TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#:_2.R5q Date: __:Z/3Q/Da 

Address: 2U0 ^ '^fjtS. 9& 

Remediation Contractor: Coastal Environmental Group_ Year: _200( 

SOIL REMEDIATION 

PROPERTY nL E FOLDER DOCUMENTS 

[ / Video of property (DVD) \H - b^Oa/IC^o^ 

^ Executive Simimary 

EPA-provided property sketch 

N/ Signed Access Agreement for subject property 

TVll: Signed Access Agreement(s) for adjacent property 

*w Restoration Agreement 

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

sY Confirmation data 

^ Photographs V lg»l ^TTJ ^ hcCfVATl^ V fft^^Q^^[*1nu-» 

D As-built sketch 

^ ^ Satisfactory restoration signed by Property Owner 

VT Property close-out check list signed by EPA 

l^/iij Description ofareas not meeting ROD cleanup criteria 

^f Utility clearances 

^ Property information from Douglas Coimty Assessor's Office 

D 

D 

D • 

Sign Ignatur a e . ­ Date 

30054527 •in 

Superfund 
Property Access Checklist 

propcfT^u): 2.|M5<^ 

Property Addre.v:^^^f i ReA5> ^" T 

D

D

 WORK STARTED

 WORK COMPELTED

 ON: 

 ON: 

_/

/

 /_ 

/ 

Q""^'^ pJ^VlD i</X)M 

Address: 

\\Al \ K}- ^ \j9'Z>IQ L 

Phone. 

Ft\: 

Ccll/Pager. 

Renter: 

Phone: 

PJLV: 

Ccll/Pager: 

Additionul Inlnrmiition'. 

^ Notification Letter 

js , Acceii Agreement 

Q^ RenorvtioD Agreement 

G Topsoil Sampling (if applicubic) 

D DisposaJ Sarapliog (K applicable) 

D Gnrdcn Sampling (if applicable) 

Q Utility Clearance 

g r Video/Photos (Before) 

D Video/Pholos (During) 

D Video/Pholos (After) 

D Video/Photos (30-Day) 

D Projicrty Complelion Agrcemeni 

D Final Report 

Scnt:tp //iy/O"^ 

SiETicdiU 'I h 'Ci ^ 

S'tgnta: IQ. / M dM 

1 1 

1 1 

1 1 

Called: / / 

On: ^iZll ^ 

On: / / 

On: / / 

O D : / / 

Signed: / / 

Issued: / / 

^y-x^^ 

B>= D(x>rf\^

^y D^Vt d

By. 

By: 

By: 

By: 

^y Srt^ n 

By: 

By: 

hy. 

By:.'­

. . 

 \<a\Y\ 

 KniVN, 

Air Monitoring (aa appiicabte) 

D Community Q Crew 

RcsuJis: 

OD : / / By: 

D Comraunirt'

Remits: 

D Crew On: / / By: 

D Communiri

Result): 

Q Crc»v On -'-' ­ I Bv: 

Omaha Lead Srte 
Douglas County Account I wtion Page 1 of2 

Douglas County, Nebrasica Property Record - R1307450002 

Print Report 

NEW Feature - Parcel Dimensions available (SH scale 0-50 ft west of 52nd St - Vie w OH Ma p Infonnation is valid as of 2009-5-12 Treasurer's Tax Report 

