## TRANSMITTALof OMAII ALEAD SIT E SOI LREMEDIATIO NFIL EFOLDE R SAI D # : Z1^^} \Date : ^/i B 11 0 Address : ^FS/^f C^S?
. S ^ Remediatio nContractor : _Coasta l Environmenta l Group

_Year : _2009
_ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S V X

A M
^ • ^ VI Ijf

e V

f HI W D

^ M
^
^ V

f D 

### Vide o o f property (DVD ) • Executiv e Summary EPA-provide dproperty sketc h Signe dAcces s Agreemen t for subjec t property Signe dAcces s Agreement(s ) for adjacent property Restoratio nAgreemen t Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) Confirmatio ndat a Photograph s

As-buil t sketc h Satisfactory restoratio nsigne db y Property Owne r Property close-ou t chec k lis t signe db y EP A Descriptio nofarea s not meetin g RO D cleanu p criteri a Utility clearance s

Property informatio nfi-omDougla s County Assessor' s Offic e
^ ^ ^ D D " 

### Signatur e ~A~~~~~ ~ ~ ~ ..........A
. Dat e 3021755 0 Superifun d« ^ 

## Propert yAcces s Checklis t PropertylD : 23,fS l 1 Property Address : 2,0^ 1 CA^' ^ f^
. n D

WOR K STARTE D WORK COMPELIE D ON : ON : / // /

' Address : : 

# bAM e Phone : ^f^^^(^^ Z Fax : 

### (J 

## Ipq ^

qq/( ^ Renter : Phone : Fax : Cell/Pager : Additional Information : Cell/Pager :

nNotificationLette r Sf

Acces s Agreement X Restoratio nAgreement Q Topsoil Samplin g (i f applicable ) Q Disposa l Sampling (if appUcable) nGarde nSampling (i f applicable ) ^ Utilit y Clearanc e Q Video/Photo s (Before) nVideo/Photo s (During ) nVideo/Photo s (After ) nVideo/Photo s (30-Day ) >Q ^ Property Completio nAgreement nFinal Report Sent : / / Signed : 11 / 5 /O Q Siened : ll 1 3 iCf^ 1 1 I I 1 I CaUed : JL/U>-/i] 9



### On-.Jll:_SinP t On : / / On : / / On : / / Signed : ^/^/fi ^ Issued : / / By : By : By : By : By : By : By : \ 10 

## By^/f/x 

# V ^ \l By : By : By : By : By :

nCommunit y Results : Q Cre w On : / / By :

nCommunit y Results : Q Cre w On : / / By : 1
1 • Communit y Q Results : Cre w On : / / 

## By : 

## 1

.
Omah a Lea d Sit eTVtUt T 

## Pag e 1 of3 * Douglas Count y Accoun t InforiMjipn
Dougla s County , Nebrask a Propert yRecor d - R130479000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e (8 ) scal e 0-5 0 ft wes t o f52n d S t - VlO WO H Ma p Informatio n i s vali d a s o f2009-10-1 5 Treasurer' s Ta xRepor t Ne wFeatur e •*'*' * Aut o Sale s Searc h Owne r CARTWRIGH TCAROLY N M 356 1 CAS S S T OMAH AN E 68131-000 0 Propert yInformatio n Ke yNumber : 047 9 000 0 1 3 Accoun t Type : Residentia l Parce l Number : 130479000 0 Parce l Address : 356 1 CAS S S T OMAH AN E 68131-000 0 Lega l Description : HAWTHORN E AD D LO T2 BLOC K5 W5 0 F TLT S 1 & 5 0 X 10 0 Valu e Informatio n
200 9 200 8 200 7 200 6 200 5 200 4 Lan d $5,700.0 0 $5,700.0 0 $5,700.0 0 $5,700.0 0 $5,700.0 0 $5,700.0 0 Improvemen t $92,000.0 0 $92,000.0 0 $92,000.0 0 $92,000.0 0 $92,000.0 0 $75,400.0 0 Tota l $97,700.0 0 $97,700.0 0 $97,700.0 0 $97,700.0 0 $97,700.0 0 $81,100.0 0 Sale s Informatio n Sale s Date : 2004-07-1 5 Dee d Type : Price : Grantor : W D $99,500.0 0 Maveric k Resource s Book : 200 4 Page : 09673 8

