TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: vgBl ^ 

Date: l|Z7| U 

Address: 330 8 Ni 2.^ b t 

Remediation Contractor: Coastal Environmental Group_ Year:

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

/ 

Video of property (DVD) 

Executive Summary 

EPA-provided property sketch 

'x/. 

Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

/ 

Restoration Agreement 

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

Confirmation data rr 

Photographs m (V^(^ATt^vi Y ^UK\irX\Jt/^ >; / ^ 

As-built sketch 

4 Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description of areas not meeting ROD cleanup criteria 

Utility clearai^ces 

lation from Douglas County Assessor's Office 

 2010ARRA_ 

f^ r t ^ 

ZQ2\Q11A in 

Superfund 
M M 

VV 

Property Access Checklist 

Property ID: ;:^/^y ^ 

Property Address: c^:^^ ^ ^ j q .^-f 

n

n

 WORK STARTED

 WORKCOMPELTED

 ON:

 ON:

 /

 /

 / 

/ 

r Owner: pj^^.^^f^ ^

Address: 

50SU himete^K

Phone: q^3, ^ q,<^| ^ 

Fax: 

Cell/Pager: 

 W^rf^^A^ 

 3^-

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

D Notification Letter 

^ Access Agreenient 

/Cj Restoration Agreenient 

D TopsoU SampUng (if appUcable) 

Q Disposal Sampling (if appUcable) 

G Garden SampUng (if appUcable) 

^ UtiUty Clearance 

'Q ^ Video/Photos (Before) 

D Video/Photos (During) 

D Video/Photos (After) 

D Video/Photos (30-Day) 

r~l Property Completion Agreement 

G Final Report 

Sent: / / 

Signed: H/ZL/i Q 

Siened: M l~\ 1 \ 0 

1 1 

1 1 

1 1 

CaUed:OS IW / lo 

On:i\ ITDI ^ 

On: 1 1 

On: 1 1 

On: I I 

Siened: / / 

Issued: / / 

By: 

By: 

By: 

By: 

By: 

By: 

^y= ^^h^U o VxJa<>ol^ 

By= Gc^oxAO 

By: 

By: 

By: 

By: 

By: 

OtollV) 1 

(Wc>^ 

Air Monitoring (as appUcable) 

G Community GCrew 

Results: 

On: / / By: 

G Community

Results: 

 G Crew On: / / By: 

G Community

Results: 

 G Crew On: / / By: 

k Omaha Lead Site 
^Douglas County Account L||ya^ion 

Page 1 of2 

# « 

Douglas County, Nebraska Property Record - R1303000000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of S2nd St - VlOW OH Ma p Information is valid as of 2009-10-15 Treasurer's Tax Report 

New Feature ^ -» •• Auto Saies Search 

Owner 

FOXALL COLLINS 

ETAL 

C/O ADRIENE HIGGINS 

5056 HIMEBAUGH ST 

OMAHA NE 68104-0000 

Property Informatio n 

Key Number: 0300 0000 13 

Account Type: Residential 

Parcel Number: 

1303000000 

Parcel Address: 

3308 N 24 ST 

OMAHA NE 68110-0000 

Legal Description: HAWES ADD LOT 1 BLOCK 0 N 1/4 33 X 128.7 

Value Informatio n 

Land Improvement Total 

2009 $500.00 $56,200.00 $56,700.00 

2008 $500.00 $56,200.00 $56,700.00 

2007 $500.00 $52,400.00 $52,900.00 

2006 $500.00 $52,400.00 $52,900.00 

2005 $500.00 $52,400.00 $52,900.00 

2004 $500.00 $17,100.00 $17,600.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.09 4224.0 1.0 128.0 33.0 No 

Land Attributes 

Attributo Attributo Description 

Negative Influence Traffic 1 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 10/22/2009 
Douglas County Account I [j£|j|M^ion Page 2 of 2 

