TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID,: "^hF l Date: ^ ^ t(7 

Address: ^^1^1 fc^^^f ^ 

Remediation Contractor: Coastal Environmental Group_ Year: 2001 

^ 

SOIL REMEDIATION 

PROPERTY nL E FOLDER DOCUMENTS 

/

3 /

[«

\M

*B ^

H

T T

• B-

 Video of property (DVD) 

 Executive Summary 

 EPA-provided property sketch 

 Signed Access Agreemen t for subject property 

 Signed Access Agreeraent(s) for adjacent property 

 Restoration Agreemen t 

 Settlement document s (i.e., for damag e or to replac e plants, etc.) 

 Confiimation data 

zi 

d 

E^ 

a /

•&

0/

 Photographs f k ^Ct^^^^S ^ 

As-built sketch 

Satisfactory restoration signed by Property Ovraer 

Property close-out dieck list signed by EPA 

 Description of areas not meeting ROD cleanup criteria 

 Utility clearances 

Property information from Douglas County Assessor's Office 

Signature 

30055438 

Superfund 
Property Access Checklist 

Proper, ID: --^l^^g q 

Pr-opcnv Addren. 2.H0 1 fmrTlA ­ S ^ 

n

D

 WORK STARTED

 WORK COMPELTED

 ON: 

 ON: 

_/ /_ 

Ovvncr tAavV^^

^''"'''­ '^ctrwiL 

Phont: ^SJ-2^/ ? 

Fax: 

Ccll/Pager. 

 Bry^GH RcnJtr. 

Phone: 

PiLv: 

Cell/Pager: 

Additional IninrmKlion: 

D Notincatioo Letter 

P^Access AfrcemcBi 

[^^RtstonjtiOB Agreement 

O Topsoil Sampling (if applicublc) 

D DisposfU Sampling (rf applicable) 

O Ciirdcn Snmpling (if applicable) 

D Uiility Clttrwicc 

^Z T ViUeo/Photos (Before) 

Q Video/Fhoios (During) 

n Video/Pho«o» (After) 

D Video/PhofoJ (3fr-Diiy) 

• Property Complelion Agreement 

O Final Report 

Sent: / / 

Signed:,^/21/0 ^ 

Signed:? /I Z lO ^ 

/ / 

/ / 

/ / 

Ctllcd: / / 

On-Z-'?^'^^ 

OD: / ./ 

On: / / 

O D : / / 

Signed: / / 

Issued: / / 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

Air MonitorinK (4i jpplicabke) 

D Coramunrfy D Crew 

Results: 

O D : / / By: 

D ComrounitA'

Results: 

D Crew O C : / / By; 

O Community

Resulii: 

D Crt;"- On : /• / By: 

Omaha Lead Site 
CONTACT FORM 

Property ID # l^^^Z ^ 

Property 

Address: XHOl ^\A^?:\ 7S^ 

Initial Contact: 

Second Contact: 

Final Contact: 

Final Action: 

Date: Time: 

Date: Time: 

Dale: Time: 

Transmit to EPA D 

Action: 

Action: 

Action; 

Other Action: D 

Comment: 

Owner 

Comment (s): 

Site 

Coordinator 

Comment (s): 
Douglas County Accotmt Info: >rn^H)r Page 1 of2 

Douglas County, Nebraska Property Record - R0525490000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 fl west of 52nd St - Vle W OH Ma p Information is valid as of 2009-6-16 Treasurer's Tax Report 

New Feature -•"•" • Auto Sales Search 

Owner 

BRYSON MAXINE 

2407 EMMET ST 

OMAHA NE 68111-OOOO 

Property Informatio n 

Key Number: 2549 OOOO 05 

Account Type: Residential 

Parcel Number: 0525490000 

Parcel Address: 2407 EMMET ST 

OMAHA NE 68111-0000 

Legal Description: ARCHER PLACE LOT 26 BLOCK 0 W 40 FT 40 X 85 

Value Informatio n 

2009 

2008 

2007 

2006 

2005 

2004 

Land 

$1,900.00 

$1,900.00 

$1,900.00 

$1,900.00 

$1,900.00 

$1,900.00 

Improvement 

$31,000.00 

$31,000.00 

$31,700.00 

$31,700.00 

$31,700.00 

$12,200.00 

Total 

$32,900.00 

$32,900.00 

$33,600.00 

$33,600.00 

$33,600.00 

$14,100.00 

Land Informatio n 

Acres 

0.07 

SF 

3400.0 

Units 

1.0 

Depth 

85.0 

Width 

40.0 

Vacant 

No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R052... 7/7/2009 
Douglas County Account Info: m^^ n Page 2 of2 

