TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: 2(p-gn(<7 Date: l2/7g/lO 

Address: 99:107 fmnl\\Y ^ R\-

Remediation Contractor: Coastal Environmental Group _ Year: _2010ARRA_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

&^ Video of property (DVD) 

t / Executive Summary 

M EPA-provided property sketch 

B^^ Signed Access Agreement for subject property 

•0" Signed Access Agreement(s) for adjacent property 

B ^ Restoration Agreement 

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

0^ Confirmation data 

"Q^ Photographs 

V ^ As-built sketch 

\tf Satisfactory restoration signed by Property Owner 

VZ Property close-out check list signed by EPA 

-B~ Description ofareas not meeting ROD cleanup criteria 

10" Utility clearances 

Q Property information from Douglas Coimty Assessor's Office 

D 

D 

Date 

30218054 i 

Superfund 
vv 

Property Access Checklist 

PropertylD: -,(^2,'^( ^ n WORK STARTED ON; / / 

Property Address: 2q ^ FPri/^klMS ^ n WORKCOMPELTED ON: / / 

Renter: ""^''••^rPinAfK 9P,l 

Address: Phone: 

Fax: 

Ceil/Pager: 

Phone: 2,^4 /^g^(^^ ^ Additional Information: 

Fax: 

c.u«..^n ^pp^)_a=?(pt/ 

r~l Notification Letter Sent: / / By: 

Access Agreement Signed;^ 1 1 l\ Q By: 

Restoration Agreement Signed; 2 iZ I IO By: 

Q TopsoU Sampling (if applicable) / / By: 

Q Disposal Sampling (if applicable) / / By: 

Q Garden Sampling (if applicable) / / By: 

CoihuX »yo6/ia cvef^rtdl on/i^/i o ^ utility Clearance CaUed: Q^/a^/JD . 

I ^ 

Video/Photos (Before) On: / / By: 

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

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

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

roperty Completion Agreement Signed:]^ ;</_// ^ By-P)UJLL 

H FFina i l Report Issued: / / By 

Air Monitoring (as appUcable) 

• Conununity O Crew On: / / By: 

Results: 

Q Community QCrew On: / / By: 

Results: 

O Community O Crew On: / / By: 

Results: 

Omaha Lead Site 
•Douglas County Accoimt Info^^^ion Page 1 of2 w 

Douglas County, Nebraska Property Record - R2212690000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - VIG W O n Ma p Information is valid as of 2009-12-15 Treasurer's Tax Report 

New Feature -•••• • Auto Sales Search 

Owner 

BELL BRENDA J 

2802 FRANKLIN ST 

OMAHA NE 68111-0000 

Property Informatio n 

Key Number: 1269 0000 22 

Account Type: Residential 

Parcel Number: 2212690000 

Parcel Address: 2802 FRANKLIN ST 

OMAHA NE 68111-0000 

Legal Description: SHINNS 2ND ADD LOT 12 BLOCK S S 67 1/2 FT 60 X 67.5 

Value Informatio n 

Land Improvement Total 

2009 $1,000.00 $40,500.00 $41,500.00 

2008 $1,000.00 $40,500.00 $41,500.00 

2007 $1,000.00 $40,500.00 $41,500.00 

2006 $1,000.00 $40,500.00 $41,500.00 

2005 $1,000.00 $40,500.00 $41,500.00 

2004 $1,000.00 $31,100.00 $32,100.00 

Sales Informatio n 

Sales Date: 1992-12-31 

Deed Type: Book: 1941 Page: 073 

Price: $22,620.00 

Grantor: 

Grantee: 

Valld/lnvalld: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.09 4020.0 1.0 67.0 60.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accoimtno=R2... 12/30/2009 
Douglas County Account Infoj^^fion Page 2 of 2 

# -

Building 1 

Two Story 2802 Franklin St 

i M an Sacand Floor KO 

MD.OSq.n. 

20r 

M « 1 

Bvmetxitfti <jDDSqFr 

CLICK TO ENLARGE IMAGE 

Square Footage: 1100.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Hip Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1884 0% 1884 124 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 520.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch Slab Roof Ceiling 24.0 

Porch Slab w/Steps 16.0 

http ://douglasne.mapping-online. com/DouglasCoNe/static/accountinfo.j sp?accountno=R2... 12/30/2009 
Page 1 of2 

"> 

[ jGrealg^Another TicKet | ^ _ _ Back to Jrth internet _ ] Send Erna|l j| 

• YOUR TICKET NUMBER IS 2458150. 

