TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: ^(?1PQ Date: 1 n/i!i 

p 

Address: hM f lD<v ^r 

Remediation Contractor: Coastal Environmental Group Year: 2009 

SOIL REMEDIATION 

PROPERTY HLE FOLDER DOCUMENTS 

y Video of property (DVD) 

y Executive Summary 

EPA-provided property sketch 

y Signed Access Agreement for subject property 

-s- Signed Access Agreement(s) for adjacent property 

51/ Restoration Agreement 

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

•B-

Confirmation data 

y Photographs ffe V^^|1^4 ^ V ^(Mlm(fl i \ ^(h 

t/ As-built sketch 

Satisfactory restoration signed by Property Owner 

y 

Property close-out check list signed by EPA 

Description ofareas not meeting ROD cleanup criteria 

Utility clearances 

Property information from Douglas Coimty Assessor's Office 

• 

• 

D 

Signature 

30217990 

Superfund 
# 

Property Access Checklist 

Property ID: 

^QWoi^ D WORK STARTED ON. _/ /_

D WORK COMPELTED ON: / / Pr.|,.m Ada,... ^ , ^ :gf>/ f ,«. r 

Owner Renter ^y^.K ^ pTi^ ^ 

Addrass: 

Phone: 

FiLv: 

'Tiyh^^^ Cell/Pager: 

P^onc: 1<S^^^2 ^ 

Additional Int'ormittion: 

?*\: 

Ccll/Pager. 

• Nutirictftion Letter Sent: Bv: 

Acces5 Agreement 

Slpicd: JilXL't A By: 

ReslomtioD Agreement Stptcd: II I l l lO ^ By: 

I I Topsoil Sampling (if •pplicublc) By: 

Q DisposiU Sampling (rf applicable) By: 

O Giirden Snmpling (if applicable) By: 

Uiilltv Clearance 

Called: ^/J_/i2 ^ ^ a//^fi(09 

Video/Photos (Before) On:jL'jL'± ­

• Video/Photos (During) On Bv^ ' 

D Video/Phot04 (After) On / / By 

D Video/Photos (30-D«y) Oo By: 

pcrty Completion Agreemenl Sip^d./lJ^lpl By: 

j/ D Final Report Issued: By: u 

Air MoniforinK (inapplicable) 

[U Community CU Crew On: 1 1 By: 

Results: 

D Comraunitj' (Zl Crew O n : / / By: 

Results: 

~. 

• Community Q Crvw On: / / By: 

ResulU: 

Omaha Lead Site 
Douglas Coimty Account Inf^H|tio ^H^ C n Page 1 of4 

Douglas County, Nebraska Property Record - R1748570000 

Print Report 

NEW Feature - ParesI Dimensions availabie (5) scaie 0-50 ft west of 52nd St - VlOW OH Ma p Information is valid as of 2009-10-15 Treasurer's Tax Report 

New Feature - • - • ^ Auto Sales Search 

Owner 

FRIZELL EARNIE 

ETAL 

2436 IDA ST 

OMAHA NE 68112-0000 

Property Informatio n 

Key Number: 4857 0000 17 

Account Type: Residential 

Parcel Number: 1748570000 

Parcel Address: 2436 IDA ST 

OMAHA NE 68112-0000 

Legal Description: MINNE LUSA LOT 12 BLOCK 3 W 1/2 LT 11 & ALL 66 X 120 

Value Informatio n 

Land Improvement Total 

2009 $5,400.00 $69,300.00 $74,700.00 

2008 $5,400.00 $69,300.00 $74,700.00 

2007 $5,400.00 $66,800.00 $72,200.00 

2006 $5,400.00 $66,800.00 $72,200.00 

2005 $5,400.00 $66,800.00 $72,200.00 

2004 $5,400.00 $48,900.00 $54,300.00 

Sales Informatio n 

Sales Date: 2007-05-15 

Deed Type: WD Book: 2007 Page: 098602 

Price: $0.00 

Grantor: FRIZELL EARNIE 

Grantee: FRIZELL EARNIE ETAL 

Valld/lnvalld: Invalid 

Exclusion Reason: Family Sale 

Sales Date: 2006-03-25 

Deed Type: CD Book: 2006 Page: 034906 

Price: $0.00 

Grantor: Estate of Walter Frizell Jr 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 10/23/2009 
Douglas County Account InfoMation Page 2 of4 

