TRANSMiTTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID# l^g)qg DATE: 5/21/11 

ADRESS: i^l( 0 % I' D 'b ^ 

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

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

\B Executive Summary 

a . EPA-provided property sketch 

H Signed Access Agreement for subject property 

hij ^ Signed Access Agreement (s) for adjacent property 

Yi Restoration Agreement 

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

Confirmation data 

BNfhotographs SOD 

Pre-Excavation 

Excavation 

As-Built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description of areas of areas not meeting ROD cleanup criteria 

Utility clearances 

Property Information from Douglas County Assessor's Office 

D 

5/v 

Signature- EPA X?" 

Date 

Superfund 
v\ 

Property Access Checklist 

Property ID: mw n WORK STARTED ON: __/__/

Property Address: n WORK COMPELTED ON: / / • Ify/ 57to) S^^^^-rOwner: Renter: •39^^ 7^7y2JU^ 

Address: Phone: 

Fax: 

Cell/Pager: 

Phone: g)M^ Additional Information: - 7<ap ^ 

Fax: 

Cell/Pager: 

n Notification Letter Sent: / / By: 

CS^Access Agreement Signed: J^/fl_/i£) By: 

|7t Restoration Agreement Signed: f^ l( ^ IfO By: 

LU Topsoil Sampling (if applicable) 1 1 By: 

Q Disposal Sampling (if applicable) 1 1 By: 

D Garden Sampling (if applicable) 1 1 By: 

D UtiUty Clearance CaUed: / / By: 

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

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

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

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

r~l Property Completion Agreement Siened: / / By: 

D Final Report Issued: / / By: 

Air Monitoring (as applicable) 

Q Community QCrew On: / / By: 1 

Results: 

• Conmiunity O Crew On: / / By: 

Results: 

• Conmiunity O Crew On: / / |By: 1 

Results: 

Omaha Lead Site 
Douglas County Account Infi^nation Page 1 of2 

Douglas County, Nebraska Property Record

Information is valid as of 2010-8-16 

­ R2219930000 

New Feature "^ *^ -^

Print Report 

View Interactive GIS Mao 

Treasurer's Tax Reoort 

 Subdivision Sales Search 

Owner 

MLADY JOHN B 

ETAL 

1506 S 25 ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Numtier: 1993 0000 22 

Account Type: Residential 

Parcel Numtier: 2219930000 

Parcel Address: 

Legal Description: 

1510 S 25 ST 

OMAHA NE 68105-0000 

SHULLS 2ND ADD LOT 3 BLOCK 14 50 X 126 

Value Informatio n 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$2,200.00 

$2,200.00 

$2,200.00 

$2,200.00 

$2,200.00 

$2,200.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$2,200.00 

$2,200.00 

$2,200.00 

$2,200.00 

$2,200.00 

$2,200.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.14 6300.0 0.0 126.0 50.0 Yes 

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accoimtno=R22... 8/20/2010 
3/31/2011 www.dhon.org/irthinternet/DHONNotic.. 

Create Another Ticket Back toirt t^ l h Intemet Send Email 

YOUR TICKET NUMBER IS 2700324. 

Original Call Date: 3/31/11 Time: 3:35 pm Op: ALFONSO18790 


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


State: NE County: DOUGLAS Place: OMAHA 


Address: 1510 Street: S 25TH ST 


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


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Lead Remediation 


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


Remarks: FAX ALL CLEARS TO: (402)934-2811 


: PLEASE INCLUDE ALL EASEMENTS 


Company ; COASTAL ENVIRONMENTAL SERVICE 


Contact Name: ALFONSO Phone; :402)934-2837 


Work Being Done For: Coastal 


Depth of Excavation: 4ft Corner Lot: N Front: Y Rear; 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


UtiUty Service Area Contact Phone Number Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVEL3 COMMUNICATIONS, LEVELS NA AH: LLC 

Emerg: 8773668344 


Day: 4025047823 


METROPOLITAN UTILITIES MUD02 SANDY Alt: DISTRICT 

Emerg: 4025047970 

Day: 4024447197 


CITY OF OMAHA- OMAHACOF RICHAIRAFFIC Alt: 4024445161 TRAFFIC,SEWER 

Emerg: 4024445160 

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

0PPDGPR6 

LWWw.dhon.org/irthinternet/DHONNotic.. 