# # 

Rarwii mudDKk 3308 N 24 St 

wwn 

Cm OflTwr 

. F M FlM> t-. I 

I2C 

ErKl5oldW« 1.14 C'Sq Cl 

BumBbcUait !IS40S4 Fl 

CLICK TO ENLARGE IMAGE 

Square Footage: 1140.0 Percent Complete: ; 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: Ranch Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 5.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Battis: 1.0 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Hip Stories: 1.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1900 1988 0% 1913 96 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Appliance Fireplace Masonry 1.0 

Basement Bsmnt Block 8 ft 984.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Detached 576.0 

Porch End Solid Wall 144.0 

Porch Wood Deck 24.0 

User Busy Street-10% 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 10/22/2009 
Page 1 of 1 

Create Another Ticket Back to Irth Intemet ,g_._-^o^ ]E IL—?gQ^^[OgJJ--i| 

• YOUR TICKET NUMBER IS 2560596. 

Original Call Date: 8/04/10 Time: 6:03 pm Op: ELIZABETH18790 

Work to Begin Date: 8/09/10 Time: 7:15 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 3308 street: N 24TH ST 

Twp: 15N Rng: 13E Sect-Qtr: 09-NE,10-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 IF 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 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 

Day: 4024447197 

OMAHACOF CITYOFOMAHA-TRAFFICSEWER RICHA'RAFFIC Alt: 4024445161 

Emei^: 4024445160 


Day: 4067289343 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

Day: 4067289343 


QLNNEIC QWEST LOCAL NETWORK ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/4/2010 
As-Built Drawing 

COASTA

ENVIKOMMEMTA

L 

L Omaha Lead Superfund Site C « O U P. IM C 

OLS#: 31312 

Date Excavated: 8/12/2010 

Date USEPA Signed Off: 11/2/2010 

Area Sodden: 1070 sa ft 31312 

Omaha Exterior Paint Lead Site 

Site H Good Sketch • Poor 

Sampling Address: 330B N 24 ST r | Notpaint 

Lead Sample Samples Collected Sample Number LAB Concentration Collected Rrm: fp B PB.3 P 

RYASCPXA-31312 Fl ppm D Date *;-"^0 -Ofe 

RYBSCPXA-31312 F2 ppm D Time: •7,--<» p-|V^-

RYCSCPXA-31312 Bl 37 i . ppm D Samples Analyzed RYDSCPXA-31312 B2 182. , ppm D 

RDZSCPXA-31312 DZ ppm D XRF Unit: Ctf^ O Book: TJCD 

nOZOCPXAOISIZ 8 2 ppm D n Date: j^ - r7 ' OQ 

nPgGCPXA 31312 Pg- . ppm D Time: .Pa. Staff MSU/ Number of Samples = [ ^ | | Q | 

Legend: Fl = Front Left, F2 = Front Right. Bl = Back Left. B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

AU quadrants are as viewed from ttie street fadng property 

Rev ^IWK.tA ( 

Legend 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced

Sod 

 with Area replaced with 

Rock/Mulch Area left bare 

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

C^x- L» ^ as/fo^ 

V^^cK^V^ ^^ ^ ^'^-^^^ 

31312 -&?^Tr~-~U ^ 

Omah Exterior Paint Noflh Arrow a Lead Site 

Sit Q'GOOCI e Sketch • Poor 

Sampling AdcJress: 3308 N 24 ST Q Not paint 

Sampl Lead Sample Samples Collected e Number LAB Concentration Collected Firm: Ft?R PB.3P 

RYASCPXA-31312" Fl • 2^ ^ ppm \Z\ D Date: Sl O -Og, 

RYBSCPXA-31312 -¥ 2 -.?63 ppm D Time ^-.QO p-rA. r" 

RYCSCPXA-31312 Bl 3-?"f ppm D 

Samples Analyzed [ RYDSCPXA-31312 B2 162. ppm % D

RDZSCPXA-31312 DZ ppm D XRF Unit: Ct/^ D Book; 2Q3_ f^GgGCPXA-31312 G i ppm u D Date L- f l- OR 

nPZCCPXA 31312 Pir ppm n D Time: £tL 

Staff: MSU/ nber of Samples • H 

Legend: F1 =^Frdm teft; F2 =Tront^ht . B1 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden. PZ = Play 