Grantee: 

Valld/lnvalld: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valld/lnvalld: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Earnie J Frizell 

Invalid 

Family Sale 

2006-02-16 

QC 

$0.00 

Yano A McClain 

Walter Frizell Jr ETAL 

Invalid 

2006-02-13 

QC 

$0.00 

Darren W McClain ETAL 

Walter Frizell Jr ETAL 

Invalid 

2006-02-13 

QC 

$0.00 

Diana L Cass 

Walter Frizell Jr ETAL 

Invalid 

2006-02-13 

QC 

$0.00 

Marion J McClain 

Walter Frizell Jr ETAL 

Invalid 

2006-02-07 

QC 

Book: 2006 Page: 039452 

Book: 2006 Page: 039449 

Book: 2006 Page: 039451 

Book: 2006 Page: 039453 

Book: 2006 Page: 039450 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 10/23/2009 
Douglas County Account InfQ|«|tion Page 3 of4 

Price: $0.00 

Grantor: jerry A McClain ETAL 

Grantee: Walter Frizell Jr ETAL 

Valid/Invalid: invalid 

Exclusion Reason: 

Lan d Informatio n 

Acres SF Units Depth Width Vacant 

0.18 7920.0 1.0 120.0 66.0 No 

Improvemen t Informatio n 

Building 1 

2436 Ma S) 

TvreSlory 

^3 "fj^y ^ 

D^**1 e*c* 8 • 

CLICK TO ENLARGE IMAGE 

Square Footage: 1481.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

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

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 1.5 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Hip Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: i 0.0 

year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1924 0% 1924 86 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Appliance Fireplace Masonry 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 10/23/2009 
Douglas County Account InfagM|tion Page 4 of4 

Basement 

Fixture 

Fixture 

Fixture 

Garage 

Porch 

Porch 

Bsmnt Blocl< 8 ft 

Base Fixtures 

Bath Full 

Bath Half 

Detached 

End Solid Wall 

Slab Roof Ceil 

728.0 

1.0 

1.0 

1.0 

576.0 

112.0 

12.0 

http://douglasne.mapping-onUne.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 10/23/2009 
Page 1 of2 

"> 

Create Another Ticket - J ^ Bacj< to-irth Internet -.•-_.) Send Email ,| 

YOUR TICKET NUMBER IS 2404942. 

Original Call Date: 11/11/09 Time: 12:15 pm Op: ELIZABETH18790 


Work to Begin Date: 11/16/09 Time: 7:15 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2436 Street: IDA ST 


Twp: 16N Rng: 13E Sect-Qtr: 27-SW,28-SE,33-NE,34-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type pf Work: LEAD REMEDIATION 


Location of Work: INCLUDE ALL EASEMENTS LOCATE ENTIRE PROPERTY 


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 Corner Lot: N Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MAGELLAN METRO MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


UtUity Service Area Contact Phone Number Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 9185747098 

X

MAGELLA * A /-CT T A XT MAGELLAN MIDSTREAM PARTNERS TM:T>r.i> A UN . _ DEBORAH Alt: 

Emerg: 9185747098 


Day: 4024572307 


METRO METRO COMM. COLLEGE CHRIS Ah: 4026727033 


Emerg: 4024572313 


Day: 4025047823 


MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 


Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 11/11/2009 
Page 2 of2 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RICH/TRAFFIC

Day: 4024447197 

 AU: 4024445161 

Emerg: 4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Ah: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK NA 

