## TRANSMITTA Lo f OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R

SAI D # : \<^6S 0 Date : :^1|J6?01 D Address : ?.f) \UP\>A ^ 5^- V Remediatio nContractor : Coasta l Environmenta l Group

_Year : 200 8

SOI LREMEDIATIO N PROPERT YnL EFOLDE RDOCUMENT S

^ Vide o o f property (DVD ) 7 ^Executiv eSummai y
^ EPA-provide dpropert ysketc h yZ* Signe dAcces s Agreemen t fo r subjec t propert y —e

— Signe dAcces s Agreement(s ) fo r adjacen t propert y
^ Restoratio nAgreemen t -B ~ Settlement document s (i.e. , fo r damag eo r to replac eplants , etc. )
^ Confiimationdata 

# ^ Photograph s pre^^^ , eye . ^T^(X \ j? ' As-built sketch 4033387 3 yE

f Satisfactor y restoratio nsigne db y Propert y Owne r Superfun d j2 ^Propeit y close-ou t chec k lis t signe db y EP A K^lj^Descriptio no f area s no t meetin g RO D cleanu p criteri a J3^Utilit y clearance s 

## J^ y Propert y infonnatio nfro mDougla s Count y Assessor' s Office D 

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## Propert yAcces s Checklis t Propert y m ; ) (3^f)9^ 0 D WOR K STARTE D ON :

_ / l_ D WORKCOMPELTE D ON : II 

## ^""^'"•^^'"'"^''3?^lUPtAft. ^
Rente r 

# o^~' ^ V^ra A^riiY\ttti r Address : Phone : Fax : Cdl/Page n AdditionalInformation : Phone : ^02.20302^* ; Fax : CcIWage nMOI-6l/"2l/J aE^U^W

^ NotificationLette r 

### ScnU±llRlQ 3 By : a p Acces s Agreement Signed: ^l2JU)l£ 3 By :
^ Restoratio nAgreement Signed: ^iTk' ^ By : D Topsoil Samplin g (if applicable ) 11 By : D Disposa l Samplin g (if appllcabte ) 1 1 By :

• Garde nSampUng (if applicable ) 1 1 By : ]^Utilit y Clearanc e Called : 3-/lsk/0 ^ 

# By:<^/3oin 9 U- ^ 

# lo w Q^Video/Plioto s (Before ) On:4]l/^/ ^ 

### By : 09\'^\, ^ D Video/Pboto s (Dnring ) On : / / By : D Video/Photo s (After) On : / / By : D Video/Photo s (30-Day ) On : / / By : D Property CompletionAgreemoi t Signed : / / By : D Final Report Issued : / / By : Ai r Monitorin e(a s aoDlicable DCommnnit y DCrc w On : / / By ;



# _ J Results : OCommnnit y DCre w On : / / By : Results : D Communit y nCrc w On : / / By : Results :

Omah a Lea d Sit e

### • • 

## Douglas Cotmt y Accotm t I:

^uigMo n Pag e1 of 2

Dougla s County , Nebrask a Propert yRecor d - R122123000 0 Prin tRepor t NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes to f52n d S t - ViewO H Ma p 

### Informatio n i s vali d a s o f2009-9-1 5 Treasurer' s Ta xRepor t Ne wFeatur e ^ « * - » Aut o Sale s Searc h Owne r BROMME R BRA D M ETA L 351 4 PIN E S T OMAH AN E 68105-000 0 Propert yInformatio n Ke yNumber : 212 3 000 0 1 2 Accoun t Type : Residentia l Parce l Number : 122123000 0 Parce l Address : 351 4 PIN E S T OMAH AN E 68105-000 0 Lega l Description : GRIFFI N & SMITH S 1S TSU B LO T1 7 BLOC K6 E 5 0 FT5 0 X12 8 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $6,400.0 0 $209,000.0 0 $ 215,400.0 0 200 8 $6,400.0 0 $209,000.0 0 $ 215,400.0 0 200 7 $ 6,400.0 0 $209,000.0 0 $ 215,400.0 0 200 6 $ 6,400.0 0 $133,800.0 0 $ 140,200.0 0 200 5 $ 6,400.0 0 $133,800.0 0 $ 140,200.0 0 200 4 $6,400.0 0 $133,800.0 0 $ 140,200.0 0 Sale s Informatio n Sale s Date : 2004-07-3 0 Dee d Type : W D Book : 200 4 Page : i0272 4 Price : $229,000.0 0 Grantor : Dic k F Koesters eta l Grantee ; Bra d M Bromme reta l Valid/Invalid : Vali d Exclusio n Reason : Uan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 4 6400. 0 1. 0 128. 0 50. 0 N o Improvemen t Informatio n


## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl2..

