TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: 1^=^051 Date: '^f^^M f 

Address; THR' ^ ^ )Q S-4 

Remediation Contractor; Coastal Environmental Group Year; 2010ARRA 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

B ^

y - ^

&^

fJ

"•8°^

< y

 Video ofproperty (DVD) 

 Executive Summary 

 EPA-provided property sketch 

 Signed Access Agreement for subject property 

 Signed Access Agreement(s) for adjacent property 

 Restoration Agreement 

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

Confirmation data 

Photographs Yk iy^^k^( M \ ^OhlkVio^ V V-^ 

As-built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description ofareas not meeting ROD cleanup criteria 

Utility clearances 

Property information from Douglas County Assessor's Office 

^ 

Date 

30261010 

Superfund 
Property Access Checklist 

Property ID: /^5^ / 

D WORK STARTED ON: _/ l_ 

Property D WORKCOMPELTED ON: .1 I Address: ^'^^' ^ '5> /Q'~» T 

0>vncr -:SA( ^ l:),^^^^^^^^^ 

Address: 

Ornak^ 1 /)<- (eyio2' 

Phone: 

Fax: 

Cell/Pager. 

Renter: 

Phone: 

Fax: 

Cell/Pagen

Additional Information: 

1 

| 

O Notification Letter 

Q ^ Access Agreement 

H ' Restoration Agreement 

D Topsoil Sampling (if applicable) 

O Disposal Sampling (if applicable) 

O Garden Sampling (if applicable) 

D Utility Clearance 

^ Video/Photos (Before) 

D Video/Photos (During) 

n Video/Photos (After) 

n Video/Photos (30-Day) 

I D Property Completion Agreement 

D Final Report 

Sent: / /

Si^tA:/Hi JZZ JJ2 

s\^ti'.ji;?Mftm 

1' t 

1 t 

I 1 

Called: / / 

On:il2/iie/Ji? 

On: / / 

On: / / 

On: / / 

Signed: / / 

Issued: / / 

 By:

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

| 

Air Monitoring (as applicable) 

Q Community • Crew 

RcsulU-: 

On: / / By: 

n Community

Results: 

 \~\ Crew On: / / By: 

r~l Community

Results: 

 D Crew On: / / By: 

Omaha Lead Site 
Douglas County Account InfiJB|ation Page 1 of2 

Douglas County, Nebraska Property Record

Information is valid as of 2010-7-30 

Owner 

DUNCAN JACK L 

ETAL 

3136 S 16 ST 

OMAHA NE 68108-0000 

Property Informatio n 

­ R2100050000 

Print Reoort 

View Interactive GIS JUIao 

Treasurer's Tax Report 

New Feature ->-•- » Subdivision Sales Search 

Key Number: 

Account Type: 

Parcel Number: 

Parcel Address: 

Legal Description: 

Value Informatio n 

Land 

2010 

2009 

2008 

2007 

2006 

2005 

Land Informatio n 

Acres SF 

0005 OOOO 21 

Residential 

2100050000 

2789 SIO ST 

OMAHA NE 68108-0000 

REDFIELDS ADD LOT 4 BLOCK 1 25 X 67.6 

$100.00 

$100.00 

$100.00 

$100.00 

$100.00 

$100.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$100.00 

$100.00 

$100.00 

$100.00 

$100.00 

$100.00 

Units Depth Width Vacant 

0.03 1700.0 0.0 68.0 25.0 Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R21... 8/14/2010 
3/31/2011 www.dhon.org/irthinternet/DHONNotic... 

rCreate Another Ticket Back th Intemet -Send Email 

• YOUR TICKET NUMBER IS 2699970. 

