TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SA1D#: ioSRl'O Date: ,^|.^/D 9 

Address: 9H0l ~ S .^ 4 S f 

Remediation Contractor: Coastal Environmental Group Year: 2008 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of propeiiy (DVD) 40314813 

[1 / Executive Summaiy 

y EPA-provided property sketch Superfund 

Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

ay Restoration Agreement 

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

31/ Confirmation data 

Photographs pfie,-g^y:<^ziJ/?Jion^ <?j)CrjJaIisAj -^t^A^ \^oM Sod 

As-built sketch 

y Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

m Description of areas not meeting ROD cleanup criteria 

y Utility clearances 

y Property information from Douglas County Assessor's Office 

date 

y/y 
n 

Property Access Checklist 

Propc-rtjID: [^2^1 ^ 

PiX)pcrty Address: ^^p^ ^ 5 , A ^ ^3 " 

D

D

 WORK STARTED

 WORK COMPELTED

 ON: 

 ON: 

_/

/

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^''""'••Y)cm\c\\\ai^-wfn' 

Address: i Renter: 

Phone: 

Fax: 

Phone: 

Fax: 

3M(.­ ­ ?)?>HL{ 

Cell/Pager: 

Additional Information: 

Cell/Pager: 

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0 ^

D

LU

IZl

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•

 Notification Letter 

 Access Agreement 

 Restoration Agreement 

 Topsoil Sampling (if applicable) 

 DisposaJ Sampling (if applicable) 

 Garden Sampling (if applicable) 

 Utility Clearance 

 Video/Photos (Before) 

 Video/Photos (During) 

 Video/Photos (After) 

 Video/Photos (30-Day) 

 Property Completion Agreement 

 Final Report 

Sent: / / 

Signed: _i£)/:24./0 5 

Siened: JD / li t O ? 

/ / 

/ / 

/ / 

Called: jQ/^/£ ^ 

On:Jll^'^ICL S 

On: / / 

On: / / 

On: / / 

Signed: / / 

Issued: / / 

By: 

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By: 

By: 

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By: 

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By: 

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Air Monitorint; {»& applicable 

n Community • Crew 

Results: 

On: / / By: 

n Community

Results: 

O Crew On: / / 1 

CU Community

Results: 

• Crew On: / / By: 

Omaha Lead Site 
Property ID #

Property 

Address: 

Initial Contact:

Second Contact:

Final Contact:

Final Action:

Comment: 

Owner 

Comment (s): 

Site 

Coordinator 

Comment (s): 

# 

CONTACT FORM 

 (^Oyl S 

yoi S.y^S/-. Date: l^hip Time: V^' Actionl pli/^ ^ 

 Date: Time:_ Action 

 Date: Time: Action; 

 Transmit to EPA D Other Action: D 

\ook ove r {\ ^ 

ivMUy \y^t W^»^^ 
Douglas County Account Inf(ujmatio (Ujma n Page 1 of 1

Dougla s County , Nebrask a Propert y Recor d - R074421000 0 

Print Report 

Parcel Dimensions available @ scale 0-50 ft west of 144 St - Vie w OH Ma p Information is valid as of 2008-4-17 Treasurer's Tax Report 

New Feature -»-»- » Auto Sales Search 

Owne r 

HAMMERLY ELIZABETH 

ETAL 

2411 S 24 ST 

OMAHA NE 68108-0000 

Propert y Informatio n 

Key Number: 4421 0000 07 

Account Type: Residential 

Parcel Number: 0744210000 

Parcel Address: 2407 S 24 ST 

OMAHA NE 68108-0000 

Legal Description: CAMPBELLS ADD LOT 20 BLOCK 7 W 112 FT LTS 19 & 

Valu e Informatio n 

Land Improvement Total 

2007 

2006 

2005 

2004 

2003 

2002 

$10,400.00 

$10,400.00 

$10,400.00 

$10,400.00 

$10,400.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$10,400.00 

$10,400.00 

$10,400.00 

$10,400.00 

$10,400.00 

$0.00 

Lan d Informatio n 

Acres SF Units Depth Width Vacant 

0.26 11625.0 0.0 0.0 0.0 Yes 

L http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R074... 5/8/2008 
*WhitePages.com - Online Dirij|tory Assistance Page 1 of 1 

WhitePages.com" search, find, connect. 