. 9/17/2009• • 

## Dougla s County Account 1

[^m^|io n

Buildin g 1

Squar e Footage : Perimete r Uni t Type :

Buil t As :

HVAC : Exterior : Interior : Roo fCover :

Roo fType : Floorcover :

Yea rBuil t 191 5 Detai l Typ e Ad d O n Applianc e Applianc e Basemen t Basemen t Carpor t Fixtur e Fixtur e Fixtur e Garag e Porc h Use r Use r 2298. 0 0. 0

2 1/ 2 Stor yFi n Centra l Ai rt o Ai r Fram e Stucc o Drywal l Compositio n Shingl e Gabl e Allowanc e

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## Pag e2 of 2

.Ti : TMr d Flow,., , 280. 0 sqn
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### 1. 0 1. 0 1. 0 1024. 0

468. 0 320. 0 1. 0 1. 0 1. 0 299. 0

66. 0 280. 0 1. 0



## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R12.

. . 9/17/200 9

### • • • •



## CONTAC TFOR M
Propert y ID #/^-^2 ^ Propert y . yy Address : S5/ V //^ ^ ^7 / 7 , 7 > Initia l Contact : Date : 9// f Time : /2/ZAction : /T^^AJI^ ^

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Comment : Owner Comment (s) :

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### • • • • Pag e1 of 2

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YOU RTICKE TNUMBE RI S 2383181

.
Origina l Cal l Date : 10/09/0 9 Time : 7:3 2 a m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 10/14/0 9 Time : 8:0 0 a m State : N E County : DOUGLA S Place : OMAH A Address : 351 4 Street : PIN E S T Twp : 15 NRng : 13 E Sect-Qtr : 28-NW,29-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : INCLUD E AL L EASEMENT S LOCAT E ENTIR E FRON T O F PROPERT Y Remarks : FAX AL L CLEAR S TO : (877)662-421 1 : UNSUR E O F CORNE R LO T Compan y: COASTA 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 ho f Excavation : 4 F T Come r Lot : N Front : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL S MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F



### Servic eAre a Contac t Phon eNumber UtiUt y Typ e Day : 402934046 9 CXCAT V CO XCOMMUNICATIONS , IN C HEIDIAlt : 402934046 9 Emerg : 402932975 7 Day : 877366834 4 LEVEL S LEVEL S COMMUNICATIONS , LL C N AAlt : Emerg : 877366834 4 Day : 402504782 3 MUD0 2 METROPOLITA NUTILITIES DISTRIC TSAND YAlt : Emerg : 402504797 0 

## Day : 402444719 7 OMAHACO FCIT YO FOMAHA-TRAFFIC,SEWE R 

## RO NAlt : 402444516 1 Emerg : 402444516 0

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0PPDGPR 6 OMAH APUBLI C POWE RDISTRIC TN A 

## Day : 406728934 3 Alt : 4062071494 Emerg : 888728934 3

QLNNEI FQWES TLOCALNETWOR K 

### N A 

## Day : 406728934 3 Alt : 4062071494 Emerg : 888728934 3

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## YOURTICKE TNUMBERI S 2373249

. Origina l Cal l Date : 9/26/0 9 Time : 3:3 1 p m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 9/30/0 9 Time : 7:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 351 4 Street : PIN E S T Twp : 15 NRng : 13 E Sect-Qtr : 28-NW,29-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : INCLUD E AL L EASEMENT S LOCAT E ENTIR E PROPERT Y Remarks : FAX AL L CLEAR S TO : (877)662-421 1 : UNSUR E O F CORNE R LO T Compan y: COASTA 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 ho f Excavation : 4 F T Come r Lot : N Front : Y Rear : Involve s Tionneling o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL 3 MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F



### Servic eAre a Contac t PlioneNumber UtiUt y Typ e Day : 402934046 9 CXCAT V CO XCOMMUNICATIONS , IN C HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 877366834 4 LEVEL S LEVEL S COMMUNICATIONS , LL C N AAlt : Emerg : 877366834 4 Day : 402504782 3 MUD0 2 METROPOLITA NUTILrnE S DISTRIC TSAND YAlt : Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT YO FOMAHA-TRAFFIC,SEWE R RO NAlt : 402444516 1 Emerg : 402444516 0

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## Pag e2 of 2
• • • •



## OPPDGPR 6 OMAH APUBLI C POWE RDISTRIC TN A Day : 406728934 3

Alt : 406207149 4 Emerg : 888728934 3
QLNNEI FQWES TLOCA LNETWOR K

N A Day : 406728934 3

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# As-Buil t Drawin g 

# W Dat e Excavated : 10/20/0 9 C OAST AL 

# Omah aLea dSuperfun dSit e^^"^^l^S^ ^ ENVmONNENTA L C M O U P , INC

.

