TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

i I SAID#: ^{7 1^<^ 

Date: 

Address: 1^3 ^ S U^ ^ ^ ^ 

Remediation Contractor: _Coastal Environmental Group_ 

SOIL REMEDIATION 

PROPERTY nL E FOLDER DOCUMENTS 

•a 

Video of property (DVD) 

Executive Summary 

k 

EPA-provided property sketch 

Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

tk 

Restoration Agreement 

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

-e- Confinnation data 

uP 

Photographs fe tKCl>i/AlU^ 

As-built sketch 

iP. 

/ Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

-e- Description ofareas not meeting ROD cleanup criteria 

Utility clearances 

Property information from Douglas County Assessor's Office 

 \o 

Year: 200 H 

30055492 

Superfund 
t» 

Property Access Checklist 

Property ID:-^^j^;-!; : 

D WORK STARTED ON: / / 

D WORKCORiPELTED ON:_ / / Property Address: ,3:^ 7 ,*^ ?. U 1 ^ 

Owner 

Renter .b:y.ph <Sc,arpiiri^ 

Address: Phone: 

Fax: 

Cell/Pager. 

Additioaai Infonnation: Phone: qQ2. 3M|,0?,11 ^ 

Fax: 

Celt/Pager. MOZ . 203 - 3.^?>C) 

D Notification Letter 

Sent: / / By: 

^ Access Agreement 

Signed:9_/^'Q9. By: 

^ Restoration Agreement Signed: ^/i ^ / ^ By: 

CJ Topsoil Sampling (if applicable) /

 / By: 

D Disposal Sampling (if applicable) /

 / By: 

D Garden Sampling (if applicable) /

 / By: 

^ Utility Clearance 

Called: 9_/^/0 g By:ir\|?)nQ 

Q'^ Video/Piiotos (Before) On:BJ-'M By: l0'(L4n\i\O 

0 Video/Pbotos (During) On: / / By: 

D Video^hotos (After) On: / / By: 

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

iP\Property Completion Agreement Signed: 40/ja/i2^ By: 

D FinalReport Issued:

 / / By: 

Air MonitorinE (as applicable) 

D Commnnity O Crew On: / / Br.

 1 

Results: 

D Commnnity DCrew | On: / / 'r-

1 

Resuhs: 

0 Community Q Crew On: / / Br 

Results: 

Omaha Lead SKe 
"Douglas County Accoimt I[j^anjwtio ; n Page 1 of2 

Douglas County, Nebraska Property Record - R2218540002 

Print Report 

NEW FeaturB - Parcel Dimensions avaiiable @ scale 0-50 f) west of 52nd St - VJeVtf OH Ma p Infoimation is valid as of 2009-9-15 

New Feature

Treasurer's Tax Report 

 ->->- * Auto Sales Search 

Owner 

SCARPINO JOSEPH J 

ETAL 

1332 3 26 ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 1854 0002 22 

Account Type: Residential 

Parcel Number: 2218540002 

Parcel Address: 

Legal Description: 

1332 8 26 ST 

OMAHA NE 68105-0000 

SHULLS 2ND ADD LOT 8 BLOCK 9^50 X 127 

Value Informatio n 

2009 

2008 

2007 

2006 

2005 

2004 

Land 

$4,900.00 

$4,900.00 

$4,900.00 

$4,900.00 

$4,900.00 

$4,900.00 

Improvement 

$48,600.00 

$48,600.00 

$48,600.00 

$37,900.00 

$37,900.00 

$37,900.00 

Total 

$53,500.00 

$53,500.00 

$53,500.00 

$42,800.00 

$42,800.00 

$42,800.00 

Sales Informatio n 

Sales Date: 2009-01-27 

Deed Type: 

Price: 

QC 

$0.00 

Book: 2009 Pago; 007067 

Grantor: SCARPINO JOSEPH J 

Grantee: SCARPINO JOSEPH J ETAL 

ValldHnvalld: Invalid 

Exclusion Reason: Family Sale 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.14 6350.0 1.0 127.0 50.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online,com/DouglasCoNe/static/accountinfo.jsp?accountno=R22... 9/17/2009 
Douglas County Account Ll|^iiM|tio n Page 2 of 2 

Building 1 

Second FIOO^ Rrsinoor 354.0 sq ft 

792.0 sq. fl. 