1 Result matching "2411 S 24 St, Omaha. NE" 

Daniel F Hammerly 

2411 S 24th St 

Omaha, NE 68108-1337 

(402) 342-1824 

« , Lynch Park 

^ /' •/ 1 

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y y ...... I 500,yds Virtual Earth" ^ aift? Ntm«aft C«|>w«»« <eJ007N*VTK! €)*N0 

Listing date Mar 2008 

Copyright © 1996-2008 WhrtePages com. All rights resei-ved 

Privacy Policy. Legal Notice and Terms under which ihis service is provided lo you. 

Microsod MapPoinl Terms of Use and Privacy Statement 

http://www.whitepages.com/search/ReverseAddress?street=241 l+s+24+st+&city zip=om... 5/13/2008 
Page 1 of2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

• YOUR TICKET NUMBER IS 2159163. 

Original Call Date: 10/21/08 Time: 11:58 am Op: ELIZABETH18790 


Work to Begin Date: 10/23/08 Time: 12:30 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2407 Street: S 24TH ST 


Twp: 15N Rng: 13E Sect-Qtr: 27-SW,28-SE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead remediation 


Location of Work: LOCATE ENTIRE PROPERTY INCLUDING THE HOUSE ALL THE WAY TO 


: THE STREET. 


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


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: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MCLEODNE MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


QWEST2 


Service Area Contact Phone Number Utility 

Type 

CXCATV 

COX COMMUNICATIONS, 

INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVEL3 LEVEL3 COMMUNICATIONS, 

LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MCLEODNE MCLEODUSA NO NEED TO CALL OUT 

EMERGENCY 

Day: 8002891901 

Alt: 

Emerg: 8002891901 

MUD02 METROPOLITAN UTILITIES 

DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047946 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/21/2008 
Page 2 of2 

CITY OF OMAHA- OMAHACOF RON TRAFFIC,SEWER 

oppnrppA OMAHA PUBLIC POWER ^ . 

OPPDGPR6 DISTRICT ^ ^ 

QLNNEIF QWEST LOCAL NETWORK NA 

QWEST2 QWEST LONG DISTANCE SARA 

Day: 4024447197 

Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

Alt: 8887289343 

Emerg: 4067289343 

Day: 4067289343 

Alt 

Emerg: 8887289343 

Day: 8002834237 

Alt: 3039921926 

Emerg: 8002834237 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/21/2008 
As-Built Drawing 

COASTA L Omaha Lead Superfund Sife 

62915 

Omah Extenor Paint North Arrow a Lead Site 

Sampling AddrMs: 2407 S 24 ST Sit • Good e Sketch 

• Poor Phone: H (402)334-3344 ALT: ^ ^ f7f Not paint 

Sample Number 

RYASCPXA-62915

RYBSCPXA-62915

 Fl 

 F2 

Lead 

ConcentratKDn 

ZIfiZ . ppm 

. ppm 

Sample 

Collected 

y 

LAB 

D 

D 

Firm

Date

Time

Samples Collected 

 A^rV ^F/l f 

 (X>-0'i-^<?c7 

 in j o /itf\ 

RYCSCPXA-62915

RYDSCPXA-62915

 Bl 

 82 H<eZ 

. ppm 

. ppm [zr 

D 

D Samples Analyzed 

•Rnz.snpya-eaBn—D2­

-nOgOCPXA-G291ti 62-

nngocr-XA-ozgis—Pippm 

. ppm 

D 

n 

D 

n 

XRF Unit: (ji^H 2 Book /g V 

Date 'i/Za/0 7 

Time P^ l ' 

Number of Samples = ^ Q Staff MS W 

Legend Fl = Front Left. F2 = Front Right. 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

OLS#: 62915 

Date Excavated: 11/15/08 ENTERED 

Date USEPA Signed Off: 1/26/09 

Area Sodded 12480 sg ft AUG 2 2 2007 

Legen d 

Concrete 

Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replaced wit:h 

Area left bare Sod ' Rock/Mulch 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
62915 

