TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: 2^^/ ^ Date: 2\n\(A 

Address: 2^2 ^ S)\or\dO S f 

Remediation Contractor: Coastal Environmental Group_ Year: 2008 

SOIL REMEDIATION 

PROPERTY nL E FOLDER DOCUMENTS 

H^ Video of property (DVD) 

B^ Executive Summary

^ EPA-p.,videdpTMp.r.y sketch

yr

H^ Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

Q / Restoration Agreement 

 40314736 

 inHliNHil 

 Superfund 

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

Q^ Confirmation data 

S ^ Photographs ^r^^^jfy^Jthfi^^ -gf^r^J/i>fe»V^ .-S/^d, ^fui j Scd , 

S/ As-built sketch 

Sr Satisfactory restoration signed by Property Owner 

Q/ Property close-out check list signed by EPA 

fq^n Description of areas not meeting ROD cleanup criteria 

GJ/ Utility clearances 

[r Property informationfi-om Douglas County Assessor's Office 

^ fyth:. 

D 

^om ^ ^^^i^/ 

<-^^^jj^^,^J« ^ ^/e/df 
Property Access Checklist 

Property ID: 2'^,q\-^ 

Property Address: ^^ ^ ,^ pj^p^ ^ g ^ 

n

D

 WORK STARTED

 WORK COMPELTED

 ON: __/__/_ 

 ON: __/__/_ 

Owner: ^Y^^ Q \ndi\.\^ti\ n 

Address: 

Phone: 3^2'2ft2 0 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

Cell/Pager: 

n

0 "

0

G

D

D

0

D

n

n

D

D

D

 Notification Letter 

 Access Agreement 

 Restoration Agreement 

 Topsoil Sampling (if applicable) 

 Disposal Sampling (if applicable) 

 Garden Sampling (if applicable) 

 Utility Clearance 

 Video/Photos (Before) 

 Video/Photos (During) 

 Video/Photos (After) 

 Video/Photos (30-Day) 

 Property Completion Agreement 

 Final Report 

Sent: / / 

Signed: 5_/2a/efl . 

Signed: ft /TJ/Bf t 

/ / 

/ / 

/ / 

Called: _S_/26/0fi. 

On: / / 

On: / / 

On: / / 

On: / / 

Sinned: / / 

Issued: / / 

By: 

By: P C 

By:^C 

By: 

By: 

By: 

By: ^-20 8 

By: 

By: 

By: 

By: 

By: 

By: 

^ 

Air Monitoring (as applicable) 

Community CH Crew On: / / Bv: 

CH Community CH Crew On: / / By: 

n Community CH Crew On / / Bv: 

Omaha Lead Site 
• # 

CONTACT FORM 

Property ID # ^llWl r 

Property 

Address: aa?>U P^r^rvHn?^ 

Initial Contact: Date: Time: Action: 

Second Contact: Date: Time:_ Action:_ 

Final Contact: Date: Time:_ Action; 

Final Action: Transmit to EPA D Other Action: D 

3M3 -^'kfio 

Comment: 

Owner 

Comment (s): 

Site 

Coordinator 

Comment (s): 
• • 

Douglas County Accotug|afonnatio lUflliafonni n Page 1 of 1

Douglas County, Nebraska Property Record - R1944410000 

Print Report 

NEW Faatura - Parcel Dimensions available G scale 0-50 ft west of goih St - VlOW On Ma p Information is valid as of 2008-6-19 Treasurer's Tax Report 

Newpeature iH>.*>#[>^: Auto Sales Search 

Owner 

MOBECO INDUSTRIES 

11413 HICKORY RD 

OMAHA NE 68144-0000 

Property Informatio n 

Key Numbsr: 4441 OOOO 19 

Account Type: Residential 

Parcel Number 1944410000 

Parcel Address: 

Legal Description: 

2426 BLONDO ST 

OMAHA NE 68111-0000 

PARKERS ADD LOT 5 BLOCK 1 E 1/2 30 X 140.7 

Value Informatio n 

2008 

2007 

2006 

2005 

2004 

2003 

Land 

$200.00 

$200.00 

$200.00 

$200.00 

$200.00 

$200.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$200.00 

$200.00 

$200.00 

$200.00 

$200.00 

$200.00 

ijin d Informatio n 

Acres 

0.09 

SF 

4230.0 

Units 

0.0 

Deptii 

141.0 

Width 

30.0 

Vacant 

Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoiintinfo.jsp?accountno=Rl9... 7/17/2008 
D Ranote ID: R page 9 M ^ 9 

