TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: ><;z Date: ip// l 

Address: '^'' 1 ^If^Oi ^ "i' i 

Remediation Contractor: Coastal Environmental Group_ Year: _2010ARRA 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (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.) 

-e- Confirmation data 

Photographs fft^ b^O^^. ^ r ^6fV<^'"ngM ^ ^Qy 

As-built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description of areas not meeting ROD cleanup criteria 

Utility clearances 

Propertyjftfefmation from Douglas County Assessor's Office 

Signature Date 

30218512 

H 

Superfund 
• 

vv 

Property Access Checklist 

PropertylD: T^C^^ ) D WORK STARTED ON; / / 

Property Address: Zlcnl^yenrgj - Sl~ n WORKCOMPELTED ON:__/__/_ 

Owner: V\pK;| ^ 9,^,, ^ Renter: 

Address: Phone: 

Fax: 

Cell/Pager: 

phon^'qfo. q5^. \i:^\pl Adiiitional Information: 

Fax: 

Cell/Pager: 

n Notification Letter Sent: / / By: 1 

^ Access Agreement Signed:f2 /23/C Q By: 

JS^ Restoration Agreement Signed:lZ /Z3 iC^ By: 

D TopsoU Sampling (if appUcable) 1 1 By: 

D Disposal SampUng (if appUcable) 1 1 By: 

D Garden SampUng (if appUcable) 1 1 By: 

0 UtUity Clearance CaUed: C^ /a5" / fo 

[^ Video/Photos (Before) On:J_lJJ[l M ^y'U/J-Mfcl^//lc'AflJv 

n Video/Photos (During) On: / / / 

By: ^ 

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

n Video/Photos (30-Day) On: / / By: • 1 

Q Property Completion Agreement Siened: / / By: 

n FinalReport Issued: / / By: 

Air Monitoring (as appUcable) 

• Community Q Crew On: / / By: 1 

Results: 

• Community • Crew On: / / By: 

Residts: 

G Community QCrew On: / / By: 

Residts: 

: 

Omaha Lead Site 
Douglas County Account Infonaajio inaa^O n Page 1 of 1 m 

Douglas County, Nebraska Property Record - R l 142250000 

Print Report 

NEW Feature - Parcel Dimensions available ® scale 0-50 ft west of 52nd St - VlOW OH Ma p Information is valid as of 2009-10-15 Treasurer's Tax Report 

New Feature ^ •* ' ^ Auto Sales Search 

Owner 

BLAIR JR MELVIN D 

ETAL 

2853 MARY ST 

OMAHA NE 68112-0000 

Property Informatio n 

Key Number: 4225 0000 11 

Account Type: Residential 

Parcel Number: 1142250000 

Parcel Address: 2607 SPENCER ST 

OMAHA NE 68111-0000 

Legal Description: GISES ADD LOT 48 BLOCK 0 W 1/2 N 133 FT 66.5 X 133 

Value Informatio n 

Land Improvement Total 

2009 $600.00 $0.00 $600.00 

2008 $600.00 $0.00 $600.00 

2007 $600.00 $0.00 $600.00 

2006 $600.00 $0.00 $600.00 

2005 $600.00 $0.00 $600.00 

2004 $600.00 $0.00 $600.00 

Sales Informatio n 

Sales Date: 1998-10-31 

Deed Type: DM Book: 2107 Page: 080 

Price: $25,330.00 

Grantor: 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.2 8910.0 0.0 135.0 66.0 Yes 

http://douglasne.mapping-online.coin/DouglasCoNe/static/accountinfo.jsp?accoimtno=Rl... 10/22/2009 
m 

Page 1 of 1 

"> 

[ Create Anothgr_T[cket.21L „ B^glS*o i^h Intemet | 

I \ _Send Email | 

YOUR TICKET NUMBER IS 2458144. 

Original Call Date: 4/08/10 Time: 2:48 pm Op: ELIZABETH18790 


Work to Begin Date: 4/12/10 Time: 3:15 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2607 Street: SPENCER ST 


Twp: 15N Rng: 13E Sect-Qtr: 09-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: (877)662-4211 


: UNSURE IF CORNER LOT. 


