### TRANSMITTA Lo f OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R
SAI D # : 9W^ ^ Date : Qf^rp/^ Q Address : .^D' ^ 1})(X)0 ( \e" ^ ^ \ Remediatio nContractor : Coasta l Environmenta l Group

_Year : _200 8
SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S
ei Vide o o f property (DVD ) y Executiv e Summary E / EPA-provide dproperty sketc h [ TSigne dAcces s Agreemen t fo r subjec t property 1 ^jf ^ Signe dAcces s Agreement(s ) fo r adjacen t propert y B^Restoratio nAgreemen t fN^f V Settlemen t document s (i.e. , fo r damag e o r t o replac e plants , etc. ) y Confirmatio ndat a y Photograph s prc-o/z-'/iJ^Aoyi ^ OC^^flJQTUHX ^ |trvi{goel <

0 As-buil t sketc h y Satisfactor y restoratio nsigne db y Propert y Owne r y ^ Propert y close-ou t chec k lis t signe db y EP A AlJ ^ Descriptio no f area s no t meetin g RO D cleanu p criteri a S/

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Acce& s Agreemen t Restoratio nAgreemen t Topsoi l Samplin g (i f applicable ) Disposal Samplin g (if applicable ) Garde nSamplin g (i f applicable ) Utility Clearanc e Video/Photo s (Before ) Video/Photo s (During ) Video/Photo s (After ) Video/Photo s (30-Day ) Propert y Completio nAgreemen t F'"* ) Repor t Sent : / / Signed : 1 1 / lU ' /Dp j Signed : i l / U p / 0 5 / / / / / / Called : \ \/ H / ipF^ ) 

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### Dougla s County Accoun t Infonnatio n Pag e 1 o f 1 rmai K Dougla s County , Nebrask a Propert yRecor d - R202965000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t o f90t h St - ViewO n Ma p Informatio n i s vali d a s o f2008-11- 5 Treasurer' s Ta xRepor t Ne wFeatur e -»->- • Aut o Sale s Searc h Owne r LOPE Z RAU L 322 0 HAMILTO N S T OMAH AN E 68131-000 0 Propert yInformatio n Ke yNumber : 296 5 OOO O 2 0 Accoun t Type : Residentia l Parce l Number : 202965000 0

- Parce l Address : 320 7 CHARLE S ST OMAH AN E 68131-000 0 Lega l Description : PROSPEC TPLAC E LOT2 BLOC KH E 36. 2 W37. 2 N 9 5 F T Valu e Informatio n Lan d Improvemen t Tota l 200 8 $400.0 0 $0.0 0 $400.0 0 200 7 $400.0 0 $0.0 0 $400.0 0 200 6 $400.0 0 $0.0 0 $400.0 0 200 5 $400.0 0 $0.0 0 $400.0 0 200 4 $400.0 0 $0.0 0 $400.0 0 200 3 $400.0 0 $0.0 0 $400.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.0 8 3485. 0 0. 0 0. 0 0. 0 Ye s



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R2.
. . 1 1 /14/200 8

### •

C0NTAC 7 FOR M 

## Propen y I D ^ 

# ^Q^.^^\: ^ ProperT y Address : 

# 3ao n C.V-Nc^\j2,s>SL Initia l Contaci , Dale
. 

## Time Action : Secon d ConLac t 

## Date:
_ Time Action : Fina l Coniact : 

## Dale
. Tim e Action ; Fina l Action : Tran.smi t l o EP AD Olhe r.Action : D

Commen l 0^vne r C(5mmen t (s) :



## ... j Sit e Coordinato r Commen l (sj ;

### Pag e 1 of 2 •

" > Creat e Anothe rTicke t Bac k t o Irt h Interne t Sen d Emai l



### • YOU RTICKE T NUMBE RI S 2176545
. Origina l Cal l Date : 11/17/0 8 Time : 10:4 6 a m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 11/19/0 8 Time : 11:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 3 2 0 7 Street : CHARLE S S T Twp : 15 NRng : 13 E Sect-Qtr : 16-NW Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Omah a Lea d Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D T O TH E PEDESTA L Remarks : FAX AL L CLEAR S TO : (877)662-421 1 Compan y: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ELIZABET H Phone : (877)662-421 0 Wor k Bein g Don e For : Coasta l Dept h o f Excavation : 4 f t Corne r Lot : N Front : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL 3 MCLEODN E MUDO l OMAHACO F OPPDGPR S QLNNEI C



