TRANSMITTA L of OMAH A LEA D SITE 

SOIL REMEDIATIO N FIL E FOLDE R 

SAID#: l4o4/^ Date: /J2.//3 /z7)oy 

Address: 5lo4 \|[nUf^ Sir ^ 

Remediation Contractor: Coastal Environmenta l Grou p Year: 2007 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

Executive Simimary 

EPA-provided property sketch 

Signed Access Agreement for subject property 

Si^ed Access Agreement(s) for adjacent property 

w Restoration Agreement 

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

Confirmation data 

M Photographs H(0 _ sod. 3o­ uxn M

As-built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA R j( / j27)0 ~7 

Description of areas not meeting ROD cleanup criteria 

Utility clearances 

Property information from Douglas County Assessor's Office 

CW/^. /vrl^r 7/P4/Z>7 

• ^ . 

f \^^ s Od^ces^ ciieci//sf 

^ Date 

40312848 

111 

Superfund 
Sia 7 L^'^ 

Final Report Property Check List (piease place with each file) 

yllar d Cop y Informatio n 

0 1 • Property Check List 

Uf 2. Site Working Drawing Map 

0^ . EPA originals Map 

I5r4. Douglas County Assessor's Map 

nrs . Property Contact Sheet 

/A<»ieement 

21 1. Access Agreement 

j2| 2. Restoration Agreement 

IMiscellaneous Documents 

IZl 1. Final Map tj-om the Field 

121 2. Change Orders 

^ . XRF Data , / 

r^ 4. Any emails or PO correspondences r^jr> 

Property Completion 

idyr I. Executive Summary 

Ei 2. AS BUILT 

3. Property Completion Agreement s / 

4. Any buyout into or reimbursement into •^ J ^ 

ul 5. Check or money order copies 

^6 . RPA Property Close Out Form f] \f^ 

XA 1. Attached Be^in Video 

" o ' 

Electroni c Documentatio n 

^ Drawings 

[ 3 1. HPAorigmal 

CJ 2. Working Drawing 

g^ l AS Built.vso 

Q 4. AS Built.jpg 

Photos 

1 Begin Photos 

2 I^uring/Excavatit)n I'hotos 

^ Sod Photos 

-'^ 30~Day Sod Photos 

Scanned Dociinients 

Final Documents 

a" 'J Fxecutive Summary 

7 Videos 

CI/( Begin Video 

Q^ ­ My Movie 
m 

Property Access Checklist 

Property ID: j <-/ Q^l ^ n WORKSIARTED ON: / / 

Property .\ddrcss: (3( 0 U D WORKCOMPELTED ON: / / ]/,nkn U ­

a x fo\ Ou ner: 

\_axf^ 

•Address: Q 

t^R.Jdr\ f\(Xx\ Renter: 

Phone: 

Fax: 

Cell/Pa<^er: 

Phone: ^3. 3

Fax: 

^ 3c P ^cS/m / Additional Ini'orm.ition: 

Cell/Pauer:^0^3 SC\1^^;^^? 0 (\^Uc j 

in 

Is 

Notification Letter 

.Access .A'^rcement 

Sent:

Signed:

 / 

^ ;<A^ >6l 

By: 

B.>:(3/uJt5 1 

i S Restoration .A<:reenient Signed: T- i^ \ Ol- B.v:Civ^rS 

D 

' • 

In 

To|)soil Sainplin'j (if applica 

Disposal Samplinii (if appiic 

Garden Sampling (if applici 

hie) 

ahle) 

ihle) 

1 

1

1

 I 

1 

By: 

By: 

By: 

\\ 

m ltillt> Clearance Called: 7 IX^IC^ l 

s 

i°!• 

Video/Photos (Betbre) 

Video/Photos (Durin*;) 

N'ideo/Photos (After) 

On:

On: 

On:

 / 

/ / 

Bv:

By: 

\ 

\ 

iO 

• 

• 

Video/Photos (3<)-Da>) 

Property Completion Agreement 

Final Report 

On: 

Signed:

Issued:

 /

 /

 / 

/ 

By: 

Bv: 

• 

1 

1 

1 i 

j 

Air Monitoring (as applicahle) 

n Community n CrcNv On: / 1 Bv 

Results: 

Q Community 

1 Results: 

D Crew On: / ' 'B, : 

\ n Communit} 

1 Results: 

! 

n Cre« 1 On: / ' By: 

