TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID* m H a DATE: hfjiOll ^ 

ADRESS: li^rO ^ PjQ/\/iO S^T 

REMEDIATION CONTRACTOR: COASTAL ENVIRONMENTAL GROUP Contract: EP-R7-09-06 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

0

u

n

k ^

M

'TT .

n

 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 SOD 

Pre-Excavation 

,D

D

i 

i 

^

IV

Excavation 

 As-Built sketch 

Satisfactory restoration signed by Property Owner 

 Property close-out check list signed by EPA 

Description of areas of areas not meeting ROD cleanup criteria 

 Utility clearances 

 Property Information from Douglas County Assessor's Office 

30262918 

^ 

Signature- EPA

Date 

^ 

vJ^ 

 \ ^ 

Superfund 
^v 

Property Access Checklist 

Property ID: ^^^I f D WORK STARTED ON; / / 

PropertyAddress:^^^^^^/^^^ ^ ^ D WORK COMPELTED ON: __/__/_ 

Owner: Omtl^j ^ Renter: 

Address: Phone: 

Fax: 

Ceil/Pager: 

Pbone: Additional Infomiation: 

Fax: 

Cell/Pager: 

D Notification Letter Sent: / / By: 

13^ Access Agreement Siened: lf)l M l L O By= UJCVC 

|M1 Restoration Agreement Sig^f^: _10I J^'L O By: ^vo c 

Q Topsoil Sampling (if appUcable) 1 I By: 

|~l Disposal Sampling (if applicable) 1 I By: 

Q Garden Sampling (if applicable) 1 I By: 

D UtiUty Clearance CaUed: / / By: 

^S^Weo/Photos (Before) Om(O.ll}djX0 By: v.tt.\_ 

D Video/Pbotos (During) On: / / By: 

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

D Video/Pbotos (30-Day) On: / / By: 

Q Property Completion Agreement Siened: / / By: 

D Final Report Issued: / / By: 

Air Monitoring (as appUcable) 

• Community • Crew On: / / 

Results: 

• Community • Crew On: / / By: 

Results: 

• Community • Crew On: / / By: 

Results: 

Omaha Lead SHe 

1 
Douglas County Account Ii^Bmatio i^Bpa n Page 1 of2 

Douglas County, Nebraska Property Record

Information is valid as of 2010-8-30 

­ R1946800250 

New Feature -^ ^ ^

Print Reoort 

View Interactive GIS Map 

Treasurer's Tax Reoort 

 Subdivision Sales Search 

Owner 

CITY OF OMAHA 

C/O CITY FINANCE 

1819 FARNAM ST 

OMAHA NE 68183-0000 

Property Informatio n 

Key Numtier: 4680 0250 19 

Account Type: Ex Government 

Parcel Numtier: 1946800250 

Parcel Address: 

Legal Description: 

2603 BLONDO ST 

OMAHA NE 68111-0000 

PARKERS ADD REP 17 LOT 1 BLOCK 0 IRREG 

Value Informatio n 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.22 9828.0 1.0 126.0 78.0 Yes 

http://douglasne.mapping-online.coin/DouglasCoNe/static/accountinfo.jsp?accountno=Rl94... 9/2/2010 
3/31/2011 www.dhon.org/if1hinternet/DHONNotic... 

Create Another Ticket Back tOTn tWt h Intemet Send Email 

YOUR TICKET NUMBER IS 2700328. 

Original Call Date; 3/31/11 Time: 3:37 pm Op: ALFONSO18790 


Work to Begin Date; 4/04/11 Time: 4:00 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2603 Street: BLONDO ST 


Twp: 15N Rng: 13E Sect-Qtr: 09-SE,16-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: Y Front: Y Rear; 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Utility Service Area Contact Phone Number Type 

Day: 4029S40469 

CXCATV COX COMMUNICATIONS, INC HEIDI Ah: 4029S40469 

Emerg:4029S29757 

Day: 877S668S44 

LEVELS COMMUNICATIONS, LEVELS NA Alt: LLC 

Einerg: 877S668S44 

Day: 402504782S 


METROPOLIT/^ UTILITIES MUDOl SANDY MUD Ah: 

