## TRANSMITTALo f

OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R
SAID- : 3^Jp9 ^ Dale : 

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Address : ^if V \ \K" ^ h < Remediatio nConlriiclor : Coasta l EnN'ironnicnfa ) Grou p Year : _20]0ARR A

SOILREMEDIATJO N PROPERT V FIL EFOLDE RDOCUMENT S Vide o o f propert y (DVD ) Executiv e Summar y 

# y EPA-provide dproperl y sketc h 

# y Signe dAcces s Agreemen t for subjec t properl y Signe dAcces s Agreement(s ) for adjacen t properl y 

# y Restoratio nAgreemen t Seltlemen l documenl s (i.e. , for damag e o r l o replac e plants , etc. ) Confinnatio n dat a 

# y Photograph s i K ^T^^^ll^t ^ ^ V^(»rW » ^ f^ ^ 

# y As-buil l sketc h 

# y Satisfactor y restoratio nsigne db y Propert y Owne r 

# y Propert y close-ou l chec k lis t signe db y EP A Descriptio no f area s no t meetin g RO D cleanu p criteri a 

## 1 / Utilit y clearance s Propert y informatio nfro mDougla s Count y Assessor' s Offic e

3021885 7 

# w m Superfun d

## Propert y Acces s Checklis t Propert y ID : a.'=Vt£.° V 

## J''^il^''!i!l^:!!! L_^to>s_ja.
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Notificatio nLette r Acces s Agreemen t

Restoratio nAgreemen t Topsoi l Samplin g (i f applicable ) Disposa l Samplin g (i f applicable ) Garde nSamplin g (i f applicable ) Sent : / / Signed : SU L> -^h^ / -u^i
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• D D Q Utilit y Clearanc e

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Omah a Lea d Sit e

## Douglas Count y Accoun t Inteaatio n Pag e 1 of 2 teaai
Dougla s County , Nebrask a Propert yRecor d - R174377000 0 Prin t Report

. Vie wInteractiv e GI S Ma o Informatio n i s vali d a s o f2010-8-3 0 Treasurer' s Ta xReoor t Ne wFeatur e ^ ^ ^ Subdivisio n Sale s Searc h Owne r CITYO F OMAH A C/ 0 CITYFINANC E 181 9 FARNA M S T OMAH AN E 68183-000 0 Propert yInformatio n Ke yNumber : 437 7 000 0 1 7 Accoun t Type : E xGovernmen t Parce l Number : 174377000 0 Parce l Address : 263 5 N 1 5 S T OMAH AN E 68110-000 0 Lega l Description : MILLAR D & CALDWELL' S AD D LO T5 BLOC K0 S 4 0 W16 0 FT4 0 X 16 0 Valu e Informatio n Lan d Improvemen t Tota l 201 0 $0.0 0 $0.0 0 $0.0 0 200 9 $0.0 0 $0.0 0 $0.0 0 200 8 $400.0 0 $0.0 0 $400.0 0 200 7 $400.0 0 $0.0 0 $400.0 0 200 6 $400.0 0 $0.0 0 $400.0 0 200 5 $400.0 0 $0.0 0 $400.0 0 

### Sho wAl l Transaction s

Lan d Informatio n Acre s S F Unit s Deptt i Widtt i Vacan t 0.1 4 6400. 0 0. 0 160. 0 40. 0 Ye s



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## Pag e 1 of 2

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. Creat e Anothe r

Ticke t TIL^tecktoJrth.Intemet 1 L.ggrtd^gjaL:^ !

• YOU RTICKE T NUMBE RI S 2632038
. Origina l Cal l Date : 11/02/1 0 Wor k t o Begi n Date : 11/04/1 0 Time : 9:4 0 a m Time : 10:1 5 a m Op : ELIZABETH1879 0

State : N E Address : 263 5 County : DOUGLA S Street : N15T H S T Place : OMAH A
Twp : 15 N Twp : Rng : 13 E Rng : Sect-Qtr : 10-S E Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D T O TH E PEDESTA L Remarks : FAX AL L CLEAR S TO : (877)662-421 1

: UNSUR E I F CORNE R LOT . Compan y: C07VSTA L ENVIRONMENTA L SERVIC E Contac t Name : ELIZABET H Phone : (877)662-421 0 Wor k Bein g Don e For : COASTA L Dept h o f Excavation : 4 F T Come r Lot : N Front : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V MCINE B MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e
CXCAT V CO X COMMUNICATIONS , IN C HEID I 

## Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7

MCINE B MC I N O CALLPE R MEMO 

## Day : 8002893427 Alt : Emerg : 800289342 7

MUDO l METROPOLITA NUTILITIE S DISTRIC T SAND Y 

### Day : 402504782 3 Alt : Emerg : 402504797 0

OMAHACO FCIT Y O FOMAHA-TRAFFICSEWE RRICH/TRAFFI C 

### Day : Alt : 402444719 7 402444516 1 Emerg : 402444516 0


## http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS..
. 11/2/201 0

### Pag e 2 of 2

0PPDGPR5 OMAH APUBLI C POWE RDISTRICT EL M LOCATIN G 

### Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3
QLNNEIC QWEST LOCA LNETWOR K EL M LOCATIN G 

### Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS.
. . 1 1 /2/2010

### 2960 9 

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# Omah aLea dSuperfun dSit e EHVIROMMCNTA L e N O U P

. IH C OLS# : 2960 9 Dat e Excavated : 11/15/201 0 Dat e USEP ASigne d Off : 12/2/2 ( Are a Sodden : 688 5 s o f t Exterio rPain t Omali a Lea d Sit e Owne rName : CHRISTOPHE R BOGACZ •Goo d Sit e Sketc h Address : 2635N15S T •Poo r

Ptione : H : W : [ J No t pain t Lea d Sampl e „ Sample s Collecte d Sampl e Numbe r Concenlratio n Collecte d Firm : FtA : HTJ-Ru j RYASCPXA-2960 9 F 1 i>S D pp m Q ^ D Date : ^'ZT^-ST RYBSCPXA-2960 9 F 2 g^ p pp m E f n Time : 1 2 4 S RYCSCPXA-2960 9 B 1 dCe ^ pp m0 ' • Sample s Analyze d RYDSCPXA-2960 9 B 2 STypp m [? f • RDZOCrXA-ZOOO O -B2 - pp m • • XR F Uni t lO'i TBook : /2 ? nC2SCPX A2060 0 -G2
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### Legen d Concret e Dri p Zon e Excavate d Quadrant s Excavate d Are a replace d wit h So d ' ' Are a replace d wit h Rock/Mulc h Are a lef t bar e 

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

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### Onnah a Lea d Sit e Owne rName : CHRISTOPHE R BOGACZ Q Goo d 

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## D D Date : _^Z2--S ^ Time : 

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### Omah a Lea d Sit e Owne rName : CHRISTOPHE R BOGAC Z Address : 2635 N 1 5 S T 

### Sit e Sketc h Phone : H : Sampl e Numbe r RYASCPXA-2960 9 RyBSCPXA-2960 9 RYCSCPXAr2960 9 RYDSCPXA-2960 9 RDgOGPXiV2Q00 9 F 1 F2 8 1 8 2 B£ > 

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RIGH TO F ENTR YTO PREMISE S 

### Granto ! (th e property ' owner) consent s to an d authorize s th e Unite d State s Environmenta l Protectio n Agency(F-.PA ) o t its authorize d representatives , collectivel y th e Grantee , t o ente rsn d perfor m certai n environmenta l respons e activitie s upor i th e followin g describe d premises :

Ownef' s Name ; Daytim e Phone ; 

## ^VV ' y^v g

Addres s o fPropert y covere d bythi s Agreement ; 

# 2^5 ^ V/5 5 r PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EPAi s requestin g acces s t o collect soi l sample s an d remove soi l that contain s elevate d concentration s oflea d an d maypos e a healt h hazard

. Th e area(s ) wil l be excavate d t o remov e contaminate d soil

. Th e remove d contaminate d soi l wil l be replace d wit h clea n material s an d th e are a wil l b e restore d t o it s origina l condition

. Thi s wor k i s bein g performe d unde rth e Omah a Lea d Superfun d Site remediatio n program . Arepresentativ e o fCoasta l Environmenta l Group , contracte d byUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l have a n opportunityt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e it begins

. Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confir m tha t i t i s complet e an d meet s wW h th e Grantor' s approval

. Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Athat th e property ha s bee n remediated

.
ENVIRONMENTA L RESPONS E ACTION S 

### B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , its employees , contractors an d subcontractor s th e righ t t o ente rth e properly , a l al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e ofperformin g th e wor k Thi s acces s shal l remai n i n effect unti l th e wor k ha s bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f2ccAs I ; • I '. ^