Original Call Date.; 3/31/11 Time: 12:43 pm Op: ALFONSO18790 


Work to Begin Date-; 4/04/11 Time: 1:15 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2789 Street: S lOTH ST 


Twp: 15N Rng: 13E Sect-Qtr: 27-SE,34-NE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Lead Remediation 


Location of Work: LOCATE ENTIRE PROPERTY, ALL EASEMENTS AND TO THE PEDESTAL 


Remarks: FAX ALL CLEARS TO: (402)934-2811 


: PLEASE INCLUDE ALL EASEMENTS 


Company : COASTAL ENVIRONMENTAL SERVICE 


Contact Name: ALFONSO Phone: (402)934-2837 


Work Being Done For: Coastal 


Depth of Excavation: 4ft Corner Lot: N Front: ¥'•. Rear: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N ;, 


CXCATV LEVEL3 MUD02 • OMAHACOF 0PPDGPR6 PAETEC •• QLNNEIF 


Service Area Contact Phone Number 

Utility 

Type 

COX Day: 4029340469 

CXCATV COMMUNICATIONS, HEIDI Alt: 4029340469 

INC Emerg: 4029329757 

LEVELS Day: 8773668344 

LEVELS COMMUNICATIONS, NA Alt: 

LLC Emerg: 8773668344 

MUD02 METROPOLITAN 

UTILITIES DISTRICT SANDY 

Day: 4025047823 

AH: 

Emerg: 4025047970 

OMAPL\COF CITY OF OMAHATRAFFICSEWER RICH/TRAFFIC 

Day: 4024447197 

AH: 4024445161 

Emerg: 4024445160 

dhon.org/irthinternet/.../MessageText.as.. 1/2 
3/31/2011 ^ ^ www.dhon.org/irthinternet/DHONNotic...^^ 

W 9 Day: 4067289343 

0PPDGPR6 °'^T'"^"^''° ^ ELM LOCATING Al: 4062071494 

Emerg: 8887289343 

Day: 8002891901 

„^^.^^ PAETEC NO NEED TO CALL OUT ,^ 

r A P I rC Alt* 

COMMUNICATIONS EMERGENCY Emerg: 8002891901 

Day: 4067289343 

QLNNEIF S^f.II;^^' ^ ELM LOCATING Alt Alt:: 406207149 4062071494 4

NETWORK Emerg: 8887289343 

dhon.org/irthintemet/.../MessageText.as... 2/2 
As-Built Drawing 

COAST

ENVIBONHIHTA

A L 

L Omaha Lead Superfund Site • O U P . IN C 

OLS#: 1S0S1 

Date Excavated: 4/7/2011 

Date USEPA Signed Off: 5/3/: 15051 

Area Sodden: 900 sq ft 

Omaha Lead Site Exterior Paint 

Owner Name: JACK L DUNCAN 

Site • Gcxxl Sketch Address: 2789 S 10 ST • Poor Phone: H 

^Zio \ paint 

Omaha I^ad Site 46130 

Legen d 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced

Sod 

 with Area replaced with 

Rock/Mulch Area lef t bare 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
J _ . ^ iiHiinii i 1^051 

Exterior Paint North Arrow Owner Name: JACK L DUNCAN Omaha Lead Site • Good 

Address: 2789 S 10 ST ^'*® Sketch • Poor 

Phone: H W: (g^iot paint 

EKED 

Omaha Lead Site c y 46130 
15051 

Owner Name: JACK L DUNCAN 

Address: 2789 S 10 ST 

Phone: H: 

Sample Number 

RYASCPXA-15051 Fl 

RYBSCPXA-15051 F2 

RYCSCPXA-15051 B1 

RYDSCPXA-15051 B2 

Lab RYDSCPLA-15051 

Result 337 ppm 

KH/.&L;MXA-I90gi P2^ 

Omaha Lead Site 

Site Sketch 

W: 

Lead Sample . ._ 

Concentration Collected 

Al 

32a ppm E ^ D 

ppm 

LStPP"! 

Q ^ D 

D CB^ ^ 

_ppm D D 

_ppm D n _ ppm 

Number of Samples = ' _5 i 

Exterior Paint Nortti Arrow 

• Good 

^ m ^ • Poor 

[3^o t paint 

Samples Collected 

Firm: _ ^ C.91 fCS 

Date: ^-I-Oj 

Time: /Dr^ O fi<^ 

Samples Analyzed 

XRF Unit: ^ W Book: Q 

Date: _ 

Time: 

Staff: 

^g 

Omaha Lead Site 

46L30 
1

15051 

Owner Name: JACK L DUNCAN 

 Address: 2789 SIO ST 

Phone: H:

Sample Number 

RYASCPXA-15051 Fl 

RYBSCPXA-15051 F2 

RYCSCPXA-15051 Bl 

RYDSCPXA-15051 B2 

Lab RYDSCPLA-15051 

Result 337 ppm 

KK'Z.&OKXA-I9051 P2^ 

Omaha Lead Site 

Site Sketch 

 W: 

Lead Sample LAB Concentration Collected 

32^5-ppm n 

r^ \ Q^ ppm n 

_LSppf" B^ n 

fl^pp m ^ D 

ppm D D 

ppm D D 

ppm D D 

Number of Samples = ^ 

^Acnijr uir 

t 

H-\5 152: 

£-1 6 ' ^ 

/tf -rr 

- f -

I 

X\^ :35S.H 

F'l P-JL 

t 

ifi ST. 

Exterior Paint Nortti Arrow 

• Good 

n Poor 

H^o t paint 

Samples Collected 

Firm: 

/y cpt fcs 

Date: 

Time: 

Samples Analyzed 

XRF Unit: ' ^ W Book: Q 

Date: '^'•riU.CSqTime: 

Staff: 

^ 

ENT EESD 

AUG 1 1 2004 ! 

Omaha Lead Site 46130 
y y 

COASTA l thVIIOH«(»fTA t 

C I 0 U r , IM C 

Consent fcF Access To Property 

RIGHT OF ENTRY TO PREMISES 

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

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

the Grantee, to eriter and perform certain environmenta! response activities upon the 

following described premises: icY)^ I 

Owner's Nampj-"^ )2ytime Phone: 

HOIJ-3OQ -^c>y\ 

r 

Address of Property 

covered by this 

Agreement; ziy\ s 10 fT 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of lead and may pose a health hazard. The area(s) will be 

excavated to remove contaminated soil. The removed contaminated soil will be 

replaced with clean materials and the area will be restored to its original condition. This 

work is being performed under the Omaha Lead Superfund Site remediation program. 

A representative of Coastal Environmental Group, contracted by USEPA, will contact 

the Grantor in-perspn to discuss the work to be perfonmed, the Grantor will have an 

opportunity to review and approve the planned soil removal, and restoration work 

befbre it begins. Once the work is finiished, the Grantor will be asked to review the work 

and confirm that rt is complete and meets with the Grantor's approval. Upon 

completion, the Grantor will receive written documentation from EPA that the property 

has been remediated. 

ENVIRONMENTAL RESPONSE ACTIONS 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, at all reasonable tirnes 

and with prior notice, for the sole purpose of performing the work. This access shall 

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

agrees to: 

Page 1 of 2 
- „* COASTA L 

..t'-^ c t o' u r . IK C 

t Remove obstrijctions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

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

to save; 

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

necessary subsequent to an initial watering period by EPA; 

f 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. 

c Allow videotaping and/or photographing of the property. 

AGREEMENT NOT TO INTTERFERE 

The Grantor agrees not to interfere or tamper with any of the work activities, or with any 

of the work done, or with the equipment used pn his property, or to undertake any 

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

welfare of the Grantees or the environment, or to allow others to use the property in 

such a manner. 

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

Environmental Group, at (402) 991-1199 

grant access to my properties D I do hot grant access to my properties 

A '^2^/^ 

Signature Date Signature Date 

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

Page 2 of 2 
C O A S T A L EMVmONnC N T A L o • o u r , INC . 

Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of the property prior to 

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

activities are completed to the satisfaction of the property owner and the United States Envirormiental 

Protection Agency (EPA). 

Property ID: / 5^ ^ ^~ / 

Property Address; 3 7/ ^ <, j ^ ^~ f 

Owner: J p^ c VC Q u-yy^o^A 

Phone: ^IQ 2^-T/O - ? J^3 / 30^ ^J/T 

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

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

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

necessary. 

