0 

TRANSMITTAL of OMAH A LEAD SITE 

SOIL REMEDIATIO N FILE FOLDER 

SAID#: 1^5^' ^ Date: ,ajak/i £ 

Address: i^lJl ^ btCpOn^ T Sj -

Remediation Contractor: Coastal Environmental Group_ Year: 2008 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

S/ Video ofproperty (DVD) 

Q ^ Executive Summary 

y EPA-provided property sketch 

y Signed Access Agreement for subject property 

j^f[ Signed Access Agreement{s) for adjacent property 

y Restoration Agreement 

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

B^ Confirmation data 

y Photographs pne.-^yf^j/ijxtyi^ ^<VyJ/gJuw^ -fji^Ai SOci 

\7 As-built sketch 

y Satisfactory restoration signed by Property Owner 

y Property close-out check list signed by EPA 

IffJIV Description ofareas not meeting ROD cleanup criteria 

W Utility clearances 

B ^ Property information from Douglas County Assessor's Office 

i/ c^A^^ y y iiiiiiiiiii 

g Superfund 

Date 
% % 

Property Access Checklist 

PropcrtjID: \ "/^ q ^ 

Property Address: ^- ) (^ Ct \N,^ ^OOt\-V ^ ^

D

 "^^^ ^ COMPELTED

 WORK STARTED ON. 

ONON:: / 

/ / 

o^^'«='-^'\^v^\v-^^ :^o.<.^ 

Address: ' 

Phonc(z^a3N)q2^3,-V^C(< g 

Fax: 

Ccll/Pagen 

Renter 

Phone: 

Fa.v: 

Cell/Pager: 

Additional InfomtHtion: 

D

H

( 3

O

D

[Zl

^

[^

n

D

D

D

D

 Notification Letter 

AccesA Agreement 

Restoration Agreement 

Topsoil Sampling (if applicable) 

Disposal 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: / / 

Siencd: W / W / OP, 

Signed: 1 \ / 1 \ / Oft 

/ / 

/ / 

/ / 

Called: 11/IL/li b 

On: // /J^ ^ 

On: / / 

On: / / 

On: / / 

Siencd: / / 

Issued: / / 

By: 

By: yoNCo\(x^ 

By ^^\co\<x- ^ 

By: 

By: 

By: 

^y \\\v'-\\.o?^ 

By 6r:a . Kl 

By: 

By: 

By: 

By: 

By: 1 

Air Monitoring (aa a|)plicable) 

D Community D Crew

Results: 

On: / / By: 

D Community'

Results: 

CH Crew On: / / By: 

O Communitj

Results: 

O Crew On: / / By: 

Omaha Lead Site 
% % 

CONTACT FORM 

Property ID # HLM- Propert)' 

Address: Z-/b°\ pupnj-5T 

Iniiial Contact: Date, Time: Action: 

Second Contact: Date: Time: Aclion: 

Final Conlact; Dale; Time: Aclion: 

Final Action: Tran.smit to EPA D Olher Action: D 

Comment: 

0\vner 

Comment (s); 

_.. J 

Sue 

Coordinalor 

Comment (sj: 
Douglas County Account InjBmatio i^Bms n Page 1 of3 

• 

Douglas County, Nebraska Property Record - R0523600000 

Print Report 

NEW Feature - Parcel Dimensions available (3! scale 0-50 ft west of 90th St - Vie w O n Ma p Information is valid as of 2008-9-4 Treasurer's Tax Report 

New Feature ->-•- • Auto Sales Search 

Owner 

RAMIREZ JOSE 

2769 DUPONT ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 2360 0000 05 

Account Type: Residential 

Parcel Number: 0523600000 

Parcel Address: 2769 DUPONT ST 

OMAHA NE 68105-0000 

Legal Description: ARBOR PLACE LOT 5 BLOCK 3 38 1/3 X 113.5 

Value Informatio n 

Land Improvement Total 

2008 $4,000.00 $74,800.00 $78,800.00 

2007 $4,000.00 $74,800.00 $78,800.00 

2006 $4,000.00 $67,800.00 $71,800.00 

2005 $4,000.00 $67,800.00 $71,800.00 

2004 $4,000.00 $67,800.00 $71,800.00 

2003 $4,000.00 $32,600.00 $36,600.00 

Sales Informatio n 

Sales Date: 2001-01-12 

Deed Type: D Sooilr; 2172 Page: 087 

Price: $61,000.00 

Grantor 

Grantee: 