Magellan 


One-Ca11 


P.O. Box 3448 


Tulsa. OK 74101 


Phone 918/574-7098 


Fax 918/574-7466 


The following 0ne-Ca11 Agency dig tickets called in by: 

Excavator: COASTAL ENVIRONMENTAL SERVICE 

Fax Number: 8776624211 

Phone Number: 8776624210 > 

Fax Date: 2008/08/28 

Batchid: 526249 

Will be CLEAR of underground facilities for: MAGELLAN PIPELINE 


State Ticket Number Excavator Contact Dig Address 


NE 2119033 ELIZABETH 2426 BLONDO ST 


NE 2119034 ELIZABETH 2428 BLONDO ST 


If you have any questions, please contact Magellan OneCall at 918/574-7098 

• • • • 

Page 1 of2 

Creats Another Ticket Back to Irth Intemet Send Email 

YOUR TICKET NUMBER IS 2119033. 

Original Call Date: 8/28/08 Time: 12:14 pm Op: ELIZABETH18790 


Work to Begin Date: 9/02/08 Time: 12:45 pm 


State: NE County: D01K3LAS Place: OMAHA 


Address: 2426 Street: BLONDO ST 


Twp: 15N Rng: 13E Sect-Qtr: 09-SE,10-SW,15-MN,16-NE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead remidiation 


Location of Work: LOCATE ENTIRE PROPERTY ALL THE WAY TO THE STREE. 


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


: VACANT LOT. 


: tJNSURE OF CORNER LOT 

Company : COASTAL ENVIRONMENTAL SERVICE 


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

Work Being Done For: coastal 

Depth of Excavation: 4ft Comer Lot: N

Involves Tunneling or Horizontal Boring : N

 Front: Y

 Explosives: N 

 Rear: Y 

CXCATV LEVEL3 MAGELLAN MODOl OMAHACOF OPPDGPRS QLNNEIC 


Service Area Contact Phone Nomber Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

LEVEL3 LEVELS COMMUNICATIONS, LLC NA

Day: 8773668344 

 Alt: 

Emefg: 8773668344 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP TONYA

Day: 9185747098 

 Alt: 

Emerg: 9185747098 

MUDOl METROPOLrrANUTIUTIES DISTRICT SANDY

Day: 4025047823 

 Alt: 

Emeig: 4025047946 

ht^://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/28/2008 
• • • • 

Page 2 of2 

OMAHACOF CITYOFOMAHA-TRAFFICSEWER RON

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

OPPDGPRS OMAHA PUBUC POWER DISTRICT NA

Day: 4067289343 

 Alt: 8887289343 

Emerg: 4067289343 

QLNNEIC QWEST LOCAL NETWORK NA

Day: 4067289343 

 Alt: 

Emerg: 8887289343 

http://www.dhon.org/irtluntemet/DHONNoticeCreatioii/MessageText.asp?ret=<RESULTS... 8/28/2008 
As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

27317 

Omah Exterior Paint North Arrow a Lead Site 

Sampling AddrMs: 2426 BLONDO ST Site Sketch • GocxJ 

• Poor PhoiM: H (402)342-2820 ALT: [g^Not paint t

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm: B>A ffe-Jf e 

RYASCPXA-27317 Fl ppm D Date: 7- - IZ - 07- RYBSCPXA-27317 F2 70 7 ppm D Time: f ; 0 Ahn 

RYCSCPXA-27317 B1 S i n ppm n Samples Analyzed RYDSCPXA-2731

nDgOCrXA'27317

7

 B

 B2 

2 

I I (o l ppm i D

ppm XRF Unit: 6,5^/2 Book /fi ^ 

RGZ6CPXA 27317 GZ D D

ppm D D Date fl- /5-0 7 

RPZ6CPXA 27317 P2- ppm D D Time JLCL 

Staff: Number of Samples = ^ t^sw 

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 

OLS#: 27317 

Date Excavated: 9/13/08 

Date USEPA Signed Off: 12/3/08 

Area Sodded 3902 sq ft 

Legen d 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced with 

Sod 

Area replaced with 

Rock/Mulch Area lef t bare 

Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc . 
/ 27317 

Omah Exterior Paint North Arrow a Lead Site • Good Sampling Address: 2426 BLONDO ST Site Sketch 