1 

II 

Omaha Lead Site 
Total Q>^B| u^ t t Square Footage to be Excavated = 1051 

Property Classification: 800 Total [J^Bbne Linear Footage to be Excavated = 103 

V UjV^>&.-M.-^^t-,J^ ^ 

^ tiusv/Cj^ Vinton Street |^g, ^ 4A5M^>M ^ 

Legend NorthArrow Omaha Lead Site 

• 

Concrete N Omatia, Nebraska 

Excavated Area Property Number 

Existing OLS-14046 Structure Scale 

Fence Property Address 1 Inch = 20 feet or 1 grid = 5 x 5 ft 3104 VINTON ST 

Permanent Landscaping 

Quadrant Boundary Post Excavation Concentrations (ppm) 0 \Y HGL Fl . B2 Play Area Street Boundary %, F2 DZ Easement o Tree/Siirub B1 Garden Ottier 

Desalption of post excavation areas: Fl, front yard left-hand quadrant; F2, front yard right-tiand quadrant; B1, backyard left-hand quadrant; B2, backyard right-hand quadrant; 

DZ, drip zone (1-3 foot area of soil around the foundation of the house). 
14046 

Omaha Extfifior Paint Nortti Arrow Owne Lead Site r Name: LAWRENCE^RENNANJR 

Sit 0Goo d e Sketch Address: 3104 VINTON ST • Poor 

Phone: H: W: • Not paint t

Sannple Lead Sample Samples Collected Nunnber LAB Concentration Collected Firm: p ^ ft \ R.&^'^C4 

RYASCPXA-14046 Fl 

ppm • Date: 01 - \2--O W 

RYBSCPXA-14046 .F2 no ^ ppm D Time: \1' . ^ D 

RYCSCPXA-14046 B1 u ppm 

Samples Analyzed 1021 h ppm n 

RDZGCPXA-14046 B? ppm D D XRF Unit ^ \ \ Book; % % 

ppm Lab RYCSCPLA-14046 D D Date: _ ? •\??-nv| 

Result 129 ppm ppm D D Time: _ / ^ M 

Staff: ^ Number of Samples 

f^\ l p,L L QXJ^^ ^ 

=:a 

ENTERED CACvfP ^ ixi JUL 1 6 MV % ' 

.p» ^ 

. ^ . 

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Omaha Lead Site 46LMI 
Douglas County Page 1 of2 

Douglas County, Nebraska Property Record ­ R2322530000 

Information is valid as of 2007-5-9 

Values not finalized until after Board of Equalization 

Print Report 

View on Map 

Owner 

BRENNAN JR LAWRENCE 

ETAL 

3104 VINTON ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 2253 0000 23 

Account Type: Residential 

Parcel Number: 2322530000 

Parcel Address: 3104 VINTON ST 

OMAHA NE 68105-0000 

Legal Description: THOMASO N & GOOS ADD LOT 2 BLOCK 1 50 X 128.3 

Value Informatio n 

2007 

2006 

2005 

2004 

2003 

2002 

Land 

$6,400.00 

$6,400.00 

$6,400.00 

$6,400.00 

$6,400.00 

$0.00 

Improvement 

$109,400.00 

$95,000.00 

$95,000.00 

$95,000.00 

$71,300.00 

$0.00 

Total 

$115,800.00 

$101,400.00 

$101,400.00 

$101,400.00 

$77,700.00 

$0.00 

Sales Informatio n 

Date Type Book Page Price 

Land Informatio n 

Acres

0.14 

 i SF 

6400.0 

FF 

50.0 

Units 

1.0 

Depth 

128.0 

Width 

50.0 

Vacant 

No 

Land Attributes 

Attribute Attribute Description 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo..jsp?accountno=R23... 7/25/2007 
Douglas County Page 2 of2 

verifie<l 

I?) 5 55 Ft 

Ai l 

c,i«n.. i 

li;iiJ*jO'j= 

C<atactv^ 

?Ti; Q 3, c 

iJ tr M u 

TWO STORY asm ; BocK 8 ft 

726 0 S F 

Click to Enlarge Image 

Click to Enlarge Image 

Square Footage: 1712.0 Percent Complete: 100.0% 

Perimeter I 0.0 Quality: | Average 

Unit Type: Condition: Average 

Condo Square Footage: 0.0 

Built As: 2 Story Rooms: 8.0 

HVAC: Central Air to Air Units: 1.0 

Exterior: Frame Aluminum Baths: 1.0 

Interior: Drywall Bedrooms: 4.0 

Roof Cover: Composition Shingle Stories: 2.0 

Roof Type: Gable Foundation: Block 

Floorcover: Allowance Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1910 0% 1910 97 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 728.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Detached 576.0 