New Feature -•••- • Auto Sales Search 

Owner 

DAVID KAIN PROPERTIES LLC 

P 0 BOX 4066 

OMAHA NE 68104-0000 

Property Informatio n 

Key Number: 0745 0002 13 

Account Type: Multiple Comm 

Parcel Number: 1307450002 

Parcel Address: 2608 REES ST 

OMAHA NE 68105-0000 

Legal Description: HICKORY PLACE LOT 10 BLOCK 0 LTS 8 & 10 90 X 110 

Value Informatio n 

Land Improvement Total 

2009 

2008 

2007 

2006 

2005 

2004 

$14,900.00 

$14,900.00 

$14,900.00 

$14,900.00 

$14,900.00 

$14,900.00 

$117,500.00 

$117,500.00 

$75,100.00 

$75,100.00 

$75,100.00 

$75,100.00 

$132,400.00 

$132,400.00 

$90,000.00 

$90,000.00 

$90,000.00 

$90,000.00 

Sales Informatio n 

Sales Data: 2004-10-21 

Deed Type: WDM SooJ^: 2005 Page: 004272 

Price: $0.00 

Grantor: DAVID E KAINE ETAL 

Grantee: DAVID KAIN PROPERTIES LLC 

Valid/Invalid: Invalid 

Exclusion Reason: Multiple Parcel Sale 

Sales Data: 1997-11-17 

Deed Type: D Book: 2076 Page: 111 

Price: $79,000.00 

Grantor: 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R130... 6/6/2009 
Douglas County Account I i^li^tion Page 2 of2 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.22 9900.0 1.0 0.0 0.0 No 

Improvemen t Informatio n 

Building 1 

rfSfcCLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 4448.0 Percent Complete: 100.0% 

Perimeter 192.0 Quality: Average 

llnit Type: Condition: Fair 

Built As: Apartment <= 3 Stories Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 0.0 

Exterior: Masonry Common Brick Units: 5.0 

Interior: Plaster Baths: 0.0 

Roof Cover: Built Up Rock Bedrooms: 0.0 

Roof Type: Flat Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1898 0% 1898 111 

Detail Type Detail Description Units 

Add On Porch Open Upper Deck 266.0 

Basement Bsmnt Block 8 ft 1224.0 

Basement Finished 1000.0 

http://dougIasne.mapping-online.com/DougIasCoNe/static/accountinfo.jsp?accountno=R130... 6/6/2009 
CONTACT FORM 

Property ID # 7 \H5 ^ 

Property 

Address: 

Initial Contact:

Second Contact:

Final Contact:

Final Action:

yV^aX& g.f,f,S

 Date: Time: 

 Date: Time: 

 Date: Time; 

 Transmit to EPA D 

 ?A 

Action: 

Action: 

A cti on: 

Other Action: D 

Comment: 

Owner 

Comment (s): 

Site 

Coordinator 

Comment (s): 

i 
• • 

Page 1 of2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 2307224. 

Original Call Date: 6/30/09 Time: 5:02 pm Op: ELIZABETH18790 


Work to Begin Date: 7/02/09 Time: 5:45 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2608 Street: REES ST 


Twp: 15N Rng: 13E Sect-Qtr: 21-SE,28-NE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead remediation 


Location of Work: INCLUDE ALL EASEMENTS LOCATE ENTIRE PROPERTY 


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


: UNSURE OF CORNER LOT. 


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: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUDOl MUD02 OMAHACOF 0PPDGPR5 0PPDGPR6 


QLNNEIC QLNNEIF 


Service Area Contact Phone Number UtiUty Type 

CXCATV COX COMMUNICATIONS, INC HEIDI

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVELS COMMUNICATIONS, LLC NA

Day: 8773668344 

 Alt: 

Emerg: 8773668344 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY

Day: 4025047823 

 Alt: 

Emerg: 4025047970 

MUD02 METROPOLITAN UTILITIES DISTRICT SANDY

Day: 4025047823 

 Alt: 

Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 6/30/2009 
• • 

Page 2 of2 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON 

Day: 4024447197 

Alt: 4024445161 

Emerg: 4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

0PPDGPR6 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

QLNNE 1F QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 6/30/2009 
As-Built Drawing 

C OAST A L Omaha Lead Superfund Site 

Name: . Omaha Lead Site Date: North Arrow 

Address liars Si. Site Sketch Time: 3.: bU /f.^. 

Phone: t 

Team N\;\\\4^(^fven7]^ ^.tr BviD# ^i^iS^ ^ XRF Code ^^O l 

Sample Number Lead Concentration Confirmation Sample 

gVASCPXA - Zl^^' i No B ^ 

ZYBSCPXA - Z\HS A No Q"^ 

Z'-icscpy.A - ^l v^ T No 00^

H.S'PSCPXA i-oi±^9 PP: -zi H S'lf No S ^ 

gD2-SCPxA-^<V5" 9 No m ^ 

ZPZ5CPXA -ZlHS'' ^ 15-9^^5 - ppm No lO- ^ 

ppm '^'N'es n No • 

OLS#: 2145 2149 ,^5- ^ 

Excavated:7/2/09 Icg ^ 

PA <iVnnoA nff• 7/5S;n'Q•• T i 

Legend 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replaced with 

Area lef t bare Sod ' ' Rock/Mulch 

Contrac t #: EP-R7-07-05 Coastal Environmental Group Inc . 
% 

Name: l>v - J

Address: 2CcS

Phone: 

 i^ A 

 )^evS, Si . 

