# TRANSMITTALo f

OMAH ALEAD SIT E SOI LREMEDIATIO NFIL EFOLDER SA1D# : ioSRl' O Date: ,^|.^/D 9 

# Address : 9H0l ~ S .^ 4 S f Remediatio nContractor : Coasta l Environmenta l Grou p Year : 200 8
SOI LREMEDIATIO N PROPERT YFIL EFOLDE RDOCUMENT S Vide o o f propeii y (DVD ) 4031481 3 [1 / 

## Executiv e Summai y 

# y EPA-provide dproperty sketc h Superfun d 

## Signe dAcces s Agreemen t fo r subjec t property Signe dAcces s Agreement(s ) fo r adjacent property a y Restoratio nAgreemen t Settlemen t document s (i.e. , fo r damag e or to replac e plants , etc. ) 31 / 

## Confirmatio ndat a 

# Photograph s pfie,-g^y:<^ziJ/?Jion ^ <?j)CrjJaIisA j -^t^A ^ \^o M So d As-buil t sketc h 

# y Satisfactor y restoratio nsigne db y Property Owner Property close-ou t chec k lis t signe db y EPA 

# m Descriptio no f area s no t meetin g RO D cleanu p criteri a 

# y Utility clearance s 

# y Property informatio nfro mDougla s County Assessor' s Offic e



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Video/Photo s (Before ) Video/Photo s (During ) Video/Photo s (After ) Video/Photo s (30-Day ) Propert y Completio nAgreemen t Fina l Repor t Sent : / / Signed : _i£)/:24./0 5 Siened : JD / lit O ? / / / / / / Called : jQ/^/£ ^

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## Dougla s County Accoun t Inf(ujmation Pag e 1 o f 1 (Ujma
Dougla s County , Nebrask a Propert yRecor d - R074421000 0 Prin t Repor t Parce l Dimension s availabl e @ scal e 0-5 0 f t west o f14 4 S

t - ViewO H Ma p Informatio n i s vali d a s o f2008-4-1 7 Treasurer' s Ta xRepor t Ne wFeatur e -»-»- » Aut o Sale s Searc h Owne r HAMMERL YELIZABET H ETA L 241 1 S 2 4 S T OMAH AN E 68108-000 0 Propert yInformatio n Ke yNumber : 442 1 000 0 0 7 Accoun t Type : Residentia l Parce l Number : 074421000 0 Parce l Address : 240 7 S 2 4 S T OMAH AN E 68108-000 0 Lega l Description : CAMPBELL S AD D LO T2 0 BLOC K7 W11 2 F TLT S 1 9 & Valu e Informatio n Lan d Improvemen t Tota l 200 7 200 6 200 5 200 4 200 3 200 2 $10,400.0 0 $10,400.0 0 $10,400.0 0 $10,400.0 0 $10,400.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $10,400.0 0 $10,400.0 0 $10,400.0 0 $10,400.0 0 $10,400.0 0 $0.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.2 6 11625. 0 0. 0 0. 0 0. 0 Ye s



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. . 5/8/200 8 

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## • YOU RTICKE TNUMBE RI S 2159163
. Origina l Cal l Date : 10/21/0 8 Time : 11:5 8 a m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 10/23/0 8 Time : 12:3 0 p m State : N E County : DOUGLA S Place : OMAH A Address : 240 7 Street : S 24T H S T Twp : 15 NRng : 13 E Sect-Qtr : 27-SW,28-S E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : lea d remediatio n Locatio n o f Work : LOCAT E ENTIR E PROPERT Y INCLUDIN G TH E HOUS E AL L TH E WA Y T O : TH E STREET . Remarks : FAX AL L CLEAR S TO : (877)662-421 1 Compan y: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ELIZABET H Phone : (877)662-421 0 Wor k Bein g Don e For : coasta l Dept ho f Excavation : 4f t Corne r Lot : N Front : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL 3 MCLEODN E MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F QWEST 2

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e
CXCAT V CO X COMMUNICATIONS , IN C HEIDI Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7

LEVEL3 LEVEL 3 COMMUNICATIONS , LL C N A Day : 877366834 4 Alt : Emerg : 877366834 4

