TRANSMITTAL of OMAH A LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: WcP ^ Date: ^\flip\ ^ 

Address: 9^1 3 CaSiCia r S ^ 

Remediation Contractor: Coastal Environmental Group_ Year: 2008 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

B / Video ofproperty (DVD) 

l y Executive Summary 

Q-^ EPA-provided property sketch 

[ y Signed Access Agreement for subject property 

^i)^f^ Signed Access Agreement(s) for adjacent property 

y Restoration Agreement 

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

B^ Confirmation data 

y Photographs ^re^DjfirA^cAn^ ^ ^Irn^lldLbrx ^ J^n. ^ So<± 

y As-built sketch 

n Satisfactory restoration signed by Property Owner 

y Property close-out check list signed by EPA 

f^\fir Description ofareas not meeting ROD cleanup criteria 

y Utility clearances 

\ y Property information from Douglas County Assessor's Office 

y aj^uk^ iliiillll 

^ Superfund 

^ Signature Date 
Property Access Checklist 

PropcrnID: \ (. Q^ H "C? D WORK STARTED ON. _/ /_ 

Property Address: ^ q ^ o^ p^^^ y e-Vc^r S V D WORK COMPELTED ON: / / 

Renter Owner: Q^^^Kj^JC- , ^ . ^V>c>-v-c^ ? ^ 

Address: Phone: 

Fa.\: 

Cell/Pager: 

Additional Iniormation: Phone:

Fax: 

S'-i^ - \-23 0 0 

Cell/Pager: ^^Ci o ­ Mo^f T _ 

D Notification Letter Sent: / / By: 

3 Access Agreement Signed: JA./Ai./X: S By= V^-^\rL'Ar^ ^ 

0 Restomtion Agreement Signed: 11/Ai_/£2f e ^y- K"i v <^\o.^ ^ 

CD Topsoil Sampling (if applicable) / / By: 

n Disposal Sampling (if applicable) / / By: 

Q Gnrdcn Sampling (if applicable) / / By: 

0 Utility Clearance Called: ^/iL/C ^ By:\\ m\b t 

B ^ Video/Photos (Before) On:Jj./jL2r^J ^ By= hmA 

D Video/Photos (During) On: / / By: 

D Video/Photos (After) On: / / By: 

D Video/Photos (30-Day) On: / / By: 

1 1 Property Completion Agreement Sipicd: / / By: 

G Final Report Issued: / / By: 

Air Monitoring (as applicable) 

D Community O Crew On: / / By: 

RcsuJts: 

CD Communit)' CII Crew On: / / By: 

Results: 

CD Communitj CD Crov On: / / By: 

Results: 

Omaha Lead Site 
Property ID# 

Property 

Address: 

initial Contacl: 

Second Contact: 

Final Conlact: 

Final Action: 

Comment: 

0^vner 

Comment (s): 

Site 

Coordinator 

Comment (s): 

CONTACT FORM 

1(^975 

h.5klar 

Date: Time: Action: 

Dale: Time: Action: 

Date: Time: Action: 

Transmit lo 1EPA D Other Action: D 
Douglas County Account Information Page 1 of2 

Douglas County, Nebraska Property Record - R1000800002 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 90th St - VJeW O n Ma p Information is valid as of 2008-9-4 Treasurer's Tax Report 

New Feature -»-•• • Auto Sales Search 

Owner 

GODEK BARBARA J 

ETAL TR 

2315S116ST 

OMAHA NE 68144-0000 

Property Informatio n 

Key Number: 0080 0002 10 

Account Type: Residential 

Parcel Number: 1000800002 

Parcel Address: 2913CASTELARST 

OMAHA NE 68105-0000 

Legal Description: DUPONT PLACE LOT 3 BLOCK 7 50X125 

Value Informatio n 

Land Improvement Total 

2008 $6,300.00 $68,200.00 $74,500.00 

2007 $6,300.00 $68,200.00 $74,500.00 

2006 $6,300.00 $57,800.00 $64,100.00 

2005 $6,300.00 $57,800.00 $64,100.00 

2004 $6,300.00 $57,800.00 $64,100.00 

2003 $6,300.00 $39,800.00 $46,100.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.14 6250.0 1.0 125.0 50.0 No 

