TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SA1D#: l^r H Date: ^jd-lplOP j 

Address: c^^^.^M- C (KEk.\OJC Sj " 

Remediation Contractor: Coastal Environmental Group_ Year: _2008 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

a / Video of property (DVD) 

y ^ Executive Summary 

Q / EPA-provided property sketch 

0 / Signed Access Agreement for subject property 

^ n Signed Access Agreement(s) for adjacent property 

Ci/ Restoration Agreement 

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

5k Confirmation data 

y Photographs ^e'JLXCyL)l\tlc>Y\^ 0.^/fA(mJW\^ jt/LaJ ^/i d 

H As-built sketch 

y Satisfactory restoration signed by Property Owner 

y Property close-out check list signed by EPA 

^jl\' Description ofareas not meeting ROD cleanup criteria 

\y Utility clearances 

\y^ Property information from Douglas County Assessor's Office 

y ^ VxvfiAti- tk^-PSS O^eeifisk 

S/ C jJnJ i r(irtvy^ 

D 

?X)CA!t^.)(b!.h ^loU^lC ^ 

Signature Date 
1 

0

Property Access Checklist 

Property ID: \1\":\(: \ 

n WORK STARTED ON: / / 

D WORKCOMPELTED ON: / Property Address: 2^2 ^ (JCVSAf-Wr SV 

Rente r Owner: |0\(^.C-,^A\ V ^OK^ ^ 

Address: Phone: 

FJLV: 

Cell/Pager: 

Additional Informiition: 

Phone:'^c7-t^qrf^ 

Fax: 

Ccll/Pagen 

D Notification Letter Sent: / / By: 

l^n Access Agreement Signed: it/B-/( ^ By= K\\CVIC^V6 

 Restoration Agreement Signed: 11 / <^ C9s By: W\\rVicA6<s 

• Topsoil Sampling (if applicable) 1 1 By: 

D Disposal Sampling (if applicable) / / By: 

D Garden Sampling (if applicable) / 1 By: 

,,0 ^ Utility Clearance Called: Jl/^/Q ^ ^y-\\i\^\c% 

[JB'^Video/Photos (Before) On:ii_/_^ ^ By= <5n^i^ 

O Video/Photos (During) On: / / By: 

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

D Video/Photos (30-Day) OD: / / By: 

D Property Completion Agreemenf Sipicd: / / By: 

D Pinal Report Issued: / / By: 

Air Monitoring (a£ applicable) 

(ZJ Community O Crew On: / / By: 

Results: 

D ComraunitA' CH Crew On: / / By: 

Results: 

• Communiri • Crov On: / / By: 

Results: 

Omaha Lead Site 
Propeny ID ?^' 

Property 

Atddress: 

Iniiial Contacl: 

Second Contact: 

Final Contact: 

Final Action: 

CO.KTACT FORJvl 

yiw 

2(]?H (a^hle^r 57 

Dale. Time: 

Date: Time: 

Dale: Time: 

Tran.smit to EPA D 

Action: 

Aclion: 

Aclion: 

Other Action: D 

Comment: 

ONvner 

Comment (s): 

-- .J 

Site 

Coordinator 

Comment (s): 
Douglas County Account Inf(M^|tion Page 1 of4 (|^ t 

Douglas County, Nebraska Property Record - R1000470000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 li west of 90th St - VlOW OH Ma p Information is valid as of 2008-9-4 Treasurer's Tax Report 

New Feature -•-•- • Auto Sales Search 

Owner 

IVICGRATH JAMES B 

ETAL 

2934 CASTELAR ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 0047 0000 10 

Account Type: Residential 

Parcel Number: 1000470000 

Parcel Address: 2934 CASTELAR ST 

OMAHA NE 68105-0000 

Legal Description: DUPONT PLACE LOT 14 BLOCK 4 W 15 FT LT 15 & E 1/2 40 X 125 

Value Informatio n 

Land Improvement Total 

2008 $5,700.00 $76,800.00 $82,500.00 

2007 $5,700.00 $76,800.00 $82,500.00 

2006 $5,700.00 $59,200.00 $64,900.00 

2005 $5,700.00 $59,200.00 $64,900.00 

2004 $5,700.00 $59,200.00 $64,900.00 

2003 $0.00 $0.00 $0.00 

Sales Informatio n 

Sales Date: 2007-11-13 

Deed Type: WD Book: 2007 Page: 129202 

Price: $81,000.00 

Grantor: DIERKS JODI H ETAL 

Grantee: MCGRATH JAMES B 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 2007-11-13 