OMAHA PUBLIC POWER 

DISTRICT 

ELM 

LOCATING 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

QLNNEl F QWEST LOCAL NETWORK ELM 

LOCATING 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

dhon.org/irthinternet/.../MessageText.as.. 2/2 
03/31/11 02:42 PM 512-328-3933, Level Three Communication 01/01 

To: COASTAL ENVIRONMENTAL SERVICE Attn: ALFONSO 

Voice: 4029342837 Fax: 4029342811 

Re: Response to Dig Request 

This is an Iti^oxtant Message from Level 3 Cononunications replying to your 


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


Call Center ticket. 
 /lets 

Ticket: 2700324 


County: DOUGLAS Place: OMAHA 


Address: 1510 S 2STH ST t 


LEVEL3: 


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


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


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


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


Ticket: 270032S 


County: DOUGLAS Place: OMAHA 


Address: 2€2€ PARKER ST 


LEVEL3: 


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


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


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


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


If you have any questions, please contact Level 3's Asset Management Team at 


1-800-441-0223. 

As-Built Drawing 

OLS:19848 

COASTAL DATE EXCAVATED:4/13/2011 

DATE USEPA SIGNED OFF: 5/2/2011 Omaha Lead Superfund Site AREA SODDED: 1575 

Environmental Group, Inc. 

19848 

Omah Exterior Paint North Arrow a Lea d Sit e 

n Good Own» r name : JOHN B MLADY SR 

Address Sit e Sketc h : 1S10 S 25 ST • Poor Phona : H 402-345-79O9 W: Q ' Nol painl 

Sar-Tipl Lea d Sampl e Sample s Collected « Numbe r L AB Concentratio n Collected Fir m rrg 5 A></rvi-? ) 

RYASCPXA-1984 8 F1 l3L f pp m 0" D Dat a 0<f./ I'i/O b 

RYBSCPXA-1984 8 F2 ^Be> ppm ET • Tim e i'oi> 

RYCSCPXA-1984 8 B l _Lilii___PP m Sample s Analyze d RYDSCPXA-1984 8 8 2 lOl f pp m 0 • 

nDaOGPX A 10848 p p m n • X R F Unit: Book: tS D 

nGZ€3CPX A 10848 -6£ p p m n n Dat e 

nPgOCPKA- l 004 0 - P Z p p m D n Tim e ^ K. Numbe Staff; <^-s.w r of Sample s = t ^ 

Legend : F l « Front Left. F2 » Front Right, B l = Bac k Left. B2 = Bac k Right D Z » Drip Zone , G Z - Garden , PZ = Play 

CONCRETE DRIP ZONE EXCAVATED QUADRANTS EXCAVATED 

AREA REPLACED WITH AREA LEFT BARE AREA REPLACED WITH SOD ROCK/MULCH 

CONTRACT #: EP-R7-09-06 COASTAL ENVIRONMENTAL GROUP, INC. 
19848 
m 19848 

Omah Exterior Paint North Arrow 

Owne a Lead Site r Name: jpHN_B MLADY^R 

Site • Good Address Sketch : 1510 S 25 ST • Poor P hone: jl l 402-345:7909 W 

\ ^ Not paint 

Sampl Lead Sample Samples Collected e Numtier LAB Concentration Collected Firm: tJ^S At^/yvt-^ 

RYASCPXA-19848 F1 

JAU. .ppm Ef D Date: 