Valid/lnvalid: Valid 

Exclusion Reason: 

Sales Date: 1993-10-26 

Deed Type: D Boolr: 1964 Page: 743 

Price: $32,000.00 

Grantor: 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 11/4/2008 
Douglas County Account IiiJBmatio T^m^z n Page 2 of3 

Grantee: 

Valid/lnvalid: 

Valid 

Exclusion Reason: 

Sales Date: 1993-08-27 

Deec Page: f Type: Book: 1959 496 

Price: $29,500.00 

Grantor: 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 1992-02-21 

Deed Type: Book: 1921 Page: 549 

Price: $31,500.00 

Grantor: 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.09 4294.0 1.0 113.0 38.0 No 

Improvemen t Informatio n 

Building 1 

J7e»0UP0MTST 

Second Floor 

200.0 sq.«. 

air eo 

First Floor 

1012.0 iq.t. SS 

i i ao 

1 u2.ST 

M(r BsmnlBlo 

10120*4 ' =' .._. EhelScTMn 

13a 0 sq. II 

CLICK TO ENLARGE IMAGE 

CLICK TO EIJLARGEJMAGE 

Square Footage: 1212.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

http ://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.j sp?accountno=R05... 11 /4/2008 
Douglas County Account Inj«natio |an a n Page 3 of3 

Unit Type: 

Built As: 1 1/2 Story Fin 

HVAC: Central Air to Air 

Exterior: Frame Vinyl 

Interior: Dryw^all 

Roof Cover: Composition Shingle 

Roof Type: Gable 

Floorcover: Allowance 

Year Percent Year Built Remodeled Remodeled 

1885 0 0% 

Physical Age 

Condition: 

Condo Square Footage: 

Rooms: 

Units: 

Baths: 

Bedrooms: 

Stories: 

Foundation: 

Sprinkler Square Footage: 

Adjusted Year 

% 

Fair 

0.0 

6.0 

1.0 

1.0 

3.0 

1.5 

Block 

0.0 

Built 

1885 123 

Units 

1.0 

1.0 

1012.0 

234.0 

1.0 

1.0 

400.0 

138.0 

1.0 

Detail Type 

Add On 

Appliance 

Basement 

Basement 

Fixture 

Fixture 

Garage 

Porch 

User 

Detail Description 

Fence Chain Link 

Allowance 

Bsmnt Block 8 ft 

Finished 

Base Fixtures 

Bath Full 

Detached 

End Screen 

20 % -1 F 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 11/4/2008 
Page 1 of2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

• YOUR TICKET NUMBER IS 2173522. 

Original Call Date: 11/11/08 Time: 7:37 pm Op: ELIZABETH18790 


Work to Begin Date: 11/14/08 Time: 7:15 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2769 Street: DUPONT ST 


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


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Omaha Lead 


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


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: 4 ft Corner Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


ATTNEBRl CXCATV LEVELS MCINEB MCLEODNE MUD02 OMAHACOF 


0PPDGPR6 QLNNEIF QWEST2 SPRINTNE 


Service Area Contact Phone Number „, ^ 

ATTNEBRl ATT/T 

Day: 

Alt: 

Emerg: 

80024136249 

80024136249 

CXCATV COX COMMUNICATIONS, 

INC HEIDI 

Day: 

Alt: 

Emerg: 

4029340469 

4029340469 

4029329757 

LEVELS LEVELS COMMUNICATIONS, 

LLC NA 

Day: 

Alt: 

Emerg 

8773668344 

8773668344 

MCINEB MCI NO CALL PER MEMO 

Day: 

Alt: 

8002893427 

Emerg: 8002893427 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 11/11/2008 
Page 2 of2 

MCLEODNE

MUD02 

OMAHACOF 

OPPDGPR6 

QLNNEIF

QWEST2 

SPRINTNE 

 MCLEODUSA 

METROPOLITAN UTILITIES 

DISTRICT 

CITY OF OMAHATRAFFICSEWER 

OMAHA PUBLIC POWER 

DISTRICT 

 QWEST LOCAL NETWORK

QWEST LONG DISTANCE

SPRINT COMMUNICATIONS 

CO 

NO NEED TO CALL OUT 

EMERGENCY 

SANDY 

RON 

NA 

 NA 

 SARA 

Day: 


Alt: 


Emerg 


Day: 


Alt: 


Emerg 


Day: 


Alt: 


Emerg 


Day: 


Alt: 


Emerg 


Day: 


Alt: 


Emerg. 