Deed Type: QC Book: 2007 Page: 137666 

Price: $0.00 

Grantor: MCGRATH JAMES B 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R10... 11/4/2008 
Douglas County Account Infc|fc|tio (|^ n Page 2 of4 t 

Grantee: 

Valid/lnvalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/lnvalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/lnvalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/lnvalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/lnvalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

MCGRATH JAMES B ETAL 

Invalid 

Family Sale 

2004-05-24 

WD Book: 

$65,000.00 

Sec. Housing and Urban Devel. 

Jodi Dierks 

Valid 

Sale by Govt Agency 

2003-11-05 

TRD Book: 

$80,211.98 

Eric Lindquist LLC 

HUD 

Invalid 

Sale to Govt Agency 

2002-12-17 

WD Book: 

$74,000.00 

2004 

2004 

2231 

Page: 067934 

Page: 003384 

Page: 563 

Valid 

1 

1995-03-06 

D 

$38,900.00 

Book: 1999 Page: 602 

Valid 

1994-04-19 

D Book: 1977 Page: 318 

http://douglasne.mapping-online.com/DouglasCoNe/stafic/accountinfo.jsp?accountno=Rl 0... 11 /4/2008 
Douglas County Account Info^totio o ^ n Page 3 of4 t 

Price: $40,500.00 

Grantor: 

Grantee: 

Valid/lnvalid: Valid 

Exclusion Reason: 

Lan d Informatio n 

Acres SF Units Depth Width Vacant 

0.11 5000.0 1.0 125.0 40.0 No 

Improvemen t Informatio n 

Building 1 

1 1^ Story Fm 2934 CasWar Si 

fff 

EKMidr^ n 

iTiBs, n mnen 

Mr mff 

w » 

> M W 

•» «««•»: JM . 

••trtB»f ftMt94 n 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1224.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Good 

Built As: 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 7.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1895 0% 1895 113 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 800.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R10... 11/4/2008 
Douglas County Account InfiUsation Page 4 of4 V 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch End Screen 80.0 

User Attic Full Finish 374.0 

User Wood Fence 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo .jsp?accountno=R10... 11/4/2008 
Page 1 of2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 2172058. 

Original Call Date: 11/09/08 Time: 4:26 pm Op: ELIZABETH18790 


Work to Begin Date: 11/13/08 Time: 7:15 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2 934 Street: CASTELAR ST 


Twp: 15N Rng: 13E Sect-Qtr: 28-SE-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead remidiation 


Location of Work: LOCATE ENTIRE PROPERTY INCLUDING HOUSE ALL THE WAY TO THE 


: STREET. 


Remarks: FAX ALL CLEARS TO: (877)662-4211 


Company : COASTAL ENVIRONMENTAL SERVICE 


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


Work Being Done For: coastal 


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


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MCLEODNE MUD02 OI^AHACOF 0PPDGPR6 QLNNEIF 


QWEST2 


UtiUty Service Area Contact Phone Number Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, ^^ ^ 

Alt: 4029340469 INC 

Emerg: 4029329757 

Day: 8773668344 

LEVELS LEVELS COMMUNICATIONS, ^ ^ 

Alt: 

Emerg: 8773668344 

Day: 8002891901 


NO NEED TO CALL OUT MCLEODNE MCLEODUSA Alt: EMERGENCY 

Emerg: 8002891901 

Day: 4025047823 

METROPOLITAN UTILITIES MUD02 SANDY Alt: DISTRICT 

Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 11/9/2008 
Page 2 of2 

CITY OF OMAHA- OMAHACOF RON TRAFFICSEWER 

OMAHA PUBLIC POWER OPPDGPR6 NA DISTRICT 

QLNNEIF QWEST LOCAL NETWORK NA 

QWEST2 QWEST LONG DISTANCE SARA 

Day: 4024447197 

Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

Alt: 8887289343 

Emerg: 4067289343 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

Day: 8002834237 

Alt: 3039921926 

Emerg: 8002834237 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 11 /9/2008 
As-Built Drawing 