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### ' Remov e obstiuction s incljciin g boats , tiaileis , vc-.hicles. , playscape- - iic-'nr , woo d piles , do g houses , etc : < flemov e fiov,'e i bulb s o i piani s tha t th e Granto i cfth e Giafitoi' s tc-!"icn t niri yw t o save ; is h Wate ran d maintai n leplacernen l vegetation , includin g lerliiize rspplicrtion , a s necessary ' subsequen t t o s n initia l waterin g perio d b yEPA , < Abid e b yhealt h an d safet yguidanc e provide d b yEPA , I fth e property ' i s rented , assis t EP Ai n obtainin g tenan t sppioN'a l fo i th e propert yt o perfor m th e work

. acces s t o I Allo wvideotapin g and/o rphotographin g o fth e properly

. AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interler e o rtampe rwit h an yo fth e wor k activities , o i wit h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s properly , o rt o undertak e an y action s regardin g th e us e o fsai d property ' whic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9

• 0^ 1 gran t acces s t o m ypropertie s •I d o no l gran t acces s t o m ypropertie s

Signature ' 1 / Dat e Signatur e Dal e

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## Restoratio n Agreemen t Tti e purpos e ofthi s agreement i s t o provid e amutual agreement a s to condition s ofth e property prio r to remediatio nactivities
. Thi s wil l als o serv e a s documentatio nfor th e purpos e o f assurin g tha t restoratio n activitie s ar e complete dto th e satisfactio no f th e property owner andth e Unite dState s Environmental Protectio nAgenc y (EPA)
.

PropertylD : (- ] H^jycOCX P Property Address : ^^5 5 ^ jc ^ ^-j

­ 0>vner : CfT ^ ^ ^ Q^^^+fi
. Phone : 4L/t | ^^-^ ^ O nth e attache ddiagram(s ) indicate area(s ) to excavate , surfac e structure s andlandscapin g feature s and acces s location(s ) to b e use db y th e contractors . Indicate distances , depths , material types , etc . Photographicall y andVideographically document th e existin g condition s ofth e propert y andth e basemen t i

f necessary . 

### Item s t o b e Remove d b yth e Owne rbefor e Start o fRemediation : Th e removal , storage , disposal , and/o rretur n o fthes e item s i s th e Owner' s responsibility

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Landscap e Inventor y Ite m Quantit y Uni t Condition/Type/Specie s Pre-existin g property area , Quadrant s tha t wil l b e excavated , tha t i s covere dwit hgrass . 

## i Number o f tree s > 2 inch Eac h 

# / r ­ trunk diamete r Number o f tree s <= 2 inch Each ^ trunk diamete r Number o f Sprinkler Zones , Contro l Valves , Eac h Timers , Heads , etc . Attachasketc ho f the i.prinlvle r layout
. Number o f andsiz e of eachgarden / flowe r be d Each area . Square Feet Attachasketc hot'ielati\ e size s an dlocalians
. Agree dupo nvalu e of plant material s no t to b e replace db v contractor . Note thi s xiilu c «il i he use d( 0 issu e nplan t ^()ucller 1 0 th e propcrl > o>

\ncr . Easement Area , to b e Eac h excavate d 

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Pag e 2 o fC O AS Tif , L CNVIKONHI N T AL CROUP , INC

.

Additiona l Comment s / Instructions : Th e cit yo fOmah a ordinance s ma yprohibi t yo u fro m usin g dir t o rgrave l area s o n you rpropert y as driveway s o rvehicl e parkin g areas . Th e Environmenta l Protectio n Agenc y(EPA) ma yb e removin g an d replacin g soi l underlyin g a grave l o rdir t are a o n you rpropert ytha t yo u ma yb e usin g a s a drivewa yo rvehicl e parkin g area . I fthi s i s th e case , yo u shoul d understan d tha t thi s removin g an d replacin g o fsoi l doe s no t mea n tha t an yillega l drivewa yo rparkin g are a o n you r propert yi s mad e legal

. T o th e contrary , yo u ma yb e cite d b yth e cit yi fyo u us e a grave l o rdir t are a a s a drivewa yo rparkin g area , no t withstandin g an yremova l o rreplacemen t o fsoi l b yth e EPA

. I fyo u hav e an yquestio n abou t legalit yo fa certai n drivewa yo rparkin g area , yo u ma ycontac t th e cit yo fOmaha' s Plannin g Departmen t a t (402 ) 444-5150

. O Pleas e chec k thi s bo xi fyo u understan d th e informatio n outline d above

.

n Chec k th e bo xi fOwne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage

. B ycheckin g thi s bo xCE G i s no t responsibl e fo ran ydamag e don e t o th e interio ro fhouse , includin g foundatio n crack s o rfissures

. 