DISTRICT 

Emerg: 4025047970 

Day: 4024447197 


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

Emerg: 4024445160 

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

^T.T.r.^T.T.c

OPPDOPR5

 OMAHA PUBLIC POWER

 ^,3^^. ^

 ELM 

 LOCATING

'Day: 4067289S4S 

 ^It: 4062071494 

Emerg: 8887289S4S 

QLNNEIC QWEST LOCAL NETWORK

FT M 

TM\^T ^

LOCA 1 IN (j 

Day: 4067289S4S 

 Ah: 4062071494 

Emerg: 8887289S4S 

dhon.org/irthinternet/.../MessageText.as... 2/2 
04/11/11 07:00 AM 512-3^-3933 -^^& , Level Three Communic^Lon 04/05 

To: COASTAL ENVIRONMENTAL SERVICE Attn: ALFONSO 

Voice: 4029342837 Fax: 4029342811 

Re: Response to Dig Request 

This is an In^ortant Message from Level 3 Coiraituni cat ions replying to your 


request to locate our underground facilities in the area described on the One 


Call Center ticket. ,_, 


Ticket: 2708896 


County: DOUGLAS Place: OMAHA 


Address: 1029 N 32ND ST 


LEVELS: 


Level 3 Communications has determined our facilities are clear of the dig site 


described by your One Call Center ticket. Level 3 Communications will not 


have to locate any underground utilities at this dig site. If you have any 


questions, please contact Level 3 Communications at 1-800-441-0223. 


Ticket: 2708898 


County: DOUGLAS Place: OMAHA 


Address: 242€ PARKER ST 


LEVEL3: 


Level 3 Communications has determined our facilities are clear of the dig site 


described by your One Call Center ticket. Level 3 Communications will not 


have to locate any underground utilities at this dig site. If you have any 


questions, please contact Level 3 Communications at 1-800-441-0223. 


Ticket: 2709020 


County: DOUGLAS Place: OMAHA 


Address: 180S S 33RD ST 


LEVEL3: 


Level 3 Communications has determined our facilities are clear of the dig site 


described by your One Call Center ticket. Level 3 Communications will not 


have to locate any underground utilities at this dig site. If you have any 


questions, please contact Level 3 Communications at 1-800-441-0223. 


If you have any questions, please contact Level S's Asset Management Team at 


1-800-441-0223. 

As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

OLS#: 27156 

Date Excavated: 4/11/2011 

Date USEPA Signed Off: 5/5/2011 

Area Sodden: 6638 so ft 

iiiiiiinii 27156 

Omaha Extenor Paint Lead SHe 

Sit • Good e Sketch 

• Poor 

Samplin g Address : 2603 BLONDO ST g-^Not paint 

Sample Lead Sampte Samples Collected Number LAB Concentratran Collected Firm ft TrtP^ D o T j 

RYASCPXA-27-156 Fl 30 7 ppm D Date &l\<^lCl'i 

RYBSCPXA-27156 F2 M 6.0 ppm D Time '^ 3 0 Ar-\ 

RYCSCPXA-271S6 B l 6.*^ 8 ppm D 

Samples Analyzed RYDSCPXA-27156 B2 ppm D 

nDJGOnXA-S715C BZ ppm D D XRF Unit lO&ttZ. Book lH( o 

ncjcopx^i27i5G—ez- ppm D D Date ft • 2fc Q ^ 

RrgCGPXA-27166 F* ppm D D Time Ar»-» 

Staff pTgU ) Number of Samples = | l-[ \ \ ^ | 

Legend F1 = Front Lefl, F2 = Front Right, Bl = Back Left. 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

Al quadraris are as viewedfrom Ihe street, facing property ALLE V 

b»-£>NtX> ^T' . 

