TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SA1D#: olf>^1 3 Date-.^JdA 1 , <20H 

Address: 3c6c5 5 Cyhar/-^ ^ ?\ i 

Remediation Contractor: Coastal Environmental Group_ Year: 2010ARRA 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

y " Video of property (DVD) 

D Executive Summary 

y EPA-provided property sketch 

y ^ Signed Access Agreement for subject property 

y ^ Signed Access Agreement(s) for adjacent property 

y * Restoration Agreement 

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

y Confirmation data 

y Photographs 

y As-built sketch 

y Satisfactory restoration signed by Property Owner 

y Property close-out check list signed by EPA 

Jp|i- Description of areas not meeting ROD cleanup criteria 

j y Utility clearances 

y Property informationfi-om Douglas County Assessor's Office 

• 

• 

'Ol^SJ) "^a- ^ IN.C 

30217689 mniiii 

Superfund 
v\ 

Property Access Checklist 

Property m: 255-7 5 

PropertyAddr^s^;^^75; Qf^CirXQ.^

Owner: fi\\f\( [Bct\\\\\ X.\l\fij Address: 

Same 

Phone: SSB - flqq-7 

Fax: 

Cell/Pager: 

D Notification Letter 

QU Access Agreement 

|S] Restoration Agreement 

Q Topsoil Sampling (if applicable) 

D Disposal Sampling (if applicable) 

D Garden Sampling (if applicable) 

] ^ Utility Clearance 

^ Video/Photos (Before) 

D Video/Photos (During) 

D Video/Photos (After) 

n Video/Photos (30-Day) 

Q Property Completion Agreement 

D Final Report 

Air Monitoring (as applicable) 

• community • Crew On:

Results: 

• Community •Cre w On:

Results: 

• community • Crew On:

Results: 

 ^ h 

n

D

 WORK STARTED

 WORK COMPELTED

 ON:

 ON:

 /

 /

 / 

 /" 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Inforniation: 

Sent: / / 

Signed: i_/^// 2 

Siened: -5* / f / / t 

1 1 

I I 

I 1 

CaUed: 3 / 17 / )n 

On: 7 lIZ l t o 

On: / / 

On: / / 

On: / / 

Siened: / / 

Issued: / / 

/ / By: 

/ / By: 

/ / By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 5/221^0 

By: Vj J 'AJlcl^P, c - Anjy 

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By: 

By: 

By: 

By: 

By: 

Omaha Lead Site 
Douglas County Account In: m Page 1 of2 

Douglas County, Nebraska Property Record - R1642050000 

Print Report 

NEW Feature - Parcel Dimensions avaiiable @ scaie 0-50 ft west of 52nd St - VJeW O n Ma p Infomiation is valid as of 2009-12-15 Treasurer's Tax Report 

New Feature -»>•- • Auto Sales Search 

Owner 

KING RILEY 

ETAL 

3325 CHARLES ST 

OMAHA NE 68131-0000 

Property Informatio n 

Key Number,: 4205 0000 16 

Account Type: Residential 

Parcel Number: 1642050000 

Parcel Address: 

Legal Description: 

3325 CHARLES ST 

OMAHA NE 68131-0000 

LOWES ADD LOT 5 BLOCK T N 1/2 E 40 FT 40 X 78.5 

Value Informatio n 

2009 

2008 

2007 

2006 

2005 

2004 

Land 

$1,800.00 

$1,800.00 

$1,800.00 

$1,800.00 

$1,800.00 

$1,800.00 

Improvement 

$64,500.00 

$64,500.00 

$64,500.00 

$64,500.00 

$64,500.00 

$28,000.00 

Total 

$66,300.00 

$66,300.00 

$66,300.00 

$66,300.00 

$66,300.00 

$29,800.00 

Land Informatio n 

Acres 

0.07 

SF 

3120.0 

Units 

1.0 

Depth 

78.0 

Width 

40.0 

Vacant 

No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 12/29/2009 
Douglas County Account Inft Page 2 of2 '40 

ja2JCH«ra.ESTr I 

'asr •'siKr* 1 w3SToirr«»»i 

1 JW. J 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1664.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Fair 