MCLEODN EMCLEODUSA NO NEE D T O CAL LOU T EMERGENC Y Day : 800289190 1 Alt : Emerg : 800289190 1

MUD0 2 METROPOLITA NUTILITIES DISTRIC T SAND Y Day : 402504782 3 Alt : Emerg : 402504794 6
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. . 10/21/200 8

## Pag e 2 of 2

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## Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 Alt : 888728934 3 Emerg : 406728934 3 Day : 406728934 3 Al t Emerg : 888728934 3 Day : 800283423 7 Alt : 303992192 6 Emerg : 800283423 7

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. . 10/21/200 8

# As-Buil t Drawin g COASTA L 

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# ENTERE D Dat e USEP ASigne d Off : 1/26/0 9 Are a Sodde d 1248 0 s g f t AU G 2 2 200 7



### Legen d Dri p Zon e Excavate d Quadrant s Excavate d Concret e Are a replace d wit h Are areplace dwit: h Are alef t bar e So d' Rock/Mulc h 

### Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc
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COASTA L ENVIRONMENTA L '^ LPBOlt' ^ CROUP

. INC

. 

## Consen t Fo rAcces s T o Propert y RIGH TO F ENTR YTO PREMISE S 

## Granto r(th e propertyowner) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rit s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises : 

# ImHiPcAy/[ ^

Owner' s Name : j/;^\/|,^ ^ H^j^V/1

. Y-'iffLU ^ Daytim e Phone : ^ 7 :

Addres s o fPropert y covere d b ythi s 

# n 

# Z^c l 

# ^ ZMT ^ ^7T Agreement :
PURPOS E O F RESPONS E ACTIVITIE S 

## Th e EP Ai s requestin g acces s t o collect soi l sample s an d remov e soi l tha t contain s elevate d concentration s o flea d an d ma ypos e a healt h hazard
. Th e area(s ) wil l b e excavate d t o remov e contaminate d soil
. Th e remove d contaminate d soi l wil l b e replace d wit h clea n material s an d th e are a wil l b e restore d t o it s origina l condition
. Thi s wor k i s bein g performe d unde rth e Omah a Lea d Superfun d Sit e remediatio n program . Arepresentativ e o fCoasta l Environmenta l Group , contracte d byUSEPA , wil l contact th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i t begins
. Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approval
. Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EPAtha t th e propert yha s bee n remediated
.
ENVIRONMENTA LRESPONS E ACTION S 

## Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e righ t t o ente rth e property , at al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e ofperformin g th e work
. Thi s acces s shal l remai n i n effect unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to :

Pag e 1 o f2— • * *1t ° ^'"r ^

COASTA L ENVIRONMENTA L GROUP , INC

. 

### Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ;

Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; I fth e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e work
. Allo wvideotapin g and/o rphotographin g o fth e property
. AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo fth e wor k activities , o rwit h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (877 ) 234-6270
.

n I gran t acces s t o m ypropertie s n I d o no t gran t acces s t o m ypropertie s

' ya^v^ y 1 ^ ^0-v / o V Signatur e Date Signatur e Date

Q I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required
.



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## Restoratio n Agreemen t Th e purpos e ofthi s agreemen t i s t o provid e a mutua l agreemen t a s t o condition s o fth e propert yprio rt o remediatio n activities
. Thi s wil l als o serv e a s documentatio n fo rth e purpos e o fassurin g tha t restoratio n activitie s are complete d t o th e satisfactio n o fth e propert\ ' owne ran d th e Unite d State s Environmenta l Protectio n Agenc y(EPA)

.

Owner : [;^/yvnc t \]mmPh 1 

### Phone : 1| ^ 1,^ ^ y^ '

O n th e attache d diagram(s ) indicat e area(s ) t o excavate d an d dept h o fexcavation , locatio n o fal l know n utilities , subsurfac e features , syrfac e structure s an d landscapin g fealures , acces s location(s ) t o b e use d b y contractor , an d th e directio n o fNorth
. Indicat e distances , depths , materia l types , etc
. Indicat e digita l photo s b yreferencin g th e photo-lo g numbe rwit h a n arro windicatin g directio n o fview
. 

