TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: ^M R Date: f/[ol\ D 

Address: /92 7 Rinn<^. y SJRemediation Contractor: Coasta l Environmenta l Group _ Year: lOlOARRA 

SOI L REMEDIATIO N 

PROPERT Y FIL E FOLDE R DOCUMENT S 

B ^ Video of property (DVD) 

B^ ^ Executive Summary 

S^^^ EPA-provided property sketch 

B ^ Signed Access Agreement for subject property 

"B Signed Access Agreement(s) for adjacent property 

&r Restoration Agreement 

-0 ^ Settlement documents (i.e., for damage or to replace plants, etc.) 

iy ^ Confirmation data 

&^^ Photographs 

B ^ As-built sketch 

^S^'^ Satisfactory restoration signed by Property Owner 

^oy^ Property close-out check list signed by EPA 

"n~~ Description of areas not meeting ROD cleanup criteria 

^0'''^ Utility clearances 

^0""^ Property information from Douglas County Assessor's Office 

D 

D 

D 

Signature T)ate 

30237303 

Superfund 
vv 

Property Access Checklist 

Property ID: ^<L/ ^ n WORK STARTED ON: / / 

n WORK COMPELTED ON: / / pr.p.rn-Addr«,= j^j^Z hnnt u .-^ 

o^*''^ Ri-,nY) i'^OfhTK 

Address: -^ 

Phone: 

Fax: 

Cell/Pager: ^r^ ^ .^:^,, ^ 

C] Notification Letter 

/\ \ Access Agreement 

] 0 Restoration Agreement 

D TopsoU Sampling (if applicable) 

D Disposal Sampling (if applicable) 

D Garden Sampling (if appUcable) 

1^ Utility Clearance 

[^ Video/Photos (Before) 

G Video/Photos (During) 

n Video/Photos (After) 

D Video/Photos (30-Day) 

n Property Completion Agreement 

n Final Report 

Air Monitoring (as applicable) 

• community QCrew On:

Results: 

• Community • Crew On:

Results: 

• community •Cre w On:

Results: 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

Sent: / / By: 

Signed: 2^/!2L/1 ^ By: 

Signed: 2^/£_/JV _ By: 

1 1 By: 

1 1 By: 

1 1 By: 

CaUed: 3 / H / \Q By= 3/22-/l O 

On: 3 1 (l/_LO By: V'J ~(\ful!-/^ii AnJ y 

On: / / By: 

On: / / By: 

On: / / By: 

Siened: / / By: 

Issued: / / By: 

/ / By: 

/ / By: 

/ / By: 

Omaha Lead Site 
Douglas Coimty Account Infc^^tio W n Page 1 of2 

Douglas County, Nebraska Property Record - R1525910000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - Vle W O n Ma p Information is valid as of 2009-11-19 Treasurer's Tax Report 

New Feature -> ^ -> Auto Sates Search 

Owner 

LITTLEJOHN BRIAN 

ETAL 

1922BINNEYST 

OMAHA NE 68110-0000 

Property Informatio n 

Key Number: 2591 0000 15 

Account Type: Residential 

Parcel Number: 1525910000 

Parcel Address: 

Legal Description: 

1922BINNEYST 

OMAHA NE 68110-0000 

KOUNTZE PLACE LOT 9 BLOCK 10 50 X 124 

Value Informatio n 

2009 

2008 

2007 

2006 

2005 

2004 

Land 

$4,800.00 

$4,800.00 

$4,800.00 

$4,800.00 

$4,800.00 

$4,800.00 

Improvement 

$53,600.00 

$53,600.00 

$56,000.00 

$56,000.00 

$56,000.00 

$17,800.00 

Total 

$58,400.00 

$58,400.00 

$60,800.00 

$60,800.00 

$60,800.00 

$22,600.00 

Land Informatio n 

Acres 

0.14 

SF 

6200.0 

Units 

1.0 

Depth 

124.0 

Width 

50.0 

Vacant 

No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=Rl... 11/25/2009 
Douglas County Account Infq^|tio ' ^ , n Page 2 of 2

1922 Binney 

•irTN*'*' 

