d - R052549000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 f l wes t o f52n d S t - VleWO H Ma p Informatio n i s vali d a s o f2009-6-1 6 Treasurer' s Ta xRepor t Ne wFeatur e -•"•" •Aut o Sale s Searc h Owne r BRYSO N MAXIN E
240 7 EMME TS T OMAH AN E 68111-OOO O Propert yInformatio n Ke yNumber : 254 9 OOO O 0 5 Accoun t Type : Residentia l Parce l Number : 052549000 0 Parce l Address : 240 7 EMME TS T OMAH AN E 68111-000 0 

### Lega l Description : ARCHE R PLAC E LO T2 6 BLOC K0 W4 0 FT 4 0 X 8 5 Valu e Informatio n


### 200 9 200 8 200 7 200 6 200 5 200 4 Lan d 

### $1,900.0 0 $1,900.0 0 $1,900.0 0 $1,900.0 0 

### $1,900.0 0 $1,900.0 0 Improvemen t 

### $31,000.0 0 $31,000.0 0 $31,700.0 0 $31,700.0 0 $31,700.0 0 $12,200.0 0 Tota l $32,900.0 0 $32,900.0 0 $33,600.0 0 $33,600.0 0 $33,600.0 0 $14,100.0 0 Lan d Informatio n Acre s 0.0 7 S F 3400. 0 Unit s 1. 0 Dept h 85. 0 Widt h 40. 0 Vacan t N o Improvement Informatio n 

### Buildin g 1

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R052.
. . 7/7/200 9

### Dougla s County Accoun t Info : m^^n Pag e 2 of 2

Two Stor y 240 7 Emmet S t
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BsmnBkxi.S nff»0^ < ^ CLIC KTOEJSILARG E IMAG E CLIC KTO ENLARG E IMAG E Squar e Footage : 1196. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : j Fai r Uni t Type : Condition : Averag e

Buii t As : 2 Stor y Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 7. 0 Exterior : Fram e Sidin g Units : 1. 0 interior : Drywal l Baths : 1. 0 Roo fCover : Compositio n Shingl e Bedrooms : 3. 0

Roo fType : Hip/Gabl e Stories : ! 2. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea r Percen t Adjuste d Yea r YearBuii t Physica l Ag e Remodele d Remodele d Buil t 190 0 0 % 190 0 10 9 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 ft 698. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Garag e Detache d 192. 0 Garag e Detache d 240. 0 Porc h Enc I Soli d Wal l 70. 0 Porc h Sla b RoofCei l 222. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R052.
. . 7/7/200 9

# m Pag e Iof 2

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## • YOURTICKE TNUMBE RI S 2332217
. Origina l Cal l Date : 8/03/0 9 Time : 12:2 2 p m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 8/05/0 9 Time : 1:0 0 p m State : N E County : DOUGLA S Place : OMAH A Address : 240 7 Street : EMME T S T Twp : 15 NRng : 13 E Sect-Qtr : 09-NE,10-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : INCLUD E AL L EASEMENT S LOCAT E ENTIR E PROPERTY Remarks : FA X AL L CLEAR S TO : (877)662-421 1 : UNSUR E ABOUT CORNE R LO T Compan y: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ELIZABETH Phone : (877)662-421 0 Wor k Being Don e For : COASTA L Dept ho f Excavation : 4 F T Come r Lot : N Front : Y Rear : Involve s Tvinnelin g o r Horizonta l Boring : N Explosives : N CXCAT V MAGELLA N MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C

Servic e Are a Contac t Phon e Number Utilit y Typ e Day : 402934046 9 CXCAT V CO XCOMMUNICATIONS , IN C HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 918574709 8 MAGELLA NMAGELLA NMIDSTREA M PARTNER S L P DEBORA H Alt : Emerg : 918574709 8 Day : 402504782 3 MUDO l METROPOLITA NUTILITIES DISTRIC TSAND Y Alt : Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE R RO N Alt : 402444516 1 Emerg : 402444516 0

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS.
. . 8/3/200 9

## Pag e 2 of 2 #

0PPDGPR 5 OMAH APUBLI C POWE RDISTRIC TN A 

## Day : 406728934 3 Alt : 4062071494 Emerg : 888728934 3
QLNNEI C QWES TLOCALNETWOR K 

### N A 

## Day : 406728934 3 Alt : 4062071494 Emerg : 888728934 3

http://www,dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS..
. 8/3/2009OLS# : 3138 9 