1 t/2 STORY FINISHED 

CUCK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1146.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: I 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: i Central Air to Air Rooms: \ 7.0 

Exterior: i Frame Vinyl Units: ! 1.0 

Interior: Plaster Baths: , 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

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 

1906 0% 1906 103 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 720.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch Slab Roof Ceil 160.0 

User Attic Full Finish 354.0 

http://douglasne.mapping-online.com/DougIasCoNe/static/accountinfo.jsp?accountno=R22... 9/17/2009 
Page 1 of2 

"> 

: ^ Create Another Ticket J [^ Back to Irth Internet^ J Send Email. ] 

• YOUR TICKET NUMBER IS 2382981. 

Original Call Date: 10/08/09 Time: 2:42 pm Op: ELIZABETH18790 


Work to Begin Date: 10/13/09 Time: 3:15 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1332 Street: S 26TH ST 


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


RESENT DUE TO WORK EXTENDING. PLEASE REFRESH PAINT AND FLAGS 


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 MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


Service Area Contact Phone Number Utility Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVEL3 LEVEL3 COMMUNICATIONS, LLC NA Alt: 

Emerg: 8773668344 

Day: 4025047823 

MUD02 METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 

Day: 4024447197 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RON Alt: 4024445161 

Emerg: 4024445160 

http://v4rvm.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/8/2009 
Page 2 of2 

OPPDGPR6 OMAHA PUBLIC POWER DISTRICT NA

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIF QWEST LOCAL NETWORK NA

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://vmv^'.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/8/2009 
OLS#: 20155 

Date Excavated: 10/17/09 

Date USEPA Signed Off: 11/13/09 

As-Built Drawing 

COASTA L Omaha Lead Superfund Site Area Sodden: 1629 sa ft 

Name; P.C->^!? FTyJa 

Address: -^ 5 5 c ^6 ^ S-!~ 

Phone: A'/A 

Omaha Lead Site 

Site Sketch 

Date: 

Time: 'S:i<:jyy 

North Arrow —i 

Team Pis .-/Pf,MP/O^A'ty /ocfy' BVID # P c I ^' f XRF Code ^>27 ^ 

Sample Number Lead Concentration Confirmation Sample 

tO'^chcA -20iSS 

•ZaO± 1^ -

/f6 ± gg 

'2Sl±3yi 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

fWes n 

f^Yes • 

$tYes n 

fSi'es n 

p«Yes n 

Yes • 

Yes • 

No. ^ 

No ^ 

No 

No 

No 

No CD 

No • 

Omaha Lead Site 46130 

Legen d 

Concrete Drip Zone Excavated 
 Quadrants Excavated 

Area replaced with Area replaced with 

Area lef t bare Sod Rock/Mulch l-~k\ 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
\0\\3 # 

Name; Z^d'^l^ FT/^c ^ J 

Address; r-J-^Q Sc •^(e'^ S'k 

Phone; A/X/ f >i l ^O^lt , 

Omaha Lead Site

Site Sketch

 Date:

 Time:

 'P/.PpPo^ 

 ^Si.i^'pPx 

North Arrow 

-*^ - ^^. 1 

Team yfs>v/Vy/-^/g>^A'/> ^ z^.^-^/ BVID # Pc/i T XRF Code ,^^2^ ^ 

Sample Number Lead Concentration Confirmation Sample 

ppm 

ppm 

Q 

^Ves

f^Yes

£'{^»Yes

fSfes

.lA'es

Yes

Yes

 a 

n 

a 

O 

n 

n 

• 

No ^ 

No ^ 

No raC 

No : ^ 

No ^ 

No a 

No • 

.--4: \ ww^'^m^^^^ ^ ^ 

i i \ \\ \ '-k 

.^ \^^il^ \ \ 

)maha Lead Site rUfts 1^ ^ l^^^i^ 46130 
^ 

Name: 'Zct'^I^F^y-^a -^ t Omaha Lead Site Date: North Arrow 

Address: rT^Q Sc ^l^kp^^+ Site Sketch Time: ^S:i^j>n ? . 