Grantee : Valld/lnvalld : Caroly n M Cartwrigh t Vali d Excl Reason : usio n Sale s Date : 2003-09-0 4 Dee d Type : Price : Grantor : TR D $80,100.0 0 CAMILL E HAW KT R Book : 200 3 Page : 23276 2



## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl..
. 10/21/2009

### * Dougla s County Accoun t InforrMgipn Pag e 2 o f 3 rrD|gu)r

Grantee : MAVERIC KRESOURCE S LL C Valid/Invalid : Invali d Exclusio n Reason : Foreclosur e Sale s Date : 1999-08-3 0 Dee d Type : Book : 213 5 Page : \ 12 4 Price : $ 99,500.0 0 Grantor : Grantee : Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 1997-08-2 6 Dee d Type : Book : \ 206 9 Page : 69 7 i Price : $82,500.0 0 Grantor : Grantee : Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n >^cre s S F Unit s Dept h Widt h Vacan t 0.1 1 5000. 0 1. 0 100. 0 50. 0 N o Improvemen t Informatio n Buildin g 1
BsiTT t Wot * e n 

## Tw o story resosq . 1 1

356 1 Cas s S t

wr r^ *
Rrs t noo r w " 82 8 0« q I t " " 7«BC<.! 1 ft

CLIC KTO ENLARG E IMAG E CLIC KTO ENLARG E IMAG E Squar e Footage : 1596. 0 Percen t Complete : 100.0 % Perimete r0. 0 Quality : Averag e 

### http://douglasne.mapping-online.com/DougIasCoNe/static/accountinfo.jsp?accountno=Rl.
. . 10/21/200 9

## * Douglas Count y Accoun t Infort^lip n Pag e 3 of3 TV^t^ t
Uni t Type : Condition : Averag e

Buil t As : 2 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai rt o Ai r Rooms : 7. 0 Exterior : Fram e Aluminu m Units : 1. 0 Interior : Drywal l Baths : 2. 0 Roo fCover : Compositio n Shingl e Bedrooms : 3. 0

Roo fType : Gabl e Stories : 2. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 192 9 0 0 % 192 9 7 9 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Applianc e Fireplac e Masonr y 1. 0 Basemen t Bsmn t Bloc k 8 ft 768. 0 Basemen t Finishe d 400. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 2. 0 Garag e Detache d 324. 0 Porc h En d Scree n 144. 0 Porc h Sla b RoofCei l 77. 0 Porc h Sla b RoofCei l 60. 0 Porc h Sla b w/Step s 88. 0 Porc h Woo d Dec k 150. 0 Use r Atti cFul l Finis h 307. 0



## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accotmtno=Rl..
. 10/21/2009

### Pag e 1 of 2

" > Create Anothe rT[cket_
. J li_- - Back j p Ijrthjnternet ^ | [ SendEnniai l i)



## YOU R TICKE T NUMBE R IS 2401803 . Origina l Cal l Date : 11/06/0 9 Time : 10:3 8 a m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 11/10/0 9 Time : 11:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 356 1 Street : CAS S S T Twp : 15 NRng : 13 E Sect-Qtr : 16-SW,17-S 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 h o 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 Mtroo i OMAHACO F OPPDGPR S QLNNEI C



### Servic e Are a Contac t Plione Number Utilit y Typ e
CXCAT V CO X COMMUNICATIONS , IN C HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7
LEVEL 3 LEVEL 3 COMMUNICATIONS , LL C N A Day : 877366834 4 Alt : 

### Emerg : 877366834 4
MUDO l METROPOLITA NUTILITIES DISTRIC T SAND 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=<RESULTS.
. . 11/6/200 9

## Pag e 2 of 2

OPPDGPR S OMAH APUBLI C POWE RDISTRIC T N A 

## Day : Alt : 406728934 3 4062071494 Emerg : 888728934 3
QLNNEI C QWES T LOCALNETWOR K N A 

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

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS..
. 11/6/2009OLS# : 2381 1 

# 9 As-Buil t Drawin g ^ Dat e Excavated : 11/13/0 9 Dat e USEP ASigne d Off : 1/18/1 0 COASTA L 

# Omah aLea dSuperfun dSit e Are a Sodden : 129 8 s o f t 

## 2381 1 Exterio rPaint Nort h Arro w Omah a Lea d Sit e •Goo d Sit e Sketc h •Poo r Samplin g Address : 356 1 CAS S S T \ [3^No t pain t Sannpt e Numbe r Lea d Concentratio n Sampl e Collecte d LA B Firm : Sample s Collecte d Fr:>0 i nR / \\- ^ RYASCPXA-2381 1 F 1 pp m 