COASTA L Omaha Lead Superfund Site ENVIRONMENTAL 

t R O U P , INC . 

nm 

Omah Exterior Paint North Arrow Ow a Lead Site n er Name: JOPI PIERK S 

S+_ • Good Site Sketch Address: ^9S^^ • CASTEL-A R • Poor Phone: H W; 

Q--t^ot paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm: fi ^ V/ CF/T: ^ H 

RVASCPXA- /T/7 3 Fl ?Z1 ppm D Date: ^O^ri h 

RVBSCPXA- / JIJ S F2 / U(^ ppm Time ^ \06 P M 

RVCSCPXA- /7/T 3 B1 _5i£. ppm D Samples Analyzed Jdi£ ppm D 

RPZSCPXA B2- ppm D D 

XRF Unit: 90? Book: //8 • RGZSCPXA 62 - ppm n D Date: £,-^-,s-OL. 

RPZSCPXA- I T/7 3 PZ 2 7 5 ppm sy D 

Time: i4iM 

Staff: L a b RYBSCPI^-17179 Number of Samples = S^ I hS\./ I — Result 235 ppm Front Right, Bl = Back Left. B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

AU quadrants are as viewed from the streel. fadng propeity 

OLS#: 17179 I 

Date Excavated: 11/19^008. 

Date USEPA Signed Off: 1H 2/i669 

Area Sodded 1346 sq ff t 

afiST£ LBR. s r 

Legen d 

Concret e Dri p Zone Excavate d Quadrants Excavate d 

Are a replace d wit h Are a replace d wit h __ _ ^^ ^ ^^^ ^ ^^^ ^ 

Sod Rock/Mulch ^ ^ 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
Omaha Exterior Paint North Arrow Lead Site Own er Name: JOP I P^ERK S Q Good Address: 293.^+ CASTELA R S t Site Sketch • Poor 

Phone: H: W: Q^o t paint I

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Finm; 

Samples Collected 

RVASCPXA­ /7IT 3 F1 ?2 1 ppm D Date: ^•(P^-tii , 

RYBSCPXA- ITIT 3 ''2 / L L ppm Time; Z\66P ^ 

RVCSCPXARVDSCPXA­

/7/r 3

I TIT S

 B1 

 B2 

5 U 

Qlo ^ 

ppm 

ppm ^2y 

D 

D Samples Analyzed 

RPZOCPXA- B2­ ppm D D XRF Unit: 90"? Book: // 6 

nCZZQ^lkA -G2-

RPZSCPXA- 17/7 3 PZ 

Lab 

I— Result 

RYBSCPLA-17179 

235 ppm 

-

27 5 

ppm 

ppm 

Number of Samples = 

°y 

sD 

D 

J 

Date:

Time: 

Staff: 

 ^/'rtS-OLo 

AiA 

hsw 

Front Right. 81 = Back Left, B2 = Back Rigtit DZ = Drip Zone, GZ = Garden. PZ = Play 

All quadrants are as vievved from the street, facing property 
n m 

Omah Exterior Paint NorthArrow Ow a Lead Site n er Name: JQDl P\gRK S • Good Address: aQS ^ CASTELAF ? S+, Site Sketch • Poor 

Phone: H: W; \ Q^o t painl 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm 

RVASCPXA- 7717 3 f'l yi i ppm D Date: 

RVBSCPXA-/7"/7"^ F2 1 LL ppm Time 

RVCSCPXA-/?-/7"^ 81 5 L ppm D 

Samples Analyzed 

W^XiSCPyjK- f7IT 3 B2 m.^ ppm D 

RDZSCPXA' BE­ ppm D D XRF Unit: .202 Book: i/a. - nCZCCPXA GZ- ppm D Date: ^-r-^S-OLa 

