TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: ^0C)> Date: ^ll^jcp 

Address: :QfSf^5 k\f U^p^^^-V Kue 

Remediation Contractor: _CoastaI Environmental Group_ Year: 2008 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

y Executive Summary 

EPA-provided property sketch 

y Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

y Restoration Agreement 

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

Confirmation data 

y Photographs pre..-cMCA^nhi^^ e.^x.ajrJlo^^ -h ^ ^'^ 

P As-built sketch 

Satisfactory restoration signed by Property Owner y 

Property close-out check list signed by EPA y 

m Description of areas not meeting ROD cleanup criteria 

Utility clearances 

y 

Property information from Douglas County Assessor's Office X 

imOei4u^ 

ffl^ C^^^hJr-(or/^ 

40318184 D 

Superfund 

2eC0L 0o)cyo ' Date Signature 

Si-^*^^^ 

Y/^/^f 
Property Access Checklist 

Proptrtj ID: ^.^^-y^i-j ^ 

Property Addre..:^^ ^ W . y-^f r^^ V 

n

D

 WORK STARTED 

 WORK COMPELTED 

ON: 

ON: 

_/

/

 /_ 

/ 

0>-"<^'--rr..^\ CxAs^. Address: 

Phone: ^)^^_0^n ^ 

Fax: 

/^ N i^e_. 

^Fax: ^S^-l(qU ^4-^

Rcnfen 

Phone: 

Cell/Pager: 

Additional Inform»tion: 

\ 

Ccll/Pager. 

D

E

B

D

 Notification Letter 

 Access Agreement 

 Restomtioo Agreement 

 Topsoil Sampling (if applicuble) 

Sent: / / 

Siened: \3i / I /Oft 

Siened: \5L / \ /l^Q 

/ / 

By: 

By: 

By: 

By: 

\0\ro\o^S 

VO>\rr>V6-S 

n

Q

.0 '

D

O

n

 Disposal Sampling (rf applicable) 

 Garden Sampling (if applicable) 

 Lnlity Clearance 

 Video/Photos (Before) 

 Video/Pholos (During) 

 Video/Photos (After) 

1 / 

/ / 

Called: 13/1 /OK 

On: / / 

On: / / 

On: / / 

By: 

By: 

By: \^l^ly^ 

By: 

By: 

By: 

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

D

D

 Property Completion Agreement 

 Final Report 

Signed:

Issued:

 /

 /

 / 

/

By: 

 By: 1 

Air Monitoring (»s applicable 

O Community EH Crew 

Results: 

On: / / By: 1 

CD Comraunit}'

Results: 

 C] Crew On: / / By: 

• Community

Results: 

O Crew On: / / By: 

Omaha Lead Site 
CONTACT FORM 

Property ID # Mnn7 

Property 

Address: 2^ % Ne,v.)pnrV Av 

Initial Contact: Date: Time: Action: 

Second Contact: Date: Time: Action: 

Final Contact: Date: Time: Action: 

Final Action: Transmit to EPA D Other Action: D 

Comment: 

Owner 

Comment (s): 

i 

Site 

Coordinator 

Comment (s): 
Douglas County Account Infcg^tion Page 1 of4 w %

Douglas County, Nebraska Property Record - R1750210000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 90th St - Vjew OIL Ma p Information is valid as of 2008-11-5 Treasurer's Tax RejJort 

New Feature -*->- • Auto Sales Search 

Owner 

COLE CAROL R 

15821 WEST DODGE RD #163 

OMAHA NE 68118-0000 

Property Informatio n 

Key Number: 5021 OOOO 17 

Account Type: Residential 

Parcel Number: 1750210000 

Parcel Address: 

Legal Description: 

2555 NEWPORT AV 

OMAHA NE 68112-0000 

MINNE LUSA LOT 2 BLOCK 10 44 X 120 

Value Informatio n 

2008 

2007 

2006 

2005 

2004 

2003 

Land 

$5,700.00 

$5,700.00 

$5,700.00 

$5,700.00 

$5,700.00 

$5,700.00 

Improvement 

$48,100.00 

$56,200.00 

$56,200.00 

$56,200.00 

$30,100.00 

$30,100.00 

Total 

$53,800.00 

$61,900.00 

$61,900.00 

$61,900.00 

$35,800.00 

$35,800.00 

Sales Informatio n 

Sales Date: 2008-08-06 

Deed Type: 

Price: 

QC 

$0.00 

SooAr: 2008 Page: 079426 

Grantor: 

Grantee: 

Pink Properties 

Cole Carol B 

Valid/Invalid: Invalid 

Exclusion Reason: Family Sale 

Sales Date: 2007-07-13 

Deed Type: 

