TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: \<^6S 0 Date: :^1|J6?01 D 

Address: ?.f)\ U P\>A ^ 5^-V 

Remediation Contractor: Coastal Environmental Group_ Year: 2008 

SOIL REMEDIATION 

PROPERTY nLE FOLDER DOCUMENTS 

^ Video of property (DVD) 

7 ^ Executive Summaiy 

^ EPA-provided property sketch 

yZ* Signed Access Agreement for subject property 

—e— Signed Access Agreement(s) for adjacent property 

^ Restoration Agreement 

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

^ Confiimation data 

^ Photographs pr e ^^^, eye . ^T^(X\ 

j?' As-built sketch 40333873 

yEf Satisfactory restoration signed by Property Owner 

Superfund 

j2^ Propeity close-out check list signed by EPA 

K^lj^ Description of areas not meeting ROD cleanup criteria 

J3 ^ Utility clearances 

J^y Property infonnation from Douglas County Assessor's Office 

D 

D 

D 

to'-p"^ 2/i^^ui 
m^ • • 

Ov*"^ 

Property Access Checklist 

Property m; ) (3^f)9^0 

D WORK STARTED ON: _/ l_ 

D WORKCOMPELTED ON: I I

^""^'"•^^'"'"^''3?^lUPtAft.^ 

Renter o^~'^ V^raA ^riiY\tttir 

Address: Phone: 

Fax: 

Cdl/Pagen 

Additional Information: 

Phone: ^02.20302^* ; 

Fax: 

CcIWagen MOI-6l/"2l/J a E^U^ W 

^ Notification Letter 

ScnU±llRlQ 3 By: 

ap Access Agreement Signed:^

 l2JU)l£3 By: 

^ Restoration Agreement Signed:^

 iTk' ^ By: 

D Topsoil Sampling (if applicable) 1 1 By: 

D Disposal Sampling (if appllcabte) 1

 1 By: 

• Garden SampUng (if applicable) 1 1 By: 

] ^ Utility Clearance Called: 3-/lsk/0 ^ By:<^/3oin9 U- ^ low 

Q^Video/Pliotos (Before) On:4]l/^/ ^ By: 09\'^\, ^ 

D Video/Pbotos (Dnring) On: / / By: 

D Video/Photos (After) On: / / By: 

D Video/Photos (30-Day) On: / / By: 

D Property Completion Agreemoit Signed: / / By: 

D Final Report Issued: / / By: 

Air Monitorine (as aoDlicable 

DCommnnity DCrcw On: / / By; 

_ J 

Results: 

OCommnnity DCrew On: / / By: 

Results: 

D Community nCrc w On: / / By: 

Results: 

Omaha Lead Site 
• • 

Douglas Cotmty Accotmt I^uigMo : n Page 1 of2 

Douglas County, Nebraska Property Record - R1221230000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - Vie w OH Ma p Information is valid as of 2009-9-15 Treasurer's Tax Report 

New Feature ^ «* -» Auto Sales Search 

Owner 

BROMMER BRAD M 

ETAL 

3514 PINE ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 2123 0000 12 

Account Type: Residential 

Parcel Number: 1221230000 

Parcel Address: 3514 PINE ST 

OMAHA NE 68105-0000 

Legal Description: GRIFFIN & SMITHS 1ST SUB LOT 17 BLOCK 6 E 50 FT 50 X 128 

Value Informatio n 

Land Improvement Total 

2009 $6,400.00 $209,000.00 $215,400.00 

2008 $6,400.00 $209,000.00 $215,400.00 

2007 $6,400.00 $209,000.00 $215,400.00 

2006 $6,400.00 $133,800.00 $140,200.00 

2005 $6,400.00 $133,800.00 $140,200.00 

2004 $6,400.00 $133,800.00 $140,200.00 

Sales Informatio n 

Sales Date: 2004-07-30 

Deed Type: WD Book: 2004 Page: i02724 

Price: $229,000.00 

Grantor: Dick F Koesters etal 

Grantee; Brad M Brommer etal 

Valid/Invalid: Valid 

Exclusion Reason: 

Uand Informatio n 

Acres SF Units Depth Width Vacant 

0.14 6400.0 1.0 128.0 50.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl2... 9/17/2009 
• • 

Douglas County Account 1[^m^|ion 

Building 1 

Square Footage:

Perimeter

Unit Type: 

Built As:

HVAC:

Exterior:

Interior:

Roof Cover:

Roof Type:

Floorcover:

Year Built 

1915 

Detail Type 

Add On 

Appliance 

Appliance 

Basement 

Basement 

Carport 

Fixture 

Fixture 

Fixture 

Garage 

Porch 

User 

User 

 2298.0 

 0.0 

 2 1/2 Story Fin 

 Central Air to Air 

 Frame Stucco 

 Drywall 

 Composition Shingle 

 Gable 

 Allowance 

year Percent 

Remodeled Remodeled 

2008 0% 

Detail Description 

-T Fence Chain Link 

Allowance 

Fireplace Masonry 

Bsmnt Block 8 ft 

Minimal Finish 

Attached 

Additional Fixtures 

Base Fixtures 

Bath Half 

Detached 

Slab Roof Ceil 

Attic Full Finish 

StuccoA/inyl Constr 

?»*• Vi 1 -'^v '.Q n 

CD- JO:­ "' ^' 

1 t„l .•I 

First Floo r SeeondRoof _,. 1 

i*" l2D4 0sq. _ >;^ 8l40sq f 

- S.) 

