## TRANSMITTALo f

OMAH ALEAD SIT E SOI LREMEDIATIO NFIL EFOLDER

SAID # : 

# U^{}{ , Date : 

## Address : \lAf h^ tlf> ^ ^ T Remediatio nContractor : Coasta l Environmenta l Group

_ Year : 200 : _200l ^



### SOI LREMEDIATIO N PROPERT YFIL EFOLDE RDOCUMENT S Vide o o f property (DVD ) Executiv eSummary EPA-provide dproperty sketc h Signe dAcces s Agreemen t fo r subjec t property Signe dAcces s Agreement(s ) for adjacent property Restoratio nAgreemen t Settlement document s (i.e. , for damag e o r t o replac e plants , etc. ) Confirmatio ndat a Photograph s Q<^ATUv ^ As-buil t sketc h |

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Satisfactory restoratio nsigne db y Property Owne r Property close-ou t chec k lis t signe db y EPA Descriptio no f area s no t meetin g RO D cleanu p criteri a Utility clearance s Property informatio nfromDougla s Count y Assessor' s Offic e



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## Propert yAcces s Checklfs t Propertym ; ^(^OjQ ^ O WOR K STARTE D D WORKCOMPELTB D Property Add. ^ 12(0 ^ 5 ZJT ^ 3j

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## fynyiirrf r Owner : 

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# UMM O am u 5^\0 ) Ft o Cell/Page n Additional Infomuition : 

## Phono : M02..S/f),?,ft-^ 1 Fax : Cen/Pager :
D NotificationLette r Sent : / / By : QaAcces s Agrcenient 

## Signed : 9_/^/C a B r j ^Restoratio nAgreonai t 

## SigBed:^/^03

. By : D Tbpsoil SampUng (if applicable ) 

### / / By : O Disposa l Sanqilfaig (i f applicable ) 

### / / By : D Garde nSamplin g (ffappKcabie ) 

### / / By : 1 ^ ^tili^aearanc e 

## Called : i/2a/J2 9 By : lohji Q \l2 f Video/PtiotD S (Bdbre ) OB:j£./_5_/j2S t By:<3,io^rt^i., " O Video/Pboto s (Daring ) On : / / By : D VideoOtioto s (Alter ) O m/ / By : O Videomiota s (30-Day ) O K / / By : " ^ Prapert y Compledo aAgreement 

### Signed: X^i^/ ^ By : D Rna l Report Issued : / / By : Ai r Monitorin g (a s applicabl e DCommnnl ^ DCrc w On : / / By : Resalts : [_

] Commnnit y L JCrei r O K / / By : Resnits : D Commnnit y DCrew H On : / / Br - Resntt K ON : ON : 

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# 1• • 

## bougla s Count y Accoun t I

[•^ra||io n Page 1 of3

Dougla s County , Nebrask a Propert yRecor d - R221832000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e (S ) scai e 0-5 0 ft wes t o f52n d S t - VlOWO n 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 J H PROPERTIE S LL C
1144 0 S 14 6 S T#10 1 OMAH AN E 68138-000 0 Propert yInformatio n Ke yNumber : 183 2 000 0 2 2 Accoun t Type : Residentia l Parce l Number : 221832000 0 Parce l Address : 120 3 S 2 7 S T OMAH AN E 68105-000 0 Lega l Description : SHULL S 2N D AD D LOT1 0 BLOC K8 N 40.6 7 W2 1 FTLT9 & N 40.6 7 FT Valu e Informatio n Lan d Improvemen t Tota l 200 9 200 8 200 7 200 6 200 5 200 4 $3,500.0 0 $3,500.0 0 $3,500.0 0 $3,500.0 0 $3,500.0 0 $3,500.0 0 $37,200.0 0 $37,200.0 0 $37,200.0 0 $38,300.0 0 $38,300.0 0 $38,300.0 0 $40,700.0 0 $40,700.0 0 $40,700.0 0 $41,800.0 0 $41,800.0 0 $41,800.0 0 Saie s Informatio n Sale s Date : 2004-01-3 0 Dee d Type : W D Book : 200 4 Page : 01792 9 Price : $0.0 0 Grantor : Joh n M Higgin s eta l Grantee : J H Propertie s Valld/lnvalld : Invali d Exclusio n Reason : Sale s Date : 2002-05-0 7 Dee d Type : SW D Booilr : 221 2 Page : 11 9 Price : $40,000.0 0 Grantor :