Original Call Date: 4/08/10

Work to Begin Date: 4/12/10

 Time:

 Time:

 2:49 pm 

 3:15 pm 

Op: ELIZABETH18790 

State: NE 

Address: 2802 

County: DOUGLAS 

Street: FRANKLIN ST 

Place: OMAHA 

Twp: 15N Rng: 13E

Twp: Rng:

Legal Given: C 

 Sect-Qtr: 16-NE 

 Sect-Qtr: 

Type of Work: LEAD REMEDIATION 

Location of Work: LOCATE ENTIRE PROPERTY, ALL EASEMENTS AND TO THE PEDESTAL 


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


: UNSURE IF CORNER LOT. 


Company : COASTAL ENVIRONMENTAL SERVICE 


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


Work Being Done For: COASTAL 


Depth of Excavation: 4 FT Comer Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number UtUity Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVELS COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

NfUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC 

Day: 4024447197 

Ah: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irihintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS,.. 4/8/2010 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 4/8/2010 
/ Page 1 of2 

"> 

L Orggj^^-DQ*!!^'' TJg!^gL-_ -j | i_ ^ JBack to^lrth Internet j SendJEmall J 

• YOUR TICKET NUMBER IS 2449545. 

Original Call Date: 3/30/10 Time: 5:52 pm Op: ELIZABETH18790 


Work to Begin Date: 4/01/10 Time: 6:15 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2802 Street: FRANKLIN ST 


Twp: 15N Rng: 13E Sect-Qtr: 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: (877)662-4211 


: UNSURE IF CORNER LOT. 


Corr5)any : COASTAL ENVIRONMENTAL SERVICE 


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


Work Being Done For: COASTAL 


Depth of Excavation: 4 FT Comer Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVEL3 LEVELS COMMUNICATIONS, LLC NA Alt: 

Emerg: 8773668344 

Day: 4025047823 


MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 


Emerg: 4025047970 

Day: 4024447197 

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

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 3/30/2010 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 3/30/2010 
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26376 

As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

OLS#: 26376 

Date Excavated: 4/19/2010 

Date USEPA Siqned Off: 5/6/2010 

Area Sodden: 1198 so ft 

Omatia Exterior Paint North Arrow Lead Site Owner Name: BRENDA J BELL 

Site Sketch QiSoo d 

Address: 2802 FIRANKLIN^T • Poor 

Phone: H: 402-341-8903 W: 402-280-2188 ^ n Not paint 

Lead Sample Samples Collected Sample Number LAB Concentration Collected Firm: 

RYASCPXA-26376 Fl ppm n Date; 

RYBSCPXA-26376 F2 ppm Bf n Time: 

RYCSCPXA-26376 Bl ppm D 

Samples Analyzed RYDSCPXA-26376 B2 ppm n 

RDZSCPXA 26376 DZ ppm D XRF Unit: 8 I 0 Book; ^ 5 

RGZOOrXA-g0370 -62 - ppm D n Date: e //2/0 / 

ppm D Time 

Staff: 

Omaha Lead Site 46130 

Legend 

Concrete Drip Zone Excavated Quadrants Excavated 

D 3??^ 

Area replaced with Area replaced with 


Area lef t bare Sod Rock/Mulch 


Contrac t #: EP-R7-07-05 Coasta l Environmental Group Inc . 
^C' ^ 

'^€{ 

26376 

] U ^ \ 

Omaha Lead Site 46130 
LL ^Uf 

26376 

lU'^\ 

Omaha Lead Site 46130 
26376 

Omaha North Arrow Lead Site Exterior Paint Owner Name: BRENDA J BELL Sit QfGood e SIcetch Address: 2802 FRANKLIN ST • Poor 

Phone: H: 402-341-8903 W: 402-280-2188 ^ • Notpaint 

Sample Number 

RYASCPXA-26376

RYBSCPXA-26376

RYCSCPXA-26376

RYDSCPXA-26376

RDZSCPXA-26376

ROiI0CP)(A-£0070

RrZOGPXA-20070

Lead Sample 

Concentration Collected 

 F1 ppm Ef 

 F2 ppm 

 B1 ppm 

 82 ppm 0* 

 DZ ET ppm 

e*- ppm D 

 PS- ppm D 

Number of Samples = 

(tuC 

t>{ 

'W. 