Name : ^e^T^g: i Omah a Lea d Sit e Date : Address : ^f>/ V r3yv> ^ .- y Sit e SIcetc h Time : Phone : »-ir.g-5v^-gt=r 5

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Legen d Concret e Dri p Zon eExcavate d Quadrant s Excavate d Are areplace d So d wit h Are areplace dwit h Rock/Mulc h Are alef t bar e Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc

.

### Name ; 

# jS ^ ersT/^/c s Omah a Lea d Sit e Date : ^/f5^/a 3 North Arro w Rit e Sketc h Timp
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COASTA I IHVlROHniKTA I ^• x«io<* ^ C tO U P LH c 

# Consen t fo rAcces s T o Propert y
RIGH TO F EHTR YT O PREMISE S 

### Granto r(th e propert yowner ) consent s t o an d authorize s tti e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rit s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises : \Q ^

JT/- ,
Owner' s Name : Daytim e Phone : 

### P?rc^e \ d^ro v

Addres s o fPropert y covere d b ythi s Agreement : 

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PURPOS E O F RESPONS E 

### AcTiyrriE S Th e EP Ai s requestin g acces s t o collec tsoi l sample s an d remov e soi l tha tcontain s elevate d concentration s o flea d an d ma ypos e a healt h hazard

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

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

. Thi s wor k I s bein g perfomne d unde rth e Omah a Lea d Superfun d Sit e remediatio n program
. Arepresentativ e o fCoasta l Environmenta l Group , contracte d b yUSEPA , 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 hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i t 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 confin m tha t i t i s complet e an d meet s wit h th e Grantor' s approval

. Upo n completion , th e Granto rwil i receiv e writte n documentetio n fro m EP Atha tth e propert y ha s bee n remediated

.

ENVIRONMENTA LRESPONS E ACTION S 

### B ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e right t o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o fperformin g th e wortt

. Thi s acces s shal l remai n i n effec tunti l th e wor k ha s bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f2

### ,*-"•"> ,
COASTA I



### . ^ tNTIiOMHfKTA t \^0^ ^ C •O V » I fc C



### « Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; cRemov e fiovtrerbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; e Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessar ysubsequen t t o a n initia l waterin g perio d b yEPA ; cAbid e b yhealt h an d safet yguidanc e provide d b yEPA ; • I fth e propert yi s rented , assis t EP Ai n obtainin g tenan tapprova l fo racces s t o th e propert yt o perfor m th e work

. «Allo wvideotapin g and/o rphotographin g o fth e property

.
AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtemperwit h an yo fth e wor k activities , o rwit h an y o fth e wor k done , o rwit h th e equipmen tuse d o n hi s property , o rt o undertek e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t o endange rth e healt h o r welter e o fth e Grantee s o rth e environment , o rt o alto 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 tthi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9 

# ¥ I gran t acces s t o mypropertie s D I d o no tgran t acces s t o mypropertie s 

# i^n-O' x Signatur e Date

O I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required

.

Page 2 o f2COASTA L C np ^ r • u r 

## Restoratio n Agceemert t Thepurpos eofthi s agreemen t i s to provideamutua l agreemen t a s t o condition s ofth epropeny prior t

o remediatio nactivities

. Thi s will als o serv eas documentationfo r th epurpos eof assuring tha t restoration activitie s ar e compietedt o th e satisfactionof th epropert y owne r andthe UnitedState s Environmenta l Protectio nAgenc y (EPA)

. PropertylD : |C|5g( ^ Propert y Address : 3^)4 P' | 0 6 ^ ^ 

## Owner ; T^rr)"(Y\vYV^ ^

Vyr\ d

O

nth e attacheddiagram(s ) indicat earea(s ) to excavate , surfacestructure s an dlandscaping feature s an d acces s Iocation(s ) to b e use dby th e contractors
. Indicat edistances , depths , materia l types , etc
. Photographically an dVideographicall y documen t th eexisting condition s ofthepropert y an dthebasemen t i

f necessary . 

## item s t o b e Remove d b yth e Owne rbefor e Starto fRemediation : Th e renoval

. storage ^ disposal , and/o rretur n o fthes e item s i s th e Owne rs responeibility

.