Exterior Paint North Arrow Omaha Lead Site 

Sampling Address: 2407 S 24ST Site Sketch • Good 

• Poor Phone: ^ (402)334-3344 ALT 

fTT Nol paint 

Sampl Lead Samples Collected e Number LAB Concentration Firm: /^bJV ^^^/i f 

RYASCPXA-62915 Fl Date: 0e>0fy<?c7 

RYBSCPXA-62915 F2 Time: jo :/o A^ 

RYCSCPXA-62915 Bl 

Samples Analyzed RYDSCPXA-62915 B2 

Rn7srpyA.fi?fli?—oz- XRF Unit: {Q^HI . Book: (S J 

ROZ0CrXA-G201G G2- Date ol/T.r^^OT 

nPgCCPXAG2015 P2- Time £ £ l 

Staff 

Number of Samples mvt/ 

Legend: F1 = Front Left, F2 = Front Right. Bl = Back Left. B2 = Back Rigtit D2 = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from Ihe street, facing property 

ENTERED IOf'>^JlM-/^^/^ ^ 

AUG 2 2 2007 ^Yl^-^ ^ 
^ 62915 

Omah Exterior Paint North Arrow a Lead Site 

Sampling Address: 2407 S 24^T Site Sketch • Good 

• Poor 

Phone: H (402)334-3344 ALT: ^ ^ [7l Not paint 

Sampl Lead Sample Samples Collected e Number LAB Concentration Collected Firm: A^n' ^f/l f 

RYASCPXA-62915 Fl 1151 . ppm D Date: Oe>0<i-2c?c7 

RYBSCPXA-62915 F2 

ppm D Time: tn\i0Aiif< 

RYCSCPXA-62915 Bl 

.ppm n Samples Analyzed RYDSCPXA-62915 B2 ppm D 

Pn7SrPYfl^?fl1'S DZ- .ppm D n XRF Unit: IQ<TH 1 Book: /g V 

ROZ0CrXA-C201G G2- D D Date ^/ZQ/0 1 

npzccrxAG20io -PE- .ppm D n Time: 

£M. Numbe Staff: M^h/ r of Samples = H O 

Legend: F1 = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from Ihe street, facing property 

ENTERED 

AUG 2 2 2007 

^ yWff'*^' Rev 5 Cieaicd T.^W.^OO? IW ^2 27 QJO^ 046141 012.1 
^ r 62915 

Omah Exterior Paint North Arrow a Lead Site 

Sampling Address: 2407 S 24 ST _ ._ Site Sketch • Good 

Phone: H: (402)334-3344

Sample Number 

RYASCPXA-62915

RYBSCPXA-62915

RYCSCPXA-62915

RYDSCPXA-62915

Rn7SrPYAJi?01')

ROZ0CrXA-G2015

nPZCCPXA 62015

 F1 

 F2 

 Bl 

 B2 

 DZ­

 GZ­

 P2-

Legend: Fl = Front Left, F2 

• Poor 

 ALT: ^ ^ [^Not paint 

Lead Sample Samples Collected LAB Concentration Collected Firm: A^n'

llS l .ppm 

.ppm 

. ppm ET 

.ppm 

.ppm D n n m D 

.ppm D 

Number of Samples = ^ 

 /jf/l F 

D Date: (X>'0H-Z<x>7 

D Time: lo .to /Hv^ 

D 

Samples Analyzed D 

D XRF Unit: l^'^H'L Book: /g V 

D Date: ^/Za/0 7 

Time 

Staff: MSW 

n 2K 

Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from Ihe street, facing property 

ENTERED 

AUG 2 2 2007 

-7e- yf' < 

8Z 

IHZZ 

1157 

fl f2 

- : 

I ^ ^ - ^ ^ -Jif - - 4 . HHuC 

2H ST 

Rev 5 Created •" 29,2007 IW 32 27 046141 012.1 

-MC-j't' W fl ' r* /tPUti-M ' M wn7»r) jwirjoc'yc* M. JOD'I »' •ji»' .tc? UK' jKt xc w^ : .•'jm> m.'juo ' JK ' BU'J0».-•*n7 » 
- * 

COASTA L ENVIRONMENTAL '^L PBOlt'^ CROUP . INC . 