Fird Fbor J M40S4 A 

IRII 

21/2 Story Unfm Bsmtsctun S'IDHF; 

^ •-;yCLICK TO ENLARGE IMAGE CLICKJ-0_ENLARGEJMAGE 

Square Footage: 1715.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 2 1/2 Story Unfin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 7.0 

Exterior: Frame Aluminum Units: 1.0 

interior: , Drywall Baths: 2.0 

Roof Cover: ' Composition Shingle Bedrooms: < 3.0 

Roof Type: Hip Stories: ; 2.5 

Floorcover: i Allowance Foundation: Block 

Sprinitier Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1965 1965 45 

Detail Type Detail Description Units 

Add On Unfinished Attic W/floor 860.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 871.0 

Fixture Additional Fixtures 1.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

Porch End Screen 240.0 

Porch Open Slab 75.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 11/25/2009 
Page 1 of2 

^ 

"> 

[ Create Another Ticlcet ] 1 Bacl^ to irth Intemet ] Send Email ) 

• YOUR TICKET NUMBER IS 2440233. 

Original Call Date: 3/17/10 Time: 9:27 pm Op: ELIZABETH18790 

Work to Begin Date: 3/22/10 Time: 7:15 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 1922 Street: BINNEY ST 

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

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: (877)662-4211 


: UNSURE OF 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: Y 


Involves Tvinneling or Horizontal Boring : N Explosives: N 


CXCATV MAGELLAN MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number 

utmty 

Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Ah: 4029340469 

Emerg: 4029329757 

X* A /-CT T A XT MAGELLAN MIDSTREAM PARTNERS x^TM^„ . MAGELLAN , „ DEBORAH „ 

Day: 9185747098 

Alt: 

Emerg: 9185747098 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RICH/TRAFFIC

Day: 4024447197 

 AU: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 3/17/2010 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM 

LOCATING 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM 

LOCATING 

Day: 4067289343 

Ah: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 3/17/2010 
348 

As-Built Drawing ^ 

COASTA L OMah )m; a Lead Superfund Site 

OLS#: 348 

Date Excavated: 4/1/2010 

Date USEPA Signed Off: 4/27/2010 

Area Sodden: 2025 so ft 

Omah Exterior Paint North Arrow a Lead Site Owner Name: 

Sit • Good e Sketch Address: 1922 BINNEY ST 

Phone: " W; • Poor 

Q Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm;

Samples Collected 

 Sverdrup 

RYASCPXA-348 YA 656.4 ppm a Date; 

RYBSCPXA-348 YB 257 ppm a Time: 

RYCSCPXA-348 

RYDSCPXA-348 

YC 

YD 

555,6 ppm 

ppm • 

a 

n Samples Analyzed 

RDZSCPXA-348 DZ 1948.8 ppm n XRF Unit; Book: 

RGZSCPXA-348 GZ . ppm D a Date: 6/2/1999 

RPZSCPXA-348 PZ .ppm a D Time: 14:25 

Staff: Number of Samples = 

Legend: YA = Yard (NE), YB = Yard (SE). YC = Yard (SW), YD = Yard (NW), DZ = Drip Zone, GZ = Garden, PZ = Play 

Legend 

Concrete m Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replaced with 

Sod Rock/Mulc Area lef t bare h ' ' 

Contrac t #: EP-R7-07-05 Coastal Environmental Group Inc . 
g^ ^ 

348 

C\ffr^< \J ^ o^/:>ii e l . 

Omaha Exterior Paint North Arrow Lead Site Owner Name: • Good Site Sketch 

/ ^ Address: 1922 BINNEY ST_ • Poor 

W: Phone: *^' Q Not paint 

Sampl Lead Sample 

Samples Collected e Number LAB Concentration Collected Firm: Sverdrup 

RYASCPXA-348 VYA; ; 656.4 ppm 

0 D Date: 

RYBSCPXA-348 YB 257 ppm 0 

D Time: 

RYCSCPXA-348 YC 555.6 ppm 

D Samples Analyzed RYDSCPXA-348 YD ppm D D 

RDZSCPXA-348 DZ 1948.8 ppm 121 a XRF Unit: Book: 