Day: 4067289343 

Ah: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 11/11/2009 
OLS#: 40900 

Date Excavated:11/19/09 

Date USEPA Signed Off: 1/21/10 

As-Built Drawing 

COASTA L Omaha Lead Superfund Site Area Sodden: 1656 sq ft 

40900 

Omah Exterior Paint a Lead Site • Good Site Sketch 

Q^Poor 

Sampling Address:2436 IDA ST [|] Not paint f 

Sample Number Lead Sample Samples Collected LAB Concenlralion Collected Fimi y^Itf. DB T.\ 

RYASCPXA-40900 Fl ppm D Date: 'iJ2lio/J 

RYBSCPXA-40900 F2 IH5 ppm D Time; IB--SO An 

RYCSCPXA-40900 Bl 

ppm D Samples Analyzed RYDSCPXA-40900 B2 -it'^i ppm [T 

RDZSCPXA-40900 DZ 

ppm D XRF Unit: {pSHO Book: 22£ _ 

RGZSCPXA-40900 GZ ppm D Date: lo-o'^ ne 

RPZCOPXA 40000 PZ- ppm D Time: Lto. .Lab RYDSCPU-40900 Staff: Number of Samples = | (^ jQiU_ •Result 358 ppm n . = Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla; Ali^Lodrants are as viewed Jrpm the street, facina pfoperty 

' 'K'Jlc^ Zl .\u g 

Legen d 

Concrete Drip Zone Excavated Quadrants Excavated 


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

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

y u \ tX. IL K-^ «(!• :/^ ^i i ^rt^ y'^ ^ ^ 

40900 COL// l^hr.x \n/±i\xxfia^. Omah Exterior Paint a Lead Site • Good Site SIcetch 

H^Poor 

Sampling Address: 24 36 IDA ST Q Nol pamt 

Sampl Lead Sample Samples Collected e Number LAB Concentration Collected 

RYASCPXA-40900 Fl j H5 ppm y D Date: 1/2l/o8 

RYBSCPXA-40900 F2 l3U > ppm D Time: lO-i^Q M\ 

RYCSCPXA-40900 Bl ^ 1 IMI pom 

358 ppm 

RYDSCPXA-40900 B2 33 '^ ppm 0' n Samples Analyzed 

RDZSCPXA-40900 DZ - ] ? 5 1 oom a XRF Unit; (nSH O Book: 72 ^ 

RGZSCPXA-40900 GZ ^6 0 ppm a Date loo' i oB 

nPZCCPXA 40000 PZ­ - ppm D Time J m. ,Lab RYDSCPLA-40900 

'Result Number of Samples = [ (^ | | / | Staff: m^i^ 

. = Front Right, Bl = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla: 

All quadrants are as viewed frpm the street,, racingpropeft racir _ y 

i^tu^ 
^ !([( 

40900 Ccm 2,^hriMnd:li<x^ct 

Omaha Exterior Paint Lead Site 

Sit • Good e Sketch 

0^Poor 

Sampling Address: 2436 IDA ST 

Q Nol paint 

Sample Lead Sample 

Samples Collected Number LAB Concenlralion Collected Pi'-m jyinr. m TA 

RYASCPXA-40900 F1 1 I J ppm D Date: •illlhli 

RYBSCPXA-40900 F2 

D Time: ih^^o An 

RYCSCPXA-40S0O Bl ^ " 1 ft*/ ppm 

Samples Analyzed 

RYDSCPXA-40900 B2 _3j3.3__PPm D 

RDZSCPXA-40900 OZ • f^S l ppm XRF Unit: (nSH O Book: 77C i 

RGZSCPXA-40900 GZ 2 GO ppm D Date: IQ-Q' ^ • Q 6 

nPgOCPXA 40000 P2r- ppm a n Time: /?/n 

,Lab RYDSCPLA-40900 

Staff: ^^U j Number of Samples • •Result 

358 ppm L

D = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla; 

All quadrants are as viewed from (he streel, racing propefty 

••>-^ . -yn ^ i e —i " V - . / IM 4-. . 

