## TRANSMITTALo f

OMAH ALEAD SIT E SOILREMEDIATIO NFILEFOLDER SAID # : 

# ><; z Date : 

# ip// l Address : '^'' 1 ^If^Oi ^ "i' i Remediatio nContractor : Coasta l Environmenta l Group

_Year : _2010ARR A SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o o f property (DVD ) • • Executiv e Summary EPA-provide dproperty sketc h Signe dAcces s Agreemen t fo r subjec t property Signe dAcces s Agreement(s ) fo r adjacent property Restoratio nAgreemen t Settlemen t document s (i.e. , for damag e o r to replac e plants , etc. ) 

## -e- Confirmatio ndat a Photograph s fft ^ b^O^^. ^ r ^6fV<^'"ng M ^ ^Q y As-buil t sketc h Satisfactor y restoratio nsigne db y Property Owner Property close-ou t chec k lis t signe db y EP A Descriptio no f area s no t meetin g RO D cleanup criteri a Utility clearance s Propertyjftfefmatio nfromDougla s Count y Assessor' s Offic e

Signature Dat e 3021851 2 

# H Superfun d• 

# vv Propert yAcces s Checklis t PropertylD : T^C^^ ) D WOR K STARTE D ON ; / / Propert y Address : Zlcnl^yenrgj
- Sl ~ nWORKCOMPELTE D ON:__/__/ _ Owner : V\pK;| ^ 9,^,, ^ Renter : Address : Phone : Fax : Cell/Pager : 

# phon^'qfo . q5^ . \i:^\pl Adiiitional Information : Fax : Cell/Pager :

nNotificatio nLette r Sent : / / 

## By : 1 ^ Acces s Agreement Signed:f 2 /23/C Q By : JS ^ Restoratio nAgreement Signed:l Z/Z 3 iC ^ By : D Topso U Samplin g (if appUcable) 1 1 By : D Disposa l SampUn g (if appUcable) 1 1 By : D Garde nSampUn g (i f appUcable) 1 1 By : 0 UtUit y Clearanc e CaUed : C ^ /a5" / f o [ ^ Video/Photo s (Before) 

### On:J_lJJ[lM 

## ^y'U/J-Mfcl^//lc'AflJ v nVideo/Photo s (During ) On : / / / By : ^ nVideo/Photo s (After) On : / / By : nVideo/Photo s (30-Day ) On : / / By : • 1 Q Propert y Completio nAgreement Siened : / / By : nFinalRepor t Issued : / / By : Ai r Monitorin g (a s appUcable) • Communit y Q Cre w On : / / By : 

## 1 Results :

• Communit y • Cre w On : / / By : Residts : GCommunit y QCre w On : / / By : Residts : : Omah a Lea d Sit e

## Douglas Count y Accoun t Infonaajion Pag e 1 o f 1 inaa^ O 

# m Dougla s County , Nebrask a Propert yRecor d - R l 14225000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e ® 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 BLAI R J R MELVI N D ETA L 285 3 MARYS T OMAH AN E 68112-000 0 Propert yInformatio n Ke yNumber : 422 5 000 0 1 1 Accoun t Type : Residentia l Parce l Number : 114225000 0 Parce l Address : 260 7 SPENCE R S T OMAH AN E 68111-000 0 Lega l Description : GISE S AD D LO T4 8 BLOC K0 W1/ 2 N 13 3 F T66. 5 X 13 3 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $600.0 0 $0.0 0 $600.0 0 200 8 $600.0 0 $0.0 0 $600.0 0 200 7 $600.0 0 $0.0 0 $600.0 0 200 6 $600.0 0 $0.0 0 $600.0 0 200 5 $600.0 0 $0.0 0 $600.0 0 200 4 $600.0 0 $0.0 0 $600.0 0 Sale s Informatio n Sale s Date : 1998-10-3 1 Dee d Type : D M Book : 210 7 Page : 08 0 Price : $25,330.0 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. 2 8910. 0 0. 0 135. 0 66. 0 Ye s


