TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

^ Hf I 

SAID #: 

Date: 

Address: ^1 | I W^^V^ ^ 

Remediation Contractor: Coastal Environmental Group Year: 2010ARRA 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

y 

Video of property (DVD) 

y 

Executive Summary 

EPA-provided property sketch 

Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

y 

Restoration Agreement 

y 

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

Confirmation data 

Photographs ffe fy^^^fiTTT-^^ ^ t?C^frY< ^ ^S^' ^ 

As-built sketch 

30218555 

Satisfactory restoration signed by Property Owner IH Bill 

Property close-out check list signed by EPA Superfund 

Description of areas not meeting ROD cleanup criteria 

Utility clearances 

\y Property mferfiiati(^ from Douglas County Assessor's Office 

L 

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^ 

^ 

Property Access Checklist 

PropertylD: g/^^t ^ 

Property Address: q^ H Opr^^/ y .Sf". 

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D

 WOBK STARTED 

 WORKCOMPELTED 

ON: 

ON:. 

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^'^'•' ),e^ r rshuti 

Address: 

SAME . 

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Renten 

Phone: 

Fax: 

Cell/Pagen 

Additional Information: 

CcW/Pagen 

D Notification Letter 

1^ Access Agreement 

U^ Restoration Agreement 

D Topsoil Sampling (if applicable) 

D Disposal Samplhig (if applicable) 

D Garden Sampling (if applicable) 

; ^ Utility Clearance 

0^ideo/Photos (Before) 

O Video/Pbotos (During) 

n Video/Photos (After) 

a Video/Photos (30-Day) 

M ^ Property Completion Agreemoit 

[!} Final Report 

Sent: / / 

Signed:!^/i5./C ^ 

Signed: M/AiC2. 

/ / 

/ / 

/ / 

Called: iL/JD/O Q 

On: Jll/^ l ? 

On: / / 

On: / / 

On: / / 

Signed: J_ / / 

bsued: / / 

By: 

By: 

By: 

By: 

By: 

By: 

By:ll|l0|n Q 

By: ^/v J 

By: 

By: 

By: 

By: 

By: 

Air Monitorhis (as aiwlicable] 

DCommnnity QCrcw 

Results: 

On: / / By: J 

Q Conununity

ResuHs: 

Q Crew On: / / By: 

n Community

Results: 

• Crew On: / / By: 

Omaha Lead Site 
Douglas Cotmty Account Infoi ITJ^IHI Page 1 of2 

# 

Douglas County, Nebraska Property Record - R2147860002 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 f) west of 52nd St - VIe W QO Ma p Information is valid as of 2009-10-15 Treasurer's Tax Report 

New Feature ->->-> Auto Sales Search 

Owner 

STULL LESTER L 

4711 DECATUR ST 

OMAHA NE 68104-0000 

Property Informatio n 

Key Number: 4786 0002 21 

Account Type: Residential 

Parcel Number: 2147860002 

Parcel Address: 4711 DECATUR ST 

OMAHA NE 68104-0000 

Legal Description: SAUNDERS & HIMEBAUGHS ADD LOT 4 BLOCK J NW 7116 SQ FT IRREG 

Value Informatio n 

Land Improvement Total 

2009 $6,400.00 $61,400.00 $67,800.00 

2008 $6,400.00 $61,400.00 $67,800.00 

2007 $6,400.00 $61,400.00 $67,800.00 

2006 $6,400.00 $63,400.00 $69,800.00 

2005 $6,400.00 $37,700.00 $44,100.00 

2004 $6,400.00 $37,700.00 $44,100.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.15 6800.0 1.0 136.0 50.0 No 

Impro vemen t Informatio n 

Building 1 

http://douglasne.mapping-online.coin/DouglasCoNe/static/accotmtinfo.jsp?accountno=R2... 10/23/2009 
Douglas County Account Info: Page 2 of2 

" ^ 0 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1020.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Good 

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

HVAC: Forced Air Rooms: 5.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Plaster Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Gable Stories: 1.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: ' 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1925 0% 1925 85 

Detail Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 1020.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch Open Slab 150.0 

Porch Wood Deck 100.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R2... 10/23/2009 
Page 1 of 1 

Create Another Ticket Back to Irth Intemet [ Send Email ] ][ 

YOUR TICKET NUMBER IS 2408031. 