Land Attributes 

Attribute Attribute Description 

Negative Influence Traffic 2 

Improvemen t Information 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R10... 11/5/2008 
Dquglas County Account Information Page 2 of2 

RANCH 2913 Casl«<ai SI 

j 

^llaHK» 

" 120 0«r 

TffiOSqFl 

an » A 

120 JtU 

Bm i Cfc I ^ : d Sl) f=1 

CLICK TO ENLARGE IMAGE 

CLICK TO ENLARGE IMAGE 

Square Footage: 945.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Fair 

Built As: Ranch Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 5.0 

Exterior: Frame Stucco Units: 1.0 

Interior: Drywall 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 Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1890 0 0% 1890 117 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 840.0 

Fixture Additional Fixtures 1.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Attached 276.0 

Garage Detached 1032.0 

User 480 traffic noise 1.0 

User new roof 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R10... 11/5/2008 
Page 1 of2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 2173446. 

Original Call Date: 11/11/08 Time: 2:53 pm Op: ELIZABETH18 7 90 

Work to Begin Date: 11/14/08 Time: 7:15 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 2 913 Street: CASTELAR ST 

Twp: 15N Rng: 13E Sect-Qtr: 28-SE-SW 

Twp: Rng: Sect-Qtr: 

Legal Given: C 


Type of Work: Omaha Lead 


Location of Work: LOCATE ENTIRE PROPERTY, ALL EASEI^NTS AND TO THE PEDESTAL 


Remarks: FAX ALL CLEARS TO: (877)662-4211 


Company : COASTAL ENVIRONMENTAL SERVICE 


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


Work Being Done For: Coast 


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


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MCLEODNE MUD02 OMAHACOF OPPDGPR6 QLNNEIF 


QWEST2 


Service Area Contact Phone Number Utility 

Type 

CXCATV COX COMMUNICATIONS, 

INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVEL3 COMMUNICATIONS, 

LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MCLEODNE MCLEODUSA NO NEED TO CALL OUT 

EMERGENCY 

Day: 8002891901 

Alt: 

Emerg: 8002891901 

MUD02 METROPOLITAN UTILITIES 

DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 11/11/2008 
Page 2 of2 

CITY OF OMAHA- OMAHACOF RON TRAFFIC,SEWER 

OMAHA PUBLIC POWER 0PPDGPR6 NA DISTRICT 

QLNNE tP QWEST LOCAL NETWORK NA 

QWEST2 QWEST LONG DISTANCE SARA 

Day: 4024447197 

Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

Alt: 8887289343 

Emerg: 4067289343 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

Day: 8002834237 

Alt: 3039921926 

Emerg: 8002834237 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 11/11/2008 
 I 

As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

Name: A-<;*.S,t LpC^iM 

Address: a'lii i c.^c.tlpr 

Phone: 

Team \rf>V^'V\\!Wnt>\<^\ f 0- BVID#

Sample Number 

e-ytb3ePv^ — 'iL.-7r.y7>:A —Mjifrr ^ 

Lab RPZSCPLA-16975 -

Result 550 ppm 

Omaha Lead Site 

Omaha Lead Site Date: NorthArrow

SKe Sketch Time: I 1 

 lfc'n7. r XRF Code 6^0^ -

Lead Concentration Confirmation Sample 

167 -•^^ 1' IS ^ 

ppm flYes CD No H ^ I'-j-^ «= i-7~ (>iyes CD No 13^ 

ppm ^lYes • No ca^ 

ppm 5l.yes C No O ' 

ppm Oiyes D No ca--­

ppm 

g m-»: j- 7 ppm (?fl.Yes CB— No L3 

ppm Yes D No D 

^ ? . V^A; ^ kd 

i OLS#:1£225 

Date kxcavated:11/20/2008 

Date USEPA Signed 6ff;i7TJb2009 

Afaa Sodded ASjl sq ft! 

/^Ajm lip~-

Legend 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replaced with 

Area left bare 
 Sod ' ' Rock/Mulch 


Contract #: EP-R7-07-05 Coastal Environmental Group Inc 


46130 
• # 

Name: (\ywc,\ bO^cK — Omaha Lead Site Date: ^loxje J North Arrow 

Address: 7.-n i "5 c.^<^Upr Site Sketch Time: ll'L i p."^. 