All quadrants are as viewed from the street, facing property 

y 

y 

R«v2lX)8..1A (realtd: l?-Mar.O« 
31312 

Omah Exterior Paint North Arrow a Lead Site 

Sit Q^Good e Sketch • Poor 

Sampling Address: 3308 N 24 ST r~l Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm:

Samples Collected 

 FPft PB.3P 

RYASCPXA-31312 Fl _25L^L_PPm D Date. S-1 0 'Ofe 

RYBSCPXA-31312 F2 • ?6 3 ppm D Time: -7,-.0& ^-tARYCSCPXA-31312 

RYDSCPXA-31312 

81 

B2 

3"7M

")8 Z

 ppm 

 ppm 

D 

n Samples Analyzed 

RD2SCPXA-31312 DZ ppm n XRF Unit: Cty^ O Book: 20*7 

RGZOCPXA-31312 -6 2 ppm D a Date: (g­ f l OR 

nPZSCPXA-31312 -PS­ ppm 

Number of Samples • 

D n Time: 

Staff: 2n. MSW 

Legend: Fl = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ •• Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

--N' ^ 

•K:': \ ITERED 

JUN 0 9 201)8 

ITH 

£.1 

CP^ C 

fl 

.nz= 

(P^ 

^!>o$^)•^^. 

^ 

Ji l f

A/y^{ 

\i 2^H 3^3 :

:^ 

FI 

.f^.l.^>^. Rcv2()08..1A Crealcd: l.»-Mar-08 ()447lll,0i.:3 
m 

31312 

Omah Exterior Paint NodhAnow a Uad Site 

Site H Good Sketch 

D Poor 

SamDilna Address: 3308 N 24 ST • Notpaint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm: Ft»ft PR. 3D 

RYASCPXA-31312 Fl 2^ H ppm 

D Dato: V»»0 -Oft 

RYBSCPXA-31312 F2 • ?6 3 ppm D Time: ^'.OO p-<»\. 

RYCSCPXA-31312 Bl "inH pom D 

Samples Analyzed 

RyDSCPXA-31312 B2 T82, ppm D 

RD2SCPXA-31312 DZ _2£&3_ppm D XRF Unit: CeKUO Book: 20"? 

nozoopxA-oioie—ea "• ppm D D Date: <^- P - ^6 

npgsopxA-oioiB—pe- •" ppm D D Time: P M 

Staff: M?V ^ Numt)er of Samples = | 5^ | | Q | 

Legend: Fl = Front Left. F2 = Front Right. B1 = Back Left, B2 = Back Rigtit DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewedfrom Ihe strsel, facing picperty 

t^-^» ^ T '^^ 

^ NTiERED 

JUN 0 9 201)8 

3TH TBZ 

fcl U. I 

^ 

fl 

.DZ.* ZC>(i.9{.. 

iioiiii^. 5t 

j L k 

3^3 

.M;.i>t. ltev3(ia8..V Cfciled: l.*-Mar«8 044701.01.23 
(teo «r4v. 

COASTA I EflVIIOHHIHt«t 

C « O tl r . I h C 

Consent fcf Access To Prop&rty 

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: y^Z) ' -^P ^ 

Address of Property ^^ a Ki -zM:^­ covered by this 

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 perfomned, 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 vwitten 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 
COASTA L ' ^Z ^ IKVmONKfKTt l 

^1 PROtt 6 * O U r t N c 

c Remove obstructions including boats, trailers, vehicles, playscape Items, wood 

piles, dog houses, etc; 

c 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; 

c 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. 

e 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 activities, or with any 

of the work done, or with the equipment used on his property, or to undertake any 

actions regarding the use of said property which would tend to endanger the health or 

welfare of the Grantees or the environment, or to allow others to use the property in 

such a manner. 

Should you have any questions about this program, please contact Coastal 

Environmental Group, at (402) 991-1199 

i I grant access to my properties D I do not grant access to my properties 

Signature Dat^ ( f ' SIgi Signature Date 

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

Page 2 of 2 
C O A S T A L 

I H 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: 3/5/;2-

Property Address; g,^^ ^ J ^^f"^ ^n". 