Two Story 2407 Emmet St 

Oil ruf m TC 31 r 3«IS4lE On C-wMT nam " 

111 T>»MWn t 

«9Ii?Vi. 4M.«9q.R. 

Nf „ 

I IUL. 

BsmnBkxi.Sn ff»0^< ^ 

CLICK TOEJSILARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1196.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: j Fair 

Unit Type: Condition: Average 

Buiit As: 2 Story Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 7.0 

Exterior: Frame Siding Units: 1.0 

interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Hip/Gable Stories: ! 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year YearBuiit Physical Age Remodeled Remodeled Built 

1900 0% 1900 109 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 698.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Detached 192.0 

Garage Detached 240.0 

Porch EncI Solid Wall 70.0 

Porch Slab Roof Ceil 222.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R052... 7/7/2009 
m Page I of2 

. Pieate Another TicloBr^ J Back to Irth Internet 

-Send Email 

• YOUR TICKET NUMBER IS 2332217. 

Original Call Date: 8/03/09 Time: 12:22 pm Op: ELIZABETH18790 

Work to Begin Date: 8/05/09 Time: 1:00 pm 

State: NE County: DOUGLAS Place: OMAHA 

Address: 2407 Street: EMMET ST 

Twp: 15N Rng: 13E Sect-Qtr: 09-NE,10-NW 

Twp: Rng: Sect-Qtr: 

Legal Given: C 


Type of Work: LEAD REMEDIATION 


Location of Work: INCLUDE ALL EASEMENTS LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (877)662-4211 


: UNSURE ABOUT CORNER LOT 


Company : COASTAL ENVIRONMENTAL SERVICE 


Contact Name: ELIZABETH Phone: (877)662-4210 


Work Being Done For: COASTAL 


Depth of Excavation: 4 FT Comer Lot: N Front: Y Rear: 


Involves Tvinneling or Horizontal Boring : N Explosives: N 


CXCATV MAGELLAN MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact

 Phone Number Utility Type 

Day: 4029340469 


CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 9185747098 


MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP DEBORAH Alt: 


Emerg: 9185747098 


Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 

Day: 4024447197 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON Alt: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/3/2009 
Page 2 of2 

# 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

http://www,dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/3/2009 
OLS#: 31389 0 As-Built Drawing || | Date Excavated:8/13/09 

Date USEPA Signed Off: 8/27/09 COASTA

ENVIRONHENTA

L 

L Omaha Lead Superfund Site Area Sodden: 1332 sa ft GKOUP . IN C 

31389 

Omah Exterior Paint North Arrow a Lead Site 

Q'Goo d Site Sketch • Poor 

Sampling Address: 2407 EMMET ST n Not paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm: fpf^ J>?» - Ot) 

RYASCPXA-31389 F1 ppm ^ n Date: P,'21^-cfi 

R YBSCPXA-31389 F2 ppm Time: //•"jfl /?/»1 1 a' RYCSCPXA-31389 B l ppm n Samples Analyzed RYDSCPXA-31389 B2 511 ppm 

RDZSCPXA-31389 DZ ppm 

lQ( e d n XRF Unit: faSH O Book: 21 ^ n 

nGZSCPXA-313eQ S2- ppm n n Date 

RPZSCPXA 31380 F>g- ppm n n Time B L 

jLab RYBSCPLA-31389 Numbe Staff m^t j r of Samples *''«="" 494 ppm UCt^O i IU . F2 = Front Right. B1 = Back Left. B2 = Back Right DZ = Drip Zone, GZ = Garden. PZ = Play 