Phone: 1 

Team \A-A\>v\\»Ynt>|M\ t ^ BVID#_lG_V75l XRF Code S^OM^ 

Sample Number Lead Concentration Confirmation Sample 

IG7 >' IS 

r^^B' < 1-7" 

^;» ^ ^1 ^ 

ppm 

ppm 

ppm 

P'JYes

<5)Yes

 ^ 

• 

No

No

No

 H ^ 

 H ^ 

 ta^ 

ppm (5Lyes •=! No O ^ 

ppm 01X6S D No O ^ 

ppm f?A-Yes OJ — No n 

Lab RPZSCPLA-16975 ­ ppm Yes n No • 

r

Result

 4 r

 550 ppm 

V­- ­ ­ ^ ­ i2 

1 /^.JKP74:P7< ^ 

-•i -:^--f5f 

i [..^...^.. 1:::.^ 

ftAyTi^jt/-

Omaha Lead Site 46130 

^'v;« ^t^ 
• # 

I Name: A'JC.^-S)" t>C(l«cK — Omaha Lead Site Date: ^loxJo J North Arrow

Address: T.'n i ^ C-CHPJ ^ Site Slcetch Time: ll'f i p."^. Phone: 1 1I 

Team \A'A'^>v\\!W»vt.\ft^\ tc ^ BV\b*2kXl£- XRF Code S'^OMSample Number Lead Concentration Confimnation Sample 

167 >< IS „„„ No H" ^ f t Yes CD 

No S ^ (fiyes CD 

l^'^' ^ ppm ^JYes a No ra^ 

'—-y - ppm iJLyes O No O ^ R.^-?^y^YA- MODI'S LCfo/^ ^-^M ppm 01X65 O No ^:^^ 

MIM-*--^'^ ppm |?/VYes 01 — No tZI 

RPZSCPLA-16975 - ppm Yes • No • 

1^^'"^-^^'"'^^^-'^ thi ^ 

Omaha Lead Site 46130 

^'^^^-nTTT 
Name: A^C-i-'St t>t?(l*cK Omaha Lead Site Date: ^loxJo S North Arrow 

Address: Z"! i "5 c^i^iipr Site Slcetch Time: iZ'-Ii p."^. 

Phone: I 

Team N.t>\\^\wM>^\ tif^ BVID#itV75l XRF Code 'zfyCPir 

Sample Number 

z^4y~yS?\cA — ]{if\p ^ 

e ^ tb5eP>c^ — ) UL^n^ 

e-'Vr,^^-P>^ — \ {sJ\yi^ 

Lead Concentration 

167 -*^ IS 

ppm \'^2> » 1-7" 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

Confirmation Sample 

f t Yes •=! No ^ ^ 

J^lYes n No [= 

^)Yes n No ca^ 

(5t:»'es O No O ^ 

Oiy6s 1=1 No O- ^ 

|.Yes QJ­- No n 

Yes • No • 

Umh ( ^ 

Omaha Lead Site 46130 
^^•^ > COASTAL 

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: 

Owner's Name Daytime Phone: 

CLu^u. ^ yCLrr^& S 

Address of Property 

covered by this ^9/ 3 C(y5Te^[o^y st ~ 

Agreement: 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA Is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of lead and may pose a health hazard. The area(s) will be 

excavated to remove contaminated soil. The removed contaminated soil will be 

replaced with clean materials and the area will be restored to its original condition. 

This work Is being performed under the Omaha Lead Superfund Site remediation 

program. 

A representative of Coastal Environmental Group, contracted by USEPA, will contact 

the Grantor In-person to discuss the work to be performed, the Grantor will have an 

opportunity to review and approve the planned soil removal, and restoration work 

before it begins. Once the work is finished, the Grantor will be asked to review the 

work and confirm that It is complete and meets with the Grantor's approval. Upon 

completion, the Grantor will receive written documentation from EPA that the property 

has been remediated. 