Phone: j iR o (^*^/ li . J ^ : qp^^ , O^C^ ^ 

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 document 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 retum of these items is the Owner's responsibiiity. 

Item: 

An\^ fSfYinif p/(i/)fs VciTix ^ 

Hem: 

Kem: 

Item: 

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

Item: 

h.r^^^^ -SYV^nJJ plfiAV^ \of f WW./v>\ 

Kem: 

Kem: 

Kem: 

Page 1 of J 
COASTA L 

Items to Be Removed By Contractor During Remediation and Reolaced 

Kem: 

Sol k Sot> - :^^tvs^ z,oiz.[^ 

Kem: 1 / 1 

Kem: 

Kem: 

item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Landscape Inventory 

Quantity 

^^) vz. 

Unit 

Quadrants 

Condition/Type/Species 

Number of trees > 2 inch 

trunk diameter 

Each 

Number of trees <= 2 inch 

trunk diameter 

Each 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

Attach a sketch of the 

sprinkler layout. 

M A- Each 

Number of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Each 

Square Feet 

Agreed upon value ofplant 

materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

$ 

Fasement Area, to be 

excavated Each 

Page 2 of. 
C O A 5 T A L 

O • O U F . INC . 

Additional Comments / Instructions: 

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

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

removing and repiacing soii underiying a gravei or dirt area on your property that you may be 

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

removing and repiacing of soii does not mean that any iiiegai driveway or parking area on your 

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

as a driveway or parking area, not wKhstanding any removai or replacement of soii by the EPA. 

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

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

Q Piease check this box if you understand the information outlined above. 

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. 

O I do not agree 

Ontractor's Signature Date 

Page 3 of. 
BVID #3/3ll _ XRF PROPERTY SAMPLE SHEET 

Date /• n ' LO/ I Address 53^ 0 A/ Z4 ST 

Project Omaha Lead ARRA Sample time am/pm 

XRF ID# ^>10LL. sample length 30 sec 

Shot# Reading Sample area Shot# Reading Sample area 

ne 236 i ^ 3 6z 

// ^ Z3^ t ^3 Depth Depth 

lio Z3I i ^ 3 r 

Average ZZ>S t Z5 y Average 

Shot# 

(13 

1 (4 

li6 

Average 

Reading 

fn'- /5­

^^ i K 

=?=! t IS­

^q i

Sample area 

Vi 

Depth 

/3'" 

 f^" / 

Shot# 

Average 

Reading Sample area 

Depth 

Shot# Reading Sample area Shot # Reading Sample area 

Depth Depth 

Average Average 

Shot# Reading 

RETEST AREAS 

Sample area Shot# Reading Sample area 

Average 

^

^ , 

y 

Depth 

Average 

Depth 

Signature 

Print Vl/^6l |i/l^ ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turhpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Supervised By: 

Certificate of Verification 

121 

SOIL 

2011-01- 19 13:07 

90.86 

Final 

Avg of 118-120 

3308 N 24 ST 

B2 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 236.364 

Supervised By: 

Certificate of Verification 

118 

SOIL 

2011-01-19 13:06 

30.29 

Final 

31312 

3308 N 24 ST 

B2 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 23.107 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 237.528 

Supervised By: 

Certificate of Verification 

119 

SOIL 

2011-01-19 13:07 

30.33 

Final 

31312 

3308 N 24 ST 

B2 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 23.703 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 120 

Mode SOIL 

Time 2011-01-19 13:07 

Duration 30.24 

Sequence Final 

Flags 

BVID 31312 

ADDRESS 3308 N 24 ST 

QUADRANT .B2 

DEPHT 4" 

XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

ppm ± Error 

Pb 231.942 ± 23.633 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Supervised By: 

Certificate of Verification 

117 

SOIL 

2011-01-19 13:03 

90.54 

Final 

Avg of 113-115 

3308 N 24 ST 

DZ 

13" 