Price: 

QC 

$0.00 

Book: 2007 Page: 080544 

Grantor: COLE CAROL R 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 11/26/2008 
Douglas County Account Infomatio o ^ n Page 2 of4 t 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

• 

PINK PROPERTIES LLC 

Invalid 

Family Sale 

2007-06-11 

WD Sooilr; 2007 Page: 066630 

$0.00 

DEMESQUITA ELLIS ETAL 

COLE CAROL 

Invalid 

2006-10-17 

QC Book: 2006 Page: 121043 

$0.00 

HSBC MORTGAGE SERVICES INC 

HOUSEHOLD FINANCE CORP III 

Invalid 

Corporation To Corporation 

2006-10-13 

WD Book: 2006 Page: 121044 

$52,500.00 

HOUSEHOLD FINANCE CORP III 

DEMESQUITA VICKI L 

Valid 

2006-05-25 

TRD Book: 2006 Page: 058124 

$0.00 

STEFFI A SWANSON TR 

HSBC MORTGAGE SERVICES INC 

Invalid 

Sale to Mortgage - Bank 

1997-04-14 

D Book: 2063 Page: 732 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 11/26/2008 
Douglas County Account Infif^ation Page 3 of4 l^^ t 

• 

Price: $29,950.00 

Grantor: 

Grantee: 

Validllnvalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.11 5040.0 1.0 120.0 42.0 No 

Improvemen t Informatio n 

Building 1 

1 

2SSS Newport Ave. 1 ^a aofy Unftn ^^^^^^^^^^Hr 

^l-ra^ 

wfFTmJP-l:'^''^^ ^^^ H 

fWjKmJ^ ^ ^S^^M mg 

II 

T% 

'.•'':':-:':?^^^H^| HuBS|y|K|Bii =n.!sr i •!!«<W«« 1 

^^^^""" ^ 

^ i ^ " 

1 CLICK TO ENLARGE IMAGE 

1 CLICK TO ENLARGE IMAGE | 

Square Footage: 912.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Average 

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

HVAC: Central Air to Air Rooms: 5.0 

Exterior: Frame Aluminum Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1925 0 0% 1925 83 

Deta/7 Type Detail Description Units 

Add On Unfinished Attic W/floor 228.0 

Appliance Allowance 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 11/26/2008 
Douglas County Account Info^^tio Q^^ t n Page 4 of4 t 

Basement 

Fixture 

Fixture 

Fixture 

Garage 

Porch 

Porch 

Bsmnt Block 8 ft 

Additional Fixtures 

Base Fixtures 

Bath Full 

Detached 

End Solid Wall 

Slab Roof Ceil 

912.0 

1.0 

1.0 

1.0 

216.0 

112.0 

16.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accovmtinfo.jsp?accountno=Rl... 11 /26/2008 
Page 1 of2 

• 

"> 

Create Another Ticket Back to Irth Internet Send Email 

• YOUR TICKET NUMBER IS 2183971. 

Original Call Date: 12/01/08

Work to Begin Date: 12/03/08

 Time:

 Time:

 1:54 pm 

 2:30 pm 

Op: ELIZABETH187 90 

State: NE 

Address: 2555 

County: DOUGLAS 

Street: NEWPORT AVE 

Place: OMAHA 

Twp: 16N

Twp:

 Rng: 13E

 Rng:

 Sect-Qtr: 33-NE 

 Sect-Qtr: 

Legal Given: C 


Type of Work: lead remediation 


Location of Work: LOCATE ENTIRE PROPERTY INCLUDING THE 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 MAGELLAN METRO MUDOl OMAHACOF OPPDGPRS QLNNEIC 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP TONYA

Day: 9185747098 

 Alt: 

Emerg: 9185747098 

METRO METRO COMM. COLLEGE CHRIS

Day:

 Alt:

 4024572307 

 4026727033 

Emerg: 4024572313 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY

Day: 4025047823 

 Alt: 

Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText. asp?ret=<RESULTS... 12/1/2008 
• • 

Page 2 of2 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT NA

Day: 4067289343 

 Alt: 4062071494 

Emerg: 4065237717 

QLNNE 1C QWEST LOCAL NETWORK NA

Day: 4067289343 

 Alt: 4062071494 

Emerg: 4065237717 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 12/1/2008 
^ As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

40071 

Omah E)rteriof Paint a Lead Site 

Sit • Good e Sketch 

O'Poor 

Sampling Address: 2555 NEWPORT AV • Not paint 

Sample Lead Sample Samples Collected Number LAB Concenlralion Collectej) Firm: P c TU C D B T \ 