All quadrants are as viewed from the street, facing proper*-

Rev 20<)S Crcited : 0.<-May-OS 044701.01 2.1 

Legen d 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replaced with 

Area left bare 
 Sod Rock/Mulch 13 

Contract #: EP-R7-07-05 Coastal Environmental Group Inc. 
# 

31389 

Omaha Lead Site Exterior Paint North Arrow 

Site Sketch iJGoo d 

• Poor 

Sampling Address: 2407 EMMET ST Q Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB Firm:

Samples Collected 

 f^PA pB ­ ^TD 

RYASCPXA-31389 Fl ppm D Date: P,'2l^-nR 

RYBSCPXA-31389

RYCSCPXA-31389

RYDSCPXA-31389

RDZSCPXA-31389

 F2 

 B1 

 B2 

 DZ 

511 

ppm 

ppm 

ppm 

ppm i H' 

D 

D 

D 

Time: H-i 6 Af A 

Samples Analyzed 

XRF Unit: /oSM O Book: 21* ^ 

RCgSCPXA-313e9 G2­ ppm D Date: ^ 'Z ^ Of i 

RI^ZSCPXA-31380 P2­ ppm u D Time: f\rT \ 

,Lab RYBSCPLA-31389 

* Resul t ADA r».~ . Number of Samples = | ^ | | / | Staff: m5t 0 

494 ppm Lcyc i I , F2 = Front Right, 81 = Back Left. 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing proper*- ­

1 9 c:^!3 

C.e^.c^^4oc? 

A/C 

5^/»A;/«f / / Rev l( m C'nrnlcd: l)l-May-08 

t \ 
31389 

Omah Exterior Paint North Arrow a Lead Site 

[jGoo d Site SIcetcli • Poor 

Samolina Addrass: 2407 EMMET ST • Notpaint ' 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Finn: ^ ^ pR-CTt) 

RYASCPXA-31389 Fl ff(fl5 • ppm D Date: 9,'7U-C^ ^ 

RYBSCPXA-31389 F2 ^2. 3 ppm 

Time: //-jg /^/>1 

RYCSCPXA-31389 81 ft*/6 Dom n Samples Anal^ed RYDSCPXA-31389 B2 5 1 I ppm n 

RDZSCPXA-31389 DZ IQdi ppm i n XRF Unit: feSHO Book: 21 ^ 

RCZ6CPXA-313e9 -es ppm D n Date:_a_l2a . J2fi 

RPZSCPXA 31380 ppm n Time: flr-r> D jLab RYBSCPLA-31389 Staff: m5U ) Number of Samples = [ ^ | | / | *"««"'• 494ppm 

Ltiyenu . • • - • ..... . , F2 = Front Right Bl = Bacit Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

AB quadrants are as viewed from lhe street, fadng proper -

SE P 1 9 

.(^^ . 

.D2u-.7P.^. 

L ^^'W.i 

.'V fV; 

.. ^ ^ 5(^^. 

fl 

t 

423 

Rev 2008 Created: Ol-May-OS 

I I 

^/^yt^/if / / 
COASTA L ENVIRONHENTA L 

G I O U r , IN 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: 

Address of Property 

covered by this 

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 underthe 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 confirm 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 performing the wori<. This access shall 

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

agrees to: 

Page 1 of 2 
, - , COASTA L -ty » f ^ ENVmOHHEKTAL 

•»t PROlt" S « 0 0 P , IN C 

e 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; 

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

necessary subsequent to an initial watering period by EPA; 

e Abide by health and safety guidance provided by EPA; 

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

the property to perform the work. 

« Allow videotaping and/or photographing of the property. 

AGREEMENT NOT TO INTERFERE 

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

of the wori( 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 

grant access to my properties G I do not grant access to my properties 

Signature / Datef Signature Date 

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

Page 2 of 2 
c -.» %.S T >i L 

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

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

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

Protection Agency (EPA). 

Property JD: «Xw I *\X ^ 

Property Address: ZHCf l EmrYKjJj ^ 

I Owner; ': ?C 

Phone: ^ 

A ^ ^ 779 ^ 

On the attached diagram(s) indicate area(s) to excavate, surface 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. 

