### TRANSMITTA Lo f OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R
SAID # : WcP ^ Date : ^\flip\ ^ Address : 9^1 3 CaSiCia r S ^ Remediatio nContractor : Coasta l Environmenta l Group

_Year : 200 8
SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S B

/ Vide o ofpropert y (DVD ) ly Executiv e Summary Q- ^ EPA-provide dproperty sketc h [y Signe dAcces s Agreemen t fo r subjec t propert y ^i)^f ^ Signe dAcces s Agreement(s ) fo r adjacen t propert y y Restoratio nAgreemen t VJlJf ^ Settlemen t document s (i.e. , fo r damag e o r t o replac e plants , etc. ) B ^ Confirmatio ndat a y Photograph s ^re^DjfirA^cAn ^ ^ ^ Irn^lldLbr x ^ J^n. ^ So< ± y As-buil t sketc h nSatisfactor y restoratio nsigne db y Propert y Owne r y Propert y close-ou t chec k lis t signe db y EP A f^\fi r Descriptio nofarea s no t meetin g RO D cleanu p criteri a y Utility clearance s \y Propert y informatio nfro mDougla s Count y Assessor' s Offic e 

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### ^ Signatur e Dat e

## Propert yAcces s Checklis t Propcr nID : \(
. Q^ H "C ? D WOR K STARTE D ON
. _ / /_ Propert y Address : ^ q^ o ^ p^^^y e-Vc^ r SV D WORK COMPELTE D ON : / /
Rente r Owner : Q^^^Kj^JC

- , ^
. ^V>c>-v-c ^ ? ^ Address : Phone : Fa.\ : Cell/Pager : Additiona l Iniormation : Phone : Fax : S'-i^

- \-23 0 0 Cell/Pager : ^^Ci o ­ Mo^f T

_ D Notificatio nLette r Sent : / / By : 3 Acces s Agreemen t Signed : JA./Ai./X: S By = V^-^\rL'Ar^ ^ 0 Restomtio nAgreemen t Signed : 11/Ai_/£2f e ^y

- K"i v <^\o.^ ^ C

D Topsoi l Samplin g (i f applicable ) / / By : nDisposa l Samplin g (if applicable ) / / By : Q Gnrdc nSamplin g (i f applicable ) / / By : 0 Utilit y Clearanc e Called : ^/iL/C ^ 

## By:\ \

## m\bt B ^ Video/Photo s (Before ) On:Jj./jL2r^J ^ 

## By = hm A D Video/Photo s (During ) On : / / By : D Video/Photo s (After ) On : / / By : D Video/Photo s (30-Day ) On : / / By : 1 1 Propert y Completio nAgreemen t Sipicd : / / By : GFina l Repor t Issued : / / By : Ai r Monitorin g (a s applicable ) D Communit y O Cre w On : / / By : RcsuJts : C

D Communit) ' CI I Cre w On : / / By : Results : C

D Communit j C D Cro v On : / / By : Results :
Omah a Lea d Sit e

### Propert y ID # Propert y Address : initia l Contacl : Secon dContact : Fina l Conlact : Fina l Action :

Comment : 0^vne r Commen t (s) :


### Sit e Coordinato r Commen t (s) : 

## CONTACT FOR M 

# 1(^97 5 h.5kla r Date : Time : Action : Dale : Time : Action : Date : Time : Action : Transmi t l o 1 EP AD Othe r Action : D

### Dougla s County Accoun t Informatio n Pag e 1 of 2
Dougla s County , Nebrask a Propert yRecor d - R100080000 2 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t o f90t h S t - VJe WO n Ma p Informatio n i s vali d a s of2008-9- 4 Treasurer' s Ta xRepor t Ne wFeatur e -»-•••Aut o Sale s Searc h Owne r GODE KBARBAR AJ ETA L T R 2315S116S T OMAH AN E 68144-000 0 Propert yInformatio n Ke yNumber : 008 0 000 2 1 0 Accoun t Type : Residentia l Parce l Number : 100080000 2 Parce l Address : 2913CASTELARS T OMAH AN E 68105-000 0 Lega l Description : DUPON TPLAC E LOT3 BLOC K7 50X12 5 Valu e Informatio n Lan d Improvemen t Tota l 200 8 $ 6,300.0 0 $ 68,200.0 0 $ 74,500.0 0 200 7 $ 6,300.0 0 $ 68,200.0 0 $ 74,500.0 0 200 6 $ 6,300.0 0 $ 57,800.0 0 $ 64,100.0 0 200 5 $ 6,300.0 0 $ 57,800.0 0 $ 64,100.0 0 200 4 $ 6,300.0 0 $ 57,800.0 0 $ 64,100.0 0 200 3 $ 6,300.0 0 $39,800.0 0 $ 46,100.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 4 6250. 0 1. 0 125. 0 50. 0 N o Lan d Attribute s Attribut e Attribut e Descriptio n Negativ e Influenc e Traffi c2 Improvemen t Informatio n Buildin g 1