D ^°°^ Phone: H (402)342-2820 ALT: [g^Not paint t

Sampl Lead Sample Samples Collected e Number 

Concentration Collected 

LAB 

Firm ¥PA f6-J)fe 

RYASCPXA-27317 Fl ppm D Date ^ -IZ - 07- RYBSCPXA-27317 F2 70 7 ppm Time ±J5_ A m 

RYCSCPXA-27317 Bl Si n ppm 

Samples Analyzed RYDSCPXA-27317 B2 1 / <6Z ppm I a

nDZGCPXA-27317 BZ ppm n XRF Unit tJyB'il Book yBV 

RGZSCPXA 27317 GZ ppm D a Date 8-/5-0 7 RnZSCPXA 27317 PZ- ppm D Time ML D 

Numbe Staff: hiW r of Samples = l^ o 

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

All quadrants are Muj^i/y i from the street, facing property 

V #'|t: ^ 

ENTERED 

JUL 2 7 2107 

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Ocaied '.'12/2fifl- 10 J 7 49 ^l>^Mf 041.14)0123 

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27317 

Omah Exterior Paint North Arrow a Lead Site 

Sampling Address: 2426 BLONDO ST Site Sketch • Good 

• Poor 

Phone: » (402)342-2820 ALT: [g^Not paint Ul 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm 

Samples Collected 

¥PA f6-J)fe 

RYASCPXA-27317

RYBSCPXA-27317

 Fl 

 F2 707 

ppm 

ppm 

D 

D 

Date 

Time 

-7- -IZ ­ 0 ^ 

? • 0 a.m 

RYCSCPXA-27317

RYDSCPXA-27317

 Bl 

 B2 

5/<o 

i I (o ^ 

ppm 

ppm 

D 

D Samples Analyzed 

RDZGCPXA 27317

nCZCCPXA 27317

RPZCCPXiA 27317

 BZ 

 GZ 

 PZppm 

ppm 

ppm 

D 

n 

D 

D 

D 

U^ 

XRF Unit: g.5^ 2 Book

Date 

Time 

P,­ I'l'0 7 

AH. 

2^ . 

Numt>er of Samples = ^ O Staff: f^sw 

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

All quadrants are a» uien ^ from the street, facing property 

: t^Hmtrr^,^ 

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27317 

Omah Exterior Paint North Arrow a Lead Site 

Samoiing Address: 2426 BLONDO ST Site Sketch • Good 

• Poor 

Phone: H: (402)342-2820 ALT: [g^Not paint 

Sample Number Lead Sample Samples Collected 

I 

LAB Concentration Collected Fimi: ¥PA H>' ^ 

RYASCPXA-27317 F1 l^ O ppm D 

Date: 1- - IZ - 0 ^ 

RYBSCPXA-27317 F2 70 7 

ppm D Time: ^ ; V5 Ahn 

RYCSCPXA-27317 B1 Si n ppm D 

Samples Analyzed 

RYDSCPXA-27317 B2 1 1 (o l ppm D 

nDZOCPXA-27317 BZ ppm D XRF Unit: g>5^2 Book: yfW 

RCZSCPXA 27317 6Z — ppm D Date: fK- I'j-C q — n nPZSCPXA 27317 PZ- ppm D Time: _ ^ \ 

Staff: h5 W Number of Samples = i-f^ 

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

All quadrants are ag viewed from the street, facing property 

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« < # 

COASTA L CNVIRONHINTA l 

••iwio* " C • O U » . IH C 

Consent For Access To Propeity 

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: if 1 ^ 2.11 

Owner' Daytime Phone: s Name:jAofej:0'j^K\c[i^<';£ 5 

Address of Property 3m> Qknio ^ . 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 performed, the Grantor will have an 

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

before it Isegins. 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: 

\ 

•i^ Page 1 of 2 
V: 

COASTA L ENVIRONHfMTA l 

%-«,tt«'' ^ CROUP . IH 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 

^ i grant access to my properties 

Q I do not grant access to my properties 

(-^/ ' Signature / ^ Daie Signature / Date 

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

COASTA L 

Restoration Agreement 

The purpose ofthis agreement is to provide a mutual agreement as to conditions ofthe propert>' prior to 

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

activities are completed to the satisfaction ofthe property owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: ^[7^/ ^ 

Property Address: ^l^^^ ^ Blmi L W . 