:i'Sc.7 

p> 

3^30 

Samples Collected LAB 

Firm: /fe<y c •" T 

D Date: ^hJlo ^ 

D Time: 2'Q.C 

a 

Samples Analyzed 

D 

XRF Unit g lQ Book: ^ 3 D Date: _ e //2/g / D Time: _ D Staff: 

ENTERED 

;juL ^ zmi 

I 

6Z 

9 ^ 3 

^ 

fMHf^^»y.^., 

p* 

TH 

f/ 

w/?cfc ; 

^M^^^^^ ^ 

pAifA/iciXisi. s r 

Omaha Lead Site 46130 
•f ^^..eosr., ^ 

\ - COASTA l 

[HVItOHHf HU l * " PRO'*'' c * 0 u r. I If c 

Conseni fof Access To Propefty 

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 environmentai response activities upon the 

following described premises: 

Owner's Name: Daytime Phon 3 ^ 

Address of Property 290 ^ reAAy^Uyy 3 ^ 

covered by this 

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-persbn 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 wori(. This access shall 

remain in effect until the work has been satisfactorily completed. The Grantor also 

agrees to: 

Page 1 of 2 
# 

.*^'"'*'» , 

COASTA L tttVmONKfKTi l 

C t O U P IK C 

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

piles, dog houses, etc; 

G Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

e Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

c 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. 

c 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 

bf 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 

0^f grant access to my properties 

D I do not grant access to my properties 

V2./XOIP 

Signature Y Date Signature 

Date 

G I would like to be present during any sampling that is required. 

Page 2 of 2 
f:;, 0 

COA S T A L • M VI « O M M • M T A L O n O U P . INC . 

Restoration Agreement 

The purpose ofthis agreement 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 of the property owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: ^<^5-7^ 

PropertyAddress: ZB^ 7 f^f^UM/tJi/J/U '> J 

Owner: /^^^^^ ^ >f^ ; ' <4 Phone: •^/•»96-^ 0B/''32&V 

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, disposai, and/or retum of these items is the Owner's responsibility. 

Item: 

9^ 1 ?Lu^r 

Kem: 

Mi 

Kem: 

Kem: 

Items to be Removed by the Contractor During Remediation and Not Replaced 

Kem: 

%.^^y ^/,i uiv !)<Uwj 

item: 

Kem: 

Kem: 

Paget of. 
COA S T A L • MVinONMBMTAL O II O U P , INC . 

Items to Be Removed By Contractor During Remediation and Replaced 

Kem: 

s^ 1 

Kem: 

<Ob 

Kem: 

Kem: 

Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch 

tnmk 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. 

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. 

Easement Area, to be 

excavated 

Quantity 

V2 

1 

r, ( \ 

s 

/ 

f-^ 

^6 

Landscape inventory 

Unit 

Quadrants 

Each 

Each 

Each 

Each 

Square Feet 

$ 

Each 

Condition/Type/Species 

ftl^PJl^^ 

Page 2 of. 
V5 

COA S T A L 

o a o u p , INC . 

Additional Comments / Instructions: 

The city of Omaha ordinances may prohibK 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 6n 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 iiiegai 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 wKhstanding any removai 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. 

[Zl Please check this box if you understand the information outlined above. 

i^ A boY M>t O Ufi! ^ •s^^'^-y . 

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 cracks or fissures. 

O I do not agree 

^/^^^ ^ ^rrrrj^y/jf^ yzh ^ 

Owner's Signature Date Contractor's Signature Date 

Page 3 of 
BviD# ^(>3nQ 

XRF PROPERTY SAMPLE SHEET 


Date 

Project 

XRF ID# 

Shots 

llJ l 

Mn 

i^"^ 

Average

Shot# 

MX 

^M 

' M 

Average

Shot# 

Average 

Shot# 

Average 

Signature

Print ^

Address 

Omaha Lead ARRA Sample time 

sample length 

Tkf ^ 

Reading Sample area Shot# 

'>S'>+ w n ^ i. 

