TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID^ : Date: 7 n 

Addrcs.s y' ^ i\iftu ^f 

Remediation Contractor: Coastal Environmental Group Year: _2010ARRA 

SOILREMEDIATJON 

PROPERTV FILE FOLDER DOCUMENTS 

[ / 

Video of property (DVD) 

Executive Summary 

J. EPA-provided property sketch 

/ Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

Restoration Agreement 

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

Confinnation data 

y Photographs \ k iy^Qwf^V^^ y ^C^tc^\jr^ \ 'ft^ 

As-built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description of areas not meeting ROD cleanup criteria 

y 

Utility clearances 

y Property-rnformation from Douglas County Assessor's Office 

Signature 

'Date ' 

30218810 mi l 

Superfund 
Property Access Checklist 

PropertylD: ^^oe>g,^ 

Property Address: !^!!L^>-5L„5ii^c!^„^^ 

D

D

 WORK STARTED

 WORK COIVIPELTED

 ON:

 ON:

 /

 /

 / 

/ 

i Owner:

Address: 

 -^^^v d "^o^V ^ ^ RcnteiPhone: 

1 

Phone:

Fax: 

 KAO:^ _ ^ «tOi ­ v«V 5r ?r 

FjL\: 

Cell/Pager: 

Additional Information: 

Ccll/Pager: 

D

• 0

5 *

D

 Notification Letter 

 Access Agreement 

 Restoration Agreement 

 Topsoil Sampling (if applicable) 

Sent: / / 

Signed: \ 0 / o\ / \e> 

Signed: vo/o > /v o 

/ / 

By: 

By: 

By: 

By: 

^^ * tVc 

Vi.^ct^ 

Q Disposal Sampling (if applicable) / / By: 

Q

' P

Q

D

D

 Garden Sampling (if applicable) 

 Utility Clearance 

 Video/Photos (Before) 

 Video/Photos (During) 

 Video/Photos (After) 

/ / 

Called: vO /Q ^ /^o • 

On: \ 0 I o\ I \ 0 

On: / / 

On: / / 

By: 

By: 

By: 

By: 

By:

vo/i<H U o

Vi'.tJ C 

 VikMoAv. 

1 

D

D

D

 Video/Photos (30-Day) 

 Property Completion Agreement 

 FinaJ Report 

On:

Signed:

Issued:

 /

 /

 /

 / 

/ 

/ 

By: 

By: 

By: 1 

Air Monitoring (as aijplicable^ 

• Community D Crew 

Results: 

On: / / By: • 1 

im Community

Results: 

 O Crew- On: / / By: 

• Communitj

Results: 

• Crew- On: / / By: 

Omaha Lead Site 
Douglas County Account IniKmatio tAaaz n Page 1 of3 

Douglas County, Nebraska Property Record

Information is valid as of 2010-8-16 

­ R2217990000 

New Feature ^ -^ f*

Print Report 

View Interactive GIS Mao 

Treasurer's Tax Reoort 

 Subdivision Sales Search 

Owner 

BOECKER RONALD F 

ETAL 

10910 JOHN J PERSHING DR 

OMAHA NE 68152-0000 

Property Informatio n 

Key Number: 1799 0000 22 

Account Type: Residential 

Parcel Number: 2217990000 

Parcel Address: 

Legal Description: 

2513 PIERCE ST 

OMAHA NE 68105-0000 

SHULLS 2ND ADD LOT 8 BLOCK 7 E 1 /2 30 X 168 

Value Informatio n 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$4,300.00 

$4,300.00 

$4,300.00 

$4,300.00 

$4,300.00 

$4,300.00 

Improvement 

$25,900.00 

$25,900.00 

$26,700.00 

$26,700.00 

$29,300.00 

$29,300.00 

Total 

$30,200.00 

$30,200.00 

$31,000.00 

$31,000.00 

$33,600.00 

$33,600.00 

Sales Informatio n 

Sales Date: 2001-11-01 

Deed Type: WD Book: 2196 Page: 52 

Price: $25,000.00 

Grantor: 

Grantee: 

Validtlnvalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.11 5040.0 1.0 168.0 30.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online.coin/DouglasCoNe/static/accountinfo.jsp?accountno=R22... 8/20/2010 
Douglas County Account IiAaiiatio xAsmz n Page 2 of3 

^!^i r •'"i 

Firal Floar 

6T2.0tq I . . Svcflfid rtoor 4720»<i». 