Owner: l^pbeC Q -^^(^0^' ^ 

Phone: j^^; ^ . ^ ^ - Q^^ O 

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

utilities, subsurface features, surface structures and landscaping features, access location(s) lo be used by 

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

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

Items To Be Remove d By Owner Before Start Of Remediation: 

(Use additional sheets as necessary) 

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

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 1 of. 
COASTA L 

Items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item: 

^ 

" 

r "* Item: 

Item: \ 

Item: 

\ 

Item: 

\ 

Item: X 

Item: 

Item: 

\ 

Item: \ 

\ 

Item: 

\ , 

Item: 

\ 

Item: \ 

Item: 

^ 

1 Item: - — — •" ' 

-^- — 

Item: 

Page 2 of 
COASTA L (NVII»OH»««KT* L 

C •> O O P IN C 

Items To Be Removed By Contractor During Remediation And Replaced 

(Use additional sheets as necessary) 

Item: 

Item: ^^- ^ 

Item: ' 

\ 

Item: \ 

\ V 

Item: 

\ 

Item: 

\ 

Item: 

i 

Item: X 

\ 

Item: 

Item: X 

Item: 

' \ 

\ 

Item: \ 

Item: 

1 

Item: 

/

^ 

Item: 

Page 3 of. 
COASTA L 

Landscape Inventory 

(Use additional sheets as necessary) 

Item Quantity Unit Condition/Type/Species 

Pre-existing property area, 

that will be excavated, that Square feet 

is covered with arass. 

Number of trees > 2 inch 

Each trunk diaineier 

Number of trees •'= 2 inch Each irunk diameter 

Number of Sprinkler 

Zones. Control Valves. 

Timers. Heads, etc. Each 

- ^ ^ 

Auach a sketch uf the 

iPi'iiikle;- !a\ OUT. 

Number of and size of 

each garden/ flower bed 

area. Each ^ k Square Feet 

M:'e> anj locaiions. 

Page 4 of 
ap^ 

C O A S T A 

Item Quantity Unit Conditlon/Type/Species 

Agreed upon value of 

plant materials not to be 

replaced by contractor. 

Note this value will be 

used to issue a plant 

>oucher to the propert) 

owner. 

~ ^ $0 I 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. Each 

include a sketch of were 

each plant \y'i\\ be placed 

b_\ the coniracior. 

Agreed upon area of 

property to be replaced 

w ilh grass sod. 

i'ii.'k:dc a skeu:li ol' [lie 

aiea(s) u^ be replaced iv'ili 

ii'-a-.s >od. 

SF 

• 

Area of Cif> or Count> 

property to be landscaped 

per their requirements. ^ SF 

.i . w . 

iriLkiile

.i:eo iSi 

. -i-.eivi' ..;' ;!c 

Easement .Area, to be 

excavated SF 

, . . - • 

Page 5 of 
C O A S T A L 

LJ 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 

^^^'^^f^s^^Jk i W^ h ^ 

Contractor's Signature Date 

Page 6 of. 
Date 

Project 

XRFID# 

Shot# 

3 1 c^ ^ 

3-7 U)M 

5 1 L^S 

3TC^=fc 

Average

Shot# 

3TT ^ 

3 i m 

3-n-r 

?>-JT(.^ 

Average

Shot# 

37^ 3 

5-i^ M 

376 6 

3^^Ct f 

Average

Shot# 

3IS: 

in ^ 

^ 111 

Average

lab sample # 

BVID#iiL50. XRF PROPERTY SAMPLE SHEET 

<\- \-h -0 8 Address r>\^ U ?i\or^Ac>'S ^ 

Omaha lead FP 2nd year opllon Sample time am/pm 

S3.0% q sample length 30 sec 

Reading Sample area Shot# Reading Sample area 

i38 . ^ni - ^M.i b 5 7u2'c> -)Dt..oS - Kl 01 

^ ^ 3-13.^'^* ^Z.f>Z^ ^ \ 3 -7 c^-^i iiu . o^t t Kua n 

• ^:i• ^ ToiaJ.T< t Depth il l nc > .:!,•.-^..-VT '^ ig./, ^ Depth 

I'^U ?3-*; 3 3 ii ^ Le ;^ 1 T ^M . Ta.^iH->^ C D 

 .l?,n..M,^'^ .o^gy a Average Qty-i . S^ ^ \ ^ • V ^ 

1 

Reading Sample area Shot# Reading Sample area 

JOi.^-ii - IR'i ^ 3 7 1 e 'MO'=i.nc.1^,3«,.13. f ^ ^ \ Kt' i . yo ^ \ ^ '-^^ ,^-7-7 ^ 'Asn.wa i 3(, i s 