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

The removal, storage, disposal, and/or retum of these items is the Owner's responsibility. 

item: 

ZZ(?A/^ 

item: 

Item: 

Item: 

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

Kem: 

j J o >Ug^ 

Item: 

Item: 

Item: 

Page 1 of. 
C O A S T A L CHVinONMENTAL c H o u .p . INC : 

Items to Be Removed By Contractor During Remediation and Replaced 

Item: 

Z o \ 

Item: 

r 

> 

Hem: 

Item: 

Landscape Inventory 

Item Quantity Unit Condition/Type/Species 

Pre-existing property area, 0l,l>Z Quadrants that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch Each 

trimk diameter £> 

Number of trees <= 2 inch Each 

trunk diameter 0 ' 

Number of Sprinkler 

Zones, Control Valves, Each Timers

Attach a

, Heads

 sketc

, etc

h o

. 

f the y sprinkler layout. 

Nimiber of and size of 

each garden/ flower bed Each 

area. Square Feet 

size

Attac

s an

h a

d

 sketc

 locations

h of

. 

 relative y

Agreed upon value of plant / 

materials not to be 

replaced bv contractor. 

$ Not

used

e

 t

 thi

o issu

s valu

e a

e wil

 plan

l be 

t 

zy voucher to the property 

owner. 

Easement Area, to be Each 

excavated I 

leyj} ^ fi^^^lhy J 

Page 2 of (J> 

V 
COASTA L • MVIHOMHMN TA I. a • o u p , IMC . 

Additional Comments / Instructions: 

The city of Omaha ordinances may prohibit you from using dirt or gravel areas on your property 

as driveways or vehicle parking areais. The Environmental Protection Agency (EPA) may be 

removing and replacing soil underlying a gravel or dirt area on your property that you may be 

using as a driveway or vehicle parking area. If this is the case, you should understand that this 

removing and replacing of soil does not mean that any illegal driveway or parking area on your 

property is made legal. To the contrary, you may be cited by the city if you use a gravel or dirt area 

as a driveway or parking arisia, hot withstanding any removal or replacement of soil by the EPA 

if you have any question about legality of a certain driveway or parking area, you may contact 

the city of Omaha's Planning Department at (402) 444-5150. 

r~l Please check this box if you understand the infomiation outlined above. 

• Check the box 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. 

on I do not agree 

^^^'"'''^XXyA.rjf-^ \y^^^' CjyycM^^ \m\i d 

Owner's Signatur Signature Date Contractor' Contractor'ss Signatur Signature e Date 

Page 3 of. D 
BVID # /SVS' I 

XRF PROPERTY SAMPLE SHEET 


Date 

Project 

XRF ID# 

Shot# 

QS\ 

?n 

?.\ 

Average

Shot# 

7 A 

1 7 

23 

Average

Shot# 

Average 

Shot# 

Average 

Signature 

Print

9Jeli^ 

Omatia Lead ARRA 

1\XCZ^ 

Reading Sample area 

\5^9.m±\s^s< ^Z . 

271 2^ t '^^^ Depth 

\^\%\ ni2 M " 

 OVZlZ^ i vq.l ^ 

Reading 

2'D^,'^^t 2\ f^^ 

sH^.mt 2U.U 

•z-^Dn^t2g,i\ 

Sample area 

F.A 

Depth 

\ ' ' 

 ZH U 1 t 9,:? 7S: 

Reading Sample area 

Depth 

Address 

Sample time 

sample length 

Shot# 

9 ^ 

OVp 

^ • ^ 

Average

Shot# 

Average 

Shot# 

Average 

RETEST AREAS 

Reading Sample area Shot# 

Depth 

Average 

 ^>^<^ ^^Mli K 

^ n ^ ^ /r? -^T" 

am/pm 

30 sec 

Reading Sample area 

-mnt lo.Ru K\ 

o^^q^^t iH.i ^ Depth 

BL^^taiu y 

 ^l.l b J \H.\ln 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 32 

Mode SOIL 

Time 2011-04-08 10:22 

Duration 91.90 

Sequence Final 

Flags 

AVERAGE Avg of 29-31 

ADDRESS t 2789 S 10 ST 

QUADRANT B2 

DEPHT h" XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD 7.885 

Zr 376.140 ± 14.694 

Sr 175.098 ± 9.145 

U < LOD 15.118 

Rb 68.075 6.649 

Th < LOD 12.824 

Pb 202.888 19.788 

Se < LOD 5.870 

As < LOD 26.033 

Hg < LOD 11.795 

Zn 209.557 24.542 

W < LOD 84.326 

Cu 38.361 }6 

Ni < LOD 186 

Co < LOD .660 

Fe 17736.197 384.659 

Mn 649.7 L13.973 

Supervised By: 