## http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accoimtno=R22..

. 9/17/2009• • 

### bougla s County Accoun t I

[j^srnMtio n Pag e 2 of 3

Grantee : Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : ' 2001-12-0 5 Dee d Type : TR D Book : 219 9 Page : 46 2 Price : $51,480.0 0 Grantor : Grantee : Valid/Invalid : Invali d Exclusio n Reason : Foreclosur e Sale s Date : 1996-06-1 8 Dee d Type : D Book : 203 5 Page : \ 65 7 Price : $35,000.0 0 Grantor : Grantee : Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.0 7 3198. 0 1. 0 78. 0 41. 0 N o Improvemen t Informatio n Buildin g 1

jMS " 

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CLIC KTO ENLARG E IMAG E £LIC KT O ENLARG E IMAG E Squar e Footage : 1388. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Fai r 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R22.

. . 9/17/200 9• • 

## bougla s Cotmt y Accoim t I

; [i^rm||io n Page3 of 3

Condition : Cond o Squar e Footage : Rooms :

Units : Baths : Bedrooms : Stories : Foundation : Sprinkle rSquar e Footage : Adjuste d Yea r Physica l Ag e Buil t Fai r 0. 0 8. 0 1. 0 1. 0 3. 0 2. 0 Bloc k 0. 0 Uni t Type :

Buil t As :

HVAC : Exterior : Interior : Roo fCover :

Roo fType : Floorcover :

YearBuii t 2 Stor y Centra l Ai rt o Ai r Fram e Stucc o Plaste r Compositio n Rol l Gambre l Allowanc e
Yea r Percen t Remodele d Remodele d 190 2 0 0 % 1902 10 7 Unit s 1. 0 706. 0 1. 0 1. 0 1. 0 240. 0 210. 0 1. 0 Detai l Typ e Applianc e Basemen t Fixture Fixtur e Fixture Garag e Porc h Use r Detai l Descriptio n Allowanc e Bsmn t Bloc k 8 ft Additiona l Fixture s Bas e Fixture s Bat h Ful l Detache d Ope n Sla b Ne wRoof



## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R22..

. 9/17/2009Pag e 1 of 2

" > Creat e Anothe rTicke t Bac k t o Irt h Interne t Sen d Emai l )



## • YOURTICKE TNUMBE RI S 2387337

. Origina l Cal l Date : 10/15/0 9 Time : 1:4 4 p m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 10/19/0 9 Time : 2:1 5 p m State : N E County : DOUGLA S Place : OMAH A Address : 120 3 Street : S 27T H S T Twp : 15 NRng : 13 E Sect-Qtr : 28-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 Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL 3 MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F

Servic e Are a Contac t Phon e Number Utilit y Typ e

CXCAT V CO XCOMMUNICATIONS , IN C HEIDI Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7

LEVEL3 LEVEL S COMMUNICATIONS , LL C N A Day : 877366834 4 Alt : 

### Emerg : 877366834 4

MUD0 2 METROPOLITA NUTILITIES DISTRIC TSAND Y 

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

OMAHACO FCIT Y O FOMAHA-TRAFFICSEWE RRICH/TRAFFI C Day : 402444719 7

Alt : 402444516 1 Emerg : 402444516 0

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT.

. . 10/15/200 9

### Pag e 2 of 2

0PPDGPR 6 OMAH APUBLI C POWE RDISTRIC TN A 

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

QLNNEI FQWES TLOCALNETWOR K 

### N A 

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

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. . 10/15/200 9OLS# : 2090 6 DateExcavated:10/17/0 9 

# As-Buil t Drawin g Dat e USEP ASigne d Off : 11/10/0 9 COASTA L Are a Sodden : 123 3 s a f t 

# Omah aLea dSuperfun dSit e

2090 6 Omah a Lea d Sit e Exterio rPain t Norlti^To w Owne rName : JOH N M HIGGIN S Address : 120 3 S 2 7 S T Phone : H : 402-431-9290 W : 402-289-431 6 Sit e Sketc h •Goo d

•Poor Q^t pain t Sampl e Numt)e r Lea d Concentratio n Sampl e Collecte d LA B Firm :
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## ByooGDtA-zooe o B+ RYDSCPXA-2090 6 8 2 RDZSCPXA-2090 6 D Z RGZSCPXA-2090 6 G Z RPZSCPXA-2090 6 P Z 