'•"> ' 90 

BO x e 

^'7 *f -:a 

^ D N t 

2 1/2 STORY FINISHED 

rvi» < r* •> '^ • 

'XJ0 M n 

Fn &:f m r n incl ir» Ttr Lr. 

JK. M n 

w.».»~»_ ­

1 CLICKTOENLARGE IMAGE

Percent Complete;

Quality:

Condition:

Condo Square Footage:

Rooms: 

Units: 

Baths: 

Bedrooms:

Stories:

Foundation:

Sprinkler Square Footage:

Page 2 of2 

.Ti: 

TMrd Flow ,.,, 280.0 sqn. 

| 

 100.0% 

 Average 

 Average 

 0.0 

7.0 

1.0 

0.5 

 3.0 

 2.5 

•' Block 

 0.0 

Adjusted Year 

Built 

1924 

Physical Age 

85 

Units 

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... 9/17/2009 
• • • • 

CONTACT FORM 

Property ID # /^-^2 ^ 

Property . y y 

Address: S5/V //^ ^ ^7 / 7, 7> 

Initial Contact: Date: 9// f Time: /2/ Z Action: /T^^AJI^ ^ /yQOA/ /v4< ^ 

Second Contact: Date: ^^ / Time: /^^ C Action:~/g»4^^^^agy^L^<3?ti>>^>4fc.^y 

Final Contact: Hat**- Tim«»- Artirvn­ r 

Final Action: Transmit to EPA D Other Action: D 

Comment: 

Owner 

Comment (s): 

Site 

Coordinator 

Comment (s): 
• • • • 

Page 1 of2 

"> 

[• Create Another Ticket J L, " •§g^.KJ°^'ltMPJ^r"gLi: j | [Sen d Email .] 

YOUR TICKET NUMBER IS 2383181. 

Original Call Date: 10/09/09 Time: 7:32 am Op: ELIZABETH18790 

Work to Begin Date: 10/14/09 Time: 8:00 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 3514 Street: PINE ST 

Twp: 15N Rng: 13E Sect-Qtr: 28-NW,29-NE 

Twp: Rng: Sect-Qtr: 

Legal Given: C 


Type of Work: LEAD REMEDIATION 


Location of Work: INCLUDE ALL EASEMENTS LOCATE ENTIRE FRONT OF PROPERTY 


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


: UNSURE OF CORNER LOT 


Company : COASTAL ENVIRONMENTAL SERVICE 


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


Work Being Done For: COASTAL 


Depth of Excavation: 4 FT Comer Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVELS MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


Service Area Contact Phone Number UtiUty Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVELS LEVELS COMMUNICATIONS, LLC NA Alt: 

Emerg: 8773668344 

Day: 4025047823 

MUD02 METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 

Day: 4024447197 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON Alt: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/9/2009 
Page 2 of2 

• • • • 

0PPDGPR6 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

QLNNEIF QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/9/2009 
Page 1 of2 

# • • • 

"> 

Create Another Ticket J [^^ ^^g k to Irth Internet _ ,| Send Email 

YOUR TICKET NUMBER IS 2373249. 

Original Call Date: 9/26/09 Time: 3:31 pm Op: ELIZABETH18790 

Work to Begin Date: 9/30/09 Time: 7:15 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 3514 Street: PINE ST 

Twp: 15N Rng: 13E Sect-Qtr: 28-NW,29-NE 

Twp: Rng: Sect-Qtr: 

Legal Given: C 

Type of Work: LEAD REMEDIATION 


Location of Work: INCLUDE ALL EASEMENTS LOCATE ENTIRE PROPERTY 


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


: UNSURE OF CORNER LOT 


Company : COASTAL ENVIRONMENTAL SERVICE 


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


Work Being Done For: COASTAL 


Depth of Excavation: 4 FT Comer Lot: N Front: Y Rear: 


Involves Tionneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


Service Area Contact Plione Number UtiUty Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVELS LEVELS COMMUNICATIONS, LLC NA Alt: 

Emerg: 8773668344 

Day: 4025047823 

MUD02 METROPOLITAN UTILrnES DISTRICT SANDY Alt: 

Emerg: 4025047970 

Day: 4024447197 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON Alt: 4024445161 

Emerg: 4024445160 

http://www.(ihon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/26/2009 
Page 2 of2 

• • • • 

OPPDGPR6 OMAHA PUBLIC POWER DISTRICT NA

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIF QWEST LOCAL NETWORK NA

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/26/2009 
Lemote ID: R page of 

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fM.csd.XdLted.e s d.] 

k. d.ers<=>KdLl»«d . o n tel>e On e c;ak.3.X Centeea r ted-olcete . 