Omaha Lead Site 

Site Sketch 

Date:

Time:

 ^I^IOS 

 ^ ^ dU f->^ . 

North Arrow 

Team Nl\\\4^ftni^]KU.t- BviD# ^lfS~^ XRF Code ^^O l 

Sample Number Lead Concentration Confirmation Sample 

ZPZSCPxA -Z/'VS'9 

^7^-^ ^ gpm 

ppm /<gS:t:zS " 

ppm 

f\Y< /es

s

s

^^Yes

•^^es

 ° 

n 

n 

n 

• 

No B ^ 

No ra^ 

No 03^ 

No ra^ 

No t5 ^ 

No C^^^ 

No • 

r 

X/g) eo-'*­
# 

I- Name: OeL^'.6 

Address: ZLr>6 HerS 51. Phone: 

Team >A;\\vdW]»^ g.t BviD#

Sample Numlter 

gVASCPXA-Z/'^S ^ 

^.-iBSCPxA- 2.\^5 ^ 

ewCggP^A-ZlVfT ^ 

gVDS<lPXA-Z('VS' 9 

Rr>Z-SCPxA-ZlHS~9 

Omaha Lead Site Date: North Arrow 

Site Sketch Time: ^ 

 ^'"iS- ^ XRF Code 0-^01 

Lead Concentration Confimiation Sample 

2.19

i 

 t-^ o No Q ^ 

No [3 

No IB- No s ^ 

No Cfl^ 

Iff-flfc^S^ ppm 

ppm No O ^ No • 

f?-^^^ 
;<''2:N. 

COASTA L 

fll>i|0imiNT4 l 

• • O U p. IH C 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States 

Envinanmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

following described premises: „ lU^ ^ 

Owner's Name: ^^^^. ^ Ka<r\ Daytime Phone: 

i)'S>my 

Address of Property 

covered by this 2-UJO8 RiS^ 'ST: 

Agreement: 

The EPA Is requesting access to collect soil samples and remove soli that contains 

elevated concentrations of iead and may pose a health hazard. The area(s) will be 

excavated to renx>ve 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 perfonned under the Omaha Lead Superfund Site remediation 

program. 

A representative of Coastal Environmental Group, contracted by USEPA, will oontact 

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 vi^th 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 sote purpose of performir^g the wori(. This access shall 

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

agrees to: 

Page 1 of 2 
COASTAL 

6 S€ u r, ift £ 

• 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. 

^QREEM^NT NOT TO INTERFERE 

The Grantor agrees not to Interfere or tamper with any ofthe work activities, or with any 

of the work done, or with the equipment used on his property, or to undertake any 

actions reganjing 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 

9i

grant access to my properties 

D I do not grant access to my properties 

Signature 

Signature Date 

Q i would Kke to be present during any sampling that is required. 
f^ O A S T^A L • M VMONM t NTA L 

C K O U P IN C 

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: 

Property Address: ^J[^A / ^< ^ "^l 

Owner; ^i^^ ^ K^;^ ^ 

Phone: 

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, storaqe, disposal, and/or return of these Items is the Owner's responsibility. 

Hem: 

,4--L^ ^ Y<^A/ ?CmAA 

Kem: 

ttem: 

ttem: 

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

Item: / j ^ 

Y A^ l VUAI<S (A T fAiAA 

Item: 

/ki lyn^Ld Aa A^^ AT/r- Item: 

Item: 

Pagel of. 
C Q A S Tl A L r t * VTMOMM r NTAI . 

C M O U r . IN C 

ttem: 

QoA - ^1 .g ^ 

Item: 

Landscape Inventory 

Item Quantity Unit Condition/Type/Species 

Pre-existing property area, Quadrants that wUI 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, Each Timers, Heads, etc. 