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

# m Pag e 1 o f 1

" > [ Creat e Anothgr_T[cket.21 L „ B^glS* o i^ h Inteme t | I \ _Sen d Emai l |
YOU RTICKE T NUMBE RI S 2458144 . Origina l Cal l Date : 4/08/1 0 Time : 2:4 8 pm Op : ELIZABETH1879 0 Wor k t o Begi n Date : 4/12/1 0 Time : 3:1 5 pm State : N E County : DOUGLA S Place : OMAH A Address : 260 7 Street : SPENCE R S T Twp : 15 NRng : 13 E Sect-Qtr : 09-NE Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATION Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D T O TH E PEDESTA L Remarks : FA X AL L CLEAR S TO : (877)662-421 1 : UNSUR E I F CORNE R LOT . Compan y: COASTA L ENVIRONMENTAL SERVIC E Contac t Name : ELIZABET H Phone : (877)662-421 0 Wor k Bein g Don e For : COASTAL Dept h o f Excavation : 4 F T Corne r Lot : N Front : Y Rear : Involve s Tunneling o r Horizonta l Boring : N Explosives : N CXCAT V MUDO l OMAHACO F OPPDGPR S QLNNEI C Servic e Are a Contac t Phon e Numbe r Utilit y Typ e Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C HEIDI Alt : 402934046 9 Emerg : 402932975 7 Day : 402504782 3 MUDO l METROPOLITA NUTILITIES DISTRICT SAND Y Alt : Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFICSEWE RRICH/TRAFFI C Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 0PPDGPR5 OMAH APUBLI C POWE RDISTRICT EL M LOCATIN GAlt : 406207149 4 Emerg : 888728934 3 Day : 406728934 3 QLNN E1 C QWES T LOCA LNETWOR K EL M LOCATIN GAlt : 406207149 4 Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 4/8/201 0

## 3052 1 COASTA L CNVIBOMHENTA L C • O U P
. IN C 

# As-Buil t Drawin g Omah aLea dSuperfun dSit e OLS# : 3052 1 Dat e Excavated : 4/8/201 0 Dat e USEP ASigne d Off : 8/31/201 0 Are a Sodden : 312 5 sq ft Omah a Lea d Sit e Sit e Sketc h Samplin g Address : 260 7 SPENCE R ST Sampl e Numbe r RYASCPXA-3052 1 RYBSCPXA-3052 1 RYCSCPXA-3052 1 RYDSCPXA-3052 1 nDZGCPX A3062 1 nGZSGPXAOOSJ I '^—'.-.^-^.'.........
. Lea d Sampl e LA B Concentratio n Collecte d Fl pp m F2 L5£
_ . pp m B1 2q z pp m 82 5q M pp m 92 - pp m 

## n G^ - pp m D " 7 .pp m 

## n la b RYBSCPLA-3052 1 • Resul t 173pp m Numt)e r of Sample s • Legend : F1 = Fron t Left , F2 = Fron t Right , Bl = Bac k Left , B2 = D D D D D D 

# I Exterio rPaint Nont i Arro w • Goo d Q] Poo r ^^No l pain t Sample s Collecte d Firm : ?E Tr^r
. fPfe^J N Date : Sj^ta l (bS ^ Time : I0:2 0 A M Sample s Analyze d XR F Unit : CafiHt > Book : 20* 7

Date : £-7^2
. -O B Tim e _Be L Staff : hft W Bac k Righ t DZ = Dri p Zone , GZ = Garden , PZ = Play AJ I quadrant s ar e as viewe d fro m th e street , facin g propert y 

## : : ; ; ;• : ENTF^^'^ i ': t \ i u . : HA Y

:1 6 i m
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Re v 300 8 N Creattd : :(>.Fd>-0 8 Legen d Concret e Dri p Zon e Excavate d Quadrant s Excavate d Are a replace d wit: h Are a replace d wit: h Are a lef t bar e So d Rock/Mulc h Contrac t #: EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc .

### 3052 1 

# L L ly i % •

Exterio rPain l Omah a Lea d Sit e Nort h Arro w • Goo d Sit e Sketc h • Poo r Samplin g Address : 260 7 SPENCE R S T 0' ^ No t paint Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Collecte d Concentratio n Firm : 7JT.AC
. (Pfe^'A ^ RYASCPXA-3052 1 F 1 

## n 1 7 5 pp m Dale : i3J<f>Ul(f>! ^ RYBSCPXA-3052 1 F 2 pp m Time : I0:2 0 A M 

## 15 5 RYCSCPXA-3052 1 8 1 pp m 

### D Sample s Analyze d RYDSCPXA-3052 1 B 2 pp m 

### Q ' D nOgSCPX A9062 1 BS - pp m 

### D D XR F Unit : GF> H f i Book ; 20~ l nOHSOPX/ V 3062 1 GS - pp m 

### D D Date : ^ 2 2 0 6 r-n-'^"'-'^ ' r"^"r i '^ ^ pp m 

### D D Time : La

b RYBSCPLA-3052 1 

# in . Staff : ^Resul t 17 3 pp m Numbe ro fSample s : 

## jnaw L 

## ± Legend : F 1 = Fron t Left , F2 • Fron t Right , 8 1 = Bac k Left , B2 = Bac k Righ t DZ = Dri p Zone , G Z = Garden , P Z = Play At

! quadrant s ST ^ a

s viewe d fro m ihe street , facin g propert y

### 3052 1 

# L L ^1 1 • #

Nortfj Arro w Exterio rPaint Sit e Sketc h Omah a Lea d Sit e • Goo d • Poo r Samplin g Address : 260 7 SPENCE R S T ^ No t pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Concentratio n Collecte d Firm:7ET^r
. (PfeTA ^ RYASCPXA-3052 1 F 1 1 7 5 pp m 

# n Date: Sj^la l lf>p ^ RYBSCPXA-3052 1 F 2 

## 135 . pp m Time : I0:2 0 A M RYCSCPXA-3052 1 B l 192 . pp m 

## o r D Sample s Analyze d RYDSCPXA-3052 1 8 2 Sq M pp m E3 ' 

# n nDZOCPXA'3062 1 BS - - pp m D XR F Unit : CofiH nBook : 

### 2 0 1 D ncZSOPX A3052 1 62 - ~ pp m D Date : _ £-2X-Ci B 

### D -°Sr - ~ pp m D Time : _ 

# m . Lab RYBSCPLA-3052 1 

### D Staff : « • Result 17 3 pp m Numbe rofSample s = | t ^ 

# n^ w Legend : F 1 = Fron t Left , F 2 = Fron t Right , 8 1 = Bac k Left , 8 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Play Ai l quadrant s ar e a s viewe d fro m Ih e streei
. facin g propert y

R<rv2008. N('rested ; 2ti-Felv0 8• • 

# 3052 1 Exterio rPain t NorthArro w 

## Omah a Lea d Sit e • Goo d 

## Sit e Si(etc h n Poo r Sampllnf l Address : 2607 SPENCE R S T ^''^No t pain t Sampl e Numtie r Lea d Concentratio n Sample s Collecte d 

### Firm : 7ET/tr.
. l09>fT ^ RYASCPXA-3052 1 F l 

### Date : Sj^laltt q RYBSCPXA-3052 1 F 2 Time : l0:2 O Af ^ RYCSCPXA-3052 1 B 1 RYDSCPXA-3052 1 B 2 Sample s Analyze d RDEOCPXA9062 1 92 - XR F Unit : gifi*^ A Book : 20* 7 

### ROgooPX Aaosa i 62 - 

### Date : \S ' Sd Z La

b RYBSCPLA-3052 1 •Resul t 17 3 pp m Numbe ro fSample s = | L \ \ \ | | 

### Time : Staff : P M Mft W legend : F 1 = Fron t Left
. F2 ^ Fron t Right , B l = Bac k Left , B 2 = Bac k Righ t OZ = Dri p Zone , G Z = Garden , P Z = Play Al l quadrant s ar e a s viewe d from th e street , tadn g propert y

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## -ixu W '• ' ' SPE.^^R:5V ': :.... .