Company : COASTAL ENVIRONMENTAL SERVICE 


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


Work Being Done For: COASTAL 


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


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MUDOl OMAHACOF OPPDGPRS QLNNEIC 


Service Area Contact Phone Number Utility Type 

Day: 4029340469 


CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 


Emerg: 4029329757 


Day: 4025047823 


MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Alt: 


Emerg: 4025047970 


Day: 4024447197 


OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC Alt: 4024445161 


Emerg: 4024445160 


Day: 4067289343 


0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

Day: 4067289343 

QLNNE 1C QWEST LOCAL NETWORK ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 4/8/2010 
30521 

COASTA L CNVIBOMHENTAL C • O U P . IN C 

As-Built Drawing 

Omaha Lead Superfund Site 

OLS#: 30521 

Date Excavated: 4/8/2010 

Date USEPA Signed Off: 8/31/2010 

Area Sodden: 3125 sq ft 

Omaha Lead Site 

Site Sketch 

Sampling Address: 2607 SPENCER ST 

Sample Number 

RYASCPXA-30521

RYBSCPXA-30521

RYCSCPXA-30521

RYDSCPXA-30521

nDZGCPXA 30621

nGZSGPXAOOSJI

'^—'.-.^-^.'.......... 

Lead Sample LAB Concentration Collected 

Fl ppm 

F2 L5£_ . ppm 

B1 2qz ppm 

82 5qM ppm 

92- ppm n 

G^- ppm D 

" 7 .ppm n 

lab RYBSCPLA-30521 

• Result 173ppm Numt)er of Samples • 

Legend: F1 = Front Left, F2 = Front Right, Bl = Back Left, B2 =

D 

D 

D 

D 

D 

D 

I 

Exterior Paint Nonti Arrow 

• Good 

Q] Poor 

^^Nol paint 

Samples Collected 

Firm: ?E Tr^r. fPfe^J N 

Date: Sj^ta l (bS^ 

Time: I0:2 0 A M 

Samples Analyzed 

XRF Unit: CafiHt> Book: 20* 7 

Date: £-7^2 . -O B 

Time _BeL 

Staff: hftW 

Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

AJI quadrants are as viewed from the street, facing property 

: : ; ; ;• : ENTF^^'^ i ': 

t \ i u 

. : HAY :1 6 i m 

;'^ % " • . . . 

82 = 45 PPM @ 6" 

\. . Qi \ 

'•, :aw)i •

* :SPW( ^^^ ^ 

;.. ns..... J ''H^ 

\.. ^ l i ' ' •RNni 

\ ."- ^^^^ 1'....'. . ". 

• ajAUH ""WflU 

i>>>;';-:':'>:':':':':r.'.-.-.-.-.'.-.-.-.-.-.'.-.-.'.\'.'.'.-;-i-!->:->:*>;.*:*»f 

EA = 214PPM@1" S SV^M^.\;R.:5 V : 

• 

Rev 3008 N Creattd: :(>.Fd>-08 

Legend 


Concrete Drip Zone Excavated Quadrants Excavated 


Area replaced wit:h Area replaced wit:h 


Area left bare
 Sod Rock/Mulch 


Contract #: EP-R7-07-05 Coastal Environmental Group Inc. 

30521 

LL ly i 

% • 

Omaha Exterior Painl Lead Site North Arrow • Good Site Sketch • Poor 

Sampling Address: 2607 SPENCER ST 0'^ Not paint 

Sampl Lead Sample Samples Collected e Number LAB Collected Concentration Firm: 7JT.AC. (Pfe^'A^ 

RYASCPXA-30521 F1 17 n

 5 ppm Dale: i3J<f>Ul(f>!^ 

RYBSCPXA-30521 F2 

155 ppm Time: I0:2 0 AM 

RYCSCPXA-30521 81 ppm D 

Samples Analyzed 

RYDSCPXA-30521 B2 ppm Q' D 

nOgSCPXA 90621 BS- ppm D D XRF Unit: GF> H f i Book; 20~ l 

nOHSOPX/V 30621 GS- ppm D D Date: ^ 2 2 0 6 r-n-'^"'-'^ ' r"^"r i '^ ^ ppm D D Time: Lab RYBSCPLA-30521 in. Staff: ^Result 173 ppm Number of Samples : jnawL ± 

Legend: F1 = Front Left, F2 • Front Right, 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

