# 

TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: 9^1 im Date: ; ^ 

Address: 1^0 1 ^h" ^ <-^ 

Remediation Contractor: Coastal Environmental Group Year: 2010ARRA 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

o y Video of property (DVD) 

0""^ Executive Summary 

"^ y EPA-provided property sketch 

\P ^ Signed Access Agreement for subject property 

^^f^ Signed Access Agreement(s) for adjacent property 

^Si Restoration Agreement 

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

\§; Confirmation data 

E^ Photographs VA 6?d3V/\1l0(^ \ 6c(^Mla^ \ ^VZH 

"0^^ As-built sketch 

10"^ Satisfactory restoration signed by Property Owner 

^0'" Property close-out check list signed by EPA 

-^ ^ Description ofareas not meeting ROD cleanup criteria 

^S y Utility clearances 

{y^ Property information from Douglas County Assessor's Office 

30261024 

Superfund 
C.-'-

Property Access Checklist 

Property ID: T^TTH 

Property Addrcssi j'^^^ ^ Qhi D vSf '"'

D

 ^^^ ^ 

 WORK STARTED 

COMPELTED 

ON: 

ON: 

J /_ 

Owner: -T^^^|V^^;^r^V O 

Addrcs : |^C^ 2 ^j^^+yYlo K 

Renter 

Phone: 

FJL\: 

Phone: 

Fax: 

Ccll/Pager: 

Additionsil (iit'orniation: 

Ccll/Pager: 

D Notification Letter 

yl^ Access Agreement 

* 0 Restoration Agreement 

Q Topsoil Sampling (if applicable) 

Q Disposal Sampling (if applicable) 

O Garden Sampling (if applicable) 

D Utility Clearance 

• Video/Photos (Before) 

• Video/Photos (During) 

D Video/Photos (After) 

D Video/Photos (30-Day) 

• Property Completion Agreement 

• Final Report 

Sent: / / 

Signed: 4(1/_L!./J 6 

Signed: ail/i2_/J ) 

/ / 

/ / 

/ / 

Called: / / 

On: / / 

On: / / 

On: / / 

On: / / 

Signed: / / 

Lisued: / / 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

Air Monitoring (as applicable 

CI! Community D Crew 

) 

Results: 

On: / / By: 

D Community'

Results: 

 CH Crew On: / / By: 

ED Community

Results: 

 C! Crew | On: / / By: 

Omaha Lead Site 
Douglas County Account In|ttH|atio nMji^ n Page 1 of2 t 

Douglas County, Nebraska Property Record - R0209970000 

Print Report 

View Interactive GIS Mao Information is valid as of 2010-8-30 Treasurer's Tax Report 

New Feature -^ -^ -^ Subdivision Sales Search 

Owner 

THOMPSON D L 

1682 WHITMORE ST 

OMAHA NE 68112-0000 

Property Informatio n 

Key Number: 0997 OOOO 02 

Account Type: Residential 

Parcel Number: 0209970000 

Parcel Address: 1507 OHIO ST 

OMAHA NE 68110-0000 

Legal Description: LANDS SEC-TWN-RGE 10-15-13 E 41 FT SUB 6 Lt 8 41 X 107.25 FT 

Value Informatio n 

Land Improvement Total 

2010 $400.00 $0.00 $400.00 

2009 $400.00 $0.00 $400.00 

2008 $400.00 $0.00 $400.00 

2007 $400.00 $0.00 $400.00 

2006 $400.00 $0.00 $400.00 

2005 $400.00 $0.00 $400.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.1 4387.0 0.0 107.0 41.0 Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R020... 9/3/2010 
 I 

Douglas County Account Iruf^i^tion 

Page 2 of2 

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http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R020... 9/3/2010 
3/31/2011 www.dhon.org/irthinternet/DHONNotic..