Phone: y/l'/A 'p^W ^^'M , 

Team Pist.^//^>Ae//O^A't^ v Ptxyy^ BVID # Pc/5'6' ^ XRF Code 5^2? ^ 

Sample Number Lead Concentration Confirmation Sample 

^Wes n N o ^ ~mSz ppm ^ f^Yes n No g\ . g-Ye^' ppm c ^ A - 20IS S ^ ^ 7 ± g i c f^Wes n No R ^ ppm '2$7±3< g • ^ e s O No TZ^ ppm r^ 

p^Yes n No l ^ ppm 

ppm ' Yes n No n 

ppm Yes • No • 

\ 

-^V^ 

i ^oki:2^'^ W7^­

•r 

TTff''^— T-^t —y^' - •!• 

^'-Z\i f'.wl.«»'. . « •"'» — ^t^'P|^«^JA^ ^ , 

i i ' . .* 

" . . • 

.• • • 

» • .• —rzi-rrlriT .^c... T 

./..• . >c 

p ^ ^:^ ^ J^ 4^'^ 

/ - - 7 V 

r^i 

i^r^ktzei 

M^K^^^r^ : ^ 

ffih? 

5d ^^^i^-^ i 

Yzp''t77'"'Wi'9i/ 

Omaha Lead Site 46130 
Name: 'sci^lZFTy/o Omalia Lead Site XMe. NorthAnow - i 

Address: /r? a So ^U ^ S+ SKe Sketch Time^ « : tfn. Phone: yt'/ A ; 

Team Plsu^/y^i/rt/a*A>byPoiy/»y BViD # ^CISf T XRFCode ^>2; ^ 

Sample Numtwr l.ead Concentration Confimiatk>n Sample 

'PiK -a^jss. T-'Tes '-^ ^cm 

-2^1^ &7±g 7 PP*" f ^Yes n 

0»Ye8 n ?S7±3^ PP"; fSYes a 

ppm t^es a 

ppm Yes tn 

ppm Yes • 

^jt-2 > i ^ 

ixl^ " 

z,i. f)^ t*»' f>T 

~ ^ ^ 

^ ^ >)[, *jt: j ^ >—7 ^ I iifit^i^ 

7 ^ -^"^ ^t% • )(i ^ 

zsr: , ^ 

7 ^ 

R? ^^>f a? ^ 

- 7 ^ y ' - 7^ ^ 

> / / •; - 7 ^ s^iOTz; 2^^2tf­ ^e - ^ ^ 

/^i P 

><L 

/4^< 50^2 9 fi ^ &/af«f<l/»^ ::5r 

5d (^(^-^ <f 

Omaha L«ad Site 

^r 

No ^ 

No tfl 

No (=1 

No • 

^ 

46130 
1^1^ u^ i 

^•(t o "Ar , 

COASTA l fIfVIKOHniKTA I 

^ t PBO'* ' c X o u r IN C 

Consent for Access To Properfy 

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: e>vip-. zo\ss 

owner's Nan,e: ^JP^^j-f J ^O^f|H ^ Daytime Phone: ^^ ^ ^ M | C^^ t 

Address of Property 

covered by this 

Agreement im w^^ ^r : 

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, vinll 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 wori^. This access shall 

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

agrees to: 

Page 1 of 2 
.^^'""v. 

' i PROli " 

s COASTA L 

tHVinOHHIKTAL 

C « O U * IX C 

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

piles, dog houses, etc; 

c 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; 

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 

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 

[ ^ grant access to my properties D I do not grant access to my properties 

e / Date Signature 

Date 

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

Page 2 of 2 
i^ 

m z ^ 

COASTA L 

Restoration Agreement 

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

remediation activities. This will also serve as documentation fbr the purpose of assuring that restoration 

activities are completed to the satisfaction of the property owner and the United States Environmenta) 

Protection Agency (EPA). 