### D Date : '7-2\~0 ^ RYBSCPXA-2381 1 RYCSCPXA-2381 1 RYDSCPXA-2381 1 F2 B 1 B 2 22 1 pp m pp m pp m 

# f D D D Time : ^ AS p c n Sample s Analyze d RDZSCPXA-2381 1 nOZSCPXA2381 1 nPZSCPXA2381 1 D Z -GZ ­ 

### 7 8 6 1^/ 3 pp m pp m pp m 

### D D D 

# n XR F Unit : 65H Q Book : 2l 3 Date : 6 M l -O S Time : Pr.. , ^ Staff : mSU ) Numbe ro f Sample s = | Legend : F l = Fron t Left , F2 = Fron t Right , B l = Bac k Left
. B 2 = Bac k Righ t DZ = Dri p Zone , G Z = Garden , PZ = Play Al l quadrant s at e a s viewe d frxx n th e street , facing propert y

Rc\-2l)U KiKUIei l D3-Ma>-( W 

### Legen d Concret e Dri p Zon e Excavate 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 ,;>' U 

### ! I

238 1 Exterio rPain t Omali a Lea d Sit e • Goo d Sit e Sicetcl i •Poo r Samplin g Address : 356 1 CAS S S T Q^No t pain t 

# 1
Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Concenlratio n Collecte d Firm : Ft:>P i D/;?/\i' b RYASCPXA-2381 1 F l 22 1 pp m 

### D Dat e -l-7.\~09 , RYBSCPXA-2361 1 FZ S H U pp m 

### D Tim e 

### '^\S p 

### m RYCSCPXA-2381 1 8 1 I ^ 2 pp m 

### D Sample s Analyze d RYDSCPXA-2381 1 8 2 7 88 , ppi^ 

## n 

# f

RDZSCPXA-2381 1 D Z 

### -1AL3
_ pp m 

### D XR F Unit : G5H 0 Book : 2A2L
. RGirCCPX A2301 1 -GZ - pp m 

### D 

## n Date : 6 "l l -0 6 RPZSCPX A3381 1 -PZ - , pp m 

### D 

## n Tim e Staf f Numtje ro fSample s ^ 

### msu j 

## 0 Legend : F l = Fron t Left , F 2 = Fron t Right , 8 1 = Bac k Left
. B 2 = Bac k Righ t D Z = Dri p Zone
. G Z = Garden , P Z = Pla y A M quadrant s ar e a s viewe d fro m th e street, facin g propert y 

# )A<iok ^ 

# ^^«^ 7 Af'C '

RcvJIXl S Civ ; 

# 3^1 0 Z
.MH-t O :PM»^.) SCXKr^' a

X)j9doj d Supe) 'jssji s am uioi ) pawai As

e ai e sjuejpen b nv ^ei d = Z d uapjB O = Z 3 auo z du g = Z Q m^i y>|oe a = z g 'ija- ) Moe g = [. g 'm6! yJUOJ J = 2 j 'ys Tjuoj j = i. d :pue69 T I Q I I ^ I = sejduje s p Jsqujn N aujj i lud d D D -?d

- i i-ee g vxdoszdt j 

### ~ ~ g o -1 1 - 8 SIB Q D D lud d use e vxdOszDi J



### £i z -^oo a 0fT.S 9 *•" " ='^ ^ D 

### JZ i uid d z a i i.8C2-vxdOsza a uid d 

# T7? r pazAjeu vsajdiuB s D zs n-8Cz-vxdOsaA y D i^d d I. S uses-yxdOSOA a uid d D Z d I- lecz-vxdosaAd Lud d 

## n 

# \t z t d L i.8ez-vxdOsvA a pajoailo Q uO|)ej)u33uo o av

T jaqixiof g sidiue s papajjo o saiduie g ajduie s pea n lUjB d lON ^ I S SSV O I9S £:ssejpp v6u||duJB S joo d n qoje>| S ej! S poo g • luie d J0U8p(3 a)! S pea- | eqeui Q 

## iT8e z

# 

## t 

# n^ ,

## 2381 1 Exterto rPain t NontiAmiw Omah a Lea d Sit e D Good Sit s Sketc h •Poo r Samplin g Addrass : 356 1 CASS S T Q^No t pain t 