Create Another Ticket Back ^ m F * h Intemet Send Emair] 

• YOUR TICKET NUMBER IS 270007L 

Original Call Date: 3/31/11 Time: 1:19 pm Op: ALFONSO18790 


Work to Begin Date: 4/04/11 Time: 1:45 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1507 Street: OHIO ST 


Twp: 15N Rng: 13E Sect-Qtr: lO^SE-SW 


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 MCINEB MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Utility Service Area Contact Phone Number Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, ENC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8002893427 


NO CALL PER MCINEB MCI Alt: MEMO 

Emerg: 8002893427 

Day: 4025047823 

METROPOLITAN UTILITIES MUDOl SANDY MUD Alt: DISTRICT 

Emerg: 4025047970 

Day: 4024447197 

CITY OF OMAHA- OMAHACOF RICnmiAFFIC Ak: 4024445161 TRAFFIC,SEWER 

Emerg: 4024445160 

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

_ S B Day: 4067289343 

0PPIX;PR5 °'^ T "" ^ ELMLOCATTN " Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Ah: 4062071494 

Emerg: 8887289343 

dhon.org/irthintemet/.../MessageText.as... 2/2 
AUBuilt Drawing % 

COASTA L Omaha Lead Superfund Site INVIKONHCNTAL e t O U P . IN C 

0L$#; 29104 

D?t?Exp9vate«l: 4/5/2011 

Date USEPA Sianed Off: 4/19/2011 

Area Sodden: 3094 sa ft ^7/^V 

Name: Tk^^in ^ T>.L. Omaha Lead Site Date: ^ '^SlcM North Arrow 

Address: IStrf Okio S+. Site Sketch Time: /^tr>* n 

Phone: HSSr-W* ^ . , , , i 

Team PE .^T-l bfL BVID* ^9/0 ^ XRF Code_fff22___fies*i: /2<? 

Sample Numtier Lead Concentration Confinnation Sample 

gyflsc^XA-^:'^lo ^ B^Z ppm '=Nes D No e^ " 

jg-lffl SCfiiCJ\ - ZA IQtT Z 7 I ppm '^^-Yes D No E ^ IZiCSCJ'XA -7J1tDt ^ y y ^ ppm «/ Yes D No B;;S ev[»S£>>xA - 2.<iioW 7fl f ppm 52_Yes El No IS'^ ^ 

ppm Yea P Nu P 

ppm Yes—D No D 

ppm Yee B No a ­

4 ^ 

jAU6 ^ S ?i 

81 = 176 PPM (ffi 13" 

82 = 538 PPM @ 13" 

73^57-d3H4o----^i^ 

i/=V \FX 

\^°i'L<i 1271 

:-y^'it:^\ 

rt" 

o \ 3^\ 

Omaha Lead Site 46130 

Legen d 

Concret e Dri p Zone Excavate d Quadrants Excavate d 

Are a replace d

S o d 

 wit h Area replace d wit h 

Rock/Mulch Area lef t bar e 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
% ^?/'^V 

Name Omaha Lead Site Date: of j XSlO ^ North Arrow : Tkefn/m>/\ , P.<­ ^ Address: Ig0 7 Okto S-i-. Site Sketch Time: l^iTA n 

Phone: M5S'--7a*^Z 

isioX ?A:*« ^ i 

Team P E ATTJ-6/Z- BVID# r^9/0< ^ XRF Code Id l Bo^tC\ izi \ 

Sample Number Lead Concentration Confirmation Sample 

I .352. 271 ii£ 

:z£ I: 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

*"' Yes D

F^Ye s C3

4 / Yes C3

50-Yes Q

Yea O

Yes- O

Yoc B 

 No S ^ 

 No B- ^ 

 No © ^ 

 No B"" ^ 

No-S -

 Nu D 

EF , ^.. 

L_iiteiijiii-. 

jiyejs 5|i 

1 i i i / i i 

Omaha Lead Site 46130 ?. 
^ i ^9/^V 

Name: Tl\atn/He/\ f P.4- Omaha Lead SHe Date: Opj XS~cA North Arrow 

Address: ISerf okto S-i-. Site Sketch Time: tl'lS~Mt . 