Rem : V j »


### Item :
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## Item s t o b e Remove d b yth e Contracto rDurin g Remediatio n an d No t Replace d Item : 

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## Ite m
Pre-existin g propert y area , that wil t b eexcavated , tha t t s covere dwithgrass . Numbe r o f tree s > 2 inc h trunk diamete r Numbe r o f tree s < = 2 inc h trun k diamete r Numbe r o f Sprinkle r Zones , Contro l Valves , Tuners , Heads , etc
. Ait.nt hniketcl i ol lli e

Numbe r o f an dsiz eo f eac hgarden / flowe r be d area . AtUR- h

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### \Additiona l Comment s / instructions :

Q Chec k th e tx) XifOwne rdoe s no t wan tCE G to documen tinterio rfoundatio n walls an d possibl e pre-existin g damage

. Bycheckin g thi s bo xCE G is no tresponsibl e fo ran ydamag e don e to th e interio r ofhouse , includin g foundatio n crack s orfissures

.

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Readin g Sampl e are a Shot# Readin g Sampl e are a Dept h Dept h Averag e

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. Signature 

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 73 0 Mod e SOI L Tim e 

### 2009-10-2 6 09:3 7 Duratio n 

### 120.0 0 Sequenc e Fina l Fla^_______ ^ 

### r-AVE^GE — -Avg-of-726-729
­ 

## 4x5eAno N 351 4 pin e s t

INSPECTO R VENTR Y CO R 1 e m CO R 2 1 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

pp m Erro r -Pb ^ 110.84 8 :
. 

## yy ^ •18.36 7

. ' 

## -ct r < LO D 22.20 4 A g < LO D 16.48 6 S r 112.05 8 ± 9.16 5 U < LO D 24.59 3 R b 52.39 1 ± 7.34 3 T h < LO D 15.78 5 S e < LO D 6.44 4 A s < LO D 23.12 9 H g < LO D 14.76 4 Z n 103.96 9 i 22.39 9 W < LO D 87.99 6 C u < LO D 36.94 6 N i < LO D 80.52 7 C o < LO D 171.39 1 F e 13257.52 3 • i 412.78 6 M n 462.75 1 ± 114.50 2 C r < LO D 126.10 3 < LO D 68.17 3 T i < LO D 512.70 4 S c < LO D 82.05 8 C a < LO D 880.63 9 K < LO D 1743.55 2 S < LO D 44296.10 9
Suoervise d By : TDT'ft

. 

# )t p ilfO O v

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 72 6 Mod e SOI L Tim e 2009-10-2 6 09:3 5 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 1958 0 LOCATIO N 351 4 pin e s t INSPECTO R VENTR Y COR l e m CO R 2 1 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A



### pp m Erro r P b 96.21 9 i 17.19 0 C d < LO D 21.76 6 A g < LO D 16.24 3 S r 117.47 8 ± 9.27 9 U < LO D 26.08 5 R b 55.78 2 i 7.59 2 T h < LO D 15.71 0 S e < LO D 6.43 4 A s < LO D 21.94 3 H g < LO D 15.81 5 Z n 118.80 3 ^ 23.57 0 W < LO D 92.18 5 C u < LO D 34.66 0 N i < LO D 78.75 4 C o < LO D 170.06 1 F e 12994.13 4 ± 405.05 6 M n 422.32 9 ± 109.95 1 C r < LO D 197.56 3 V < LO D 145.66 6 T i < LO D 782.18 9 S c < LO D 108.41 7 C a < LO D 1250.36 4 K < LO D 1802.60 1 S < LO D 174019.56 3 Supervise d By :

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s SAMPL E LOCATIO N INSPECTO R CO R 1 CO R 2 MIS C NOT E Use rLogi n

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m 120.07 9

< LO D < LO D 114.10 5

< LO D 54.34 8 < LO D < LO D < LO D < LO D 103.57 5

< LO D < LO D < LO D < LO D 13839.07 7

516.71 2

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Supervise d By : 

## Certificat e o fVerificatio n

72 7 SOI L 2009-10-2 6 09:3 5 30.0 0 Fina l 1958 0 351 4 pin e s t VENTR Y e m 1 clearenc e ep a gu n EP

A

±
±

±
±

± ± Erro r 18.79 0 21.77 7 15.93 9 9.18 6 24.97 9

7.43 4 14.27 4 6.20 4 24.42 3 14.77 0 22.13 9 84.05 1 36.10 8 77.19 0 171.23 2 418.91 4 118.23 0 38.86 8 27.52 2 267.75 6 102.51 6 866.18 7 1742.83 5 1064.89 1 V