Original Call Date: 11/17/09 Time: 8:14 am Op: ELIZABETH18790 


Work to Begin Date: 11/19/09 Time: 8:45 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 4711 Street: DECATUR ST 


Twp: 15N Rng: 13E Sect-Qtr: 17-NW,18-NE 


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 OF CORNER LOT 


Company : COASTAL ENVIRONMENTAL SERVICE 


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


Work Being Done For: COASTAL 


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


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

OPPDGPR5 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=<RESULT... 11/17/2009 
81494 

As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

OLS#: 81494 

Date Excavated: 11/28/2009 

Date USEPA Signed Off: 2/17/2010 

_____Ar-ea-aQdden: 4386 sa ft 

Omaha Exienof Pant Lead Site • Good Site Sketch 

Sampling Address: 4711 DECATUR ST • No» paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm ?FTUI- D&T S 

RYASCPXA-81494 Fl ppm n Date: iO/2ft;oft 

RYBSCPXA-81494 F2 ppm D Time: •l^flft^n 

RYCSCPXA-81494 Bl 2.00 ppm D Samples Analyzed RYDSCPXA-81494 B2 ppm 

RDZSCPXA-81494 DZ n ppm car XRF Unit: /'o.'S'-ln Book: 22 H 

RGZSCPXA-81494 GZ ppm D Dale I I • lb - l>8 

RrgooPXi'i-ei404 -P2 5-g7 ppm n D Time: rrv> D Staff: mSU ) Number of Samples = | (^ [ | Q \ 

Legend 

Concrete m Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replaced wi1:h 

So Area lef t bare d Rock/Mulch 

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

VI \\ I n 

:1494 C^a^el proprrHj Omaha E)(1erior Paint Lead Site 

Sit • Good e Sketch 

Q'Poor 

Sampiing Address: 4711 DECATUR ST Q Not paint \ 

Sampl Lead Sample Samples Collected e Number LAB Concentration Collected Firm 

RYASCPXA-81494 Fl 2_3_9_ppm D Date '0/2ftlf)fl 

RYBSCPXA-81494 F2 2jifi_ppm D Time '<00 ^tA RYbSCPXA-814W 81 PPfT D Samples Analyzed RVDSCPXA-«'!4»« B2 ppm D 

FJDZ8CPXA-«14W OZ ppm D XRF Unit: fefS^r i Book: 2 2M 

RG2SCPXA-81494 GZ ppm D Date n -lb- DB 

f^PgOOPXA-01404 -P i . ppm D Time 'J=n- Staff: Number of Samples = | (f> | | Q | rnsu) 

Legend: Fl = Front Left, F2 = Front Right. Bl = Back Lefl, B2 = Back Right DZ = Drip ZpperGZ = Garden, PZ = P\a\ 

AH quadrants are as viewed from rtw street, facing properl 

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A 

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Qg^kg ;1494 j propfrhi 

Omah Exterior Paint a Lead Site • Good Site Sketch 

Q'Poor 

Sampling Address: 4711 DECATUR ST Q] Not paint \ 

Sample Lead Sample Samples Collected Number LAB Concentration Collected 

RYASCPXA-81494 F1 2 3 ^ ppm D Date: io/2ft|nf t 

RYBSCPXA-81494 F2 ZO O ppm n Time: 'l-OO \t \ 

RYCSCPXA-81494 Bl H& 5 ppm a Samples Analyzed RYDSCPXA-81494 B2 n 

RD2SCPXA-81494 DZ IfiL f D Book: ppm [ / XRF Unit: /'ffS'-jCi 22 M 

RG2SCPXA-8M94 GZ ^'%? """^ D Date: I I - l b • !>S 

nrzoGPXA-oum -P2 " ppm D Time: r m 

Staff: mSU ) Number of Samples = | (^ [ | Q 

Legend: F1 = Front Left, F2 = Front Right, Bl = Back Lefl, B2 = Back Right DZ = Drip ZppefGZ = Garden, PZ = Pla; 

AH quadrants are as viewed from ttw street, facing i 

i e # ^ 

A 

AV 

^ J ^ 

^ 

Wa^ : •>Fv-r-^.ea5.%^,, 

^ ^f^iv g Cihf\^^ 
81494 

Omaha Lead Site Exterior Paint North Arrcw 

Site Sicetch • Good 

Samoiina Address: 4711 DECATUR ST 

Q'Poor 

• Notpalnt 

f

f 

Sample Number 

RYASCPXA-814M

RYBSCPXA-81494

RYCSCPXA-81494

RYDSCPXA-81494

 Fl 

 F2 

 B l 

 B2 

Lead 

Concentration 

ppm 

ppm 

ppm 

ppm 

Sample 

Collected i 

LAB 

D 

D 

D 

D 

Samples Collected 

Fimi:PfrK//' DRT ^ 

Date: )0/2ft;rtft 

Time: l^flO ^t \ 

Samples Analyzed 

RDZSCPXA-81494 DZ ppm D XRF Unit: 6:5fi£ l Book:22 H 

RGZSCPXA-81494 GZ ppm D Date: / / -l b 

nPgOOPXA-01404 PZ ppm u D Time: __2i2a_ _ 

Number of Samples = | (^ | | Q \ Staff: mSU ) 