Phone: MgS'-7a4 Z 1 

S-KA*.*^ 4 D<i+fi.f-7-*S" Tl-Htfi/M 

Team P E ATTJ-6fi> BVID# ^9/O W XRF Code /<y37 _fio£^:/2<f 

Sample Number 

R^ASCfi>^'2,cilOH 

Lead Concentration 

3^i2^ 

Zl l 

H^H 

7<?f 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

Confirmation Sample 

*"' Yes D 

^-^Yes D 

6/ Yes C3 

52_Yes Q 

Yea P 

No S ^ 

No 13 ^ 

No B ^ 

No S"^ ^ 

Nu D 

Yes P No D 

Yoc a No • 

t3 EI 

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t 

I 

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Omaha Lead Site 46130 
Address:

Phone:

 IS^ i J^h^P ^t ­

 W5fi"-72.'*2. 

. 

Omaha Lead Site 

Site Sketch 

Date:^2SlA 

Time: f r. iTA m 

^7/^ V 

North Arrow 

Team P E /vrrJ-bft> BviD# oL^io^ 

S-M>v^*^4 t><i+e:f-7-*5* 7lme;M 

XRF Code tes i ffooH'. iZ«} 

Sample Number Lead Concentration 

35Z. 211 

JlSi 

in I 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

Confirmation Sample 

^ ' Yes D 

^P-Yes C5 

6 i Yes D 

51_Yes 2 

Yes P 

Yea a 

No S< ^ 

No 13 ^ 

No g; ^ 

No S* ^ 

Mu D 

YOG • 

13 

-NerNo • 

0 

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Omaha Lead Site 46130 
# y>^mi

" ^ ^ I m

»v,^.,,_ , COASTAl 

' """O^^ c . 0 u r. . X C 

Consent; fof Access Yc Pro-perty 

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: 

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 vtnth 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 alt 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: 

Paget of 2 
.r%^--^^~'-''y C-OA:STAI, ••••*i - • .^• ' • . tiifinoxrtiiiriL'; 

• -.f.^o^. ' . . , c»o:g;».:,; i..it,c 

» Remove Qbstru.ctions Including' b(C)ats,,ti"di|er5, yeh/cles, fplayseape rtems 

peSi dog ^hpiJseSi etc;; 

0; Refiio\^ flower bulbs or plarits ihatihei Gra 

tpsaye;- .•••. • 

fi VVater and rnaiintajn; replacement; vegetation, irvduding "fertilizer application, ais: 

hecessaiy subsequerit to m 

c if\ibide by; healtti and safei^^gu^ 

> jf the property is reritbd, jassist EPA-in d ^ 

the property to perform th^^^^ 

rc: :Ajlpw yideptapirtg and^^^ 

AGREEMENT tstorTo: INTERFERE 

The Grantor agrees not to iriterfereortamperwithany of this vrork actlVi^^ 

of the work ddhe, or with the equiprtieht used on his property, or to undertake any 

actions regarding the use of said piroperty which would tend to endariger the bealth or 

welfare ofthe Grantees or the environment, or to allow ptheirs td: us^ the prpperty in 

•' siieh a-mariner.. 

ShpLild you have any questions; about this prpgranrt, plea^ (xihtacti Coastal 

£hvlrdiimental drdup, at:(402)i^91>r11?9 

grantaccess to my profi« ;Q ldbn6tgnntaccess;iQ 

Bdh^f^^-y^in^QiA Mk M 

Signature. / Diate Signature Datier 

D=:i wouid jike to be pnetsent duHh0 any samplirigj that Is Mqiiiivd. 

Page 2 of2 
COASTA L • MVIHOMMCMTAL O • 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. This will also serve as documentation for the purpose of assuring that restoration 

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

Protection Agency (EPA). 

Property ID: 2-Vol 

Property Address: ( ^O j O k i a f 

Owner: TA 

Phone: V rr 7 1 VZ " 

On the attached diagram(s) indicate area(s) to excavate, surface structures and landscaping features and 

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

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

necessary. 

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

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

Item: 

/(/ ^ Ay(2.-- Item: 

Item: 

Item: 

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

Item: 

y y ^At ^ 

item: 

Item: 

Item: 

Page 1of J 
C O A S T A L • NvmOMMKNTA L O • O U P , IHC . 