^/^o^^ . P(P^r>\<->^Av sl -

im s am/ahTi; 

30 sec 

Reading 

I^SH t K 

Sample area 

%bi ^< 

-vn t ^(^ 

Depth 

/ ' I > ^s 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

'>ia t ^(r Depth Jt 

mf 

Average

Shot# 

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Shot# 

Average 

Shot# 

y y?f ^ 

VAf&c^ IMin6/^ 

^\U 1 ^'l 

 /nV" ^

Reading 

'i.h t ty 

t'^lS 1-^ 

>qii 5 a^ 

 yV^ J t") 

Reading 

Reading 

^

/ / 

\ ^ ­

| 

Sample area 

1!>1 

Depth 

1," 

Sample area 

Depth 

RETEST AREAS 

Sample area 

7 Depth 

y 

Average 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 450 

Mode SOIL 

Time 2010-05-04 15:44 

Duration 90.33 

Sequence Final 

Flags 

AVERAGE ^—Av§-oM47-449 = 

ADDRESS 2802 Franklin st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.125 

Zr 420.843 ± 15.595 

Sr 180.157 ± 9.357 

U < LOD 15.303 

Rb 70.872 ± 6.826 

Th 18.299 ± 10.522 

Dh •^«)R IIR 4 26 708 

c i-Se < LOD 5:931-

As < LOD 34.772 

Hg < LOD 13.972 

Zn 307.858 ± ^,,..-^.809 

W < LOD /^^y96.33 5 

Cu < LOD y " X32.24 4 

Ni < LOD y y / 77.779 

Co < LOD / y 204.759 

Fe 22379.94/ - 7 440.327 

^A Mn / ^ 109.857 "Ty^ ''; . 

y

Supervised By: / / y 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 447 

Mode SOIL 

Time 2010-05-04 15:43 

Duration 30.11 

Sequence Final 

Flags 

BVID 26376 

ADDRESS 2802 Franklin st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD I 8.093 

Zr 423.830 ± 15.616 

Sr 184.625 ± 9.445 

U < LOD : 14.952 

Rb 75.618 ± 6.939 

Th 17.862 ± 10.382 

Pb 383.849 ± 26.176 

Se < LOD 5.675 

As < LOD 34.441 

Hg < LOD 13.580 

Zn 326.504 ± 30.443 

W < LOD 92.741 

Cu 32.412 ± 21.512 

Ni < LOD I 78.335 

Co < LOD I 198.383 

Fe 21417.721 ± 429.870 

Mn 666.907 ± 109.302 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Biilerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 448 

Mode SOIL 

Time 2010-05-04 15:43 

Duration 30.11 

Sequence Final 

Flags 

BVID 26376 

ADDRESS 2802 Franklin st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm 

Mo < LOD 

Zr 423.444 

Sr 179.909 

U < LOD 

Rb 68.487 

Th 19.097 

Pb 390.232 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 289.190 

W < LOD 

Cu < LOD 

Nl < LOD 

Co < LOD 

Fe 22859.863 

Mn 597.776 

Supervised By: 

Error 

8.148 

± 15.629 

± 9.345 

15.767 

• ± 6.792 

± 10.506 

± 26.419 

5.725 

34.852 

13.992 

± 29.021 

97.781 

31.623 

78.503 

207.688 

± 444.706 

± 105.255 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Bilierica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 449 

Mode SOIL 

Time 2010-05-04 15:44 

Duration 30.11 

Sequence Final 

Flags 

BVID 26376 

ADDRESS 2802 Franklin st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.135 

Zr 415.255 ± 15.541 

Sr 175.936 ± 9.281 

U < LOD : 15.191 

Rb 68.510 ± 6.747 

Th 17.938 ± 10.678 

Pb 421.262 ± 27.528 

Se < LOD 6.393 

As < LOD 35.023 

Hg < LOD 14.345 

Zn 307.881 ± 29.965 

W < LOD J 98.482 

Cu 35.848 ± 21.893 

Nl < LOD J 76.498 

Co < LOD 208.206 

Fe 22862.258 ± 446.406 

Mn 761.828 ± 115.014 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPTH 

TYPE 

INSPECTOR 

Mo 

Zr 

Sr 

U 

Rb 

Th 

rPtr-i 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 20941.568 / 

Mn 627.074/ 

^ 

Supervised By: /^ ^ 

Certificate of Verification 

446 

SOIL 

2010-05-04 15:40 

90.35 

Final 

^ " 

