## TRANSMITTALof OMAHALEAD SIT E SOI LREMEDIATIO NFIL EFOLDE R

\ 

## 1 1 \ \ 

# "^"i n SAID# : Date : Address : W\ 0 h^K ^ ^ f Remediatio nContractor : Coasta l Environmenta l Group

_ Year : 2010ARR A
SOI LREMEDIATIO N PROPERT YFIL EFOLDE RDOCUMENT S
^ 

### Vide o ofpropert y (DVD ) _^

_ Executiv e Summary EPA-provide dproperty sketc h Signe dAcces s Agreemen t for subjec t property Signe dAcces s Agreement(s ) for adjacent property Restoratio nAgreemen t Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) Confirmatio ndat a Photograph s \k ^C{>(]/t(\(^ ^ ^ ^KAfVl^l< M ^ ^^ ^ As-buil t sketc h Satisfactory restoratio nsigne db y Property Owne r Property close-ou t chec k lis t signe db y EPA Descriptio no f area s no t meetin g RO D cleanu p criteri a 

# t / Utility clearance s 

# 0 / Property mfomizrtionfromDougla s County Assessor' s Offic e


# 1 

# J ' I^ 'Dat e 3021769 1 Superfun d

# ^ v Propert yAcces s Checklis t Propert y ID : 

# 14 m nWOR K

STARTE D ON : / / Propert y Address : yq'p SWHUig ^ ^ ^ D WOR K

COMPELTE D ON : __/__/

_ 

# uiAryiM^ K <XN A Owner : »^g|^ 5 fJX/rOfr<S- T vi|.^K! > Renter : ^/t^s^sC S I(>U£A ^ 

### Phone : ^55

. ^32 5 Fax : Cell/Pager : Phone://07)^; ^

. ^/y ? ? ^ Additiona l Information : Cell/Pager : 1 ^l^B j

• NotificationLette r Sent : / / By : J 3 Acces s Agreement Siened : lll^t \ 6 By : 0 Restoratio nAgreement Siened: 2 // 5 HD By : D Topso USampling (if applicable ) I1 By : Q Disposa l Samplin g (if applicable ) I1 By : D Garde nSamplin g (if applicable ) II By : 5 ] UtiUt y Clearanc e CaUed : bS l Of»l\ 0 ^Video/Photo s (Before) 

# On : 3-1^ 1 In By : GVideo/Photo s (During ) On : / / By :

• Video/Photo s (After) On : / / By : D Video/Photo s (30-Day ) On : / / By :

• Property Completio nAgreement Siened : / / By : D Final Report Issued : / / By : Ai r Monitorin g (a s appUcable) D Commimit y QCre w On : / / By :1 Results : D Communit y • Cre w On : / / By : 1 Results :

• Communit y C ] Cre w On : / / By : Results :

Omah a Lea d Sit e

### Dovlglas County Accoun t I n|^^on Pag e 1 of 3

Dougla s County , Nebrask a Propert yRecor d - R070207000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s avaiiabl e @ scai e 0-5 0 ft wes t o f52n d S t - VIeWO n Ma ^ Informatio n i s vali d a s o f2009-12-1 5 Treasurer' s Ta xRejspr t Ne wFeatur e -•->- •AutoSjaie s Searc h Owne r THEIS S LL C C/

O FORRESTJINK S P 0 BOX 678 7 SANT AROS AC A95406-078 7 Propert yInformatio n Ke yNumber : 020 7 OOO O 0 7 Accoun t Type : Residentia l Parce l Number : 070207000 0 Parce l Address : 1710SAHLERS T OMAH AN E 68110-000 0 Lega l Description : BOULEVAR D PAR KSU B DI V LO T5 BLOC K1 4 0 X11 5 Valu e Informatio n
200 9 200 8 200 7 200 6 200 5 200 4 Lan d $7,000.0 0 $7,000.0 0 $7,000.0 0 $7,000.0 0 $7,000.0 0 $7,000.0 0 Improvemen t $23,300.0 0 $27,200.0 0 $27,200.0 0 $27,200.0 0 $6,500.0 0 $5,900.0 0 Tota l $30,300.0 0 $34,200.0 0 $34,200.0 0 $34,200.0 0 $13,500.0 0 $12,900.0 0 Sale s Informatio n Sale s Date : 2004-01-1 3 Dee d Type : Price : Grantor : Grantee : WD M $1,100,000.0 0 Forres t Enterprises , LL C Forres t LJinks Book : 200 4 Page : 02478 0