# Therm o S C I E N TI F I C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 72 8 Mod e SOI L Tim e 

### 2009-10-2 6 09:3 6 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 1958 0 LOCATIO N 351 4 pin e s t INSPECTO R VENTR Y CO R 1 e m CO R 2 

### 1 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r Ti S c C a K 

### S pp m ± Erro r 

### 108.56 5 ± 

### 17.58 6

< LO D 

### 21.78 0 < LO D 

### 16.03 5 117.25 5 ± 

### 9.01 2

< LO D 

### 22.96 3 53.75 6 ± 

### 7.08 4 < LO D 

### 15.84 1 < LO D 

### 6.12 6 < LO D 

### 21.55 1 < LO D 

### 13.49 4 94.03 3 ± 

### 20.73 3 < LO D 

### 82.49 6 41.79 6 ± 

### 24.06 1 < LO D 

### 77.62 0 < LO D 

### 166.67 7 13350.60 2 ± 

### 399.77 5

510.35 3 ± 

### 114.97 3

< LO D 

### 159.11 6 < LO D 

### 63.92 5 < LO D 

### 643.63 0 < LO D 

### 102.22 8 < LO D 

### 808.98 0 < LO D 

### 1742.62 0 < LO D 

### 1140.17 8 Supervise d By : V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 72 9 Mod e SOI L Tim e 

### 2009-10-2 6 09:3 7 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 1958 0 LOCATIO N 351 4 pin e s t INSPECTO R VENTR Y COR l e m CO R 2 

### 1 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m ± Erro r 

### 118.52 7 ± 

### 19.89 9

< LO D 

### 23.49 5 < LO D 

### 17.72 9 99.39 4 ± 

### 9.18 1 < LO D 

### 24.34 5 45.68 0 ± 

### 7.26 1 < LO D 

### 17.31 4 < LO D 

### 7.01 4 < LO D 24.60 0 < LO D 

### 14.97 6 99.46 5 ± 

### 23.15 3 < LO D 

### 93.25 1 41.85 0 ± 

### 27.28 2 < LO D 

### 88.54 3 < LO D 

### 177.59 2 12846.28 2 ± 

### 427.40 1

401.61 1 ± 

### 114.85 3

< LO D 

### 108.86 5 < LO D 

### 35.58 1 < LO D 

### 357.24 2 < LO D 

### 15.07 1 < LO D 

### 597.02 5 < LO D 

### 1686.15 2 < LO D 

### 959.80 7 Supervise d By : V

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



### XL3t-3207 5 Readin g N o 

### Mode Tim e Duratio n Sequenc e Flag s AVERAG E LOCATIO N INSPECTO R 

### CO R1 CO R 2 MIS C NOT E Use rLogi n



### Pb Cd A g S r U 

### R

b T h S e A s H g Z n W C u N i C o F e M n C r 

### T

i S c C a K S 

## Certificat e o fVerificatio n

72 5 SOIL 2009-10-2 6 09:3 3 120.0 0 Fina l 

### Avg of 721-72 4 351 4 pin es t VENTR Y f 2 

### 6 clearenc e ep a gu n EP

A

pp m ± 

### Erro r 196.11 1 ± 

### 23.49 0

< LO D 

### 22.16 4 < LO D 15.98 8 108.14 4 9.02 4

< LO D 23.00 8 49.02 4 ± 

### 7.04 4 < LO D 

### 17.16 2 < LO D 

### 6.95 0 < LO D 

### 29.49 3 < LO D 

### 14.64 0 148.78 4 ± 

### 25.76 9

< LO D 86.92 7 41.91 2 ± 

### 25.39 8 < LO D 

### 84.75 9 < LO D 182.58 3 14980.06 6 ± 

### 437.30 8

374.15 6 ± 

### 107.33 6

< LO D 

### 82.80 6 < LO D 

### 274.33 9 < LO D 

### 564.89 8 < LO D 

### 20.71 9 < LO D 

### 815.06 2 < LO D 

### 1795.03 8 < LO D 

### 1119.36 5 Supervise d 

# By : ^am V

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s SAMPL E LOCATIO N INSPECTO R CO R 1 CO R 2 MIS C NOT E Use rLogi n

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r Ti S c C a K S pp m 205.40 4

< LO D < LO D 100.22 3

< LO D 48.45 4 < LO D < LO D < LO D < LO D 128.14 4

< LO D < LO D < LO D < LO D 14609.95 8

453.16 6

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Supervise d By : 

## Certificat e o fVerificatio n

72 1 SOI L 2009-10-2 6 09:3 1 30.0 0 Fina l 1958 0 351 4 pin e s t VENTR Y f 2 6 clearenc e ep a gu n EP