\R^.Si^*- xl.^xh Depth i?7B O Muo c i t. a.i.i>3- Depth 

l>^k.5»o^ \n.-i i U? 3 7ti l Mac^.Tjt : ,^i^^.^,„ 6? 

 1^3 .;:3Mt- X'S.aC:. Average ^.^l.-? ! t ^^.u ^ 

Reading Sample area Shot# Reading Sample area 

JBT.s^ t aa.uT 

iC'S 3^ t a;o.';o 

3iP,..;)ai . as.^-? Depth Depth 

ia-s-Bs !La3.Hg \ 

 S08-T ^ — QQ - 8^ 1 Average 

RETEST AREAS 

Reading Sample area Shot# Reading Sample area 

h - ^ 

Depth ^ Depth / ' ^ /

h"H-Mn t U-pi T^ ^ y 

 It-^^ t l^.-'^'l Average 

Lab result Sample area XRF Avg. 

c

Signature 

Print |l/ll^f-07 JKlftT^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3767 

Mode SOIL 

Time 2008-09-13 11:53 

Duration 120.99 

Sequence Final 

Flags 

AVERAGE 4Avg of 3763-3766 

ADDRESS 2426 Blondo st 

QUAD/ZONE Jl 

INSPECTOR lopez 

DEPTH 

SAMPLE TYPE •'CLEARANCE'^ 

NOTE 

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 338.971 

Supervised By: 

Certificate of Verification 

3763 

SOIL 

2008-09-13 11:52 

30.52 

Final 

27317 

2426 Blondo st 

Bl 

lopez 

6 

CLEARANCE 

± Error 

± 24.176 
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 322.993 

Supervised By: 

Certificate of Verification 

3764 

SOIL 

2008-09-13 11:52 

30.19 

Final 

27317 

2426 Blondo st 

Bl 

lopez 

6 

CLEARANCE 

± Error 

± 23.827 
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 325.750 

Supervised By: 

Certificate of Verification 

3765 

SOIL 

2008-09-13 11:53 

30.03 

Final 

27317 

2426 Blondo st 

Bl 

lopez 

6 

CLEARANCE 

± Error 

± 23.788 
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 334.217 

Supervised By: 

Certificate of Verification 

3766 

SOIL 

2008-09-13 11:53 

30.25 

Final 

27317 

2426 Blondo st 

Bl 

lopez 

6 

CLEARANCE 

± Error 

± 23.880 
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 

Pb 

Supervised By 

Certificate of Verification 

3772 

SOIL 

2008-09-13 11:58 

121.70 

Final 

,Avg of 3768-3771 

'2426 Blondo st 

|B2 

lopez 

CLEARANCEIT 
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 206.026 

Supervised By: 

Certificate of Verification 

3768 

SOIL 

2008-09-13 11:55 

30.61 

Final 

27317 

2426 Blondo st 

B2 

lopez 

6 

CLEARANCE 

± Error 

± 19.071 
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 216.094 

Supervised By: 

Certificate of Verification 

3769 

SOIL 

2008-09-13 11:56 

30.57 

Final 

27317 

2426 Blondo st 

B2 

lopez 

6 

CLEARANCE 

± Error 

± 19.473 
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 203.472 

1 

Supervised By: 

Certificate of Verification 

3770 

SOIL 

2008-09-13 11:57 

30.25 

Final 

27317 

2426 Blondo st 

B2 

lopez 

6 

CLEARANCE 

± Error 

± 18.856 
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 204.715 

Supervised By: 