Valld/lnvalld : Invali d Excl Reason : usio n Multipl e Parce l Sal e Sale s Date : 1996-09-2 6 Dee d Type : Price : Grantor : D M $19,500.0 0 Book : 204 6 Page : 49 2



### http://douglasne.mapping-online.com/DouglasCoNe/static/accoxmtinfo.jsp?accountno=RO..

. 12/31/200 9

### Dougla s County Accoun t I rJ^B^on Pag e 2 of 3

Grantee : Valid/Invalid : Exclusio n Reason : Vali d

Lan d Informatio n Acre s 0. 1 S F 4600. 0 Unit s 1. 0 Dept h 115. 0 Widt h 40. 0 Vacan t N o Improvement Buildin g 1 Informatio n

CLIC KTO ENLARG E IMAG E CLIC KTO ENLARG E IMAG E Squar e Footage : 1063. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Fai r Uni t Type : Condition : Fai r

Buil t As : 1 1/ 2 Stor yFi n Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 6. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 1. 0 Roo fCover : Compositio n Shingl e Bedrooms : 3. 0

Roo fType : Gabl e Stories : 1. 5 Fioorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 191 5 0 % 191 5 9 4 Deta/ 7 Typ e Detai l Descriptio n Unit s Ad d O n Fenc e Chai n Lin k 1. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 624. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0


### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RO.

. . 12/31/200 9

## Doiiglas Coimt y Accotm t I

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Garag e Detache d 216. 0 Porc h En d Scree n 160. 0 Use r Atti cFul l Finis h 249. 0



## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accovmtno=RO..

. 12/31/2009 / i

### Pag e 1 of 2

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• YOURTICKE T NUMBE RI S 2458408

. Origina l Cal l Date : 4/08/1 0 Time : 5:1 9 pm Op : ELIZABETH1879 0 Wor k t o Begi n Date : 4/12/1 0 Time : 5:4 5 pm State : N E County : DOUGLA S Place : OMAH A Address : 171 0 Street : SAHLE R S T Twp : 15 NRng : 13 E Sect-Qtr : 03-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AND T O TH E PEDESTA L Remarks : FAX AL L CLEAR S TO : (877)662-421 1 : UNSUR E I F CORNE R LOT . Compan y: COASTA L ENVIRONMENTA L SERVIC E 

### Contac t Name : ELIZT^ETH Phone : (877)662-421 0 Wor k Being Don e For : COASTA L Dept ho f Excavation : 4 F T Come r Lot : N Front : Y Rear : Involve s Tunneling o r Horizonta l Boring : N Explosives : N CXCAT V MAGELLA NMUDO l OMAHACO F 0PPDGPR 5 QLNNEI C

UtiUt y Servic e Are a Contac t 

### Phon e Numbe r Typ e 

### Day : 402934046 9 CXCAT V CO XCOMMUNICATIONS , IN C HEID I 

### Alt : 402934046 9 Emerg : 402932975 7 Day : 918574709 8 MAGELLA NMIDSTREA M PARTNER S MAGELLA N DEBORA H 

### Alt : L P 

### Emerg : 918574709 8 Day : 402504782 3 MUDO l METROPOLITA NUTILITIE S DISTRIC TSAND Y 

### Alt : Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC.SEWE R 

### RICH/TRAFFI C Alt : 402444516 1 Emerg : 402444516 0

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OPPDGPR 5 OMAH APUBLI C POWE RDISTRIC T F IM



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. . 4/8/201 0OLS# : 3412 1 

# AAs-Buil t Drawin g A Dat e Excavated : 4/9/201 0 Dat e USEP ASigne d Off : 11/9/201 0 COASTA L 

# Omah aLea dSuperfun dSn e IMVIKOHHEMTA L Are a Sodden : 130 5 s o f t

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## 3412 1 Omah a Lea d Sit e Exterio rPain t North Arro w Owne rName : FORRES TENTERPRISE S L L 

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COASTA I iHVIItONHIhTA l CROUP

. I h C 

## Consen t fo rAcces s T o Propert y RIGH TO F ENTRYTO PREMISE S 

## Granto r(th e propert yowner ) consents t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rits authorize d representatives , collectivel y th e Grantee , t o ente ran d perfornri certai n environmenta l respons e activitie s upo n th e followin g describe d premises :
_, \Lin9 t