Atiach a sketcli of the 

sprinkler layout. 

Number of and size of 

each garden/ flower bed Each 

area. SquareFeet 

Auach a sketch of relative 

sizes and locations. 

Agreed upon value of plant 

niaterials not to be 

replaced bv contractor. 

Note this Mtluc wili be 

used to issue H plant 

voucher to the'propcrt> 

owner. 

Easranent Area, to be ys? ^yYAA^^yyA Each excavated 

Page 2 of. 
COASTA L ^. N 41 n O N nV N T A L 0"k O U P , IN C 

Addttlonal Comments / instructions: 

7^"^ HO'\\Ct 

\Oyhec k the box if Owner does not want CEG to document interior foundation wails and possible 

^preexisting damage. By checking this box CEG is not responsible for any damage done to the 

Mnterior of house, including foundation cracks or fissures. 

Q I do not agree 

Page 3 of. 
 1 

BviD#j2lM59_ XRF PROPERTY SAMPLE SHEET 


Date 7-z-n<? Address 2t^n ^ Rff ^ e.^ 

Project Omaha lead FP 2nd year option Sample time 

V4'M^ am/pm 

XRFID# 3zn%* sample length 30 sec ^ 

Shot# Reading Sample area Shot# Reading Sample area 

•7^D 

2%.V\i y^.^ left. I'M l>.ftS 

2^U.!>7121.TS SL 7^0- ^9lpj0ai7:p.t?, :&7, 

J 3 l Depth 

Depth 331. TSi^taA^Lja JZSl '^\i.\ln..oi 

J33L MSffiSTZS :iss_ t\^AHti\.V\ IE 

Average 05 ^ . f^^ t TA.Qt^ Average ^^\^.qi o t 10 qc | 

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 1 Shot# Reading Sample area 

Depth Depth 

Average Average 

lab sample # Lab result Sampie area XRF Avg. 

Signature.^^Q2LW2eA 

Print t\\^.hf^ Cara<^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 754 

Mode SOIL 

Time 2009-07-02 14:45 

Duration 121.35 

Sequence Final 

Flags r —-'—, AVERAGE (^vq of 750-7537 

ADDRESS 2608 Rees st 

QUAD/ZONE B l 

INSPECTOR Nicolas 

DEPTH 8 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm Error 

Pb \259.027 J ± 520.236 

Supervised By: 6?(^( ^ ^QJlf^ilj 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 750 

Mode SOIL 

Time 2009-07-02 14:43 

Duration 30.53 

Sequence Final 

Flags 

BVID # 21459 

ADDRESS 2608 Rees st 

QUAD/ZONE Bl 

INSPECTOR Nicolas 

DEPTH 8 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 256.839 ± 19.989 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 296.372 

Supervised By: 

Certificate of Verification 

751 

SOIL 

2009-07-02 14:44 

30.33 

Final 

21459 

2608 Rees st 

Bl 

Nicolas 

8 

CLEARANCE 

± Error 

21.753 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 255.033 

Supervised By: 

Certificate of Verification 

752 

SOIL 

2009-07-02 14:44 

30.26 

Final 

21459 

2608 Rees st 

Bl 

Nicolas 

8 

CLEARANCE 

± Error 

± 20.374 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 227.864 

Supervised By: 

Certificate of Verification 

753 

SOIL 

2009-07-02 14:45 

30.23 

Final 

21459 

2608 Rees st 

Bl 

Nicolas 

8 

CLEARANCE 

± Error 

± 18.830 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 759 

Mode SOIL 

Time 2009-07-02 14:49 

Duration 120.72 

Sequence Final 

Flags 

AVERAGE [Avg of 755-758/ 

ADDRESS 2608 Rees st 

QUAD/ZONE B2 

INSPECTOR Nicolas 

DEPTH 8 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm Error 

Pb 

Supervised By: ZgC&.6^.gfl<j 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 755 

Mode SOIL 

Time 2009-07-02 14:46 

Duration 30.17 

Sequence Final 

Flags 

BVID # 21459 

ADDRESS 2608 Rees st 

QUAD/ZONE B2 

INSPECTOR Nicolas 

DEPTH 8 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm Error 

Pb 209.128 ± 18.046 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 286.083 