At! quadrants ST^ as viewed from ihe street, facing property 
30521 

LL ^11 

• # 

Exterio Nortfj Arrow r Paint 

Site Sketch 

Omaha Lead Site • Good 

• Poor Sampling Address: 2607 SPENCER ST ^ Not paint 

Sampl Lead Sample Samples Collected e Number LAB Concentration Collected Firm:7ET^r. (PfeTA^ 

RYASCPXA-30521 F1 1 7 5 ppm n Date: Sj^lal lf>p^ 

RYBSCPXA-30521 F2 135. ppm Time: I0:2 0 AM 

RYCSCPXA-30521 Bl 192 . ppm or D 

Samples Analyzed RYDSCPXA-30521 82 Sq M ppm E3' n nDZOCPXA'30621 BS- - pp m D D XRF Unit: CofiHn Book: 2 0 1 

ncZSOPXA 30521 62- ~ ppm D Date: _ £-2X-Ci B D -°Sr- ~ ppm D Time: _ m. Lab RYBSCPLA-30521 D 

Staff: «• Result 173 ppm Number of Samples = | t ^ n^w 

Legend: F1 = Front Left, F2 = Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

Ail quadrants are as viewed from Ihe streei. facing property 

R<rv2008.N ('rested; 2ti-Felv08 
• • 

30521 

Omah Exterior Paint NorthArrow a Lead Site • Good Site Si(etch 

n Poor 

Sampllnfl Address: 2607 SPENCER ST ^''^Not paint 

Sample Numtier Lead 

Concentration 

Samples Collected 

Firm: 7ET/tr.. l09>fT^ 

RYASCPXA-30521 Fl Date: Sj^laltt q 

RYBSCPXA-30521 F2 Time: l0:2 O Af^ 

RYCSCPXA-30521 B1 

RYDSCPXA-30521 B2 Samples Analyzed 

RDEOCPXA 90621 92- XRF Unit: gifi*^A Book: 20* 7 

ROgooPXA aosai 62- Date: \S ' SdZ 

Lab RYBSCPLA-30521 

•Result 173 ppm Number of Samples = | L\ \ \ | | 

Time:

Staff:

 PM 

 MftW 

legend: F1 = Front Left. F2 ^ Front Right, Bl = Back Left, B2 = Back Right OZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, tadng property 

• . . • jp 

ENT H'Fli

\ 

^ 

I - ^ f *• ; r 

^ 

: MAY j 6 im 

1 

• 5°I H • 

t \...ai\.......?>%..: i h 

4 

i 

i.

L ^

 zm­ \ 

 i^^!i^^J5i^IL y. ; 

J 

.... . ^ 

:...n5.....j...i5i5.....i 

\ ^ j F2 i 

\

>

:

 \

 •

 :

 \

 :

 \

 \

 :

 :

 '\ 

j 

. 

r ". . . . . 

\ 

4 -ixuW '• '' 

SPE.^^R:5 V ': 

:.... . 

Kev 20a8.N Created: 26-Feb-Og 044701.01.2.1 

 i 
<it° "'r,_ 

COASTA I ENVItONHEKTAl •<" PRC* - C I 0 U P > N c 

Consent fcr Access To Froperty 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents tc and authorizes the 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: 

Owner's Name: K iX ^ \o . 0 - f^^O-^ r Daytime Phone: 

lA^O^ 5t^e^c<LX- <s-V. Address of Property 

covered by this 

Agreement: 

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-person to discuss the work to be perfonned, 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 confirm that it 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 times 

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

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

agrees to; 

Page 1 of 2 
COA.STfcL tHVIHONHIKTAL 

'••i Pno<«-*^ 6 It O U P IN C 

« Remove obstructions 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; 

c 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; 

e 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 NOTTO INTERFERE 

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 on his property, or to undertake any 

actions regarding 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 

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

^ ^ 

Signatur lature e Date

Signature Date 

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

Page 2 of 2 
COASTA L 

C n o u »• • *• r 

Restoration, Agreemsnt 

The purpose of this agreemenl is to provide a mutual agreement as to conditions ofthe properly 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 Environmental 

Protection Agency (EPA). 

• PropertylD: ^ Q "<5 g ^ 

I Property Addre»:2(bO l S^e.^cg. r S^ . 