RGZSCPXA-348 GZ ppm a D Date 6/2/1999 

RPZSCPXA-348 PZ ppm • D 

Time: 14:25 

Staff Number of Samples = 4 

Legend: YA = Yard (NE), YB = Yard (SE). YC = Yard (SW), YD = Yard (NW), DZ = Drip Zone, GZ = Garden, PZ = Play 

703 5 
il 

Omah Exterior Paint North Arrow a Lead Site Owner Name: 

Sit • Good e Sketch Address: 1922 BINNEY ST • Poor 

Phone W: : H: 

Q Not paint 

348 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm:

Samples Collected 

 Sverdrup 

RYASCPXA-348 656.4 Date: 

RYBSCPXA-348 257 Time: 

RYCSCPXA-348 

RYDSCPXA-348 Samples Analyzed 

RDZSCPXA-348 Book: 

RGZSCPXA-348 6/2/1999 

RPZSCPXA-348 14:25 

Number of Samples = 4 

Legend: YA = Yard (NE), YB = Yard (SE), YC = Yard (SW), YD = Yard (NW), DZ = Drip Zone, GZ = Garden, PZ = Play 

%'\( ^ i)p^H-P(^X' 

'I'M, 

A ^ 6IW£Y ST 

:. ^ 

^ ^ 

cnBI/VNEV 

Rev 4- 046141.0123 

c^St-)/^Ae^| 
348 

Exterior Paint North AiTow Owner Name:

 Omaha Lead Site • Good Address: 1922 BINNEY ST

 Site Sketch • Poor Phone: H: W • Not paint 

Sampl Lead Sample 

Samples Collected e Number 

LAB Concentration Collected Firm: Sverdrup 

RYASCPXA-348 YA 656.4 ppm El D Date: '_ 

RYBSCPXA-348 YB 257 ppm B D Time: 

RYCSCPXA-348 YC 555.6 ppm D Samples Analyzed RYDSCPXA-348 YD ppm D D 

RDZSCPXA-348 DZ 1948.8 .ppm 

El D XRF Unit: Book: 

RGZSCPXA-34e GZ .ppm D D Date: 61Q/1999 

RPZSCPXA-348 PZ .ppm D D 

Time: 14:25 

Staff: Number of Samples = | 4 ! 

Legend: YA = Yard (NE), YB = Yard (SE), YC = Yard (SW), YD = Yard (NW), DZ = Drip Zone, GZ = Garden. PZ = Play 

Hcvt­
•> — *» . 

V*----— o* COASTAl 

Consent for Access To Property 

RIGHT OF ENTRY TO PREMISES 3^ ^ 

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: 

Daytime Phone: 

Address of Property 

covered by this 

Agreement: 

]^t^2 (^/>7^< 

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 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 work. This access shall 

remain In effect until the work has l}een satisfactorily completed. The Grantor also 

agrees to: 

Page 1 of 2 
COASTA l ./ tftVlllONH(KTAl '••» BRort ^ C II O U r t N 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; 

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; 

• 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. 

AGREEI^ENT NOT TO INTERFERE 

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

•>J^grtfnt access to my properties 

D I do not grant access to my properties 

c^-;^; / ' ^ 

Signature / Date Signature Date 

O i would like to be present during any sampling that is required. 

Page 2 of 2 
C O A S T A L 

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 Enviroimiental 

Protection Agency (EPA). 

Property ID; 2, ^ 

Property Address: /^^-T - ^.•^-.^•^. . ^ F 

Phone: ^ ^ ^ ^\S ^ (C ^ 

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. 

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

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

Kem: 

•fyucC^ . Item: 

Kem: 

Kem: 

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

Kem: . • 

ItamKem - V

Item: 

Kem: 

Pagel -J. 
C O A S T A I. aMVIKONHaHTAL O R O U r . INC . 

Items to Be Removed By Contractor During Remediation and Reolaced 

1 Kem: 

<>o.( 

Kem: 

1 Kem: 

Kem: 

\ Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch 

trunk diameter 

Number of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

Attach a sketch of the 

sprinkler layout. 