ENVIRONMENTAL RESPONSE ACTIONS 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, at all reasonable times 

and with prior notice, for the sole purpose of performing the work. This access shall 

remain in effect until the work has been satisfactorily completed. The Grantor also 

agrees to: 

Page 1 of 2 
<J.*^*% 

V****^ * COASTAL ENVIRONHFNTA l 

& • O U P. IN C 

• Remove obstructions Including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

• Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

• Water and maintain replacement vegetation. Including fertilizer application, as 

necessary subsequent to an Initial watering period by EPA; 

• 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 NOT TO INTERFERE 

The Grantor agrees not to Interfere or tamper with any ofthe 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 (712) 352-0188 

I grant access to my properties O • do not grant access to my properties 

dyx^i^ ^ JU ^ //• //- (7^ 

Signature Date Signature Date 

O I would like to be present during any sampling that is required. 
COASTA L 

Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of tiie property prior to 

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

activities are completed to the satisfaction of the propert\' owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: I^f7 5 

Property Address: ^9/ J Co^jjclo^ r J f 

Owner: rr^jWfir ^ orU^K 

Phone: XHO yoHs 

On the attached diagram(s) indicate area(s) to excavated and depth ol" excavation, location of all Icnown 

utilities, subsurface features, syrface structures and landscaping features, access location(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

Items To Be Removed By Owner Before Start Of Remediation: 

(Use additional sheets as necessary) 

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

Item: 

y yje^O 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Pagei ofJX 
COASTA L 

c n o V r . ) M c 

Items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item: 

S iyi^\l ^kyy-Vs icf-^r Wk''^ ^ 

Item: 

Item: 

Item: 

Kem: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 2 ofJjL 
( ^ 

C O A S TA L 

C M O U ^ IN C 

Items To Be Removed By Contractor During Remediation And Replaced 

(Use additional sheets as necessary) 

Item: 

To ( p-z^­ 0 7 - ^ 

Item: 

Item:

5 O c O^ . D^ - Bx

 / 

/ 

item: / 

Item: / 

Item: / 

Item: / 

Item: / 

/ 

Item: 

/ 

Item: 

/ 

Item: / 

Item: / 

Item: / 

Item: / 

Page 3 of ig 
•**» 

COASTA L 

Landscape Inventory 

(Use additional sheets as necessary) 

Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch 

trunk diameter 

Number of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

Attach a sketch of the 

sprinkler layout. 

Number of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Quantity 

^ 

y 

y 

y 

Unit 

Square feet 

Each 

Each 

Each 

Each 

Square Feet 

Condition/Type/Species 

•. 

Page 4 of ( p 
COASTA L CMVmoNH t N TAi C n o u r IM C 

Item 

Agreed upon value of 

plant materials not to be 

renlaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. 

Include a sketch of were 

each plant will be placed 

by the contractor. 

Agreed upon area of 

propeny to be replaced 

with grass sod. 

Include a sketch of the 

area(s) to be replaced with 

grass sod. 

Area of City or County 

property to be landscaped 

per their requirements. 

Include a sketch of the 

area (s) 

Easement Area, to be 

excavated ^ 

Quantity Unit Condition/Type/Species 

7 $ 

0 

y

9^ 

1 

Each 

SF I ue C.^-'^ 

ef SF 

7 SF K^'{ W-^^ ^ 

d^^' 

Page 5 of G 
C O A S T A I. • MVItkOMMCMTA L «MOwr . IM C 

D Check the box if Owner does rxjt want CEG to document interior fbundation wails and possi'ble 

pre-existing damage. By checking this box CEG is not responsible for any damage done to the 

interior of hcxjse, including fbundation c:racdcs or fissures. 

j2 1 agree Q I do not agree 

i/./r-aS' \^jsnvy y fiL 

Owaei"s Signature Date Connctor's Signature / Date 

Page 6 of O 
BVID # \LoCil ^ 

XRF PROPERTY SAMPLE SHEET 


Date \\-^o-o'&> Address 0<-\. i Co^^VeW^^^ . 