### Servic e Are a Contac t Phon e Nuniber Utilit y Typ e
CXCAT V CO X COMMUNICATIONS , IN C HEIDI Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7
LEVEL S LEVEL S COMMUNICATIONS , LL C N A Day : 877366834 4 Alt : Emerg : 877366834 4
MCLEODN EMCLEODUS A NO NEE D T O CAL LOU T EMERGENC Y Day : 800289190 1 Alt : Emerg : 800289190 1
MUDO l METROPOLITA NUTILITIES DISTRICT SAND Y Day : 402504782 3 Alt : Emerg : 402504797 0

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT.
. . 11/17/200 8~'-^iai;r*^."T ' 

### Pag e 2 of 2 •
CIT Y O FOMAHA

- OMAHACO F 

### RO N TRAFFICSEWE R

OMAH APUBLI C POWE R OPPDGPR S 

### N A DISTRIC T



### QLNNEI C QWES T LOCAL NETWOR K N A Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 Alt : 888728934 3 Emerg : 406728934 3 Day : 406728934 3 Alt : 

### Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT.
. . 11/17/200 8

# D Remot eID : Rpag eo f 

# t

To : COASTAL ENVIRONMENTAL SERVIC E Attn : ELIZABET H Voice : 877662421 0 Pax : 877662421 1 Re : Respons e t o Di g Reques t Thi s i s an Importan t Messag e fro mLeve l 3 Communication s (formerl yknow n a s Broadwing ) replyin g t o you r reques t t o locat e ou r undergroun d facilitie s i n th e are a describe d o n th e On e Cal l Cente r ticket .
Ticket : 217654 5 County : DOUGLA S Place : OMAHA Address : 320 7 CHARLE S S T LEVBL3 : Leve l 3 Conmunication s ha s determine d ou r facilitie s ar e clea r o f th e di g sit e describe d byyou r On e Cal l Cente r ticket . Leve l 3 Communication s wil l no t hav e t o locat e anyundergroun d utilitie s a t thi s di g site . I f yo u hav e any questions , pleas e contac t Leve l 3 Comntunication s a t 1-800-441-0223 .

I f yo u hav e an yquestions , pleas e contac t Leve l 3' s Asse t Managemen t Teama t 1-800-441-0223 .

# As-Buil t Drawin g COASTA L 

# Omah aLea dSuperfun dSit e

Name ; ^«v l LofSCZ
. Phone : •«J?3-*?5" &
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## 25^? ? Date : Nort h Arro w Time : l< 3 ,1 ,

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Omah aLea dSit e Legen d Concret e Dri p Zon e Excavate d Quadrant s Excavate d Are a replace d wit h So d Are a replace d wit h Rock/Mulc h Are a lef t bar e Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc . 4613 0# % 

# ZSSf f Name : Address : Phone : ^«v | LofiCfZ
. 3 •a©- ' c'*f*M£.^ t *? ' ^T>3-i^ffft Omah a Lea d Sit e Sit e SIcetc h Date : Time : ^/^?/^ r (< } • re . . Nort h Arro wV

Teamd/jr* x >/ aKI BVID#^.^~:r? 7 XR F Cod e /<g3 7 ^<?g K= /3 2 Sampl e Numbe r Lea d Concentratio n Confirmatio n Sampl e f t Ye s t n N o ( ^ f a Ye s t= l N o O ^ [gV^gg.^>4A-Zg5^ q 6 fYe s n N o ^ 

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### # 

# 25^? ? Name : ^ev l Lojae, ^ Address : 3 •»©- » e /t^M/.£- f* ^ Phone : *!35-^?5'5 "


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# 1 3 0 7

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### < # COASTA L ENVIRONHENTA l GROUP , t N 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 :

Owner' s Name : ^^^^ ^

[^/^ ^ ^^ , Daytim e Plione : U^ ^ (^ ^ ^//' ^

Addres s o fPropert y covere d b ythi s 

# ^iQ ^ Cm^ ^ V 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 maypos 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 \N\\ \ b e restore d t o it s origina l condition
. Thi s wor k i s bein g performe d unde rth 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 

### B ysignin 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 work
. Thi s acces s shal l remai n i n effec t unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to :

Pag e 1 o f2^ "'«T7! 