### item s T o B e Remove d B yOwne rBefor e Star t O fRemediation : (Us e additiona l sheet s a s necessary ) Th e removal , storage , disposal , and/o rretur n o fthes e item s i s th e Owner' s responsibility
. Item : 

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Pag e 2 of

.COASTA L C f

> O U rIN C 

## Item s To B e Remove d ByContracto rDurin g Remediatio n An d Replace d (Us e additiona l sheet s as necessary )

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### Pag e 3 of

.C O AS Tft L 

## Landscap e Inventory (Us e additiona l sheet s a s necessary ) 

## Ite m

Pre-existing propert y area , tha t will b e excavated , tha t is covere dwit hgrass .

Numbe r of tree s > 2 inc h trun k

diameter

Numbe r of tree s < = 2 inc h trun k

diamete r

Numbe r of Sprinkler Zones , Control Valves , Timers , Heads , etc . Attachasketcho f the sprinkle r layout
.

Numbe r of an dsize of eac hgarden / flowe r bed area . Attachasketcho f relativ e size s an dlocations
. 

## Quantit y Uni t Condition/Type/Specie s

Squar e fee t

j 

# y Eac h

Eac h ^ ! 

# y Eac h 

# 0 Eac h Squar e Fee t

Pag e 4 of

.

### ( ^ ^ COASTA L 

## Ite m Agree dupo nvalu e o f plan t material s no t t

o be renlace dbv contractor . Not e thi s valu e wil l be usedto issue aplan t vouche r lo the property owner . Agreedupo nlist of plan t material s tha t wil l be replace db y contractor . B e ver y specific an ddetailed
. Include asketchof wer e eachplan t wil l b e placed b

y the contractor . Agreedupo nareaof propert y t o be replaced wit hgras s sod
. Include asketchof the area(s ) t o b e replacedwit h gras s sod
.
Are aof Cit y o r Count y propert y to b e landscaped pe

r their requirements
. Include asketchof the are a(s )

Easemen t Area , to b e excavate d 

## Quantit y Urii t Condition/Type/Specie s


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D Chec k th e bo xi fOwne rdoe s no t wan t CE G t o docximen t interio rfoundatio n wail s an d possibl e pre-existin g dannage
. B ycheckin g thi s bo xCE G i s no t resF>onsibi e fo ran ydamag e don e t o th e interio ro fhouse , includin g foundation crack s o rfissures.



### • Iagre e 

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# W y yHT.nt^WX> ^ • gS^ TC^\Al! l q t l 

# ^ q y\x:> ^ i r ^ .pc>^
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# z f^- i iy3t\o.?> a Dept h 

## ^^(^ ^ \(^.• ^ <~C't nv. \ Dept h ,3:^^ ^ 1-77.08 1 i\n q 

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## : ^ 

# 3: Averag e 7 D i? > - \ V .''O O Averag e l^' o 0 \ 1 l~I-<Q O
Shot # Readin g Sampl e are a Shot * Readin g Sannpl e are a 

# -^ac y /o^..^sxp,. a a^vD" ? .4P'S«Mh8.^> 4 

# f^ a 3-\C:6^ .^-t.7Diq.5- ^ Dept h Dept h -Of \ /^Al8^ u 

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# Ui > Averag e ^ l O \ J ( ^ X A^ Averag e

RETES TAREA S Shot # Readin g Sampl e are a Dept h Averag e la b sampl e i t La b resul t Sampl e are a XR F Av g Signatur e

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

Supervise d B y 

## Certificat e o fVerificatio n

332 7 SOI L 

### 2008-11-1 4 11:1 4 123.6 1 Fina l Av g o f3323-332 6 240 7 s 2 4 s t easemen t Ventr y 1 CLEARANC E

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 354.57 7 Supervise d By : 

## Certificat e o fVerificatio n

332 3 SOI L 

### 2008-11-1 4 11:1 2 30.9 9 Fina l 

### 6291 5 240 7 s 2 4 s t easemen t Ventr y 

### 1 CLEARANC E

± Erro r
± 22.55 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 311.97 0 Supervise d By : 

## Certificat e o fVerificatio n

332 4 SOI L 

### 2008-11-1 4 11:1 3 30.9 8 Fina l 

### 6291 5 240 7 s 2 4 s t easemen t Ventr y 

### 1 CLEARANC E

± Erro r
± 21.82 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 271.87 1 Supervise d By : 