RYBSCPXA-19848 F2 itSa. .ppm D Time: [•oi > 

RYCSCPXA-19848 B1 0­ JJlii__ppm D Samples Analyzed RYDSCPXA-19848 82 0 26l f ppm 

RDgCCPXA 10818 BZ ppm D n 

XRF Unit: (b^^^ Book: 150 

RCZGCPXA 10818 GZ D D ppm Date 2>H'0L 

RPgOCPXA 10040 PZ ppm D D 

D Time K. I 1 Staff: fA^ W Number of Samples = i ^n 

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

All quadrants are as viewed from the street, facing property 

4 r-t ^ : : : 1^ -

Rev 4' 0461410123 
Ililll 19848 

Owner Name: JJ?HN.B MLADY_SR_ 

Address: 1510 S 25 ST 

Phone: H: 402-345-7909 W: 

Sample Number 

RYASCPXA-19848

RYBSCPXA-19848

RYCSCPXA-19848

RYDSCPXA-19848

nDZCCPXA 10818

RGZCCPXA 10818

RPZOCPXA 10040

Lead 

Concentration 

 Fl -au. F2 U£^ 

 B1 lilH. B2 72Mk­ 92 

 GZ 

 PZ 

Omaha Lead Site 

Site Sketch 

Sample LAB Collected 

ppm Ef D 

ppm 0^ D 

ppm 0- D 

ppm 0 n 

ppm D 

ppm D D

ppm D D

D 

Number of Samples • 

Exterior Paint North Arrow 

• Good 

• Poor 

[3^ Not paint 

Firm: 

Date: 

Time: 

Samples Collected 

g<f.//^/ofe 

1 o ^ 

Samples Analyzed 

XRF Unit: U>^ Book: JSO_ 

Date 2>H'0 UL . 

Time ^ 

Staff: N\^ W 

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

All quadrants are as viewed from the street, facing property 

Ht r-t : : ; : Tt^ 

ENTERED 

m i 0 tmi 

Bl 

siw«3­

•^.K?:. .s.*s .fit 

O 

-fv 

$ • 

\...(^...:'. . 

e 

t^—^""^ 

^ f-it - ViJavW. 

.5.. a.^..6* 

Rev 4 04614)0123 
COASTA l ^^ - thVIIONHlHTAl 

" 0 " C 1 0 U f L K C 

Consent fof 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: I 

Owner's Name Daytime Phone: HCp-'^-^^- y y ^c ^ 

c_3 /^U 

Address of Property 

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-person to discuss the work to be perfonmed, 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 
,*-«J''V, 

COASTA L lIlTIIONnFKTAt ^..0.^ ^ Cft O U V . IMC 

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

piles, dog houses, etc; 

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

to save; 

« vyater 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. 

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 

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

actions regarding the use of said property which would tend to endanger the health or 

welfare of the Grantees or the environment, or to allow others to use the property in 

such a manner. 

Should you have any questions about this program, please contact Coastal 

Environmental Group, at (402) 991-1199 

BI^B D I do not grant access to my properties I grant access to my properties 

ic-i^'/d 

Date Signature Date 

Q I would like to be present during any isampllng that is required. 

Page 2 of 2 
COASTA L 

ENVIRONMENTAL 

GROUP . INC . 

ADJACENT PROPERTY ACCESS REQUEST 

WORKING PROPERTY ADDRESS )S'77^ i" ^ 5 5 I 

ADJACENT PROPERTY ADDRESS / i 0 ^ S Z^7> S ' 

OWNER NAIVIE j g^ K V^ J ^ \ ^ C3 V 

ACCESS REQUESTED: U.^ e I^V r W coo.'^ r eir^% ^ ffc ^ ^ ^ , 

OWNER SIGNATURE V/OIMI TiyTUZn I "*"/ f ~^^ 

FOREMAN SIGNATURE 

SUPERVISOR INITIAL fe^^.^-

SUPERVISOR INITIAL cS^^^ ^ 
COASTA L • MVI RONH I HTAL a H O U P . INC . 

Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of the property prior to 

remediation activities. Tliis 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: jQ^^f^ 

Property Address: /S'l O 3 . ':2S'r 7-

Owner: ^.7^^ t^\U 

Phone: ^Qp---^HS'-/S't^i r

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, hidicate 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 removai, storage, disposal, and/or retum of these items is the Owner's responsibility. 