Day: 


Alt: 


Emerg: 


Day: 


Alt: 


Emerg: 


8002891901 


8002891901 


4025047823 


4025047970 


4024447197 


4024445161 


4024445160 


4067289343 


8887289343 


4067289343 


4067289343 


8887289343 


8002834237 


3039921926 


8002834237 


8005210579 


8005210579 


http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 11/11/2008 
As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

I - Name: ^/•j/MZ^g^ g Omaha Lead Site Date: f)//3/n 3 North Arrow —i 

Address: •J?7(o9 DopoA/T^r- Site Sketch Time: 

Phone: <'o<a~.^</S-'9i>-3& 

7 

Team/suj^///<^4y/ ^ BVID#i223 ^ XRF Code 3'fTn / 

Sample Number Lead Concentration Confirmation Sample 

ppm Pr-es n No 0^ 

ppm No Q saves a No 0 filGZ.IQPJf/i -/7. 6 9 ^ p^Ye ^ Yes

s n D No JZI 

/e>o^.'i(?yP>'/3 - //.3.9A ^n. —S2. ppm p Yes Cl No J2I 

ppm Yes n No a 

ppm Yes • No a 

^^ R 4-61 (€" 

^ i?^ = ^ 

#: 38144 •m >i-^e<!? ^ Dati al^iilfiai/24/2J|ip8 

Pate Ui EPA Sjgned Off:li^/2009 i 

,^___ _ GZ = 486 PPM @ 13" 

Ar Socfded 1650 sq ft [|3 ii - 7 ^ =F ;1 

7 ^ ^ 

• ^ • ^ i 

i5T ^ 2)rH^V/433 7~ if... fxJ ^ ':•.! 5^ yii 7-

M. H i ' ^ i 

t^"^—TJ ^ 

,f ,1^^—^ 

\yi. 

^ - ^ Pi 

^ ­

33V ^ 2 2 

?5~-t­ ^ [•ffuvf.ff wi*^: 

EA=136PPM@1" 

^^^^^A^ST 

Omaha Lead Site 46130 

Legend 

Concrete Drip Zone Excavated Quadrants Excavated 


Area replaced with Area replaced with 


Area left bare 
 Sod Rock/Mulch 


Contract #: EP-R7-07-05 Coastal Environmental Group Inc. 

Name: fijA^^^Z Omaha Lead SKe Date: MS/n! ^ North Arrow 

Address: p7(o9 l>opc>A/r^f Site Sketch Time: 

Phone: ^o^~3^/S-953& i^ 

Of 

Team/su,^A/^/4^/ ^ BVID#i22 ^ XRF Code :5'f^ n I 

Sample Number Lead Concentration Confirmation Sample 

/^YMSOPy^ - /733f i 

ppm P.'es ° No g^ •J? .7nr ^3fi Don, ^Yes n No 5 

-'^'-^ ***^ ppm p^Yes • No 0 fitGZr^CPJ(/i - /r.^^A ppm ^ Yes C3 No jZI 

en ^^sgi ppm P Yes n No ^ 

ppm Yes n No 1=1 

ppm Yes • No n 

AV i 

v o 

^ 

<:> 

^ 

^^f ^ 

Oinaha Lead Site 46130 
• • 

Name: '^/JA^^^'Z. Omaha Lead Site Date: ^//3/n, 3 North Arrow 

Address: f>7C,9 DopoA>TJSV Site Sketch Time: 

Phone: ^o^~3^/S-9^3& i^ 

leamJsA^yA^Su// ^ BV1D# Z?.^?/? XRF Code ^f^ O I 

Sample Number Lead Concentration Confirmation Sample 

/^y^sopxyi

/RYn<3CP M

Pmi.<iryy ^

PGZ,^OPJ(/l

PPZSCPJfyQ

 ­ /733& 

 y7^3 ^ 

 -/7.^9f i 

­ /73.^A 

­ /7S.9A 

.'SOT

-^iC

 i^ a

 ^ ^

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 ppm 

ppm 

ppm 

fSVes a 

^5Yes a 

l7^Yes n ^ Yes CD 

p Yes n 

Yes n 

Yes • 

No

No

No

No

No

No

No

 ^ 

a 

 0 . 