Ke v20a8. N Created : 26-Feb-O g 044701.01.2. 1 

# i<it ° "'r, _ COASTA I ENVItONHEKTA l •< " PRC* - C I 0 U P > N c 

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

### Granto r(th e propert yowner ) consent s t can 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 : KiX ^

\o
. 0 - f^^O-^ r Daytim e Phone :


### lA^O ^ 5t^e^c<LX
- <s-V . Addres s o fPropert y covere d b ythi s Agreement : PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l tha t contain 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 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 b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e perfonned , 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 confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approval
. Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Atha t th e propert y ha s bee n remediated
. ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin 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 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 effec t unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to ;

Pag e 1 o f2COA.STfc L tHVIHONHIKTA L '•• i Pno<«-*^ 6 It O U P IN C


### « Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; cRemov e flowe rbulb sorplant s tha t th e Granto r orth e Grantor' s tenan t ma ywis h to save ; cWate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , as necessarysubsequen t to an initia l waterin g perio d byEPA ; cAbid e byhealt h an d safet yguidanc e provide d byEPA ; eIfth e propert y is rented , assis t EP A in obtainin g tenan t approva l fo racces s to th e propert yto perfor m th e work
. cAllo wvideotapin g and/o rphotographin g ofth e property . AGREEMEN T NOTT O 

### INTERFER E Th e Granto ragree s no t to interfer e ortampe rwit h an yofth e wor k activities , orwit h an y ofth e wor k done , orwit h th e equipmen t use d on hi s property , orto undertak e an y action s regardin g th e us e ofsai d propert ywhic h woul d ten d to endange rth e healt h or welfar e ofth e Grantee sorth e environment , or to allo wother s to us e th e propert y in suc h a manner . Should yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , at (402 ) 991-119 9
^ I gran t access to mypropertie s D I do not gran t acces sto mypropertie s

^ ^ latur Dat e Signature e Signatur e Dat e
Q I woul d lik e to be presen t durin g an ysamplin g tha tis required
.

Pag e 2 of2COASTA L C no u » • • * • r 

## Restoration , Agreemsn t Th e purpos e of thi s agreemenl i s to provide amutua l agreemen t a s to condition s ofth e properly prior t

o remediatio nactivities . Thi s will als o serv e a s documentationfo r th e purpose'o f assuring tha t restoration activitie s ar e completedt o th e satisfactio nof th e propert y owne r an dthe UnitedState s Environmenta l Protectio nAgenc y (EPA) .
• PropertylD : ^ Q "< 5 g ^ I Propert y Addre»:2(bO l S^e.^cg. r S^ . (Owner : H(?lvi', ^ -^ . ^\AW 

## Htiv;tr \ Phone : O

nth e attacheddiagram(s ) indicat e area(s ) t o excavate , surface structure s an dlandscaping feature s art d acces s location(s ) t o be usedby th e contractors . Indicat e distances , depths , materia l types , etc . Photographically an dVideographicall y documen t th e existing condition s ofthe propert y an dthe basemen t if necessary . 

### item s t o b e Remove d b yth e Owne rbefor e Start o fRemediation : Th e lanoval
. storape , disposal j and/o rretur n o fthes e itom s i s th e Owner' s responeibility
.



### item s t o b e Remove d b yth e Contracto rDurin g Remediatio n an d Wo t Repiace d

Item : Item :


### Pag e lo f V ^COASTA L C h I , U
. I
. . t 

### Item s t o B e Remove d ByContracto rDurin g Remediatio n an d Reglaced^ Item : 

# c L ­ 

# -^^l i 

# ^ -^^ \



# ^ ' \^ ^ Item : Kem : Item : 

### Landscap e Inventor y Ite m Quantit y Unit Condition/Type/Specie s Pre-existin g propert y area , Quadrant s that wil l b e excavated , tha t 

### % ^ i s covere dwithgrass . Numbe r o f tree s > 2 inc h Eac h 

# 2 r trun k diamete r Numbe r o f tree s < = 2 inc h Eac h 

# I trun k diamete r Numbe r o f Sprinkle r Zones . Contro l Valves , Eac h Timers , Heads , etc . ^ Aiiat h; i skyicl i o l tlit f <-r'''''l*''.' i li!v;iii ; Numbe r o f an dsiz e o f eac hgarden / flowe r be d Eac h area . Squar e Fee t 

# y
Allitt h; i skt'lC'l i 1) 1 ri.-!;tlivi '

• >i/fsnii dloc;iiiiMi s Agree dupo nvalu e o f plan t material s no t t o b e replace db y contractor . S Vol e l!ii ' VHIII C «II 1 h i 