Legend: F1 = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Plai 

All quadrants are as viewed from the street, facing property 

Re\:ilu8 Created. lO-Sep-HS 04471)1.01.23 
,,,10 »r4. 

V-'-^ y COASTAl ^ t PBO^ ^ . rS IHVtltONniMTA c (I 0 u r I K c l 

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: 

Daytime Phone: P^Pim(^ 

Address of Property 

covered by this 

Agreement: 4lll hccAu^iPURPOSE OF RESPONSE ACTlVITiES 

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 v^ll 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 worl( 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 been satisfactorily completed. The Grantor also 

agrees to: 

Page 1 of 2 
\ ' COA.STAL y tHTIIIOHMtKTAt 

CROU P INC 

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

piles, dog houses, etc; 

f 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; 

r 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. 

« Allow videotaping and/or photographing of the property. 

AGREEMENT NOTT O 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 

B l grant access to my properties D i do not grant access to my properties 

^J^ ii-i^-d'^ 

Signature \^ Date Signature Date 

D I wouici like to be present during any sampling that is required. 

Page 2 of 2 
COASTA L 

r. n o I' '' • n f 

Restoration Agreement 

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

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

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

Protection Agency (EPA). 

Address: <^y^ ^ 1>^:gr>^-fuc,^ ^ ' 

Owner: /^f^ ^ ^Tu/ / 

[^one: f^/^_^ 

On the attached diagram(s) indicate aiiea(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 lenoval. storaj^e. tii&posal, and/or return of these items is tlie Owner's responEibility. 

y^p ^ 

Itemi 

Item: 

Item: 

(...^ 

Items to be Rernpved by the Contractor During Remediation and Wot Replaced 

Item: 

/ 

.// /L ^ Ufr P,..L^i 

Item: 

Item 

Item: 

Page 1 of. 
H 

COASTA L 

Items to Be Removed By Contractor During Remediation and Replaced_ 

Item: 

Co/^- Item: 

5o^)- Item: 

litem: 

Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch 

tnmk diameter 

Nuinber of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones. Control Valves, 

Timers, Heads, etc. 

•Miath ,1 skcitli ol llie 

<.pr'rl»lci tin'.llli 

Number of and size of 

each garden/ flower bed 

area. 

Aiiiith il skoirli ol rc'iiiivc 

M/'i'S nnd laciiiioiis 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

N'CIf i!-ii' ^HlllC VMII nt 

lisrc 10 li', m .; ;]li;ii; 

voiii.l!i.'. !(/ llie i;ropcii> 

DM iier. 

 gi.B^ y- ^ f:W> 

 1?l Bz- ,^Z- pft<^ 

Landscape Inventory 

Quantity 

I 

N 

i 

\ 

/ 

Unit Condition/Type/Species 

Quadrants 

Each 

Each 

Each 

Each 

Square Feet 

S 

Easement Area, to be Each 

excavated Vt-5 ^J-^ UP'^ 

Page 2 of. 
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BVID# 6/^^^ 


XRF PROPERTY SAMPLE SHEET 


Date n^-Vb'O^ Address ^?/ / VfjeiA^-KW^ 

Project Omaha Lead ARRA Sample time am/pm 

XRF ID# sample length "^^ O'L'L 30 sec 

Shot# Reading Sample area Shot# Reading Sample area 

/f;3 irri t[^ e^N\ [oS3> /f>Q ^ /fl 'g>'Z. 