Owner' s Name :

Addres s o fPropert y covere d b ythi s 

# m o Sahie r £A

. 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 that contain s elevate d concentration s oflead an d ma ypos e a healt h hazard

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

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

. Thi s work i s bein g performe d unde rth e Omah a Lead Superfun d Site remediatio n program
. Arepresentative 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 perfonned , th e Granto rwil l have a n opportunit yt o reviewan d approve th e planne d soi l removal , an d restoratio n work before I t begins

. Once th e work i s finished , th e Granto rwil l b e aske d t o reviewth e work an d confir m that I t I s complet e an d meets wit h th e Grantor' s approval

. Upo n completion , th e Granto rwil l receive vkfritte n documentatio n fro m EP Athat th e propert y has bee n remediated

.
ENVIRONMENTA LRESPONS E ACTION S 

## B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , its employees , contractor s an d subcontractor s th e righ t t o ente rth e property , at al l reasonabl e time s an d vknt h prio rnotice , fo rth e sol e purpos e ofperformin g th e work

. Thi s acces s shal l remai n I n effec t unti l th e work has bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f2COASTA L INrmONKtKU L '•• » PRO** ' C I I O U r( Kc


### cRemov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; e Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; cWate 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

. e 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 wothers 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 contact Coasta l Environmenta l Group , a t (402 ) 991-119 9

Qigra i D I d o not gran t acces s t o m ypropertie s gran t access t o m ypropertie s

Signatur e Dat e

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

.

Pag e 2 o f2

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C O AS TAL 

## Restoratio n Agreemen t The purpos e of thi s agreemen t i s to provid e amutua l agreemen t a s to condition s ofth e propert y prior to remediationactivities

. Thi s will als o serve a s documentationfo r the purpos e of assuring tha t restoration activitie s ar e completedto the satisfactionof the propert y owne r an dthe UnitedState s Enviroimienta l ProtectionAgency (EPA)

.

Propert y ID : ^L \\^ \ PropertyAddress : n^( ^ ^_^QX W . Owner; Phone : 

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nthe attacheddiagram(s ) indicat e area(s ) to excavate ^ surface structure s an dlandscapin g feature s an d acces s location(s ) to b e usedb y the contractors
. Indicat e distances , depths , materia l types , etc
. Photographicall y an dVideographicall y documen t the existing condition s ofth e propert y an dthe basemen t if necessary . 

## Item s t o b e Remove d b yth e Owne rbefor e Start o fRemediation : Th e removal , storage , disposal , and/o rretu m o fthes e item s i s th e Owner' s responsibility

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## Ite m Pre-existin g propert y area , that wil l b e excavated , tliat i s covere dwithgrass . Numbe r o f tree s > 2 inc h trun k diamete r Numbe r o f tree s < = 2 inc h trunk diamete r Numbe r o f Sprinkle r Zones , Contro l Valves , Timers , Heads , etc
. Attac hasketc ho f th e sprinkler layout

. Nimiber o f an dsiz e o f eac hgarden/ flower be d area . Attac hasketc ho f relativ e size s an dlocations

. Agree dupo nvalu e o f plan t material s no t t o b e replace db v contractor
. Not e thi s valu e wil l b e use dt o issu e apian t vouche r t o th e propert y owner . Easement Area , t o b e excavate d 

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COASTA L
• MVinONMK H TAL O n O U P , INC

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# Hr\f)-:'^\ U Additiona l Comment s / instructions : Th e cit yo fOmah a ordinance s ma yprohib Kyo u fro m usin g dir t o rgrave i area s o n you rpropert y a s driveway s o rvehici e parkin g areas
. Th e Environmenta l Protectio n Agenc y(EPA ) ma yb e removin g an d repiacin g soi i underiyin g a grave l o rdir t are a o n you rpropert ytha t yo u ma yb e usin g a s a drivewa yo rvehici e parkin g area
. I fthi s i s th e case , yo u shoul d understan d tha t thi s removin g an d replacin g o fsoi l doe s no t mea n tha t an yiiiega i drivewa yo rparkin g are a o n you r propert yi s mad e legal

. T o th e contrary , yo u ma yb e cite d b yth e cit yi fyo u us e a grave l o rdir t are a a s a drivewa yo rparkin g area , no t wKhstandin g an yremova l o rreplacemen t o fsoi l b yth e EP A I fyo u hav e an yquestio n abou t legalit yo fa certai n drivewa yo rparkin g area , yo u ma ycontac t th e cK yo fOmaha' s Plannin g Departmen t a t (402 ) 444-5150

. 