(Owner: H(?lvi', Htiv;tr^ -^ . ^\A W 

\ 

Phone: 

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

access location(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 lanoval. storape, disposalj and/or return of these itoms is the Owner's responeibility. 

items to be Removed by the Contractor During Remediation and Wot Repiaced 

Item: 

Item: 

Page lof V^ 
COASTA L 

C h I, U . I .. t 

Items to Be Removed By Contractor During Remediation and Reglaced^ 

Item: 

c L­ -^^l i ^ -^^\ ^ ' \^ ^ 

Item: 

Kem: 

Item: 

Landscape Inventory 

Item Quantity Unit Condition/Type/Species 

Pre-existing property area, Quadrants that will be excavated, that % ^ 

is covered with grass. 

Number of trees > 2 inch 2r Each 

trunk diameter 

Number of trees <= 2 inch Each I

trunk diameter 

Number of Sprinkler 

Zones. Control Valves, 

Each Timers, Heads, etc. 

Aiiat ^ h ;i skyicli ol tlitf 

<-r'''''l*''.'i li!v;iii; 

Number of and size of 

each garden/ flower bed Each 

area. y Square Feet 

Allitth ;i skt'lC'li 1)1 ri.-!;tlivi' • 

>i/fsnii d loc;iiiiMis 

Agreed upon value of plant 

materials not to be 

replaced by contractor. 

S 

i;sr

Vol

C

e

 1

 l!ii

0

'

 is'.u

 VHIII

i .

C «II

1 ;;lnii

1 hi 

; 

¥

^Olll.•;u•.• l(. llie i;ro|)cil> 

i)» ner. 

Easement Area, to be yt"? Each 

excavated 

Page 2 of ^ 
C O A S 7 A L 

n I. e w . . IN C 

! Additional Comments / Inatructiona: 

Q Check the box if Owner does not vi/ant CEG to document Interior foundation vralls 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. 

M l agree Q I do not agree 

' /^>i f 9yncoMn '^/Z3|nq 

Owner's Signature Date / Ontractor's Signature D 

Page 3 of y 
f 

BVID#30f)Z/ 

XRF PROPERTY SAMPLE SHEET 


Date «/-^5-/ ^ 

Project Omaha Lead ARRA 

Address 

Sample time 

sample length 

Shot# 

)o//^ 

/P/?­

/^^ ^ 

Average

Shot# 

Average 

Shot# 

Average 

> arn/ am/pr m 

30 sec 

Reading Sample area 

w-^ / & ^ 

Depth ^ ^ ^ ^ ^ 

U n i- /I 

y ^ S -^ IoL 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

1 XRF ID# •^o;^ ^ 

Shot# Reading 

lOdi.0 ^^(ot.^ 

i(?^\ ^/^ ^ ^ ^ 

(^^9- 3Li[/?tXin 

Average ^1 ^ t ^ c^ 3 

Shot# Reading 

Average 

Shot# Reading 

Average 

Shot# Reading 

Sample area 

rC/4 

Depth 

JJl. 

y 

Sample area 

Depth 

Sample area 

Depth 

RETEST AREAS 

Sample area Shot# 

^^^- ^ ~, ' Depth 

"

^

 y 

/ 

Average 

Sianature y ^ ^ ^ —

p,„, Vif^Co iviftr^; 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Supervised By: 

Ceitificate of Verification 

1023 

SOIL 

2010-04-23 10; 52 

91.32 

Final 

g:ef-1020-1022^^^ 

607 Spencer st 

easement 

1" 

N. LOPEZ 

Confirmation 

none 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 1020 

Mode SOIL 

Time 2010-04-23 10:50 

Duration 30.38 

Sequence Final 

Flags 

BVID 30521 

ADDRESS 2607 Spencer st 

QUADRANT easement 

DEPHT 1" 

XRF TECH N. LOPEZ 

MISC Confirmation 

NOTE none 

ppm ± Error 

Pb 206.272 ± 19.515 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 219.029 

Supervised By: 

Certificate of Verification 

1021 

SOIL 

2010-04-23 10:51 

30.45 

Final 

30521 

2607 Spencer st 

easement 

r 

N. LOPEZ 

Confirmation 

none 

± Error 

± 20.160 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 216.278 

Supervised By: 

Certificate of Verification 

1022 

SOIL 

2010-04-23 10:52 

30.49 

Final 

30521 

2607 Spencer st 

easement 

1" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 20.004 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 1019 

Mode SOIL 

Time 2010-04-23 10:48 

Duration 92.21 

Sequence Final 

Flags 

AVERAGE (-AvcuO016-j018 

ADDRESS ^26D73pencer 

QUADRANT B2 

DEPHT 6" 