# J
Sampl e Numbe r Lea d Concentratio n Sampl e Collecte d LA B Firm : Sample s Collecte d /=& Ar><R / y s RYASCPXA-2381 1 F l pp m 

### D Date : ">~2\'0ft RYBSCPXA-2381 1 F 2 S*it o pp m 

### D Time : 3>.\ S p cc \ RYCSCPXA-2381 1 RYDSCPXA-2381 1 RDZSCPXA-2381 1 B 1 B 2 D Z 

# 4 ^ pp m pp m pp m 

### D D D Sample s Analyze d XR F Unit : G5H 0 Book : 2l 3 nOZCCPXA2301 1 nPZSCPXA2301 1 62 - PS pp m pp m 

### D D 

### D D Date : fiMI-Pg Time : P» , Numt)e ro fSample s = | ^ \ \ Q | 

### Staff : rnsu > Legend : F l = Fron t Left , F 2 = Fron t Right , B l = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y Al l quadrant s ar e a

s viewa d fro m Ihe stieet facing propert yCOASTA l IHtrfRONnlttlA t cR o u r . IN C 

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

### Granto r(th e propertyowner) consent s t o an d authorize s th 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 :

Owner' s Name : Daytim e Phone : 

# (]jai\M^ ^ 3f ^ ' ffD l ' 7o ff7/<

. Addres s o fPropert y covere d b ythi s 

# A% \ <^ 3 ^^ - Agreement :
PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EPAi s requestin g acces s t o collect soi l sample s an d remove soi l tha t contain s elevate d concentration s o flea d an d maypos 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 l b e restore d t o its origina l condition
. Thi s wor k 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 byUSEPA , wil l contact th e Granto rin-perso n t o discus s th e wor k t o b e perfomied , th e Granto rwil l have a n opportunityt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e 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 confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approva l Upo n completion , th e Granto rwil l receiv e vmtte n documentatio n fro m EPAtha t th e property has bee n remediated
. ENVIRONIVIENTA L RESPONS E ACTION S 

### B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractors an d subcontractors th e righ t 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 work
. Thi s acces s shal l remai n i n effect unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to :

Pag e 1 o f2_^,««rv, ^ 8 COASTA l ' ••, / INVtflONH fKTA t '- < P,o^t ^ C « O U P IH C



### « Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; cRemov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; cWate 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
. cAllo 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 ^J^Tgran t acces s t o mypropertie s D I d o no t gran t access t o mypropertie s

Signature Dat e

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

Page 2 o f2c> » S T: ^ L C n D o r( N c



### Th e purpos e o f thi s agreement i s to provid e amutual agreement a s t o condition s o f th e propert y prior to remediatio nactivities
. Thi s will als o serv e a s documentatio nfor th e purpos e o f assurin g that restoratio n activitie s are complete dt o th e satisfactio no f th e propert y owner andthe UnitedState s Environmenta l Protectio nAgenc y (EPA)
.

PropertylD : "ZA)^ ) 

### I Property Address : ^'S^ f A^JlC 5 ^ T
. 

### j Owner; (JAIltOLA h fi^yrL\Q ^ \ P*-^" " S^<^- \ ^0^ - r^(l - Vo ^ 9 9 I A , Onth e attache ddiagram(s ) indicat e area(s ) to excavate , surfac e structure s an dlandscaping feature s an d acces s location(s ) to b e usedby th e contractors . Indicat e distances , depths , matfsria l types , etc . Photographically andVideographically document the existin g condition s ofth e propert y andth e basemen t if necessary . item s t o b e Remove d b yth e Owne rbefor e Star t o fRemediation : I fi 3 ;c-r:ovc!
. gtornce , 6ls>>c;s£l , eno/o t retcf. i o r>he£ e item s i s th g Uwne i .« : respcnsltiility
. 