/5^ /80 t h Depth lOSH q^i n Depth 

19^ not\(. 1" ioss^ m^i h 8 " 

h Average / / " """ ^ O / Average jO ^ ^ l & <^ 

Shot# Reading Sample area Shot# Reading Sample area 

•Z.07 ^7-? t-zD Sl ZO& lt,ti/8 ^-z 

-a-oH -zii^t /<n Depth ^o ^ i^^-n Depth 

1^1) ao 'XZS -2 © ^ O 111 diis s R" 

Average 

Shot# 

'2flB t-2 0 

Reading 

y 

Sample area 

Depth 

Average 

Shot# 

lc-?^l l 

Reading 

/ 

Sample area 

Depth 

Average Average 

RETEST AREAS 

Shot# Reading Sample area Shot# Reading Sample area 

^• ^ Depth Depth 

./ • / 

Average / Average 

Sianature //yyy^ 

PH„, ^Mf ^ %f^' ) 
Thermo 

SCIENTIFI C 

Tliermo Fislier Scientific 

900 Middlesex Turnpil<e 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Supervised By: 

Certificate of Verification 

206 

SOIL 

2009-12-04 11:39 

93.09 

Final 

Avg of 203-205 

4711 decatur st 

Bl 

13" 

R. VENTRY 

clearence 

ngnc 
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 239.152 

Supervised By: 

Certificate of Verification 

203 

SOIL 

2009-12-04 11:38 

31.63 

Final 

81494 

4711 decatur st 

Bl 

13" 

R. VENTRY 

clearence 

ngnc 

± Error 

± 19.809 
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 211.045 

Supervised By: 

Certificate of Verification 

204 

SOIL 

2009-12-04 11:39 

30.90 

Final 

81494 

4711 decatur st 

Bl 

13" 

R. VENTRY 

clearence 

ngnc 

± Error 

± 19.058 
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 225.242 

Supervised By: 

Ceitlflcate of Verification 

205 

SOIL 

2009-12-04 11:39 

30.56 

Final 

81494 

4711 decatur St 

Bl 

13" 

R. VENTRY 

clearence 

ngnc 

± Error 

± 19.708 
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 163.199 

Supervised By: 

Certificate of Verification 

211 

SOIL 

2009-12-04 11:43 

91.66 

Finai 

Avg of 208-210 

4711 decatur st 

gz 

13" 

R. VENTRY 

clearence 

ngnc / 

/ 
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 165.613 

Supervised By: 

Certificate of Verification 

208 

SOIL 

2009-12-04 11:42 

30.56 

Final 

81494 

4711 decatur st 

gz 

13" 

R. VENTRY 

clearence 

ngnc 

± Error 

± 17.659 
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 153.224 

Supervised By: 

Certificate of Verification 

209 

SOIL 

2009-12-04 11:43 

30.58 

Final 

81494 

4711 decatur st 

gz 

13" 

R. VENTRY 

clearence 

ngnc 

db Error 

± 17.021 
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 170.759 

Supervised By: 

Certificate of Verification 

210 

SOIL 

2009-12-04 11:43 

30.52 

Final 

81494 

4711 decatur st 

gz 

13" 

R. VENTRY 

clearence 

ngnc 

± Error 

± 17.580 
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 

Supervised By 

Certificate of Verification 

156 

SOIL 

2009-11-28 15:04 

90.97 

Finai 

Avg of 153-155 

4711 decatur 

em 

1" 

R. VENTRY 

clearence 

ngnc 
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 173.264 

Supervised By: 

Certificate of Verification 

153 

SOIL 

2009-11-28 15:02 

30.20 

Final 

81494 

4711 decatur 

em 

1" 

R. VENTRY 

clearence 

ngnc 

± Error 

± 19.349 
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 180.051 

Supervised By: 

Certificate of Verification 

154 

SOIL 

2009-11-28 15:03 

30.17 

Final 

81494 

4711 decatur 

em 

1" 

R. VENTRY 

clearence 

ngnc 

± Error 

± 19.518 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 155 

Mode SOIL 

Time 2009-11-28 15:04 

Duration 30.60 

Sequence Final 

Flags 

BVID 81494 

ADDRESS 4711 decatur 

QUADRANT em 

DEPHT 1" 

XRF TECH R. VENTRY 

MISC clearence 

NOTE ngnc 

ppm Error 

Pb 170.784 ± 16.819 

Supervised By: 
iy^^% Omaha Lead Site—Fixed Price EP-R7-07-05 

I J^^2 ^ I Coastal Environmental Group inc. ^ 

^ www.coastalhazmat.com 

'^•"-pne^' ^ COASTAL 

INVIIONHilim C lO U p. IH C 

EXECUTIVE SUMMARY: 

BVID #81494-(4711 DECATUR ST) 

No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 

ON 2/3/10 DAN GARVEY NOTED THAT THE PROPERTY OWNER CLAIMED THE GZ 

jWAS NOT EXCAVATED AND CLEAN FILL WAS PUSHED AND PLACED OVER THE 

IGZ TO RAISE THE GRADE. ALSO THE DZ DOES NOT MEET THE PWS DEFINITION 

FOR A DZ ANS WAS NOT EXCAVATED BY COASTAL INCORRECTLY. ON 2/17/10 

I ISSUES WERE RESOLVED. 