Let e : 2383X7 8 

res s : X30 4 S 3J5^ H SO? 

BX«3 : 

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_x%f ^arxnei.ted.^x k jpar^^rd.^L^d . 3»ar tel^^ aak.X X ct^zktec^a r ted.eilc^te . 

tet e : 2383X8 0 

fttear: Dot7^3:.Aj s S>XM.«i e : 0»«>k^C» . 

res s : X6X 2 S 12>« D JIWVIB 

k-w^ X 3 0^>mcancnAXkd.C3ai.ted.^x%^ l»,ai. ^ te ^ arxckd. Kk ^ 4 fM.ad.Xd.ted.e d 

i.ted.«>n x>arc»-«rd.<fLe<fL l»3 r tel%4 n e aekX X ^ea r ted.<s]cete . 

2383X8 X 

>Xei.«»< 

lXt 3 : 

j^^re X 3 c;onnamArkd.c»ek.ted.«>niB l»«k. ^ ga,^te^aea«td.r>«a<ft ^^»a r f «i.«id.Xd.ted.^ ^ fltas-^ eiX^eia ; ^peaar tek«s^^dl. 1 

.n f e»aramat,ted.ox» ]^ar^^rd.^i«»« A l»a r te>»^ ^Xk<E» <act.XX ct^cktecka c ted.ei3b^te . 

r^t a l%«k.-v-^ ei.r»3r <x*a^^ted.^1 % JS , ^X^ai.^ ^ a^x%te«k.at e Xi^-v^ X 3 < ^ Ai.iB^^t e Xe>.«*e>.sf >_ iii<-ir>te ^^«t,x n cb 

>0—44 X —0223 . 

•Baisac^Ei 
OLS#: 19580 As-Built Drawing W Date Excavated: 10/20/09 

C

ENVmONNENTA

 OAST A L 

L Omaha Lead Superfund Site ^^"^^l^S^ ^ C M O U P , INC . 

Name: ^e^T^g: i Omaha Lead Site Date: 

Address: ^f>/V r3yv>^ .- y Site SIcetch Time: 

Phone: »-ir.g-5v^-gt=r5 

Team /^iw>W.>^^/^/9<"//^t^fV BVID # /^5"(5< ^ XRF Code : 6 S O ^ 

Sample Number 

Lead Concentration Confirmation Sample 

/^VAi^OPy A - /31^fi n ( 3 / t/ Q pp^ f'ves n N o ^ 

Di^A L28 . nnm pves n No.^^^ 

/?Yoacpy A - /.9s/i n -51 No/ Q Yes • /3 / i/ C P'"" •pYes l-J N o ^ 

/?nr.sc/=>y/j - /,9.^^f> /OP V Agfl Spm pcYes n No >g 

••5CV ^.^>r ppm t^Yes Q No -D 

ppm Yes • No • 

Legen d 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced

Sod 

 with Area replaced with 

Rock/Mulch Area left bare 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
Name; jS^ ersT/^/cs Omaha Lead Site Date: ^/f5^/a 3 North Arrow 

Rite Sketch Timp Time-: 'jO'./b/iri ^/O'J'A^IM. .

Phone: 4^.S>-5V^ - g^T ? f 

Team if^i^A^ . jif/y/}r/^/a»Je ^ BVID # /7'5'S ^ XRF Code ^ S O ^ 

Sample Number Lead Concentration Confirmation Sample 

/^/ A i'\CP7A - /^^fiC i /3/ t/a ppm f'ves a N o ^ 

ppm No. ^ 

JLAS.—-/ G pppp 151 Yes • • No/ H 

^ ^ ^ A "/ ^ ppm jpYe s Q , No ^ 

/^nz:3cf>yyi --LBMJU>^— I No 5 

6'Yes a f. No - Q 

Yes • No tZl 

! N i i i I ! I I il l j \ 

Omaha Lead Site 46130 
• • 

^ TyAy ^.^^t\7<\(\ \\P'7iHWa.f\c # \ rSfn? r-f-j^^.t X>i\\N7,nc^mon<Jr> 

Name 

Omaha Lead Site 46130 

i 
Omaha Lead Site 46130 
>, 

^<ito»»*i-^ 

COASTA I 

IHVlROHniKTAI ^•x «io<*^ C t O U P L H c 

Consent for Access To Property 

RIGHT OF EHTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes ttie 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: \Q ^ JT/-, 