Kem: 

yio ^ 

Hem: 

Hem: 

Item: 

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

Hem: 

yC-^^-^^ 

Kem: 

Kem: 

Kem: 

Pagel of. 
COASTA L CNVIRONMCNTAL CROUP . INC . 

Items to Be Removed By Contractor Cluring Remediation and Replaced 

Item: 

3 y 

Item: U y 

Item: 

\r <7 v\c ^ 

Item: ' 

Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Number of trees > 2 inch 

trunk 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. 

o V\ 

Quantity 

'vX 

j sr 

y 

y 

y 

r ai\ \ F ^ . 

Landscape Inventory 

Unit Condltion/Type/Specles 

Quadrants 

Each 

Each 

Each 

Each 

Square Feet 

$ 

Easement Area, to be Each 

excavated j . r^erUcn^ /hycjA ^ 

Page 2 of. 
COA S T A L KNVinONHC N T A L a n 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 underiying a gravel or dirt area on your property that you may be 

using as a driveway or vehicle parking area. If this is the case, you should understand that this 

removing and replacing of soil does not mean that any illegal driveway or parking area on your 

property is made legal. To the contrary, you may be cited by the city if you use a gravel or dirt area 

as a driveway or parking area, not wKhstanding any removal or replacement of soil by the EPA 

If you have any question about legality of a certain driveway or parking area, you may contact 

the cKy of Omaha's Planning Department at (402) 444-5150. 

O Please check this box if you understand the infonnation outlined above. 

7^7-ri.^ %\irf no7-i cc^ 

c^q^eeel P^-^ f^-sM '^ '

-pd 

c^y i.o.A +u y^o \y^ VCTU5 

ttv\ci YKO\ r&p y cea ^ po"T cu'T t \e ­

4^\jjoy ujii\ ^y7y^y ^-77 ^y^^^j 

y 2-y^-

G 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. 

I agree O I do not agree 

: ^ /t/-1'''' " ^.i^^rc^'- ^ iiyit'i77/y 

ner's Signature 7 Date Contractor's Signature Date 

9?fZ£/ u-i^-^^ j^^^^^^^^^T^ ^^^///^ 

3 Page 3 of. 
BVID# \^mB 

XRF PROPERTY SAMPLE SHEET 

Date Address 

Project Omaha Lead ARRA Sample time 

XRF ID# ^^02^-2 ^ sample length 

Shot# Reading Sample area Shot# 

'&•} - ^ U , \7, yy 

g i \0\ t- \u Depth 

m hf^^lc p L P " 

Average IPX 1 Ic^ Average 

Shot# Reading Sample area Shot# 

6(Z) y^y^-^iy e/v 

fi-1 2lMyT ^ Depth 

0<& 2^S5'^Z-M \ " 

Average .5D^ ^Z- \ Average 

Shot# Reading Sample area Shot# 

Depth 

Average Average 

RETEST AREAS 

Shot# Reading Sample area Shot# 

Depth 

Average Average 

\6fn k. 7..S ,^T. am/pm 

30 sec 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 J- Reading No 85 

Mode SOIL 

Time 2011-04-

Duration 94.50 

Sequence Final 

Flags 

AVERAGE Avg of 82-84 

ADDRESS 1510 s 25th st 

QUADRANT F2 

DEPHT 6" 

XRF TECH N. LOPEZ 

MISC confirmation 

NOTE none 

ppm ± Error 

Pb 102.749 ± 16.002 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVIDi 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm

91.119

Supervised By: 

Certificate of Verification 

82 

SOIL 

2011-04-26 11: 59 

31.58 

Final 

19848 

1510 s 25th st 

F2 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 15.306 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 101.896 

Supervised By: 

Certificate of Verification 

83 

SOIL 

2011-04-26 12:00 

31.45 

Final 

19848 

1510 s 25th st 

F2 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 16.017 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 115.231 

Supervised By: 

Certificate of Verification 

84 

SOIL 

2011-04-26 12:01 

31.47 

Final 

19848 

1510 s 25th st 

F2 

6" 