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R10.
. . 11/5/200 8

### Dqugla s County Accoun t Informatio n Pag e 2 of 2

RANC H 291 3 Casl«<a i S I

j
^llaHK » " 12 0 0« r TffiOSqF l a n »A
12 0 Jt U Bm i Cf cI ^ : d Sl ) f=1 CLIC KTO ENLARG E IMAG E CLIC KTO ENLARG E IMAG E Squar e Footage : 945. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Fai r

Buil t As : Ranc h Cond o Squar e Footage : 0. 0

HVAC : Centra l Ai rt o Ai r Rooms : 5. 0 Exterior : Fram e Stucc o Units : 1. 0 Interior : Drywal l Baths : 1. 0 Roo fCover : Compositio n Shingl e Bedrooms : 2. 0

Roo fType : Gabl e Stories : 1. 0 Floorcover : 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 189 0 0 0 % 189 0 11 7 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 840. 0 Fixtur e Additiona l Fixture s 1. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Garag e Attache d 276. 0 Garag e Detache d 1032. 0 Use r 48 0 traffi cnois e 1. 0 Use r ne wroo f 1. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R10.
. . 11/5/200 8

### 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 2173446
. Origina l Cal l Date : 11/11/0 8 Time : 2:5 3 p m Op : ELIZABETH1 8 7 9 0 Wor k t o Begi n Date : 11/14/0 8 Time : 7:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 2 91 3 Street : CASTELA R S T Twp : 15 NRng : 13 E Sect-Qtr : 28-SE-S W 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 EASEI^NT S AN D T O TH E PEDESTA L Remarks : FA X 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 : Coas t Dept h o f Excavation : 4 f t Corne r Lot : N Front : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL 3 MCLEODN E MUD0 2 OMAHACO F OPPDGPR 6 QLNNEI F QWEST 2

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e
CXCAT V CO X COMMUNICATIONS , IN C HEID I 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7
LEVEL S LEVEL 3 COMMUNICATIONS , LL C N A 

### Day : 877366834 4 Alt : Emerg : 877366834 4
MCLEODN EMCLEODUS A N O NEE D T O CALLOU T EMERGENC Y 

### Day : 800289190 1 Alt : Emerg : 800289190 1
MUD0 2 METROPOLITA NUTILITIE S DISTRIC T 

### SAND Y Day : 402504782 3 Alt : 

### Emerg : 402504797 0
http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT.
. . 11/11/200 8

### Pag e 2 of 2

CIT Y O FOMAHA

- OMAHACO F RO N TRAFFIC,SEWE R

OMAH APUBLI C POWE R 0PPDGPR 6 N A DISTRIC T
QLNN Et PQWES T LOCA LNETWOR K N A

QWEST 2 QWES T LON GDISTANC ESAR 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 Day : 800283423 7 Alt : 303992192 6 Emerg : 800283423 7

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

# As-Buil t Drawin g COASTA L 

# Omah aLea dSuperfun dSit e

Name : A-<;*.S, t LpC^i M Address : a'lii i c.^c.tlp r Phone :
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Lab RPZSCPLA-1697 5 - Result 55 0 pp m

Omah aLea dSit e Omah a Lea d Sit e Date : NorthArro w SK

e Sketc h Time : 

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### Legen d Concret e Dri p Zon e Excavate d Quadrant s Excavate d Are a replace d wit h Are a replace d wit h Are a lef t bar e So d ' ' Rock/Mulc h 

### Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p In c 4613 0• # 

### Name : (\ywc, \ bO^c K Omah a Lea d Sit e 

### Date : ^loxje J Nort h Arro w — Address : 7.- n i "5 c.^<^Up r Sit e Sketc h 

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# Umh ( ^ Omah aLea dSite 4613 0^^•^ > COASTA L 