Stoms to be Removed by ^ o Owner before StarC of Remediation: 

'i na .c-riovf.;.. giotsce, olsoJtiti.1, i-.nti/oi ••et..-i:t o.' tht;.':^ iifciriS it^ irif-. Uwitfci f icspciitii..iiiiy. 

ttem: 

I ^nv\ ^yooxv 

2 Kem ^ 

I 

Rem: 

Item: 

Items to be Removed by the Contractor During Remediation and Mot Replaced^ 

Item: 

^VfMv SYvwW 9\ArV>^ \en W^^r A 

Item: 

Item: 

Item: L. 

Page l 

"S 
C U ^ S T M L 

Itemis to Be Removed, Ey Con1i:ractor During Remediation z.nd Rei!ai^ced 

Item: 

^ 1 ^ \ ^ ^^ \ f^. r>i. • •• 

Kem: 

^'^ b^^^ ^^ V%^^ 

r, Kem: 

Item: 

Landscape Inventoiry 

Item Quantity' Unit Condclion/Type/Species 

Pre-existing property area, Quadrants that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch Each \ trunk diameter 

Number of trees <= 2 inch \ Each 

trunk diameter 

Number of Sprinkler 

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

Anach r. sketch i.l ihc 

>rr'.i|.lci l;i\c.ii; 

Number of and size of 

each garden/ flower bed Each 

area. \ Square Feet 

Aliach ;i ski'lch ol ri'laln i' 

iizcr- HMO l(>raiii)n> 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. \ S • 'z'.:- \'.;'v. >, 111 • . .1, h'. 

.'S'H' .(• ':•! :•: •; y.vw 

' (•[•,: • :•• -( i ''.•= • r. , (:};:' • < 

u .\ P t ( . 

Easement Area, to be Each 

excavated 

Page 2 of. - > 
C <~. A. s 1 /-' L 

Adidiiional Comments / Instructions: 

• Check the box if Ovi/ner 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. 

Q I do noi agree agree 

yA/y^<^, L CA^g^g ^ 

Owner's SignMure Contractor's Signature Date 

Page 3 of / 
BVID# 5\S'&*^ 

XRF PROPERTY SAMPLE SHEET 

Date 

Project 

XRFID# 

Shot# 

:3vmA 

3m fr 

,^jm ^ 

31UT 

Average

Shot # 

5\i50 

5L5L 

s\s^ 

Average

Shot# 

aissL 

^ 

Average

Shot# 

Average 

lab sample # 

WHM Omaha lead FP 2n(l year opllon 

2Ptm 

Reading Sample area 

l2S.totm.0 Z 

Q I .V\^]2MiK D-i 

un<iMi±w,as Depth 

la?.'7b±n.Lfft \% 

 \\D9>.S 3 ^ \5A \ 

Reading 

5ft.n:t <^.\oU 

1M,ftM^U-iq 

'Ifi 9M^ VS.VaT 

ftAAto^Mtj 

 5^.bU\0.Z ^ 

Reading 

.\U.U^i.B.^>1 

im.m ± is.stT 

Sample area 

3^ 

Depth sz: 

Sample area 

bz 

Depth 

i2i­

 \^7.S.^i . IM.I M 

Shot# 

aiion 

llkl 3IW^ 

Average

Shol#­

3\toa 

:%^VT 

3»Ul i 

3\v.-» 

Average

Shot# 

3l\<Q 

•2>no ••Sni 

3l77r 

Average

Reading 

RETEST AREAS 

Samplearea Shot# 

Depth 

Lab result Samplearea 

Average 

XRF Avg. 