RPZSCPXA- /7/7 3 PZ 2 7 5 ppm n Trme: A M 

Staff. M^ w Lab RYBSCPLA-17179 Number of Samples = | S^ \ 

Result 235 ppm 

Front Right, 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden. PZ = Pfay 

AU quadrants are as viewed from the street, facing property 

^

Ci 

i 

t^^^ /a«' 
111 n 

Exterior Paint NorthArrow Owner Name: JODI DIERK S Omaha Lead Site • Good Address: 29SAf CASTEUAR S+, Site Sketch • Poor 

Phone: » vv: \ Q^o t paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm: 

RVASCPXA- /7I7 3 P1 2.21 ppm n Date: 

RVBSCPXA- / 7/J S F2 ! I'L ppm Time: 

RVCSCPXA-/7"/7"^ B1 .31^ ppm D Samples Analyzed 

Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = PJay 

RVDSCPXA-ZT'/T'o? B2 ^/^ ^ ppm D 

RDZGCPXA­ B ^ ppm D D XRF Unit: .202 Book: iiS . nozscpxA­ -GZ­ ppm D Date: ^-r-^S-'OLc 

RPZSCPXA- /7/7 3 PZ 27 5 ppm D Time: A M 

Lab RYBSCPLA-17179 Number of Samples = I S " J Staff: M^ W 

-Result 235 ppm 

All quadrants are as viewed from the street, facing property 

-¥ r—^ 

Rev 4 046)41.0123 
S^^jf COASTA L ^^ f gMnt** ^ IHVKIOHMINTAl c a 0 u P. 

Consent For 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 enter and perform certain environmental response activities upon the 

following described premises: 

Owner's Name: ^ 5hQ/^> °^y*""^ '^""^^ 3^'^^^ ^ 

Address of Property 

covered by this ;L7J / C^j-I^lc^y- s f 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 performed, 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 
^^•** >

 COASTAL 

'•^•ff'* ^ C • O U r IN T 

• Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

• 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; 

• 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. 

• Allow videotaping and/or photographing of the property. 

AGREEMENT NOT TO 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 (712) 352-0188 

13^I ggran i t access to my properties

 D I do not grant access to my properties 

Signature Date 

[U I would like to be present during any sampling that is required. 
COASTA L • : ' IHOM'^t'^TA l 

C • O U r IN C 

Restoration Agreement 

The purpose ofthis agreemem is to provide a mutual agreement as to conditions ofthe property prior to 

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

activities are completed to the satisfaction ofthe property owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: \^\C | 

Property Address % n i (^.-feU.>r y 

Owner: "I»-tA,e ^ Phone: jH h O^0S ~ 

On the attached diagram(s) indicate area(s) to excavated and depth of excavation, location of all known 

utilities, subsurface features, syrface structures and landscaping features, access !ocation(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

Items To Be Removed By Owner Before Start Of Remediation: 

(Use additional sheets as necessary) 

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

Item: 

^ /id ^ 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 1 of U 
COASTA L 

c n o w r . IM C 

Items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item: 

^ ^e ^ 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

/ . 

Item: 

Item: 

Page 2 of G 
COASTA L 

Items To Be Removed By Contractor During Remediation And Replaced 

(Use additional sheets as necessary) 

Item: 

5C!5 ( \ ^y ^ 

Item: ^y / 5<5 6 

Item: 

/ 

item: / 

Item: / 

Item: / 

Item: / 

Item: / 

Item: / 

Item: / 

Item: / 

Item: / 

Item: / 

Item: / 

Item: / 

Page 3 of ^ 
C O A S TA L CNvinONMEMTAI . C • O O r IM C 

Landscape Inventory 

(Use additional sheets as necessary) 

Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch 

trunk diameter 

Number of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

Attach a sketch of the 

sprinkler layout, 

Number of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Quantity 

0* 

7 

V 

y 

y 

Unit 

Square feet 

Condition/Type/Species 

Each 

j 

•. 