'^^^^^^02Franklin st 

EA 

1" 

CONFIRMATION 

N. LOPEZ 

ppm 

< LOD 

415.356 

180.793 

< LOD 

70.535 

< LOD 

377 734 '.— 

< LOD 

< LOD 

< LOD 

279.489 

< LOD 

51.860 

< LOD / < LOD / 

± 

± 

1 

± 

± 

; 

I 

± 

I 

x' : 

•

y 

. 

Error 

7.963 

15.368 

9.303 

15.640 

6.803 

14.211 

—^-25.830 

6.066 

33.083 

13.608 

28.287 

.^'-91.46 5 

722.738 

/ 76.914 

/

y 195.877 

422.888 

105.573 

• 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blilerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 443 

Mode SOIL 

Time 2010-05-04 15:37 

Duration 30.12 

Sequence Final 

Flags 

BVID 26376 

ADDRESS 2802 Franklin st 

QUADRANT EA 

DEPTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD • 7.938 

Zr 423.695 ± 15.569 

Sr 184.286 ± 9.430 

U < LOD : 15.538 

Rb 68.007 ± 6.718 

Th < LOD I 14.478 

Pb 384.598 ± 26.171 

Se < LOD [ 6.064 

As < LOD ; 33.368 

Hg 14.913 ± 9.166 

Zn 272.584 ± 27.991 

W < LOD \ 86.864 

Cu 54.552 ± 23.043 

Ni < LOD I 77.784 

Co < LOD I 195.262 

Fe 21229.422 ± 427.383 

Mn 627.317 ± 106.166 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Biilerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 444 

Mode SOIL 

Time 2010-05-04 15:38 

Duration 30.12 

Sequence Final 

Flags 

BVID 26376 

ADDRESS 2802 Franklin st 

QUADRANT EA 

DEPTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 7.854 

Zr 410.993 ± 15.289 

Sr 181.851 ± 9.311 

U < LOD J 15.379 

Rb 70.406 ± 6.769 

Th < LOD : 14.432 

Pb 360.942 ± 25.243 

Se < LOD * 5.998 

As < LOD J 32.228 

Hg < LOD : 13.605 

Zn 265.125 ± 27.718 

W < LOD : 96.517 

Cu 55.013 ± 23.076 

Ni < LOD : 80.391 

Co 212.792 ± 133.098 

Fe 21084.465 ± 423.745 

Mn 622.317 ± 105.045 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Bilierica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 445 

Mode SOIL 

Time 2010-05-04 15:40 

Duration 30.11 

Sequence Final 

Flags 

BVID 26376 

ADDRESS 2802 Franklin st 

QUADRANT EA 

DEPTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.098 

Zr 411.379 ± 15.244 

Sr 176.240 ± 9.169 

U < LOD : 16.004 

Rb 73.191 ± 6.923 

Th < LOD * 13.722 

Pb 387.660 ± 26.075 

Se < LOD : 6.135 

As < LOD : 33.652 

Hg < LOD : 13.470 

Zn 300.759 ± 29.150 

W < LOD : 91.014 

Cu 46.016 ± 22.097 

Ni < LOD • 72.568 

Co < LOD • 192.722 

Fe 20510.816 ± 417.535 

Mn 631.588 ± 105.506 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Bilierica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 438 

Mode SOIL 

Time 2010-05-04 15:32 

Duration 90.64 

Sequence Final 

Flags 

AVERAGE vg of 435-437 

ADDRESS 2802 Franklin st 

QUADRANT B l 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 7.956 

Zr 396.649 ± 15.088 

Sr 186.915 ± 9.431 

U < LOD : 14.712 

Rb 71.133 ± 6.720 

Th < LOD • 14.153 

-Pb- 320.846 ± — -23:513 

Se < LOD I 6.231 

As < LOD : 30.739 

Hg < LOD : 12.914 

Zn 275.033 ± 27.996 

W < LOD • ^ ^ 7 90.158 

Cu 52.156 / 22.673 y ^ y Ni < LOD y : / 75.608 

Co < LOp ^ y 196.465 

Fe 21237.859 425.306 y± 

Mn 600744 ^ 104.540 

/ y ^ ^ 

Supervised By: ""/ ^ y 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Bilierica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 435 