 ; 2 

0 

n 

• 

nw Fl 46i (€^ 

Omaha Lead Site 46130 
^••^ ^ COASTA L 

^^i , ___^rf(r IHVH0HHIHT41 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States 

Environmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

following described premises: 

Owner's Name: Daytime Phone: 

^^ ^ 'garviire^.3^^^^^<^''^ 

Address of Property 

covered by this ^7/ 7 iyoy^y^7y 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 
I 

f 

XT^^j^ COASTA L ""t-.ot"* Clour . IMC 

• 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; 

• Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

• Abide by health and safety guidance provided by EPA; 

• If the property is rented, assist EPA in obtaining tenant approval for access to 

the property to perform the work. 

• 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 (712) 352-0188 

^J ^ I grant access to my properties Q I do not grant access to my properties 

0<^anc^ , yy^ O 17 t y O^ 

y Signature Date Signature Date 

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

C H O U r IN C 

Restoration Agreement 

The purpose ofthis agreement is to provide a mutual agreement as to conditions ofthe 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 Environmenlal 

Protection Agency (EPA). 

Property ID: / 7 i ? X — TT——» ^ ' ~ ; 

Property Address: ^7(^ 7 / J U^ O /if - ^ ^ 

^ 

Owner: -y^ 'KJj^-\.\ f C =fc yr\ < Phone: SFf- /"^oa ^ ^ V 

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

utilities, subsurface features, surface structures and landscaping features, 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: 

^^^ ^ ^ 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Pagei ofJX 
l^fe 

COASTA L 

CROUP . ) N C 

Items To Be Removed By Contractor During Remediation And Not Replaced 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Kem: 

Rem: 

Kem: 

Item: 

Kem: 

(Use additional sheets as necessary) 

r/H ^ Lyy 0.14 I f o> < <^y(y 

Page 2 ofJjL 
( ^ 

C O A S T A L 

CMOU P IN C 

Items To Be Removed By Contractor During Remediation And Replaced 

(Use additional sheets as necessary) 

ttem: 

"P ^ ( 1 a ^' ^ ^ 

Item: 

S ^ c> BT^-^ ^ " / 

Item: / 

item: / 

ttem: / 

ttem: / 

Item: / 

Kem: / 

Item: / 

Item: / 

ttem: / 

ttem: / 

Ham: / 

Item: / 

Kem: / 

Page 3 oiAjL 
COASTA 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 

y 

} 

r 

y 

Unit 

Square feet 

Condition/Type/Species 

Each 

-. 

Each 

Each 

11 

Each 

Square Feet 

Page4of KO 
COASTA L tNVinor4r«tHTA i 

C I* O U P IM C 

Item 

Agreed upon value of 

Diant materials not to be 

renlaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to 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 

ai^ea (s) 

Easement Area, to be 

excavated 

Quantity Unit Condition/Type/Species 

y $ 

y 

£^7 

y ^ 

v 

Each 

SF h7 ^ 

A SF 

A SF 

y

7 

 ,,y 

PageSof (x> 
C O A S T A I. • MVAKOUMCHTA L « » O W p . IM C 

D Check the box If Owner does not want CEG to document interior fbundation walls and possi'ble 

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

interior of house, induding fbundation cracks or fissures. 

B^ agree O I do not agree 

o^c p^a^ ^ n^n^a-j hmi' m \\\\\\{^ 

Owner's Signafure 1/ Date Contractor's Signatare ' Date 

Page 6 of y 
BviD#ny-\R 

XRF PROPERTY SAMPLE SHEET 


Date \\-\&ya Address J7(p^ t K..vJ900-^^ V 

Project Omaha Irad FP 2ncl year opllon Sample time am/pm Ib-O ^ 

XRFID# ^aoK^ sample length 30 sec i 

Shot# Reading Sample area Shot# Reading Sample area 

iq.i8^.!:acD ^gJl S ary^(.7t.3;^.^ .yi^^ £C ,5^^^ ^ in(..p>qj:\a.ft;:^ 7 ^ ^'Sft. b\ 1 QS^t; ss^ 