Each 

Each 

Each 

Square Feet 

Page 4 y 
( ^ ^ COASTA L 

EMVIKONHtMTA l r_ ^ O U P IM C 

Item 

Agreed upon value of 

plant materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Agreed upon list of plant 

materials that will be 

replaced by conn-actor. Be 

very specific and detailed. 

Include a sketch of were 

each plant will be placed 

by the contractor. 

Agreed upon area of 

prop>erty to be replaced 

with grass sod. 

Include a sketch of the 

area(s) to be replaced with 

grass sod. 

Area of City or County 

property to be landscaped 

per their requirements. 

Include a sketch of the 

area (s) 

Easement Area, to be 

excavated 

Quantity Uriit 

r $ 

y Each 

d> 

SF 

y SF 

f' SF 

Condition/Type/Species 

WyU'-'^^ 

Page 5 of Q 
C O A S T A 1. •MVftROMMCMTAL «M»UP . IM C 

Q Check the box if Owner does not want CEG to document interior fbundation wails and possible 

pre-existing damage. By checking this box CEG is not responsible for any damage done to the 

interior of house, induding foundation cracks or fissures. 

01lagre a e Q I do not agree 

U'69-Ofi iL 

Date Contractor's Signature Date 

PageSof, 
XRF PROPERTY SAMPLE SHEET 


Date \\'\^-Ofi Address

Project Omaha lead FP 2nd year opllon Sample time 

XRFID# sample length f^aoft^ 

Shot# Reading Sample area Shot # 

3'?(.g ^ £po ^"-iO.'S M .SlL^^l 

'^n^gy •-•x^^.Ls.y-\9>'^i\ "h^ ,^T7 n 

Depth .^-1 -r \ .^Tipvi^ ^a^.i.i.ty'^r.o 

3-7(/)-i i^a^af^s b i b ^ ^n^ 

Average \"?rv.n?, J" \<A. .^^i~\ Average

Shot# Reading Sampie area Shot# 

Depth 

Average Average 

Shot# Reading Sample area Shot# 

Depth 

Average Average 

RETEST AREAS 

Shot# Reading Sample area Shot# 

Depth 

Average Average 

lab sample # Lab result Sample area XRF Avg. 

Slgnature_ 

BVID # n\nQ [ 

 ,:^^i A Cr^y^pAy^^y . 

am/pm o^\o 30 sec 

Reading Sample area 

Q^-l.O-^c \1. ^ 

\-. ^ .a^t^'fvoS 

i'AJ, i^o t lA-RC Depth 

\^i3. Tol : lU-'-.O I 

\-m - U 4 t v U C:>v:) 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

y

/ Depth ,,-'•" 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3768 

Mode SOIL 

Time 2008-11-19 12:12 

Duration 123.55 

Sequence Final 

Flags 

AVERAGE I Avg of 3764-3767 ^ 

ADDRESS ^3 4 casterlar st 

QUAD/ZONE p2 ' 

INSPECTOR Ventry 

DEPTH 

SAMPLE TYPE % CLEARANCE 

NOTE 

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 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 60.302 

Supervised By: 

Certificate of Verification 

3764 

SOIL 

2008-11-19 12:10 

30.84 

Final 

17179 

2934 casterlar st 

B2 

Ventry 

6 

CLEARANCE 

± Error 

± 10.537 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3765 

Mode SOIL 

Time 2008-11-19 12:10 

Duration 30.76 

Sequence Final 

Flags 

BVID # 17179 

ADDRESS 2934 casterlar st 

QUAD/ZONE B2 

INSPECTOR Ventry 

DEPTH 6 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 224.647 ± 18.911 

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 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 223.634 

Supervised By: 

Certificate of Verification 

3766 

SOIL 

2008-11-19 12:11 

30.91 

Final 

17179 

2934 casterlar st 

B2 

Ventry 

6 

CLEARANCE 

± Error 

± 19.504 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 42.330 

Supervised By: 

Certificate of Verification 

3767 

SOIL 

2008-11-19 12:12 

31.04 

Final 

17179 

2934 casterlar st 

B2 

Ventry 

6 

CLEARANCE 

± Error 

± 9.203 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

Pb 

Supervised By: 

Certificate of Verification 

3773 

SOIL 

2008-11-19 12:15 

124.05 

Final 

|Av g of 3769-3772 

2934 casterlar st 

feasement. 

j Ventry 

* • ! 