### i Item : ^



### ttem: 

# 7
Item :
ttem:

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

Page l of
.C

_ » • » S TM L C h C l U ^ i n C 

## Item s to B e RemovedB y Contracto r Durin g Remediationanc f

Replece d I ttem: 

# \>> 0

ttem: 

# f^o D ­ n ttem:



### ttem :



## Item F*re-«xistin g propert y area , tha t wil l b e excavated , tha t i s covere dwit hgrass . Numbe r o f tree s > 2 inc h trun k 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 , Timers , Heads , etc . Atiac hr . skeicli u i lli e >rr'.iklo i 1;-Mur
. Numbe r o f an dsiz e o f eac hgarden / flower be d area . Aiuicl i i l skcicli 1) 1 rel.TiiM ' ii?.Ci aii Glociiliiin^
. Agree dupo nvalu e o f plan t material s no t t o b e replace db v contractor . ••C. C i'.i\ : i;lll. ' '-.ii i h-
. • js-'C
. c i^s'.i c r . y.nn ' 

### <ciK>:t i1( 1 I'l c r.ir.pt' i; ^ UAntr . Easemen t Area , t o b e excavate d 

# ft ^ ?r ^ VA
.

Quantit y

\ \

> ^ 

# t

A A 

### / / / 

# M ^ Landscap e Inventory Uni t Quadrant s

Eac h
Eac h 

## Condition/Type/Specie s

Eac h

Eac h Squar e Fee t

$

Eac h 

# A^l^-^- y
Pag e 2 of
.•C r - ty.S t rL ( I f l O U P
. I »•c


## r Additional Comment s / Instructions : 

# 7 l> ^ lOCXi^ ^ ^-^r.p> ^ ^-u^-r
.

•Chec k th e bo xi fOwne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage
. B ycheckin g thi s boxCE G i s not responsibl e fo ran ydamag e don e t o th e interio rofhouse , includin g foundatio n crack s o rfissures
.

Q I d o no t agre e 

# "yt
. 9.rVtr(H;hr ) ii|&irt' ^ Contractor' s Signatur e Dat e Pag e 3 of
.

# m
2.3^' / BVID # XR F PROPERT Y SAMPL E SHEE T 

## 36C I Cx< s s-i- ­ am/p m 3 0 se c Readin g Sampl e are a 

# m t n BJf ^ 

## luotr d Dept h 

## n i t z ( 1 " [ p " - 2S )
Readin g Sampl e are a 

## <L0 P 

## F2
_ <LO P Dept h 

## <L0! 7 R' ' 

# ^/LO P

Readin g Sampl e are a Dept h

Readin g Sampl e are a Dept h Dat e Projec t XR F ID #

Shot # 

### HH Q 

## H H I 

## yv 5

Averag e

Shot # 

## ^-t o 

## SS / ^9Z Averag e

Shot #

Averag e

Shot #

Averag e 

## //-tz. ' o q Omah a Lea d ARR A • ^ ^ 0 2.2
. Readin g 

## lO H i l ^ 

## q e t i n ^"^ t if ^

" " " •- P
Readin g 

## 3^^( 0 ^ / ^ /2

. 5 S ^ 1 0 

## 3 ^ ^ / /
Readin g

Readin g Sampl e are a 

## O ^

Dept h 

## / 3 "

Sampl e are a



# "B ^

Dept h 

# ir '

Sampl e are a Dept h

Signature , 

# E^M m Phn.gUMV^I).\V\(Vli>tj^fl. ^ Addres s Sampl e tim e sampl e lengt h Shot # 

## HH2
. H H Z 

## H^'- l

Averag e

Shot # 

## ^^t
. ^ig T 2.^ S Averag e

Shot #

Averag e

RETES TAREA S Sampl e are a Shot # Dept h Averag e• • • • 

# Thernn o

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

## Certificat e o fVerificatio n XL3t-3902 2 Readin g N o 44 5 Mod e SOI L Tim e 2010-02-1 2 14:3 5 Duratio n 91.0 3 Sequenc e Fina l Flag s AVERAG E Av g o f442-44 4 ADDRES S 356 1 Cas s St

. QUADRAN T E M DEPH T 1 XR F TEC H O

. BARAJA S MIS C 1 NOT E 1

pp m ± Erro r P b 20.29 0 166.53 3 ± Supervise d B y 

# : ^Cm^^nob• • • • 

# 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 168.71 1 Supervise d By : 

## Certificat e o fVerificatio n

44 2 SOI L 2010-02-1 2 14:3 3 30.5 6 Fina l 2381 1 356 1 Cass St

. E M 1 O

. BARAJA S 1 1

± Erro r
± 18.89 7• • • • 

# Therm o

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

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

pp m P b 160.28 6 Supervise d By : 

## Certificat e o fVerificatio n

44 3 SOI L 2010-02-1 2 14:3 4 30.2 6 Fina l 2381 1 356 1 Cas s St

. E M 1 O

. BARAJA S 1 1

± Erro r ± 20.75 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 170.60 3 Supervise d By : 