N. LOPEZ 

confirmation 

none 

± Error 

± 16.683 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 89 

Mode SOIL 

Time 2011-04-26 12:04 

Duration 95.52 

Sequence Final 

Flags 

AVERAGE Avg of 86-88 

ADDRESS 1510 s 25th st 

QUADRANT EA, 

DEPHT 1" 

XRF TECH N. LOPEZ 

MISC confirmation 

NOTE none 

ppm ± Error 

Pb B05.152 ± 24.790 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 303.715 

Supervised By: 

Certificate of Verification 

86 

SOIL 

2011-04-26 12:03 

32.00 

Final 

19848 

1510 s 25th st 

EA 

1" 

N. LOPEZ 

confirmation 

none 

Error 

24.673 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 326.471 

Supervised By: 

Certificate of Verification 

87 

SOIL 

2011-04-26 12:03 

32.02 

Final 

19848 

1510 s 25th st 

EA 

1" 

N. LOPEZ 

confirmation 

none 

± Error 

± 25.458 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 285.270 

Supervised By: 

Certificate of Verification 

88 

SOIL 

2011-04-26 12:04 

31.50 

Final 

19848 

1510 s 25th st 

EA 

1" 

N. LOPEZ 

confirmation 

none 

± Error 

± 24.238 
• ^

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

a ^^^ ^ I Coastal Environmental Group Inc. ... 

^5^^^ ^ www.coastalhazmat.com ^ 

"'"•^ COASTAL 

EXECUTIVE SUMMARY: 

BVID #19848- (1510 S 25 ST) 

"xl No Issues or Concerns | ^ Issues/Concerns 

Detail Explanation: ­

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

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

THE POSSESSION OF A SUBCONTRACTOR THAT WAS CONTRACTED TO PERFORM 

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

SUBCONTRACTOR HAS SINCE LEFT THE PROJECT. THEREFORE, THE PHOTOS 

ARE NO LONGER AVAILABLE 

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

5/3/2011. 
Property Completion Agreement 

This agreement documents the complclion ot remedial aclivmes perloimed on my properly My signalure 

will designate thai I am satisfied with the resioralion of my properly, and ihal no ilems are m questions, 

now, or al any lime in the future, excepl ihose ifems listed below, if any 

Piopcrty ID: TWW 

Property Address: | ^ | Q CL, ^X ^ '2^^ ^ 

Owner: 

!:}: ^ ^w.^^ ?<p^ 

Restoration Items in Question: 

Item: 

Item: 

I ••• I I • L U 

Item: 

Item: 

Item: 

Item: 

\ r I J »f>rcc lextoralion 'ts completed, eirccpl as nolert 

[_J I Ho not ai;rec resloration is completed 
SIK. EPA 

EPA Property Close Out Form 

Property #: _ PropertyA6ir^-.J^J^^^ , ^i^^cT ^ 

Date^mc : Owner's Name; ./j,'^^'^;:. ^ 

Quads Excavated: Contractor Group. 

Eicuvation General 

Yes No 

1. Ifnecessuy, were the correct quadrant(s) excavated and restored? / 

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

CradlDg Sod and Vegetatjoa 

Yes No 

I. Does the grading around the perimeier ofthe house in excavated areas generally slope away 

from the house? 

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

3. Does the sod appear to be generally healthy and growing? (Only evaluale 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 the property graded such that water will nol pool nn the propen>'? / 

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

Gates, Fences and Rctainlus Walls Ves No 

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

2. Were alt gates or fences taken down during restoration activities reinstalled? (If applicable) y 

3. Was damage to gates or fences avoided? (i f applicable) y 

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

Foundatioa, SidinR and Gutters Yes No 

I. Was damage to the siding or trim avoided? / 

2. Was damage to the foundation avoided? / 

3. Was damage to windows avoided? / 

4. Was damage to windows or door screens avoided? y 

5, Was damage to downnspouts or downspoui extensions avoided? y 

Sidewalks and Driveways (Concrete) 

Yes No 

I. Was damage to driveway surfaces avoided? 

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

Inspection notes: 

*** 

•l« 

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

EPA Representative ^ ^ Date: «l»W