. U ~ - -• - — t ^V. . ^- N^JfcClt^ •.-.' .-< S. , •^.: 

XE*V ST, iK '-n^^ - :7-,V^JlS 

^tVi ^ 
Vt II(( 

40900 Ccm ^^/in^ )ndJ\^a. Omaha Exterior Parnt Lead Site 

Sit • Good e Sl<etch 

H^Poor 

Sampling Address: 2436 IDA ST [~| Not paint 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm: PHTMT H B T \ 

RYASCPXA-40900 F l 

lis, ppm D Date: 1/21 Jo8 

RYBSCPXA-40900 F2 

ppm D Time: ll-s-.^JO An 

RYCSCPXA-40900 Bl 

ppm D Samples Analyzed RYDSCPXA-40900 B2 ppm ET [T 

RDZSCPXA-40900 DZ \3(e ppm D XRF Unit: (,,SHO Book: 72C: 

RGZSCPXA-40900 GZ ppm D Date loo'i -oe 

nnzocpxA 40000—pz - ppm D D Time Am. ,Lab RYDSCPU-40900 Staff: Numbe 20>O r of Samples = | (^ \ \ j \ nsLJ 'Result 358 ppm = Front Right, Bl = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla' 

All quadrants are as viewed frpm the street, racing property 

y 

I^Tioe*!^ 
40900 

Omah Exterior Paint ^4oI1h Arrow a Lead Site 

Sit • Good e SIcetch 

H^Poor 

Sampling Ad<lrei«:2436lDAST Q Not pairrt 

Lead Sample 

Samples Collected Sample Number |j<kB Concentration Collected Fi""

 ?li,Ttr BBT\ 

RYASCPXA-40900 F1 I I S ppm n Date: Jiaiioa . 

RYBSCPXA-40900 F2 I3<e ppm D Time: Ih-fSO Kt\ 

RYCSCPXA-40900 B1 lliH ppm D 

Samples Analyzed RYDSCPXA-40900 82 ppm [T 

RDZSCPXA-40900 DZ ppm D XRFUnH: InSH O Book: ??r> 

R6ZSCPXA-40900 GZ ^6 P ppm D Date: 

nPZOOPXA 40000 PZ- ppm D D Time 

Am­ ,Lab RYDSCPLA^OOOO 

Staff: Number of Samples = | ^ | | / | * Result 358 pp „ 

rasu ' Front Right, B1 = Back Left, B2 -

 Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla; 

AUguejiyntt v* m viewed jrpni ttie tlgel , tednqjropeity 

:L»"8 Cr«ilcit. ;7-,\ugJjS 
,^^*!r*v* 

COASTA l 

IHVIItONHIHTA I *^. pno't''' CROUP . IN C 

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 perfornn certain environmental response activities upon the 

following described premises: ,i^^ , 7^ 

Owner's Name: Daytime Phone: 

Pnry^Q. ^y\T.a\ 

Address of Property 

covered by this 

Agreement: 

"2^^^^ \S)r\ ?i\ 

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 perfonned, the Grantor will have an 

opportunity to review and approve the planned soil removai, 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 wori^. This access shall 

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

agrees to: 

Page 1 of 2 
c

r 

\

V'^^'^*'^ ' ' COASTAL 

' i PRO'"-*' C R O U r I tt C 

t 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; 

e Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

t 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. 