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

HVAC: Central Air to Air Rooms: 8.0 

Exterior: Frame Stucco Units: 1.0 

interior: Drywall Baths: 1.5 

Roof Cover: Composition Shingle Bedrooms: 4.0 

Roof Type: 'Hi p Stories: 2.5 

Fioorcover: i Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1910 0% 1910 100 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 832.0 

Basement Finished 400.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Fixture Bath Half 1.0 

Garage Detached 264.0 

Porch Slab Roof Ceiling 154.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 12/29/2009 
Douglas County Account Infw i Page 1 of2 

Douglas County, Nebraska Property Record - R1802960000 

Print Report 

NEW Feature - Parcel Dimensions available @ scaie 0-50 ft west of 52nd St - VJeW O n Ma p Infonnation is valid as of 2009-12-15 Treasurer's Tax Report 

New Feature •• •• ^ Auto Saies Search 

Owner 

LARRY ADMILES 

ETAL 

1325 N 33 ST 

OMAHA NE 68131-0000 

Property Informatio n 

Key Number: 0296 0000 18 

Account Type: Residential 

Parcel Number: 1802960000 

Parcel Address: 3110 MYRTLE AV 

OMAHA NE 68131-0000 

Legal Description: MONTCLAIR ADD LOT 90 BLOCK 0 48 X 116 

Value Informatio n 

Land Improvement Total 

2009 $2,500.00 $26,300.00 $28,800.00 

2008 $2,500.00 $26,300.00 $28,800.00 

2007 $2,500.00 $26,300.00 $28,800.00 

2006 $2,500.00 $26,300.00 $28,800.00 

2005 $2,500.00 $26,300.00 $28,800.00 

2004 $2,500.00 $28,300.00 $30,800.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.12 5520.0 1.0 115.0 48;o No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 12/29/2009 
90 

Douglas County Account Infi Page 2 of2 

Mir 

lOff 

3110MyllleAv 

21/2Wlll|i *^'"' ^^r 

?«(i 

^ EnasotawM •• 

»ttO* 

1 CLICK TO ENLARGE IIMAGE I CLICK TO ENLARGE IMAGE 

Square Footage: 1512.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Poor 

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

HVAC: Forced Air Rooms: 7.0 

Exterior: Frame Siding Units: 1.0 

interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 4.0 

Roof Type: Gable Stories: 2.5 

Fioorcover: i Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1919 0% 1919 91 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 764.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch End Solid Wall 180.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp ?accountno=Rl... 12/29/2009 
Page 1 of2 

"> 

jCreate Another Ticket | Back to Irth Intemet Send Email J 

YOUR TICKET NUMBER IS 2440231. 

Original Call Date: 3/17/10 Time: 9:26 pm Op: ELIZABETH18790 


Work to Begin Date: 3/22/10 Time: 7:15 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 3325 Street: CHARLES ST 


Twp: 15N Rng: 13E Sect-Qtr: 16-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead remediation 


Location of Work: LOCATE ENTIRE PROPERTY, ALL EASEMENTS AND TO THE PEDESTAL 


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 Comer Lot: N Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVELS MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVELS COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC 

Day: 4024447197 

Ah: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 3/17/2010 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING 

Alt: 4062071494 

Emerg: 8887289343 

Day: 4067289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

http://vmw.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 3/17/2010 
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As-Built Drawing 

COASTA

tNViaOHH f NTA

L 

L Omaha Lead Superfund Site B • O U P , IN C 

OLS#:25573 

Date Excavated: 4/20/2010 

Date USEPA Signed Off: 5/18/2010 

Name:

Address: ^=i 3

Phone: 

, -

^ cHAHlES <.T. 

Oinaha Uad Site 

sne Sketch 

Date:

Time:

 ^.J/c/o ^ 

 ^'.JD /Vr? 

North Airow 

Team HIAJ^ . IEAA A BVID* ^:5":$~? 3 XRFCode $5^2 -

Sample Number Lead Concentration Confirmation Sample 

ppm 

ppm 

Fa 

6 0

A ^

Yes

Yes

Yes

 Yes

 Yes

Yes

Yes

 n 

n 

• 

 C3 

a 

a 

• 

No ^ 

No H 

No S 

No 12 

No E! 