# ¥ i;sr C 1 0 is'.u i . 1 ;;lnii ; ^Olll.•;u•. • l( . lli e i;ro|)cil > i) » ner . Easemen t Area , t o b e Eac h 

# yt" ? excavate d Pag e 2 o f^C O AS 7 AL
nI . e w . . IN C
! Additiona l Comment s / Inatructiona :

Q Chec k th e bo xi f Owne rdoe s no t vi/an t CE G t o documen t Interio rfoundatio n vrall s an d possibl e pre-existin g damage
. B ycheckin g thi s bo xCE G i s no t responsibl e fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n crack s o rfissures
.

M l agre e Q I do no t agre e



# ' /^>i f 9yncoM n'^/Z3|n q Owner' s Signatur e Dat e / Ontractor' s Signatur e D Pag e 3 of y

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### Averag e

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Averag e > arn/ r am/p m 3 0 se c Readin g 

### Sampl e are a 

# w- ^ / & ^ Dept h ^ ^ ^ ^ ^ 

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Readin g Sampl e are a Dept h

Readin g Sampl e are a Dept h 1 XR F ID # 

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# 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

Supervise d By : 

## Ceitificat e o f Verificatio n

102 3 SOI L 2010-04-2 3 10 ; 5 2 91.3 2 Fina l

g:ef-1020-1022^^ ^ 60 7 Spence rs t easemen t 1 " N
. LOPE Z Confirmatio n non e

# 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 102 0 Mod e SOI L Tim e 2010-04-2 3 10:5 0 Duratio n 30.3 8 Sequenc e Fina l Flag s BVI D 3052 1 ADDRES S 260 7 Spence rs t QUADRAN T easemen t DEPH T 1 " XR F TEC H N
. LOPE Z MIS C Confirmatio n NOT E non e
pp m ±Erro r P b 206.27 2 ±19.51 5 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 219.02 9 Supervise d By : 

## Certificat e o fVerificatio n

102 1 SOI L 2010-04-2 3 10:5 1 30.4 5 Fina l 3052 1 260 7 Spence rs t easemen t 

# r N
. LOPE Z Confirmatio n non e

± Erro r ± 20.16 0

# 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 216.27 8 Supervise d By : 

## Certificat e o f Verificatio n
102 2 SOI L 2010-04-2 3 10:5 2 30.4 9 Fina l 3052 1 260 7 Spence rs t easemen t 1 " N
. LOPE Z Confirmatio n non e

± Erro r ± 20.00 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-3902 2 Readin g N o 101 9 Mod e SOI L Tim e 2010-04-2 3 10:4 8 Duratio n 92.2 1 Sequenc e Fina l Flag s AVERAG E (-AvcuO016-j01 8 ADDRES S ^26D73pence r QUADRAN T B 2 DEPH T 6 " XR F TEC H N
. LOPE Z MIS C Confirmatio n NOT E non e

Supervise d B y

# 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 43.51 1 Supervise d By : 

## Certificat e o f Verificatio n

101 6 SOI L 2010-04-2 3 10:4 7 30.7 0 Fina l 3052 1 260 7 Spence rs t B 2 6 " N
. LOPE Z Confirmatio n non e

± Erro r ± 11.37 9

# 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 46.65 4 Supervise d By : 

## Certificat e o fVerificatio n
101 7 SOI L 2010-04-2 3 10:4 7 30.7 6 Fina l 3052 1 260 7 Spence rs t B 2 6 " N
. LOPE Z Confirmatio n non e

± Erro r ± 11.72 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 45.51 9 Supervise d By : 

## Certificat e o fVerificatio n

101 8 SOI L 2010-04-2 3 10:4 8 30.7 5 Fina l 3052 1 260 7 Spence rs t B 2 6 " N
. LOPE Z Confirmatio n non e