Legend 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replaced with 

Area left bare 
 Sod — Rock/Mulch 

Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Group Inc . 
L ^ YA/ 27156 

Omaha Exterior Paint Nortti Arrow Lead Site 

Site • Good Sketch • Poor 

Sampling Address: 2603 BLONDO ST fC^Not paint 

Sample Number 

RYASCPXA-27156 Fl 

Lead 

Concentration 

ppm 

Sample 

Collected LAB 

D 

Samples Collected 

Firm: V)E TMO., De> T^ 

Date 2>l\<^lm 

RYBSCPXA-27156

RYCSCPXA-27156

RYDSCPXA-27156

 F2 

 Bl 

 B2 

do 7 ppm 

ppm 

ppm 

D 

D 

a 

Time: "^ - 3 0 AtA 

Samples Analyzed 

RDZGCnXA-27156 B2 M48 ppm D n XRF Unit: loeW L Book: 2^6? 

nCZCCPXA J715G 62 - ppm D n Date: fi Zd. O ^ 

RnZGOPXA-271S6 PZ ppm D a Time: f\r ^ 

Number of Samples = | i~\ ] \ ^ Staff: rrgb J 

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

Al quadrants are as viewed from Ihe street, facing property ALLE V 
# 

lilllliiilllll 27156 

Omah Exterior Paint North Arrow a Lead Site 

Site • Good Sketch 

• Poor 

Sampling Address: 2603 BLONDO ST (3^o t paint 

Lead Sample Samples Collected 

Concentration Collected 

Sample Number LAB 

Firm TV Tnr. DeT^ 

RYASCPXA-27156 Fl 30 7 ppm D Date Sh<^lo^ 

RYBSCPXA-27156 F2 M 6»0 ppm D Time 

RYCSCPXA-27156 Bl 6,S8 ppm D 

Samples Analyzed 

RYDSCPXA-27156 B2 44 8 ppm a RDZQCr)(A-27150 B2 ppm D XRF Unit: /08(,7 ^ Book: 246? — D nCZCGnXA'2715Q—Sir ppm U D Date: fi • Zd> Q ^ 

nrZGCnXA-27166 P i — ppm D Time D Bt 

Staff: Number of Samples = | L\ \ \ CH \ snsiA. Legend: Fl = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

A* quadrants are as viewed from the street, facing property ALLE V 

ENTERED 

yy 
27156 

Omah Exterior Paint North An'ow a Lead Site 

Site • Good Sketch 

• Poor 

Sampling Address: 2603 BLONDO ST (3''^Not paint i 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm 

RYASCPXA-27156 Fl 3 0 7 ppm D Date 

RYBSCPXA-27156 F2 M 60 ppm D Time 

RYCSCPXA-27156 Bl 6,^8 ppm D 

Samples Analyzed 

RYDSCPXA-27156 B2 448 ppm a RDZOOn)(A-27100 BZ ppm D XRF Unit: 1(^(^1 . Book: 246? — D nCZCCnXA'27156 eEr ppm D Date: f j • Zfc •Q<\ — D RrZGOnXA-27166 PZ ppm D Time D .Bl 

Numbe Staff: mSLAA r of Samples = | i-\ \ \ ^ [ 

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

AS quadrants are as viewed from the street, facing property ALLE V 

1 — 

ENTERED 

AUG 1 l^ 2009 

6<^8 HHS 3 

i\ ai 

Tl^E S mEES. 

t 

<j ^ 

3 0 1 %>0 

8i .F .fz 

^1 

83'• 

Rev 2008 anted: 28-IuH)9 V>ftM.< 

hu> NCO S-r. 
C 0 ^ S "1 A I 

C I C "J t • C 

C:oiiJU^Iii ft;f A(;c;0(;i-: 'i o riopeii y 

RIGHT OF ENTRY TO PREMISES 

Granlot (the property' ownei) consents tc and authorizes the United States 

Environmental Protection Agency (FPA) oi its authorized representatives, collectively 

the Grantee, to enter and perform cerlain environmental lesponse activities upori the 

following described premises: "TP Z^l <7 

r ' •' ' " 

Ownef's Name Daytime Phone: c. '/r'^ tF Uv)/iii/^ VVV.-^2 -V'g 

Address of Property 

covered by this 7605 Duyiy^ Tsr 

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 wfti 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 vv'ith 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 
I