C.PADILLA 

CONFIRMATION 

CLEAR 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 89.687 

Supervised By: 

Certificate of Verification 

113 

SOIL 

2011-01-19 13:01 

30.24 

Final 

31312 

3308 N 24 ST 

DZ 

13" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 15.952 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 64.259 

Supervised By: 

Certificate of Verification 

114 

SOIL 

2011-01-19 13:03 

30.18 

Final 

31312 

3308 N 24 ST 

DZ 

13" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 14.408 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 77.849 

Supervised By: 

Certificate of Verification 

115 

SOIL 

2011-01-19 13:03 

30.12 

Final 

31312 

3308 N 24 ST 

DZ 

13" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 15.555 
i^JJLi Omaha Lead Site—Fixed Price EP-R7-07-05 

I ^^^y I Coastal Environmental Group Inc. 

V"^^ ^ www.coastalhazmat.com 

^^tPBOi*** COASTA L 

ENymONMENTAL 

G K 0 U r. IN C 

EXECUTIVE SUMMARY: 

BVID #31312-(3308 N 24 ST) 

No Issues or Concerns |~] Issues/Concerns 

Detail Explanation: 

-DAN GARVEY WALKED THE PROPERTY ON 11/2/2010 
d% 

EPA Property Close Out Form 

Property #:^,L5iJ^l ^ Property A-dr«.^j2LJiLZH.. ^ 

Date/Time: Owner's Name:. .^j/Vlfif QQP. , TMff^i ^ 

Quads Excavaied: Contractor Group (Vyi?^!^ ! 

Eicavation Gcneml 

Yes No 

1. If necessaiy, were the correct quadrant(s) excavated and restored? / 

2. If necessary, were the correci areas ofdrip zone excavaied and restored? y 

Grading Sod aad VcKetettoB 

Yes No 

I. Does the {rading around the perimner ofthe house in excavated areas generelty slope away 

from the house? 

y 

2. Has sod been laid in all areas that were excavated? y 3.

 Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time period) _ ^ y

4. Are sodded areas generally flrm and evenly graded? y 

S. Are the Joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) y 

6. Was the property graded such that water will not pool on the pmpen\>^ y 

7. Was danuge to landscaping or plant materials avoided? y 

Gates, Fences and Rcuteias Wal k 

Yes No 

1. Do gates open and close freely? (If applicable) y 

2. Were all gates pr fences taken down during restoration activiiies reinsulled? (If applicable) y 

3. Was danuge to gates or fences avoided? (Ifapplicable} y

A. Was damage to retainbg walls avoided? (1 f applicable) y 

Foundation, SidioRand Gntlers Yes No 

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

2. Was damage to the foundation avoided? y 

3. Was damage lo windows avoided? y 

A Was damage to windows or door screens avoided? y 

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

Sidewalks and Driveways (Concrete) 

1. Was damage lo driveway surfaces avoided? 

2, Was damage to waDcway surfaces avoided? 

Yes No 

/ 

y 
I 

0>»'Ders comments: 

jinspection notes: 

Removal and restoration aclivales complele including ihe 30-day sod warranty: 

EPA Representative ^^ ^ .. Dale: uli/fe_ 
Property Completion Agreement 

I'his agreement documenls Ihe complclion of remedial acliviiies perloimed on my properly My signature 

will designale liial I am satisfied wilh ihe restoralion of my properly, and thai no ilems are in questions, 

now, or al any lime in the future, excepl lliose ilems listed below, ifany 

Property ID: 3/5/ ^ 

Property Address: :^^^ ^ ^ ^L \ % T 

Owner: AdnCfUnf i Ml^lfl S 

Phone: [-(^5 , q^riA\/, 

Restoration Items in Question: 

Item: 

Item: 

Item: 

' Item: 

1 Item: 

' Item:

K^ l tt^ree rcxtorafion is completed, except as noted 

[_] I doiiol a|;rrc restoration iih completed 

kU 

gnatiirr ^ '—^at c ' / Conn arlor's Signature Dale 

 1