# m•• *#

%"****•;• ' COASTA L ^ , ^fi ^ €NVmONMENT* L C I I O U P , INC
.



### •Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; • Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t maywis h t o save ; •Wate 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 ; •Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; •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 wor k 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 (712 ) 352-018 8
i gran t access t o m ypropertie sD I d o not gran t access t o m ypropertie s

Dat e Signatur eDat e
Q I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required
.COASTA L o I I o u rIN C 

### Restoratio n Agreemen t Th e purpos e o f thi s agreement i s to provid e amutua l agreement as to condition s o f the propert y prior to remediatio nactivities
. Thi s will als o serv e a s documentatio nfo r the purpos e o f assurin g tha t restoratio n activitie s ar e completedt o the satisfactio no f th e propert y owne r andthe UnitedState s Environmenta l Protectio nAgenc y (EPA)
. Propert y ID : 

# ±X$f9 Propert y Address : J XO j Cho-f^e^. 5 

# T Owner : X At/ / /^ i Phone : 

# rr ? 

# r-// J
O

nthe attache ddiagram(s ) indicat e area(s ) t o excavatedan ddept ho f excavation , locationo f ail know n utilities , subsurface features , syrface structure s an dlandscaping features , acces s location(s ) t o be usedb y contractor , an dthe directiono f North
. Indicat e distances , depths , materia l types , etc . Indicat e digita l photo s b

y referencin g th e photo-lo g numbe r wit ha narrow indicating directiono f view
. 

### Item s T o B e Remove d B yOwne rBefor e Start O f Remediation : (Us e additiona l sheet s a s necessary ) Th e removal , storage , disposal , and/o rretur n o f thes e item s i s th e Owner' s responsibility
. Item : 

# ./[y ^ 

# ^ef
_ item : Item : item : item : Item : Item : 

### Item :
Pag e 

### 1o fi t

# ^^f e COASTA L (••VINCNntMTA L O ft O Wr. IN C 

### Item s To B e Remove d B yContracto rDurin g Remediatio n An d No t Replace d (Us e additiona l sheet s a s necessary ) Item : 

# iincj l ,0 a 14 0 l^fy ^ hck'^n d - 0 Item : ' 0 ' / Item : y Item : / Item : / 

### Item : 0 Item : / Item : " 

### / Item : / Item : / Item : Item : item : Kem : • item :

Pag e 2 

# o \XC O AS T AL • NVlftONnSMTA L C • O U rIN C 

### Item s T o B e Remove d B yContracto rDurin g Remediatio n An d Replace d (Us e additiona l sheet s a s necessary ) Item : / O 1 

# g('^^-^ \ 

# r ^ Item : 

# ^o j (?/'-Ci-P ! -^ X Item : / Item : / Item : / Item : / Item : / Item : / Item : / Item : / Item : / Item : / Item : / Item : / Item : / /

Pag e 3 

## o f6
.COASTA L ENvinONHKNTA L C f l O U P
. t N c



## Ite m

Pre-existin g propert y area , tha t will be excavated , tha t i s covere dwit hgrass .

Number of tree s > 2 inch trun k

diameter

Number of tree s < = 2 inch trunk diameter

Number of Sprinkler Zones , Contro l Valves , Timers , Heads , etc . Attachasketchof the sprinkler layout
.

Number of an dsiz e o f eachgarden / flowe r be d area . Attac hasketchof relativ e size s an dlocations
. 

### Landscap e Inventory (Us e additiona l sheet s a s necessary ) 

## Quantit y Unit Condition/Type/Specie s

Squar e fee t

•- Eac h ^



# i Each 

# 0 Eac h

Eac h Squar e Feet ^

Pag e 4of^ ^COASTA L % N VHtONHkNTA l cN o u rIN C 

### Ite m Quantit y Uril t Condition/Type/Specie s Agree dupo nvalu e of plan t material s no t to b e renlace dbv contractor . Note thi s valu e will b e use dto issu e aplan t vouche r to th e propert y owner . ^ $

. , :
Agree duponlis t o f plan t material s tha t will b e replace db y contractor . B e ver y specifi c an ddetailed
. Include asketcho f wer e eac hplant wil l be place d b

y th e contractor . 