•t 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 

•^ 1grant access to my properties D I do not grant access to my properties 

Signature yy Ppe Si Signatur j e Date 

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

Page 2 of 2 
COASTA L 

RestoratSoE^ Agreemertt 

The purpose of this agreement is to provide a mutual agreemem 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 Envirorunental 

Protection Agency (EPA), 

'D^QO 

Property Address: gjj ^ 0^[^ \ P K '^^ 

Owner: f(^(^^( ^ ^^<-\?^\ \ 

Phone: .^-^•'.a^ia 

On the attached diagram(s) indicate area(s) to excavate, surface structures and landscaping features end 

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 return of these Itoms is the Owner's responsibility. 

ttem: 

h m f^mtUl pi/xnf^ 

item: 

Item: 

Item: 

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

item: 

A•nu playj^ lej-f h^incJ 

Item: 

ttem: 

ttem: 

Page 1 of. 
COASTA L 

Items to Be Removed By Contractor During Remediation and Replaced 

ttem: 

^/ / OjnrJl &d ^il nnd Ol.. ttem: 

item: 

item: 

Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch 

trunlc diameter 

Number of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

Aiiach n skeicli ol lUe 

Number of and size of 

each garden/ flower bed 

area. 

Alliith J ski/irti 1)1 ri.-!;nivf 

M/i"snnd loc;lli(Ml^ 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

VcK' llii' \«lnc v\ill ni 

\oiicitt.T f(. ilif |;ro|)Cil\ 

u^^ ner. 

Quantity 

M\A 

Vll ^ 

ao^ 

I 

^ 

Landscape Inventory 

Unit Condition/Type/Species 

Quadrants 

Each 

Each 

Pflch 

Each 

Square Feet 

$ 

Easement Area, to be pendjuo^ Pom5:A^ S ^ Each 

excavated 

Page 2 of. 
r:Xi 

C O A S 7 A L 

r. . a u r . r N c 

I Addttional Comments / Instructions: 

i 

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. 

H^I agree CD I do not agree 

&^r^',Q„'^I)P //-//- ^ Pym^J^ n/lrldl 

Owner's SJgnmre o Date Contractor's Signature Date 

y Page 3 of 
BVID# ^Cf^O O 

XRF PROPERTY SAMPLE SHEET 


Date Address n-i^-ip^ ^g^EZ^EMZaZ 

Project Omaha Lead ARRA Sample time am/pm 

XRFID# ^Qga-g- sample length 30 sec 

Shot# Reading 

ho\ l^b± ((« 

bo^ :^ii iS' 

30 ^ -^k ^ l(p 

Average '^^-Q J^ \ -r 

Shot# Reading 

t' q< 

iHL 

J,±l 

ni j:1^ 

n j: \^ 

Average ^ 1 t> l ^ 

Shot# Reading 

Average 

Shot# Reading 

^ J 

Average 

Signature 

Sample area 

y ^ 

Depth 

) •' 

Sampl npii e area

Dept ipthh 

\y^ 

Sample area 

Depth 

Shot# 

^22 . 

^9e> 

m-

Average 

Shot# 

Average 

Shot# 

Average 

RETEST AREAS 

Sample area Shot# 

Depth 

Average 

Reading 

foH^ » > 

(al i IL 

lol ^ 1 ^ 

(n.^ ­ ^t 

Reading 

Reading 

^ 

Sample area 

M 

Depth 

X2ilL 

Sample area 

Depth 

Sample area 

Depth 

Reading Sample area 

Depth 

priricE^^Zi^ i 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Biilerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 248 

Mode SOIL 

Time 2010-04-12 07:52 

Duration 91.35 

Sequence Final 

Flags 

AVERAGE [ Avg of 245-24^ 

ADDRESS ^2436-Ida-st- ^ 

QUADRANT 

DEPHT 

XRF TECH ^NrlOPEZ 

MISC confirmation 

NOTE none 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 88.256 

Supervised By: 

Certificate of Verification 

245 

SOIL 

2010-04-12 07:51 

30.47 

Final 

40900 

2436 Ida st 

Bl 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 14.222 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Bilierica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 77.718 

Supervised By: 

Certificate of Verification 

246 

SOIL 

2010-04-12 07:51 

30.44 

Final 

40900 

2436 Ida st 

Bl 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 13.527 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 86.948 

Supervised By: 

Certificate of Verification 

247 

SOIL 

2010-04-12 07:52 

30.44 

Final 

40900 

2436 Ida st 

Bl 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 14.184 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Biilerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 304 

Mode SOIL 

Time 2010-01-21 11:39 

Duration 90.30 

Sequence Final 

Flags 

AVERAGE CAv9^dfi5iuai32> 

ADDRESS 2436 Ida SSt. 

