## TRANSMITTA Lo fOMAH ALEA D SIT E SOI LREMEDIATIO N FIL E FOLDE R SAID * m H a DATE : 

## hfjiOll ^ ADRESS : li^rO ^

PjQ/\/i O S^ T REMEDIATIO N CONTRACTOR : COASTA L ENVIRONMENTA L GROU P Contract : EP-R7-09-0 6

SOI L REMEDIATIO N PROPERT YFIL E FOLDE R DOCUMENTS
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Executiv e Summar y EPA-provide d propert ysketc h Signe d Acces s Agreemen t fo rsubjec t propert y Signe d Acces s Agreemen t (s ) fo radjacen t propert y Restoratio n Agreemen t Settlemen t document s (i.e. , fo rdamag e o rt o replac e plants , etc. ) Confirmatio n dat a Photograph s SO D Pre-Excavatio n

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As-Buil t sketc h Satisfactor yrestoratio n signe d b yPropert yOwne r Propert yclose-ou t chec k lis t signe d b yEP A Descriptio n o farea s o farea s no t meetin g RO D cleanu p criteri a Utilit yclearance s

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3026291 8 ^ Signature
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# ^ v Propert yAcces s Checklis t Propert y ID : ^^^I f D WOR K STARTE D ON ; / / PropertyAddress:^^^^^^/^^^ ^ ^ D WOR K COMPELTE D ON : __/__/
_ Owner : 

# Omtl^j ^ Renter : Address : Phone : Fax : Ceil/Pager : Pbone : Additiona l Infomiation : Fax : Cell/Pager :
D Notificatio nLette r Sent : / / By : 13 ^ Acces s Agreemen t Siened : lf) l M l LO By = UJCV C |M 1 Restoratio nAgreemen t 

### Sig^f^ : _10 I J^'L O By : ^vo c Q Topsoi l Samplin g (i f appUcable ) 1 I By : |~ l Disposal Samplin g (i f applicable ) 1 I By : Q Garde nSamplin g (i f applicable ) 1 I By : D UtiUt y Clearanc e CaUed : / / By : ^S^Weo/Photo s (Before ) 

## Om(O.ll}djX 0 By : v.tt.\
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D Video/Pboto s (During ) On : / / By : D Video/Photo s (After ) On : / / By : D Video/Pboto s (30-Day ) On : / / By : Q Propert y Completio nAgreemen t Siened : / / By : D Fina l Repor t Issued : / / By : Ai r Monitorin g (a s appUcable )

• Communit y • Cre w On : / / Results :

• Communit y • Cre w On : / / By : Results :

• Communit y • Cre w On : / / By : Results :

Omah a Lea d SH e 

# 1

## Douglas Count y Accoun t Ii^Bmatio n

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## Pag e 1 of 2
Dougla s County , Nebrask a Propert yRecor d
Informatio n i s vali d a s o f2010-8-3 0 ­ R194680025 0

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Treasurer' s Ta xReoor t Subdivisio n Sale s Searc h Owne r CITYO F OMAH A C/

O CITYFINANC E 181 9 FARNA M S T OMAH AN E 68183-000 0 Propert yInformatio n Ke yNumtier : 468 0 025 0 1 9 Accoun t Type : E xGovernmen t Parce l Numtier : 194680025 0 Parce l Address : Lega l Description : 260 3 BLOND O S T OMAH AN E 68111-000 0 PARKER S AD D RE P 1 7 LO T1 BLOC K0 IRRE G Valu e Informatio n
201 0 200 9 200 8 200 7 200 6 200 5 Lan d $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Improvemen t $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Tota l $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.2 2 9828. 0 1. 0 126. 0 78. 0 Ye s



## http://douglasne.mapping-online.coin/DouglasCoNe/static/accountinfo.jsp?accountno=Rl94..
. 9/2/201 03/31/201 1 www.dhon.org/if1hinternet/DHONNotic.

. . 