Number of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Easement Area, to be 

excavated 

1 Quantity 

f> 

t 

1 

/ 

gf 

/ 

^h 

c^^\y^A>L ^<J i -C.14 v/t.yn.p'^ -

Landscape Inventory 

Unit ConditionH'ype/Species 

Quadrants 

Each 

Each 

Each 

Each 

Square Feet 

$ 

Each 

Page 2 f l 
<5< 

C O A S T A L 

Additional Comments / Instructions: 

The city of Omaha ordinances may prohibK 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 iiiegai 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 or dirt area 

as a driveway or parking area, not wKhstanding any removal 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 cKy of Omaha's Planning Department at (402) 444-5150. 

B Please check this box If you understand the Information outlined above. 

Q 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 oLhouse, including foundatiorvcracks or fissures. 

0 1 agree ^ ^ ^ ] I do not agree 

Owner's Signnure u Date * Contractor's Signature Date 

Page 3 of. 
f 

BVID# •5M2> 

XRF PROPERTY SAMPLE SHEET 


Date '/-zsw^:) Address Re-z b'^^^yF^ 

Project Omaha Lead ARRA Sample time am/pm 

XRF ID# ^D^ ^ sample lengtli 30 sec 

Shot# Reading Sample area Shot# Reading Sarnple area 

Q<:i <5.S^i9-d^ ^A 2 ^ ^a^ST^ ^ ^ 

^55c ^t/ f ^?> Depth :M. ^/ ^ 3?- Depth 

^.9 ^ ^%-t^?, / " 2S ^ ^ ^ 3^. /3' ' •/- Average o?9<^ - - o< 3 Average y: ^ r. S- h 

Shot# Reading Sample area Shot# Reading Sample area 

3M± i ^ ^ / ^ •(i ^^r 3^\-Ljic^ 

7 ^ ¥^ 7SD /?^^" rT^f Depth .1^ So^-i ^ Depth 

.5S1 ^^zg^^ ^:v^ LI. .5iz^ 3/y i Ji^ -Ltf—— 

Average /<3Q ~ (^7:9 Average 3/ ^ - ^ g^ ^ 

Shot# Reading Sample area Shot# > Reading Sample area 

Depth Depth 

Average Average 

RETEST AREAS 

Shot# Reading Sample area Shot# Reading Sample area 

Depth Depth 

Average Average 

Signature ^Wyii2A 

PrinintZ%iMK£Aiiin t . 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Pb 

Supervised By 

Certificate of Verification 

960 

SOIL 

2010-04-23 09:39 

91.48 

Final 

1922 Binney st~^~^^ 

easement 

1" 

N. LOPEZ 

Confirmation 

none 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 284.018 

Supervised By: 

Certificate of Verification 

957 

SOIL 

2010-04-23 09:37 

30.44 

Final 

348 

1922 Binney st 

easement 

1" 

N. LOPEZ 

Confirmation 

none 

Error 

22.170 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 293.850 

Supervised By: 

Certificate of Verification 

958 

SOIL 

2010-04-23 09:38 

30.46 

Final 

348 

1922 Binney st 

easement 

1" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 22.601 
SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 297.832 

Supervised By: 

Certificate of Verification 

959 

SOIL 

2010-04-23 09:39 

30.58 

Final 

348 

1922 Binney st 

easement 

1" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 22.832 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 968 

Mode SOIL 

Time 2010-04-23 09:52 

Duration 91.90 

Sequence Final 

Flags 

AVERAGE r Avg-of-9 65-967-

ADDRESS —T:922"Bi Binne r y st 

QUADRANT DZ 

DEPHT 13" 

XRF TECH N. LOPEZ 

MISC Confirmation 

NOTE none 

Supervised By 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 785.015 

Supervised By: 

Certificate of Verification 

965 

SOIL 

2010-04-23 09:51 

30.66 

Final 

348 

1922 Binney st 

DZ 

13" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 36.962 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 791.238 

Supervised By: 

Certificate of Verification 

966 

SOIL 

2010-04-23 09:51 

30.64 

Final 

348 

1922 Binney st 

DZ 

13" 

N. LOPEZ 

Confirmation 

none 

± Error 

36.833 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 757.052 

Supervised By: 

Certificate of Verification 

967 

SOIL 

2010-04-23 09:52 

30.60 

Final 

348 

1922 Binney st 

DZ 

13" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 36.310 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 952 