l-Sl.B6t ^^-QLg Depth B & ^ga.fa^-jtg^.g^ Depth 

snau? lR4.ni.iM..D'^ .»^PJ \ NSl-fX.tKKf.tJ y ^ 

Average fe."; ) S i5-^l B Average ZITY;). B \ t ^.Q 3 

Shot# Reading Sample area Shot# Reading Sample area Sunn 3Soa.?yi^(^.9q G ^ 

^;i?CT Depth Depth r^i^-i^f^fiQ^ Jepi 

^^P> ^ l^).-S7^.SB.a^ i3 

Average A^o.OU t (9 l ATI A Average 

Shot# Reading Sample area Shot# Reading Sample area 

• Depth Depth 

Average Average 

RETEST AREAS 

Shot# Reading Sample area Shot# Reading Sample area 

Depth Depth 

Average Average 

lab sampie # Lab result Sample area XRF Avg. 

Signature 

Printl^(^l4 V l^rn ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 3727 

Mode SOIL 

Time 2008-11­ 18 16:03 

Duration 124.31 

Sequence Final 

Flags 

AVERAGE ^ Avg of 3723-3726 

ADDRESS 2769 dupont st 

QUAD/ZONE easemeriL 

INSPECTOR Ventry 

DEPTH 

SAMPLE TYPE 

NOTE 

m 

CLEARANCE 

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 99.839 

Supervised By: 

Certificate of Verification 

3723 

SOIL 

2008-11- 18 16:01 

31.60 

Final 

17398 

2769 dupont st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 11.999 
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 Pr'PE 

NOTE 

ppm 

Pb 106.393 

Supervised By: 

Certificate of Verification 

3724 

SOIL 

2008-11-18 16:01 

30.87 

Final 

17398 

2769 dupont st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 12.819 
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 151.846 

Supervised By: 

Certificate of Verification 

3725 

SOIL 

2008-11-18 16:02 

30.87 

Final 

17398 

2769 dupont st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 15.062 
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 184.756 

Supervised By: 

Certificate of Verification 

3726 

SOIL 

2008-11-18 16:03 

30.97 

Final 

17398 

2769 dupont st 

easement 

Ventry 

1 

CLEARANCE 

± Error 

± 16.029 
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 

Pb 

Supervised By: 

Certificate of Verification 

3982 

SOIL 

2008-11-20 11:41 

122.81 

Final 

.Avg of 3978-3981 

*2769 dupont' 

| B 2 

•"Ventry 

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 368.672 

Supervised By: 

Certificate of Verification 

3978 

SOIL 

2008-11-20 11:39 

30.97 

Final 

17398 

2769 dupont 

B2 

Ventry 

13 

CLEARANCE 

± Error 

± 23.577 
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 458.007 

Supervised By: 

Certificate of Verification 

3979 

SOIL 

2008-11-20 11:40 

30.66 

Final 

17398 

2769 dupont 

B2 

Ventry 

13 

CLEARANCE 

± Error 

± 25.462 
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 333.042 

Supervised By: 

Certificate of Verification 

3980 

SOIL 

2008-11-20 11:40 

30.62 

Final 

17398 

2769 dupont 

B2 

Ventry 

13 

CLEARANCE 

± Error 

± 22.241 
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 451.504 

Supervised By: 

Certificate of Verification 

3981 

SOIL 

2008-11-20 11:41 

30.56 

Final 

17398 

2769 dupont 

B2 

Ventry 

13 

CLEARANCE 

± Error 

25.582 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 5681 

Mode SOIL 

Time 2008-12-17 12:08 

Duration 121.82 

Sequence Final 

Flags 

AVERAGE gAvg of 5677-5680 

ADDRESS *276 9 dupont 

QUAD/ZONE 

INSPECTOR *Ventry 

DEPTH 

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 5677 

Mode SOIL 

Time 2008-12-17 12:05 

Duration 30.61 

Sequence Final 

Flags 

BVID # 17398 

ADDRESS 2769 dupont 

QUAD/ZONE GZ 

INSPECTOR Ventry 

DEPTH 13 

SAMPLE TYPE CLEARANCE 

NOTE 

ppm ± Error 

Pb 434.141 ± 25.188 

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 462.889 

Supervised By: 