QUADRANT EM 

DEPHT 1 

XRF TECH E. CACERES 

MISC 1 

NOTE 1 

± Error ppm 

Pb -697726' 3Bi66t:r: ^ 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 62.986 

Supervised By: 

Certificate of Verification 

301 

SOIL 

2010-01-21 11:32 

30.07 

Final 

40900 

2436 Ida SSt.. 

EM 

1 

E. CACERES 

1 

1 

± Error 

15.950 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Biilerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 302 

Mode SOIL 

Time 2010-01-21 11:35 

Duration 30.10 

Sequence Final 

Flags 

BVID 40900 

ADDRESS 2436 Ida SSt.. 

QUADRANT EM 

DEPHT 1 

XRF TECH E. CACERES 

MISC 1 

NOTE 1 

ppm ± Error 

Pb 70.609 ± 17.872 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Biilerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 75.566 

Supervised By: 

Certificate of Verification 

303 

SOIL 

2010-01-21 11:39 

30.13 

Final 

40900 

2436 Ida SSt.. 

EM 

1 

E. CACERES 

1 

1 

± Error 

± 16.162 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Biilerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 300 

Mode SOIL 

Time 2010-01-21 11:27 

Duration 90.32 

Sequence Final 

Flags 

AVERAGE r Ava^297-29 9 ) 

ADDRESS ^ 2436 Ida SSt.. 

QUADRANT DZ 

DEPHT 13 

XRF TECH E. CACERES 

MISC 1 

NOTE 1 

ppm ± Error 

Pb r~e^397-^ ± r~t6:523" s:> 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 64.226 

Supervised By: 

Certificate of Verification 

297 

SOIL 

2010-01-21 11:24 

30.08 

Final 

40900 

2436 Ida SSt.. 

DZ 

13 

E. CACERES 

1 

1 

± Error 

± 16.539 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 298 

Mode SOIL 

Time 2010-01-21 11:25 

Duration 30.16 

Sequence Final 

Flags 

BVID 40900 

ADDRESS 2436 Ida SSt.. 

QUADRANT DZ 

DEPHT 13 

XRF TECH E. CACERES 

MISC 1 

NOTE 1 

ppm ± Error 

Pb 60.741 ± 15.790 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Biilerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 68.824 

Supervised By: 

Certificate of Verification 

299 

SOIL 

2010-01-21 11:27 

30.08 

Final 

40900 

2436 Ida SSt.. 

DZ 

13 

E. CACERES 

1 

1 

± Error 

± 17.240 
# 

i^jOL\ Omaha Lead Site—Fixed Price EP-R7-07-05 

3 ^^^ ^ I Coastal Environmentai Group inc. 

\^^" ^ www.coa8taihazmat.com 

NpRott?^ COASTAL INVIIONHEKTAl 

c ao u P, II I C 

EXECUTIVE SUMMARY: 

BVID #40900-(2436 IDA ST) 

No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 
/f^ l ^ 1 

EPA Property Close Out Form 

Property #: Property Addresr.­ Datc^lrae: Owner's Nam.:./,..g'rf^l^jj^y B^i^^'f ^ 