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. IN C 

### Consen tfo rAcces s T o Propert y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propert yowner ) consent s t o an d authorize s th e Unite d State s Environmenta i Protectio n Agenc y(EPA ) o rit s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfon n certai n environmenta l respons e activitie s upo n th e followin g describe d premises : T ? r \ 1 fyyr\ \

Owner' s Nam e 

# '•]0\ ^ \\\(.U\A

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

# 120 3 3 Vi ^ ^

PURPOS E O F RESPONS E ACTIVITIE 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 dea n material s an d th e are a wil l b e restore d t o it s origina l condition

. Thi s wori ( i s bein g performe 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 confim i tha ti t i s complet e an d meet s wit h th e Grantor' s approval

. Upo n completion , th e Granto rviril l receiv e writte n documentatio 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 rightt o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fb rth e sol e purpos e o fperformin g th e work

. Thi s acces s shal l remai n i n effec tunti l th e vrar k ha s bise n satisfadorit ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f2

## %

COASTA L tfrvtaoNKIirTA t C R O D » > t rC



### < Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; cRemov e fiovkre rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ;
« 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 t approva l fo racces s t o th e propert yt o perfor m th e work

. eAllo 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 rtampe rwit 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 t use d o n hi s property , o rt o undertak 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 welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner
. Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9
(

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I gran t acces s t o m ypropertie s D i d o no t gran t acces s t o mypropertie s

Signa l Dat e ' " Signature Date

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.

Page 2 of 2

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COASTA L c« o u •- • k t r 

## Restoratio n Agireemen t Th epurpos e o f thi s agreemen t i s t c provid e amutua l agreemen t a s t o condition s ofth epropert y prio r t o remediatio nactivities

. Thi s wil l als o serv ea s documentatio nfor th e purpos e o f assurin g tha t restoratio n activitie s ar e complete dt o th e satisftictio no f th eproperty owne r an dth e Unite dState s Environmenta l Protectio nAgenc y (EPA)

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. Indicat edistances , depths , material types , etc
. Photographicall y an dVideographicaJl y documen t th eexistin g condition s ofth eproperty an dth eIxisement i f necessary . 

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### ! AddRtona l Comment s / Instructions :

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

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## Certificat e o fVerificatio n

25 8 SOI L 2009-10-2 0 15:1 1 120.0 0 Fina l Av g o f254-25 7 120 3 s 2 7 s t VENTR Y f l 1 3 clearenc e ep a gu n EP

A

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6.69 9 15.24 5 6.24 6 25.03 2 13.52 9 23.56 4 80.00 4 32.61 6 78.62 8 162.33 9 391.96 6 103.49 1 141.23 3 329.72 3

53.32 6 109.55 8 1327.99 5 2004.45 2 1394.43 1 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 25 4 Mod e SOI L Tim e 2009-10-2 0 15:0 9 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2090 6 LOCATIO N 120 3 s 2 7 s t INSPECTO R VENTR Y CO R 1 f l CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

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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 25 5 Mod e SOI L Tim e 2009-10-2 0 15 : 1 0 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2090 6 LOCATIO N 120 3 s 2 7 s t INSPECTO R VENTR Y CO R 1 f l 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 Fe M n C r T i S c C a K S pp m 294.09 7

< LO D < LO D 118.58 2

< LO D 49.67 5 < LO D < LO D < LO D < LO D 209.97 3

< LO D < LO D < LO D < LO D 14973.20 9

342.73 6

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

±
±

± ± Erro r 25.72 1 20.70 2 14.59 7

8.54 4 21.55 6

6.51 1 17.38 5

6.24 9 31.14 4 13.89 3 27.33 2 84.83 6 31.21 3 77.10 3 162.64 1 398.23 0

95.25 0 124.48 7 383.49 1 933.78 3 151.64 6 1541.34 5 2850.08 5 1809.96 8 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 25 6 Mod e SOI L Tim e 2009-10-2 0 15:1 0 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2090 6 LOCATIO N 120 3 s 2 7 s t INSPECTO R VENTR Y CO R1 f l 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 Fe M n C r T

i S c C a K S pp m 135.78 3

< LO D < LO D 111.10 5

< LO D 51.59 1 < LO D < LO D < LO D < LO D 162.56 2

< LO D 37.47 2 < LO D < LO D 12391.33 4

482.52 6

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

±

±
±

± ± Erro r 19.26 4 21.47 9 15.53 8

8.81 2 22.33 8

6.92 6 13.39 0 6.75 1 23.63 2 14.15 2 25.93 4 87.56 0 23.83 4 82.98 2 160.64 4 385.23 5 112.40 2 117.64 0 301.00 6 531.25 2