Address '2.4D-I P.rrkVY>^A.i;Jr 

Sample time am/pm 

sample length 30 sec 

Reading Sample area 

lUn.'Mil<L?>-7 

nw.^?j^iv>A^s- F. iaaJA<;i 1U.Q i^ 1 Depth 

na.\afe\v^.M 

 \5AAU> i VS.^ ^ 

Reading Samplearea 

Hrt. IVt lUlfl 

lrtUHfttU.2 0 Fz 

8a.0\ i li.i q Depth 

'=1o.S3t\7.?>ip Vn 

 11^.7.^ 1 l^bl / 

Reading Sample area 

Tb1.\3Ai- m.nS f.^* .««^ 

A^.ftl3L \1.U7 i£l 

»a5-<^^n.Mf Depth l 

<^SA1i \LUVA I 

 Id^AS t {^.70 

Reading Sample area 

Depth 

Sionature ^^OPoJ ^ 

Print ^{lnn)oilM ^ OotCtUPtTS 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

Pb 

Supervised By 

Certificate of Verification 

3148 

SOIL 

2009-08-14 08:58 

121.41 

Final 

2407 emmet st 

DZ 

nicolas 

13 

CLEARANCE 

± Error 

± 15. 

'tia^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3144 

Mode SOIL 

Time 2009-08-14 08:56 

Duration 30.14 

Sequence Final 

Flags 

BVID # 31389 

ADDRESS 2407 emmet st 

QUAD/ZONE DZ 

INSPECTOR nicolas 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

Error ppm 

Pb ± 14.015 125.201 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 92.234 

Supervised By: 

Certificate of Verification 

3145 

SOIL 

2009-08-14 08:57 

30.19 

Final 

31389 

2407 emmet st 

DZ 

nicolas 

13 

CLEARANCE 

± Error 

± 12.478 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 249.410 

Supervised By: 

Certificate of Verification 

3146 

SOIL 

2009-08-14 08:57 

30.61 

Final 

31389 

2407 emmet st 

DZ 

nicolas 

13 

CLEARANCE 

± Error 

± 19.445 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 207.262 

Supervised By: 

Certificate of Verification 

3147 

SOIL 

2009-08-14 08:58 

30.47 

Final 

31389 

2407 emmet st 

DZ 

nicolas 

13 

CLEARANCE 

± Error 

± 17.682 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3153 

Mode SOIL 

Time 2009-08-14 09:01 

Duration 121.46 

Sequence Final 

Flags 

AVERAGE 

ADDRESS ?

Avgor3149T3152^ 

407 emmet st 

QUAD/ZONE B l 

INSPECTOR nicolas 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

Error 

Pb ± 

Supervised By: Q?CdCfJf^^J ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 50.116 

Supervised By: 

Certificate of Verification 

3149 

SOIL 

2009-08-14 08:59 

30.05 

Final 

31389 

2407 emmet st 

Bl 

nicolas 

13 

CLEARANCE 

± Error 

± 9.636 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3150 

Mode SOIL 

Time 2009-08-14 09:00 

Duration 30.52 

Sequence Final 

Flags 

BVID # 31389 

ADDRESS 2407 emmet st 

QUAD/ZONE Bl 

INSPECTOR nicolas 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

Error 

Pb ± 11.188 

ppm 

74.035 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3151 

Mode SOIL 

Time 2009-08-14 09:00 

Duration 30.39 

Sequence Final 

Flags 

BVID # 31389 

ADDRESS 2407 emmet st 

QUAD/ZONE B l 

INSPECTOR nicolas 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 65.336 ± 10.672 

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 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 48.939 

Supervised By: 

Certificate of Verification 

3152 

SOIL 

2009-08-14 09:01 

30.50 

Final 

31389 

2407 emmet st 

Bl 

nicolas 

13 

CLEARANCE 

± Error 

± 9.453 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3158 

Mode SOIL 

Time 2009-08-14 09:04 

Duration 122.36 

Sequence Final 

Flags 

AVERAGE gyiTofllsyiyjgg) 

ADDRESS 2407 emmet st 

QUAD/ZONE B2 

INSPECTOR nicolas 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm Error 

Pb 1J3^. 