Certificate of Verification 

3771 

SOIL 

2008-09-13 11:58 

30.27 

Final 

27317 

2426 Blondo st 

B2 

lopez 

6 

CLEARANCE 

± Error 

± 19.131 

,­
# 

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 

Pb 

Supervised By 

Certificate of Verification 

3777 

SOIL 

2008-09-13 12:03 

122.35 

Final 

Avg of 3773-3776 

2426 Blondo st 

Fl 

lopez 

6 

CLEARANCE 
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 201.572 

Supervised By: 

Certificate of Verification 

3773 

SOIL 

2008-09-13 12:01 

30.48 

Final 

27317 

2426 Blondo st 

Fl 

lopez 

6 

CLEARANCE 

± Error 

± 18.577 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3774 

Mode SOIL 

Time 2008-09-13 12:02 

Duration 30.57 

Sequence Final 

Flags 

BVID # 27317 

ADDRESS 2426 Blondo St 

QUAD/ZONE Fl 

INSPECTOR lopez 

DEPTH 6 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 199.346 ± 18.509 

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 186.555 

Supervised By: 

Certificate of Verification 

3775 

SOIL 

2008-09-13 12:02 

30.50 

Final 

27317 

2426 Blondo st 

Fl 

lopez 

6 

CLEARANCE 

± Error 

± 17.927 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3776 

Mode SOIL 

Time 2008-09-13 12:03 

Duration 30.80 

Sequence Final 

Flags 

BVID # 27317 

ADDRESS 2426 Blondo st 

QUAD/ZONE Fl 

INSPECTOR lopez 

DEPTH 6 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 181.500 ± 17.768 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3782 

Mode SOIL 

Time 2008-09-13 12:06 

Duration 121.95 

Sequence Final 

Flags 

AVERAGE |Av g of 3778-3781 

ADDRESS 2426 Blondo st " -

QUAD/ZONE ^ 2 

INSPECTOR • iopez 

DEPTH 

SAMPLE TYF E "CLEARANCE 

NOTE 

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 409.403 

Supervised By: 

Certificate of Verification 

3778 

SOIL 

2008-09-13 12:05 

30.23 

Final 

27317 

2426 Blondo st 

F2 

lopez 

6 

CLEARANCE 

± Error 

± 26.123 
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 427.620 

Supervised By: 

Certificate of Verification 

3779 

SOIL 

2008-09-13 12:05 

30.69 

Final 

27317 

2426 Blondo st 

F2 

lopez 

6 

CLEARANCE 

± Error 

± 26.346 
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 460.070 

Supervised By: 

Certificate of Verification 

3780 

SOIL 

2008-09-13 12:06 

30.75 

Final 

27317 

2426 Blondo st 

F2 

lopez 

6 

CLEARANCE 

± Error 

± 27.525 
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 429.727 

Supervised By: 

Certificate of Verification 

3781 

SOIL 

2008-09-13 12:06 

30.28 

Final 

27317 

2426 Blondo st 

F2 

lopez 

6 

CLEARANCE 

± Error 

± 26.564 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3787 

Mode SOIL 

Time 2008-09-13 12:18 

Duration 122.11 

Sequence Final 

Flags 

AVERAGE f Avg of 3783-3786 f^ 

ADDRESS 12426 Blondo st 

QUAD/ZONE jf easemerit 

INSPECTOR lopez 

DEPTH ^ 1 

SAMPLE TYPE ^CLEARANCE '"' 

NOTE 

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 287.535 

Supervised By: 

Certificate of Verification 

3783 

SOIL 

2008-09-13 12:15 

30.34 

Final 

27317 

2426 Blondo st 

easement 

lopez 

1 

CLEARANCE 

± Error 

± 22.072 
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 303.381 

Supervised By: 

Certificate of Verification 

3784 

SOIL 

2008-09-13 12:17 

30.68 

Final 

27317 

2426 Blondo st 

easement 

lopez 

1 

CLEARANCE 

± Error 

± 22.517 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3785 

Mode SOIL 

Time 2008-09-13 12:17 

Duration 30.41 

Sequence Final 

Flags 

BVID # 27317 

ADDRESS 2426 Blondo st 

QUAD/ZONE easement 

INSPECTOR lopez 

DEPTH 1 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 318.237 ± 23.270 

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 325.831 

Supervised By: 