I Property IP: ^<^\<V^ 

Property Address: \\pj i Cj ^ rVi ^ X •"*'• ' \1 7 (.y I Ly^ ' 

Owaer. ^FsIP h J . 9Cl^\ ^ ^ 

Phone; (^l^yj,) ^ ^ -o^-]^^ ^^ ^ ^y^ ^ 

On die attached dtagrain(s) indicate area(s} to excavate, surface structures and landscaping features and 

access locatiQn(s) to be used by the contractors. Indicate distances, depths, material types, etc. 

Photographically and Videographically document the existing condhious ofthe property and the basement if 

necessary. 

items to be Removed by the Owner before Start of Remediation: 

The lenoval. stora.qe. disposal, snd/or return of these items is the Owner s responsibility. 

IM^^ ('lAVt-p = — 

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

Item: 

9<Mi^ \\A^<\ ie(-< U[\\\/^^ -

Item: 

^ ^ ^ ^ 

Hem: ^—''' ' 

Ksm: 

^ ^ - - ^ 

Pagel of. J 
kP(^~^ ^ 

COASTA L 

C k i i O ^ to t 

Items to Be Removed By Contractor Purina Remediation and Replaced 

t Item: 

V\ ho\L Y ^(k^ 

item: 

1/^ ^ 9sk^u k^ }>^ ^ «^ 

Item: 

tHem: 

L _ _ 

1 Item 

Pre-existing property area, 

that will be excavated, that 

is covered with grass. 

Numlier of trees > 2 inch 

trunk diameter 

Number of trees <- 2 inch 

' trunk diameter 

Num1)er of Sprinkler 

Zones. Control Valves. 

Toners. Heads, etc 

.Ait.ith n sl-eiclr ol llie 

vprinklci liiv'.uii 

Number of and size of 

area. 

Allrtch ;i skt'ich ul relative 

' <i/i"S nnd JocatiiMis 

Agreed upon value of plant 

replaced by contractor. 

Vou- Ihi' ^>^I^IC «ill m 

csrC 10 IS; m .i plan;' 

j loiiclu-r III llie (;rii|ici-l> 

0" ner. 

Easement Area, to be 

excavated 

Landscape Inventory 

1 Quantity Unit 

Quadrants 

n 

1 ^ 

Each 

kr Eaeh 

VASNICS Each 

Q- Each 

SquareFeet 

& S 

Each 

Conditlon/Type/Species 

^ e 6M^ 

\ ^^Jkc^(^ 

• 

^^ U ten^^vHivt.v ! 

Page 2 -A 
COASTA L 

C k O U P > * ** C 

\ Additional Comments / Instructions: 

Q Check the box if Ovmer does not want CEG to document interior foundation walls and possible 

pre-existtng damage. By checking this box CEG Is not responsible for any damage done to the 

interior of house, including foundation cracks or fissures. 

[EfTi agree O I llo not sgree 

(^.>^C7. i^()^ ^ ?-.^^>^y 9p QpiroeoD 

/Owner's Slgn^tore ^ Date Contractor's Signatnrr Date 

Page 3 of. 
a 

BVID # Qy^^^ S 

XRF PROPERTY SAMPLE SHEET 


Date 

Project 

XRFID# 

Shot# 

^-L ^ 5^'

Average

Shot# 

. ^ ^ 

^ ^ ^ 

f)'Z.5 

C.'ZSy, 

Average 

Shot# 

Average 

Shot# 

Average 

lab sample # 

10-/^-0 ^ Address >^-^Z^^.76"Tr 

Omaha lead FP 2nd year opllon Sample time am/pm 

sampie length 30 sec 

Reading Sampie area Shol# Reading Sample area 

^^2 ^ 

'3(o t I ft ^N\ -62 ^ ^ ^ / ^/ q -21. 3131 Depth g.^<=^ lfe7 Vi^gJD Depth 

 lic^zn s _UL .^3J- f&fe --2-/ nsn 

 (" ^ "^ 118 Average n o ^"2.0 

Reading Sample area Shot# Reading Sample area 

I t o - <q /^-^ % V B' 