## Certificat e o fVerificatio n

332 5 SOI L 

### 2008-11-1 4 11:1 4 30.9 8 Fina l 

### 6291 5 240 7 s 2 4 s t easemen t Ventr y 1 CLEARANC E

± Erro r
± 20.40 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 426.77 1 Supervise d By : 

## Certificat e o fVerificatio n

332 6 SOI L 

### 2008-11-1 4 11:1 4 30.6 6 Fina l 

### 6291 5 240 7 s 2 4 s t easemen t Ventr y 1 CLEARANC E

± Erro r
± 24.64 4

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

Supervise d By : 

## Certificat e o fVerificatio n

333 2 SOI L 

### 2008-11-1 4 11:1 8 122.7 0 Fina l Av g o f3328-333 1 240 7 s 2 4 s t F l Ventr y 6 CLEARANC E

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 72.86 2 Supervise d By : 

## Certificat e o fVerificatio n

332 8 SOI L 

### 2008-11-1 4 11:1 6 30.8 8 Fina l 

### 6291 5 240 7 s 2 4 s t F l Ventr y 

### 6 CLEARANC E

± Erro r
± 11.38 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 103.32 4 Supervise d By : 

## Certificat e o fVerificatio n

332 9 SOI L 

### 2008-11-1 4 11:1 6 30.6 0 Fina l 

### 6291 5 240 7 s 2 4 s t F l Ventr y 

### 6 CLEARANC E

± Erro r
± 13.03 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 281.41 0 Supervise d By : 

## Certificat e o fVerificatio n

333 0 SOI L 

### 2008-11-1 4 11:1 7 30.5 9 Fina l 

### 6291 5 240 7 s 2 4 s t F l Ventr y 

### 6 CLEARANC E

±Erro r ±20.68 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 197.37 1 Supervise d By : 

## Certificat e o fVerificatio n

333 1 SOI L 

### 2008-11-1 4 11:1 8 30.6 3 Fina l 

### 6291 5 240 7 s 2 4 s t F l Ventr y 

### 6 CLEARANC E

± Erro r
± 17.53 4

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 340 0 Mod e SOI L Tim e 

### 2008-11-1 7 09:3 1 Duratio n 

### 123.4 6 Sequenc e Fina l Flag s AVERAG E Av g o f3396-339 9 ADDRES S '240 7 s 2 4 s t QUAD/ZON E B 2 INSPECTO R Ventr y DEPT H 

### 1 3 SAMPL E TYP E CLEARANC E NOT E

P b Supervise d B y

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 84.21 3 Supervise d By : 

## Certificat e o fVerificatio n

339 6 SOI L 

### 2008-11

- 1 7 09:2 8 30.8 4 Fina l 

### 6291 5 240 7 s 2 4 s t B 2 Ventr y 

### 1 3 CLEARANC E

± Erro r
± 12.76 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 61.47 1 Supervise d By : 

## Certificat e o fVerificatio n

339 7 SOI L 

### 2008-11-1 7 09:2 9 30.8 9 Fina l 

### 6291 5 240 7 s 2 4 s t B 2 Ventr y 

### 1 3 CLEARANC E

± Erro r
± 11.11 2

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 57.74 9 Supervise d By : 

## Certificat e o fVerificatio n

339 8 SOI L 

### 2008-11

- 1 7 09:3 0 30.4 6 Fina l 

### 6291 5 240 7 s 2 4 s t B 2 Ventr y 

### 1 3 CLEARANC E

± Erro r
± 10.31 7

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 77.08 3 Supervise d By : 

## Certificat e o fVerificatio n

339 9 SOI L 

### 2008-11-1 7 09:3 1 31.2 7 Fina l 

### 6291 5 240 7 s 2 4 s t B 2 Ventr y 

### 1 3 CLEARANC E

± Erro r
± 11.78 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 340 5 Mod e SOI L Tim e 2008-11-1 7 09:3 4 Duratio n 122.7 3 Sequenc e Fina l Flag s AVERAG E Av g o f3401-340*l t ADDRES S 240 7 s 2 4 s t QUAD/ZON E .8 1 INSPECTO R Ventr y DEPT H 1 3 SAMPL E TYP E CLEARANC E NOT E 