± Erro r ± 11.46 5

### y^°"*'*
. 

## \Q^y i Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 ^^^^ L ° Coasta l Environmenta l Grou p inc
. v i ^ ^ ^

• ^ www.coastalhazmatco m Vp„eTt.<5 ^ COASTA L INVIIONHINTA l C a o U P
. IN C 

# EXECUTIV ESUMMARY ; BVID #30521-(260 7 SPENCE RST ) No Issue s o r Concern s Q Issues/Concern s Detai l Explanation : -DA NGARVE Y WALKE D TH EPROPERT Y O N8/31/1 0

## EP APropert y Clos e Ou t For m Propert y # : jxOf^ . L . Propert y Address:
- ?l(f>l . \>CW(' r 3 T Datenime ; Owner' s Name: . AjM f IVfj/)

_

. . Quad s Excavated : Contracto r Croo p UjoSrVcJi Ye s N o Excavatio nGcnen l 1 . I r neccssaiy , wer e th e correct quadrant(s ) excavatedan drestored ? 

### y 2 . If necessary , were th e correc t area s ofdri p zon e excavatedandrestored ? y GradlDK So dan dVeRctation Ye s N o I Doe s th e gmding aroundth e perimeie r ofth e hous e inexcavate darea s generall y slop e awa y 

# y fromthe house ? 2 .Ha s so dbee nlai dinall area s tha t wer e excavated ? 

# y 3 .Doe s the tid dappea r t

o b e generally health y an dgrowing ? (Only evaluat e if inspecteda t a3 0 

# J y da y tim e period) 4 . Are sodde darea s generally (ir man devenl y graded ? 5 Ar e di e Joints betwee nth e so dstrip s generall y tight ? (Only evaluat e if inspecteda t a3 0 da y / time period ) 6 . Wa s the propert y gradedsuchtha t wate r wil l no t poo l o nth e propeny' ' 

# y 7 . Wa s damag e t o landscaping o r pla mmaterial s avoided ? 

## y Gates
. Fence s an d RctaialD KWal b Ye s N o I
. D o gate s ope n an d clos e freely? (t fapplkable ) / 2 .Wer e al l gate s o rfence s take n dow n durin g restoratio n activiiie s reinstalled ? (I fapplicable ) 

## y 3 .Wa s damag e t o gate s o rfence s avoided ? (Ifappiicable ) y

f 4 .Wa s damag e t o retainin g wall s avoided ? (Ifappiicable ) y Foundation , Sidia R an d Gaiter s Ye s N o 1 .

Wa s damag e t o th e sidin g o rtri m avoided ? ^ 2 .Wa s danug e t o th e foundatio n avoided ? 

### y 3 . Wa s damag e t o window s avoided ? ^ 4 Wa s damag e t o window s o rdoo rscreen s avoided ? 

### y S
.Wa s damag e t o downspout s o rdownspou t extension s avoided ? / Sidewalk s an dDriveway s (Concrete ) Ye s N o I .Wa s damag e to drivewa y surface s avoided ? 

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

## y

## Ort'oer s comments :

ln.«:pectionno<es :

Removal andresloratio nactivate s complet e includin g the 30-da y so dwarranty : EP ARepresentativ e &,^^yS ^ Date : s/'/hr , _

# m

Propert yCompletio n Agreemen t ihi s agreemen t documenl s Ih e complclio n o l remedia l aciiviiie s peribime d o n mypiopert yM ysignature wil l designat e tha i I a m satisfie d wit h ih e restoratio n o fm ypropeily
. an d iha i n o item s ar e i n questions , now , o ra l an ylim e i n th e fuluie , except thos e item s liste d below , i fan y

Propert yrP:^:^^7^ ^ Propert yAddress : 2_[^^- \ !SnftY>rP r."^ - Phone : 

# (%; ) Mtii-J^cp ^ Restoratio n Item s i n Question :

Item : Item : I ii^ a • • tw. i n .'.'^•nj i ^sw^^j^ m N^ w^iiiB i -^^^^ M ^M^^^^ —II I I ^^M^^^^^i^^y^^c:^-^ ^ Item : Item : Item : Item ; Additiona l Comments :

>r^ ^ sigrc t rKtoralio n i s complcled , cxccp l m note d [_ J I rio no t A|;re crejtoriitio n i \ complele d 

# ^hjf ) ^CJXAM-^^ 

# sj^t^li o Owner' s Signatiir rDat e Cont i arlor' s Signatur e Dat e