C CAS I

c B 0 L' '

1 Remove obslructions including boats, lisileis, vehicles, playscape iien-ir, v.'ooo' 

piles, doo houses, etc; 

< [Remove fiovi'er bulbs oi piants thai the Grantoi or the Grantni's tenenl may wish 

to save; 

. Water and maintain leplacement vegetation, including ferliiizer applicption, as 

necessary' subsequent to an initial watering period by EPA; 

< Abide by health and safety guidance piovided by EPA; 

f If the property is rented, assist EPA in obtaining tenant appiovsl foi access lo 

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 aciivities, oi 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 

J3n grant access to my properties • I do not grant access to my properties 

.Lty''^. Date Signature Date 

Q I would like to be present durirtji any sampling \hz\ Is lequiied, 

A 1 

• *• i 

Pace 2 of 2 
• • 

C 6 A.S TA. L 

Restoration Agreement 

Ttie purpose of this agreement is to provide a mutual agreement as to conditions ofthe property prior fo 

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). 

Property ID: mG600t'^0 —^7/^' ^ 

Property Address: ^^ 3 gU?W<:)e ^T 

Owner: Ctr'{ t)F DMfiihJA 

Phone: HHH >iZHf> 

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 document 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 return of these items is the Owner's responsibility. 

Item. 5 to be Removed bv r the Contractor During Remediation and Not Replaced 

Item: 

Item: 

Item: 

Item: 

Page 1 of. 
C O A S T A. L ENVmONH I MTA L 

C A O U r . IMC . 

Item: 

Item: 

Item: 

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 Each 

trunk diameter ^ 

Number of trees <= 2 inch Each 

trunk diameter ^ 

Number of Sprinkler 

Zones, Control Valves, 

0 Each Timers, Heads, etc. 

.\ttach a sketch Q<i the 

.spiiiikiei" layout. 

Number of and size of 

each garden/ flower bed Each 

area. Square Feet 

.size.

Atiaci

s an

i a

d

 skeic

 locations

h of

. 

 relative y

Agreed upon value of plant 

materials not to be 

replaced by contractor. $ Not

used

e

 t

 thj.

o issu

s valu

e a

e wil

 ptaii

l be 

l 

0

MiiicluM lo tlu' propcrix 

oiMicr. 

Easement Area, to be AJC ^ Each 

excavated li^I^ 'hejJ^ 

Page 2 of. 
C O A S T/Si L 

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 areas. 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 area, not 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. 

O Please check this box if you understand the information 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. 

Z[la O I do not agree I agree 

UL 

Contractor's Signature Date 

Page 3 of. 
BviD# zni5(/> 

XRF PROPERTY SAMPLE SHEET 

Date 

Project 

XRF ID# 

Shot# 

OUf 

on 

oe 

Average 

Shot# 

\o 

l l 

12-

Average 

Shot# 

VM 

\ ^ 

\\e 

Average

Shot# 

Average 

O^jZ.^/Zou Address 

Omaha Lead ARRA Sample time 

sample length 

Reading Sample area Shot# 

24^ t Z^ S{ \ ^ 

t\^^^yu) Depth \ ^ 

rZ4 t 2.0 Cgi> U) 

zie> t Vo Average 

Reading Sample area Shot# 

^n 1 1 ^ 3 bi 

^5H-^^ l Depth 

^n-i !^ 2.3 fo^' 

2.c^g) t^ 3 Average 

Reading Sample area Shot# 

77A^ t lyL PZ 

zn^ ^ Vb Depth 

%^\ 12. ^ tpi' 

 6o P ^ ^ ^ Average 

RETEST AREAS 

Reading Sample area Shot# 

Depth 

Average 

2^oc? Blondo 5f 

am/pm 

30 sec 

Reading Sample area 

mo t \n .E^ 

Depth \13 t \ ^ 

VZ?\D \ " t n 

\33 j : \n 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Signature s'i^rtQfvJU^WX 

Print SrA/\id\^ UA5b>A 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-39022 * 