Porch Slab w/Steps 50.0 

Porch Wood Deck 120.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R23... 7/25/2007 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

2322530000 

BRENNAN JR 

LAWRENCE 

3104 VINTON ST 

OMAHA 

68105 

3104 VINTON ST 

OMAHA 

NE 

68105 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

33-15-13 

THOMASON & GOOS ADD 

1 

2 

50X128.3 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R2322530000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 102 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 6/9/2007 
CONTACT FORM 

Property ID # HD^(^ 

Property 

Address: 31 OH [/jnMiS-hInitial Contact: Date:|;^/g/<a7Time: /// < Action: ^/^// ^ ^ ^ ^ ' Zl^ 0 7 

Second Contact: Date: ^ /;^^Tiine: 7/^S Action: /Upa/u 7-/<7/^^ 

Final Contact: Date:^;^g ^ Time:~^^ ^ Action: /Uc oruZ-foM^J/jJi-m. CsS^ff^ 

Final Action: Transmit to EPA D Other Action: D 

% t vu^l \Mi\ Wk ^ t ^ 

Comment: 

Owner 

Comment (s): 

Sit ^''^/'O-? y^////? - '^/ ^ /? ^ /M ^ ^ ^ -^^^ ^ <C/d/f5>^^.^ e 

Coordinator 

Comment (s' 

C^-Z^o-yyi^ 07(^6 ^^oc/t:^^ o ^ Poo >^/y<^^ 7l Aj^a^ea^­

<7/^/e^ ?6 7esr-r /^&S'^>A ^ 

7.5-07 ^/'a^b'/7^oc2 ^ <.^J)ac>;e eiAJ< ^^j^-vSrt/-^''^^ 

A^° 

r/iil07 G^^llJ K ^ CLASU^ ^ 

J 
^^^tO SI-.,, ^^^ «* 

< # 

COASTA L ENvmONHFNTA L •"4 PBOt* ^ CROUP . INC . 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States 

Environmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

following described premises: 

Owner's Name: Daytime Phone: 

»i^.^c <^'^l'?t ^ /u<v<a 

3io\ 0"vW^ SV. Address of Property 

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 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 work. This access shall 

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

agrees to: 

Page 1 of 2 
^,t O ST, , - * O,*^ * ^ 

C OASTA L ENVIRONMENTA L 

CROUP . IN 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 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 (877) 234-6270. 

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

2M1I2 

Signature Date Date ' 

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

Page 2 of 2 
COASTA L 

C « O W I* IM C 

Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of the 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: ^^ ^ o^L 

Property Address: ?,\o^ u 1 v-V^Vo^.- s\ 

Owner: 

Ujsfi.«-H \i>(l^\^n.ir\ d.AJ 

Phone: ^^ ^ | 

On the attached diagram(s) indicate area(s) to excavated and depth of e.xcavation. location of all known 

utilities, subsurface features, surface structures and landscaping features, access location(s) to 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 Removed By Owner Before Start Of Remediation: 

(Use additional sheets as necessary) 

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

Item: 

AAV M/v^U Hv^ v lO-QK-Jt" -o -^/^r . iV\ D2^ 

Item: 

(^^prvS •;^? . 

Item: ^. ^ 

Item: 

^ 

Item: ^^- ^ 

Item: ^ ^ 

Item: ^ ^ 

Item: 

^ " 

Page 1 of. 
COASTA L • MVtMOMMIMTA t G M O U r IM C 

Items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item: 

i A- Vx. ,^11 "h\f^ ^ L.'P .'.^ ^mf^^J-c.V, \>L. ^f\i ^ 3 2 

Item: 

Pl.Ul \e-uA ^ L A IVN >.t C^toiK /^n ^ \>\<^jsn..\ y^' ^ 

Item: J V 

Item: 7 

Item: / 

Item: / 

Item: / 

/ 

Item: / 

/ 

Item: 

/ 

Item: / 

Item: 

/ • 

Item: 7 

Item: 

/ 

Item: 

/ 

Item: 

7 — 

Page 2 of 
COASTA L • MVIKOMMIMTA L 

o n o w r . t N c 

Item s T o Be Remove d By Contractor Durin g Remediation An d Replaced 

(Use additional sheets as necessary) 

Item: 

ikk^ j^^>^^^ i ^ ^-A-^^ ^i : -^^ ^ /^jU/1.<-? 