 ' .f, 

i •-•• 9 * RTM I i><«T5 

14:1 »q It 

2 STORY 

CLICK TO ENUVRGE IMAGE 

Square Footage: 1144.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Poor 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 7.0 

Exterior: Frame Shingle Units: 1.0 

Interior: Plaster Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1910 1910 101 

DetaiY Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 672.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch End Solid Wall 60.0 

Porch Slab Roof Ceiling 140.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R22... 8/20/2010 
Page 1 of2 

Create Another Ticket Back to Irth Intemet Send Email 

YOUR TICKET NUMBER IS 2612874. 

Original Call Date: 10/08/10 Time: 6:13 pm Op: ELIZABETH18790 

Work to Begin Date: 10/14/10 Time: 7:15 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 2513 Street: PIERCE ST 

Twp: 15N Rng: 13E Sect-Qtr: 27-NW,28-NE 

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: (877)662-4211 


: UNSURE IF CORNER LOT. 


Company : COASTAL ENVIRONMENTAL SERVICE 


Contact Name: ELIZABETH Phone: (877)662-4210 


Work Being Done For: COASTAL 


Depth of Excavation: 4 FT Comer Lot: N Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 METHODIS MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


Service Area Contact Phone Number 

UtiUty 

Type 

CXCATV COX COMMUNICATIONS, 

INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVEL3

LLC 

 LEVELS COMMUNICATIONS, ^ ^ 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

K«cTuriTM« METHODIS METHODIST HEALTH 

 SYSTEMS 

CONSOLIDATED UTILITY 

SERVICES 

Day: 8888474757 

Alt: 

Emerg: 8888474757 

MUD02 METROPOLITAN UTILITIES 

DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/8/2010 
Page 2 of2 

CITY OF OMAHA- OMAHACOF RICH/TRAFFIC TRAFFICSEWER 

OPPDGPR6 SJ^T"^"""'^' ' ELM LOCATING 

QLNNEIF QWEST LOCAL NETWORK ELM LOCATING 

Day: 4024447197 

Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/8/2010 
(^ As-Built Drawing 

COASTA L Omaha Lead Superfund Site 

OLS#: 20884 

Date Excavated: 10/14/2010 

Date USEPA Signed Off: 10/26/2 20884 

Area Sodden: 790 sa ft 

Omaha Lead SHe Exterior Paint hJorlh Arrow Owner Name: RONALD F BOECKER • Go9d Site Sketch Address: 2513 FIERCEST 

Phone: H: W: 

r~| Not paint 

Sampi Lead Sample Samples Collected e Number LAB Concentration Collected Fimi: 

RYASCPXA-20884 Fl y^ 7 PPfn D Date <g• ^ "- t 

RYBSCPXA-20884 F2 3^^ ^ ppm D Time _^^J ^ 

RYCSCPXA-20884 Bl J 4^- ^ ppm D 

Samples Analyzed RYDSCPXA-20884 82 / 2 "^ ^ ppm D 

RDZSCPXA-20884 DZ fX.'y'Z j ppm D XRF Unit: 

nGZSCPXA-20864 Date: e-Z."/-^ ^ e 

Omaha Lead Site 46130 

Legend 


Concrete r/vd Drip Zone Excavated lOQOI Quadbcants Excavated 


Area replaced with Area replaced with 


Area left bare 
 Sod Rock/Mulch 


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

20884 

C W f V V vo/iM 

Omaha Exterior Paint North Arrow Lead Site r Owne r Name : RONALD F BOECKER • Go^d Site Sketch 

13'l^or 

r~l Not paint 

Omaha Lead Site 46L^0 
20884 

H Owner Name: RONALD F BOECKER Omaha Lead Site 

Address: 2513 PIERCE ST Site SItetch 

Phone: H: W: 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

RYASCPXA-20884 Fl y-'^y ppm D 

RYBSCPXA-20884 F2 3^^= ^ ppm D 

RYCSCPXA-20884 Bl ^ y ^ ppm D 

RYDSCPXA-20884 B2 / ^ "^-^ ppm n 

RDZSCPXA-20884 DZ y^'/-'Z ^ ppm n 

RGZGCrXA-20004 -ez­ ppm e­ -B 

ppm 

Exterior Paint North Arrow 

• Gopd 

g-i^o r 

Q Not paint 

^^ 

Samples Collected 

Firm: P-t • f^ T D^^^-LJ 

Date: 'g- H ' ^ 

Time: R.'J^ y A ^ 

Samples Analyzed 

XRF Unit: 0 I '2— Book:^ ^ 

Date: ^-t^V-'^-? ^ 

Time: 

Staff: 