A

±

±
±

± Erro r 23.80 4 21.66 3 15.69 5 8.72 0 21.87 8

6.90 2 16.71 9

5.90 2 29.50 0 14.14 5 24.04 6 84.78 3 35.48 1 89.59 3 177.69 5 430.83 5 114.47 2 126.36 0 228.54 3 483.17 2

15.98 4 645.03 0 1275.96 4

872.15 6 V

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s SAMPL E LOCATIO N INSPECTO R CO R 1 CO R 2 MIS C NOT E Use rLogi n 

## Certificat e o fVerificatio n

72 2 SOI L 2009-10-2 6 09:3 2 30.0 0 Fina l 1958 0 351 4 pin e s t VENTR Y f 2 6 clearenc e ep a gu n EP A

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m 202.18 1

< LO D < LO D 112.97 5

< LO D 51.07 4 < LO D < LO D < LO D < LO D 153.92 9

< LO D 49.43 9 < LO D < LO D 15258.17 4

428.46 6

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Supervise d By : ±
±

±

±
±

± Erro r 23.87 7 22.37 9 16.43 4 9.21 7 23.64 2

7.20 4 16.86 9 7.20 2 29.07 7 15.67 5 26.30 6 88.56 4 26.15 1 80.98 7 180.76 1 442.41 2 112.50 6 46.50 5 306.22 9 745.32 6

15.04 9 570.31 5 2207.77 1 1214.49 3 V

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s SAMPL E LOCATIO N INSPECTO R CO R 1 CO R 2 MIS C NOT E Use rLogi n 

## Certificat e o fVerificatio n

72 3 SOI L 

### 2009-10-2 6 09:3 3 30.0 0 Fina l 

### 1958 0 351 4 pin e s t VENtR Y f 2 6 clearenc e ep a gu n EP

A

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m 

### 187.62 2

< LO D < LO D 104.22 9

< LO D 48.45 8 ± < LO D < LO D < LO D < LO D 162.71 7 ±

< LO D 37.59 0 < LO D < LO D 14959.57 3

269.72 5

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Erro r 

### 22.76 7 21.67 1 15.90 6

8.78 6 22.67 8

6.92 6 16.34 2

6.84 9 29.68 8 13.65 4 26.24 3 77.62 6 24.41 0 80.67 3 

### 183.35 6 431.82 2

96.66 3 40.47 3 309.66 0 478.09 6

22.05 7 872.46 8 2463.70 4 1376.93 0 Supervise d By : V

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s SAMPL E LOCATIO N INSPECTO R COR l CO R 2 MIS C NOT E Use rLogi n 

## Certificat e o fVerificatio n

72 4 SOI L 

### 2009-10-2 6 09:3 3 30.0 0 Fina l 

### 1958 0 351 4 pin e s t VENTR Y f 2 6 clearenc e ep a gu n EP

A

P b 

### Cd A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r 

### T

i S c C a K S pp m 

### 189.23 7

< LO D 

### < LO D 115.15 1

< LO D 48.11 0 19.97 0 < LO D < LO D < LO D 150.34 4

< LO D 57.13 2 < LO D < LO D 15092.56 2



### 345.26 9

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Supervise d By : ±

' ±

±
±

± ± Erro r 

### 23.51 4 22.94 3 15.91 8 9.37 0 23.83 6



### 7.14 5 12.48 0 7.84 7 29.70 5 15.08 7 26.48 1 96.73 6 27.37 7 87.78 3 188.51 9 444.16 3 105.70 2 117.88 5 252.92 3 552.99 7

29.78 5 1172.43 5 1232.71 5 1013.88 3 V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 60 2 Mod e SOI L Tim e 2009-10-2 4 10:1 1 Duratio n 120.0 0 Sequenc e Fina l Flag s AVERAG E 1 Ax/f , 9 fqQR.fin i LOCATIO N 351 4 pin e INSPECTO R VENTR Y COR l d z CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A



### pp m Erro r P b - 45.98 4 d : 12.00 3 ; •C d < LO D 20.33 2 A g < LO D 14.66 4 S r 118.05 7 1 8.55 8 U < LO D 22.11 3 R b 56.43 1 ^ 6.83 5 T h < LO D 12.59 2 S e < LO D 5.91 1 A s < LO D 15.39 9 H g < LO D 12.79 8 Z n 69.30 7 i 17.38 6 W < LO D 75.06 3 C u < LO D 29.03 9 N i < LO D 74.83 2 C o < LO D 168.58 2 F e 15407.51 6 i 406.11 3 M n 515.83 2 ' ^ 109.32 9 C r < LO D 133.06 9 V < LO D 334.63 1 T i < LO D 728.18 4 S c < LO D 80.18 9 C a < LO D 1158.79 9 K < LO D 2506.04 1 S < LO D 43258.00 4 Supervise d By : fyrTA 