99.20 7 839.44 9 1684.49 0 1104.42 7 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 25 7 Mod e SOI L Tim e 2009-10-2 0 15:1 1 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2090 6 LOCATIO N 120 3 s 2 7 s t INSPECTO R VENTR Y CO R 1 f l 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 C r T i S c C a K S pp m 131.86 7

< LO D < LO D 117.81 3

< LO D 51.39 1 < LO D < LO D < LO D < LO D 98.70 7 < LO D < LO D < LO D < LO D 13529.22 8

401.21 2

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

±
±

± ± Erro r 18.28 7 20.69 5 14.92 8

8.63 9 22.00 7

6.67 2 15.16 3 6.15 3 23.33 8 12.40 3 19.86 5 70.03 7 31.47 2 77.94 4 158.36 6 384.39 9 100.84 9 199.81 9 306.65 3 746.35 1

35.83 7 1400.18 3 2207.56 2 1426.95 7 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 25 3 Mod e SOI L Tim e 2009-10-2 0 15:0 7 Duratio n 120.0 0 Sequenc e Fina l Flag s AVERAG E VAy g o f249-75?I 3 LOCATIO N 120 3 s 2 7 s t INSPECTO R VENTR Y COR l easemen t CO R 2 1 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

pp m Erro r

I ^ "

—Ig.Of J x u \ < LO D 20.13 5 C d A g < LO D : 14.54 3 S r 119.60 5 ± 8.49 0 U < LO D : 21.67 1 R b 49.51 8 ± 6.46 1 T h < LO D 14.55 9 S e < LO D 5.60 2 A s < LO D 24.96 8 H g < LO D 13.24 3 Z n 163.18 7 ± 24.23 7 W < LO D ; 78.72 3 C u 33.37 6 ± 21.18 2 N i < LO D : 72.50 2 C o < LO D : 157.76 0 Fe 13781.93 7 ± 379.23 1 M n 456.93 8 ± 103.05 0 C r < LO D 154.89 8 V < LO D 210.99 1 T i < LO D ^ — 570.42 7 S c < LOD/ ^ '""' ^ : y93.97 8 C a < LOD^' ^ /1100.34 0 K < LO D •y ^ 1630.05 2 S </LO D 41660.62 9 

# -£
7 Supervise d By : /x 

# 4

# 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 24 9 Mod e SOI L Tim e 2009-10-2 0 15:0 5 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2090 6 LOCATIO N 120 3 s 2 7 s t INSPECTO R VENTR Y COR l easemen t 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 164.32 3 ± 19.83 7 C d < LO D 20.12 7 A g < LO D 14.77 7 S r 118.68 8 ± 8.60 1 U < LO D 22.73 4 R b 53.01 8 ± 6.77 1 T h < LO D 15.12 2 S e < LO D 5.43 9 A s < LO D 24.09 8 H g < LO D 14.09 4 Z n 172.45 7 ± 25.16 6 W < LO D 80.55 7 C u < LO D 32.53 3 N i 84.07 8 ± 53.78 5 C o < LO D 162.85 8 F e 14516.09 9 ± 395.01 9 M n 455.81 4 ± 105.11 2 C r < LO D 154.04 4 V < LO D 194.30 3 T i < LO D 731.16 4 S c < LO D 100.36 0 C a < LO D 598.74 0 K < LO D 1686.59 1 S < LO D 162791.25 0 Supervise d By :