No CD 

No • 

Legend 

Concrete Drip Zone Excavated Quadrants Excavated 


Area replaced with I Area replaced with 
 Area left bare 
 Sod Rock/Mulch 


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


46130 
^ ^ i/l//p4 ^A^ / ^ Wll ' M^^ ^ Hi c;> 

Gear LL C(hhfi • 

Name: _ Omaha Lead SRe Date: ^//c/o' h North Arrow 

Address; •^^ ^ 5 cHA/(J£6iT. SKe Sketch Time: l.'-/0 f/r^ 

Phone: 

5^ic>2_- Team HTAJ^ . TE A A / BVID# ^.a :r? 3 XRFCode 

Sample Numt>er Lead Concentration Confirmation Sample 

Yes O No 12 FQ Yes n No S 

^^^^pp m B_./ Yes • No B 

do Yes O No 12 

OP. Yes a No S 

ppm Yes n No a 

ppm Yes n No • 

46130 
Name; — Oinaha Lead Site Date: i./zc/c h North Arrow 

Address; \ ^ O "> cHA^/essT . SKe Sketch Time: i'-/0 ^/ ^ 

Phone; 

^^yp-2 - Team HT-02 : 1B A A A BV1D#_5^I£^ 3 XRFCode 

Sample Numtier Lead Concentration Confirmation Sample 

f l Yes n No IS­ t.'f-^j^-i-,^. , PP"' Fa Yes tn No 13 /?y^ ro=%/S> - a s^i-y^ B/ Yes • No S 

a o Yes O No Q /ry:^z^^r/='j(yi - 2 ^^ 7 S /5(1. Yes C No S 

ppm Yes a No CD 

ppm Yes • No • 

46130 
• • 

Name: - . Omaha Lead Site Date: ^Ac/o- ^ North Anow 

Address: '^X 3 :> cHAil^S.T . Site SItetcli Time: V-fd f/^ 

Phone: y 

5^i??2_- Team HTAJ ^ TE A A A BV1D# ^^^yi i XRFCode 

Sample Number Lead Concentration Confirniation Sample 

F ' Yes a No Ja­ xy0S<A'x^"»-^^'y ^ F o Yes CD No Q 

6/ Yes a No 13 

ao Yes ° No 12 

£)p. Yes CD No S 

'. ppm Yes CD No CD 

ppm Yes CD No • 

Oinaha Lead Site 46130 
«i 

y""*'fy 

COASTA I 

IHVIIOMHtllUl 

c I o u r . INC 

Consent fcf 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: '2^57' ? 

(2.1 ten/ Km^ 

Owner's Name: ^ Daytime Phone: 55 ^ • 

hm^f ^»x)^ 

Address of Property 

covered by this 332.S 6^l«l^^€5^"^• 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 perfonmed, 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 perfomiing the work. This access shall 

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

agrees to: 

Page 1 of 2 
'>!:r«'*. 

COASTA L IKri>ONK>KT« l 

CIOU P i K C 

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

piles, dog houses, etc; 

e 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; 

e Abide by health and safety guidance provided by EPA; 

* If the property is rented, assist EPA in obtaining tenarit 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 of the work iactivities. 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 

[S<i grant access to my properties 

D I do not grant access to my properties 

l o 

signature / ' vy iJate Signature Date 

Q I would like to be present during any sampling that is required. 

Page 2 of 2 
C O A S T A L • HViaONHaHTA L O II O U P , INC . 

Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions ofthe property 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). 

Property ID: 25^*7/ ^ 

Property Address: ^^^gf S TJTVlf ^.S S t 

Owner: Ri'le\u\ fgmi'i lEfYi; u king Phone: }M 

On the attached diagram(s) indicate area(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 dociunent the existing conditions ofthe property and the basement if 

necessary. 

Items to be Removed by the Owner before Start of Remediation: 

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

Item: 

Pkys y i/e^ r^y^o 

Kem: 

Kem: 

Kem: 

Items to be Removed by the Contractor During Remediation and Not Replaced 

Item: 

/f/^Y ^mc,jl plc.^~h^ U/y ^ its//> y 

Kem: 

Kem: 

Kem: 

Page i o f y 
C O A S T A L 

Items to Be Removed By Contractor During Remediation and Reolaced 

Item: 

So-,

Kem:

Kem: 

• 

Item: 

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. 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Easement Area, to be 

excavated 

^ 

, ^d c , f\y\,D-i 

Landscape Inventory 

Quantity Unit Conditlon/Type/Specles 

(?/, P'/jpg Quadrants 

tr Each 

1 Each 

er Each 

y F^ch 

Square Feet 

y $ 

Each 

/ f^y^^ fi&y'^^ 

Page 2 0,2 
C O A S T A L • MVIKOMMBMTAL a n O U P . INC . 