# 0 As-Buil t Drawin g || | Dat e Excavated:8/13/0 9 Dat e USEP ASigne d Off : 8/27/0 9 COASTA L 

# Omah aLea dSuperfun dSit e ENVIRONHENTA L Are a Sodden : 133 2 s a f t GKOUP

. IN C 

## 3138 9 Exterio rPain t Nort h Arro w Omah a Lea d Sit e Q'Goo d Sit e Sketc h •Poo r Samplin g Address : 240 7 EMME TS T n No t pain t Sampl e Numbe r Lea d Sampl e Sample s Collecte d LA B Concentratio n Collecte d Firm : fpf ^ J>? » - Ot ) RYASCPXA-3138 9 F 1 pp m ^ 

# n Date : P,'21^-cf i R YBSCPXA-3138 9 F 2 pp m Time : //•"jf l /?/» 1 

# 1 a ' RYCSCPXA-3138 9 B l pp m 

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## 51 1 pp m RDZSCPXA-3138 9 D Z pp m lQ( e XR F Unit : faSH O Book : 21 ^ 

# d n n nGZSCPXA-313e Q S2
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Re v20<) S Crcited : 0.<-May-O S 044701.0 1 2. 1 Legen d Concret e Dri p Zon e Excavate d Quadrant s Excavate d Are areplace dwit h Are a replace d wit h Are a lef t bar e So d Rock/Mulc h 

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Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc .

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### D Date: P,'2l^-n R RYBSCPXA-3138 9 RYCSCPXA-3138 9 RYDSCPXA-3138 9 RDZSCPXA-3138 9 F 2 B 1 B 2 D Z 

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Re v 200 8 Created : Ol-May-O S I I ^/^yt^/i f/ /COASTA L ENVIRONHENTA L G I O U r, IN C 

## Consen t fo rAcces s T o Propert y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propert yowner ) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rit s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises :

Addres s o fPropert y covere d b ythi s Agreement :
PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l tha t contain s elevate d concentration s o flea d an d ma ypos e a healt h hazard

. Th e area(s ) wil l b e excavate d t o remov e contaminate d soil

. Th e remove d contaminate d soi l wil l b e replace d wit h clea n material s an d th e are a wil l b e restore d t o it s origina l condition

. Thi s wor k i s bein g performe d underth e Omah a Lea d Superfun d Sit e remediatio n program . Arepresentativ e o fCoasta l Environmenta l Group , contracte d b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i t begins

. Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approval

. Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Atha t th e propert y ha s bee n remediated

.
ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e righ t t o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o fperformin g th e wori<

. Thi s acces s shal l remai n i n effec t unti l th e wori < ha s bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f2, - , COASTA L -t y» f ^ ENVmOHHEKTA L • » t PROlt " S « 0 0 P , IN C


### e Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; e Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; AWate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessarysubsequen t t o a n initia l waterin g perio d b yEPA ; e Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; e I fth e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e work

. « Allo wvideotapin g and/o rphotographin g o fth e property
. AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo fth e wor k activities , o rwit h an y o fth e wori ( done , o rwit h th e equipmen t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9

gran t access t o m ypropertie s G I d o not gran t access t o m ypropertie s

Signatur e / DatefSignatur e Dat e

G I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required

.

Pag e 2 o f2c-. » %
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### Th e purpos e o f thi s agreement i s to provid e amutual agreement a s t o condition s ofth e propert y prior to remediatio nactivities
. Thi s will als o serv e a s documentatio nfo r th e purpos e of assurin g that restoratio n activitie s are complete dto th e satisfactio nofth e propert y owner andth e UnitedState s Environmenta l Protectio nAgency (EPA)
.

Property JD : «X w I*\X ^ Property Address : ZHCf l EmrYKjJ j ^ IOwner ; ' : ? C 

### Phone : ^ A ^ ^ 

# 779 ^
O nth e attache ddiagram(s ) indicat e area(s ) to excavate , surfac e structure s an dlandscapin g feature s an d acces s location(s ) to b e usedby th e contractors
. Indicat e distances , depths , materia l types , etc
. Photographicall y andVideographically document th e existin g condition s ofthe propert y andth e basemen t i

f necessary . 