Certificate of Verification 

3786 

SOIL 

2008-09-13 12:18 

30.68 

Final 

27317 

2426 Blondo st 

easement 

lopez 

1 

CLEARANCE 

± Error 

± 23.481 
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 

4000 

SOIL 

2008-09-15 13:09 

121.62 

Final 

,vg of 3996-3999 

_ 2426 blondo st ' 

| F 2 

I. lopez 

' 8 

RETEST 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3996 

Mode SOIL 

Time 2008-09-15 13:06 

Duration 30.30 

Sequence Final 

Flags 

BVID # 27317 

ADDRESS 2426 blondo st 

QUAD/ZONE F2 

INSPECTOR lopez 

DEPTH 8 

SAMPLE TYPE RETEST 

NOTE 

ppm ± Error 

Pb 108.264 ± 13.339 

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 102.655 

Supervised By: 

Certificate of Verification 

3997 

SOIL 

2008-09-15 13:07 

30.33 

Final 

27317 

2426 blondo st 

F2 

lopez 

8 

RETEST 

± Error 

± 13.134 
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 76.152 

Supervised By: 

Certificate of Verification 

3998 

SOIL 

2008-09-15 13:08 

30.67 

Final 

27317 

2426 blondo st 

F2 

lopez 

8 

RETEST 

± Error 

± 11.677 
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 84.475 

Supervised By: 

Certificate of Verification 

3999 

SOIL 

2008-09-15 13:09 

30.32 

Final 

27317 

2426 blondo st 

F2 

lopez 

8 

RETEST 

± Error 

± 12.016 
^•'l-PHS^ ^ 

Omalia Lead Site—Fixed Price EP-R7-07-05 

Coastal Environmental Group Inc. 

www.coastalhazmat.com ?»FCOASTA L ENVIKONHENTAL 

GROUP , INC . 

EXECUTIVE SUMMARY: 

BVID # 27317 - (2426 BLONDO ST) 

No Issues or Concerns I I Issues/Concerns 

Detail Explanation: 
s>% EPA 

EPA Property Close Out Form 

Property tt: ^"V??L"V ,r •Propert • "t^- vy " Addr«. —- ^^-ZZ:J^J^\vv\ ^^^ ^ ^^^^il^ ^ ^S"^ ^

D«ten-Iine: ____^ ^ Owner's Name;. .i^h^VlfDjnl S M^ - ,^ \ 

Quads Excavated: P y F a <>^\ fe^ ~ Contractor Group 0 f-A9^a \ V ,V\\i\yDW\t7V\^0^ 

Excavation General /ACA/^T ^ ' Yes No 

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

2. If necessary, were the correct areas of drip zorie excavated and restored? \ ^ 

Grading Sod and Vegetation Yes No 

1. Docs the grading around the perimcicr ofthe house in excavated areas generally slope-away vX •from tht4iouse? 4 ^ ^CcMft>i.^t^tuv^^l-y2. Hais sod been laid in all areas that were excavated? ^ 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 / day time period) ^^___ 

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

5. Are die joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day y time period) _^ 

6. Was the property graded such that water will nol pool on the property? y 

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

Gates. Fences and Retaining Wails Yes No 

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

2. Were all gates or fences taitcn down during restoration activities reinstalled? (If applicable) 

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

4. Was damage to retaining walls avoided? (If applicable) 

Foundation, Siding and Gutters Yes No 

I. Was damage to the siding or trim avoided? 

2. Was damage to the foundation avoided? x j A/* i\f^ » \Jb' \ 

3. Was damage to windows avoided? Ilk 

4. Was damage to windows or door screens avoided? 

5. Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete) Ves No 

I. Was damage to driveway surfaces avoided? 

# 2. Was damage to walkway surfaces avoided? 

_1 L 1_ 
owners comments: 

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

EPA Rep^esentativj^<;^^^.^0^^,^X^ ^ Date: /Jl/j/nr ^ 
Property Completion Agreement 

This agreemenl documents Ihe complclion ol remedial activities performed nn my properly. My signature 

will designate that I am satisfied with the restoration of my properly, and thai no items are m questions. 

now, or ai any time in the future, excepi those items listed below, if any 

Propci ry [D IWI 

Property Addrcs.: ^ t/Q^ ^ glpKlJ o $ f ^ 

o^"" AA ^ ^ec o \ wc^u^Vri-^S 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

I agree restoration is completed, exctpl as noleri 

L I I do not ajjrec resloratinn is completed 

Ovmcr' s Signafiir e Date