Reading No 

Mode 

"rime 

Duration 

Sequence 

Flags 

AVERAGE^ 

ADDRESSQUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 218.485 

Certificate of Verification 

9 

SOIL 

2011-04-25 14:25 

94.81 

Final 

Avg of 6-8 

2603 blondo st f 

Bl 

6" 

N. LOPEZ 

confirmation 

none 

Error 

± 20.731 

Supervised By: yn m 
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 215.197 

Supervised By: 

Certificate of Verification 

6 

SOIL 

2011-04-25 14:23 

31.38 

Final 

27156 ^ 

2603 blondo st 

Bl 

6" 

N. LOPEZ 

confirmation 

none 

Error 

20.718 
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 

h5.743 

Supervised By: 

Certificate of Verification 

7 

SOIL 

2011-04-25 14:24 

32.25 

Final 

27156 

2603 blondo st 

Bl 

6" 

N. LOPEZ 

confirmation 

none 

Error 

20.673 
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 224.515 

Supervised By: 

Certificate of Verification 

8 

SOIL 

2011-04-25 14:25 

31.18 

Final 

27156 

2603 blondo st 

Bl 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 20.802 
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 

ppm 

Pb 268.036 

Supervised By 

Certificate of Verification 

13 

SOIL 

2011-04-25 14:29 

96.17 

Final 

Avg of 10-12 

2603 blondo st 

B2 

6" 

N. LOPEZ 

confirmation 

none 

Error 

23.127 

T 
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 ^71.452 

Supervised By: 

Certificate of Verification 

10 

SOIL 

2011-04-25 14:27 

30.99 

Final 

27156 

2603 blondo st 

B2 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 23.585 
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 254.689 

Supervised By: 

Certificate of Verification 

11 

SOIL 

2011-04-25 14:28 

34.10 

Final 

27156 

2603 blondo st 

B2 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 21.930 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 12 

Mode SOIL 

Time 2011-04-25 14:29 

Duration 31.08 

Sequence Final 

Flags 

BVID 27156 

ADDRESS 2603 blondo st 

QUADRANT B2 

DEPHT 6" 

XRF TECH N. LOPEZ 

MISC confirmation 

NOTE none 

ppm Error 

Pb 277.966 23.866 

Supervised By: 
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 

Pb 258.112 

Supervised By 

Certificate of Verification 

17 

SOIL 

2011-04-25 14:33 

95.32 

Final 

Avg of 14-16 

2603 blondo st 

F2 

i 6" 

N. LOPEZ 

confirmation 

none 

Error 

23.126 

c^siX 
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 249.433 

Supervised By: 

Certificate of Verification 

14 

SOIL 

2011-04-25 14:32 

31.72 

Final 

27156 

2603 blondo st 

F2 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

22.841 
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 272.970 

Supervised By: 

Certificate of Verification 

15 

SOIL 

2011-04-25 14:33 

31.74 

Final 

27156 

2603 blondo st 

F2 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 23.746 
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 251.934 

Supervised By: 

Certificate of Verification 

16 

SOIL 

2011-04-25 14:33 

31.86 

Final 

27156 

2603 blondo st 

F2 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± ^2.79 2 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESSQUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 133.511 

Supervised By 

Certificate of Verification 

21 

SOIL 

2011-04-25 14:36 

94.74 

Final 

Avg of 18-20 

2603 blondo st 

EA ' 

1" 

N. LOPEZ 

confirmation 

none 

Error 

17.191 

ia>A 
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 "140.469 

Supervised By: 

Certificate of Verification 

18 

SOIL 

2011-04-25 14:35 

31.95 

Final 

27156 

2603 blondo st 

EA 

1" 

N. LOPEZ 

confirmation 

none 

± Error 

17.453 , 
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 123.310 

Supervised By: 

Certificate of Verification 

19 

SOIL 

2011-04-25 14:36 

31.29 

Final 

27156 

2603 blondo st 

EA 

1" 

N. LOPEZ 

confirmation 

none 

Error 

16.817 / 
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 136.753 

Supervised By: 