Owner's Name: Daytime Phone: 

P?rc^e\ d^rov 

Address of Property 

covered by this 

Agreement: 36m F,/\e bfPURPOSE OF RESPONSE AcTiyrriES 

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 wili be restored to its original condition. This 

work Is being perfomned 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 confinm that it is complete and meets with the Grantor's approval. Upon 

completion, the Grantor wili receive written documentetion 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 wortt. This access shall 

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

agrees to: 

Page 1 of 2 
,*-"•">, 

COASTA I .^ tNTIiOMHfKTAt 

\^0^ ^ C • O V » IfcC 

« Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

c Remove fiovtrer bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

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

necessary subsequent to an initial watering period by EPA; 

c 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 temper with any of the work activities, or with any 

of the work done, or with the equipment used on his property, or to underteke any 

actions regarding the use of said property which would tend to endanger the health or 

weltere of the Grantees or the environment, or to altow others to use the property in 

such a manner. 

Should you have any questions about this program, please contact Coastal 

Environmental Group, at (402) 991-1199 

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

i^n-O'x 

Signature 

Date 

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

Page 2 of 2 
COASTA L 

C n p ^ r • u r 

Restoration Agceemertt 

The purpose ofthis agreement is to provide a mutual agreement as to conditions ofthe propeny prior to 

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

activities are compieted to the satisfaction of the property owner and the United States Environmental 

Protection Agency (EPA). 

PropertylD: |C|5g( ^ 

Property Address: 3^) 4 P' | 0 6 ^ ^ 

Owner; T^rr)"(Y\vYV^^ Vyr\ d 

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

access Iocation(s) to be used by the contractors. Indicate distances, depths, material types, etc. 

Photographically and Videographically document the existing conditions ofthe property and the basement if 

necessary. 

items to be Removed by the Owner before Start of Remediation: 

The renoval. storage^ disposal, and/or return of these items is the Owner s responeibility. 

Rem: V j » 

Item: 

Item: 

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

Item: 

h^ i %r^A\ S\\nfs\^ ^ef-^V-eKmr/ 

Rem: 

Item: 

Item: 

Pagel of. 
COASTA L 

Items to Be Removed By Contractor During Remediation ancf Replaced 

Item: 

Kem: 

^ ^g P^ 

Item: 

^L? . '^exYixJm^ re^Ufe 

Item: 

Item 

Pre-existing property area, 

that wilt be excavated, that 

ts covered with grass. 

Number of trees > 2 inch 

trunk diameter 

Number of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, 

Tuners, Heads, etc. 

Ait.nth n iketcli ol llie 

Number of and size of 

each garden/ flower bed 

area. 

AtUR-h .1 sketch ol ri.-!;nivc 

>i/c"S nnd loc;lIi(Vl^ 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

VcK- il-ii' ^Hl^lC VMII hi 

csrt. 10 If. Ul .: plKliI 

»OIH.;K' . !<. llif |;rii)'Cii> 

li« ntr . 

Landscape Inventory 

Quantity Unit Condition/Type/Species 

Quadrants ^•^s)^ 

Each 

\ 

Each 

\ 

4> Farh 

"h 

Each 

Square Feet 

$ 

\ 

Easement Area, to be Each "J^C^lJUOCX ^Sfi^^- ^ excavated 

Page 2 of. 
COASTA L 

C k O U P . IN C 

\ Additional Comments / instructions: 

Q Check the tx)X 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. 

O I do not agree 

Date CoMractor'ss Signatur SiEiiaturee Date

Page 3 of. 
m 

Date 

Project 

XRF ID# 

Shot# 

l ^ t 

{p}X> 5 ^ 

Average

Shot # 

S E 

^ ^ ^ 

^ 

Average

Shot # 

Average 

Shot # 

Average 

1 lab sample # 

BMIDU 195 ^ 

XRF PROPERTY SAMPLE SHEET 

I0'2^-0 ^ Address ,^,T/y f//7t ^ L 

Omaha lead FP 2n(j year option Sample time am/pm 

3z^<? sample length 30 sec f 

Reading Sample area Shot # Reading Sample area 

5(7 -^ // 5 ^ D& 22£ m^A-^ PZ^ 

Depth m.i Depth r • : ^ ^ ^ f ^ /^ -V^ 

?-^j 

m n­ H( ^ tL /, ^ Average /^ ^ t- <^ 2> 

Reading Sample area Shot n Reading Sample area 

^ Depth Depth /bj ^

^ 

a 

//I .t ;90 J 

 // / > [ ^ Average 

Reading Sample area Shot # Reading Sample area 

Depth Depth 

Average 

RETEST AREAS 

Reading Sample area Shot # Reading Sample area 

Depth Depth 

Average 

Lab result Sample area XRF Avg. 