# 0 Eac h

i : Agreedupo nare aof propert y t o b e replace d wid i gras s sod
. Include asketcho f the area(s ) to be replace dwit h gras s sod
. S F - '

Are ao f Cit y o r Count y propert y t o b e landscaped per thei r requirements
. Include asketcho f th e are a(s ) 

# £ r S F '

Easement Area , to b e excavate d 

## SJO ^ S F



### Page s o f/ )C O AS T AI
. ttMWAKOUMCHTAL ««iewr
. IM C



### GChec k th e bo x i f Owne r doe s no t wan t CE Gt o documen t interio r foundatio nwall s an dpossibl e pre-existin g damage
. B y checkin g tiiis bo x CE Gi s no t responsibl e fo r

an y damag e don e t o th e interio r o

f house , includin g foundatio ncrack s o r fissures.
|^Iagr« e O I d o no t agre e

M l _ . 

## S>(MSLVI> ^ /ner' s S^atm Date Contractor' s Signature Dat e Pag e 6 of
. ..u...i.v----» 'Dat e Project XRFID #

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^on , Ov^rv^yo^SV - I<U'M,L P am/p m 3 0 se c Readin g Sampl e are a 

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## [ ^ SCo-H^ t n 36 ^
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### Signature F^COitMji/ ^ Prin t ^\P,^bQ^ l Cj\PllJfn; ^

# 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 291.55 4 Supervise d By : 

## Certificat e o fVerificatio n

508 9 SOI L 2008-12-1 0 14:4 6 30.6 3 Fina l 2559 9 320 7 Charle s easemen t Ventr y 1 CLEARANC E

± Erro r ± 20.23 7

# 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 Tinn 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 279.89 2 Supervise d By : 

## Certificat e o fVerificatio n

509 0 SOI L 2008-12-1 0 14:4 7 30.3 6 Fina l 2559 9 320 7 Charle s easemen t Ventr y 1 CLEARANC E

± Erro r ± 20.13 4

# 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 509 1 Mod e SOI L Tim e 2008-12-1 0 14:4 7 Duratio n 30.4 9 Sequenc e Fina l Flag s BVI D # 2559 9 ADDRES S 320 7 Charle s QUAD/ZON E easemen t INSPECTO R Ventr y DEPT H 1 SAMPL E TYP E CLEARANC E NOT E

pp m ±Erro r P b 205.59 6 ±17.26 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 186.16 3 Supervise d By : 

## Certificat e o fVerificatio n

509 2 SOI L 2008-12-1 0 14:4 8 30.4 8 Fina l 2559 9 320 7 Charle s easemen t Ventr y 1 CLEARANC E

± Erro r ± 16.53 2

# 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 AVERAG E ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

Supervise d By : 

## Certificat e o fVerificatio n

509 3 SOI L 2008-12-1 0 14:4 8 121.9 6 Fina l

« Av g o f5089-509 2

320 7 Charle s , l^easemen^ ; «

Ventr y | 1

CLEARANC E

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

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pp m P b 43.94 7 Supervise d By : 

## Certificat e o fVerificatio n

509 4 SOI L 2008-12-1 0 14:4 9 31.1 6 Fina l 2559 9 * 320 7 Charle s F l Ventr y 1 3 CLEARANC E

± Erro r ± 7.89 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 46.24 2 Supervise d By : 

## Certificat e o fVerificatio n

509 5 SOI L 2008-12-1 0 14:5 0 30.8 6 Fina l 2559 9 320 7 Charle s F l Ventr y 1 3 CLEARANC E

±Erro r ±8.12 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 147.31 0 Supervise d By : 

## Certificat e o f Verificatio n

509 6 SOI L 2008-12-1 0 14:5 1 30.8 3 Fina l 2559 9 320 7 Charle s F l Ventr y 1 3 CLEARANC E

± Erro r ± 15.77 9

# 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 108.20 2 Supervise d By : 

## Certificat e o fVerificatio n

509 7 SOI L 2008-12-1 0 14:5 1 30.3 3 Fina l 2559 9 320 7 Charle s F l Ventr y 1 3 CLEARANC E •