Omaha Lead Site 46130 
20884 

Omaha Lead Site Exterior Paint Nortti Arrow Owner Name: RONALD F BOECKER 

Site Sketch D Gopd Address: 2513 PIERCE ST [3'1*oor 

Phone: H: w • Not paint \ 

Sample Lead Sample Samples Collected Numiser LAB Concentration Collected Firm: 

RYASCPXA-20884 •*-! F1 ^ 3 y Dom D %.y \ Date: 

RYBSCPXA-20884 F2 _2^i^^_pp m D Time: R.;ji5 - A*^ 

RYCSCPXA.20884 B1 

n Samples Analyzed RYDSCPXA-20884 B2 y'Z'^L ^ ppm n 

RDZSCPXA-20884 DZ /X^X ^ ppm D XRFUn t: ^/2-Book:^; ^ 

nOZOCPXA-20004 GZ- ppm Q -B Date: 

RPZSCPXA a088<l PZ- ppm /r/^? ' 

• & Time: 

Staff: tPTTiy Number of Samples = _ p 

I 

NTERED 

AUG 0 9 200V 

r 

&? b-^ 

/ ^ ^ / ^ ; ^ 

%^\tCk)'.m,iT u>AU 

:c5lA«>­

_J 

;v?.»^. 9: trttJ 

.y:?:jp:'~ JyZ.h^'Z^ 

A ? . 

y 

f.y 

"^37. I 

?;«<»• 

Omaha Lead Site 46130 
/ ; •'. I •} 

y^\y y A:..^ 

^o* C G ;• S W 1 

c I c b ^ . ^ c 

C:()iii=c^ii\ U)t /',(•.v.(ii;i- 'u> I lopt-^iiy 

KiGHi OF ENTRY TO PREMISES 

Granloi (the property' owner) consenlK to snd authorizes the United States 

Environmental Protection Agency (FPA) oi its suthorized representatives, collectively 

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

follovv'inQ described premises: 

, . . .9oe»0.y . 

Owner's Wame: Daytime Phone: _ 

^.y>M^IA^£9y^^y-^y._ 

Address of Property 

covered by this ZS^l^^ienra s^ 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) v^ill be 

excavated to remove contaminated soil. The removed contaminated soil v/ill 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 
C C A £ 1 A i 

I f vl»Oh^,^ ^ Ti l 

c » 0 u » I k c 

' Remove obstructions incluriinp boets, tioileis, vehiclcE, picyscape itf;mr, wood 

piles, rioo houses, etc; 

' Remove fiov/er bulbs oi plants tliat the Gisntoi or the Grantor's tenent may wish 

to save; 

^ Water and maintain leplacement vegetation, including fertilizer applicstion, 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 foi access to 

the property' to perform the work 

I Allow videotaping and/or photograpfiing of the property. 

AGREEh/IENT NOT TO INTERFERE 

The Grantor agrees not to interlere or tamper with any of the v»'ork activities, oi with any 

of the work done, or with the equipment used on his property, or to undertake any 

actions regarding the use of said property which would tend to endanger the health or 

welfare of the Grantees or the environment, or to allow others to use the property in 

such a manner. 

Should you have any questions about this program, please contact Coastal 

Environmental Group, at (402) 991-1199 

Q^gr gran j D I do nol grant access to my properties t access to my properties 

Signzturc Date 

O I would like lc bt preieitl duririg any sempHrio (hat is reqi'ired, 
C O A S T A L • NVinOMMINTA L OROUP . IMC . 

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 Environmental 

Protection Agency (EPA). 

PropertylD: ZiS ^ H 

Property Address: "Z^" 1"^ Ve-t^CCC 

Owner: fC^ „ I J (^p^tyy ^ 

Phone: ^ f^ ^ / f J X 

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: 

A r)\f pion^ ^ fo ht: <r<?trP(/ 

Item: 

Item: 

Item: 

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

item: 

A n y ^lyyJT^S l^l^jy j 

Item: 

Item: 

Item: 

Page 1 of. 
COASTA L ENVtRONHSNTAL OROUP . INC . 

Items to Be Removed By Contractor During Remediation and Replaced 

Item: 

y.^t 

Item: 

S.J 

item: 

item: 

Landscape Inventory 

Item Quantity Unit Condition/Type/Species 

Pre-existing property area, Quadrants that will be excavated, that fSb-^ is covered with grass. 

Number of trees > 2 inch Each ^ 

trunk diameter 

Number of trees <= 2 inch Each ^ 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, Each Timers, Heads, etc. ^ Attach a sketch of the 

sprinkler layout. 