Quads Excavaled; QT * ; f^^ iB ^ Contracto >rwv<-^^ 

r Group C-CflLgifyiK CVl^^ 

Excavation General Yes No 

1. If necessaiy, were the coirect quadrant(s) excavated and restored? • 

2. If necessary, were the contcl areas of drip zone exca vetcd aod restored? / 

GradlDK Yes No Sod and Vcsetalioa 

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? / 

3. Does the sod appear to be generally healttiy and growing? (Only evaluate if inspected at a 30 y day time period) _ — 

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

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at ^ 30 day y time period) r 6, Was the property graded such that water will not pool on ihe property'' y 

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

Gates. Fencea and Rctttnlng Walls Y« Nu r' Do gates open and close finely? (Ifappiicable) / 

Were all gates or fences talcen down during restoration activities reinstalled? (Ifappiicable) / 

3. Was damage to gates or fences avoided? (Ifappiicable) — _... 

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

Foupdation,SidiBgand Gntlers Yes ,No 

I Was damage to the siding or trim avoided? / 

2, Was damage to Ihe foundation avoided? / 

5. Was damage to windows avoided? 

" Was damage to windows or door screens avoided? 

/ 

Was damage to downspouts or downspout extensions avoided? / 

SidewaFIa and Driveways (Concrete) Yes No 

1 Was damage lo driveway surfaces avoided? 

2, Was damage lo wallcway surfaces avoided? 

n /

/ 
OM'ticrs comments: 

I in.spection no<cs: 

t " " 

y y 

Removal and restoration activates complete including the 30-day sod warranry: 

EPA Representative ^-^jW Date; il.*'l*° 
I

Property Completion Agreement 

riiis agreemenl documenls ihe complclion of remedial acliviiies perloiiTied on my properly My signalure 

will designale Ihal I am satisfied wilh Ihe restoralion of my propeily. and Ihal no ilems are m questions, 

now, or at any liine in the future, except ihose ilems hsled below, if any 

Property rP: Lj^^< ^ 

Property Address: 2q^ O tP A S f . 

Owner: £^^y^ | ^ ^\?tl \ 

Phone: 402.-M<rfr-.^;^.q 

Restoration Items in Question: 

item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

?L(6i, 5ob A^rrtt ^ ^ ^ ^^ ^ <Q^A^^^^­

 M I Agree I'Ktoralion is coinplcied, except as noied 

[_j I do nol fl(;rec restoration is completed 

.^ ^ A/A ^ (D(yu^;t.^ j-ZO-AP 

Date Condarfor' s Signature Dale 
Properly Owner Sstisfaction Survey 

Onnaha Lead Superfund Sit 

2008

Remediation Contractor; Coastal Environmental Group 

m L^r::7r:^r^^^%—7

 JAN I 1

 SUPERFUND

 2010 

DIVISION 

Vtoptfts Qivner's Name: Mji^ ^ lA | ^ Fp l 7 f 1 / 

(above information to be filled out by remediation contractor prior to delivery of form lo Property Owner) 

lnstrm;tions to Property Owner: 

This form is provided to you as a means of trying to capture your level of satisfaction with the 

work of the above-identified remediation contractor, as applicable to the soil cleanup action at your 

property. The U.S. Environmental Protection Agency (EPA) is very interested in your opinion regarding 

the work performed by its contractors. This form is intended to provide an easy means for you to 

express your opinion about the work performed on your property. 

Please indicate your level of satisfaction with the contractor's work by selecting a numerical 

rating (ranging from 1 to 10) using the following rating scale, then please sign and date the form and 

return it to the USEPA in the attached self-addressed & stamped envelope, (additional comments may 

also be provided in the space below, at the option ofthe property owner) 

excellent" 

"very good" 

acceptable^ 

poor" 

"very poor" 

Propertv Ow/ner's Satisfaction Rating Regarding Contractor's Work 

10 5 

9 4 

8 3 

7 2 

Additional Comments from Property Owner tootlonal; continue to back of oaee if needed) 

Property Ovimer's Signatu^^^^^^^^ ^ NttoA-^v^ ^^-^..^^^^^Date : y-yy > -- / ^