Consent For Acces s 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: 

ImHiPcA y/[^ 

Owner's Name: j/;^\/|,^ ^ H^j^V/1. Y-'iffLU^ Daytime Phone: 

^ 7 : 

Address of Property 

covered by this nZ^c l ^ ZMT ^ ^7T 

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 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 work. This access shall 

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

agrees to: 

Page 1 of 2 
— • * *1t° ^'"r^ 

COASTA L ENVIRONMENTA L 

GROUP , INC . 

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; 

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. 

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 (877) 234-6270. 

n I grant access to my properties n I do not grant access to my properties 

' y a^v^y 1^ ^0-v / o V 

Signature Date Signature Date 

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

(yyP<tjVI^ \Vl^t Vlf^Vb^ fW fW ^ VWTTU ]< %]o>^ p^ ^ 

h y u h9hi[k ^ y l/j, 

ly^i /)P^V2 
Restoration Agreement 

The purpose ofthis agreement is to provide a mutual agreement as to conditions of the 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 propert\' owner and the United States Environmental 

Protection Agency (EPA). 

Owner: [;^/yvnct \]mmPh 1 

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

On the attached diagram(s) indicate area(s) to excavated and depth of excavation, location of all known 

utilities, subsurface features, syrface structures and landscaping fealures, access location(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

items To Be Removed By Owner Before Start Of Remediation: 

(Use additional sheets as necessary) 

The removal, storage, disposal, and/or return of these items is the Owner's responsibility. 

Item: 

\-\oy 

Item: 

item: 

item: 

Item: 

Item: 

Item: 

Item: 

Page 1of il? 
COASTA L 

c n o u p IM C 

Items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item: 

\1,A 2. Item: 

Item: 

Item: 

Item: 

/ 

Item: 

Item: 

/ 

Item: 

Item: 

Item: 

Kem: y. 

Item: 

Item: 

Item: 

Item: 

Page 2 of. 
COASTA L 

C f> O U r IN C 

Items To Be Removed By Contractor During Remediation And Replaced 

(Use additional sheets as necessary) 

' Item: 

Item: 

' Item: 

Item: 

Item: 

Item: 

Item:

Oi^t>^ W^u. IVcc^^', n^ iMtP^ ifllfu xy^ 

yfi sl^hK ^ m Of W \i^u WH^-t If? l^h^. 

^^rm Will fix 11^' liU\^^ ffrK Oi^ tllx^ r^(­

-^ r^ t^tif^h 1^ ^^^ ^ o(^!nA l/V^"^ (^^H/^f 

i t 'fVfVt^ -ix? f^^ fe)f^riii^, 6^-^in<^i^^- VJl+t^ 

VI sv. | 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

I 

Page 3 of. 
C O A S T ft L 

Landscape Inventory 

(Use additional sheets as necessary) 

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. 

Quantity Unit Condition/Type/Species 

Square feet 

j 

y Each 

Each ^ 

! 

y Each 

0 Each 

Square Feet 

Page 4 of. 
( ^ ^ COASTA L 

Item 

Agreed upon value of 

plant materials not to be 

renlaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher lo the property 

owner. 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. 

Include a sketch of were 

each plant will be placed 

by the contractor. 

Agreed upon area of 

property to be replaced 

with grass sod. 

Include a sketch of the 

area(s) to be replaced with 

grass sod. 

Area of City or County 

property to be landscaped 

per their requirements. 

Include a sketch of the 

area (s) 

Easement Area, to be 

excavated 

Quantity Uriit Condition/Type/Species 

]> 

^ 

1 

$ 

Each 

SF 

SF 

SF ^ k \^rh 

Page 5 of 
C O A S T A t. • MVtMOIJMtMTAL flfOWP. (M C 

Additional Comments / Instructions: 

-^ O^bTYH. wil l \l^HiHi^ fr'^O , 'Wvitf^ W^^^c, 1^1/ 

Wife 1^ ^'^fUrt " ^ CL39uf€ (7f w \b^(x. 

D Check the box if Owner does not want CEG to docximent interior foundation wails and possible 

pre-existing dannage. By checking this box CEG is not resF>onsibie for any damage done to the 

interior of house, including foundation cracks or fissures. 