Additional Comments / Instructions: 

The cKy of Omaha ordinances may prohibK you from using dirt or gravei areas on your property 

as driveways or vehicle parking areas. The Environmental Protection Agency (EPA) may be 

removing and replacing soil underlying a gravel or dirt area on your property that you may be 

using as a driveway or vehicle parking area. If this is the case, you should understand that this 

removing and replacing of soil does not mean that any illegal driveway or parking area on your 

property is made legal. To the contrary, you may be cited by the city if you use a gravel or dirt area 

as a driveway or parking area, not wKhstanding any removal or replacement of soil by the EPA 

If you have any question about legality of a certain driveway or parking area, you may contact 

the cKy of Omaha's Planning Department at (402) 444-5150. 

4: Please check this box if you understand the information outlined above. 

Jy y> 0 P I . fey faoAJ-^'"' ^ 

Q Check the box if Owner does not want CEG to document Interior foundation walls and possible 

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

interior of house, including foundation cracks or fissures. 

Q I do not agree 

Contractor's Signature Date 
BVID#_Z5S23- XRF PROPERTY SAMPLE SHEET 


,^^;?^ ry^^f\ftT^ . 

am/pm 

30 sec 

Reading Sample area 

f<r^/3 yy­ /6^t./c/ Depth 

f / ^ /.^ J " 

f?-^Lb 

Reading Sample area 

9Sut33 I ^ 

9^0^ Depth ^3 

^^\-ia: ^ I \ ^ 

 Q'& (S - 33 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Date 

Project 

XRF ID# 

Shot# 

T" 

Average 

Shot# 

^ 

lO 

n 

Average

Shot# 

Average 

Shot# 

Average 

"^-^-l O 

Omaha Lead ARRA 

Reading 

P.r /: /3 

Rip :t lb 

r^ ^ n 

?^i^l3 

Reading 

^ - ^ -fc ^ l 

^ 9 5 f ^ l 

^ a R 1^ ^ 

 ^^ / P ^ f 

Reading 

Reading 

Sample area 

a 

Depth 

l y 

Sample area 

h\ 

Depth 

k t l 

Sample area 

Depth 

RETEST AREAS 

Sample area Shot# 

Depth 

Average 

Qmi^ 

Address 

Sample time 

sample length 

Shot# 

ir 

/ / ­

/f 

Average 

Shot# 

33 

3a 

. ^ ^ 

Average

Shot# 

Average 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 40 

Mode SOIL 

Time 2010-05-05 11:43 

Duration 90.33 

Sequence Final 

Flags 

AVERAGE (^^vg3C37-39'" 

ADDRESS 3325 Charles st 

QUADRANT EA 

DEPTH 1" 

TTPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.000 

Zr 420.944 ± 15.235 

Sr 172.988 ± 8.984 

U < LOD : 15.308 

Rb 74.106 ± 6.825 

Th 14.381 ± . 9.115 

Se 

—272:283

< LOD 

" ± c— Zfc»/4

5.807 

 -^ 

As < LOD 28.152 

Hg < LOD 12.590 

Zn 263.333 ± 27.180 

W < LOD : 90.129 

Cu 42.083 ± 21.553 

Ni < LOD : 74.714 

Co < LOD : 191.632 

Fe 20720.619 ± 415.081 

Mn 477.613/^ ± 95.023 

Supervised By: {f y ^ M { ltd./) 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 37 