Items to Be Removed By Contractor During Remediation and Replaced 

Item: 

y<* ; 

item: 

3 ^ 

Item: 

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. 

Ninnber of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Agreed iq)on valtie of plant 

materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Easement Area, to be 

excavated 

Quantity 

o\y 

7' 

Sf 

^ 

(Sr 

y 

Landscape Inventory 

Unit Condition/Type/Species 

Quadrants 

Each 

Each 

Each 

Each 

Square Feet 

$ 

Each 1 H^i (/t^yi'^j f^^.jiy 

Page 2 of J 
C OASTA L • NVmOHHI N T * L a K O U'P'. ' I M.C. 

Additional Comhriehts/Ihstmctjons:^ ^^ 

* The bity of Omaha ordinances may prbhiblt you from using dirt or gravel arebs on your property': 

as dnvways or vehicle parking areas.The En^^ 

ifemovihg and replacing iso|i underiying a giravei or djrt area bn your property that you iiniay be < : 

using as a driveway br vehicle parking area. If this is the case, ybu shbuld understand that thte ;::, 

removing and replacing of soil does not mean that any illegal driveway orparking area on your •'•:' 

property is made legaL To the contrary.you may be cited by the city if you use a grayel or dirt area 

as a drjveway of parking areai not withstanding any refhpyail or replacernent of sojl by the EPA! ' 

': If you have any questibn abbut lieg^ity of ia oertaliri driveway or.parking area, yoiimay; cbriJtact; ^; 

the city of Onfiaha's Planning Departinent at (402) 444-5150.^^ 

Oplesfie dheck this bpxvif.ybu ijri^ 

O Check the box if Owner does hot want CEG tb docurtient int^iibrfbuhd^tibn Walls iiiTd possible 

pre'^extisting darhage. By checking this box CEG lis hot responsible for any damage dpne to the 

liiterior pf house, including fpundation cracks of fissu^ : , ;/ 

[31: do.not agree •„ 

WmSmm ^£.^yojji ^ 

^

Owner's Signature .Diate^fVr / " ' -IJ :L:;'V: ^Coiitfaittor'sSigiiature Date 

Fade 3 of ?> . 
BviD#_2SDy_ XRF PROPERTY SAMPLE SHEET 


Date V/?/^t( Address l^O n C^hvrN 

Project Omaha Lead ARRA Sample time am/pm 

XRF ID# sample length 30 sec ^Loe ^ 

Shot# Reading Sample area Shot# Reading Sample area 

^ U 571.7A-5r •?,\.^ U l ILL llg\.?.^t n-'n^ J ^ 

-17 

1-^ 

bcR q ^ 3?v.io 

M-H«.H\nt2'^.^ 

Depth 

\1>' ' 

-iZ 

O ^ 

2.\M.\'2^\Ql-^?. 

i?)?>-iirt n.^? 

Depth 

J221 

A^rage P)?,R.OS-f ^\.to? ^ / Average nu.it f JT \X ?, ^ y 

Shot# Reading Sample area Shot# Reading Sample area 

Depth Depth 

Average Average 

Shot# Reading Stmptearea Shot# RiWding Sarnple area 

.l>iM«h . tmk 

Average Average 

RETEST AREAS 

Shot# Reading Sample area Shot# Reading Sampie area 

^ ^ • ^ ^ Depth Depth 

y y . 

Average Average 

Signature, 

Print My ^ U/ffl/l 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Certificate of Verification 

79 

SOIL 

2011-04-07 22:18 

90.86 

Final 

Avg of 76-78 

1507 OHIO 

h3" 