# P Pleas e chec k thi s bo xi fyo u understan d th e informatio n outline d above

.

D Chec k th e bo xi fOwne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage

. B ycheckin g thi s bo xCE G i s no t responsibl e fo ran ydamag e don e t o th e Interio ro fhouse , includin g foundatio n crack s o rfissures

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## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 45 3 Mod e SOI L Tim e 2010-05-1 0 16:2 0 Duratio n 90.3 4 Sequenc e Fina l Flag s AVERAG E Avg,of-450=452-i i ADDRES S c=1710'Sahle r s t QUADRAN T E A DEFT H 1 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D : 7.92 2 Z r 480.47 3 ± 15.81 7 S r 174.00 6 ± 8.85 4 U < LO D : 14.73 9 R b 70.00 8 ± 6.52 1 T h 12.33 0 ± 7.91 3 'P-J5iz:rz - 166.069 : ....... ± -17.14 3 S e < LO D 5.61 4 A s < LO D 22.14 6 H g < LO D 12.68 5 Z n 154.69 1 ± 21.33 6 W < LO D J 86.00 9 C u 38.07 1 ) 20.59 1 N i < LO D /
-''" ^ • / 71.27 1 C o < LOp ^ 182.85 5 F e 19300.13 9 393.84 3 

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

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< LO D 473.26 6 170.66 8

< LO D 65.31 2 < LO D 178.17 9

< LO D < LO D < LO D 140.87 6

< LO D 47.39 8 < LO D < LO D 18993.71 7

428.52 0 Supervise d By : 

## Certificat e o fVerificatio n

45 0 SOI L 2010-05-1 0 16:1 8 30.1 0 Fina l 3412 1 171 0 Sahie rs t E A 1 " CONFIRMATIO N N

. LOPE Z

Erro r
: 7.89 7 ± 15.75 6
' ± 8.80 1 ; 14.65 8 ± 6.36 9

: 11.78 6 ± 17.73 4

: 5.69 5 : 22.38 2 : 13.06 6 ± 20.77 0

: 90.83 5 ± i 21.53 6

; 74.48 1 : 182.01 8 ± 391.97 0 ± 89.97 7

# 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 45 1 Mod e SOI L Tim e 2010-05-1 0 16:1 9 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T EA DEPT H 1 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 7.96 1 Z r 475.52 8 ± 15.73 5 S r 176.93 2 ± 8.91 8 U < LO D 15.40 9 R b 71.54 9 ± 6.63 8 T h < LO D 11.43 3 P b 161.63 3 •± 16.91 8 S e < LO D 5.58 0 A s < LO D 21.92 7 H g < LO D 12.64 3 Z n 170.48 8 ± 22.09 8 W < LO D 83.73 6 C u < LO D 29.78 2 N i < LO D 71.43 1 C o < LO D 179.74 8 F e 19371.06 1 ± 394.27 1 M n 578.87 0 ± 99.03 4 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 45 2 Mod e SOI L Tim e 2010-05-1 0 16:2 0 Duratio n 30.1 3 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T E A DEPT H 1 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

Erro r pp m M o < LO D J 7.90 7 Z r 492.62 6 ± 15.96 0 S r 174.41 9 ± 8.84 3 U < LO D : 14.14 9 R b 73.16 3 ± 6.55 8 T h 17.37 2 ± 8.26 0 P b 158.39 4 ± 16.77 6 S e < LO D 5.56 7 A s < LO D 22.13 1 H g < LO D 12.34 7 Z n 152.71 0 ± 21.14 0 W < LO D ; 83.45 6 C u 38.38 1 ± 20.38 2 N i < LO D \ 67.90 0 C o 211.47 0 ± 124.53 4 F e 19535.63 9 ± 395.28 9 M n 494.14 9 ± 93.93 6 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 44 9 Mod e SOI L Tim e 2010-05-1 0 16:0 8 Duratio n 90.6 2 Sequenc e Fina l Flag s AVERAG E CAyg-Of-446-44 8 — ADDRES S 171 0 Sahie rs t QUADRAN T B 2 DEPT H 6' ' TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D : 8.26 6 Z r 505.18 1 ± 16.45 5 S r 160.06 7 ± 8.68 7 U < LO D : 15.49 6 R b 73.41 8 ± 6.82 0 T h 13.84 5 ± 7.59 6 P b 95.77 0 ± . 13.74 0

. . 