Mode SOIL 

Time 2010-05-05 11:42 

Duration 30.11 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT EA 

DEPTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD J 7.933 

Zr 417.716 ± 15.107 

Sr 167.352 ± 8.808 

U < LOD I 15.480 

Rb 73.597 ± 6.803 

Th 17.082 ± 9.269 

Pb 271.564 ± 21.748 

Se < LOD 5.472 

As < LOD 27.839 

Hg < LOD 12.208 

Zn 267.416 ± 27.136 

W < LOD : 86.181 

Cu 33.899 ± 20.831 

Ni < LOD \ 75.691 

Co < LOD I 189.251 

Fe 20655.645 ± 412.608 

Mn 509.493 ± 96.391 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 38 

Mode SOIL 

Time 2010-05-05 11:43 

Duration 30.10 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT EA 

DEPTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD J 8.037 

Zr 417.603 ± 15.145 

Sr 176.039 ± 9.029 

U < LOD : 15.252 

Rb 72.952 ± 6.763 

Th 13.919 ± 9.043 

Pb 271.661 ± 21.791 

Se < LOD 6.077 

As < LOD 27.913 

Hg < LOD 12.971 

Zn 255.746 ± 26.836 

W < LOD : 92.894 

Cu 40.772 ± 21.326 

Ni < LOD \ 72.459 

Co < LOD : 189.499 

Fe 20723.094 ± 413.744 

Mn 452.067 ± 92.966 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 39 

Mode SOIL 

Time 2010-05-05 11:43 

Duration 30.12 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT EA 

DEPTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.030 

Zr 427.514 ± 15.455 

Sr 175.573 ± 9.116 

U < LOD : 15.192 

Rb 75.768 • ± 6.909 

Th < LOD : 13.550 

Pb 273.624 ± 22.084 

Se < LOD : 5.871 

As < LOD 1 28.704 

Hg < LOD : 12.591 

Zn 266.836 ± 27.568 

W < LOD 91.312 

Cu 51.579 ± 22.502 

Ni < LOD I 75.992 

Co < LOD 196.145 

Fe 20783.115 ± 418.891 

Mn 471.280 ± 95.713 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 36 

Mode SOIL 

Time 2010-05-05 11:40 

Duration 90.34 

Sequence Final 

Flags -:=- AVERAGE c=A9f^F33-35 

ADDRESS 3325 Charles st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.237 

Zr 471.359 ± 16.370 

Sr 177.561 ± 9.319 

U < LOD : 15.541 

Rb 77.917 ± 7.098 

Th < LOD 14.095 _OW 

^^ ^ "=^^^2887288 ± <= "io r m 

Se < LOD 6.193 

As < LOD ; 29.460 

Hg < LOD : 13.188 

Zn 232.588 ± 26.314 

W < LOD : 89.355 

Cu 41.033 ± 22.231 

Ni < LOD i 76.580 

Co < LOD : 198.996 

Fe 21189.455 ± 429.532 

Mn 423.867 / ^ ± 94.107 

Supervised By: (!// C 'no^OlfdA 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 33 

Mode SOIL 

Time 2010-05-05 11:39 

Duration 30.12 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm 

Mo < LOD 

Zr 477.590 

Sr 178.007 

U < LOD 

Rb 78.923 

Th < LOD 

Pb 294.145 

^ < LOD 

As < LOD 

Hg < LOD 

Zn 215.842 

W < LOD 

Cu < LOD 

Ni < LOD 

Co < LOD 

Fe 21511.420 

Mn 478.362 

Supervised By: 

Error 

8.199 

± 16.476 

± 9.339 

15.603 

± 7.141 

14.252 

± 23.242 

5.899 

29.525 

13.277 

± 25.451 

87.368 

32.411 

78.328 

200.724 

± 433.105 

± 98.318 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 34 

Mode SOIL 

Time 2010-05-05 11:40 

Duration 30.11 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD ; 8.272 

Zr 485.386 ± 16.615 

Sr 178.583 ± 9.357 

U < LOD : 15.773 

Rb 81.202 ± 7.250 

Th 14.759 ± 9.563 

Pb 289.833 ± 23.155 

Se < LOD 6.656 

As < LOD 29.787 

Hg < LOD 12.974 

Zn 252.627 ± 27.415 

W < LOD I 92.801 

Cu 55.606 ± 23.383 

Ni < LOD : 76.537 

Co < LOD : 200.859 

Fe 21316.299 ± 431.605 

Mn 420.603 ± 94.223 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 35 

Mode SOIL 

Time 2010-05-05 11:40 

Duration 30.11 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD J 8.239 

Zr 451.103 ± 16.019 

Sr 176.094 ± 9.260 

U < LOD : 15.248 

Rb 73.625 ± 6.903 

Th < LOD : 13.689 

Pb 280.886 ± 22.669 

Se < LOD : 6.022 

As < LOD ; 29.067 

Hg < LOD 1 13.313 

Zn 229.295 ± 26.075 

W < LOD J 87.896 

Cu 35.645 ± 21.704 

Ni < LOD I 74.875 

Co < LOD : 195.405 

Fe 20740.645 ± 423.886 

Mn 372.634 ± 89.781 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 32 

Mode SOIL 

Time 2010-05-05 11:36 

Duration 90.34 

Sequence Final 

Flags •—-^^ ^ 

AVERAGE cr2Sg5«9-3r ^ 

ADDRESS 3325 Charles st 

QUADRANT Bl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Cpb—^ 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