## Certificat e o fVerificatio n

44 4 SOI L 2010-02-1 2 14:3 5 30.2 1 Fina l 2381 1 356 1 Cass St

. E M 1 O

. BARAJA S 1 1

± Erro r ± 21.22 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 AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 99.15 3 Supervise d By : 

## Certificat e o fVerificatio n

44 9 SOI L 2010-02-1 2 14:5 1 90.4 5 Fina l Av g o f446-44 8 356 1 Cas s St

. D Z 1 3 O

. BARAJA S 1 1

± Erro r
± 17.77 4• • • • 

# 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

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 103.68 8 Supervise d By : 

## Certificat e o fVerificatio n

44 6 SOI L 2010-02-1 2 14:5 0 30.1 8 Fina l 2381 1 356 1 Cass St

. D Z 1 3 O

. BARAJA S 1 1

± Erro r 18.11 7

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

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

pp m P b 95.16 1 Supervise d By : 

## Certificat e o fVerificatio n

44 7 SOI L 2010-02-1 2 14:5 1 30.1 1 Fina l 2381 1 356 1 Cas s St
. D Z 1 3 O

. BARAJA S 1 1

± Erro r
± 17.33 1

# 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 44 8 Mod e SOI L Tim e 2010-02-1 2 14:5 1 Duratio n 30.1 6 Sequenc e Fina l Flag s BVI D 2381 1 ADDRES S 356 1 Cas s St

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

. BARAJA S MIS C 1 NOT E 1

pp m ±Erro r P b 98.60 8 ±17.87 5 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-3902 2 Readin g N o 89 3 Mod e SOI L Tim e 2009-11-1 9 12:3 6 Duratio n 91.0 7 Sequenc e Fina l Flag s AVERAG E Av g o f890-89 2 ADDRES S 356 1 cas s s t QUADRAN T B 2 DEPH T 13 " XR F TEC H R
. VENTRY MIS C clearenc e NOT E ngn c

Erro r pp m 

### P

b 39.14 1 11.32 8 Supervise d B y 

# •-^CfLClMIy

# 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 Sequence Flag s BVI D ADDRES S QUADRANT DEPH T XR F TEC H MIS C NOTE

pp m Pb 37.41 0 Supervise d By : 

## Certificat e o fVerificatio n

89 0 SOIL 2009-11-1 9 12:3 5 30.4 8 Fina l 2381 1 356 1 cas s s t B

2 13 " R
. VENTR Y clearenc e ngn c

± Erro r d b 10.71 1

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

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

pp m P b 41.79 0 Supervise d By : 

## Certificat e o fVerificatio n

89 1 SOI L 2009-11-1 9 12:3 6 30.2 0 Fina l 2381 1 356 1 cas s s t B 2 13 " R
. VENTR Y clearenc e ngn c

d b Erro r ± 12.49 6

# 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 38.22 1 Supervise d By : 

## Certificat e o fVerificatio n

89 2 SOI L 2009-11

- 1 9 12:3 6 30.3 9 Fina l 2381 1 356 1 cas s s t B 2 13 " R
. VENTR Y clearenc e ngn c

± Erro r
± 10.77 7

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

## Certificat e o fVerificatio n XL3t-3902 2 Readin g N o 88 9 Mod e SOI L Tim e 2009-11-1 9 12:3 4 Duratio n 91.9 8 Sequenc e Fina l Flag s AVERAG E Av g o f886-88 8 ADDRES S 356 1 cas s s t QUADRAN T F2 DEPH T 13 " XR F TEC H R
. VENTRY MIS C clearenc e NOT E ngn c
ppni t Erro r P b < LC D 12.16 9 Supervise d B y 

# ••^OCL^M ^

# 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 88 6 Mod e SOI L Tim e 2009-11-1 9 12:3 3 Duratio n 30.8 7 Sequenc e Fina l Flag s BVI D 2381 1 ADDRES S 356 1 cas s s t QUADRAN T F2 DEPH T 13 " XR F TEC H R
. VENTR Y MIS C clearenc e NOT E ngn c