### Creat e Anothe rTicke t 

# tW t Sen d Emai l Bac k tOTn h Intemet


## YOURTICKE TNUMBE RI S 2700328
. Origina l Cal l Date ; 3/31/1 1 Time : 3:3 7 p m Op : ALFONSO1879 0 Wor k t o Begi n Date ; 4/04/1 1 Time : 4:0 0 pm State : N E County : DOUGLA S Place : OMAHA Address : 260 3 Street : BLOND O S T Twp : 15 NRng : 13 E Sect-Qtr : 09-SE,16-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Lea d Remediatio n 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 : (402)934-281 1 : PLEAS E INCLUD E AL L EASEMENT S Company: COASTA L ENVIRONMENTA L SERVIC E Contac t Name ; ALFONS O Phone : (402)934-283 7 Wor k Bein g Don e For : Coasta l Dept ho f Excavation : 4f t Corne r Lot : Y Front : Y Rear ; Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCATV LEVEL 3 MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C


## Utilit y Servic e Are a Contac t Phon e Numbe r Typ e Day : 4029S4046 9 CXCATV CO XCOMMUNICATIONS , IN C HEIDI Ah : 4029S4046 9 Emerg:4029S2975 7 Day : 877S668S44 LEVEL S COMMUNICATIONS , LEVEL S N A Alt : LL C Einerg : 877S668S44 Day : 402504782 S METROPOLIT/ ^ UTILITIES MUDO l SAND Y MUD Ah : DISTRIC T Emerg : 402504797 0 Day : 402444719 7 CITY O FOMAHA

- OMAHACO F RICH/TRAFFIC Ah : 402444516 1 TRAFFICSEWE R Emerg : 402444516 0 dhon.org/irthinternet/. ../MessageText.as..

. 1/ 23/31/201 1 ^^www.dhon.org/irthinternet/DHONNotic..

. ^ ^ 

### ^T.T.r.^T.T. c OPPDOPR 5 OMAH APUBLI C POWE R ^,3^^. ^ EL M LOCATIN G 'Day : 4067289S4 S ^It : 406207149 4 Emerg : 8887289S4 S
QLNNEI C QWES TLOCA LNETWOR K F TM TM\^T ^ LOC A1 I N(j Day : 4067289S4 S Ah : 406207149 4 Emerg : 8887289S4 S

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### 04/11/1 1 07:0 0 A M 512-3^-3933 , Leve l Thre e Communic^Lo n 04/0 5

To : COASTA L ENVIRONMENTA L SERVIC E Attn : ALFONS O Voice : 402934283 7 Fax : 402934281 1 Re : Respons e t o Di g Reques t Thi s i s a n In^ortan t Messag e fro mLeve l 3 Coiraitun i ca t ion s replyin g t o you r reques t t o locat e ou r undergroun d facilitie s i n th e are a describe d o n th e On e Cal l Cente r ticket . ,_ ,

Ticket : 270889 6 County : DOUGLA S Place : OMAH A Address : 102 9 N32N D S T LEVELS : Leve l 3 Communication s ha s determine d ou r facilitie s ar e clea r o f th e di g sit e describe d b yyou r On e Cal l Cente r ticket . Leve l 3 Communication s wil l no t hav e t o locat e an yundergroun d utilitie s a t thi s di g site . I f yo u hav e an y questions , pleas e contac t Leve l 3 Communication s a t 1-800-441-0223 .

Ticket : 270889 8 County : DOUGLA S Place : OMAH A Address : 242 €PARKE R S T LEVEL3 : Leve l 3 Communication s ha s determine d ou r facilitie s ar e clea r o f th e di g sit e describe d b yyou r On e Cal l Cente r ticket . Leve l 3 Communication s wil l no t hav e t o locat e an yundergroun d utilitie s a t thi s di g site . I f yo u hav e an y questions , pleas e contac t Leve l 3 Communication s a t 1-800-441-0223 .

Ticket : 270902 0 County : DOUGLA S Place : OMAH A Address : 180 S S 33R D S T LEVEL3 : Leve l 3 Communication s ha s determine d ou r facilitie s ar e clea r o f th e di g sit e describe d b yyou r On e Cal l Cente r ticket . Leve l 3 Communication s wil l no t hav e t o locat e an yundergroun d utilitie s a t thi s di g site . I f yo u hav e an y questions , pleas e contac t Leve l 3 Communication s a t 1-800-441-0223 .

I f yo u hav e an yquestions , pleas e contac t Leve l S' s Asse t Managemen t Tea m a t 1-800-441-0223 .