443.760 

188.859 

< LOD 

70.376 

< LDX> 

^^583:567-' ^ 

< LOD 

< LOD 

< LOD 

277.801 

< LOD 

50.510 

< LOD 

< LOD 

20931.232 

364.224^ 

Error 

: 8.140 

± 15.781 

± 9.455 

; 14.978 

± 6.712 

: £:r:i5:62i=:=^ 

± . 22.505 

J 5.704 

J 29.336 

• 12.332 

± 28.067 

; 89.657 

± 22.531 

: 77.021 

: 194.265 

± 421.220 

± 87.950 

Supervised By: f / Jy V7i ^ffM 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 29 

Mode SOIL 

Time 2010-05-05 11:34 

Duration 30.11 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT B l 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

448.778 

178.958 

< LOD 

70.117 

< LOD 

282.565 

< LOD 

< LOD 

< LOD 

280.989 

< LOD 

57.389 

< LOD 

< LOD 

21263.359 

439.331 

Supervised By: 

: 

± 

± 

\ 

± 

: 

± ' 

\ 

: 

: 

± 

: 

dt 

: 

: 

db 

± 

Error 

8.108 

15.847 

9.237 

14.979 

6.714 

13.488 

22.516 

6.049 

29.352 

12.475 

28.310 

91.390 

23.044 

75.722 

195.153 

425.388 

93.765 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 30 

Mode SOIL 

Time 2010-05-05 11:35 

Duration 30.12 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT Bl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.261 

Zr 444.718 ± 15.829 

Sr 205.860 ± 9.848 

U < LOD : 15.067 

Rb 72.421 ± 6.786 

Th < LOD : 13.449 

Pb 280.703 ± 22.364 

Se < LOD : 5.518 

As < LOD : 29.419 

Hg < LOD • : 12.284 

Zn 273.760 ± 27.853 

W < LOD : 88.684 

Cu 51.713 ± 22.578 

Ni < LOD . : 77.086 

Co < LOD : 195.244 

Fe 20785.467 ± 419.498 

Mn 367.791 ± 88.473 

Supervised By: 
% 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 31 

Mode SOIL 

Time 2010-05-05 11:36 

Duration 30.11 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT B l 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.052 

Zr 437.784 ± 15.665 

Sr 181.757 ± 9.279 

U < LOD : 14.888 

Rb 68.589 ± 6.637 

Th 19.610 ± 9.683 

Pb 287.432 ± 22.636 

Se < LOD 5.546 

As < LOD 29.238 

Hg < LOD 12.236 

Zn 278.655 • ± 28.038 

W < LOD : 88.896 

Cu 42.426 ± 21.971 

Ni < LOD ; 78.256 

Co < LOD : 192.399 

Fe 20744.869 ± 418.775 

Mn 285.550 ± 81.613 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 28 

Mode SOIL 

Time 2010-05-05 11:33 

Duration 90.35 

Sequence Final 

Flags 

AVERAGE p-AgL355=27 J 

ADDRESS ^^25^harle s st 

QUADRANT Fl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.127 

Zr 494.895 ± 16.213 

Sr 166.491 ± 8.783 

U < LOD • 15.374 

Rb 78.131 ± 6.931 

Th 15.296 ± 8.074 

<rPB ^___138:495 " ± 16.032-

Se < COD 5.446 

As < LOD 21.138 

Hg < LOD 12.280 

Zn 114.407 ± 19.171 

W < LOD J 86.071 

Cu 33.969 ± 20.678 

Ni < LOD * 73.545 

Co < LOD * 179.131 

Fe 17892.383 ± 384.375 

Mn 524.359 ^ ± 96.836 

Supervised By: c /v ^ ^/}/ Vf(^^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 25 