M. MATEUS 

CLEARANCE 

CLEAR 

ppm Error 

Mo < LOD 8.115 

Zr 372.692 ± 15.075 

Sr 186.518 ± 9.672 

U < LOD 15.669 

Rb 73.783 ± 7.061 

Th < LOD 17.390 

Pb ^ 1 '^^B.n-^Q _ m?1.687 

Se 

As 

Hg 

Zn 

W 

Cu 

Nl 

Co 

Fe 

Mn 

Superv 

< LOD 6.984 

< LOD : 41.619 

< LOD : 13.542 

445.073 

± ^---'SSrsab < LOD -y - 93^865 

62.602 / 4 /^4.97 1 

84.656 ± /^ 55.368 

< LOD / ^y 211.271 

23038.068/ 

/^^- 7 448.211 

559.98/ / 7 112.528 ?^ 

sed By: / ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 375.989 

Sr 183.063 

U < LOD 

Rb 80.386 

Th 22.008 

Pb 527.745 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 436.318 

W < LOD 

Cu 57.225 

Ni < LOD 

Co < LOD 

Fe 24232.432 

Mn 554.874 

Supervised By: 

Certificate of Verification 

76 

SOIL 

2011-04-07 22:16 

30.17 

Final 

29104 

1507 OHIO 

B2 

13" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 8.410 

± 15.353 

± 9.722 

I 15.801 

± 7.391 

± 12.152 

± 31.909 

7.371 

41.624 

14.147 

± 35.826 

• 101.087 

± 25.143 

I 84.447 

: 221.760 

± 466.208 

± 113.579 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 365.891 

Sr 192.208 

U < LOD 

Rb 73.857 

Th < LOD 

Pb 609.906 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 442.851 

W • < LOD 

Cu 58.357 

Ni < LOD 

Co < LOD 

Fe 23541.342 

Mn 632.263 

Supervised Bv: 

Certificate of Verification 

77 

SOIL 

2011-04-07 22:17 

30.17 

Final 

29104 

1507 OHIO 

B2 

13" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 8.161 

± 14.986 

±­ 9.817 

: 16.121 

± 7.113 • 17.975 

± 33.669 

: 7.078 

: 44.152 

I 12.858 

± 35.282 

: 84.427 

± 24.476 

: 81.348 

I 213.659 

± 453.097 

± 117.917 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Tumpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 376.196 

Sr 184.283 

U < LOD 

Rb 67.105 

Th < LOD 

Pb 476.467 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 456.049 

W < LOD 

Cu 72.224 

Ni 117.741 

Co < LOD 

Fe 21340.434 

Mn 492.824 

Supervised By: 

Certificate of Verification 

78 

SOIL 

2011-04-07 22 18 

30.52 

Final 

29104 

1507 OHIO 

B2 

13" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

; 7.773 

± 14.888 

± 9.476 

: 15.084 

± 6.677 

: 15.966 

± 29.482 

J 6.505 

: 39.081 

: 13.619 

± 35.482 

\ 96.081 

± 25.295 

± 55.573 

; 198.393 

± 425.327 

± 106.089 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 75 

Mode SOIL 

Time 2011-04-07 22:15 

Duration 90.87 

Sequence Final 

Flags 

AVERAGE Avg of 72-74 

ADDRESS 1507 OHIO 

QUADRANT ,B1 

DEPHT •13" 