Signature 

$tmm 

Print '^nMmo 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 730 

Mode SOIL 

Time 2009-10-26 09:37 

Duration 120.00 

Sequence Final 

Fla^_______^ 

r-AVE^GE— -Avg-of-726-729­

4x5eAnoN 3514 pine st 

INSPECTOR VENTRY 

COR 1 em 

COR 2 1 

MISC clearence 

NOTE epa gun 

User Login EPA 

ppm Error 

-Pb^ 110.848 :. yy ^ •18.367 .' 

-ctr < LOD 22.204 

Ag < LOD 16.486 

Sr 112.058 ± 9.165 

U < LOD 24.593 

Rb 52.391 ± 7.343 

Th < LOD 15.785 

Se < LOD 6.444 

As < LOD 23.129 

Hg < LOD 14.764 

Zn 103.969 i 22.399 

W < LOD 87.996 

Cu < LOD 36.946 

Ni < LOD 80.527 

Co < LOD 171.391 

Fe 13257.523 • i 412.786 

Mn 462.751 ± 114.502 

Cr < LOD 126.103 

< LOD 68.173 

Ti < LOD 512.704 

Sc < LOD 82.058 

Ca < LOD 880.639 

K < LOD 1743.552 

S < LOD 44296.109 

Suoervised By: TDT'ft . )tp ilfOO 

v 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 726 

Mode SOIL 

Time 2009-10-26 09:35 

Duration 30.00 

Sequence Final 

Flags 

SAMPLE 19580 

LOCATION 3514 pine st 

INSPECTOR VENTRY 

COR l em 

COR 2 1 

MISC clearence 

NOTE epa gun 

User Login EPA 

ppm Error 

Pb 96.219 i 17.190 

Cd < LOD 21.766 

Ag < LOD 16.243 

Sr 117.478 ± 9.279 

U < LOD 26.085 

Rb 55.782 i 7.592 

Th < LOD 15.710 

Se < LOD 6.434 

As < LOD 21.943 

Hg < LOD 15.815 

Zn 118.803 ^ 23.570 

W < LOD 92.185 

Cu < LOD 34.660 

Ni < LOD 78.754 

Co < LOD 170.061 

Fe 12994.134 ± 405.056 

Mn 422.329 ± 109.951 

Cr < LOD 197.563 

V < LOD 145.666 

Ti < LOD 782.189 

Sc < LOD 108.417 

Ca < LOD 1250.364 

K < LOD 1802.601 

S < LOD 174019.563 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32075 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

SAMPLE 

LOCATION 

INSPECTOR 

COR 1 

COR 2 

MISC 

NOTE 

User Login 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm 

120.079 

< LOD 

< LOD 

114.105 

< LOD 

54.348 

< LOD 

< LOD 

< LOD 

< LOD 

103.575 

< LOD 

< LOD 

< LOD 

< LOD 

13839.077 

516.712 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

Supervised By: 

Certificate of Verification 

727 

SOIL 

2009-10-26 09:35 

30.00 

Final 

19580 

3514 pine st 

VENTRY 

em 

1 

clearence 

epa gun 

EPA 

± 

± 

± 

± 

± 

± 

Error 

18.790 

21.777 

15.939 

9.186 

24.979 

7.434 

14.274 

6.204 

24.423 

14.770 

22.139 

84.051 

36.108 

77.190 

171.232 

418.914 

118.230 

38.868 

27.522 

267.756 

102.516 

866.187 

1742.835 

1064.891 

V 
Thermo 

S C I E N T I F I C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 728 

Mode SOIL 

Time 2009-10-26 09:36 

Duration 30.00 

Sequence Final 

Flags 

SAMPLE 19580 

LOCATION 3514 pine st 

INSPECTOR VENTRY 

COR 1 em 

COR 2 1 

MISC clearence 

NOTE epa gun 

User Login EPA 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm ± Error 

108.565 ± 17.586 

< LOD 21.780 

< LOD 16.035 

117.255 ± 9.012 

< LOD 22.963 

53.756 ± 7.084 

< LOD 15.841 

< LOD 6.126 

< LOD 21.551 

< LOD 13.494 

94.033 ± 20.733 

< LOD 82.496 

41.796 ± 24.061 

< LOD 77.620 

< LOD 166.677 

13350.602 ± 399.775 

510.353 ± 114.973 

< LOD 159.116 

< LOD 63.925 

< LOD 643.630 

< LOD 102.228 

< LOD 808.980 

< LOD 1742.620 

< LOD 1140.178 

Supervised By: 