• I agree • I do not agree 

lytcuy ^ |4 u/yyv-^ II) -2,7 o y ^ H y<{ 

Owner's Signature 4­ contractor's Signature Date 

Page 6 of_ 
BVID ^ [jff \ if ) 

XRF PROPERTY SAMPLE SHEET 

Date \\-\^\-D 8 Address .-Qarn S.-r^a^Ja>>^. Project Omaha lead FP 2nc3 year option Sample time am/pm uw?;? XRFID# sample length 30 sec 

Shot# Reading Sample area Shot# Reading Sample area 

.^•iA ^ ^ 2: -y).fvg :^?yaR l^.Rfnti\. y ' ^ :?u .c\-ii^\.fiD o^- ^ y^-^^ iOS.A;5*-\^ c^H 

-^^ - 9 1 \ .gi^au^ b Depth .^,3.^ 0 5R'^ . ;-ii t<ao /.-<i Depth 

V-V^d p k;Qi..T-?t.>4uJ4 \ 35'^ \<^i'n ..^u - n <•-->: I ^ ( ^ 

Average 3-\ \ yry^Qy^ , Average Ug. ^ .l U i \ s LcCg 

Shot# Reading Sample area Shot# Reading Sample area 

^ ^ y^ i 0 8-A.^^-\Q-i u Wy yHT.nt^WX> ^ 

•gS^T C^\Al! l q t l ^ q y\x:>^ i r ^ .pc>^. l a \i . ^ l ^'^i z f^-i iy3t\o.?> a Depth ^^(^ ^ \(^.•^ <~C't nv. \ Depth 

,3:^^ ^ 1-77.081 i\n q 3 .^^ O ^ K)D3,..'^> 1ft 0-, : ^ : 

Average 7 D i?> - \V .''O O Average l^' o 0 \ 1 l~I-<QO 

Shot# Reading Sample area Shot* Reading Sannple area 

-^acy /o^..^sxp,.a 

a^vD"? .4P'S«Mh8.^>4 f^a 

3-\C:6^ .^-t.7Diq.5- ^ Depth Depth 

3^ty -Of\ /^Al8^ u i Ui> 

Average ^ l O \ J ( ^ XA ^ Average 

RETEST AREAS 

Shot# Reading Sample area 

Depth 

Average 

lab sample it Lab result Sample area XRF Avg 

Signature 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

Supervised By 

Certificate of Verification 

3327 

SOIL 

2008-11-14 11:14 

123.61 

Final 

Avg of 3323-3326 

2407 s 24 st 

easement 

Ventry 

1 

CLEARANCE 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 354.577 

Supervised By: 

Certificate of Verification 

3323 

SOIL 

2008-11-14 11:12 

30.99 

Final 

62915 

2407 s 24 st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 22.553 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 311.970 

Supervised By: 

Certificate of Verification 

3324 

SOIL 

2008-11-14 11:13 

30.98 

Final 

62915 

2407 s 24 st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 21.822 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 271.871 

Supervised By: 

Certificate of Verification 

3325 

SOIL 

2008-11-14 11:14 

30.98 

Final 

62915 

2407 s 24 st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 20.401 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 426.771 

Supervised By: 

Certificate of Verification 

3326 

SOIL 

2008-11-14 11:14 

30.66 

Final 

62915 

2407 s 24 st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 24.644 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

Supervised By: 

Certificate of Verification 

3332 

SOIL 

2008-11-14 11:18 

122.70 

Final 

Avg of 3328-3331 

2407 s 24 st 

Fl 

Ventry 

6 

CLEARANCE 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 72.862 

Supervised By: 

Certificate of Verification 

3328 

SOIL 

2008-11-14 11:16 

30.88 

Final 

62915 

2407 s 24 st 

Fl 

Ventry 

6 

CLEARANCE 

± Error 

± 11.386 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 103.324 

Supervised By: 

Certificate of Verification 

3329 

SOIL 

2008-11-14 11:16 

30.60 

Final 

62915 

2407 s 24 st 

Fl 

Ventry 

6 

CLEARANCE 

± Error 

± 13.036 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 281.410 

Supervised By: 

Certificate of Verification 

3330 

SOIL 

2008-11-14 11:17 

30.59 

Final 

62915 

2407 s 24 st 

Fl 

Ventry 

6 

CLEARANCE 

± Error 

± 20.689 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 197.371 

Supervised By: 