Mode SOIL 

Time 2010-05-04 15:29 

Duration 30.11 

Sequence Final 

Flags 

BVID 26376 

ADDRESS 2802 Franklin st 

QUADRANT Bl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD J 7.907 

Zr 397.721 ± 15.158 

Sr 194.477 ± 9.628 

U < LOD : 14.769 

Rb 66.947 ± 6.587 

Th 14.550 ± 9.560 

Pb 315.336 ± 23.750 

Se < LOD 6.018 

As < LOD 30.708 

Hg < LOD 13.338 

Zn 262.146 ± 27.611 

W < LOD 93.721 

Cu 62.984 ± 23.430 

Ni < LOD : 73.489 

Co < LOD : 194.962 

Fe 20303.547 ± 416.729 

Mn 584.780 ± 103.364 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Bilierica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPTH 

TYPE 

INSPECTOR 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Cr 

V 

Tl 

Sc 

Ca 

K 

S 

ppm 

< LOD 

389.126 

194.707 

< LOD 

69.833 

< LOD 

298.264 

< LOD 

< LOD 

< LOD 

242.407 

< LOD 

39.035 

< LOD 

< LOD 

20786.613 

583.551 

< LOD 

< LOD 

4230.450 

< LOD 

12665.782 

17839.471 

< LOD 

Supervised By: 

Certificate of Verification 

436 

SOIL 

2010-05-04 15:31 

30.42 

Final 

26376 

2802 Franklin st 

Bl 

6" 

CONFIRMATION 

N. LOPEZ 

: 

± 

± 

: 

± 

1 

± 

: 

: 

: 

± 

J 

± 

: 

: 

± 

± 

• 

J 

± 

J 

± 

± 

: 

Error 

7.960 

14.952 

9.600 

14.500 

6.640 

13.179 

23.035 

5.861 

28.967 

12.588 

26.436 

88.881 

21.740 

77.114 

193.072 

420.197 

102.726 

297.273 

607.152 

1992.756 

289.854 

5174.106 

8691.244 

11018.563 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Bilierica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 437 

Mode SOIL 

Time 2010-05-04 15:32 

Duration 30.11 

Sequence Final 

Flags 

BVID 26376 

ADDRESS 2802 Franklin st 

QUADRANT B l 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.001 

Zr 403.100 ± 15.154 

Sr 171.560 ± 9.066 

U < LOD : 14.868 

Rb 76.619 ± 6.932 

Th 16.288 ± 9.960 

Pb 348.937 ± 24.954 

Se < LOD 6.815 

As < LOD 32.543 

Hg < LOD 12.815 

Zn 320.547 ± 29.942 

W < LOD 87.871 

Cu 54.449 ± 22.848 

Ni < LOD : 76.221 

Co < LOD : 201.363 

Fe 22623.416 ± 438.991 

Mn 651.901 ± 107.531 

Supervised By: 
iJOk^\

E. Omah aa t Lea . d Site—Fixe .„_._ d Price EP-R7-07-05_ 

Coastal Environmental Group Inc. vl 

V • " ^ www.coastalhazmat.com 

Xp„oit<^ COASTAL INVIIONNiNTAl SIO U P. IN C 

EXECUTIVE SUMMARY: 

BVID #26376-(2802 FRANKLIN ST) 

px] No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 

DAN GARVEY WALKED THE PROPERTY ON 5/6/10 
4

EPA Property Close Out Form 

Property «: "LUy X L Property Addi 

Date/Time; Owner's Name LL 

Quads Excavated: 

Contractor Group ^flg-^V^N 

Excavation General 

1. If neccssmy, were the correci quadrant(s) exca vated and restored? 

2. If necessary, were the correct areas ofdrip zone excavaled and restored? 

Gradlne Sod and Vegctatkm 

I. Does the {TBding aroimd the perimeter ofthe house in excavated areas generally slope away 

from the house? 