V 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 729 

Mode SOIL 

Time 2009-10-26 09:37 

Duration 30.00 

Sequence Final 

Flags 

SAMPLE 19580 

LOCATION 3514 pine st 

INSPECTOR VENTRY 

COR l em 

COR 2 1 

MISC clearence 

NOTE epa gun 

User Login EPA 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm ± Error 

118.527 ± 19.899 < LOD 23.495 

< LOD 17.729 

99.394 ± 9.181 

< LOD 24.345 

45.680 ± 7.261 

< LOD 17.314 

< LOD 7.014 

< LOD 24.600 

< LOD 14.976 

99.465 ± 23.153 

< LOD 93.251 

41.850 ± 27.282 

< LOD 88.543 

< LOD 177.592 

12846.282 ± 427.401 

401.611 ± 114.853 

< LOD 108.865 

< LOD 35.581 

< LOD 357.242 

< LOD 15.071 

< LOD 597.025 

< LOD 1686.152 

< LOD 959.807 

Supervised By: 

V 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32075 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

LOCATION 

INSPECTOR 

COR 1 

COR 2 

MISC 

NOTE 

User Login 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

Certificate of Verification 

725 

SOIL 

2009-10-26 09:33 

120.00 

Final 

Avg of 721-724 

3514 pine st 

VENTRY 

f2 

6 

clearence 

epa gun 

EPA 

ppm ± Error 

196.111 ± 23.490 

< LOD 22.164 

< LOD 15.988 

108.144 9.024 

< LOD 23.008 

49.024 ± 7.044 

< LOD 17.162 

< LOD 6.950 

< LOD 29.493 

< LOD 14.640 

148.784 ± 25.769 

< LOD 86.927 

41.912 ± 25.398 

< LOD 84.759 

< LOD 182.583 

14980.066 ± 437.308 

374.156 ± 107.336 

< LOD 82.806 

< LOD 274.339 

< LOD 564.898 

< LOD 20.719 

< LOD 815.062 

< LOD 1795.038 

< LOD 1119.365 

Supervised By: ^a m 

V 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32075 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

SAMPLE 

LOCATION 

INSPECTOR 

COR 1 

COR 2 

MISC 

NOTE 

User Login 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm 

205.404 

< LOD 

< LOD 

100.223 

< LOD 

48.454 

< LOD 

< LOD 

< LOD 

< LOD 

128.144 

< LOD 

< LOD 

< LOD 

< LOD 

14609.958 

453.166 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

Supervised By: 

Certificate of Verification 

721 

SOIL 

2009-10-26 09:31 

30.00 

Final 

19580 

3514 pine st 

VENTRY 

f2 

6 

clearence 

epa gun 

EPA 

± 

± 

± 

± 

Error 

23.804 

21.663 

15.695 

8.720 

21.878 

6.902 

16.719 

5.902 

29.500 

14.145 

24.046 

84.783 

35.481 

89.593 

177.695 

430.835 

114.472 

126.360 

228.543 

483.172 

15.984 

645.030 

1275.964 

872.156 

V 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32075 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

SAMPLE 

LOCATION 

INSPECTOR 

COR 1 

COR 2 

MISC 

NOTE 

User Login 

Certificate of Verification 

722 

SOIL 

2009-10-26 09:32 

30.00 

Final 

19580 

3514 pine st 

VENTRY 

f2 

6 

clearence 

epa gun 

EPA 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm 

202.181 

< LOD 

< LOD 

112.975 

< LOD 

51.074 

< LOD 

< LOD 

< LOD 

< LOD 

153.929 

< LOD 

49.439 

< LOD 

< LOD 

15258.174 

428.466 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

Supervised By: 

± 

± 

± 

± 

± 

± 

Error 

23.877 

22.379 

16.434 

9.217 

23.642 

7.204 

16.869 

7.202 

29.077 

15.675 

26.306 

88.564 

26.151 

80.987 

180.761 

442.412 

112.506 

46.505 

306.229 

745.326 

15.049 

570.315 

2207.771 

1214.493 

V 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32075 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

SAMPLE 

LOCATION 

INSPECTOR 

COR 1 

COR 2 

MISC 

NOTE 

User Login 

Certificate of Verification 

723 

SOIL 

2009-10-26 09:33 

30.00 

Final 

19580 

3514 pine st 

VENtRY 

f2 

6 

clearence 

epa gun 

EPA 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm 

187.622 

< LOD 

< LOD 

104.229 

< LOD 

48.458 ± 

< LOD 

< LOD 

< LOD 

< LOD 

162.717 ± 

< LOD 

37.590 

< LOD 

< LOD 

14959.573 

269.725 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

Error 

22.767 

21.671 

15.906 

8.786 

22.678 

6.926 

16.342 

6.849 

29.688 

13.654 

26.243 

77.626 

24.410 

80.673 

183.356 

431.822 

96.663 

40.473 

309.660 

478.096 

22.057 

872.468 

2463.704 

1376.930 

Supervised By: 

V 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32075 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