Mode SOIL 

Time 2010-04-23 09:29 

Duration 90.99 

Sequence Final 

Flags 

AVERAGE _Ayg-ot949;-951: a> 

ADDRESS ClX±922-B1lTrTey'st 

QUADRANT YC 

DEPHT 6" 

XRF TECH N. LOPEZ 

MISC Confirmation 

NOTE none 

ppm Error 

Pb 

Supervised By: )CMM!1A 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 184.943 

Supervised By: 

Certificate of Verification 

949 

SOIL 

2010-04-23 09:27 

30.45 

Final 

348 

1922 Binney st 

YC 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 19.056 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 179.441 

Supervised By: 

Certificate of Verification 

950 

SOIL 

2010-04-23 09:28 

30.05 

Final 

348 

1922 Binney st 

YC 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 21.187 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 199.588 

Supervised By: 

Certificate of Verification 

951 

SOIL 

2010-04-23 09:29 

30.49 

Final 

348 

1922 Binney st 

YC 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

19.918 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 948 

Mode SOIL 

Time 2010-04-23 09:26 

Duration 91.27 

Sequence Final 

Flags 

AVERAGE r—Avg-of-945=942 

ADDRESS 1922-BmneyLSt_ 

QUADRANT YA 

DEPHT 6" 

XRF TECH N. LOPEZ 

MISC Confirmation 

NOTE none 

Error 

Pb 25.204 

ppm 

Supervised By: ^Cai^QJM 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 330.801 

Supervised By: 

Certificate of Verification 

945 

SOIL 

2010-04-23 09:24 

30.51 

Final 

348 

1922 Binney st 

YA 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

24.702 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 306.537 

Supervised By: 

Certificate of Verification 

946 

SOIL 

2010-04-23 09:25 

30.59 

Final 

348 

1922 Binney st 

YA 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 23.928 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 314.159 

Supervised By: 

Certificate of Verification 

947 

SOIL 

2010-04-23 09:26 

30.17 

Final 

348 

1922 Binney st 

YA 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 26.980 
^ 0 STAf 

•y^ — i^^yi * • Omaha Lead Site—Fixed Price EP-R7-07-05 

1 ^^^X p ­ Coastal Environmental Group Inc. ^^S^ ^ 

Vf^^l ^ www.coastalhazmatcom ^^"^ 

%pnoi« ^ COASTA L iNVIIONHEIITAL 

CROUP . IN C 

EXECUTIVE SUMMARY: 

BVID #348-(1922 BINNEY ST) 

No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 
aEPA 

EPA Property Close Out Form 4. Property #; '3W^ . . . 

Datc/Tlmc: • ^ ^ 2S7D Owner's Name:. ii_i^r\(t> 

Quads Excavated: Contractor Group 

Excavation Yes No Gcnenl 

1. If necessaiy, were the correct quadrant(s) excavated and restored? t-- " 

2. If necessary, were the correct areas of drip zone excavated and restored? u-' 

Grading Sod and Veaelatlon Yes No 

I. Does the grading around the perimeter ofthe house in excavated areas generally slope away L^^ from the bouse? . 

2. Has sod been laid in all areas that were excavated? ly^' 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 \ y ' day time period) 

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

S. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day l y ' time period) \ 

6, Was the property graded such that water will not pool on the property? i^ ' 

7. Was damage to landscaping or plant materials avoided? \ y 

Gates. Fences and RelataJBg Wails Yes No 

1. Do gates open and close freely? (Ifapplicable) t ^ " 

2. Were all gates or fences talien down during restoration activities reinstalled? (Ifapplicable) I/" 

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

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

Foundation, SidiflKand Gntlers Yes No 

I. Was damage to the siding or trim avoided? 

2. Was damage to the foundation avoided? i ^ ^ 

3. Was damage to windows avoided? i^ ' 

4. Was damage to windows or door screens avoided? 

S. Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? 1 / 

2. Was damage to walkway surfaces avoided? L^ 
Owners comments: 

Inspection notes: 

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

EPA Representative Dcrvi iS^j^. ^ Dale: ^/^7/^0/ 0 
Property Completion Agreement 