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

J. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time period) 

4. Are sodded areas generally firm and evenly graded? 

S. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) 

6. Was tbe properly graded such that water will not pool on the pmperry'' 

7. Was dainage to landscaping or plant materials avoided? 

Gates, Fences and ReutBlpg Walb 

i. Do gates open and close freely? (If applicable) 

2. Were all gates or fences talcen down during restoration activities reinstalled? (If applicable) 

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

4. Was dainage to retainbg walls avoided? (Ifappiicable) 

FouDdatioa, SidiORaod GnUers 

t. Was dannge to the siding or trim avoided? 

2. Was damage to the foundation avoided? 

?• Was damage to windows avoided? 

 Was damage to windows or door screens avoided? 

5. Was daimtge to downspouts or downspoul extensions avoided? 

Sidewalks and Driveways (Concrete) 

I. Was damage to driveway surfaces avoiikd? 

2. Was damage to walkway surfaces avoided? 

Yes No 

/ 

/ 

Yes No 

/ 

i / 

y 

y 

y. 

J 

y^ 

Yes No 

Z 

/ 

/ 

/ 

Yes No 

/ 

/ 

y 

y 

y 

Yes No 

/ 

y 
OM'oers comments: 

I __ 

[In.spection notes: 

Removal and resloration activates complete including the 30-day sod warranry: 

EPA Representalive Pes_^L _Dale: £/f/'?_ 
Property Completion Agreement 

ihis agreemem documenls ihe complclion ol remedial acliviiies perloimed on my property My signaluie 

will designate Ihal I am satisfied with (he restoralion of my propeily, and thai no items are in questions, 

nov^, or al any lime in the future, except Ihose ilems listed below, if any 

Properry tP: ^( ^ 3' ^ ^ 

PropertyAddress: v^j^O2 . F<(>V\i<^i iVN A -

Q""*^'brf.MeK.XVM 

Phonev^t^ I - 5 ^ q 0-2> ^ - — Ufe l -3^C M 

Restoratiort Items in Question: 

item: 

Item: 

Item: 

- = Item: 

Item: 

Item: 

Additional Comments: 

Z­

\y\ I Rgrcc IiCKtoralion is completed, rxccpi aj noted 

[_J I rio not «i;rtc rcstorfltion » completed 

Owner's Signatnrir Date Contrarlor' Contrarlor's Sienatur Signature DDale
Property Owner Assessment of Performance Form 

American Recovery and Reinvestment Act (ARRA) 

Omaha Lead Superftind Site 

2009/2010 

Remediation Contractor: Coastai Environmental Group - EP-R7-09-06 

Property Identifier Number: 2»C'3n 

Property Address: "^^O ^ frcNy^yClly^ ^{r s ^.l * ^ 

Property Owner's Name; ^r^iyNtAfK khoKK 

Instructions to tlie Propertv Owner: 

This form serves to record the Property Owner's assessment of performance (Incentive 1 

- Quality Assurance Surveillance Plan) involving the listed remediation contractor, as applicable 

to the Omaha Lead Site. This form documents the timeliness of punch list resolution, business 

relations, complaint resolution and the overall quality of work. If need be, the Property Owner 

may utilize this form to record problems and/or issues not specifically tied to an assigned 

address, for example, business relations that generally don't follow the guidelines set forth in the 

Performance Work Statement. 

The Property Owner will indicate his/her assessment of performance with the contractor's 

work by checking a numerical rating on the table below using the nu^^m^-^e^Mtieju from 

the rating scale below, then sign & date the form. »-CiV^llX V EsU 

JUL 19 2010 

9-10 "excellent" Juu l a cuiu 

7-8 "very good" SUPERFUND DIVISION 

5-6 "acceptable" 

3-4 "poor" 

1-2 "very poor" 

Propertv Owner's Assessment of Performance Regarding the Contractor's Work 

10 / 5 

9 y 4 

8 3 

7 2 

6 1 

Propertv Owner Additional Comments from (optional; continue on biack page if needed) 

Property Owner Signature: ^^^'fikj^M.^^ ^^ ^ Date: ^ / HIJiO^^