SAMPLE 

LOCATION 

INSPECTOR 

COR l 

COR 2 

MISC 

NOTE 

User Login 

Certificate of Verification 

724 

SOIL 

2009-10-26 09:33 

30.00 

Final 

19580 

3514 pine st 

VENTRY 

f2 

6 

clearence 

epa gun 

EPA 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm 

189.237 

< LOD 

< LOD 

115.151 

< LOD 

48.110 

19.970 

< LOD 

< LOD 

< LOD 

150.344 

< LOD 

57.132 

< LOD 

< LOD 

15092.562 

345.269 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

Supervised By: 

± 

'± 

± 

± 

± 

± 

Error 

23.514 

22.943 

15.918 

9.370 

23.836 

7.145 

12.480 

7.847 

29.705 

15.087 

26.481 

96.736 

27.377 

87.783 

188.519 

444.163 

105.702 

117.885 

252.923 

552.997 

29.785 

1172.435 

1232.715 

1013.883 

V 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 602 

Mode SOIL 

Time 2009-10-24 10:11 

Duration 120.00 

Sequence Final 

Flags 

AVERAGE 1 Ax/f, 9f qQR.fini 

LOCATION 3514 pine 

INSPECTOR VENTRY 

COR l dz 

COR 2 13 

MISC clearence 

NOTE epa gun 

User Login EPA 

ppm Error 

Pb - 45.984 d: 12.003 ; •Cd < LOD 20.332 

Ag < LOD 14.664 

Sr 118.057 1 8.558 

U < LOD 22.113 

Rb 56.431 ^ 6.835 

Th < LOD 12.592 

Se < LOD 5.911 

As < LOD 15.399 

Hg < LOD 12.798 

Zn 69.307 i 17.386 

W < LOD 75.063 

Cu < LOD 29.039 

Ni < LOD 74.832 

Co < LOD 168.582 

Fe 15407.516 i 406.113 

Mn 515.832 ' ^ 109.329 

Cr < LOD 133.069 

V < LOD 334.631 

Ti < LOD 728.184 

Sc < LOD 80.189 

Ca < LOD 1158.799 

K < LOD 2506.041 

S < LOD 43258.004 

Supervised By: fyrT A hk W/\ 
% 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 598 

Mode SOIL 

Time 2009-10-24 10:08 

Duration 30.00 

Sequence Final 

Flags 

SAMPLE 19580 

LOCATION 3514 pine 

INSPECTOR VENTRY 

COR 1 dz 

COR 2 13 

MISC clearence 

NOTE epa gun 

User Login EPA 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm ± Error 

36.011 ± 11.274 

< LOD 20.622 

< LOD 14.567 

122.622 ± 8.812 

< LOD 22.096 

57.767 ± 6.966 

< LOD 13.434 

< LOD 5.776 

< LOD 14.376 

< LOD 13.184 

55.753 16.585 

< LOD 81.190 

< LOD 29.888 

< LOD 72.677 

< LOD 167.188 

15316.077 ± 410.447 

430.973 ± 104.319 

< LOD 117.695 

< LOD 366.471 

< LOD 685.340 

< LOD 102.458 

< LOD 830.911 

< LOD 2754.822 

< LOD 1500.840 

Supervised By: 

V 
f

 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 599 

Mode SOIL 

Time 2009-10-24 10:09 

Duration 30.00 

Sequence Final 

Flags 

SAMPLE 19580 

LOCATION 3514 pine 

INSPECTOR VENTRY 

COR 1 dz 

COR 2 13 

MISC clearence 

NOTE epa gun 

User Login EPA 

Pb 

Cd 

Ag 

Sr 

U. 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm 

60.333 

< LOD 

< LOD 

120.652 

< LOD 

52.401 

< LOD 

< LOD 

< LOD 

< LOD 

68.521 

< LOD 

31.249 

< LOD 

< LOD 

15129.035 

623.978 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

± 

± 

± 

± 

± 

± 

± 

± 

Error 

13.043 

19.812 

14.260 

8.476 

21.995 

6.577 

12.919 

6.014 

16.787 

12.299 

16.963 

71.019 

20.758 

72.458 

163.693 

395.164 

116.057 

51.776 

237.375 

496.340 

46.435 

1834.817 

2285.032 

1624.159 

Supervised By: 