Certificate of Verification 

3331 

SOIL 

2008-11-14 11:18 

30.63 

Final 

62915 

2407 s 24 st 

Fl 

Ventry 

6 

CLEARANCE 

± Error 

± 17.534 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3400 

Mode SOIL 

Time 2008-11-17 09:31 

Duration 123.46 

Sequence Final 

Flags 

AVERAGE Avg of 3396-3399 

ADDRESS '2407 s 24 st 

QUAD/ZONE B2 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

Pb 

Supervised By 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 84.213 

Supervised By: 

Certificate of Verification 

3396 

SOIL 

2008-11- 17 09:28 

30.84 

Final 

62915 

2407 s 24 st 

B2 

Ventry 

13 

CLEARANCE 

± Error 

± 12.763 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 61.471 

Supervised By: 

Certificate of Verification 

3397 

SOIL 

2008-11-17 09:29 

30.89 

Final 

62915 

2407 s 24 st 

B2 

Ventry 

13 

CLEARANCE 

± Error 

± 11.112 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 57.749 

Supervised By: 

Certificate of Verification 

3398 

SOIL 

2008-11- 17 09:30 

30.46 

Final 

62915 

2407 s 24 st 

B2 

Ventry 

13 

CLEARANCE 

± Error 

± 10.317 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 77.083 

Supervised By: 

Certificate of Verification 

3399 

SOIL 

2008-11-17 09:31 

31.27 

Final 

62915 

2407 s 24 st 

B2 

Ventry 

13 

CLEARANCE 

± Error 

± 11.788 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3405 

Mode SOIL 

Time 2008-11-17 09:34 

Duration 122.73 

Sequence Final 

Flags 

AVERAGE Avg of 3401-340*lt 

ADDRESS 2407 s 24 st 

QUAD/ZONE .8 1 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

.-rZ 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 220.169 

Supervised By: 

Certificate of Verification 

3401 

SOIL 

2008-11-17 09:32 

30.25 

Final 

62915 

2407 s 24 st 

Bl 

Ventry 

13 

CLEARANCE 

± Error 

± 18.831 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 119.002 

Supervised By: 

Certificate of Verification 

3402 

SOIL 

2008-11-17 09:33 

30.95 

Final 

62915 

2407 s 24 st 

Bl 

Ventry 

13 

CLEARANCE 

± Error 

± 14.164 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3403 

Mode SOIL 

Time 2008-11-17 09:34 

Duration 30.65 

Sequence Final 

Flags 

BVID # 62915 

ADDRESS 2407 s 24 st 

QUAD/ZONE Bl 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 197.496 ± 17.810 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 203.380 

Supervised By: 

Certificate of Verification 

3404 

SOIL 

2008-11-17 09:34 

30.88 

Final 

62915 

2407 s 24 st 

Bl 

Ventry 

13 

CLEARANCE 

± Error 

± 18.010 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3410 

Mode SOIL 

Time 2008-11­ 17 09:38 

Duration 122.52 

Sequence Final 

Flags 

AVERAGE Avg of 3406-3409 

ADDRESS 2407 s 24 st 

QUAD/ZONE F2 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

Supervised By 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3406 

Mode SOIL 

Time 2008-11-17 09:36 

Duration 30.62 

Sequence Final 

Flags 

BVID # 62915 

ADDRESS 2407 s 24 st 

QUAD/ZONE F2 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 24.650 ± 8.112 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3407 

Mode SOIL 

Time 2008-11-17 09:36 

Duration 30.12 

Sequence Final 

Flags 

BVID # 62915 

ADDRESS 2407 s 24 st 

QUAD/ZONE F2 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 25.840 ± 8.039 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 39.704 

Supervised By: 

Certificate of Verification 

3408 

SOIL 

2008-11-17 09:37 

30.88 

Final 

62915 

2407 s 24 st 

F2 

Ventry 

13 

CLEARANCE 

± Error 

± 9.328 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID # 

ADDRESS 

QUAD/ZONE 

INSPECTOR 

DEPTH 

SAMPLE TYPE 

NOTE 

ppm 

Pb 29.837 

Supervised By: 

Certificate of Verification 

3409 

SOIL 

2008-11-17 09:38 

30.90 

Final 

62915 

2407 s 24 st 

F2 

Ventry 

13 

CLEARANCE 

± Error 

± 8.204 
iyML\ Omaha Lead Site—Fixed Price EP-R7-07-05 

I ^^^/L I Coastal Environmental Group Inc. 