Ihis agreement documents the complclion ol remedial acliviiies perloimed on my properly My signature 

will designate that I am satisfied with (he rtitoraCion of my properly, and (hat no items are in questions, 

now, or at any lime in the future, except those items listed below, if any 

Property ID: 3 (J 2^ 

Property Address: lOf^Z , P^mfX^X J l4 -

Owner: \2^ -".... . I • iVi _'. I ' 

Phone ; / ^ a a _ -z /-I L?' -^rr- \

^.^^^^.--sofe -^(cN 

Restoration Items in Question: 

item: 

Item: 

^W^^ ^ • U • 101 11 

Item: 

Item: 

Item: 

Item: 

. 

Additional Comments: 

Rgrcc restoraiion i* complcled, exccpi as noted ^ 

[ I I do mil WiKc restorfttion is completed 

^^^>| 0 FoGo^Aym^ H-z^-iC) 

Date Conti arlor's Sienalurc Dale 
@ 

APR 2 9 2010 

PI operty Owner A.s?&s?meEt of pGrfSUPfiRflrf^MlVlSION 

American Recoveiy and Rein vestment Act (ARRA) 

Omaha Lead Supei-ftjnd Site 

2009/2010 

Rfimedistion CoBtrfictor: Coistfcl EaviroBEufcntd Group - EP-llTjl9^6 

Proper^" Identifier Number: :5M? ) ' P, v V 

Property Ov^-Ecr's Hmc : ^nn A f J-VVV-fi \0>V\r\ 

lEftrttcticns to the Property Owner: 

This form serves to record the Property Owner's assessment of performance (Incentive 1 

- Quality Asstirance Surveillance Plan) involving the listed remediation contractor, as applicable 

to the Oraaha Lead Site. This form documents the timeliness of punch list resolution, business 

relations, complaint resolution and the overall quality of work. If need be, the Property Owner 

may utilize this form to record problems and/or issues not specifically tied to an assigned 

address, for example, business relations that generally don't follow the guidelines set forth in the 

Performance Work Statement. 

The Property Owner will indicate his^er assessment of performance with the contractor's 

woric by checking s aumericsl reting on the ttble below using the numerical definitions firom 

the rating scale below, then sign & date the form. 

9-10 "excellent" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1 -2 "very poor, »^' ' 

Property Owner's Assessment of Performance Regarding the Contractor's Work 

10 iC 5 

9 4 

8 3 

7 2 

6 1 

Property Owner AddttioneE Coimmemts frotK.(oiptioirk£l; coatmue on back page if needed 

Property Owner StgnEture: 4 ) y^-y/A—^-—-"' Bste 
EPA Assessment of Performance Form 

American Recovery and Reinvestment Act (ARRA) 

Omaha Lead Superfund Site 

2009/2010 

Remediation Contractor: Coastal Environmental Group - EP-R7-09-06 

Property Identifier Number: "^M ^ ^__ 

Property Address: 1<^'Z2. '^' \ y^r^y^Jj 'S\ -

Property Owner's Name: V^r/a.rN LlwA\p\.r ^ ~ 

(Above information to be filled out by the remediation contractor prior to utilization by the EPA COR) 

Instructions to EPA COR: 

This form serves to record the COR's assessment of performance (Incentive 1 - Quality 

Assurance Surveillance Plan) involving the listed remediation contractor, as applicable to the 

Omaha Lead Site. This form doctmients the timeliness of pimch list resolution, business 

relations, complaint resolution and the overall quality of work. If need be, EPA may utilize this 

form to record problems and/or issues not specifically tied to an assigned address, for example, 

business relations that generally don't follow the guidelines set forth in the Performance Work 

Statement. 

The COR will indicate his/her assessment of performance with the contractor's work by 

checking a numerical rating on the table below using the numerical definitions from the 

rating scale below, then sign & date the form. 

9-10 "excellent" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1-2 "very poor" 

EPA's Assessment of Performance Regarding the Contractor's Work 

\QX 5 

8 3 

7 2 

6 1 

Additional Comments from EPA COR (optional; continue on back page if needed) 

EPA COR Signature : LXv/L// Date: XA/M/( )