XRF TECH N. LOPEZ 

MISC Confirmation 

NOTE none 

Supervised By 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 43.511 

Supervised By: 

Certificate of Verification 

1016 

SOIL 

2010-04-23 10:47 

30.70 

Final 

30521 

2607 Spencer st 

B2 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 11.379 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 46.654 

Supervised By: 

Certificate of Verification 

1017 

SOIL 

2010-04-23 10:47 

30.76 

Final 

30521 

2607 Spencer st 

B2 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 11.727 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 45.519 

Supervised By: 

Certificate of Verification 

1018 

SOIL 

2010-04-23 10:48 

30.75 

Final 

30521 

2607 Spencer st 

B2 

6" 

N. LOPEZ 

Confirmation 

none 

± Error 

± 11.465 
y^°"*'*. 

\Q^yi Omaha Lead Site—Fixed Price EP-R7-07-05 

^^^^L ° Coastal Environmental Group inc. vi ^ ^ ^ • ^ www.coastalhazmatcom 

Vp„eTt.<5^ COASTAL INVIIONHINTAl 

C a o U P. IN C 

EXECUTIVE SUMMARY; 

BVID #30521-(2607 SPENCER ST) 

No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 

-DAN GARVEY WALKED THE PROPERTY ON 8/31/10 
EPA Property Close Out Form 

Property #: jxOf^ . L . Property Address:- ?l(f>l . \>CW(' r 3 T 

Datenime; Owner's Name:. AjMf IVfj/)_ .. 

Quads Excavated: Contractor Croop UjoSrVcJ i 

Excavation Yes No Gcnenl 

1. I r neccssaiy, were the correct quadrant(s) excavated and restored? 

y 

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

y 

GradlDK Sod and VeRctation 

Yes No 

I Does the gmding around the perimeier ofthe house in excavated areas generally slope away y from the house? 

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

3. Does the tidd appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

J day time period) y

4. Are sodded areas generally (irm and evenly graded? 

5 Are die Joints between the sod strips 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 propeny'' 

y 

7. Was damage to landscaping or plam materials avoided? 

y 

Gates. Fences and RctaialDK Walb 

Yes No 

I. Do gates open and close freely? (tf applkable) 

/ 

2. Were all gates or fences taken down during restoration activiiies reinstalled? (If applicable) y 

3. Was damage to gates or fences avoided? (Ifappiicable) y 

f 

4. Was damage to retaining walls avoided? (Ifappiicable) y 

Foundation, SidiaR and Gaiters Yes No 

1. Was damage to the siding or trim avoided? ^ 

2. Was danuge to the foundation avoided? y 

3. Was damage to windows avoided? ^ 

4 Was damage to windows or door screens avoided? y 

S. Was damage to downspouts or downspout extensions avoided? / 

Sidewalks and Driveways (Concrete) Yes No 

I. Was damage to driveway surfaces avoided? y 

2. Was damage to waDcway surfaces avoided? y 
Ort'oers comments: 

ln.«:pection no<es: 

Removal and resloration activates complete including the 30-day sod warranty: 

EPA Representative &,^^yS^ Date: s/'/hr, _ 
m 

Property Completion Agreement 

ihis agreement documenls Ihe complclion ol remedial aciiviiies peribimed on my pioperty My signature 

will designate thai I am satisfied with ihe restoration of my propeily. and ihai no items are in questions, 

now, or al any lime in the fuluie, except those items listed below, if any 

Property rP:^:^^7^ ^ 

Property Address: 2_[^^- \ !SnftY>rP r ."^ -

Phone: (%;) Mtii-J^cp^ 

Restoration Items in Question: 

Item: 

Item: 

I ii^ a •• tw.i n .'.'^•nji ^sw^^j^ m N^w ^iiiBi -^^^^ M ^M^^^^ — III I ^^M^^^^^i^^y^^c:^-^ ^ 

Item: 

Item: 

Item: 

Item; 

Additional Comments: 

>r^ ^ sigrct rKtoralion is complcled, cxccpl m noted 

[_J I rio not A|;rec rejtoriition i\ compleled 

^hjf ) ^CJXAM-^^ sj^t^lio 

Owner' s Signatiirr Date Conti arlor's Signature Date