# C S e - - < LO D 5.025 - A s < LO D 18.31 2 H g < LO D 12.87 9 Z n 117.42 7 ± ^.^.-Vi^IS i W < LO D > - ^ 88. ^ C u < LO D y ^ : 3Q/% 8 N i < LO D / ^4.77 4 C o < LOp ^ /185.61 6 F e 19547.55 5 

### ^ A :: ^

404.64 0 M n b//.4 K y101.24 9 

# y -y-^ ^ Supervi s e 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 44 6 Mod e SOI L Tim e 2010-05-1 0 16:0 7 Duratio n 30.1 0 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T B 2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.29 5 Z r 498.72 1 ± 16.33 2 S r 161.73 6 ± 8.70 4 U < LO D : 15.18 4 R b 78.27 4 ± 6.94 3 T h 15.28 4 ± 7.77 6 P b 100.86 1 ± 14.01 8 S e < LO D 5.09 8 A s < LO D 18.39 1 H g < LO D 12.55 1 Z n 110.44 2 ± . 19.13 5 W < LO D : 90.45 8 C u 33.76 5 ± 20.99 9 N i < LO D : 75.11 8 C o < LO D : 180.65 2 F e 18793.03 1 ± 395.83 6 M n 543.26 0 ± 98.27 6 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 44 7 Mod e SOI L Tim e 2010-05-1 0 16:0 8 Duratio n 30.4 2 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T B 2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

Erro r pp m M o < LO D 8.28 4 Z r 504.26 5 16.37 2 S r 154.36 2 d : 8.51 7 U < LO D 15.33 4 R b 68.91 5 ± 6.62 9 T h 12.77 4 ± 7.44 5 P b 95.44 8 ± 13.66 5 S e < LO D 4.96 8 A s 20.13 9 ± 12.48 1 H g < LO D 13.25 1 Z n 129.70 0 ± 20.27 5 W < LO D 88.21 8 C u < LO D 30.16 4 N i < LO D 72.69 3 C o < LO D 185.08 1 F e 19683.57 2 ± 404.80 4 M n 602.40 0 ± 102.71 9 C r < LO D 285.94 8 V < LO D 740.27 9 T i 3840.20 7 ± 1928.93 1 S c < LO D 133.07 3 C a 8303.34 9 ± 4136.77 1 K < LO D 7706.29 9 S < LO D 238.27 7 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 44 8 Mod e SOI L Tim e 2010-05-1 0 16:0 8 Duratio n 30.1 0 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T B 2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.22 0 Z r 512.55 8 ± 16.66 3 S r 164.10 4 i 8.84 1 U < LO D 15.97 1 R b 73.06 4 ± 6.88 7 T h 13.47 8 ± 7.56 5 P b 91.00 1 ± 13.53 6 S e < LO D 5.00 8 A s < LO D 17.82 1 H g < LO D 12.83 7 Z n 112.13 9 ± 19.26 2 W < LO D 86.57 5 C u < LO D 31.24 0 N i < LO D 76.51 2 C o < LO D 191.11 3 F e 20166.06 3 ± 413.27 8 M n 586.70 4 ± 102.75 1 Supervise d By :SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g No Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPT H TYP E INSPECTO R

Mo Zr Sr U Rb Th iPb

^ ' Se~~ ~ As Hg Zn W Cu Ni Co Fe Mn
Supervise d By : 