• • 

Thermo 

SCIENTIFI C 

Therrno Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

29 

SOIL 

2011-04-08 10:20 

30.87 

Final 

15051 

2789 S 10 ST 

B2 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

; 7.838 

± 14.388 

± 9.350 

14.847 

± 6.649 

± 8.625 

± 18.802 

6.301 

25.135 

12.195 

± 24.690 

: 84.558 

± 22.225 

± 51.806 

178.835 

± 383.148 

± 113.191 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

361.569 

186.241 

< LOD 

70.137 

15.490 

182.026 

< LOD 

< LOD 

< LOD 

215.657 

< LOD 

39.830 

78.952 

< LOD 

17866.668 

648.713 

Supervised Bv: 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time. 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 402.386 

Sr 179.457 

U < LOD 

Rb 67.847 

Th < LOD 

Pb 227.280 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 220.217 

w < LOD 

Cu 38.377 

Ni < LOD 

Co < LOD 

Fe 18779.381 

Mn 710.568 

Supervised By: 

Certificate of Verification 

30 

SOIL 

2011-04-08 10:21 

30.52 

Final 

15051 

2789 S 10 ST 

B2 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

* 7.915 

± 15.171 

± 9.286 

: 15.550 

± 6.706 

12.936 

± 20.834 

: 5.566 

27.026 

: 11.911 

± 25.216 

: 86.830 

± 22.392 

: 77.987 

: 186.336 

± 397.065 

± 118.271 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 364.465 

Sr 159.595 

U < LOD 

Rb 66.240 

Th < LOD 

Pb 199.357 

Se , < LOD 

As < LOD 

Hg < LOD 

Zn 192.797 

w < LOD 

Cu 36.875 

Ni < LOD 

Co < LOD 

Fe 16562.543 

Mn 589.854 

Supervised By: 

Certificate of Verification 

31 

SOIL 

2011-04-08 10:22 

30.51 

Final 

15051 

2789 S 10 ST 

B2 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

: 7.902 

± 14.523 

± 8.800 

: 14.957 

± 6.592 

12.599 

± 19.728 

5.744 

1 25.938 

1 11.279 

± 23.720 

81.590 

± 22.240 

: 76.162 

: 176.811 

± 373.764 

± 110.457 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 28 

Mode SOIL 

Time 2011-04-08 10:19 

Duration 91.57 

Sequence Final 

Flags 

AVERAGE Avg of 25-27 

ADDRESS 12789 S 10 ST 

QUADRANT |B I 

DEPHT 1*- XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD 8.133 

Zr 426.435 ± 15.677 

Sr 180.962 ± 9.402 

U < LOD 15.030 

Rb 68.841 ± 6.715 

Th 12.061 ± 7.609 

Pb 87.162 ., ^ * • 14.167 

Se < LOD 5.838 

As < LOD 18.872 

Hg < LOD 12.594 

Zn 130.126 ± 20.462 

W < LOD \ 8B-S20 

Cu 41.399 ± y^Iyj s 

Nl < LOD •y^ Zfi.61^ 

Co < LOD ylm.si ^ y. Fe 20946.758 / ± /"^ 422.918 

Mn 747.187 / ';7122.438 y/S­

" ^ Supervised By: ( / 
• • • • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 25 

Mode SOIL 

Time 2011-04-08 10: 18 

Duration 30.52 

Sequence Final 

Flags 

BVID 15051 

ADDRESS 2789 S 10 ST 

QUADRANT Bl 

DEPHT 4" 

XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD : 8.017 

Zr 431.971 ± 15.830 

Sr 174.250 ± 9.282 

U < LOD : 15.339 

Rb 74.229 ± 6.966 

Th 17.534 ± 8.069 

Pb 74.703 ± 13.483 

Se < LOD 5.679 

As < LOD 18.214 

Hq < LOD 13.151 

Zn 139.106 ± 21.149 

w < LOD 90.554 

Cu < LOD 33.225 

Ni < LOD 80.464 

Co 208.869 ± 135.931 

Fe 20763.572 ± 423.028 

Mn 716.152 ± 120.918 

Supervised By: 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 444.726 

Sr 182.166 

U < LOD 

Rb 68.105 

Th < LOD 

Pb 98.934 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 120.217 

W < LOD 

Cu 35.060 

Ni < LOD 

Co < LOD 

Fe 21110.320 

Mn 841.888 

Supervised By: 

Certificate of Verification 

26 

SOIL 

2011-04-08 10: 18 

30.52 

Final 

15051 

2789 S 10 ST 

Bl 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

: 8.068 

± 15.855 

± 9.375 

: 14.600 

± 6.613 

10.827 

± 14.752 

: 5.711 

: 18.881 

: 12.355 

± 19.665 

87.154 

•± 22.168 

77.566 

: 198.769 

db 422.034 

± 127.560 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 27 

Mode SOIL 

Time 2011-04-08 10:19 

Duration 30.53 

Sequence Final 

Flags 

BVID 15051 

ADDRESS 2789 S 10 ST 

QUADRANT Bl 

DEPHT 4" 

XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD 8.313 

Zr 402.609 ± 15.346 

Sr 186.471 ± 9.550 

U < LOD : 15.151 

Rb 64.188 . ± 6.567 

Th 11.333 ± 7.541 

Pb 87.849 ± 14.266 

Se < LOD 6.122 

As < LOD 19.520 

Hg < LOD 12.277 

Zn 131.055 ± 20.573 

w < LOD \ 88.754 

Cu 59.946 ± 24.308 

Nl < LOD J 77.991 

Co < LOD ; 198.952 

Fe 20966.381 ± 423.693 

Mn 683.521 ± 118.835 

Superviised By: 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 24 

Mode SOIL 

Time 2011-04-08 10:16 

Duration 91.57 

Sequence Final 

Flags 

AVERAGE f-Avg of 21-23 

ADDRESS 1 2789 S 10 ST 

QUADRANT |E A 

DEPHT 1.1" XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD 7.608 

Zr 297.319 ± 13.154 

Sr 172.308 ± 8.952 

U < LOD 14.488 

Rb 66.437 ± 6.452 

Th < LOD 13.218 

Rb 276.704 _ 22.289 

Se < LOD ; 5.468 

As < LOD : 29.354 

Hg < LOD ; 12.008 

Zn 228.691 ± 25.111 

W < LOD 1 ai^8 9 

Cu 38.234 ±^.- ^ 21^617 

Ni < LOD /72.58 3 

Co < LOD y ^^y•• y 172.225 

Fe 16196.219// 362.301 

Mn 502.339 101.672

y^y> ^ ^^ ^ ^ Supervised By: /y ~ 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 278.829 

Sr 164.559 

U < LOD 

Rb 62.324 

Th < LOD 

Pb 254.845 

Se < LOD 

As < LOD 

Hg 13.498 

Zn 258.446 

w < LOD 

Cu 42.185 

Nl < LOD 

Co < LOD 

Fe 17166.346 

Mn 445.292 

Supervised By: 

Certificate of Verification 

21 

SOIL 

2011-04-08 10:15 

30.53 

Final 

15051 

2789 S 10 ST 

EA 

1" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

; 7.531 

± 12.784 

± 8.750 

14.220 

± 6.261 

13.146 

± 21.539 

; 5.641 

28.070 

± 8.167 

± 26.423 

78.353 

.± 21.956 

: 75.062 

174.943 

± 372.290 

± 98.119 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

22 

SOIL 

2011-04-08 10:16 

30.52 

Final 

15051 

2789 S 10 ST 

EA 

1" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

7.660 

± 13.567 

± 8.950 

: 14.304 

± 6.533 

13.164 

± 24.609 

\ 5.206 

l 32.577 

11.758 

± 24.806 

: 82.545 

± 22.078 

: 71.698 

: 171.315 

± 355.334 

± 102.906 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

323.593 

173.097 

< LOD 

69.407 

< LOD 

344.470 

< LOD 

< LOD 

< LOD 

222.497 

< LOD 

45.676 

< LOD 

< LOD 

15643.337 

529.805 

Supervised By: 
• • 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike. 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequencie 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 289.536 