# .-r Z

Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1



### XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 220.16 9 Supervise d By : 

## Certificat e o fVerificatio n

340 1 SOI L 

### 2008-11-1 7 09:3 2 30.2 5 Fina l 

### 6291 5 240 7 s 2 4 s t B l Ventr y 

### 1 3 CLEARANC E

± Erro r
± 18.83 1

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 119.00 2 Supervise d By : 

## Certificat e o fVerificatio n

340 2 SOI L 

### 2008-11-1 7 09:3 3 30.9 5 Fina l 

### 6291 5 240 7 s 2 4 s t B l Ventr y 

### 1 3 CLEARANC E

± Erro r 

### ± 14.16 4

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 340 3 Mod e SOI L Tim e 

### 2008-11-1 7 09:3 4 Duratio n 

### 30.6 5 Sequenc e Fina l Flag s BVI D # 

### 6291 5 ADDRES S 240 7 s 2 4 s t QUAD/ZON E B l INSPECTO R Ventr y DEPT H 

### 1 3 SAMPL E TYP E CLEARANC E NOT E

pp m ±Erro r P b 197.49 6 ±17.81 0 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 203.38 0 Supervise d By : 

## Certificat e o fVerificatio n

340 4 SOI L 

### 2008-11-1 7 09:3 4 30.8 8 Fina l 

### 6291 5 240 7 s 2 4 s t B l Ventr y 

### 1 3 CLEARANC E

± Erro r
± 18.01 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 

### 341 0 Mod e SOI L Tim e 

### 2008-11

­ 1 7 09:3 8 Duratio n 

### 122.5 2 Sequenc e Fina l Flag s AVERAG E Av g o f3406-340 9 ADDRES S 240 7 s 2 4 s t QUAD/ZON E F 2 INSPECTO R Ventr y DEPT H 

### 1 3 SAMPL E TYP E CLEARANC E NOT E

Supervise d B y

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 

### 340 6 Mod e SOI L Tim e 

### 2008-11-1 7 09:3 6 Duratio n 

### 30.6 2 Sequenc e Fina l Flag s BVI D # 

### 6291 5 ADDRES S 240 7 s 2 4 s t QUAD/ZON E F2 INSPECTO R Ventr y DEPT H 

### 1 3 SAMPL E TYP E CLEARANC E NOT E

pp m ±Erro r P b 24.65 0 ±8.11 2 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 340 7 Mod e SOI L Tim e 

### 2008-11-1 7 09:3 6 Duratio n 

### 30.1 2 Sequenc e Fina l Flag s BVI D # 

### 6291 5 ADDRES S 240 7 s 2 4 s t QUAD/ZON E F2 INSPECTO R Ventr y DEPT H 

### 1 3 SAMPL E TYP E CLEARANC E NOT E

pp m ±Erro r P b 25.84 0 ±8.03 9 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 39.70 4 Supervise d By : 

## Certificat e o fVerificatio n

340 8 SOI L 

### 2008-11-1 7 09:3 7 30.8 8 Fina l 

### 6291 5 240 7 s 2 4 s t F2 Ventr y 

### 1 3 CLEARANC E

± Erro r
± 9.32 8

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 29.83 7 Supervise d By : 

## Certificat e o fVerificatio n

340 9 SOI L 

### 2008-11-1 7 09:3 8 30.9 0 Fina l 

### 6291 5 240 7 s 2 4 s t F2 Ventr y 

### 1 3 CLEARANC E

± Erro r
± 8.20 4

## iyML \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 I ^^^/ LI Coasta l Environmenta l Grou p Inc
. Sy^^^ ^

»n«w.coastalhazmat.co m ^PBO^* ^ COASTA L ENVIIIONMENTA L CROUP , INC

. 