## Certificat e ofVerificatio n

44 5 SOI L 2010-05-1 0 15:5 9 90.3 4 Fina l ^ -

— — " ^ rAv g of-442-44 4 47l 6 Sahie r st

pp m
< LO D 490.07 2 167.18 8

< LO D 78.26 6 < LO D 102.48 4 ­

< LO D < LO D < LO D 107.84 2

< LO D < LO D < LO D < LOp ^ 18927.76 0

521J76 2 DZ 13 " CONFIRMATIO N N. LOPE Z

Erro r 7.87 5 d: 15.85 9 i: 8.65 4 14.87 2 ± 6.78 4 10.81 3

••± 13.832 > 5.20 8 18.42 2 12.15 3 ± 1&30 0

^^-"80^^3 3 ^ y 29.63 6 / 

### yi2.1^ 1 y178.01 5 1 

### X^„^8.50 6 / . 

## y y"is.^i i yL 

# y y ^ ^— " ^

# 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 44 2 Mod e SOI L Tim e 2010-05-1 0 15:5 8 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T D Z DEPT H 13 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 7.86 1 Z r 487.22 9 ± 15.82 0 S r 168.90 1 ± 8.69 0 U < LO D 14.96 2 R b 77.05 7 ± 6.75 2 T h 13.00 6 i 7.43 0 P b 104.77 3 i 13.95 5 S e < LO D 5.19 9 A s < LO D 18.49 0 H g < LO D 12.48 9 Z n 110.80 2 i : 18.57 6 W < LO D 83.84 1 C u < LO D 29.37 4 N i < LO D 73.58 1 C o < LO D 176.56 3 Fe 18415.66 6 ± 383.03 5 M n 501.11 4 ± 93.09 7 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 QUADRAN T DEPT H TYP E INSPECTO R

M o Z r S r U R b T h P b S e A s H g Z n W C u N i C o F e M n pp m
< LO D 494.19 2 163.58 7

< LO D 74.54 4 < LO D 98.97 6 < LO D 19.50 1 < LO D 113.43 4

< LO D < LO D < LO D < LO D 19111.28 5

527.26 3 Supervise d By : 

## Certificat e o fVerificatio n

44 3 SOI L 2010-05-1 0 15:5 9 30.1 1 Fina l 3412 1 171 0 Sahie rs t D Z 13 " CONFIRMATIO N N

. LOPE Z

Erro r * 7.88 9 ± 15.87 7 ± 8.55 4

: 14.92 9 ± 6.66 0

; 10.34 3 ± 13.60 1

: 5.17 3 ± 12.34 3

: 11.88 8 ± 18.53 9

I 77.90 7 : 29.23 9 J 72.98 9 177.64 3 ± 389.84 0 ± 95.69 5

# 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 44 4 Mod e SOI L Tim e 2010-05-1 0 15 : 5 9 Duratio n 30.1 2 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T D Z DEPT H 13 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D J 7.87 4 Z r 488.79 4 ± 15.87 9 S r 169.07 4 ± 8.71 7 U < LO D ; 14.72 4 R b 83.19 6 ± 6.94 0 T h 11.14 3 ± 7.30 0 P b 103.70 4 ± 13.94 0 S e < LO D 5.25 1 A s < LO D 18.26 3 H g < LO D 12.08 1 Z n 99.29 1 ±' 17.78 6 W < LO D : 80.15 3 C u 34.21 2 ± 20.19 7 N i < LO D I 71.55 2 C o < LO D I 179.83 8 F e 19256.33 4 ± 392.64 2 M n 536.91 0 ± 96.44 0 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 43 7 Mod e SOI L Tim e 2010-05-1 0 15:5 3 Duratio n 90.3 3 Sequenc e Fina l Flag s AVERAG E 

### C^Avg-oM34336 : ADDRES S 171 0 Sahie rs t QUADRAN T F l DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.16 5 Z r 452.25 7 ± 15.93 5 S r 182.24 4 ± 9.33 7 U < LO D 15.22 1 R b 72.75 2 ± 6.82 7 T h 11.07 6 ± 7.24 3 P b 77.88 3

_ ± ^ - - 12.78 1 S e <~LO D 5.51 0 A s < LO D 17.31 6 H g < LO D 12.97 6 Z n 79.45 5 ± 17.28 8 W < LO D ^—91.94 2 C u < LO D ^ ^ ^0.43 2 N i < LO D /
- y74.85 1 C o < LQB T y185.15 0 F e 18573/1 5 / ^ 399.14 6 M n 52-^06 9 y > 98.56 9

^ - ^ ' 