# As-Buil t Drawin g
COASTA L 

# Omah aLeadSuperfun dSite OLS# : 2715 6 Dat e Excavated : 4/11/201 1 Dat e USEP ASigne d Off : 5/5/201 1 Are a Sodden : 663 8 s o f t 

# iiiiiiini i 2715 6 Exteno rPain t Omah a Lea d SH e •Good Sit e Sketc h •Poo r Samplin g Address : 260 3 BLOND O S T g-^No t pain t Lea d Sampt e Sample s Collecte d Sampl e Numbe r LA B Concentratra n Collecte d Fir m ft TrtP ^ D o T j RYASCPXA-27-15 6 F l 30 7 pp m D Dat e &l\<^lCl' i RYBSCPXA-2715 6 F 2 M 6. 0 pp m D Tim e ' ^ 3 0 Ar- \ RYCSCPXA-271S 6 B l 6.* ^

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### Legen d Concret e Dri p Zon e Excavate d Quadrant s Excavate d Are areplace dwit hAre areplace dwit 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
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## D Sample s Collecte d 

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# M4 8 pp m 

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### Staff : rrgbJ Legend : F 1 = Fron t Left , F 2 = Fron t Right , 8 1 = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y A l quadrant s ar e a s viewe d fro m Ih e street , facin g propert yALLEV# 

# lilllliiillll l 2715 6 Exterio rPain t Nort h Arro w 

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## T V Tnr

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## 30 7 pp m 

## D Dat e 

## Sh<^lo ^ RYBSCPXA-2715 6 F 2 

## M 6»0 pp m 

## D Tim e RYCSCPXA-2715 6 B l 

## 6,S 8 pp m 

## D Sample s Analyze d RYDSCPXA-2715 6 B 2 

## 44 8 pp m 

# a RDZQCr)(A-2715 0 B 2 pp m 

## D XR F Unit : /08(,7 ^ Book : 246 ? — 

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## U Date : fi •Zd > Q ^ 

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# ENTERE D



# y y

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## 3 0 7 pp m 

## D Dat e RYBSCPXA-2715 6 F 2 

## M 6 0 D Tim e pp m RYCSCPXA-2715 6 B l 

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## 44 8 pp m 

# a RDZOOn)(A-2710 0 B Z pp m 

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### C:oiiJU^Ii i ft; fA(;c;0(;i- : ' i o riopeiiy RIGH TOF ENTR YTO PREMISE S 

### Granlo t (th e property ' ownei ) consent s t can d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(FPA ) o i its authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m cerlai n environmenta l lespons e activitie s upor i th e followin g describe d premises : "TP Z^ l < 7 

# r ' • ' ' "

Ownef' s Nam e Daytim e Phone : 

# c . '/ r' ^ t F Uv)/iii/ ^ 

## VVV.-^ 2 -V' g

Addres s o fPropert y covere d b ythi s 

# 760 5 Duyiy ^ Tsr Agreement :
PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EPAi s requestin g acces s t o collect soi l sample s an d remove soi l tha t contain s elevate d concentration s oflea d an d maypos e a healt h hazard Th e area(s ) wil l be excavate d t o remov e contaminate d soil

. Th e remove d contaminate d soi l wil l be replace d wit h clea n material s an d th e are a wft i b e restore d t o it s origina l condition

. Thi s wor k i s bein g performe d unde rth e Omah a Lea d Superfun d Site remediatio n program . Arepresentativ e ofCoasta l Environmenta l Group , contracte d byUSEPA , wil l contact th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l have 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 vv'it h th e Grantor' s approva l Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Athat th e property ha s bee n remediated

.
ENVIRONMENTA LRESPONS E ACTION S 

### B

ysignin 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 ofperformin g th e wor k Thi s acces s shal l remai n i n effect unti l th e wor k ha s bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f2

### I C CAS I

cB 0 L' ' 

### 1 Remov e obslruction s includin g boats , lisileis , vehicles , playscap e iien-ir , v.'ooo ' piles , do o houses , etc ; < [Remov e fiovi'e rbulb s o i piant s tha i th e Granto i o rth e Grantni' s tenen l ma ywis h t o save ;

. Wate ran d maintai n leplacemen t vegetation , includin g ferliiize rapplicption , a s necessary ' subsequen t t o a n initia l waterin g perio d b yEPA ; < Abid e b yhealt h an d safet yguidanc e piovide d b yEPA ; fI fth e propert yi s rented , assis t EP Ai n obtainin g tenan t appiovs l fo i acces s l o th e property ' t o perfor m th e work

. Allo wvideotapin g and/o rphotographin g o fth e property
. AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo fth e wor k aciivities , o i wit h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9