Supervised By: 

Certificate of Verification 

756 

SOIL 

2009-07-02 14:47 

30.28 

Final 

21459 

2608 Rees st 

B2 

Nicolas 

8 

CLEARANCE 

± Error 

± 20.820 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 317.097 

Supervised By: 

Certificate of Verification 

757 

SOIL 

2009-07-02 14:48 

30.12 

Final 

21459 

2608 Rees st 

B2 

Nicolas 

8 

CLEARANCE 

± Error 

± 22.016 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 215.536 

Supervised By: 

Certificate of Verification 

758 

SOIL 

2009-07-02 14:49 

30.15 

Final 

21459 

2608 Rees st 

B2 

Nicolas 

8 

CLEARANCE 

± Error 

± 18.891 
I

^•itB sr.,­

/ ^A ^ \ Omaha Lead Site—Fixed Price EP-R7-07-05 < <( \^^^Y L I Coastal Environmentai Group Inc. VJ 

V"^^ ^ www.coastalhazmat.com %PRoTt ^ COASTA L 

• NVItOHHENTAl GROUP . IN C 

EXECUTIVE SUMMARY: 

BVID # 21459- (2608 REES ST) 

I No Issues or Concerns [x] Issues/Concerns 

Detail Explanation: 

MONITOR SOD 
fi t EPA 

EPA Property Close Out Form 

Property #: ZmS^ , Property Addrew. '2-loPJi Mi Z ^ f 

Datemme: Ifyj^lO Q Owner's Name:. i!aPft>LtQ .J>.fiap i . 

Quadt Excavaled: fil,^*! Contractor Group CafiiT^*^^ fifMJlOfKAajniVal 

Excavation Yes No General 

1. If necessaiy, were the conect qu8drant(s) excavated and restored? LA 

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

A 

Grading Sod and Vetetation 

Ves No 

I. Does the {reding around the perimeter ofthe house in excavated areas generally slope away I A ­ from the house?

 . 

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

3. Does the sod appear to be generally healthy and growing? (Qnly evaluate If iiyspecved at a 30 

day time period) V 

4. Are sodded areas generally firm and evenly graded? U^ 

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

time period) 

6. Was the property graded such that water will not pool on the propeny? \ A ' 

7. Was danuge to landscaping or plant materials avoided? 

^ ' 

Gates, Fences and Rctaiping Walls Ves No 

I. Do gates open and close freely? (Ifapplicable) SA2.

 Were all gates or fences taken down during restoration activilies reinstalled? (Ifapplicable) U-­

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

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

Foupdailon, SidinK and Gnllers . 

Yes No 

I. Was damage to the siding or trim avoided? 

2. Was damage to the fotuidation avoided? [A ' 

Was damage to windows avoided? 

A A' 4.

 Was damage to windows or door screens avoided? 

5 L^-" . Was damage to downspouts or downspoul extensions avoided? 

Sidewalks and Driveways (Concrete) 

Yes No 

1. Was damage to driveway surfaces avoided? A, 

2. Was damage to walkway surfaces avoided? 
Ovi'Ders comments: 

Inspection notes: 

Removal and restoration activates completejncluding the 30-day sod warrariry: 

EPA RepresenUitive l^ffi^ D/lj , / Date: 7/^ 7 
Property Completion Agreement 

This sigreemcnl ciociimenls flic complclion of remedial activilies perlbimed on my properly. My sigiuiline 

will designate (hat J am .satisfied wilh the restoration of my properly, and tiial no itcnis are in qucstion.s, 

now. or al any time in the fulure, excepl tiiose items lisled below, il'any. 

"Prapci iTlDr ^ \Cy^ ^ " " ^ 

Property A(l(rfre.s.<!: I^Of t R.e.C5 _ 

^' ^ t)i^^^K-<viZ. 11 II . I I H I Z I Z I 

Restoration Items in Question: 

Item: 1 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

I I j atsrco re.storntion i.s completed, exccpi as noted 

orHtuin i.s completed 

Owner's .Si{;nntiirc tJ ' f (Vntfiictor's .Signature Date