## Consen t Fo rAcces s T o Propert y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propertyowner) consent s 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 perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises :

Owner' s Nam e Daytim e Phone : 

### CLu^u. ^ yCLrr^& S
Addres s o fPropert y covere d b ythi s 

# ^9/ 3 C(y5Te^[o^ yst ~ Agreement : PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP AI s requestin g acces s t o collect soi l sample s an d remove soi l that contain s elevate d concentration s o flea d an d ma ypos 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 wil l 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 opportunityt 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 meets 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 property ha s bee n remediated
. ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractors an d subcontractors 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 effect unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to :
Pag e 1 of2<J.*^* % V****^ * COASTA L ENVIRONHFNTA l & • O U P
. IN C



### •Remove obstruction s Includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; • Remove flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; •Wate ran d maintai n replacemen t vegetation
. Includin g fertilize rapplication , a s necessar ysubsequen t t o a n Initia l waterin g perio d b yEPA ; •Abid e byhealt h an d safetyguidanc e provide d byEPA ; •I fth e propertyi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propertyt 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 not t o Interfer e o rtampe rwit h an yofth 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 ofsai d propertywhic 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 propertyi 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 acces s t o m ypropertie sO • d o no t gran t acces s t o m ypropertie s 

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OI woul d lik e t o b e presen t durin g an ysamplin g tha t i s required
.COASTA L 

### Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o provid e amutua l agreemen t a s t o condition s o f tii e propert y prio r t o remediatio nactivities
. Thi s wiil als o serv e a s documentatio nfor th e purpos e o f assurin g that restoratio n activitie s ar e complete dt o th e satisfactio no f th e propert\ ' owne r an dth e Unite dState s Environmenta l Protectio nAgenc y (EPA)
.

Propert y ID : 

# I^f7 5 Propert y Address : ^9/J Co^jjclo^ r J f Owner : 

# rr^jWfi r ^ orU^ K Phone : 

# XH O yoH s
O nth e attache ddiagram(s ) indicat e area(s ) to excavate dan ddepthol " excavation , locatio no f al l Icnown utilities , subsurfac e features , syrfac e structure s an dlandscapin g features , acces s location(s ) to b e use db y contractor , an dth e directio no f North
. Indicat e distances , depths , materia l types , etc . Indicat e digital photo s b y referencin g th e photo-lo g numbe r withanarro w indicatin g directio no 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 yje^ O Item : Item : Item : Item : Item : Item :
Item :
Page i 

## ofJ XCOASTA L cn o V r. ) M 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 : 

# S iyi^\ l ^kyy-V s icf-^ rWk''^ ^ Item : Item : Item : Kem : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :

Pag e 2 

## ofJj L

### ( ^ C O AS T AL C M O U ^ IN C 

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Pag e 3 

## o fi g•** »
COASTA L 

### Landscap e Inventor y (Use additiona l sheet s a s necessary ) 

## 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 inc h trun k

diameter

Numbe r o f tree s < = 2 inc h trun k

diameter

Number of Sprinkler Zones , Control Valves , Timers , Heads , etc . Attachasketcho f the sprinkler layout
.

Number of an dsize o f eac hgarden / flowe r bed area . Attachasketcho f relativ e size s andlocations
. 

## Quantit y

^ 

# y y y Unit

Squar e fee t

Eac h

Each

Eac h

Eac h Squar e Fee t 

## Condition/Type/Specie s

• .



### Page 4 o f( pCOASTA L CMVmoNH t N TA i C n o u rIM C 

## Ite m Agree dupo nvalu e o f plan t material s no t to b e renlace dbv contractor . Not e thi s valu e will b e usedto issu e aplan t vouche r to th e propert y owner . Agree dupo nlis t o f plan t material s tha t will be replace db y contractor . B e ver y specifi c an ddetailed
. Include asketchof wer e eachplan t wil l b e placed b

y the contractor . Agreedupo nare aof propen y t o be replace d wit hgras s sod
. Include asketchof the area(s ) t o be replace dwit h gras s sod
.
Are aof Cit y or Count y propert y to be landscaped per thei r requirements
. Include asketcho f the are a(s )