### Stoms to b e Remove d b y^ o Owne rbefor e Star C ofRemediation : 'i n a .c-riovf.;.

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# ^ D Eac h Timers , Heads , etc
. Anac hr . sketc hi. l ih c >rr'.i|.lc i l;i\c.ii ; Numbe r o f an dsiz e o f eac hgarden / flower be d Eac h area . \ Squar e Fee t Aliac h; i ski'lc hol ri'lal ni ' iizcr

- HM O l(>raiii)n > Agree dupo nvalu e o f plan t material s no t t o b e replace db v contractor
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### Adidiiiona l Comment s / Instructions :

•Chec k th e boxi fOvi/ne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage

. B ycheckin g thi s bo xCE G i s not responsibl e fo ranydamag e don e t o th e interio rofhouse , includin g foundatio n crack s o rfissures

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± 12.47 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 249.41 0 Supervise d By : 

## Certificat e o fVerificatio n

314 6 SOI L 2009-08-1 4 08:5 7 30.6 1 Fina l 3138 9 240 7 emme t s t D Z nicola s 1 3 CLEARANC E

± Erro r
± 19.44 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 207.26 2 Supervise d By : 

## Certificat e o fVerificatio n

314 7 SOI L 2009-08-1 4 08:5 8 30.4 7 Fina l 3138 9 240 7 emme t s t D Z nicola s 1 3 CLEARANC E

± Erro r
± 17.68 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 315 3 Mod e SOI L Tim e 2009-08-1 4 09:0 1 Duratio n 121.4 6 Sequenc e Fina l Flag s AVERAG E ADDRES S 

# ? Avgor3149T3152 ^

40 7 emme t s t QUAD/ZON E B l INSPECTO R nicola s DEPT H 1 3 SAMPL E TYP E CLEARANC E NOT E

Erro r P b ± Supervise d By : Q?CdCfJf^^J ^

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 50.11 6 Supervise d By : 

## Certificat e o fVerificatio n

314 9 SOIL 2009-08-1 4 08:5 9 30.0 5 Fina l 3138 9 240 7 emme t s t B l nicola s 1 3 CLEARANC E

± Erro r
± 9.63 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 315 0 Mod e SOI L Tim e 2009-08-1 4 09:0 0 Duratio n 30.5 2 Sequenc e Fina l Flag s BVI D # 3138 9 ADDRES S 240 7 emme t s t QUAD/ZON E B l INSPECTO R nicola s DEPT H 1 3 SAMPL E TYP E CLEARANC E NOT E

Erro r P b ± 11.18 8 pp m 74.03 5 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Blllerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 315 1 Mod e SOI L Tim e 2009-08-1 4 09:0 0 Duratio n 30.3 9 Sequenc e Fina l Flag s BVI D # 3138 9 ADDRES S 240 7 emme t s t QUAD/ZON E B l INSPECTO R nicola s DEPT H 1 3 SAMPL E TYP E CLEARANC E NOT E

pp m ±Erro r P b 65.33 6 ±10.67 2 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 48.93 9 Supervise d By : 

## Certificat e o fVerificatio n

315 2 SOI L 2009-08-1 4 09:0 1 30.5 0 Fina l 3138 9 240 7 emme t s t B l nicola s 1 3 CLEARANC E

± Erro r
± 9.45 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Blllerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 315 8 Mod e SOI L Tim e 2009-08-1 4 09:0 4 Duratio n 122.3 6 Sequenc e Fina l Flag s AVERAG E 

### gyiTofllsyiyjgg ) ADDRES S 240 7 emme t s t QUAD/ZON E B 2 INSPECTO R nicola s DEPT H 1 3 SAMPL E TYP E CLEARANC E NOT E

pp m Erro r P b 1J3^

. Supervise d B y

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Blllerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 138.57 7 Supervise d By : 

## Certificat e o fVerificatio n

315 4 SOI L 2009-08-1 4 09:0 2 30.6 1 Fina l 3138 9 240 7 emme t s t B 2 nicola s 1 3 CLEARANC E

± Erro r 14.63 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Blllerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 151.35 8 Supervise d By : 

## Certificat e o fVerificatio n

315 5 SOI L 2009-08-1 4 09:0 3 30.5 2 Fina l 3138 9 240 7 emme t s t B 2 nicola s 1 3 CLEARANC E

± Erro r
± 15.42 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 112.42 6 Supervise d By : 

## Certificat e o fVerificatio n

315 6 SOI L 2009-08-1 4 09:0 3 30.4 2 Fina l 3138 9 240 7 emme t s t B 2 nicola s 1 3 CLEARANC E

± Erro r
± 13.36 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Blllerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 147.76 8 Supervise d By : 

## Certificat e o fVerificatio n

315 7 SOI L 2009-08-1 4 09:0 4 30.8 1 Fina l 3138 9 240 7 emme t s t B 2 nicola s 1 3 CLEARANC E