# i
Super v 

### se d By: 

### \ y<

# 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 43 4 Mod e SOI L Tim e 2010-05-1 0 15:5 2 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T F l DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.09 4 Z r 459.29 2 ± 16.06 8 S r 178.56 0 ± 9.26 8 U < LO D 15.30 4 R b 72.46 9 ± 6.84 0 T h 10.95 7 ± 7.16 8 P b 70.04 7 ± 12.31 6 S e < LO D 5.71 7 A s 16.89 8 A 11.26 0 H g < LO D 12.58 3 Z n 95.96 2 ± 18.46 1 W < LO D 91.91 0 C u < LO D 30.12 4 N i < LO D 76.18 1 C o < LO D 183.17 6 F e 18584.73 8 i 400.23 3 M n 489.93 1 ± 96.49 8 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 43 5 Mod e SOI L Tim e 2010-05-1 0 15:5 3 Duratio n 30.1 0 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T F l DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.21 7 Z r 452.13 8 ± 15.90 9 S r 184.65 2 ± 9.38 0 U < LO D 15.80 1 R b 72.12 2 ± 6.85 4 T h < LO D 10.71 0 P b 78.04 1 ± 12.77 6 S e < LO D 5.65 2 A s < LO D 17.19 2 H g < LO D 13.68 8 Z n 72.24 8 ± 16.87 7 W < LO D 95.12 5 C u < LO D 29.91 9 N i < LO D 75.86 8 C o < LO D 185.71 8 F e 18730.67 0 i 399.98 1 M n 485.40 3 d b 95.87 6 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 43 6 Mod e SOI L Tim e 2010-05-1 0 15:5 3 Duratio n 30.1 2 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T F l DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.18 5 Z r 445.34 0 ± 15.82 9 S r 183.52 1 i 9.36 3 U < LO D 14.55 8 R b 73.66 3 ± 6.78 7 T h 12.18 0 ± 7.42 1 P b 85.56 1 d t 13.25 2 S e < LO D 5.16 1 A s < LO D 17.86 7 H g < LO D 12.65 7 Z n 70.15 4 ± 16.52 6 W < LO D 88.79 2 C u < LO D 31.25 4 N i < LO D 72.50 3 C o < LO D 186.55 7 F e 18403.94 1 i 397.22 5 M n 596.87 3 ± 103.33 3 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 AVERAG E ADDRES S QUADRAN T DEPT H TYP E INSPECTO R

M o Z r S r U R b T h --P b

S e A s H g Z n W C u N i C o 

## Certificat e o fVerificatio n

44 1 SOI L 2010-05-1 0 15:5 6 90.6 4 Fina l c:5Avg-ofr438-44 0 171 0 Sahie rs t F 2 6 " CONFIRMATIO N N

. LOPE Z

pp m
< LO D : 376.55 3 ± 253.31 7 ±

< LO D 64.26 0 ± < LO D 90.92 8 ± ~] < LO D < LO D < LO D 93.17 6 ± < LO D < LO D 

## ^ y ^ < LO D y 

# y : Fe 16870.58 8 M n 454.36 4 Supervise d By : • 

## < Loo y 

# y 

# y

^ 

# yy . ^ Erro r 8.18 3 15.32 6 11.16 4 15.36 6 6.63 4 11.12 2 13.90 8 ==5r54 2 18.74 9 13.31 9 18.65 4 ^^--9S.46 9 >32.74 4 X 78.08 2 178.84 4 ? » 388.93 6 95.33 2

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 43 8 Mod e SOI L Tim e 2010-05-1 0 15:5 5 Duratio n 30.4 3 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T F 2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.28 3 Z r 387.72 1 d : 15.54 6 S r 249.37 0 d : 11.10 6 U < LO D 15.38 7 R b 66.24 4 d : 6.72 9 T h 15.53 1 d : 7.88 9 P b 82.35 7 d : 13.46 1 S e < LO D 5.89 2 A s 22.86 3 d : 12.48 1 H g < LO D 13.19 3 Z n 77.54 5 d : 17.62 5 W < LO D 95.81 3 C u < LO D 31.10 2 N i < LO D 78.54 7 C o < LO D 180.48 1 F e 16885.57 6 d : 390.07 4 M n 427.12 2 d : 93.33 9 C r < LO D 162.62 1 V < LO D 1207.80 2 T i < LO D 5902.35 3 S c < LO D 1349.00 8 C a 63181.03 9 ± 18781.24 0 K < LO D 18270.59 4 S < LO D 934.47 6 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 QUADRAN T DEPT H TYP E INSPECTO R

M o Z r S r U R b T h P b S e A s H g Z n W C u N i C o F e M n pp m
< LO D 364.11 6 250.71 6

< LO D 65.41 8 < LO D 95.54 6 < LO D < LO D < LO D 100.38 8

< LO D 46.95 7 < LO D < LO D 16669.18 9

465.66 3 Supervise d By : 