Easement Area , to b e excavate d^ 

## Quantity Unit Condition/Type/Specie s 

# 7 $ 

# 0 y 9 ^ 1 Each

S F 

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. 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 fhcxjse , includin g fbundatio n c:racdc s o rfissures.
j2 1 agre e Q I d o no t agre e 

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401 1 SOI L 2008-11-2 0 12:5 7 31.8 8 Fina l 1697 5 291 3 casterla rs t easemen t Ventr y 1 CLEARANC E

± Erro r ± 17.40 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 235.17 0 Supervise d By : 

## Certificat e o fVerificatio n

401 2 SOIL 2008-11-2 0 12:5 8 31.0 1 Fina l 1697 5 291 3 casterla rs t easemen t Ventr y 1 CLEARANC E

± Erro r ± 18.05 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 150.11 1 Supervise d By : 

## Certificat e o f Verificatio n

401 3 SOIL 2008-11-2 0 12:5 8 30.9 5 Fina l 1697 5 291 3 casterla rs t easemen t Ventr y 1 CLEARANC E

± Erro r ± 14.28 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 120.24 7 Supervise d By : 

## Certificat e o fVerificatio n

401 4 SOIL 2008-11-2 0 12:5 9 30.8 0 Fina l 1697 5 291 3 casterla rs t easemen t Ventr y 1 CLEARANC E

± Erro r ± 12.94 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

402 2 SOI L 2008-11-2 0 16:1 3 121.7 3 Fina l I^Av g o f4018-402 1

291 3 casterla r fP Z » Ventr y

1 3 CLEARENC E

# 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 Pi'P E NOT E

pp m P

b 169.10 4 Supervise d By : 

## Certificat e o f Verificatio n

401 8 SOIL 2008-11-2 0 16:1 1 30.5 0 Fina l 1697 5 291 3 casterla r PZ Ventr y 1 3 CLEARENC E

± Erro r ± 15.79 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 158.14 6 Supervise d By : 

## Certificat e o f Verificatio n

401 9 SOIL 2008-11-2 0 16:1 1 30.5 4 Fina l 1697 5 291 3 casterla r PZ Ventr y 1 3 CLEARENC E

±Erro r ±15.47 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 239.61 9 Supervise d By : 

## Certificat e o f Verificatio n

402 0 SOIL 2008-11-2 0 16:1 2 30.1 6 Fina l 1697 5 291 3 casterla r P

Z Ventr y 1 3 CLEARENC E

± Erro r ± 18.81 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 Pi'P E NOT E

pp m P

b 333.64 2 Supervise d By : 

## Certificat e o fVerificatio n

402 1 SOI L 2008-11-2 0 16:1 3 30.5 3 Fina l 1697 5 291 3 casterla r PZ Ventr y 1 3 CLEARENC E

± Erro r ± 22.12 3

# 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 B y 

## Certificat e o fVerificatio n

402 7 SOI L 2008-11-2 0 16:1 6 122.6 0 Fina l |Av g o f4023-402 6

291 3 casterla r" " 

## p z Ventr y ^1 3 CLEARENC E

# 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 PI'P E NOT E

pp m P b 403.19 7 Supervise d By : 

## Certificat e o fVerificatio n

402 3 SOI L 2008-11-2 0 16:1 4 30.5 7 Fina l 1697 5 291 3 casterla r D Z Ventr y 1 3 CLEARENC E

± Erro r ± 24.18 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 637.47 2 Supervise d By : 

## Certificat e o fVerificatio n

402 4 SOI L 2008-11-2 0 16:1 5 30.6 5 Fina l 1697 5 291 3 casterla r D Z Ventr y 1 3 CLEARENC E

±Erro r ±30.28 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 285.63 1 Supervise d By : 

## Certificat e o fVerificatio n

402 5 SOIL 2008-11-2 0 16 : 1 5 30.6 4 Fina l 1697 5 291 3 casterla r D Z Ventr y 1 3 CLEARENC E

± Erro r ± 20.40 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 PI'P E NOT E

pp m P b 171.01 8 Supervise d By : 

## Certificat e o f Verificatio n

402 6 SOIL 2008-11-2 0 16:1 6 30.7 4 Fina l 1697 5 291 3 casterla r D Z Ventr y 1 3 CLEARENC E

± Erro r ± 16.62 7

### Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5

_^^-^ ^

, Coasta l Environmenta l Grou p Inc
. %y^^ ^

www.coastalhazmat.co m %«,o^" ^ COASTA L ENVIRONHENTA L C K0 U r. INC
. 