± Erro r
± 15.53 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 316 3 Mod e SOI L Tim e 2009-08-1 4 09:0 7 Duratio n 121.7 0 Sequenc e Fina l Flag s AVERAG E ( Av g o f3i59-31^2. ] ADDRES S 240 7 emme t s t QUAD/ZON E F l INSPECTO R nicola s DEPT H 6 SAMPL E TYP E CLEARANC E NOT E

pp m Erro r P b 

# [33^^ D ±u m Supervise d By : CfO^dy^ h

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 147.58 9 Supervise d By : 

## Certificat e o fVerificatio n

315 9 SOI L 2009-08-1 4 09:0 5 30.1 8 Fina l 3138 9 240 7 emme t s t F l nicola s 6 CLEARANC E

± Erro r
± 15.36 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 176.91 7 Supervise d By : 

## Certificat e o fVerificatio n

316 0 SOI L 2009-08-1 4 09:0 6 30.5 1 Fina l 3138 9 240 7 emme t s t F l nicola s 6 CLEARANC E

± Erro r
± 16.65 4

# Therm o SCIENTIFI C Therm o Fishe r Scientifi c 90 0 Middlese x Turnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mode Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 138.44 5 Supervise d By : 

## Certificat e o fVerificatio n

316 1 SOIL 2009-08-1 4 09:0 6 30.4 1 Fina l 3138 9 240 7 emme t s t F l nicola s 6 CLEARANC E

±Erro r ±14.92 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 173.66 5 Supervise d By : 

## Certificat e o fVerificatio n

316 2 SOI L 2009-08-1 4 09:0 7 30.6 0 Fina l 3138 9 240 7 emme t s t F l nicola s 6 CLEARANC E

± Erro r
± 16.39 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 316 8 Mod e SOI L Tim e 2009-08-1 4 09:1 1 Duratio n 121.2 7 Sequenc e Fina l Flag s AVERAG E Qvg_oLliM23ij6z / ADDRES S 240 7 emme t s t QUAD/ZON E F 2 INSPECTO R nicola s DEPT H 6 SAMPL E TYP E CLEARANC E NOT E

pp m ± P b 

# nrm n ± Supervise d B y 

# : ^!m£Q

. jy

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Blllerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 170.10 8 Supervise d By : 

## Certificat e o fVerificatio n

316 4 SOI L 2009-08-1 4 09:0 8 30.1 3 Fina l 3138 9 , 240 7 emme t s t F2 nicola s 6 CLEARANC E

± Erro r 16.60 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 104.48 2 Supervise d By : 

## Certificat e o fVerificatio n

316 5 SOI L 2009-08-1 4 09:0 9 30.4 7 Fina l 3138 9 240 7 emme t s t F2 nicola s 6 CLEARANC E

± Erro r
± 13.19 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Blllerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 316 6 Mod e SOI L Tim e 2009-08-1 4 09:1 0 Duratio n 30.5 0 Sequenc e Fina l Flag s BVI D # 3138 9 ADDRES S 240 7 emme t s t QUAD/ZON E F 2 INSPECTO R nicola s DEPT H 6 SAMPL E TYP E CLEARANC E NOT E

pp m ±Erro r P b 88.00 5 ±12.28 6 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 316 7 Mod e SOI L Tim e 2009-08-1 4 09:1 1 Duratio n 30.1 7 Sequenc e Fina l Flag s BVI D # 3138 9 ADDRES S 240 7 emme t s t QUAD/ZON E F 2 INSPECTO R nicola s DEPT H 6 SAMPL E TYP E CLEARANC E NOT E

pp m ±Erro r Pb 90.52 7 ±12.56 0 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 317 3 Mod e SOI L Tim e 2009-08-1 4 09:1 5 Duratio n 121.0 6 Sequenc e Fina l Flag s AVERAG E ADDRES S QUAD/ZON E easemen t INSPECTO R nicola s DEPT H 1 SAMPL E TYP E CLEARANC E NOT E

pp m Erro r P b Supervise d By : Cf^^f^f^fj/ ^

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 137.49 4 Supervise d By : 

## Certificat e o fVerificatio n

316 9 SOI L 2009-08-1 4 09:1 3 30.2 0 Fina l 3138 9 240 7 emme t s t easemen t nicola s 1 CLEARANC E

± Erro r
± 14.74 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPLETYP E NOT E

pp m P b 93.82 1 Supervise d By : 

## Certificat e o fVerificatio n

317 0 SOI L 2009-08

- 1 4 09:1 3 30.1 8 Fina l 3138 9 240 7 emme t s t easemen t nicola s 1 CLEARANC E

± Erro r
± 12.47 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 317 1 Mod e SOI L Tim e 2009-08