Number of and size of 

each garden/ flower bed Each 

area. ^ Square Feet 

Attach a sketch of relative 

sizes and locations. 

Agreed upon value 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 Each 

excavated / /e^Ji(^^ H^c^olh 

Page 2 . ^ 
vs 

C O A S T A L 

OROUP . IN C 

Additional Comments / Instructions: 

The city of Omaha ordinances may prohibit you from using dirt or gravel areas on your property 

as driveways or vehicle parking areas. The Environmental Protection Agency (EPA) may be 

removing and replacing soil underiying a gravel or dirt area on your property that you may be 

using as a driveway or vehicle parking area. If this is the case, you should understand that this 

removing and replacing of soil does not mean that any illegal driveway or parking area on your 

property is made legal. To the contrary, you may be cited by the city if you use a gravel or dirt area 

as a driveway or parking area, not withstanding any removai or replacement of soil by the EPA 

If you have any question about legality of a certain driveway or parking area, you may contact 

the city of Omaha's Planning Department at (402) 444-5150. 

Q Please check this box if you understand the information outiined above. 

-hi ^^^-^Uc^ 

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

i y pre:>existing damage. By checking this box CEG is not responsible for any damage done to the 

TterJor of house, including foundation cracks or fissures. 

n I do not agree 

Owner's Signature Date Contractor's Signature Date 

Page 3 of. J 
Date 

Project 

XRF ID# 

Shot# 

Yb 

H 

W 

Average 

Shot# 

n 

1^ 

\ ^ 

Average 

Shot# 

2-\ 

^ ^ 

2l> 

Average 

Shot# 

Average 

Signature 

Print

XRF PROPERTY SAMPLE SHEET 


\-X\'ZoV \ Address 

Omaha Lead ARF ^ Sample time 

^'1o^'7_ sample length 

Reading Sample area Shot# 

<\^t \L VI 

84^- VU Depth 

'g>M,^W I.'' 

/ Average fi-^^\^ 

Reading Sample area Shot# 

^^ ^ \>J\ O^ 

46-- \'S Depth 

H-^-t l' ^ iD^ 

60 * I'l) / Average 

Reading Sample area Shot# 

\«n^:i^ \<i tA 

VAlX 1 ^ Depth 

v^ftt -u I" 

qVL ^- %\ \J Average 

RETEST AREAS 

Reading Sample area Shot# 

/

y ^

 / 

y 

7 

Depth . 

Average 

 iM^k^ iM^ntt/) 

BVID# JOg ^ 

Z^\ Z ?\exLjC^ Sr 

am/pm 

30 sec 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sarnple area 

Depth 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022.j 

Reading No 16 

Mode SOIL 

Time 2011-01-21 11:36 

Duration 90.45 

Sequence Final 

Flags 

AVERAGE .AYgosOi,^13.:l^ , 

ADDRESS 2^ 3 PIERCE ST? 

QUADRANT F » 

DEPHT 6'« 

XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

Supervised By 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 93.122 

Supervised By: 

Certificate of Verification 

13 

SOIL 

2011-01-21 11:34 

30.16 

Final 

20884 

2513 PIERCE ST 

Fl 

6" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 16.986 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm

Pb 84.617

Supervised By: 

Certificate of Verification 

14 

SOIL 

2011-01-21 11:35 

30.14 

Final 

20884 

2513 PIERCE ST 

Fl 

6" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 16.455 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm

Pb 84.082

Supervised By: 

Certificate of Verification 

15 

SOIL 

2011-01-21 11:36 

30.15 

Final 

20884 

2513 PIERCE ST 

Fl 

6" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 16.335 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 20 

Mode SOIL 

Time 2011-01-21 11:42 

Duration 90.64 

Sequence Final 

Flags 

AVERAGE "oTi? ^ 

ADDRESS •'2;5T3rPIERCE ST 

QUADRANT 

DEPHT 

XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm

Pb 54.710

Supervised By: 

Certificate of Verification 

17 

SOIL 

2011-01-21 11:40 

30.14 

Final 

20884 

2513 PIERCE ST 

DZ 

10" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 14.680 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm

Pb 48.269

Supervised By: 

Certificate of Verification 

18 

SOIL 

2011-01-21 11:41 

30.02 

Final 

20884 

2513 PIERCE ST 

DZ 

10" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 13.923 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm

Pb 49.088

Supervised By: 

Certificate of Verification 

19 

SOIL 

2011-01-21 11:42 

30.48 

Final 

20884 

2513 PIERCE ST 

DZ 

10" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 12.486 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 24 