# 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 25 0 Mod e SOI L Tim e 2009-10-2 0 15:0 5 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2090 6 LOCATIO N 120 3 s 2 7 s t INSPECTO R VENTR Y CO R 1 easemen t 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 176.64 2 19.83 0 C d < LO D 19.69 4 A g < LO D 14.14 1 S r 118.12 0 ± 8.28 7 U < LO D 20.22 2 R b 43.78 5 ± 6.00 8 T h < LO D 14.32 3 S e < LO D 5.95 3 A s < LO D 24.84 2 H g < LO D 12.49 4 Z n 146.29 4 ± 22.86 0 W < LO D 81.09 2 C u 58.77 2 ± 22.98 2 N i < LO D 72.68 2 C o < LO D 155.92 7 F e 13432.58 5 ± 367.74 5 M n 428.22 8 ± 98.74 5 C r < LO D 203.83 3 < LO D 305.14 6 T i < LO D 789.77 4 S c < LO D 107.09 2 C a < LO D 1084.70 4 K < LO D 61.35 6 S < LO D 885.92 2 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 CO R1 CO R 2 MIS C NOT E Use rLogi n 

## Certificat e o fVerificatio n

25 1 SOI L 2009-10-2 0 15 ; 0 6 30.0 0 Fina l 2090 6 120 3 s 2 7 s t VENTR Y easemen t 1 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 Fe M n C r T i S c C a K S pp m 164.96 9

< LO D < LO D 110.48 0

< LO D 50.50 6 < LO D < LO D < LO D < LO D 167.25 8

< LO D < LO D < LO D < LO D 12983.19 4

419.14 6

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

±
±

± ± Erro r 20.25 3 21.12 6 14.85 1 8.50 0 22.90 2

6.77 4 14.70 0 6.11 1 26.24 9 13.85 2 25.40 3 85.25 8 32.40 5 74.51 0 159.00 7 380.80 5 103.51 2 112.92 7 308.71 9 403.30 2

30.85 5 1215.34 9 2462.05 2 1455.93 1 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

25 2 SOI L 2009-10-2 0 15:0 7 30.0 0 Fina l 2090 6 120 3 s 2 7 s t VENTR Y easemen t 1 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 Fe M n C r T i S c C a K S pp m 174.81 1

< LO D < LO D 131.13 3

< LO D 50.76 0 < LO D < LO D < LO D < LO D 166.73 9

< LO D < LO D < LO D < LO D 14195.87 0

524.56 2

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

±
±

± ± Erro r 19.45 2 19.59 3 14.40 1

8.57 0 20.82 7

6.29 3 14.09 3 4.90 5 24.68 5 12.53 2 23.51 9 67.98 6 27.68 2 62.13 9 153.25 0 373.35 4 104.82 9 148.79 0

35.79 6 357.46 6 137.60 5 1502.56 9 2310.21 0 1509.40 8 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-3902 2 Readin g N o 42 2 Mod e SOI L Tim e 2010-02-1 2 10:3 8 Duratio n 120.7 5 Sequenc e Fina l 'i^^SSt ^ 

## _^|yg^oMl8^2r3 ] ADDRES S T2D3 ^ 2 7 St

. QUADRAN T D Z DEPH T 1 3 XR F TEC H O

. BARAJA S MIS C 1 NOT E Re d folde r

pp m ± Erro r P b 100.97 7 ± 17.09 3 Supervise d By :

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

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

pp m P b 97.85 9 Supervise d By : 

## Certificat e o fVerificatio n

41 8 SOI L 2010-02-1 2 10:3 6 30.2 1 Fina l 2090 6 120 3 S 2 7 St

. D Z 1 3 O

. BARAJA S 1 Re d folde r

± Erro r
± 16.97 2

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

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

pp m P b 110.98 8 Supervise d By : 

## Certificat e o fVerificatio n

41 9 SOI L 2010-02-1 2 10:3 7 30.2 2 Fina l 2090 6 120 3 S 2 7 St

. D Z 1 3 O

. BARAJA S 1 Re d folde r

± Erro r 17.55 7

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

## Certificat e o fVerificatio n
XL3t-3902 2 Readin g N o 42 0 Mod e SOI L Tim e 2010-02-1 2 10:3 7 Duratio n 30.1 4 Sequenc e Fina l Flag s BVI D 2090 6 ADDRES S 120 3 S 2 7 St

. QUADRAN T D Z DEPH T 1 3 XR F TEC H O

. BARAJA S MIS C 1 NOT E Re d folde r

pp m ±Erro r P b 98.39 3 ±17.05 3 Supervise d By :

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

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

pp m P b 96.66 7 Supervise d By : 

## Certificat e o fVerificatio n

42 1 SOI L 2010-02-1 2 10:3 8 30.1 8 Fina l 2090 6 120 3 S 2 7 St

. D Z 1 3 O

. BARAJA S 1 Re d folde r

± Erro r
± 16.78 9

## i\jf^ \

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

.