Item: 

^' ^ rnt^ld-k.. Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

/ 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 3 of. 
COASTA L 

C II O W r . IM C 

Landscape Inventory 

(Use additional sheets as necessary) 

Item Quantity 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

i loo 

Number of trees > 2 inch 

trunk diameter 

1 , 1 

Number of trees <= 2 inch 

trunk diameter 

4 

Number of Sprinkler 

Zones. Control Valves. 

Timers. Heads, etc. 

4 

.^nach a sketch of the 

sprinkler lavout. 

Number of and size of 

each garden/ flower bed 

area. 

}>oa 

.Anach a sketch of relatixe 

sizes and locations. 

Unit Condition/Type/Species 

Square feet 

Each 

1 

G-oo .S ^^y^)JL 

Each 

1 

i 

Each 

Each 

Square Feet 

Page 4 of. 
1 Item 1 Quantity Unit 1 Condition/Type/Species 

Agreed upon value of [ 

plant materials not to be 

replaced bv contractor. 

Note this \alue will be 

used to issue a plant 

voucher to the property 

owner. 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. 

Include a sketch of were 

each plant will be placed 

b\ the contractor. 

Agreed upon area of 

property to be replaced 

w ith grass sod. 

Include a sketch of 'lie 

area(>.l to l^e i-eplrKed ^UIIT 

grass iod. 

Area of City or County 

property to be landscaped 

per their requirements. 

Include a sketch of ilie 

area (^ i 

Easement Area, to be 

1 excavated 

4 

4 

ijeo 

T o bt. 

,

1 

$ 

Each 

SF 

 SF 

SF 

Page 5 of. 

1 
COASTA L 

C h o ^ # > *• c 

Additional Comments / Instructions: 

/Csl>IC 

oF A-c^S-i-. 

^ s^'^>^ ^^^<^^ ^\o^ ^ ^o ^ r^ ^ . 

"QA^heck the box if Owner does not \A/ant CEG to document interior foundation walls and possible 

pre-existing damage. By checking this box CEG is not i-esponsible *or any damage done to the 

interior of house, including foundation cracks or fissures. 

i I I do not agree 

- ^ M2 

^Ic/L. T-Jziloj 

Date Date 

Page 6 of. 
• ^ 77 7C. COASTA L ENVIBONMENTA L 

CROUP . INC . 

Consent For Acces s To Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States 

Environmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

following described premises: 

Owner's Nam Daytime Phone: % Z 5^ j S<^1 ^ J?2^ 6/^G?3^^^ 

Address of Property 

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 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 work. This access shall 

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

agrees to: 

Page 1 of 2 
vV* * * 

COASTA L ENVIRONMENTA L 

CROUP . IN 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 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 (877) 234-6270. 

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

Signature^ ^ Date Signature Date 

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

Page 2 of 2 
It Square Footage to be Excavated =1051 ~ " Property Classification: 800 /^Ui^b \'Z- b'^- ^'ZJ'i^ 'ibtai^^ jne Linear Footage to be Excavated = 103 

Alley 

HtZ.% %7^ 

diJVlP. \ 

Legend 

\77< 

O 

t 

3^ 

VYV 

N 

, ,. i :t 

, v ^ h' n

^ DZ 

1438 ppm 

oA" pWi'X'N 

LA 

.^^.... 

*—f­

.»-JL. 

.i.vA,*4t^v«.- ,^s.i.,>.>. ^ ' ^ 

tJs^.'Cj^ Vikoh Street Mt ^ ^fi^uryf^ • \ t ^ ^ 

NorthArrow Omaha Lead Site Hi!.. 

Concrete N Omaha, Nebraska 

Excavated Area Property Number 

OLS-14046 Existing Structure Scale Property Address Fence 1 Inch = 20 feet or 1 grid = 5 x 5 ft 3104 VINTON ST 

Permanent Landscaping 

Quadrant Boundary Post Excavation Concentrations (ppm) 

F1 . B2 Play Area Street Boundary F2 DZ Easement 

Tree/Shrub ^ B1 Garden Other 

Description of post excavation areas: F1. front yard left-fiand quadrant; F2. front yard ngrit-hand quadrant; B1, bacl<yard left-hand quadrant, B2, backyard nght-hand quadrant; O ? 