Mode SOIL 

Time 2011-01-21 11:44 

Duration 90.93 

Sequence Final 

Flags 

AVERAGE /^yror2i-23 -y 

ADDRESS 

QUADRANT 

DEPHT 

25T3-PIERCE^T 19 

XRF TECH C.PADILLA 

MISC CONFIRMATION 

NOTE CLEAR 

Supervised By 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 194.694 

Supervised By: 

Certificate of Verification 

21 

SOIL 

2011-01-21 11:43 

30.52 

Final 

20884 

2513 PIERCE ST 

EA 

1" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 18.863 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 242.833 

Supervised By: 

Certificate of Verification 

22 

SOIL 

2011-01-21 11:43 

30.19 

Final 

20884 

2513 PIERCE ST 

EA 

1" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 23.133 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 198.529 

Supervised By: 

Certificate of Verification 

23 

SOIL 

2011-01-21 11:44 

30.22 

Final 

20884 

2513 PIERCE ST 

EA 

1" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

21.691 
/ ^A ^ \ Omaha Lead Site—Fixed Price EP-R7-07-05 

I ^^^ ^ I Coastal Environmental Group Inc. 

V"^^ ^ www.coa8talhazmat.com 

^"inoy^ COASTA L INViaONHENTAL 

C 1 0 U P, IN C 

EXECUTIVE SUMMARY: 

BVID #20884-(2513 PIERCE ST) 

X No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 

-DAN GARVEY WALKED THE PROPERTY ON 10/26/2010 
EPA Property Close Out Form 

Proptrty tf: 

Dste/Tlnie: 

Quads KxcBvatrd; 

-.MH - Property Address; 

Owner's Name: /•.,,. • • 

Contractor Croup __ sy ^ 

Excavation General 

if necessBO'. were thc correct quadmnKs) excavated and restored? 

1 if necessary, were the correct areas ofdrip /one excavated and restored'' y 

Grading Sod and Vegetation _. _ 

! I Does the grading around the perimeter ofthe house m excavairri areas generally slo|>f away 

I _ from the house? 

2 Has sod been laid in all areas thai were excavated? 

i Does the sod appear lo be generally healthy and growing? (Only evaluaie if inspcrtcd ai a 30 

I day time period) 

^ • 

r 

4. Are sodded areas generally firm and evenly graded? 

^ Arc the joints berween the sod strips generally tight? (Only evaluate if inspected at a ?n day 

time period) ^ _ _ 

6. Was the property graded such thai water will nol pool on the property'' 

7 Was damage to landscaping or plant materials avoided'' 

, Oitw. Fences and Retaining Walls _ 

Do gates open and close freely? rif applicable) 

Were all gates or fences taken down during restoralion activities reinstalled'.' fif applicahlf i 

I ^ Was damage lo gates or fences avoided? (Ifapplicable; 

I 4 Was damage to retaining walls avoided? (If applicable) 

foupdation, Siding and Cutlers _ _ 

I I Was damage to the sid'ing or trim avoided? 

Vej , .\o 

I 2 Was damage to the foundation avoided'' 

Was damage lo windows avoided'' 

^ Was damage io windows or door screens avoided'' 

.* Was damage lc dounspuuis nr downspout extensions avoided'' 

Sidexalks and Driveways (CoDcrete) 

I Was damage to driveway surfaces avoided' 

> CS , >f. 

2. Was damage lo walkway surfaces avoided'' 
O^'vers comments: 

fnsp*'Ction notes: 

Removal and resloration aclivalK.s coinplele including the 30-day .sod warraiir) 

f;PA Rcprcspmaiivf _ ^"^ i __. f^iiie: lolze/io 
Property Complelion Agreemenl 

I hli, ajiittmeni clocuiTieiiis liie Lomplclion ol icinedi?! aciiviies pcfloimed on my pioper'.y M y sigici;uit 

wili df;M|iiiaie liiai ( am salisfied wifh (he restoralion of my propeily anrl (h?( no items ate 111 quest.QMS 

iiov*'. O"^ a\ an)' line :)i thc fuluif except iliose ilerns listed belou, if aii) 

Property ID: 7(?m ^ ' 

Property Address 

Ownei-: 

Phone: H4r.Bgp 

Restoration Items in Queslion. 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

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Additional Comments: 

2f^ \ A\.^fr ir^toialio p is complcitd , octp l as noleri 

j J I rio nol ajjif c rrsinralinn w luniplrlc d 

~y 

0 « n n 's Sign a i«t( ( iinli»(Kii' s Sipiialiii c f^alr