# h k 

# W/ \

### % 

# Therm o

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 59 8 Mod e SOI L Tim e 

### 2009-10-2 4 10:0 8 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 1958 0 LOCATIO N 351 4 pin e INSPECTO R VENTR Y CO R 1 

### d z CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r Ti S c C a K S pp m ± Erro r 

### 36.01 1 ± 

### 11.27 4 < LO D 20.62 2 < LO D 

### 14.56 7 122.62 2 ± 

### 8.81 2

< LO D 

### 22.09 6 57.76 7 ± 

### 6.96 6 < LO D 

### 13.43 4 < LO D 

### 5.77 6 < LO D 

### 14.37 6 < LO D 

### 13.18 4 55.75 3 

### 16.58 5 < LO D 

### 81.19 0 < LO D 

### 29.88 8 < LO D 72.67 7 < LO D 

### 167.18 8 15316.07 7 ± 

### 410.44 7

430.97 3 ± 

### 104.31 9

< LO D 

### 117.69 5 < LO D 

### 366.47 1 < LO D 

### 685.34 0 < LO D 

### 102.45 8 < LO D 

### 830.91 1 < LO D 

### 2754.82 2 < LO D 

### 1500.84 0 Supervise d By : V

# f ^ Therm o

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 59 9 Mod e SOI L Tim e 2009-10-2 4 10:0 9 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 1958 0 LOCATIO N 351 4 pin e INSPECTO R VENTR Y CO R 1 d z CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U

. R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m 60.33 3 < LO D < LO D 120.65 2

< LO D 52.40 1 < LO D < LO D < LO D < LO D 68.52 1 < LO D 31.24 9 < LO D < LO D 15129.03 5

623.97 8

< LO D < LO D < LO D < LO D < LO D < LO D < LO D ±
±

±
±

±
±

± ± Erro r 13.04 3 19.81 2 14.26 0 8.47 6 21.99 5

6.57 7 12.91 9 6.01 4 16.78 7 12.29 9 16.96 3 71.01 9 20.75 8 72.45 8 163.69 3 395.16 4 116.05 7

51.77 6 237.37 5 496.34 0

46.43 5 1834.81 7 2285.03 2 1624.15 9 Supervise d By : V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 60 0 Mod e SOI L Tim e 2009-10-2 4 10:1 0 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 1958 0 LOCATIO N 351 4 pin e INSPECTO R VENTR Y COR l d z CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A



### pp m Erro r P b 49.13 1 ± 12.08 8 C d < LO D 20.12 6 A g < LO D 14.51 6 S r 111.97 2 ± 8.24 2 U < LO D 21.77 2 R b 65.13 5 ± 7.08 1 T h < LO D 11.32 4 S e < LO D 5.75 6 A s < LO D 15.89 6 H g < LO D 11.58 7 Z n 71.04 3 • ± 17.07 3 W < LO D 70.05 2 C u < LO D 26.64 7 N i < LO D 77.34 6 C o < LO D 166.94 7 F e 15494.83 7 d t 400.90 9 M n 461.55 5 ± 103.18 6 C r < LO D 244.89 1 V < LO D 499.26 0 T i < LO D 1000.28 6 S c < LO D 22.69 7 C a < LO D 871.44 8 K < LO D 2134.58 9 S < LO D 168219.34 4 Supervise d By :

### % 

# Therm o

SCIENTIFI C Therm o Fishe r Scientifi c 90 0 Middlese x Turnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 60 1 Mode SOIL Tim e 2009-10-2 4 10:1 1 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 1958 0 LOCATIO N 

### 351 4 pin e INSPECTO R VENTR Y 

### CO R1 d z CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b 

### Cd A g 

### S r U 

### R

b T h S e A s H g Z n W C u 

### N

i C o F e M n 

### Cr T

i S c C a K S pp m 

### 38.46 2 < LO D 

### < LO D 116.98 1

< LO D 50.42 0 < LO D < LO D < LO D 

### < LO D 81.91 1 < LO D < LO D < LO D 

### < LO D 15690.11 1

546.82 3

< LO D < LO D < LO D < LO D < LO D < LO D < LO D 

### Supervise dBy : ±
±

±
±

± ± 

### Erro r 11.60 7 20.76 7 15.31 5

8.70 1 22.58 8

6.71 6 12.69 2 6.09 6 14.53 6 14.12 2 18.92 2 77.99 2 28.48 5 76.84 7 176.50 2 417.93 1 113.75 6 117.91 2 235.41 8 730.77 0 149.16 6 1098.01 9 2849.72 2 1687.66 2 V