Certificate of Verification 

5678 

SOIL 

2008-12-17 12:06 

30.93 

Final 

17398 

2769 dupont 

GZ 

Ventry 

13 

CLEARANCE 

± Error 

± 26.285 
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 515.652 

Supervised By: 

Certificate of Verification 

5679 

SOIL 

2008-12-17 12:07 

30.14 

Final 

17398 

2769 dupont 

GZ 

Ventry 

13 

CLEARANCE 

± Error 

± 28.237 
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 531.571 

Supervised By: 

Certificate of Verification 

5680 

SOIL 

2008-12-17 12:08 

30.14 

Final 

17398 

2769 dupont 

GZ 

Ventry 

13 

CLEARANCE 

± Error 

± 28.456 
• 

f^^fJL\ Omaha Lead Site—Fixed Price EP-R7-07-05 

i J^^^ ' I Coastal Environmental Group Inc. 

^^^^T ^ www.coastalhazmat.com 

^-inoy COASTA L ENvmOHMENTAL 

GROUP , 

EXECUTIVE SUMMARY: 

BVID # 17398 - (2769 DUPONT ST) 

No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 

NO ISSUES PENDING. 
sinu EPA 

EPA Property Close Out Form 

Property tt: yj^y B Property A66rr^.-f' ^ ^i ^ '^"-^"T ^ ^ ^ 

Date/Tlroe: Owner's N.me:.^T^^,.'^^"'f^T^ ' i^i. -

Quads Excavated: ^:jS) ^ Gn-fc Contractor Croupr'na<jg-A t> .

1. If necessary, were the correct quadrant(s) excavated and resiored? 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? 

GradiDK Sod and VeceUtion 

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

from the house? 

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

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

day time period) 

4. Are sodded areas generally firm and evenly graded? 

5. Arc the joints between the sod strips generally fight? (Only evaluate ifinspected at a 30 day 

time period) 

6. Was the property graded such that water will nol pool on the propeny? 

7. Was damage to landscaping or plant maierials avoided? 

Gates, Fences and Retainine Wails 

i Do gates open and cloiie freely? (Ifapplicable) 

2. Were all gates or fences taken down during restoration activities reinstalled?

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

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

Foundation, SidioK and Gulltrs 

1. Was damage to the siding or trim avoided? 

2. Was damage to the foundation avoided? 

3. Was damage lo windows avoided? 

4 Was damage to windows or door screens avoided? 

5. Was damage lo downspouts or downspoul extensions avoided? 

Sidewalkj and Driveways (Concrete) 

1 Was damage lo driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

 (Ifapplicable) 

 yr^yrnv^h^^-jy^cyL. ^ 

^ 

• ^ 

Yes No 

.x' 

.^ 

y 

. y ^ 

1 ^ 

^ 

.-^ 

Ves No 

- / 

^ 

w^ 

^ 

Yes No 

^ 

^ 

^ 

^ 

^ 

Yes No 

^ 

^ 
Onners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: luidiiun acuvaicb compit;ic incjuaing me ju-uay sou warranty. 

EPA Representati) iivty-7^^^t^><;:^^^^2>^w4:z^ Date: ///^/ ^ f 
Property Completion Agreement 

This agreemenl documenis the completion of remedial activilies perlbimed nn my pioperiy. My signalure 

will designale thai I am satisfied with Ihe restoration of my properly, and that no items are in questions, 

now, or at any time in the fuluie, except those items listed below, ifany 

Property ID " ^ 7 I? ^ ^ 

Property Address: ^ / ^ Z^^^ O /\' t ^ f ^ ' ^ 

Owner: J ^ 3 ^ fft g m U^ e "^ 

Phone: ^J ^ I 3 9 7 

Restoration Items in Question 

Item: 

Item: 

Item: 

Item: 

Item; 

Item; 

\l/ \ I af;rcc ic.^toralion is completed, excepl as noleri 

L I I rio nol ai;iec restoration is completed 

7/x\)lc^ /py ^ iy^9-0 7 

Ownc i 's SiglTTffiirf 7 Date CXinlracfor's Signature Dale