XRF TECH M. MATEUS 

MISC CLEARANCE 

NOTE CLEAR 

ppm Error 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Nl 

Co 

Fe 

Mn 

Supervised By 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

72 

SOIL 

2011-04-07 22:14 

30.53 

Final 

29104 

1507 OHIO 

Bl 

13" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

; 7.737 

± 14.555 

± 9.153 

\ 14.468 

± 6.346 

\ 11.629 

± 17.558 

: 5.435 

: 23.204 

: 11.224 

± 22.118 

: 72.646 

± 21.410 

± 50.546 

* 177.692 

± 379.888 

± 102.366 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

385.515 

182.751 

< LOD 

64.717 

< LOD 

161.258 

< LOD 

< LOD 

< LOD 

177.024 

< LOD 

38.071 

79.123 

< LOD 

18030.445 

511.549 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Tumpike 

Billerica, MA 01821 

Certificate of Verification 

73 

SOIL 

2011-04-07 22 15 

30.17 

Final 

29104 

1507 OHIO 

Bl 

13" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 7.644 

± 14.070 

± 9.160 

: 14.178 

± 6.101 

\ 12.624 

± 19.934 

; 5.496 

; 26.401 

: 12.457 

± 22.337 

: 88.550 

± 22.106 

; 75.251 

J 172.916 

± 363.415 

± 101.648 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

349.464 

180.928 

< LOD 

57.847 

< LOD 

214.128 

< LOD 

< LOD 

< LOD 

170.863 

< LOD 

43.944 

< LOD 

< LOD 

16280.928 

503.785 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

74 

SOIL 

2011-04-07 22 15 

30.17 

Final 

29104 

1507 OHIO 

Bl 

13" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

7.761 

i: 15.358 

± 9.589 

14.166 

i 6.334 

± 8.272 

± 17.529 

5.818 

23.535 

11.553 

± 24.419 

79.865 

31.435 

75.740 

190.652 

± 395.591 

± 106.122 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRFTECH 

MISC 

NOTE 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

416.756 

194.158 

< LOD 

62.747 

14.105 

153.181 

< LOD 

< LOD 

< LOD 

210.108 

< LOD 

< LOD 

< LOD 

< LOD 

18856.844 

530.259 

Supervised By: 
AQ ^ \ Omaha Lead Site—Fixed Price EP-R7-07-05 

I ^^^ ^ I Coastal Environmental Group Inc. 

Vr^^^ * www.c0astalha2mat.com 

^"tPROt*''^ COASTA L ENVItOKHIHTAL 

C • 0 U P. IN C 

EXECUTIVE SUMMARY: 

BVID #29104-(1507 OfflO ST) 

No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 

-DAN GARVEY WALKED THE PROPERTY ON 4/19/2011 
V 

Property Completion Agreement 

This atjiecmeni documenis lhe complclion ol remedial aciivmes pcrroimtdon my properly My signaiuie 

will designale ihai i am salisfied with ihe resloralion of my properly, and ihai no iiems are in questions. 

now, or al any lime m ihe fuluie, excepi those uems lisled below, ifany 

Property ID: ^'^o<^ ^ 

Propcrfy AddrcirnW T {)}J^Q h 1 ^ 

Phone: t[^^ ' '({($; ^ Ifl^r ^ [ 

Restoration Items in Question: 

^^yS i ' ayt e restoration i\ complcird, riccpl in noieri 

[ I I rio nol aijrfc rrjioralion i.s compltlcd 

Owner' s Sicnatiiie ' Date tl acioi's Signatiiri' 
in. 

EPA Property Close Out Form 

1y%i^ pb DV^^/^CM 

Proptrty tl: 

Datt/Tlmt: 

Quads Excavated: Contractor Group -nfh' 

\ n No 

If necessary, were the correct quadrant{5) excavated and restored? 

ExcavatioD General 

y 

2. If necessary, were the conrct areas ofdrip zone excavaied nad restored? 

y 

Grading Sod and Vnteuiion Vti IVo 

I Does lhe grading around th* perimeter ofthe house in excavated areas generally slope away 

from the house? y 

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

3. Does lhe sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 y day time period) 

4. Art sodded areas generally /Irm and evenly graded? 

' y

5 Are thejoints between the sod strips generally tight? (Only evaluate if inspected at t 30 day 

time period) 

r 6. Was tht property graded such that water will not pool on the property'' 

y 

Was damtge lo landscaping or plant materials avoided? —

Gates. Ftncca aad Reuinlpg Walls 

r I Do gates open and close freely? (Ifapplicable) 

2. Were all gates or fences taken down during restoration activilies reinsulled? (If applicahlf ] / 

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

Was damage to retaining walls avoided? (Ifapplicable) 

FoundaiioB, SidiBRand Gutlert Ves .No 

I Was damage to the siding or trim avoided? y 

y 

2. Was damage to the foujidation avoided? 

/ 

.'. Was damage to windows avoided? y 

^ Was damage to windows or door screens avoided? / 

5. Was damage to downspouts or downspoul extensions avoided? y 

Sidewalks and Drrvtways (Concrete) Yes No 

1 Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? ~y 
OM'per^ comi^^fs: 

Inspection notes: 

Removal and re.si oral ion aclivates compleie including lhe 30-daY sod warranry: 

EPA Rcpresenliiiive Q^. ^ Dale: 4\rt^'^