± Erro r ± 13.24 6-^YT- ^ 

# 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 509 8 Mod e SOI L Tim e 2008-12-1 0 14:5 1 Duratio n 123.1 8 Sequenc e Fina l Flag s AVERAG E |Av g o f5094-509 7 ADDRES S 320 7 Charle s QUAD/ZON E INSPECTO R DEPT H Ventr y 

## ii 3 SAMPL E TYP E CLEARANC E NOT E

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 230.73 7 Supervise d By : 

## Certificat e o fVerificatio n

509 9 SOI L 2008-12-1 0 14:5 2 30.1 3 Fina l 2559 9 320 7 Charle s B l Ventr y 1 3 CLEARANC E

± Erro r ± 18.87 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 274.33 6 Supervise d By : 

## Certificat e o fVerificatio n

510 0 SOI L 2008-12-1 0 14:5 3 30.4 0 Fina l 2559 9 320 7 Charle s B l Ventr y 1 3 CLEARANC E

± Erro r ± 20.41 2

# 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 286.47 9 Supervise d By : 

## Certificat e o fVerificatio n

510 1 SOI L 2008-12-1 0 14:5 4 31.2 0 Fina l 2559 9 320 7 Charle s 6 1 Ventr y 1 3 CLEARANC E

± Erro r ± 20.49 8• : ^ , , , ^ l *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 295.30 8 Supervise d By : 

## Certificat e o fVerificatio n

510 2 SOI L 2008-12-1 0 14:5 4 37.5 1 Fina l 2559 9 320 7 Charle s B l Ventr y 1 3 CLEARANC E

± Erro r ± 20.80 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 510 3 Mod e - SOI L Tim e 2008-12-1 0 14:5 4 Duratio n 129.2 4 Sequenc e Fina l Flag s AVERAG E I^Av g o f5099-510 2 ADDRES S 320 7 Charle s QUAD/ZON E iB l INSPECTO R Ventr y DEPT H |1 3 SAMPL E TYP E CLEARANC E NOT E

Supervise d By :'•W ' 

# 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 177.76 2 Supervise d By : 

## Certificat e o fVerificatio n

510 4 SOI L 2008-12-1 0 14:5 6 30.4 9 Fina l 2559 9 320 7 Charle s B 2 Ventr y 1 3 CLEARANC E

± Erro r ± 16.36 1• ^^F'.^ ^ 

# 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 510 5 Mod e SOI L Tim e 2008-12-1 0 14:5 7 Duratio n 30.5 4 Sequenc e Fina l Flag s BVI D # 2559 9 ADDRES S 320 7 Charle s QUAD/ZON E B 2 INSPECTO R Ventr y DEPT H 1 3 SAMPL E TYP E CLEARANC E NOT E

pp m Erro r P b ± 195.91 5 17.06 3 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 510 6 Mod e SOI L Tim e 2008-12-1 0 14:5 8 Duratio n 30.1 4 Sequenc e Fina l Flag s BVI D # 2559 9 ADDRES S 320 7 Charle s QUAD/ZON E B 2 INSPECTO R Ventr y DEPT H 1 3 SAMPL E TYP E CLEARANC E NOT E

pp m Erro r P b 69.68 5 ± 11.16 0 Supervise d By :•./!?

- .•,-:'^«,—,?r: ^ :' '"Tt'-'^^'tyi.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 134.24 6 Supervise d By : 

## Certificat e o fVerificatio n

510 7 SOI L 2008-12-1 0 14:5 8 30.8 7 Fina l 2559 9 320 7 Charle s B 2 Ventr y 1 3 CLEARANC E

± Erro r ± 14.50 3~v"' ^ Tvr- f ^K&Tv ^ 

# 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 AVERAG E ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

Supervise d By : 