DZ, dnp zone (1-3 foot area of soil around the foundation of the house). 

1 
PROPERTY CLEARANCE WORKSHEET 

Date mi24inq Property ID IMW- Property Project Omaha Lead -- Fixed Price Address nipn^ .mn^ 

XRFID 0107-51 Measurement 

Count/Time 

Field Shots 

Shot # Reading Sample Area Shot * Reading Sample Area 

«/: ^ 

a « 

4ry^ 

T>7 p7 \i-m" 13 2\-in'^ 

Sample Area 

Aliquot 

1 

I n Situ 

Reading 

ryp iZ-i ^ _ 

Composite Readings 

(Bag) 

Composite 

Average 

(Bag) 

Composite 

(Dried & 

Sieved) 

Analytical 

Spilt Sent 

7 

Lab 

Number 

Analytical 

Results 

2 

3 

4 

5 

~^^^ 

^ ^ 5-

B ^ f 

XRF Corrected Value --> 

(use calibration chart or add 

20»/oto value) 

4t95 

m 

' 

Sample Area 

Aliquot 

I n Situ 

Reading 

i^\^^ ^ 

Composite Readings 

(Bag) 

-92 

11 E 

XRF Corrected Value —> 

(use calibration chart or add 

20% to value) 

Composite 

Average 

(Bag) 

//7 

Ml 

Composite 

(Dried & 

Sieved) 

Pass/Fai l ? 

Analytical 

Spilt Sent 

7 

Lab 

Number 

Analytical 

Results 

Sample Area Pass/Fai l ? 

Aliquot 

1 

I n Situ 

Reading Composite Readings 

(Bag) 

Composite 

Average 

(Bag) 

Composite 

(Dried & 

Sieved) 

Analytical 

Spilt Sent 

7 

Lab 

Number 

Analytical 

Results 

2 

3 

4 

XRF Corrected Value ­ > 

5 (use calibration chart or add 

20% to value) 

Sample Area Pass/Fai l ? 

Aliquot 

1 

I n Situ 

Reading Composite Readings 

(Bag) 

Composite 

Average 

(Bag) 

Composite 

(Dried & 

Sieved) 

Analytical 

Spilt Sent 

? 

Lab 

Number 

Analytical 

Results 

2 

3 

4 

XRF Corrected Value —> 

5 (use calibration chart or add 

20% to value) 

Sample Area Pass/Fail ? 

Aliquot 

1 

I n Situ 

Readinq Composite Readings 

(Bag) 

Composite 

Average 

(Bag) 

Composite 

(Dried & 

Sieved) 

Analytical 

Spilt Sent 

? 

Lab 

Number 

Analytical 

Results 

2 

3 

4 

XRF Corrected Value ­ > 5 (use calibration chart or add 

20% to value) 

U Sf ADDiriOHA l SHEFI S I F 

XRF Technician's Signiture HFFOH )

(rTW^yQ^-/-i/Ly­
CA^y\<^x, Q)l.h>Z^ 

\D# IVO^C 

Date: "T|^H |olNaine: [c^K . C-x.^f.O_ 

Description: 

M-AATAL totvvJr ^i/\ k Q 0-AvV_k A-v^S. /( cX 1A-<L t, r\ 

\On\?v^U: 0»-w-",W r^ 

_c: 

V- trVY-^/2j)^<J-0/; ^ g- ^ J f {fe>w 
X 

o r SP 

i,~MJL\ Omaha Lead Site—Fixed Price EP-R7-07-05 [ttf^ 

oj^^^ f I Coastal Environmental Group Inc. ^^^^^ F 

V^^^^p * www.coastalhazmat.com 

^•'Lno-^' ^ COASTA L ENVIRONMENTAL . 