Depth Depth IH^ tt s 

l-^-^ ^ I& 

/58 i''^ Average 

Reading Sample area Shot# Reading Sample area 

Depth Depth 

Average 

RETEST AREAS 

Reading Sampte area Shot# Reading Sample area 

Depth Depth 

Average 

Lab result Sample area XRF Avg. 

Signature£2b(2Mil ^ 

Print Pl(>^]fiftU A (VreV ^ 
Thermo 

SCIENTIFI C 

Thermo, Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 527 

Mode SOIL 

Time 2010-01-26 16:13 

Duration 120.79 

Sequence Final 

Flags 

AVERAGE ,--Avg-tJr523=526^ 

ADDRESS HT3 2 S.2 6 St. 

QUADRANT B l 

DEPHT 6 

XRF TECH E. CACERES 

MISC 1 

NOTE 1 

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 159.724 

Supervised By: 

Certificate of Verification 

523 

SOIL 

2010-01-26 16:10 

30.20 

Final 

20155 

1332 S.26 St. 

Bl 

6 

E. CACERES 

1 

1 

± Error 

± 19.145 
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 194.823 

Supervised By: 

Certificate of Verification 

524 

SOIL 

2010-01-26 16:12 

30.18 

Final 

20155 

1332 s.26 St. 

B l 

6 

E. CACERES 

1 

1 

± Error 

± 21.136 
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 142.969 

Supervised By: 

Certificate of Verification 

525 

SOIL 

2010-01-26 16:12 

30.20 

Final 

20155 

1332 S.26 St. 

B l 

6 

E. CACERES 

1 

1 

± Error 

± 18.418 
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 132.567 

Supervised By: 

Certificate of Verification 

526 

SOIL 

2010-01-26 16:13 

30;21 

Final 

20155 

1332 S.26 St. 

Bl 

6 

E. CACERES 

1 

1 

± Error 

± 18.229 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 532 

Mode SOIL 

Time 2010-01-26 16:20 

Duration 120.79 

Sequence Final 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 528 

Mode SOIL 

Time 2010-01-26 16:17 

Duration 30.21 

Sequence Final 

Flags 

BVID 20155 

ADDRESS 1332 S.26 St. 

QUADRANT DZ 

DEPHT 13 

XRF TECH E. CACERES 

MISC 1 

NOTE 1 

Error ppm 

Pb ± 20.627 185.688 

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 141.077 

Supervised By: 

Certificate of Verification 

529 

SOIL 

2010-01-26 16:18 

30.22 

Final 

20155 

1332 S.26 St. 

DZ 

13 

E. CACERES 

1 

1 

± Error 

± 18.582 
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 167.174 

Supervised By: 

Certificate of Verification 

530 

SOIL 

2010-01-26 16:19 

30.17 

Final 

20155 

1332 S.26 St. 

DZ 

13 

E. CACERES 

1 

1 

± Error 

± 19.894 
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 185.809 

Supervised By: 

Certificate of Verification 

531 

SOIL 

2010-01-26 16:20 

30.19 

Final 

20155 

1332 S.26 St. 

DZ 

13 

E. CACERES 

1 

1 

± Error 

± 20.820 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 522 

Mode SOIL 

Time 2010-01-26 16:06 

Duration 120.84 

Sequence Final 

Flags 

AVERAGE ,,-fAVg5f5I8z521~-^ 

ADDRESS ^-'1332 S.26 Str~—^ 

QUADRANT EM 

DEPHT 1 

XRF TECH E. CACERES 

MISC 1 

NOTE 1 

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 142.643 

Supervised By: 

Certificate of Verification 

518 

SOIL 

2010-01-26 16:03 

30.18 

Final 

20155 

1332 S.26 St. 

EM 

1 

E. CACERES 

1 

1 

± Error 

± 18.638 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 519 

Mode SOIL 

Time 2010-01-26 16:04 

Duration 30.17 

Sequence Final 

Flags 

BVID 20155 

ADDRESS 1332 S.26 St. 