.CLEARANCE f 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 207.030 

Supervised By: 

Certificate of Verification 

3769 

SOIL 

2008-11-19 12:13 

30.79 

Final 

17179 

2934 casterlar st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 17.300 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 154.210 

Supervised By: 

Certificate of Verification 

3770 

SOIL 

2008-11-19 12:13 

31.24 

Final 

17179 

2934 casterlar st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 15.029 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 144.603 

Supervised By: 

Certificate of Verification 

3771 

SOIL 

2008-11-19 12:14 

30.82 

Final 

17179 

2934 casterlar st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 14.849 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 192.701 

Supervised By: 

Certificate of Verification 

3772 

SOIL 

2008-11-19 12:15 

31.20 

Final 

17179 

2934 casterlar st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 16.900 
Omaha Lead Site—Fixed Price EP-R7-07-05 

Coastal Environmental Group Inc. 

'^. ^ www.coastalhazmat.com 

^-inoy COASTA L ENVIRONMENTA L 

CROUP , INC . 

EXECUTIVE SUMMARY: 

BVID # 17179 - (2934 CASTELAR ST) 

^ No Issues or Concerns | ^ Issues/Concerns 

Detail Explanation: 
- -

^EPA 

EPA Property Close Out Form 

Property tt: \ 1 \~ 7 ' ^ Property Address: c^Q^ M C CA-^'Ve-l(SX/' S3 -

Date/Time: Owner's Name: '^V_INVJU^ ^A ( <cTrcoH^-~' « 

Quads Excavated; p^Q. Coniractor Group y-^fxyTtuy L 'Cr>\f\'rorv^^-^^''^^^^'~^ 

Excavation General Yes No 

I. if necessary, were the correa quadrant(s) excavated and restored? ^ 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? y 

Grading Sod and Vecetation Yes No 

I Does the grading around the perimeter ofthe house in excavaled areas generally slope away 

y from Ibe house? 

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

3. Does the sod appear to be generally healthy and growing? (Only evaluate ifinspected at a 30 

y day lime period) 

4 Art sodded areas generally firm and evenly graded? 

l y 

5 Are the joints between the sod strips generally tight? (Only evaluale ifinspected at a 30 day 

^ time period) 

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

i ^ 

7 i ^ Was damage to landscaping or plant materials avoided? 

Gates, Feoces and Retaining Walls Ves No 

1. Do gates open and close freely? (Ifapplicable) ^ 

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

^ 

3 Was damage to gates or fences avoided? (Ifapplicable) - ­

4. Was damage to retaining walls avoided? (Ifapplicable) A/A 

Foundalion, Siding and Cullers Yes No 

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

2 Was damage to the foundation avoided? y 

3 Was damage 10 windows avoided? 

y 

4. Was damage to windows or door screens avoided'!' y 

5. Was damage to downspouts or downspout extensions avoided? ^ 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? y 

2. Was damage to walkway surfaces avoided? y 
O »'ncrs comments: 

Inspection notes: 

Removal and restoralion activates complete including the 30-day sod warrant)' 

EPA Representative auA-aL^^yy^^c^hJ^^^ Date: l/z^^f 
w^ 

Property Completion Agreement 

This agreement documenis the completion of remedial activilies perlbrmed on my property. My signalure 

will designale lliat I am salislied wilh the restoration of my property, and that no items are in questions, 

now, or at any time in the future, excepl those items listed below, ifany. 

Property ID: j y j-^ Q 

PropeTtTATdrcs^^Q^y Ca^JdaVS ^ . _ 

Phone: ^-^^S - OH0T_ , 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Hem: 

Item: 

I I I agrct resitoralion i.s completed, except as noled 

^ 

I I I do not agree resfaqition h completed 

V 

y ^ . 

Contractor's SiKnature 

'^Iny 

Hate 

/y/X'O^