Supervised By 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 138.577 

Supervised By: 

Certificate of Verification 

3154 

SOIL 

2009-08-14 09:02 

30.61 

Final 

31389 

2407 emmet st 

B2 

nicolas 

13 

CLEARANCE 

± Error 

14.632 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 151.358 

Supervised By: 

Certificate of Verification 

3155 

SOIL 

2009-08-14 09:03 

30.52 

Final 

31389 

2407 emmet st 

B2 

nicolas 

13 

CLEARANCE 

± Error 

± 15.421 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 112.426 

Supervised By: 

Certificate of Verification 

3156 

SOIL 

2009-08-14 09:03 

30.42 

Final 

31389 

2407 emmet st 

B2 

nicolas 

13 

CLEARANCE 

± Error 

± 13.369 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 147.768 

Supervised By: 

Certificate of Verification 

3157 

SOIL 

2009-08-14 09:04 

30.81 

Final 

31389 

2407 emmet st 

B2 

nicolas 

13 

CLEARANCE 

± Error 

± 15.538 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3163 

Mode SOIL 

Time 2009-08-14 09:07 

Duration 121.70 

Sequence Final 

Flags 

AVERAGE ( Avg of 3i59-31^2.] 

ADDRESS 2407 emmet st 

QUAD/ZONE Fl 

INSPECTOR nicolas 

DEPTH 6 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm Error 

Pb [33^^D ± um 

Supervised By: CfO^dy^ h 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 147.589 

Supervised By: 

Certificate of Verification 

3159 

SOIL 

2009-08-14 09:05 

30.18 

Final 

31389 

2407 emmet st 

Fl 

nicolas 

6 

CLEARANCE 

± Error 

± 15.366 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 176.917 

Supervised By: 

Certificate of Verification 

3160 

SOIL 

2009-08-14 09:06 

30.51 

Final 

31389 

2407 emmet st 

Fl 

nicolas 

6 

CLEARANCE 

± Error 

± 16.654 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 138.445 

Supervised By: 

Certificate of Verification 

3161 

SOIL 

2009-08-14 09:06 

30.41 

Final 

31389 

2407 emmet st 

Fl 

nicolas 

6 

CLEARANCE 

± Error 

± 14.920 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 173.665 

Supervised By: 

Certificate of Verification 

3162 

SOIL 

2009-08-14 09:07 

30.60 

Final 

31389 

2407 emmet st 

Fl 

nicolas 

6 

CLEARANCE 

± Error 

± 16.398 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3168 

Mode SOIL 

Time 2009-08-14 09:11 

Duration 121.27 

Sequence Final 

Flags 

AVERAGE Qvg_oLliM23ij6z / 

ADDRESS 2407 emmet st 

QUAD/ZONE F2 

INSPECTOR nicolas 

DEPTH 6 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± 

Pb nrmn ± 

Supervised By : ^!m£Q. j y 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 170.108 

Supervised By: 

Certificate of Verification 

3164 

SOIL 

2009-08-14 09:08 

30.13 

Final 

31389 , 

2407 emmet st 

F2 

nicolas 

6 

CLEARANCE 

± Error 

16.600 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 104.482 

Supervised By: 

Certificate of Verification 

3165 

SOIL 

2009-08-14 09:09 

30.47 

Final 

31389 

2407 emmet st 

F2 

nicolas 

6 

CLEARANCE 

± Error 

± 13.195 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3166 

Mode SOIL 

Time 2009-08-14 09:10 

Duration 30.50 

Sequence Final 

Flags 

BVID # 31389 

ADDRESS 2407 emmet st 

QUAD/ZONE F2 

INSPECTOR nicolas 

DEPTH 6 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 88.005 ± 12.286 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3167 

Mode SOIL 

Time 2009-08-14 09:11 

Duration 30.17 

Sequence Final 

Flags 

BVID # 31389 

ADDRESS 2407 emmet st 

QUAD/ZONE F2 

INSPECTOR nicolas 

DEPTH 6 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 90.527 ± 12.560 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3173 

Mode SOIL 

Time 2009-08-14 09:15 

Duration 121.06 

Sequence Final 

Flags 

AVERAGE 

ADDRESS 

QUAD/ZONE easement 

INSPECTOR nicolas 

DEPTH 1 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm Error 

Pb 

Supervised By: Cf^^f^f^fj/ ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 137.494 

Supervised By: 