Sr 179.269 

U < LOD 

Rb 67.580 

Th 14.411 

Pb 230.797 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 205.129 

w < LOD 

Cu < LOD 

Ni < LOD 

Co < LOD 

Fe 15778.976 

Mn 531.919 

Supervised By: 

Certificate of Verification 

23 

SOIL 

2011-04-08 10:16 

30.52 

Final 

15051 

2789 S 10 ST 

EA 

1" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

7.633 

i 13.110 

± 9.157 

14.941 

± 6.562 

± 8.897 

± 20.719 

5.558 

27.414 

12.016 

± 24.103 

83.869 

31.226 

70.989 

170.416 

± 359.279 

± 103.991 
X 

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

- •riTjB-i ­ Coastal Environmental Group Inc. 

*^" y www.coastalhazmat.com 

%PBoTt^ COASTA L EHVmONHENTAL 

CROUP , IN C 

EXECUTIVE SUMMARY: 

BVID #15051-(2789 S 10 ST) 

No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 
• 

^ 1 

EPA Pfoperty Close Out Form 

Property tt: Property Addmr. 

DateOlme: Owner's Naibc 

Qiiads Excavaltdi Contractor Group 

JExcavation General 

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

2. If necessary, were the correci areas ofdrip zone excavated and restored? 

GradioK Sod and Vcsctslton 

1 Does the iredihg around the perimeter ofthe house ih excavaieri areas generally slope away 

from the house? 

1. Has sod been laid in all areas that were excavated? 

J. Does the jod appear to be generally healthy and "growing? (Only evaluaie ifinspected al a 30 

day time period) 

4. Are sodded areas generally fimi and evenly graded? 

5. Are the joints between the sod .stri)K generally tight? (Only evaluate if inspected at a 30 day 

time period) 

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

7. Was damage tp landscaping or plant maieriais avoided? 

Gates, Feniccs and RetBinlDs Walls 

1. Do gates open and close freely? (If applicable) 

2. Were all gates or fences taken down during restoration activities reinstalled? (Ifapplicable) 

3. Wias damage to gates or fences avoided? (ifapplicable) 

4 Was dariiagij to retaining walls avoided? (Ifapplicable) 

FouDdation,SidiiiRand Cutlers 

\. Was damage to the siding or trim avoided? 

2. Was damage to the foundation avoided? 

Was damage to windows avoided? 

4 Was darhage to windows or door screens avoided? 

5. Was damage to downspouts or downspoul extensions avojded? 

Sidewalks and Driveways (Concrete) 

1. Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

Yes No 

/ 

y 

Yes No 

• ' 

y 

y 

y 

y 

y 

y 

Ves Nu 

/ 

y 

y 

y 

Ya .No 7* 

1 ^ 

T 

7 

/ 

f No 

t 
1 

• 

OM'ners coininerits: 

[lnspect!ir)n no<es: 

Removal and restoration activates cbrnpiele including the 30-^day sod wairanry: 

EPA Representiiiive ^^: ^ Qate; 6\5\>\ 
Property Completion Agreement 

Ihib agreement documents, lhe complclion ot remedial acliviiies perloimed on my properly. My signature 

will designate liiai I am satisfied wilh lhe restoraiion of my properly, and lha( no items are in questions, 

now, or al any lime in the future, excepi those items listed below, if any 

Property ID: /^^^S " \ 

Property Address: ^Zi^< \ ^ ( 0 '^ f 

0>.nc.: -rSp ^ ^u,^CJL ^ 

Phone: Hoz-S-Io- ^3^ 3 ^OZ-3^6-2t^/ ^ 

Restoration Items in Question: 

item: 

Item: 

Item: 

Item: 

Item: 

Item: 

g-rce restoration is complcied, except as noted 

[ I I rio not a^jre^csioration is conipletcd 

li A JyA/n^^—^ ^ ~y~Jl 

ncr's Signature Date Conti arlorlfSignaliirc