Project Omaha lead FP 2nd year opllon Sample time \3i'y,'"1 am/pm 

XRFID# .^aoSS sample length 30 sec 

Shot# Reading Sample area Shot # Reading Sample area 

yo\ ^ ouo.a-1 ^ \'n,<-lD ^nvR iu<^i.^o •!::• i-^vic; 

^oi a A?.f,.\^^^rt.o U ..y" Mi-^\^ \ ^^••,J^. X'^.i t i< ^p . Pt 

Ho ; 5 i-so,ut v<-\.aft Depth H03 D .0?,'=i,(„-.-^bt8«v Depth 

^o\ ^ \^iyy\^.'-\ ^ \ ^C?^ \ ift",.l,,-4^c3Q.l.:3 y 

Average \^i^_^^\ - VS Lo i Average c3Qf^ . \?) t \9).0 ^ 

Shot# 

Mm ^ 

M(-vClM 

^oa s 

m-)aio 

Average

Reading 

an-^.':ir^tO<-l,i<^^ 

u^-T,HTii,^D.3"1 

J6;O.Lp'6X5)to.'4o 

ni-t»^ lu-u--^ 

Sample area 

D^ 

Depth 

^ ^ 

 ^ ^ ^ . ?.?. t cSg) • B B 

Shot# 

Average 

Reading Sample area 

Depth 

Shot# Reading Sample area Shot# Reading Sample area 

Depth Depth 

Average Average 

Shot# Reading Sample area 

RETEST AREAS 

Shot# Reading Sample area 

Depth ,...-—) Depth 

Average Average 

lab sample # Lab result Sample area XRF Avg. 

Signature 

Prinl 

Z' MM ^ Mi^^ k^S 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 4015 

Mode SOIL 

Time 2008-11-20 12:59 

Duration 124.64 

Sequence Final 

Flags 

AVERAGE Avg of 4011-4014 

ADDRESS 2913 casterlar st"" 

QUAD/ZONE J easement 

INSPECTOR Ventry 

DEPTH 1 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm / ' ± / Error 

Pb y /-

178.949 iy ? 15.671 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 210.268 

Supervised By: 

Certificate of Verification 

4011 

SOIL 

2008-11-20 12:57 

31.88 

Final 

16975 

2913 casterlar st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 17.402 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 235.170 

Supervised By: 

Certificate of Verification 

4012 

SOIL 

2008-11-20 12:58 

31.01 

Final 

16975 

2913 casterlar st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 18.059 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 150.111 

Supervised By: 

Certificate of Verification 

4013 

SOIL 

2008-11-20 12:58 

30.95 

Final 

16975 

2913 casterlar st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 14.281 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 120.247 

Supervised By: 

Certificate of Verification 

4014 

SOIL 

2008-11-20 12:59 

30.80 

Final 

16975 

2913 casterlar st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 12.942 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

Supervised By: 

Certificate of Verification 

4022 

SOIL 

2008-11-20 16:13 

121.73 

Final 

I^Avg of 4018-4021 

2913 casterlar 

fPZ 

»Ventry 

13 

CLEARENCE 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE Pi'PE 

NOTE 

ppm 

Pb 169.104 

Supervised By: 

Certificate of Verification 

4018 

SOIL 

2008-11-20 16:11 

30.50 

Final 

16975 

2913 casterlar 

PZ 

Ventry 

13 

CLEARENCE 

± Error 

± 15.790 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 158.146 

Supervised By: 

Certificate of Verification 

4019 

SOIL 

2008-11-20 16:11 

30.54 

Final 

16975 

2913 casterlar 

PZ 

Ventry 

13 

CLEARENCE 

± Error 

± 15.476 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 239.619 

Supervised By: 

Certificate of Verification 

4020 

SOIL 

2008-11-20 16:12 

30.16 

Final 

16975 

2913 casterlar 

PZ 

Ventry 

13 

CLEARENCE 

± Error 

± 18.812 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE Pi'PE 

NOTE 

ppm 

Pb 333.642 

Supervised By: 

Certificate of Verification 

4021 

SOIL 

2008-11-20 16:13 

30.53 

Final 

16975 

2913 casterlar 

PZ 

Ventry 

13 

CLEARENCE 

± Error 

± 22.123 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

Supervised By 

Certificate of Verification 

4027 

SOIL 

2008-11-20 16:16 

122.60 

Final 

|Avg of 4023-4026 

2913 casterlar "" 

pz 

Ventry 

^13 

CLEARENCE 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE PI'PE 

NOTE 

ppm 

Pb 403.197 

Supervised By: 

Certificate of Verification 

4023 

SOIL 

2008-11-20 16:14 

30.57 

Final 

16975 

2913 casterlar 

DZ 

Ventry 

13 

CLEARENCE 

± Error 

± 24.188 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 637.472 

Supervised By: 