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9 3 SOI L 2011-01-2 4 11:5 5 30.2 6 Fina l 2960 9 263 5 N1 5 S T E A 1 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 23.16 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 191.66 6 Supervise d By : 

## Certificat e o fVerificatio n

9 4 SOI L 2011-01-2 4 11:5 6 30.0 4 Fina l 2960 9 263 5 N 1 5 S T E A 1 " C.PADILL A CONFIRMATIO N CLEA R

Erro r 21.28 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d By : 

## Certificat e o fVerificatio n

9 1 SOI L 2011-01-2 4 11:5 2 90.7 6 Fina l Av g o f88-9 0 263 5 N 1 5 S T F2 13 " C.PADILL A CONFIRMATIO N CLEA R

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 349.01 2 Supervise d By : 

## Certificat e o fVerificatio n

8 8 SOI L 2011-01-2 4 11:5 0 30.3 0 Fina l 2960 9 263 5 N 1 5 S T F2 13 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 27.12 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 301.16 6 Supervise d By : 

## Certificat e o fVerificatio n

8 9 SOI L 2011-01-2 4 11:5 1 30.2 3 Fina l 2960 9 263 5 N 1 5 S T F2 13 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 25.22 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 331.14 5 Supervise d By : 

## Certificat e o fVerificatio n

9 0 SOI L 2011-01-2 4 11:5 2 30.2 3 Fina l 2960 9 263 5 N 1 5 S T F 2 13 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 27.05 7

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d By : 

## Certificat e o fVerificatio n

8 7 SOI L 2011-01

- 2 4 11:4 9 90.9 0 Fina l Av g o f84-8 6 263 5 N 1 5 S T F l 13 " C.PADILL A CONFIRMATIO N CLEA R

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 420.17 0 Supervise d By : 

## Certificat e o fVerificatio n

8 4 SOI L 2011-01-2 4 11:4 3 30.3 1 Fina l 2960 9 263 5 N 1 5 S T F l 13 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 29.36 7

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 447.78 7 Supervise d By : 

## Certificat e o fVerificatio n

8 5 SOI L 2011-01-2 4 11:4 8 30.3 1 Fina l 2960 9 263 5 N 1 5 S T F l 13 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 30.57 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 439.16 7 Supervise d By : 

## Certificat e o fVerificatio n

8 6 SOI L 2011-01-2 4 11:4 9 30.2 8 Fina l 2960 9 263 5 N 1 5 S T F l 13 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 30.59 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d By : 

## Certificat e o fVerificatio n

8 1 SOI L 2011-01-2 4 11:3 9 91.2 0 Fina l Av g o f78-8 0 263 5 N 1 5 S T B 2 6 " C.PADILL A CONFIRMATIO N CLEA R

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 341.27 8 Supervise d By : 

## Certificat e o fVerificatio n

7 8 SOI L 2011-01-2 4 11:3 7 30.6 6 Fina l 2960 9 263 5 N 1 5 S T B 2 6 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 23.99 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 378.82 0 Supervise d By : 

## Certificat e o fVerificatio n

7 9 SOI L 2011-01-2 4 11:3 8 30.2 7 Fina l 2960 9 263 5 N 1 5 S T B 2 6 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 28.25 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 364.72 2 Supervise d By : 

## Certificat e o fVerificatio n

8 0 SOIL 2011-01-2 4 11:3 9 30.2 7 Fina l 2960 9 263 5 N 1 5 S T B 2 6 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r 27.41 7

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d B y 

## Certificat e o fVerificatio n

7 7 SOI L 2011-01-2 4 11:3 6 90.9 2 Fina l Av g o f74-7 6 263 5 N 1 5 S T B l 6 " C.PADILL A CONFIRMATIO N CLEA R

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 335.95 7 Supervise d By : 

## Certificat e o fVerificatio n

7 4 SOI L 2011-01-2 4 11:3 5 30.3 1 Fina l 2960 9 263 5 N 1 5 S T B l 6 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 26.56 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 315.96 4 Supervise d By : 