I DAN GARVEY WALKED THE PROPERTY ON 2/17/10 
^ 1 

EPA Property Close Out Form 

PropertyAdd««: Mil l P^r^Il T ^V..^ Propem#: 9>\^Ai A 

Date/Time: Owner's Name:, /rjff.'ia^'f..ptJE? H. -^ — 

Quads Excavattd; P » ^ ]ft.> . Ot^ .^7 ^ 

ContractorGroup/^^>;;)/i<^m I oAvirOAnneA.'^a) 6rcu p 

Excavatio Yes No n General _^_^_^ _ 

1. If necessuy, were the correct qtiadnintfs) excavated and restored? 

2. ir necessary, were the correct areas ofdrip zone excavaled aod restored? y 

Grading Sod and VcKelatlon 

Yes No 

I. Does the grading around the perimeier ofthe house in excavated areas generally slope away 

from the house? 

2. Has sod been laid ui all areas that were excavated? / 

i. 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? y 

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

' time period) 

y

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

7. Was damige to landscaping or plant materials avoided? 

Gates. Fences and Retaining Walls 

Yes No 

r 

• • — 1 

Do gates open and close freely? (Ifapplicable) / 

2 Were all gates or fences taken down during restoration activiiies reinstalled? (If applicablcl y 

3. Was damage to gates or fences avoided? (If applicable] y 

— 

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

Foundation, Siding and Gntlers 

Yes No 

t. Was danuge to the siding or trim avoided? / 

2. Was damage to the foundation avoided? y 

?. Was damage to windows avoided? 

y 

4 Was damage to windows or door screens avoided? y_ 

5. Was damage to downspouts or downspoul extensions avoided? y 

Sidewalks and Driveways (Concrete) 

Ves No 

1. Was damage to driveway surfaces avoided? / 

2. Was damage to walkway surfaces avoided? / 
OM-PCPS coroments: 

^.n.";?>ection no<es: 

Removal and resloration activates complele including the 30-day sod warranry: 

EPA Representative ^ ^ Date: a/t^/'Q _ 
Property Completion Agreement 

Dili agreemenl documenls lhe complclion of reinedial aclivmes perloimed on my properly My signature 

will designate ihal I am satisfied with the restoration of my propeily, and thai no ilems are in questions, 

now, or al any lime in the future, except ihose ilems listed beiow, if any 

Property m:< g J nO^L \ 

Property Address: q-]J SI ^ DgrA-^ r ^

Q""" Ig.-skr <yrui\ 

Phone: ^ ^ j - g q g^ f, 

Restoration Items in Question: 

Item: 

Item: 

/

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

++vv4'J>v Wallow €:A<5,-TI^ <-«-*• 

p \ I 1 HgTCC rwl iKtoralion is completed, except as noleri 

[_J I do not ajjrec restoration Is completed 

Ovt'nci-'s SignatiH-r '^ Date Conti arlor's Signature Date 
March 1,2010 

Lester Stull 

4711 Decatur St 

Omaha, NE 68104 

RE: BVID 81494 

4711 DECATUR ST. 

OMAHA, NE 68104 

According to the Performance Statement of Work (PSW) for the Omaha Lead Site Remedial 

Action a final property close-out inspection must be performed by an Enviroimiental Protection 

Agency (EPA) Contracting Officer Representative (COR). In order to stay compliant vdth the 

PSW, Dan Garvey (EPA COR) has been conducting all final close-out inspections. 

On February 3,2010 Dan Garvey (EPA COR) accompanied by Marcos Mateus (Coastal) 

inspected a property located at 4711 Decatur St in Omaha, NE. While at the property, Mr. 

Garvey raised a concem regarding the landscape area (LS) arotmd the drip zone (DZ) ofthe 

property that was identified in the property sketch. According to the property sketch the LS area 

was identified but not sampled defaulting that area to be considered one with a permanent 

barrier; hence, Mr. Garvey called upon the property owner (PO) to clarify his concem. The PO 

stated that he had personally worked on the LS area and that he had placed a barrier before 

backfilling this area. 