QUADRANT EM 

DEPHT 1 

XRF TECH E. CACERES 

MISC 1 

NOTE 1 

ppm Error 

Pb 135.633 ± 18.066 

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 144.455 

Supervised By: 

Certificate of Verification 

520 

SOIL 

2010-01-26 16:05 

30.24 

Final 

20155 

1332 S.26 St. 

EM 

1 

E. CACERES 

1 

1 

± Error 

± 18.783 
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 108.866 

Supervised By: 

Certificate of Verification 

521 

SOIL 

2010-01-26 16:06 

30.25 

Final 

20155 

1332 S.26 St. 

EM 

1 

E. CACERES 

1 

1 

± Error 

± 16.557 
• • 

/VA^ % Omaha Lead Site—Fixed Price EP-R7-07-05 

I ^^^kZ °

ST^^T^

 Coastal Environmentai Group Inc.

 www.coa8talhazmat.com 

 V\ ^ ^ 

NPHO^*^ COASTA L EN 

s 1 0 u r . IN C 

EXECUTIVE SUMMARY: 

BVID #20155-(1332 S 26 ST) 

No Issues or Concerns Q Issues/Concerns 

Detail Explanation: . ­ • 
4

EPA 

EPA Property Close Out Form 

Property Addrwr. I f?^"Z- . tf Property #: "T^-^.l^Z ^ ?A>0 

Date/Time: I d / Z-^/^ ^ Owner's Name:. /LC '.O ,^f•ifjv^ii'. 

Quads Excavated:^ t s ( P ^ Contractor Group gg^<J-MJ l g^r>&t^ 

Ves No Excavation General 

1. If necessaiy. were the correct quadrant(s) excavated and restored? 

2. If necessaiy, were the correci areas of drip zoiie excavated and restored? k?' 

Grading Yes No Sod and Vegetation 

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

from the house? y

2. Has sod been laid in ail areas that were excavated? 1./' 

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

day time period) y

4. Are sodded areas generally firm and evenly graded? k?' 

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

6. Was the property graded such that water will not pool on the propert>*? \y 

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

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close (i-eely? (Ifapplicable) kA 

2. Were all gates or fences taken down during restoralion activities reinstalled? (Ifappiicabie) 1 / 

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

4. Was damage to retaining walls avoided? (Ifapplicable) 1 / 

Foupdation, Siding and GuMers Yes , No 

I. Was danuge to the siding or trim avoided? 

2. Was damage to the foundation avoided? 

3. Was damage to windows avoided? 

 Was damage to windows or door screens avoided? -y 

5. Was damage to downspouts or downspoul extensions avoided? iy ' 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? L / 

2. Was damage to walkway surfaces avoided? L^ ' 
Owners comments: 

Inspection notes: 

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

EPA Representative LJcP h Uofi/hl P Date: H /j/d f 
# 

Property Completion Agreement 

Ihis agreemeni documenis Ihe complclion of remedial acliviiies perloimed on my properly My signalure 

will ciesignale liiat I am satisfied wilh Ihe restoralion of my properly, and thai no items are in questions, 

now, or at any time in the fiilure. except those ilems listed below, ifany 

Property ID; ^1^ 5 

Property Addrm: j:i^^2 ' S ^ 4 ^f . 

Ownc : "S^^^p ^ SZ-AApix h 

Phone: (qo^ ) l^H l ,^?g6? -

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

\y^ I >i(;rrc ir?for*(ion i» compltud, except as nnleri 

[ I I Ho nol Kf.rtc rr.«iorafinn il, complelcrl 

(Vv\<L>v 

Owner's Signafiire Date C.nnK actor's Sicnalnrc Dale