## Certificat e o f Verificatio n

510 8 SOI L 2008-12-1 0 14:5 8 122.0 4 Fina l ^v g of 5104-510^ ^ 320 7 Charle s 

### 1 8 2

Ventr y ,1 3 CLEARANC E

# t

Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc
. www.coastalhazmat.co m 

### % y y COASTA L ENVmONHENTA L C K0 U P , IN C 

# EXECUTIV ESUMMARY : BVI D #2559 9 - (320 7 CHARLE S ST )


# No Issue s o r Concern s I I Issues/Concern s Detai l Explanation : N O ISSUE S PENDING
.

# .-^EP A EP APropert y Clos e Ou t For m Propert y « : ,^9S'6'^' ^ Propert y Addrns-.JS^ I OrVj^y^Ji- ^ "^ ' Dale/Time : Owner' s N«mt:1?.,r.>„^JL ^ 0U-.-p.<i ^ Quad s Excavated : 0\g) \"^ ^ Contracto rCrou p C>oc>-<vW^c ' X.^^><-cSYM>^^-^'^rvte> ^


# • JACM T U)'f' Excavatio n CcDcral \ n N o I
. Ifnecessary , were th e correc t quadrant(s ) excavate dandrestored ? 2 I f necessary , were th e correc t area s o f dri p zone excavate dandrestored ' 

## A/ A Gradin g So d an d VcscUtio n Ye s N o 1 Doe s th e grading^twti d th t penmeie ro f Ih t huub e i n excavdie d aiea i generall yslop e away from tb e house ? 

# 0 2
. Ha s so d bee n lai d i n al l areas that wer e excavated ? 

### y 3
.

Doe s th e sod appea rt o b e generall yhealth yan d growing ? (Onl yevaluat e i f inspecte d a t a 3 0 / da ylim e period ) 4 Ar e sodde d areas generall yfir m an d evenl ygraded ? 

### y 5 Ar e th e joint s betwee n th e so d strip s generall ytight ? (Onl yevaluat e i f inspecte d a t a 3 0 da y tim e period ) 

### y 6 Wa s th e propert ygrade d suc h that wate rwil l no t poo l o n th e property' ' 

## 0 7 Wa s damag e t o landscapin g o rplan t material s avoided ? 1 

# 0 Gales , FcDce s an d ReLainin s Wall s Ve s N o 1 D o gale s ope n an d clos e freely? (Ifapplicable ) A / ^ 2 Wer e al l gate s o rfence s take n dow n durin g restoratio n aciiviiie s reinstalled ? (Ifapplicable ) l ^ 3 Wa s dam»g e t o gate s o rfence s avoided ? (Ifapplicable ) L. ^ 4 Wa s damig e t o retainin g wall s avoided ? (Ifapplicable ) 

## /t M Foundation , Sidin g an d Culler s Y e s N o 1
. Wa s damag e t o th e sidin g o rtri m avoided ?

—.- ' 2 Wa s damag e t o th e foundatio n avoided' ^ 

# vtM' ' 3 Wa s damag e l o window s avoided ? 

# U^ < 

# A// ^ 4 Wa s damag e t o window s o rdoo rscreen s avoided' ' 5 Wa s damag e t o downspout s o rdownspou l extension s avoided ?

1 Sidewalic s an d Drtvtway s (Concrett ) Yes N o Wa s damag e lo driveway surface s avoided' ' 

# 0 2
. Wa s damag e lo walkwa y surface s avoided ? ly

## O »Der s comments :

Inspectio nnotes :

Remova l an dresloralio nactivate s complel e includin g th e 30-day so dwarrant y C£^.^ce ^ 

## EP ARepresentativ e Dale :• •
^ ( ^ 

## Propert yCompfetlo n Agreemen t Tlii s agreemen t document s th e complclio no f remedial activitie s performa i o nin y properly
. My signaiur e will designal e llia t ! amsalislie dwilli th e resloralio no f m y property , an dtha i n o item s ar e i nquestions , now , o r at

an y tim e i nth e future , excep t thos e item s liste dbelow , i f any . Property^lD ^ ^JJf f Propert y Address : -^ JJ Q J
_CK^ f (g , g 

# s .

# - f Onne n~'^^^/_ • /^^_ ^ ' J ^
_ Phone: Restoratio n item s i n Question :

Item : Item : Item : Item : Kem : Item :
Additiona l Comments :

I agre e resturafioiiivconiplotcd , excep t a s note d I I I d o no l agr^ c rcsloratio b i s compleie d 

### 01. 1 

# hmm\\alallo y O wnci^sVS ij > n aI irt^c/ ^ 

### 0irt e Contractor' s Si);natur e Dat e