­ 1 4 09:1 4 Duratio n 30.1 4 Sequenc e Fina l Flag s BVI D # 3138 9 ADDRES S 240 7 emme t s t QUAD/ZON E easemen t INSPECTO R nicola s DEPT H 1 SAMPL E TYP E CLEARANC E NOT E

pp m Erro r P b 105.89 7 ± 13.16 0 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 95.36 8 Supervise d By : 

## Certificat e o fVerificatio n

317 2 SOI L 2009-08-1 4 09:1 5 30.5 4 Fina l 3138 9 240 7 emme t s t easemen t nicola s 1 CLEARANC E

± Erro r
± 12.44 0t , Omaha i

.. . . . ._ 

## i.^^k^ \

Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 Coasta l Environmenta i Grou p Inc

. M ^ ^ ^

www.coastalhazmat.co m ^"iPROt* ^ COASTA L INVIIOMNIIITA l G lO U r . II I C 

# EXECUTIV ESUMMARY : BVID #31389-(2407 EMME TST )
No Issue s o r Concern s j ^ Issues/Concern s
Detail Explanation :^ 

# Cr1r 4 EP APropert y Clos e Ou t For m Property# : .Sl^ft^,
. Pn>pcrt y Addre..
. W^Jl^^ ^ Dfltc/Tlne : 

### Contracto r Grou p _£^1SC£\ ^ Quad s Excavated : Yes N o Escavatio nGenera l I
.I f necessuy , wer e the correc t quadnmt(s) excavate dan drestored ? ^ 

### 2
.

I f necessary , wer e the correc t area s ofdri p zon e excavate dan drestored ? 

# U ^ Gradta g So dandVcge«atk> a Yes N o 1
.

Doe s th e gradin g aroun dth e perimete r ofthe house i nexcavate dareas generall y slop e awa y

, 

### fromIh e house ? ^•^ 

### 2
.Has so dbee nlai di nal l areas tha t wer e excavated? 

# T?- ^ 3
.

Doe s th e so dappea r t

o b e generall y health y an dgrowing ? (Onl y evaluat e i

f inspecte da t a3 0 da

y tim e period ) 4
.

Ar e sodde dareas generall y Iir man devenl y graded ? 

# u/ ' 5
.Ar e the joints betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a30 da y I/ ' tim e period ), 6
.Wa s th e propert y grade dsuc htha t wale r wil l no t poo l o

nth e property ? 7
.

Wa s danuge to landscapin g o r plan t materials avoided ? Gates , Fence s an dRetainin g Walb Ve s JS u I
.

Do gate s ope nan dclos e freely? (I f applicable ) 

# IP^ 2
.

Wer e al l gates o r fences take ndow ndurin g restoratio nactivitie s reinstalled ? (Ifapplicable) 

# 1? ' 3
.

Wa s damag e to gate s o r fences avoided? (Ifapplicable) 4
.

Was damag e to retaining wall s avoided? (Ifapplicable) 

# 1? ^
Foundation , Sidiii K

andGoHers I
.

Was dainag e to th e sidin g o r tri mavoided? ^ / ­ 

### 2
.

Was damag e t o Ih e foundatio navoided? ( / 

# \ y > ^ 

### Wa s damag e t o windows avoided? 4
.Wa s danag e t o window s o r doo r screens avoided? 5
.Wa s damag e t o downspout s o r downspou l extensions avoided ? Sidewalks an dDrtveways (Concrete ) Vcs / N o 1
.

Wa s damag e t

o drivewa y surfaces avoided ? 2
.

Wa s damag e lo walkwa y surfaces avoided?

## Owner s comments :

Inspectio nnotes :

Remova l an drestorationactivate s complete including th e 30-da y so dwarranty : EP ARepresentativ e IJ ^ 1 i JJL ^ Date : Pp?/ ^ f

## Propert yCompietio n Agreemen t
riii i agreemen l document s lh e complclio n o fremedia l acliviiie s perloime d o n m ypropert yM ysignalur e wil l designat e iha i I a m satisfie d wit h lh e restoralio n o fm yproperty , an d Iha l n o item s ar e i n questions , now . o ra l an ylim e i n th e fulure , excep t Ihos e ilem s hsle d below , ifan y

Propcrr yID : 3(3gg t Propert yAddress : ^qp- y<^,^t^r^a-{
- <-f

. Owner : (Y\a^}v,e , j^P^^l^ , 

### Phone : 4^ ^

- /li^[- J '
Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item :

ayrc crestoralio n i s completed , excep t a s nnlt d [_ j I (t o no t a^re crestoratio n i % complele d

2oWt i arlor' s Sicnatur cT>sttc