Mr. Garvey (EPA COR) asked the PO if he was content with the work that Coastal had 

performed at his property and he replied that he was; however, the PO stated that Coastal had 

begun to excavate the Garden Zone (GZ) but failed to remove the contaminated soil and used it 

to backfill the same area. Mr. Garvey (EPA COR) assured the property owner that he would 

investigate this matter fiirther and that he would keep him abreast. 

Mr. Garvey (EPA COR) and Mr. Mateus proceeded to conduct other final property close-out 

inspections. At the end ofthe day, Mr. Garvey (EPA COR) and Mr. Mateus drove to Coastal's 

project office to gather and review existing documentationfi-om 4711 Decatur St. After 

reviewing excavation photographs and XRF results it was clear to Coastal that excavation 

activities were performed satisfactory to the PWS and that clean up goals were achieved. 

On Febmary 4, 2010 Mr. Garvey (EPA COR), Mr. Mateus (Coastal), Mrs. Caceres (Coastal) and 

Mr. Padilla (Coastal) visited 4711 Decatur Street to discuss this matter fiirther. Coastal provided 

excavation photographs to the PO for his review and reconsideration but failed. 

In order to account for the events that took place at 4711 Decatur Street, Coastal scheduled 

interviews with Mr. Nicolas Lopez (Crew Foreman) who was present at the excavation site at the 

time it was being excavated. On Febmary 10, 2010 Coastal conducted its interview with Mr. 

Lopez who was the foreman in charge ofthe excavation and backfill crews on November 28, 

2009. Mr. Lopez (Coastal) said that they had already remediated the property and cleared the 

Garden Zone, Bl and B2 quadrants. When Mr. Lopez returned with the backfill crew, the 

operatorfi-om the excavation crew was digging out the footings fi'om a pre-existing garage. Mr. 

Lopez told him to stop excavating because those quadrants were already cleared. The operator 

told him that Mr. Stull had asked him to remove the footings for him. Mr. Lopez said that they 

couldn't remove the footings; further, Mr. Lopez stated that, that area was going to be re-graded 
and the footing would be buried with new soil. Mr. Lopez and Mr. Mateus reviewed photographs 

ofthe area in questioned and found photos ofthe footings, further confirming them to be in an 

excavated and cleared area. 

Coastal has reviewed all pre-excavation and post excavation documentation and after 

interviewing Mr. Lopez regarding the remediation of lead impacted soil at 4711 Decatur St and 

after careful consideration has decided that no further action is required at this time for the claim 

made by Mr. Stull. 

Thank you again for bringing this matter to our attention, we value your concems and look 

forward to continuing"crm'"g€ipd partnership. 

Marcos Mateus / 

Quality Assurance Project Manager 

^^uJx^ 
@ ' 

Froperty Ov/ner Setisfartior. Survey JAN 2 5 2010 

Omaha Lead Superfund Sit 

2008 SUPERFUND DMSIOM 

Remediation Contractor: Coastal Environmental Group 

Property Identifier Number: ?^ 1^01 4 

Property Address: mi l ) )^rCk\v/r~i'^ . 

Property

Y Owner' ww.ic i 9s Name iTomc.; ^.\.ij,isrj [^ff^ !r 1 f^A . .VI. V V I i 

(above information to be filled out by remediation contractor prior to delivery ol form lo Property Owner) 

Instructions to Prooertv Owner: 

This form is provided to you as a means of trying to capture your level of satisfaction with the 

work of the above-identified remediation contractor, as applicable to the soil cleanup action at your 

property. The U.S. Environmental Protection Agency (EPA) is very interested in your opinion regarding 

the work performed by its contractors. This form is intended to provide an easy means for you to 

express your opinion about the work performed on your property. 

Please indicate your level of satisfaction with the contractor's work by selecting a numerical 

rating (ranging from 1 to 10) using the following rating scale, then please sign and date the form and 

return it to the USEPA in the attached self-addressed & stamped envelope, (additional comments may 

also be provided in the space below, at the option of the property owner.) 

9-10 "excellent" 

7-8 ^^;iwe^loBti> 

5-6 • "aciEeptaole 

3-4 "poor" 

1-2 "very poor" 

property Ownerls Satisfaction Rating Regarding Contractor's Work 

10 5 

9 4 

8 3 

7 2 

6 1 

Additional Comments from Property Owner (optional: continue to bacit of page if needed! 

Property Owner's Signature: ^yd^-^^AjJl / Pate: l^Zp - I n