## Certificat e o f Verificatio n

7 5 SOI L 2011-01-2 4 11:3 6 30.3 1 Fina l 2960 9 263 5 N 1 5 S T B l 6 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 25.59 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 397.39 0 Supervise d By : 

## Certificat e o fVerificatio n

7 6 SOI L 2011-01-2 4 11:3 6 30.3 0 Fina l 2960 9 263 5 N 1 5 S T B l 6 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r
± 28.81 8

## \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 I vr^^JJ ? Coasta l Environmenta l Grou p Inc

. www.coastalhazmat.co m Xp„o,t«i* ^ COASTA L ENVIIONMINTA L C H O U P , IN C 

# EXECUTIV ESUMMARY : BVID #29609-(263 5 N1 5 ST )
"x l No Issue s o r Concern s Q Issues/Concern s Detai l Explanation :

# £ £ EP APropert y Clos e Ou t For m Proptrt y # : . _ 3?£^ 5 Propert y Addresr
. — Date/Time : txl>-l* C Owner' s Nsmt

- r . , . Confracto r Grou p Quad t FxcBvnlrd : Fl^F4,BlJJ' i Cccjr**-

­ E;icavat)o nGenera l 1 IfneccsSMy , were th e correc t quadranl(t ) excavate dandrestored' ' 

## y 

# ' 4 2 if nccessar)' , wer e th e correc t area s o f dn p /.one cxcavaie dan drestored' ' 

### yI Ye s N( / I I Doe s the gradin g aroun dth e perimeie r ofth e hou.s e i nexcavairr i area ? generall y SIUJ Hawa \ 

## I y ~ fromthe house ? Ha s so dbee nlai dinall area s thai %ver e excavated ? 

### / Grfldln g So d an d VcgcUlio p 

# I i i Doc s the sodappea r r

o b e generall y health y an dgrowing ? (t)nl y evaluat e i f msprrio da i a? 0 

### / da y tim e period )
. . _­ 

### y 4 Ar e sodde darea s generall y firman devenl y graded ?

- I V ­ 1 *> Are th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspccic da t a?nda y lim e period )
__ 

# y r 6 Wa s the property grade dsuc htha i water will tio i poo l c mih f propertv' ' 

### y 7 Wa s damag e t o landscapin g o r pla mmaterial s avoided' ' 

# y
Gates
. Ftoce s ap dRetainin g Wall s T D o gate s openandclos e freely ? fif applitable ) • / , , Wer e al l gate s o i fence s take ndow ndunn g restoralio natiiviiie s reinstalled'. ' (II apo/icah k i I ' I

' Wa s damag e t o gale s or fence s avoided ? (Ifapplicable ) t Wa s damag e t o retainin g wail s avoided ? (Ifapplicable ) 

## y \ 

# J.
f otipdation , SidJB K an dGMtler s ___ I Wa s damag e t o th e sidin g o r tri mavoided ? 

# A ' Y' I 2 Wa s damag e t o the foundatio navoided' ' 

# A

' "' Wa s damag e l c window s avoided' ' 

# A

<

! W'B. S damag e to window s o r doo r screen s avoided' ' Wa" ; damag e i o downspout s or downspou i ixiension s avoided ' 

## ! y Sidewalk s an dDriveway s (Coocrtte ) > e s ^( •

_—! • I Wa s damag e l o drivewa y surface s avoided' ' 1
. Wa s damag e t o walkwa y surface s avoided' 'OMPPP * 

### comments :

InsnfTtio nnotes :

Remova l an dresioiatioi i Hi.li\ale. s ciunplei e includin g ih e 30-da y .so dwancinr y l.-P ARcprespniituv c _ B"^ ^
_Oate ; _ _M^ °' ^ 

## Propert yCompletio n Agreemen t
Thi s a(!recmen i dcictnncni } (h e i:(unplclio n o l rrinediii l 8C(ivMi » pcrloiint d no m ypiopert yM ysignaiui e wil l desigiiai ciha l I a m sslL^fie d wtl h lli e rctioralio n o fm yproperly , an d Iha l n o ncm s are i n quesiion.* ^ iiov^

. o ra l an yinn e i n th e fulure

. cxcep i ihos ciiem s liste d below , r fan y Propert yIP : XTCs O 2.~

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