J3 n gran t acces s t o mypropertie s •I d o no t gran t access t o mypropertie s 

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. Dat e Signature Dat e

Q I woul d lik e t o b e presen t durirtj i an ysamplin g \hz \ I s lequiied , A1

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### Pac e 2 o f2•• C 6 A. S TA. L 

## Restoratio n Agreemen t Tti e purpos e o f thi s agreement i s t o provid e amutual agreement a s to condition s ofth e property prio r f

o remediatio nactivities
. Thi s wil l als o serv e a s documentatio nfo r th e purpos e o f assurin g that restoratio n activitie s are complete dto th e satisfactio no f th e property owner andth e Unite dState s Environmental Protectio nAgenc y (EPA)
.

Property ID : mG600t'^ 0 —^7/^' ^ Property Address : ^^ 3 gU?W<:) e ^ T Owner : Ctr' { t) F DMfiihJ A 

### Phone : HH H >iZHf > 

### O nth e attache ddiagram(s ) indicate area(s ) to excavate , surfac e structure s andlandscapin g feature s and acces s location(s ) to b e use db y th e contractors . Indicate distances , depths , materia l types , etc . Photographicall y andVideographicall y document th e existin g condition s ofth e propert y andth e basement i

f necessary . 

### Item s t o b e Remove d b yth e Owne rbefor e Star t o fRemediation : Th e removal , storage , disposal , and/o rretur n o fthes e item s i s th e Owner' s responsibility

.



### Item

. 5 t o b e Remove d bv rth e Contracto r Durin g Remediatio n an d No t Replace d Item : Item : Item : Item :

Pag e 1 of

.C O AS TA

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## Landscap e Inventory Ite m Quantit y Uni t Condition/Type/Specie s Pre-existin g property area , Quadrant s tha t will b e excavated , tha t i s covere dwit hgrass . Number o f tree s > 2 inch Eac h trun k

diameter ^ Numbe r o f tree s < = 2 inc h Each trunk diameter ^ Number o f Sprinkler Zones , Contro l Valves , 

# 0 Each Timers , Heads , etc . .\ttac hasketchQ< i the .spiiiikiei " layout
. Number of andsiz e of eachgarden / flowe r be d Each area . Square Feet Atiaci i askeic hof relativ e 

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Pag e 2 of

.C O A S T/S i L

Additiona l Comment s / Instructions : Th e cit yo fOmah a ordinance s ma yprohibi t yo u fro m usin g dir t o rgrave l area s o n you rpropert y a s driveway s o rvehicl e parkin g areas . Th e Environmenta l Protectio n Agenc y(EPA ) ma yb e removin g an d replacin g soi l underlyin g a grave l o rdir t are a o n you rpropert ytha t yo u ma yb e usin g a s a drivewa yo rvehicl e parkin g area . I fthi s i s th e case , yo u shoul d understan d tha t thi s removin g an d replacin g o fsoi l doe s no t mea n tha t an yillega l drivewa yo rparkin g are a o n you r propert yi s mad e legal

. T o th e contrary , yo u ma yb e cite d b yth e cit yi fyo u us e a grave l o rdir t are a a s a drivewa yo rparkin g area , no t withstandin g an yremova l o rreplacemen t o fsoi l b yth e EPA

. I fyo u hav e an yquestio n abou t legalit yo fa certai n drivewa yo rparkin g area , yo u ma ycontac t th e cit yo fOmaha' s Plannin g Departmen t a t (402 ) 444-5150
. O Pleas e chec k thi s bo xi fyo u understan d th e informatio n outline d above

.

•Chec k th e bo xi fOwne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall 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 fhouse , includin g foundatio n crack s o rfissures

.



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pp m P b 215.19 7 Supervise d By : 

## Certificat e o fVerificatio n

6 SOI L 2011-04-2 5 14:2 3 31.3 8 Fina l 2715 6 ^ 260 3 blond o s t B l 6 " N

. LOPE Z confirmatio n non e

Erro r 20.71 8

# 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 h5.74 3 Supervise d By : 

## Certificat e o fVerificatio n

7 SOI L 2011-04-2 5 14:2 4 32.2 5 Fina l 2715 6 260 3 blond o s t B l 6 " N

. LOPE Z confirmatio n non e

Erro r 20.67 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 224.51 5 Supervise d By : 