C <t O U ' , IN C 

EXECUTIVE SUMMARY: 

14046—3104 VINTON ST 

No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 
^ As-Built Drawing 

COASTA L Wmaha Lead Superfund Site 

Total Quadrant Square Footage to be Excavated - 1051 

Property Classilicatlon 800 Total Dnp Zone Linear Footage to be Excavated = 103 

Bushes - Save 

per Owner's 

Request 

^ 

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I I i i Vinton street 

North Arrow Omaha Lead Site N Omaha, Netjraska Ugend 0LS#: 14046 

..:„Date Exciavated: 8/25/07 

Property Number 

0ate USEPA Signed Off: 9/11/07 

OLS-14046 Scale Property Address • Fence 1 Inch = 20 feet or 1 grid = S x 5II 3104 VINTON ST 

Permanent Landscaping 

— — — Quadrant Boundary Post Excavation Concentrations (ppm) ^•. w HG L F 1 . B2 Play Area "~~'^^~ ~ Strcat Boundary 

• / - F2 DZ Easement \ y Tree/Stvub B1 Garden Other 

D«$c^>I)^on of post excavstion areas ri . trenT vard l«fl hand quadrant F2 tmrfi yard ngtnt hand quadrant. B1 backyard let hand quadrant B2. backyard right hand quadrant 

DZ. dnp zon« (1.3 foot ai N of lot around tlw roundation of tha houM} 

Legen d 

Area not Excavated yT/l Dripzone Excavated [XX^ Quadrants Excavated 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
f, PA Property Close Out Fo im i 

Property #: Jl7/i¥7p Property Address: '^/d^V l/ i 'urr7J^ 

Datc/Timc: Owner's Name: /.a.t^, ^ J^t^/fj^ i/yckj/i '•vy Quads Excavated: 

Contractor Croup 

ExcavatioB General Yes No 

^ I.

 If necessary, were the correct quadrant(s) excavated and restored? 

2. If necessa.fy, were the correct areas of drip zone excavated and restored? ^ 

Gradins Sod and VecctatioD Yes No 

1. Does the grading around the perimeter of the house in excav ated areas generally slope away 

from the bouse? ^y 

2. Has sod heen laid in all areas that were excavated? i ^ 

3. Does the Jod appear to be generally healthy and growing? (OnK evaluate if inspected at a 30 

(day time period) 

4. .\re soddtd areas generally firm and evenly graded? x ^ 

5. Are the joints between the sod strips generally tight? (Only e\alijate if inspected at a 30 day 

time period) 

6. Was the property graded such that w ater w ill not poo! on the propeT} "•. . ^ 

1 1 

". 'A'atS damage to landscaping or pla.it r-.aterials £\ oidecv ^y 

GMICV Fences aoc Reiaininc nai b \ es No 

1 1 Do gates 3pcn and close 6-eeiy';' Of applicable)

 ^) . i 1

 ^ 

2. Were all gates or fences taken dov.Ti during restoration activ ititE .-einsulle-i? ...fapplicable) K*^! 

1 1 

1 3. Was damage to gates or fences avoided? 'If applicable) I^A 1 ! 

j 4 Was damage tc retaining v^alls avoided" i^If applicable) \t^*^ ^ ^Voi**'fC<-a«-*N^ 

^ 0 \) 

FouDdation, SidiBKBDd Gutters Ve< Vt 

1. '\>ias damage to the siding or nim avoided? L^ ­

2. N^'as damagi tc the foundation avoided? U ^ 

3 Was damage to w indows avoided'' ^ 1 

4 Was damage to windows or door screens avoided? L ^ i 

1 

5. Was damage to downspouts or dov^ispout extensions avoided'" , ^ \ 

Sidewalks and Drtvewavs (Concrete) Yes No 

1 

I. Was damage to drive v. ay surfaces avoided? \ ^ 

2. Was damage to v^alkwav surfaces avoided? \ ^ 
Oi^ners comments: 

Inspecticn cctes: 

:o A - eSp€-6*.«XLu | cJV^ ezis f ^'CU _ c>j^ fAo^^ ^ »^i^t.W 

Remc\al and restcra'.ion aciixates ccrr.r'ete including :he I-G-dav sod "-^anranrvEPA Representative 
Property Completion Agreement 

This agreement documents the completion of remedial activities performed on my property. My signature 

will designate that I am satisfied with the restoration of my property, and that no items are in questions, 

now, or at any time in the fliture, except those items listed below, if any. 

Property ID: l^Qi/ ^ 

Property Address: ^/^ ^ iy/nTCy \ S T 

Owner: Z>/f/g ^ 8£.^A/AJ A AJ 

Phone: 961- ^/^ ^ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

I \ I agree restoration is completed, except as noted 

I I I doMiot agree restoration is completed 

V0I07 ^ 

Owner's Signaoirff Date