Certificate of Verification 

4024 

SOIL 

2008-11-20 16:15 

30.65 

Final 

16975 

2913 casterlar 

DZ 

Ventry 

13 

CLEARENCE 

± Error 

± 30.289 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 285.631 

Supervised By: 

Certificate of Verification 

4025 

SOIL 

2008-11-20 16: 15 

30.64 

Final 

16975 

2913 casterlar 

DZ 

Ventry 

13 

CLEARENCE 

± Error 

± 20.400 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE PI'PE 

NOTE 

ppm 

Pb 171.018 

Supervised By: 

Certificate of Verification 

4026 

SOIL 

2008-11-20 16:16 

30.74 

Final 

16975 

2913 casterlar 

DZ 

Ventry 

13 

CLEARENCE 

± Error 

± 16.627 
Omaha Lead Site—Fixed Price EP-R7-07-05 _ ^^-^ ^ , Coastal Environmental Group Inc. 

%y^^ ^ www.coastalhazmat.com 

%«,o^"^ COASTAL ENVIRONHENTAL 

C K 0 U r . INC . 

EXECUTIVE SUMMARY: 

BVID # 16975 - (2913 CASTELAR ST) 

No Issues or Concerns | ^ Issues/Concerns 

Detail Explanation: 
^^EPA 

EPA Propert>' Close Out Form 

Property #: lCj2-QlS Property Address: cD'^VS Cc^Tr ^ \,r^ v- •j^-V 

Date/Time: Owner's Naroe:^x>-.-V^^^^^cx Cy,y y 

Quads Excavated: T^Q ^ S^ ^ Contracior Croup Cxx.^^VcNA - \- ^-^ ^ v"Oi''->J^^^^^+«^ 

Excavation General Yes No 

1 If necessary, were the correct quadrant(s) excavated and restored? i ^ 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? L ^ 

Grading Sod and Vegetation Yes No 

1 Does the grading around the perimeter ofthe house in excavated areas generally slope away e ^ 

from tbe house? 

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

3. Does the sod appear to be generally healthy and gj-owing? (Only evaluate ifinspected at a 30 

day time period) l ^ 

4. Are sodded areas generally firm and evenly graded? ^ 

5. fiiTC the joints between the sod strips generally tight? (Only evaluate ifinspected at a 30 day > y time period) 

6 Was the property graded such that water will not pool on the propertv'' 

^ 

7 Was damage to landscaping or plant materials avoided? ^ _ . 1 

Gates, Fences and ReUining Walls Ves No 

I. Do gates open and close freely? (Ifapplicable) x ^ 

2. Were all gates or fences taken down during restoration activilies reinstalled? (If applicable) i / 

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

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

Foundation, SidiBK and Cullers Ves Nu 

1, Was damage to the siding or trim avoided? ^ 

2 Was damage lo the foundation avoided? 

^ 

3. Was damage 10 windows avoided? / 

4. Was damage to windows or door screens avoided? / " 

5. Was damage to dowTispouts or downspoul extensions avoided? ^ 

Sidewalks and Driveways (Concrele) Yes No 

^ 1.

 Was damage to driveway surfaces avoided'' 

y 2.

 Was damage to wallcway surfaces avoided? 
r O vnem comments: 

Inspection notes: 

Removal and restoralion aclivales complete including ihe 30-day sod warrant}': 

EPA Representativ Dale: Ijjy/Af 
Property Completion Agreement 

This agreemenl documenis the complclion of remedial acliviiies perlbrmed on my properly My signature 

will designale that I am satisfied wilh Ihe restoration of my property, and that no items are in queslions, 

now, or al any time in the future, excepl those items listed below, ifany 

Property ID 1 ( ^ <^V T' S 

Prop.rryAddre..s:^^^^c^ ^ Cc^^\^\Cvv - St ^ 

Owner: ^^^^ ^ y ^ ^C^\:DCj^^,r~C ^ 

Phone: ^7.0 M?>oo 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: p^'i-io^ ^^<^ y^f ^ s/x^'Acj, 

TT i/NI 1 agree restoration is completed, except as noled 

 I I rio nol a(;iec restoration is compleied 

\^li'^h^ 

Date extractor' s Si(;natiirc lal e 

I