# EXECUTIV ESUMMARY : BVI D #1697 5 - (291 3 CASTELA RST )
N o Issue s o r Concern s | ^ Issues/Concern s Detai l Explanation :

# ^^EP A EP APropert> ' Clos e Ou t For m Propert y# : lCj2-Ql S Propert yAddress : cD'^V S Cc^Tr ^

\,r ^ v

- •j^- V Date/Time : Owner' s Naroe:^x>-.- V^^^^^c xCy,yy Quad s Excavated : T^ Q ^ S^ ^ Contracio rCrou p Cxx.^^VcNA - \- ^-^ ^ v"Oi''->J^^^^^+« ^
Excavatio n Genera l Ye s N o 1 I fnecessary , wer e th e correc t quadrant(s ) excavate d an d restored ? i ^ 2
.

Ifnecessary , wer e th e correc t area s ofdri p zon e excavate d an d restored ? L ^ Gradin g So d an d Vegetatio n Ye s N o 1 Doe s th e gradin g aroun d th e perimete rofth e hous e i n excavate d areas generall yslop e away e ^ from tb e house ? L ^ 2
.

Ha s so d bee n lai d i n al l areas tha t wer e excavated ? 3
.

Doe s th e sod appea rt o be generall yhealth yan d gj-owing ? (Onl yevaluat e ifinspecte d a t a 3 0 da ytim e period ) l ^ 4
.Ar e sodde d areas generall yfir m an d evenl ygraded ? ^ 5
. fiiTC th e joint s betwee n th e so d strip s generall ytight ? (Onl yevaluat e ifinspecte d a t a 3 0 da y > y tim e period ) 6 Wa s th e propert ygrade d suc h that wate rwil l not poo l o n th e propertv' ' ^ 7Wa s damag e t o landscapin g o rplan t material s avoided ? ^

_. 1 Gates , Fence s an d ReUinin g Wall sVes N o I
.D o gate s ope n an d clos e freely ? (Ifapplicable ) x ^ 2
.

Wer e al l gates o rfence s take n dow n durin g restoratio n activilie s reinstalled ? (I fapplicable ) i / 3
.Wa s damag e t o gate s o rfence s avoided ? (Ifapplicable ) ^ 4
.Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) 

# y> - Foundation , SidiB Kan d Culler s Ve s N u 1 , Wa s damag e t o th e sidin g o rtri m avoided ? ^ 2 Wa s damag e l o th e foundatio n avoided ? ^ 3
.Wa s damag e 1 0 window s avoided ? / 4
.

Wa s damag e t o window s o rdoo rscreen s avoided ? / " 5
.Wa s damag e t o dowTispout s o rdownspou l extension s avoided ? ^ Sidewalk s an d Driveway s (Concrele ) Ye s N o ^ 1
.

Wa s damag e t o drivewa ysurface s avoided' ' 

### y 2
.

Wa s damag e t o wallcwa ysurface s avoided ?

## r O vnemcomments :

Inspectio nnotes :

Removal an drestoralio naclivale s complet e includin g ihe 30-da y so dwarrant}' : EPARepresentati v Dale : 

# Ijjy/A f

## Propert yCompletio n Agreemen t
Thi s agreemen l documeni s th e complclio n o fremedia l acliviiie s perlbrme d o n m yproperl yM ysignatur e wil l designal e tha t I a m satisfie d wil h Ih e restoratio n o fm yproperty , an d that n o item s ar e i n queslions , now , o ra l an ytim e i n th e future , excep l thos e item s liste d below , ifan y

Propert y I D 1 ( ^ <^ VT' S Prop.rryAddre..s:^^^^c^ ^ Cc^^\^\Cvv - St ^ Owner : ^^^^ ^ y^ ^C^\:DCj^^,r~C ^ Phone : 

# ^7. 0 M?>o o Restoratio n Item s i n Question :

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



# p^'i-io ^ ^^< ^ y^f ^ s/x^'Acj ,

T Ti/N I 1 agre e restoratio n i s completed , excep t a s nole d I I rio no l a(;ie crestoratio n i s compleie d 

# \^li'^h ^ Dat e extractor' s Si(;natiir c lal e I