## Certificat e o fVerificatio n

8 SOI L 2011-04-2 5 14:2 5 31.1 8 Fina l 2715 6 260 3 blond o s t B l 6 " N

. LOPE Z confirmatio n non e

± Erro r
± 20.80 2

# 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

pp m P b 268.03 6 Supervise d B y 

## Certificat e o fVerificatio n

1 3 SOI L 2011-04-2 5 14:2 9 96.1 7 Fina l Av g o f10-1 2 260 3 blond o s t B 2 6 " N

. LOPE Z confirmatio n non e

Erro r 23.12 7 

# T

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 ^71.45 2 Supervise d By : 

## Certificat e o fVerificatio n

1 0 SOI L 2011-04-2 5 14:2 7 30.9 9 Fina l 2715 6 260 3 blond o s t B 2 6 " N

. LOPE Z confirmatio n non e

± Erro r
± 23.58 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 254.68 9 Supervise d By : 

## Certificat e o fVerificatio n

1 1 SOI L 2011-04-2 5 14:2 8 34.1 0 Fina l 2715 6 260 3 blond o s t B 2 6 " N

. LOPE Z confirmatio n non e

± Erro r
± 21.93 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3902 2 Readin g N o 1 2 Mod e SOI L Tim e 2011-04-2 5 14:2 9 Duratio n 31.0 8 Sequenc e Fina l Flag s BVI D 2715 6 ADDRES S 260 3 blond o s t QUADRAN T B 2 DEPH T 6 " XR F TEC H N

. LOPE Z MIS C confirmatio n NOT E non e

pp m Erro r P b 277.96 6 23.86 6 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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

P b 258.11 2 Supervise d B y 

## Certificat e o fVerificatio n

1 7 SOI L 2011-04-2 5 14:3 3 95.3 2 Fina l Av g o f14-1 6 260 3 blond o s t F2 i 6 " N

. LOPE Z confirmatio n non e

Erro r 23.12 6 

# c^si X

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 249.43 3 Supervise d By : 

## Certificat e o fVerificatio n

1 4 SOI L 2011-04-2 5 14:3 2 31.7 2 Fina l 2715 6 260 3 blond o s t F2 6 " N

. LOPE Z confirmatio n non e

± Erro r 22.84 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 272.97 0 Supervise d By : 

## Certificat e o fVerificatio n

1 5 SOI L 2011-04-2 5 14:3 3 31.7 4 Fina l 2715 6 260 3 blond o s t F2 6 " N

. LOPE Z confirmatio n non e

± Erro r
± 23.74 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 251.93 4 Supervise d By : 

## Certificat e o fVerificatio n

1 6 SOI L 2011-04-2 5 14:3 3 31.8 6 Fina l 2715 6 260 3 blond o s t F2 6 " N

. LOPE Z confirmatio n non e

±Erro r
±^2.79 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRESS
QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 133.51 1 Supervise d B y 

## Certificat e o fVerificatio n

2 1 SOI L 2011-04-2 5 14:3 6 94.7 4 Fina l Av g o f18-2 0 260 3 blond o s t EA' 1 " N

. LOPE Z confirmatio n non e

Erro r 17.19 1 

# ia> A

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 "140.46 9 Supervise d By : 

## Certificat e o fVerificatio n

1 8 SOI L 2011-04-2 5 14:3 5 31.9 5 Fina l 2715 6 260 3 blond o s t EA 1 " N

. LOPE Z confirmatio n non e

± Erro r 17.45 3 ,

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 123.31 0 Supervise d By : 

## Certificat e o fVerificatio n

1 9 SOI L 2011-04-2 5 14:3 6 31.2 9 Fina l 2715 6 260 3 blond o s t E A 1 " N

. LOPE Z confirmatio n non e

Erro r 16.81 7 /

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 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 136.75 3 Supervise d By : 

## Certificat e o fVerificatio n

2 0 SOI L 2011-04-2 5 14:3 6 31.5 0 Fina l 2715 6 260 3 blond o s t EA 1 " N

. LOPE Z confirmatio n non e

± Erro r
± 17.30 3

### >	 •

X 

## /^A^' o 1 Omah a Lea d Site—Fixe d Pric e EP-R7-09-0 6 \ ^

' ^ Coasta l Environmenta l Grou p Inc

. www.coastalhazmat.co m ^ 

### "•^' ^ COASTA L 

# EXECUTIV ESUMMARY : BVID #27156

- (260 3 BLOND O ST )