RYASCPXA-40071 F1 ma ppm D

Date: lOh/of t 

RYBSCPXA-40071 F2 ppm D 

Time: iO-Hb ^^^ 

RYCSCPXA-40071 Bl a3_ ppm D 

Samples Analyzed RYDSCPXA-40071 B2 ppm \X D 

RDZSCPXA-40071 DZ ppm D XRF Unit; (t^H O Book; 2 2 D 

nOZOGrXA-40071 SZ- ppm n D Date: 1 ^ ' l 3 • 0 6 

nrgGCP)(A-40071 PZ ppm n D Time: Rrry 

Staff: im£>{J Number of Samples = I 5 

Legend; F1 = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden. PZ = Pla) 

All quadrants are as viewed from ttie street, facing property 

OCT 0 9 2008 : 

OLS#: 40071 

Date Excavated: 12/3/2008 

Date USEPA Signed Off:1/27/2008 

Area Sodden: 209 sq ft 

Legend 

Concrete m Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replaced with 

Sod Rock/Mulch Area lef t bare 

Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc . 
40071 

Exterior Paint North A now r Omaha Lead Site 

Sit • Good e Sketch 

Q^Poor 

SamDiina Address: 2555 NEWPORT AV • Not paint \ \ 

Sample Number Lead 

Concentration 

Sample 

CollectMl LAB Samples Collected 

Firm: Ve. TtJ C P g T \ 

RYASCPXA-40071

RYBSCPXA-40071

 Fl 

 F2 a3 _ ppm 

ppm 

D 

D 

Date: lOh/of t 

Time: IO-i4b ^ K 

RYCSCPXA-40071

RYDSCPXA-40071

 Bl 

 82 

ppm 

ppm [ ^ 

D 

D Samples Analyzed 

RDZSCPXA-40071

RGZOCPXA-40071

nrzGcrxA'40071 

 DZ 

 S2­

-P2 —

ppm 

ppm 

 ppm 

D 

a 

D 

D 

D 

XRF Unit: (oS>^0 

Date: 10 / 3 • 

Time: A m 

Book: 2 2 Q 

oe 

Staff: PTSL J Number of Samples = I 5 

Legend: Fl = Front Left, F2 = Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla; 

All quadrants are as viewed from the street, facing property 

->tTK y r ¥ 

AV 

vf'-' 

^ ' ^ 
40071 

Omah Exterior Paint North Arrow a Lead Site • Good Site Sketch 

Number of Samples = I 5 

[2 ^ Poor 

Sampling Address: 2555 NEWPORT AV Q Not paint \ 

Sample Number 

RYASCPXA-40071 Fl 

Lead 

Concentration 

l& p ppm 

Sample 

Collected LAB 

D 

Samples Collected 

Firm: Pg TtJC P g T.N 

Date: lOh/of t 

RYBSCPXA-40071

RYCSCPXA-40071

RYDSCPXA-40071

RDZSCPXA-40071

 F2 

 Bl 

 B2 

 DZ 

q q 

\(.2 

9."?5 

23ft 

ppm 

ppm 

ppm 

ppm 

D 

D 

D 

D 

Time: \0•.^b tA\ 

Samples Analyzed 

XRF Unit: (eSHO Book: 2 2 Q 

ROZOGrXA-40071

RPZOCPXA-40071

 SZ­

 PZ — ppm 

ppm 

D 

D 

D 

D 

Date 

Time 

10- /3 '

kn . 

 0 6 

Staff: Kn3t ^ 

Legend: Fl = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla; 

All quadrants are as viewed from ttie street, ^cing property 

-fr* -"x A< 

:i«"i8 Crejled C)5-Sep 1)44701 01.23 
cJ^ — *# 

-J f) ^ COASTA L 

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: 

c — ^••P^p/:.^ ^ D«rtiTM Phone: ^^^^y^ ^

Address of Property 

covered by this ^ff ^ /^/^^Ayf<=>r•i' /r^ ^ 

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 
COASTA L CNVtRONNINTA l 

C • 0 U P. IM C 

• 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 vAth 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 

Bt^ grant access to my properties 

D I do not grant access to my properties 

A:yfP/. / ^ /-^;/ ^ 

Signature Date Signature Date 

O I would like to be present during any sampling that is required. 
COASTA L 

Restoration Agreement 

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

remediation activities. This wili 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: HOo~il 

Property Address: X55 5 M ^' ^ ('^^t ' ArJc . 

Owner: 

Plione: 

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 location{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. 