Certificate of Verification 

3169 

SOIL 

2009-08-14 09:13 

30.20 

Final 

31389 

2407 emmet st 

easement 

nicolas 

1 

CLEARANCE 

± Error 

± 14.748 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLETYPE 

NOTE 

ppm 

Pb 93.821 

Supervised By: 

Certificate of Verification 

3170 

SOIL 

2009-08- 14 09:13 

30.18 

Final 

31389 

2407 emmet st 

easement 

nicolas 

1 

CLEARANCE 

± Error 

± 12.470 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3171 

Mode SOIL 

Time 2009-08­ 14 09:14 

Duration 30.14 

Sequence Final 

Flags 

BVID # 31389 

ADDRESS 2407 emmet st 

QUAD/ZONE easement 

INSPECTOR nicolas 

DEPTH 1 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm Error 

Pb 105.897 ± 13.160 

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 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 95.368 

Supervised By: 

Certificate of Verification 

3172 

SOIL 

2009-08-14 09:15 

30.54 

Final 

31389 

2407 emmet st 

easement 

nicolas 

1 

CLEARANCE 

± Error 

± 12.440 
i.^^k^t\, Omah Omahaa Lea i .. d Site—Fixed Price EP-R7-07-0 . . . ._5 

Coastal Environmentai Group Inc. M 

^ ^ ^ www.coastalhazmat.com 

^"iPROt*^ COASTA L 

INVIIOMNIIITAl G lO U r. III C 

EXECUTIVE SUMMARY: 

BVID #31389-(2407 EMMET ST) 

No Issues or Concerns j ^ Issues/Concerns 

Detail Explanation: 
^ Cr1r4 

EPA Property Close Out Form 

Property#: .Sl^ft^, . Pn>pcrty Addre... W^Jl^^ ^ 

Dfltc/Tlne: 

Quad Contractor Group _£^1SC£\ ^ s Excavated: 

Escavatio Yes No n General 

I. If necessuy, were the correct quadnmt(s) excavated and restored? ^ 

2. If necessary, were the correct areas ofdrip zone excavated and restored? U^ 

Gradtag Sod and Vcge«atk>a 

Yes No 

1. Does the grading around the perimeter ofthe house in excavated areas generally slope away , from Ihe house? 

^•^ 

2. Has sod been laid in all areas that were excavated? T?-^ 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time period) 

4. Are sodded areas generally Iirm and evenly graded? u/' 

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

' time period)

 , 

6. Was the property graded such that waler will not pool on the property? 

7. Was danuge to landscaping or plant materials avoided? 

Gates, Fences and Retaining Walb 

Ves JSu 

I. Do gates open and closefreely? (If applicable) IP^ 

2. Were all gates or fences taken down during restoration activities reinstalled? (Ifapplicable) 1?' 

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

4. Was damage to retaining walls avoided? (Ifapplicable) 1?^ 

Foundation, SidiiiK and GoHers 

I. Was dainage to the siding or trim avoided? ^ 

/ ­

2. Was damage to Ihe foundation avoided? ( / 

\y 

>^ 

Was damage to windows avoided? 

4. Was danage to windows or door screens avoided? 

5. Was damage to downspouts or downspoul extensions avoided? 

Sidewalks and Drtveways (Concrete) Vcs/ No 

1. Was damage to driveway surfaces avoided? 

2. Was damage lo walkway surfaces avoided? 
Owners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative IJ ^ 1 i JJL ^ Date: Pp?/ ^ f 
Property Compietion Agreement 

riiii agreemenl documents lhe complclion of remedial acliviiies perloimed on my property My signalure 

will designate ihai I am satisfied with lhe restoralion of my property, and Ihal no items are in questions, 

now. or al any lime in the fulure, except Ihose ilems hsled below, ifany 

Propcrry ID: 3(3gg t 

Property Address: ^qp- y <^,^t^r^a-{- <-f . 

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

Phone: 4^ ^ - /li^[-J ' 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

ayrcc restoralion is completed, except as nnltd 

[_j I (to not a^rec restoration i% compleled 

2oWti arlor's Sicnaturc T>sttc