Erro r pp m P b 12.57 5 < LO D 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-3902 2 Readin g N o 88 7 Mod e SOI L Tim e 2009-11-1 9 12:3 4 Duratio n 30.5 5 Sequenc e Fina l Flag s BVI D 2381 1 ADDRES S 356 1 cas s s t QUADRAN T F 2 DEPH T 13 " XR F TEC H R
. VENTR Y MIS C clearenc e NOT E ngn c

pp m Erro r Pb < LO D 12.20 8 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-3902 2 Readin g N o 88 8 Mod e SOI L Tim e 2009-11-1 9 12:3 4 Duratio n 30.5 6 Sequenc e Fina l Flag s BVI D 2381 1 ADDRES S 356 1 cas s s t QUADRAN T F 2 DEPH T 13 " XR F TEC H R
. VENTR Y MIS C clearenc e NOT E ngn c

pp m Erro r P b < LO D 11.72 5 Supervise d By :

### • • # • y^°J!*>
. 

### i^>SL \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 l^^^^ o Coasta l Environmenta l Grou p Inc
. ^"^g^ p \^^T ^

wfww.coastalhazmatco m "^^^ ^ ^-itPHOi* ^ COASTA L C 1 0 U p . IN C 

# EXECUTIV ESUMMARY : BVID #23811-(356 1 CAS S ST )

~x | No Issue s o r Concern s Q Issues/Concern s Detail Explanation :

# SEP A EP APropert y Clos e Ou t For m Propert y # : 

# ^3/ ) Propert yAddress : Datc/Tlmc : . Owner' s Name:
. Ab-A ^ 

### Quad s Excavattd : p7 ^ f)2 , \ ^ f Contracto rGrou p 

### ExcavattonGcaenil I , I f necessaiy , u«r e th e correc t quadrant(s ) excavate dan drestored ? 2
.

I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? Gradin g So d an d Vegetatio n I
.Doe s th e gradin g aroun dth e perimete r ofth e hous e inexcavate darea s generall y slop e away fromth e house ? 2
.

Ha s so dbee nlai di nal l area s tha t wer e excavated ? 3
.

Doe s th e io dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 4
.Ar e sodde darea s generall y firman devenl y graded ? 5
.Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte dat a3 0 day tim e period ) ^ 6 ,Wa s th e propert y grade dsuc hthat wate r wil l no t poo l o nth e property" ! 7
.

Wa s damag e t o landscapin g o r plan t material s avoided ? Gates , Fence s an dReuinin g Wall s 1
.

O o gate s ope nan dclos e freely? (I f applicable ) 2
. Wer e al l pte s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 3 , Wa s damag e t o gate s o r fence s avoided ? (Ifapplicable ) 4
.Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) Foundation , Sidiogan dGutter s 1
.

Wa s damag e t o th e sidin g o r tri mavoided ? 2
.

Wa s damag e t o th e foundatio navoided ? 3
.Wa s damag e t o window s avoided ? 4
.Wa s damag e t o window s o r doo r screen s avoided ? 5
.

Wa s damag e t o downspout s o r downspou l extension s avoided ? Sidewalk s an d Driveway s (Concrete ) 1
.

Wa s damag e t o drivewa y surface s avoided ? 2
.

Wa s damag e t o walkwa y surface s avoided ? 

# ^-T
.

Ye s N o / 

## A Ye s N o



### y y y y 

## y 

## y y Ve s N o 

## y / 

# y y Ye s N o / 

# y A A 

## y Ye s N o / y

## Owner s coniments :

Inspectio nnotes :

Remova l andresloratio nactivate s complet eincludin g th e30-day so dwarranty : EP ARepresentativ e^' ^ jjf j Date : >l>'l' *

## Propert yCompletio n Agreemen t
Thi s agreemen t document s th e complclio no f remedia i adivitie s perloime donm y properl y M y signatur e will designat e iha l I a msatisfie dwil hth e resloralio nofm y propeily , an dIha l n o ilem s ar e i nquestions , now . o r a l an y lime i nth e future , excep t Ihos e ilem s liste dbelow , ifan y PropertylD : 2<S?)\ \ Propert y Address : ^ ^ \j,\CyK'S C ^ 

### Owner : f ^mlUACarHjO f iOjf,\ - Phone : 2>^<^^t ^ ^Z ^ ^ 

# IQQ-'^^I U Restoratio n Item s i n Question :

Itein : Item : Item : Item : Item : Item :

Ktorallo ni % completed , excep t a s noler i l_ l I rio no t ii|;re c restoratio nis completer !

Cont i actor' s Signatur e