Hem: 

Ayc> y c 

Item: 

Item: 

item: 

Item: 

Item: 

Item: 

Item: 

Page 1 of A 
COASTA L V»>VI«OHP*tNTA L 

c M o u r . IN C 

items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item: 

PlA^rJ l fU>^^ S j o ie , Sc.{ V^6^-g| (f 

Item: 

Item: 

Item: 

Item: 

Item: 

Hem: 

Item: 

Item: 

Item: 

Item: 

Kem: 

Item: 

Item: 

Item: 

7 

Page 2 A 
( ^ 

COASTA L 

c II e u p IM C 

Items To Be Removed By Contractor During Remediation And Replaced 

(Use additional sheets as necessary) 

Page 3 of j ^ 
— ^tt 

COASTA L 

C « O U P . IM C 

Landscape Inventory 

(Use additional sheets as necessary) 

Item Quantity Unit Condition/Type/Species 

y^^ s 9\ u Pre-existing property area, 

that will be excavated, that Square feet 

is covered with grass. 

Number of trees > 2 inch 

trunk diameter 

Each 

Number of trees <= 2 inch 

trunk diameter 

Each 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

Attach a sketch of the 

sprinkler layout. 

Each 

Number of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Each 

Square Feet 

Page 4 of ^ 
( ^ ^ COASTA L 

( MVfMOMpttMTA l 

C " O U r IM C 

Item 

Agreed upon value of 

Diant materials not to be 

renlaced bv contractor. 

Note this value will be 

used to issue D plant 

voucher to the property 

owner. 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. 

Include a sketch of were 

each plant will be placed 

by the contractor. 

Agreed upon area of 

property 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 

ai^ea (s) 

Easement Area, to be 

excavated 

Quantity Unit Condition/Type/Species 

^ 

$ 

y 

y 

Each 

SF {},P^^^^'^ 

0 SF 

f' SF 

>^yt ,^ 0 

Pages o.i 
C O A S T A I. 

««owr . IN C 

Additional Comments / Instructions: 

D 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 cxacks or fissures. 

Sla f n I do not agree agree 

/Up/y.1^ i^^l-dp (l(AHH^o-h l^^jljt) ^ 

Owner's Signature Date Diitnctor's Signatore Date 

Page Sof ^ 
BviD# ^Qon j 

XRF PROPERTY SAMPLE SHEET 

Date Address ^fyy . KV . ^^f^^^r:K^^r, la-n-op, Project Omaha lead FP 2nc3 year opiipn Sample time iPir^g . am/pm 

XRF ID# sample length 30 sec 

Shot# Reading Sample area Shot# Reading Sample area 

- ^ ,y>yo±R.c^' SQQQ ,^i-H-?t a-t?> 

y^\P , y^-9^y.i9 . ia. ^C^.3-6t«.ft i ey^^ ^ ^aa-^ '^av- lO SSt;:,. A^ Depth ^^^ 4 =^(.^..5!^ t T AM Depth 

•"^^r^b \96.(oU>-y:yi E 0^.. ./ . i-i.T ^ \ ^a^' ^ 

Average ^Q^.^.^t H -€>R Average gJ>^ .<^g> ^ ^ , ^? ^ 

Shot* Reading Sample area Shot* Reading Sample area 

Depth Depth 

Average Average 

Shot # Reading Sample area Shot# Reading Sample area 

Depth Depth 

Average Average 

RETEST AREAS 

Shot# Reading Sample area Shol# Reading Sample area 

Depth Depth 

Average Average 

lab sample # Lab resul! Sample area XRF Avg 

Signature _/>0f^ 

Pnnl /l/ r Qi>/c^S \^py ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 5217 

Mode SOIL 

Time 2008-12-11 10:08 

Duration 30.25 

Sequence Final 

Flags 

BVID # 40071 

ADDRESS 2555 newport 

QUAD/ZONE 82 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 30.920 ± 8.447 

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 24.252 

Supervised By: 

Certificate of Verification 

5218 

SOIL 

2008-12-11 10:09 

30.56 

Final 

40071 

2555 newport 

82 

Ventry 

13 

CLEARANCE 

± Error 

± 7.780 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 5219 

Mode SOIL 

Time 2008-12-11 10:10 

Duration 30.58 

Sequence Final 

Flags 

BVID # 40071 

ADDRESS 2555 newport 

QUAD/ZONE B2 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 10.883 ± 6.433 

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 23.658 

Supervised By: 