Mode SOIL 

Time 2010-05-05 11:31 

Duration 30.12 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT Fl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.221 

Zr 503.006 ± 16.412 

Sr 165.448 ± 8.807 

U < LOD ; 15.712 

Rb 80.383 ± 7.070 

Th 13.618 ± 7.972 

Pb 136.242 ± 16.006 

Se < LOD 5.499 

As < LOD 21.372 

Hg < LOD 12.333 

Zn , 126.478 ± 20.059 

W < LOD * 86.448 

Cu 51.646 ± 22.171 

Ni < LOD : 74.407 

Co < LOD : 181.727 

Fe 18009.924 ± 387.794 

Mn 545.566 ± 98.912 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 26 

Mode SOIL 

Time 2010-05-05 11:32 

Duration 30.11 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT Fl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.076 

Zr 484.777 ± 16.017 

Sr 166.195 ± 8.740 

U < LOD \ 15.801 

Rb 79.394 ± 7.001 

Th 19.251 ± 8.335 

Pb 132.827 ± 15.708 

Se < LOD 5.455 

As < LOD 20.857 

Hg < LOD 11.927 

Zn 104.353 ± 18.459 

W < LOD : 86.382 

Cu 32.208 ± 20.514 

Ni < LOD • 74.610 

Co < LOD I 177.827 

Fe 17645.561 ± 380.286 

Mn 510.083 ± 95.342 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 27 

Mode SOIL 

Time 2010-05-05 11:33 

Duration 30.12 

Sequence Final 

Flags 

BVID 25573 

ADDRESS 3325 Charles st 

QUADRANT Fl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm 

Mo < LOD 

Zr 496.901 

Sr 167.830 

U < LOD 

Rb 74.615 

Th 13.019 

Pb 146.417 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 112.391 

W < LOD 

Cu < LOD 

Ni < LOD 

Co < LOD 

Fe 18021.662 

Mn 517.427 

Supervised By: 

Error 

8.084 

± 16.210 

± 8.803 

14.610 

± 6.722 

± 7.915 

± 16.383 

5.384 

21.184 

12.579 

± 18.995 

85.381 

29.024 

71.619 

177.839 

± 385.043 

± 96.254 
% % 

o^^2Z"-*, / jOk^ \ Omaha Lead Site—Fixed Price EP-R7-07-05 

Coastal Environmental Group Inc. V^M^; ^ 

^ www.coastalhazmat.com 

*>iPHo^'^ COASTA L ENVIIDNMEIITAl 

CIOUP , IN C 

EXECUTIVE SUMMARY: 

BVID #25573-(3325 CHARLES ST) 

No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 

-COASTAL TO REPAIR DAMAGE TO ARBOR. (COMPLETED 5/18/10) 

-COASTAL TO REPLACE GRASS ON THE SOUTHSIDE OF PROPERTY (COMPLETED 

5/18/10) 

-COASTAL TO DROP OFF MORE DIRT FOR PLANTER. (COMPLETED 5/18/10) 

-COASTAL TO REPLACE SMALL STRIP ALONG THE FENCE LINE ON THE EAST SIDE. 

(COMPLETED 5/18/10) 

-COASTAL TO COVER THE ROOTS OF PLANTS ON THE SOUTHSIDE OF THE BUILDING. 

(COMPLETED 5/18/10) 

-DAN GARVEY WALKED THE PROPERTY ON 5/18/10 
EPA Property Close Out Form 

Property U:2^n ^ .. P-«rt Propertvy A^6r^ . .y^?.' ^ (llAQr)f?^ ^ Address^ 

Datc/Tline: Owner's Name: j ^ 

Quad

Excavatio

i Excavated: Contractor Group 

Yes

m

 No n General 

1. If neccssaiy, were the correct quadranKs) excavated and restored? 

2. If necessary, were the correct areas or drip zone excavaled and restored? y 

Gradin Yes r*ii c Sod and Vcmtalion 

I. Does the grading around the perimeter ofthe house in excavaled areas generally slope away / from the house? — 

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

3. Does the sod appear to be genetally healthy and growing? (Only evaluate if inspected at a 30 y day timejeriod) 

4. Aic sodded areas generally (irm and evenly graded? / 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day y tin>e period) 