## Certificat e o fVerificatio n

43 9 SOI L 2010-05-1 0 15:5 6 30.1 0 Fina l 3412 1 171 0 Sahie rs t F2 6 " CONFIRMATIO N N

. LOPE Z

Erro r ; 8.09 2 ± 15.05 8 ± 11.07 7

: 15.25 3 ± 6.64 5

: 10.57 4 ± 14.10 9

I 5.23 6 ; 18.95 9 : 13.54 5 ± 19.10 8

: 91.10 6 ± 22.95 0

I 74.64 9 I 176.72 5 ± 385.44 0 ± 95.93 1

# 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 44 0 Mod e SOI L Tim e 2010-05-1 0 15:5 6 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 3412 1 ADDRES S 171 0 Sahie rs t QUADRAN T F 2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.17 4 Z r 377.82 2 ± 15.37 4 S r 259.86 6 ± 11.30 8 U < LO D 15.45 7 R b 61.11 8 ± 6.52 8 T h < LO D 10.95 7 P b 94.88 2 ± 14.15 6 S e < LO D 5.49 7 A s < LO D 18.56 6 H g < LO D 13.21 9 Z n 101.59 4 ± 19.23 0 W < LO D 93.48 9 C u < LO D 32.70 5 N i < LO D 81.05 0 C o < LO D 179.32 7 F e 17056.99 6 ± 391.29 6 M n 470.12 8 ± 96.72 5 Supervise d By :

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

. M Sy^y ^ wwinw.coastalhazmat.co m ^^tPf.o^*' ^ COASTA L iNVIHONHENTA L CROUP , IN C 

# EXECUTIV ESUMMARY : BVID #34121-(171 0 SAHLE RST )
No Issue s o r Concern s [ ^ Issues/Concern s
Detail Explanation : -DA NGARVE Y WALKE D TH EPROPERT Y O N11/9/201 0

# SEPA 

# i i i i

EP APropert y Clos e Ou t For m Propert y H : 

# 34 IZ.\

. Propert y Address : Datc/Tlmc : Owner' s Name : Quad s Excavated : Contracto r Grou p
Ye s N o Excavatio nGenera l 1

. i f necessaiy , were tii c correc t quadrant(s ) excavate dandrestored ? 

### y 2

. i f necessary , were th e con«c t area s o f drip zone excavate dandrestored ? 

### y
Gradin g So dan dVegetatio n Ye s N o I

.Doe s the gradin g aroun dth e perimeter ofth e hous e I nexcavale darea s generally slop e awa y 

### y fromth e house ?• 2

.Ha s so dbee nlai dinal l area s that were excavated ? 3

.Doe s th e sodappear l o b e generally healthy an dgrowing ? (Only evaluate if inspecteda t a3 0 

### y day time period )• • . 4

.Are soddedarea s generall y fir man devenly graded ? 

### y S

.Ar e th e joint s betwee nth e so dstrip s generally tight ? (Only evaluate if inspecteda t a3 0 da y tim e period) _. y 6
.Wa s the propert y grade dsuchtha t water will nol poo l o nthe property ?



### ~ y 1

.Wa s damage t o landscapin g o r plan t material s avoided ? Gates i Fence s an dReUinin g Wall s 

### Ye s N o 1

.D o gatesope nan dclos e freely? (Ifappiicable ) 

### / 2

.Were ail gate s o r fence s takendow nduriii g restoratio nactivitie s reinsulled ? (If applicable ) 

## y y 3

.

Wa s damage t o gate s or fence s avoided ? (Ifappiicable ) 4

.

Wa s damage t o retainin g wall s avoided ? (Ifappiicable ) 

### y Foundation , Sidio g an dGnllc n 

### Ye s N o / 1

.Wa s damage t o th e sidin g o r tri mavoided ? 2

.Wa s damage t o the foundationavoided ? 

### / 3

.Wa s danug e to window s avoided ? 

# y 4

. Wa s damage 1 0 window s o r door screen s avoided ? 

## y 5

. Wa s damage l o downspout s o r downspoul extension s avoided ? 

# y Sidewalk s an dDriveway s (Concrete ) Ye s N o / 1

.Wa s damage l o driveway surface s avoided ? 2

.Wa s damage t o wallcwa y surface s avoided ? 

# y

# % 4 » Ovfoer s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-day so dvyarranty :
EP ARepresentativ e Q ^ iQu

. Date : iijili oO d1 0 1 0 08:13 a Ejqaowih , In c 707-544-207 2 

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