# EXECUTIV ESUMMARY : BVI D #6291 5 - (240 7 S 2 4 ST )
N o Issue s o r Concern s | ^ Issues/Concern s
Detai l Explanation: -N O ISSUE S PENDIN G

# >EP A ^ ' 

# EPAPropert > Clos e Ou t Form Propert y« : 

### \ol'^\ ^ Propert y Addre« : 2^0 7 5 2M S f Dalc/Tlrnc : 

### Owner' s N.roe : EhHig
. 1 , Hap m^ r \V , Quad s Eic.v.ird : f l ^i^l , fi'| ^ ? ^ 2 

### Conlrarlo r

Crou p I r/^sro l (fr)vic^r'/r^^r> + fi
ExcivBllo n Ctntn l VHt>HT+ ( L^ ^ V w N o 1 I f neccssi,^ , wer t th e correc t quadrani(s ) excavate d an d reslored ? ^ 2 I f necessary , wer e th e correc t area s o f dri p zon e excavate d an d restored' ' 

# vl) t
GradiD KSo d ao d VrKcUlio n Ye s N o 1 Doe s th e gradin g aroun d th e perimete roflh e hous e i n excavate d area s generall yslop e awa y from Ib e bouse ? 

# y 2 Ha s so d be« n lai d i n al l area s Iha t wer e excavated ? 

## y 3 Doe s th e so d appea rt o b e generall yhealth yan d growing' ' (Onl yevaluat e i f inspecte d at a 3 0 x y da ylim e period ) 4 Ar e sodde d area s generall yfir m an d evenl ygraded' ' y 5 Aj t th e joint s betwee n th e so d strip s generall ytight' ' (Onl yevaluat e i f mspecie d a i a 3 0 da y 

## y lim e period ) 6 Wa s th e propert ygrade d suc h tha t wate rwil l no t poo l o n th e property ^ i X 7 Wa s damjg e t o landscapin g o rplan t material s avoided' ' 

## y Gates , 1 2 Fence s an d ReUinlD C Wall s D o gate s ope n an d clos e fre«l y "^

(I f applicable ) Wer e al l gate s o rfence s take n dow n durin g resloratio n aciiviiie s reinstalled' ' (I f applicable ) ^e i y

^

t^

^ N o

3 Wa s damag e t o gate s o rfence s avoided ? (Ifapplicable ) y A
. Wa s damtg e t o retainin g wall s avoided ? (Ifapplicable ) 

## l\) h FouDd i 1 itlon , SidiD| > an d Culler s Wa s damtg e t o th e sidin g o rtri m avoided ? Y e s N o
2 3 Wa s damag e t o th e foundatio n avoided ? Wa s damag e i cwindow s avoided' ' i L 

# lof w tJ ^
4 Wa s damag e i cwindow s o rdoo rscreen s avoided' ' ^ Wa s darcag e t o downspout s o rdownspou l extension s avoided' ' 1 

## j

—_L Sidewalk s an d Driveway s (CoDcrete ) 

### Ves N o Wa s damag e lo driveway surface^ avoided ' V^'as damag e l o walkwa ysurface s avoided' ? 2

# O tner s comments :

Inspectio nnotes :

Removal andresloraiio naclivale s coniplel e includin g ih e 30-da y so duairani } 

# y r L 

# i< J FP A^euTe^^.^^f(^^y^^^^''-^^ ^ HQI ,

## Propeii yCompletio n Agreemen t
Thi s agreeinen l docuinenl s th e cciinplclio no f remedial activilie s perlbrinec l onm y properly
. M y signiilure will designai e Iha l 1 a msalislie dwit hth e resloraiiono f m y properly , an dtha i no ilem s ar e i nquestions , now . o r a

l any lim e i nth e fulure , excep i thos e item. s lisle dbelow , ifany
. 

# Propcitk ^

ii) p Q z . 9/] r Properl y Addi^sv " 2.^0 7 C 2^^ ^ i~ ^ 

# ^"''

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JL^^rvK^yi i ^
_ _. —_­ •'""•" i - . 7 iL.211
. y.__.___

_ __,„_..-._. ^ ..^..-^-.^^ ~ Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item :
Additiona l Comments :



# L

QJIa};rci ' re.storalio ni. v conipk-tcd , excep t a s nolc d IIId o no t agre e resloratio nhcomplete d 

### y \ l 0 \ Uw- , '\ ^

f-^-" ' Owner' s .Signaiure Hal e "•onlractor' s .Signatur e Date