# <i t

Omaii a Lea d Site—Fixe d Pric e EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc

. www.coastalhazmat.co m COASTA L ENVIIOHHtNTA L C t o U r
. IN C 

# EXECUTIV ESUMMARY : BVID #19580-(351 4 PIN EST )

No Issue s o r Concern s IIIssues/Concern s
Detail Explanation

### $ t ^ 

# EP APropert y Clos eOu t For m 

# j£2i L Propert y y Addrcss-. - Datc/Tlme : Owner' s Name : Quad s Excavated : V f^ ^'l Contracto r Grou p \ 

### Propeny #: \4^^ C Addrtw

. -ff ^ ^ l i 

# ^^^^S^^.^ \

Ye sNo Excavatio nGenera l 1.If necessaiy , wer eth e correc t quadrant(s ) excavate dan drestored ? 

# IT '

2.If necessary , wer eth ecorrec t area s or dri p zon eexcavaie dao drestored ? 

# ly '
YesNo Gradln eSo dan dVe£etatio B I.Doc s th e{fadin g aroun dth eperimete r orth c hous einexcavate darea s generall y slop eawa y fromtb ehouse ? 

# yy
2.Ha s so dbeenlai dmal l area s that wer eexcavated ? 3.Doe s th eso dappea r to begenerall y healdi y an dgrowing ? (Onl y evaluat eirinspecte d at a30 da y tim eperiod ) 4. A Rsodde darea s generall y firr nan devenl y graded ? 5.

Ar eth e Joint s betwee nth eso dstrip s generall y tight ? (Onl y evaluat e if

inspecte d at a30 da y 

# y tim eperiod ) 6.Wa s th eproperty grade dsuc hthat wate r wil l not poo l onth e propert y 7.

Wa s damtg e to landscapin g or plant material s avoided ? 

### 1 7 \
Gates , Fence s an dRetahilB g Wall s Ye s No ^ I 1. Do gate s openan dclo.s efreely? (I f applicable ) 

## t y 2.Wer eal l gate s or fence s lalte ndow ndurin g restoratio nactivitie s reinsulled ? (I f applicable ) 

# iy ~ 

# 7­ 3.Wa s damag eto gate sor fence s avoided ? (Ifapplicable ) 4.Wa s danug eto retaining wall s avoided ? (Ifapplicable ) 

# 7^

Foundation , SldtB K an dGatler a Ye s No I.Wa s damag e to th e sidin g or tri mavoided ? 

## K7 ' 2.Wa s damag e to tb e foundatio navoided ? L 7 Wa s damag eto window s avoided ? 4Wa s damag e to window s or doo r screen s avoided ? 

### ~L7 ' 5.

Wa s damag e to downspout s or downspou t extension s avoided ?
Sidewalk s nn dDriveway s (Concrete ) Yes / No 1.Wa s damag e to drivewa y surface s avoided ? 

# 7\

2.Wa s damag e to walkwa y surfkce s avoided ? 

# y

# Ort'tier s comments :

Inspetrtio nnotes :

Remova l an dreslorationactivate s compleleincludin g th e30-da y so dwarranry : EP ARepresentativej Jo w \J^^l^ y Date : J/^/X^/ ^

# L Propert yCompietlo n Agreemen t
ihi s agreeme m documenl s lli e complelio n o l remedia l aclivme s perloime d o n mypropert yM ysignature wil l designat e iha l I a m satisfie d wil h (li e restoralio n o fm ypropeily

. an d tha i n o item s ar e i n queslions

. now , o ra l an ylim e i n th e future , exceptliios e item s liste d below , ifan y

Propert yfD : j ^^t^T 3 Propert yAddress ! 5S~ / ^ ~PYy^7
- * b \ ~ 

# o^"*" ^

fW ^

f^myTt. ^ Phone : 

# t/o^-4?T?-?-^^5- ' Restoratio n Item s i n Question :

Item : ttem :

• I WI •• •u u 

### Item : Item : Item : Item :
Additiona l Comments :

/>j,^j>rc cicstorflllo n i s completed , excep ta s noler i [_ ] i d o no ta|;re cresloratio n i s complete d

Owner' s SignatuK p Dat e ^ VContiarlor' s Signatur e Dal e