Sy^^^ ^ »n«w.coastalhazmat.com 

^PBO^* ^ COASTA L ENVIIIONMENTA L 

CROUP , INC . 

EXECUTIVE SUMMARY: 

BVID # 62915 - (2407 S 24 ST) 

No Issues or Concerns | ^ Issues/Concerns 

Detail Explanation: 

-NO ISSUES PENDING 
^ ' >EPA 

EPA Propert> Close Out Form 

Propert y «: \ol'^\^ Property Addre«: 2^0 7 5 2 M S f 

Dalc/Tlrnc : Owner's N.roe: EhHig. 1 , Hap m ^ r \ V , 

Quads Eic.v.ird : f l ^i^l , fi'| ^ ?^ 2 Conlrarlor Croup I r/^srol (fr)vic^r'/r^^r> + fi 

ExcivBllo n Ctntn l VHt>HT+ ( L^ ^ V w No 

1 If neccssi,^, wert the correct quadrani(s) excavated and reslored? ^ 

2 If necessary, were the correct areas of drip zone excavated and restored'' vl)t 

GradiDK Sod aod VrKcUlion Yes No 

1 Does the grading around the perimeter oflhe house in excavated areas generally slope away 

from Ibe bouse? y 

2 Has sod be«n laid in all areas Ihat were excavated? y 

3 Does the sod appear to be generally healthy and growing' ' (Only evaluate if inspected at a 30 x y day lime period) 

4 Are sodded areas generally firm and evenly graded'' 

y 

5 Aj t the joints between the sod strips generally tight'' (Only evaluate if mspecied ai a 30 day 

lime period) 

y

6 Was the property graded such that water wil l not pool on the property^ 

i X 

7 Was damjge to landscaping or plant materials avoided'' y 

Gates, 

1 

2 

Fences and ReUinlDC Walls 

Do gates open and close fre«ly "^ (If applicable) 

Were all gates or fences taken down during resloration aciiviiies reinstalled'' (If applicable) 

^e i 

y ^ 

t^ ^ 

No 

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

A. Was damtge to retaining walls avoided? (Ifapplicable) l\)h 

FouDdi 

1 

itlon , SidiD|> and Culler s 

Was damtge to the siding or trim avoided? 

Yes No 

2 

3 

Was damage to the foundation avoided?

Was damage ic windows avoided'' 

i L lof w 

tJ^ 

4 Was damage ic windows or door screens avoided'' 

^ Was darcage to downspouts or downspoul extensions avoided'' 1 j — _ L 

Sidewalks and Driveways (CoDcrete) Ves No 

Was damage lo driveway surface^ avoided' 

2 V^'as damage lo walkway surfaces avoided'? 
O tners comments: 

Inspection notes: 

Removal and resloraiion aclivales coniplele including ihe 30-day sod uairani} 

y r 

Li<J FPA ^euTe^^.^^f(^^y^^^^''-^^ ^ HQI , 
Propeiiy Completion Agreement 

This agreeinenl docuinenls the cciinplclion of remedial activilies perlbrinecl on my properly. My signiilure 

will designaie Ihal 1 am salislied with the resloraiion of my properly, and thai no ilems are in questions, 

now. or al any lime in the fulure, excepi those item.s lisled below, ifany. 

Propcitk^ ii)p Q z. 9/]r 

Properly Addi^sv" 2.^0 7 C 2^^ ^ i~^ 

^"''­ O^^yj^f JL^^rvK^yii ^ _ _. — _ ­

•'""•"i - . 7 iL.211 . y.__.___ _ __,„_..-._.^ ..^..-^-.^^~ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

L 

Q J I a};rci' re.storalion i.v conipk-tcd, except as nolcd 

I I I do not agree resloration h completed 

Uw- y \ l 0 \ , '\^ f-^-"' 

Owner's .Signaiure Hale "•onlractor's .Signature Date