Certificate of Verification 

20 

SOIL 

2011-04-25 14:36 

31.50 

Final 

27156 

2603 blondo st 

EA 

1" 

N. LOPEZ 

confirmation 

none 

± Error 

± 17.303 
>

• 

X 

/^A^' o Omaha 1Lead Site—Fixed Price EP-R7-09-06 

\ ^ ' ^ Coastal Environmental Group Inc. www.coastalhazmat.com ^ 

"•^'^ COASTAL 

EXECUTIVE SUMMARY: 

BVID #27156- (2603 BLONDO ST) 

^ No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 

• COASTAL IS UNABLE TO PROVIDE PRE-EXCAVATION, EXCAVATION, AND SOD 

PHOTOS AS PART OF THIS FINAL PROPERTY FOLDER. THESE PHOTOS WERE IN 

THE POSSESSION OF A SUBCONTRACTOR THAT WAS CONTRACTED TO PERFORM 

ALL OF THE SITE COORDINATION REQUIRED BY THE SCOPE OF WORK AND THE 

SUBCONTRACTOR HAS SINCE LEFT THE PROJECT. THEREFORE, THE PHOTOS 

ARE NO LONGER AVAILABLE 

DAN GARVEY WALKED AND SIGNED OFF ON THE PROPERTY AS COMPLETE ON 

5/5/20n. 
p 

r v t 

Property Completion Agreement 

I lits atjiecmeni documenli Ihe complclion of remedial acdvuics perlbimaf on my pioperty My signaiuie 

will dP..signale ihai I am sali.<.fied wilh llie rctloralion of my propeily, and Ihal no Hems are in questions 

now. or 31 any lime m ihe future, excepl ihose items listed below, if any 

Property Addrcsv ^(pf^- ^ ^(ffJU > STf — 

Owner: 

Phone 

Restoration Items in Question: 

Jtem: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

L._. I X. I »\iic<! I r<tor»lion i\ completed, Ciccpl HS nolrri 

[_J I rio not »i;ifc rtJIorjiynn is lomplclti l 

¥71^ yai / 

Owner C'onli arlni 's Siofn»liirc 
4 

EPA Property Close Out Form 

Property if: Property Addrcsr. 

Dete/Tirae: Owner's Name:. /^ 

Qutids Excavated: Contraclor Group 

Excavation General 

1. I r necessaiy, were the correct quadiant(s) excavated and restored? 

2. If necessary, were the correcl areas ofdrip rone excavaled and restored? 

Grading Sod and Vegetattoa 

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

from the house? 

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

3. Does the sod appear to be generaJly healthy and growing? (Only evaluate if inspected ai a 30 

day tune period) 

4. Are sodded areas generally firm and evenly graded? 

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

timee period nrtin n) 

6. Was the property graded such that water will nol pool on the prnperu'*' 

7. Was damage to landscaping or plant materials avoided? 

Gates, Fences and RcUinlng Walb 

I I. Do gates open and close freely? (Ifapplicable) 

2. Were ail gates or fences taken down during restoralion aciivities reinsulled? (If applicable) 

3. Was damage to gates or fences avoided? (If applicable) 

4. Was dainage to reUiining walls avoided? (Ifapplicable) 

Foupdation, Siding and Gutters 

I. Was dainage to the siding or trim avoided? 

2. Was damage to the foundation avoided? 

?. Was damage to windows avoided? 

4 Was dainage to windows or door screens avoided? 

5. Was damage to downspouts or downspoui extensions avoided? 

Sidcwalia and Driveways (Concrete) 

1. Was damage lo driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

'-^y 

Yes No 

/ 

/ 

Yes No 

y 

~y 

-A 

y

A 

-y 

Vcs Nu 

/ 

/ 

[/ 

/ 

Yes, No 

r 

y 

7 

7 

Yes No 

-y 
. # 

OH bcrs comments: 

I ^ 

[Inspection notes: 

Removal and restoration aclivales complete including the 30-day sod warranty: 

EPA Representative ^ Q*^iS^y Date: dAi"__