V 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 600 

Mode SOIL 

Time 2009-10-24 10:10 

Duration 30.00 

Sequence Final 

Flags 

SAMPLE 19580 

LOCATION 3514 pine 

INSPECTOR VENTRY 

COR l dz 

COR 2 13 

MISC clearence 

NOTE epa gun 

User Login EPA 

ppm Error 

Pb 49.131 ± 12.088 

Cd < LOD 20.126 

Ag < LOD 14.516 

Sr 111.972 ± 8.242 

U < LOD 21.772 

Rb 65.135 ± 7.081 

Th < LOD 11.324 

Se < LOD 5.756 

As < LOD 15.896 

Hg < LOD 11.587 

Zn 71.043 •± 17.073 

W < LOD 70.052 

Cu < LOD 26.647 

Ni < LOD 77.346 

Co < LOD 166.947 

Fe 15494.837 dt 400.909 

Mn 461.555 ± 103.186 

Cr < LOD 244.891 

V < LOD 499.260 

Ti < LOD 1000.286 

Sc < LOD 22.697 

Ca < LOD 871.448 

K < LOD 2134.589 

S < LOD 168219.344 

Supervised By: 
% 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32075 

Reading No 601 

Mode SOIL 

Time 2009-10-24 10:11 

Duration 30.00 

Sequence Final 

Flags 

SAMPLE 19580 

LOCATION 3514 pine 

INSPECTOR VENTRY 

COR 1 dz 

COR 2 13 

MISC clearence 

NOTE epa gun 

User Login EPA 

Pb 

Cd 

Ag 

Sr 

U 

Rb 

Th 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

Ti 

Sc 

Ca 

K 

S 

ppm 

38.462 

< LOD 

< LOD 

116.981 

< LOD 

50.420 

< LOD 

< LOD 

< LOD 

< LOD 

81.911 

< LOD 

< LOD 

< LOD 

< LOD 

15690.111 

546.823 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

< LOD 

Supervised By: 

± 

± 

± 

± 

± 

± 

Error 

11.607 

20.767 

15.315 

8.701 

22.588 

6.716 

12.692 

6.096 

14.536 

14.122 

18.922 

77.992 

28.485 

76.847 

176.502 

417.931 

113.756 

117.912 

235.418 

730.770 

149.166 

1098.019 

2849.722 

1687.662 

V 
<it 

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

Coastal Environmental Group Inc. 

www.coastalhazmat.com 

COASTAL ENVIIOHHtNTAL 

C t o U r. IN C 

EXECUTIVE SUMMARY: 

BVID #19580-(3514 PINE ST) 

No Issues or Concerns I I Issues/Concerns 

Detail Explanation 
$ t ^ 

EPA Property Close Out Form 

Propertyy Addrcss-.-

j£2iL

Datc/Tlme: Owner's Name: 

Quads Excavated: V f^ ^' l Contractor Group \ 

Propeny #: \4^^ C Addrtw. -ff ^ ^ l i ^^^^S^^.^ \ 

Excavation General Yes No

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

2. If necessary, were the correct areas or drip zone excavaied aod restored? ly' 

Gradln Yes No e Sod and Ve£etatioB 

I. Docs the {fading around the perimeter orthc house in excavated areas generally slope away 

from tbe house? 

yy 

2. Has sod been laid m all areas that were excavated? 

3. Does the sod appear to be generally healdiy and growing? (Only evaluate irinspected at a 30 

day time period) 

4. A R sodded areas generally firrn and evenly graded? 

5. Ar

tim

e

e

 th

 period

e Joint

) 

s between the sod strips generally tight? (Only evaluate if inspected at a 30 day y

6. Was the property graded such that water will not pool on the property 

7. Was damtge to landscaping or plant materials avoided? 1 7 \ 

Gates, Fences and RetahilBg Walls Yes No^ 

I 1. Do gates open and clo.se freely? (If applicable) t y 

2. Were all gates or fences lalten down during restoration activities reinsulled? (If applicable) iy~ 

3. Was damage to gates or fences avoided? (Ifapplicable) 7­

4. Was danuge to retaining walls avoided? (Ifapplicable) 7^ 

Foundation, SldtBK and Gatlera 

Yes No 

I. Was damage to the siding or trim avoided? K7' 

2. Was damage to tbe foundation avoided? L 7 

Was damage to windows avoided? 

4

 Was damage to windows or door screens avoided? ~L7 ' 

5. Was damage to downspouts or downspout extensions avoided? 

Sidewalks nnd Driveways (Concrete) 

Yes/ No 

1. Was damage to driveway surfaces avoided? 7\ 

2. Was damage to walkway surfkces avoided? y 
Ort'tiers comments: 

Inspetrtion notes: 

Removal and resloration activates complele including the 30-day sod warranry: 

EPA Representative j Jow \J^^l^ y Date: J/^/X^/ ^ 
L 

Property Compietlon Agreement 

ihis agreemem documenls llie complelion ol remedial aclivmes perloimed on my property My signature 

will designate ihal I am satisfied wilh (lie restoralion of my propeily. and thai no items are in queslions. 

now, or al any lime in the future, except liiose items listed below, ifany 

Property fD: j ^^t^T 3 

Property Address! 5S~ / ^ ~PYy^7- *b \ ~ 

o^"*"^ fW ^ f^myTt.^ 

Phone: t/o^-4?T?-?-^^5-' 

Restoration Items in Question: 

Item: 

ttem: 

• IW I • •• u u 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

/>j,^j>rc c icstorflllon is completed, except as noleri 

[_] i do not a|;rec resloration is completed 

Owner' s SignatuKp Date ^ V Contiarlor' s Signature Dale