Certificate of Verification 

5220 

SOIL 

2008-12-11 10:10 

30.47 

Final 

40071 

2555 newport 

B2 

Ventry 

13 

CLEARANCE 

± Error 

± 7.671 
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 

5221 

SOIL 

2008-12-11 10:10 

121.86 

Final 

Avg of 5217-5220 

2555 newport 

82 

Ventry 

13 

CLEARANCE 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 5222 

Mode SOIL 

Time 2008-12-11 10: 12 

Duration 30.38 

Sequence Final 

Flags 

BVID # 40071 

ADDRESS 2555 newport 

QUAD/ZONE easement 

INSPECTOR Ventry 

DEPTH 1 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 31.973 ± 8.425 

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 36.329 

Supervised By: 

Certificate of Verification 

5223 

SOIL 

2008-12-11 10:12 

31.03 

Final 

40071 

2555 newport 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 8.811 
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 26.245 

Supervised By: 

Certificate of Verification 

5224 

SOIL 

2008-12-11 10:13 

30.73 

Final 

40071 

2555 newport 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 7.936 
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 25.156 

Supervised By: 

Certificate of Verification 

5225 

SOIL 

2008-12-11 10:14 

31.01 

Final 

40071 

2555 newport 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 7.740 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 5226 

Mode SOIL 

Time 2008-12-11 10:14 

Duration 123.15 

Sequence Final 

Flags 

AVERAGE ^Avg of 5222-5225 

ADDRESS 2555 newport 

QUAD/ZONE easement 

INSPECTOR Ventry 

DEPTH 1 

SAMPLE TYPE CLEARANCE 

NOTE 

Pb 

Supervised By: 
c>* — < * 

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

Coastal Environmental Group Inc. v 

V • .<s<^ www.coastalhazmat.com 

^•'LnoA COASTA L ENVIRONHENTAL 

C R 0 U f , INC . 

EXECUTIVE SUMMARY: 

BVID # 40071 - (2555 NEWPORT AVE) 

I I No Issues or Concerns ^ Issues/Concerns 

Detail Explanation: 

CONCERN ABOUT THE SOD GROWING IN THE SPRING. 

WILL REVISE IN SPRING OF 2009. 
s^ E(% 

• 

EPA Property Close Out Form 

fi<>k^L^nQo>ct: fV.ve . Property H: y^rnT I ,\ Property Addre»:->-' •» -'^^ 

Date/Time: Owner's Name: L h iXd . ^jQ^fe 

Quad Contractor Group f^.VAJKWxil ^.r\A \ f(SOi>-UL^ y s Excavated: 

Excavation Yes No General 

1. Ifnecessary, were the correcl quadrant(s) excavated arid restored? y 

2. If necessary, were the correcl areas of drip zone excavated and restored? l i ^ 

GradioK Sod and Vegetation 

Yes No 

1. Does the grading around the perimeier ofthe house in excavaied areas generally slope away y from the house? 

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

y 

3. Does the sod appear to be gencTBlly healthy and growing? (Only evaluate if inspected at a 30 y day time period) 

4. Are sodded areas generally firm and evenly graded? y 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day y time period) 

6. Was the property graded such that water will not pool on the property? y 

7 y. Was damage to landscaping or plant materials avoided? 

Gates, Fences and Retaining Wails 

Ves No 

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

A 

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

KA 

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

y 

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

fih 

Foundation, SidioK and Gullers 

Yes No 

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

2. Was damage to the foundation avoided? 

s y 

3. Was damage to windows avoided? 

L ^ 

4 Was damage to windows or door screens avoided? 

i ^ 

5 , y ^ . Was damage lo downspouts or downspoul extensions avoided? 

Sidewalks and Driveways (Concrete) Yes No 

1 Was damage to driveway surfaces avoided? y 

2. Was damage to walkway surfaces avoided? y
Owners comments: t 

Inspection notes: 

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

EPA Represenlatiy^-^T^SL^^^;^^.^^ Date: Yir^/zif 
nuiii.iUHimL hNVIHUNflhNIAL 57? 662 4211 12;3]i2p0 3 ^ 8 13:30 #215 P.002/003 

Property Completion Agreement 

HHS agroqiitaii dtx:iimcnls tlic comptciion of remedial activities palt)rmaf on my i)foi>eriy. My .•signiilure 

ivill designale Ihaf I ain satisiied iwiili ihe restoralion of my pjt^jCTly, and Ihsl no items are in c]tiicsticjiK, 

now. or irt any time rn theftrttifE, excepl rhose items lisfcd below, ifany. 

Properly lU: d/Q^^ ^ 

rrap.7ty/Wldrc^v^<;^^;q-- (QffjiOPoZ t AiAPL ^ -.' 

R*»toralron Nems in Question: 

Item 

Item. 

Hem 

Item; 

Additional Coirmnnls: 

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Ow«cr\ Sij^RaiiHT Dale Ointrarlor's iiiiiputnrr I>ate 

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