www.coa8talhazmat.co m M ^ ^ ^"iPBO^*" ^ COASTA L ENfllONNIIITA l c•o u r , IH C 

# EXECUTIV ESUMMARY : BVID #20906-(120 3 S 27 ST )
No Issue s o r Concern s [ ^ Issues/Concern s
Detail Explanation :4 /S ^ 

# EP A ^ 

# EP APropert y Clos e Ou t For m Propert y ff=^0^/)^,, Propert y Addresr

. J^ ^ }fi/'\'' ^ Date/Tlroc : OwV.r'.N.me:.A3te^^^^= r Quad s Excavated : \'\.fs" ^ Contracto r Grou p ( J^iOA y 

# G^^tL p
Ye s N o Excavatio nGenera l \

. If necessaiy , wereth ecorrec t quadrant(s ) excavate dandrestored ? 2

.If necessaiy , wereth ecorrec t area s ofdri p zoneexcavate dandrestored ? ^ ^ Ye s N o Gradin g So dan dVegetatio n 1

.Doe s thegradin g aroun dth eperimeier ofth ehous ei nexcavale darea s generally slop eawa y 

# 17 fromth ehouse ?

_^ 

### L x " 2

.Ha s so dbee nlai dinai l area s tha t wer eexcavated ? 3

.Doc s thesodappear to b egenerally healthy an dgrowing ? (Only evalual e if inspecteda t a3 0 

### I/ " day timeperiod) • 

# 1? ^ 4

.Ar esoddedarea s generally Hr man devenly graded ? S

.Ar eth ejoint s Iwtweenth eso dstrip s generally tight ? (Only evaluateif inspecteda t a3 0 da y 

# \ y tim eperiod) 6

.Wa s thepropert y grade dsuchtha t wate r will no t poo l o nthepropert>' ? ^ ' 7

.

Wa s damage t o landscapin g o r plan t material s avoided ? 

# 77 ^
Gates , Fence aan dRetainin g Wail s V « N o I

.D o gate s ope nan dclos efreely? (Ifapplicable ) 2

.Wereall gate s or fence s takendow nduring restoratio nactivilie s reinstalled ? (Ifapplicable ) 

## l^ ' 3

.Wa s damage t o gate s o r fence s avoided ? (Ifapplicable ) 

## l y ' 4

.Wa s damaget o retainin g wall s avoided ? (Ifapplicable ) 

# 1> ^

Foundation , Sidtn g an dGuHer s Ye s N o I

.Wa s damaget o th e sidin g o r trimavoided ? 

## IX " 2

.Wa s damageto thefoundationavoided ? 

# ~Z? ^ 3

.Wa s damag eto window s avoided ?

Wa s damageto window s o r door screen s avoided ? 5

.Wa s damaget o downspout s or downspoul extension s avoided ? ^	 ^ Sidewalk s nn dDriveway s (Concrete ) Ye s N o 1

.Wa s damageto driveway surface s avoided ? 

# 'Z A
2

.Wa s damaget o walkwa y surface s avoided ? ^ '

## Ov*'ners comments :

Inspectio nnotes :

Remova l an dreslorationaclivale s complet eincluding th e30-da y so dwarranty : EP ARepresenlaliv e<J(S^hJL ^ Dale : ]{m/0 ^

# m

Propert yCompletio n Agreemen t
Tin s agreement documeni s th e completio n o l remedia l acliviiie s pcriorme d o n m ypropertyM ysignatur e wil l designate tha i I am satisfie d wit h th e restoralio n o fm ypropeity

. an d tha i n o item s are i n questions , now , o ra l an ylim e i n th e future , excep t those ilem s iisle d below , ifan y PropertyID : 2<D^QU > Propert yAddress : \20 ^

S 21'*'> ^ S^ ^ 

### Owner : ,\r^\r\< \ W\at^^^ \ Phone : LjQ^'

. 5/ Q Z^^^T ) Restoratio n Item s i n Question : I Item : "

Item ; Item : Item : Item : Item :
Additiona l Commenls :

/oCLat^ cicKtarfllio n i t completed , excep t a s nofer i [_ } I ti o no t »ifre cresforftfio / i s complele d



# . li/^/< ^ 

# £iMi ^ 

# /f/Jo' 1 onti arlor' s Signature