6. Was the property graded such that water will nol pool on the property' / 

7. Was damige to landscaping or plant materials avoided? J 

Gates, Fences and Retatelng Walls Yes No 

I 1. Do gates open and cloise fieely? (If applicable) / 

2. Were all gates or fences taken down during restoration activities reinsulled? (If applicable) / 

3. Was damage to gates or fences avoided? (If applicable) / 

4. Was damage to retaining walls avoided? (Ifappiicable) z 

Foundation, SidiOK and Gntlerv Yes No 

I. Was damage to the siding or trim avoided? / 

2. Was damage to the foundation avoided? / 

3. Was damage to windows avoided? / 

4 Was damage to windows or door screens avoided? / 

5. Was damage to downspouts or downspout extensions avoided? / 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? / 

2, Was damage to waDcway surfaces avoided? / 
Ox'Dcrs conmients: 

. 

pjinspection notes: 

Removal and restoration activates complete including ihe 30-day sod warranty: 

EPA Representative jSmmjSLy Date: </»/o 
% 

u ^ 

Property Completion Agreement 

riiis agreement documents Ihe complclion ol remedial activities peribimed on my properly My signature 

will designate that I am satisfied wi(h the restoralion of my properly, and (hal no items are in queslions. 

now, or al any time in the future, except Ihose items listed below, if any 

Property ID: •2ssia 

Property Address: 3^;><: ^ O.iOQrlP ^ ^ 

Owner 

Pho»e:/j|Q^^^^,^^q- ^ 

Restoration Items in Question: 

item: 

Sgy^oJii. AJ/JjQ ahn A '•U4MX, lljL*<jt^ b^y^ SL^y r A-^^^^ ^ 'iC (M. Item: 

Item 

Item: 

f^Jj^JA^j ^ a^LO.^ ^ 1. ^ t^A^M-fk/uj^TL^x/A a j "-Lru ^ 

Item lltgytlt^ ^v\^flJL- ^/^/^a^A- au y Item: 

Additional Comments: 

&JU4,u.a- OJXI ^ (/JUV-^<^ js^jL^^^ti ^ ch-^' ^ SL^yUftJH ^ 

oAf-^-V'^.-^ , 

1 ^ I H(;rcc restoralion is completed, except as noted 

[_J I rio nol ii|;rec restoration is completed 

& ^ 

^M 10 &eKny:^ -pinko \k}I^jyi—/M^ 4 

Ownci^'^ignanire Date ronti artoi 's Signature Dale ^ ^ 
% 

Property Owner Assessment of Performmcp-Fo^m. 

American Recovery and Reinvestment Act (AfQ|j|T i * f" I \/ P F l 

Omaha Lead Superfund Site ^ »« 2 ¥ L. t J 

2009/2010 MAy 12 2010 

Remediation Contractor: Coastal Environmental Group - EP-Rg><iBl?PP| | jV/n Hh /in ii-». 

Property Identifier Number: ^SfTl ^ "^'^^ fJiVlSlON 

Property Address: ?>?^ZS C\nrjr/07^ ^ ^ 

Property Owner's Name; thrift j / FW) , I u J-CjAc 

Instructions to the Property Owner: 

This form serves to record the Properly Owner's assessment of perfonnance (Incentive 1 

- Quality Assurance Stirvallance Flan) involving the listed remediation contractor, as applicable 

to the Omaha Lead Site. This form docimients the timeliness of punch list resolution, business 

relations, complaint resolution and the overall quality of work. If need be, the Property Owner 

may utilize this form to record problems and/or issues not specifically tied to an assigned 

address, for example, business relations that generally don't follow the guidelines set forth in the 

Performance Work Statement, 

The Property Owner will indicate his/her assessment of perfoimance with the contractor's 

work by checking a namerical rating on the table below tising the numerical definitions from 

the rating scale below, then sign & date the form. 

fi^lO -^excellent" i 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1-2 "very poor" 

Propertv Owner^s Assessment of Performance Regarding the Contractor's Work 

10 t. ^ 5 

9 4 

8 3 

7 2 

6 1 

Propertv Owner Additional Comments from (optional; continue on back page if needed^ 

Property Owner Signature: [f\A i/Cuj f\yy.'\jll ^Date: 5/ ^ 110 

'^ yj