^

No Issue s or Concern s [^ Issues/Concern s Detail Explanation : •COASTA LIS UNABL E TO PROVID EPRE-EXCAVATION , EXCAVATION , AN D SO D PHOTO S AS PARTOFTHI S FINA LPROPERT Y FOLDER
. THES EPHOTO S WER EIN TH EPOSSESSIO NOFASUBCONTRACTO RTHA TWA S CONTRACTE D TO PERFOR M AL LOFTH ESITECOORDINATIO NREQUIRE D BY TH ESCOPEOFWOR K AN D TH E SUBCONTRACTO RHA S SINC ELEFTTH EPROJECT
. THEREFORE , TH EPHOTO S ARE NO LONGE RAVAILABL E

DANGARVE Y WALKE D AN D SIGNE D OFF ONTH EPROPERT Y AS COMPLET E ON 5/5/20n
.

# p

r v t 

## Propert yCompletio n Agreemen t
I lit s atjiecmen i documenl i Ih e complclio n o fremedia l acdvuic s perlbima fo n mypiopert yM ysignaiui e wil l dP..signal e iha i I a m sali.<.fied wil h lli e rctloralio n o fm ypropeily , an d Iha l n o Hem s ar e i n question s now . o r3 1 an ylim e m ih e future , excep l ihos e item s liste d below , i fan y

Propert yAddrcs v^(pf^- ^ ^(ffJU > STf — Owner : Phon e Restoratio n Item s i n Question : Jtem : Item : Item : Item : Item : Item : Additiona l Comments : 

# L._
.

I X. I »\iic< ! I r<tor»lio n i \ completed , Ciccp l H S nolrr i [_ J I rio no t »i;if crtJIorjiyn n i s lomplclti l 

## ¥71 ^ yai / Owne r C'onl i arln i ' s Siofn»liir c

# 4

EP APropert y Clos e Ou t For m Propert y if: Propert y Addrcsr
. Dete/Tirae : Owner' s Name:
. /^ Qutid s Excavated : Contraclo r Grou p Excavatio nGenera l 1.Ir necessaiy , wer e th e correc t quadiant(s ) excavate dan drestored ? 2.

If necessary , wer e th e correc l area s ofdri p ron e excavale dan drestored ? Gradin g So dan dVegetatto a IDoe s Ib e gradin g aroun dth e perimeie r ofth e hous e inexcavale darea s generall y slop e away fromth e house ? 2.Ha s so dbeenlai d inal ! area s that wer e excavated ? 3.

Doe s th e so dappea r to be generaJl y health y an dgrowing ? (Onl y evaluat e if

inspecte dai a 30 da y tun e period ) 4.Ar e sodde darea s generall y fir man devenl y graded ? Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e ifinspecte d at a

30 da y nrtin n tim e e period ) 6.Wa s th e property grade dsuc hthat wate r wil l no l poo l onth e prnperu'* ' 7.Wa s damag e to landscapin g or plan t material s avoided ? Gates , Fence s an dRcUinln g Wal b I I. Do gate s openan dclos e freely? (Ifapplicable ) 2.Wer e ai l gate s or fence s take ndow ndurin g restoralio naciivitie s reinsulled ? (I f applicable ) 3.Wa s damag e to gate s or fence s avoided ? (I f applicable ) 4.Wa s dainag e to reUiinin g wall s avoided ? (Ifapplicable ) Foupdation , Sidin g an dGutter s I.Wa s dainag e to th e sidin g or tri mavoided ? 2. Wa s damag e to th e foundatio navoided ? ?. Wa s damag e to window s avoided ? 4 Wa s dainag e to window s or doo r screen s avoided ? 5.

Wa s damag e to downspout s or downspou i extension s avoided ? Sidcwali aan dDriveway s (Concrete ) 1.Wa s damag e lo drivewa y surface s avoided ? 2.Wa s damag e to walkwa y surface s avoided ? 

# '-^ y

YesNo

/ / Ye sNo 

# y 

# ~y 

# -A y

A -y
Vc s Nu / / 

# [/

/

Yes ,No 

# r y

7 7
Ye s No 

# -y

### . # 

## O Hbcr s comments :

I ^ 

## [Inspectio nnotes :

Remova l an drestorationaclivale s complet e includin g th e 30-da y so dwarranty : EP ARepresentative ^ Q*^iS^ y Date : dAi"_
_