TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: P^.r"// Date: 

Address: /<r4<g' ^ / l^ S T 

Remediation Contractor: Coastal Environmental Group_ Year: _2011ARRA_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

U y Video of property (DVD) 

J/ Executive Summary 

U / EPA-provided property sketch 

U Signed Access Agreement for subject property 

'B' ^ Signed Access Agreement(s) for adjacent property 

Q / Restoration Agreement 

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

U.

 • Confirmation dal^ 

t / Photographs \ k (>fl4(UffJla^ -nSo^^y" ^ \ ^^'^ 

{4 / As-built sketch 

IM Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description of areas not meeting ROD cleanup criteria 

W / Utility clearances 

7 Property^formation fi"om Douglas County Assessor's Office 

^ 1 

^ ii 

T5ate 

30261680 

iimiii 

Superfund 
Property Access Checklist 

[PropertylD: ^JQ^ \ [ n WORK STARTED ON: / / 

D WORK COMPELTED ON;. / / PropertyAddress: \gi \ i^ [v/. 2 ^ 5 t" ­

0,vncr: ^^^^ l ^l^rr U Renter: 

Address: "J Phone: 

Ftix: 

Celi/Pager: 

Additional Information: 

Phone: 407^ ' Hf^-^-bya r 

Fax: 

Cell/Pager 

D Notification Letter Sent: / / By: 

\ ^ Access Agreement 1 Signed: JL/2a / 11 By: 

[)( Restoration Agreement Signed: 2_/^/l i By: 

D Topsoil Sampling (if applicable) / / By: 

D Disposal Sampling (if applicable) / / By: 

D Garden Sampling (if applicable)' / / By: 

D Utility Clearance Called: / / By: 

D Video/Photos (Before) On: / / By: 

O Video/Pbotos (During) On; / / By: 

n Video/Photos (After) On: / / By: 

n Video/Photos (30-Day) On: / / By: 

' Q Property Completion Agreement Siened: / / By: 

1 D Pinal Report Issued: / / By: 1 

Air Monitoring (as applicable) 

D Community • Crew On: / / By: 

Results: 

O Community • Crew On: / / By; 

Results: 

U Community \Z} Crew On: / / 1 

Results: 

Omaha Lead Site 
Douglas Coimty Account Infomiation Page 1 of 1 

Douglas County, Nebraska Property Record ­ R2229090000 

Information is valid as of 2010-8-30 

New Feature -» -4 -» 

Print Reoort 

View interactive GiS iMao 

Treasurer's Tax Reoort 

Subdivision Sales Search 

Owner 

HARRIS ROY L 

ETAL 

5318 N 25 ST 

OMAHA NE 68111-0000 

Property Informatio n 

Key Number: 2909 0000 22 

Account Type: Residential 

Parcel Number: 2229090000 

Parcel Address: 

Legal Description: 

1546 N 18 ST 

OMAHA NE 68110-0000 

SMITHS -E V- ADD LOT 3 BLOCK 16 S 1/2 33 X 140 

Value Informatio n 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

http://dougiasne.mapping-onIine.com/DouglasCoNe/static/accountinfo.jsp?accountno=R222... 9/2/2010 
4/8/2011 www.dhon.org/irthinternet/DHONNotic... 

Create Another Tlclcet Back to Irth Intemet 

r Send Email 

• YOUR TICKET NUMBER IS 2708604. 

Original Call Date: 4/08/11 Time: 2:27 pm Op: ALFONSO18790 


Work to Begin Date: 4/12/11 Time: 3:00 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1546 Street: N 18TH ST 


Twp: 15N . Rng: 13E Sect-Qtr: 15-NW 


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 LEVEL3 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Utility Service Area Contact 

Phone Number Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVEL3 COMMUNICATIONS, LbVbLJ ^^ ^ NA 

Alt: 

Emerg: 8773668344 

Day: 4025047823 

METROPOLITAN UTILITIES MUDOl SANDY MUD

 Ak: DISTRICT 

Emerg: 4025047970 

Day: 4024447197 

CITY OF OMAHA- OMAHACOF RICH/TRAFFIC

 Alt: 4024446725 TRAFFICSEWER 

Emerg: 4024445160 

dhon.org/irthinternet/.../MessageTextas., 1/2 
4/8/2011 www.dhon.org/irthinternet/DHONNotic... 

^ ,

0PPDGPR5

 OMAHA PUBLIC POWER

 j^j3^^ ^

 ELM 

L^^^^ ^

, Day: 4067289343 

Aft: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK

FTM 

TM\.,^T ^

LOCAllNO 

Alt 

Day: 4067289343 

Ak: 406207149 4062071494 

Emerg: 8887289343 

dhon.org/irthinternet/.../MessageText.as... 2/2 
i,„.iiiniiiin 26S11 

Omah Exterior Paint North Arrow a Lead Site 

Sit • Good e Sketch • Poor 

Samplina Address: 1546 N 18 ST 04lot paint 

Sample Number Lead Sample 

Samples Collected LAB Concentration Collected Firm: pPXnC . (\A\^-rS^ 

RYASCPXA-26511 Fl 2q a ppm a' D Date: f^i&lMf i 

RYBSCPXA.26511 F2 ^n ppm 

D Time: IQi 5 5 A 

RYCSCPXA.26511 B1 *y^s ppm 

D Samples Analyzed RYDSCPXA-26511 82 IBS ppm D 

RPZOCPXA-20G11 -BZ. ppm D D XRF Unit: Gi5HO Book: 20*7 

ROZOCPXA-20G11 GZ — ppm D a 

Date: ^-2 ^ -Of t 

RPZSCPXA-2fl5l - l Pf ppm D a 

Time: A M 

Staff: MSU / 

Number of Samples = | •^ j j Q 

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 the street, facing property 

Mtt^ 

©• J© 

H3Q 

•^2 

B. 

Z'^S $n 

M E ^ 

M. 

I-I 

W/KU H 

N. le s+. 

Rev 2U08.N Created: 2(>-Keb-Ug 

044701.01.2.1 
As-Built Drawing 

COASTAL Omaha Lead Superfund Site •M VI RCMIIte MTAL • • O U » . IM C 

r^'.:-^..f QI.S#:2gg11 

Date Excavated: 4/12/2011 

Date USEPA Sianed Off: 5/4/2011 

Area Sodden: 3500 so ft 

26511 

Omalu ExiaiiorPaM i Lea d SKe 

• Good Site Sketc h 

D Poor 

Sampling Addrws: t546NiaST 

Sample Number Lead Sample LAB Samples Collected . Concer^ration Colected Firm: 9 ^ X-<^C (V^TS ^ 

RYASCPXA-26511 Fl _Z3.fi_PPn > D Dale: JS/01 /0f<. RYBSCPXA-26511 F2 5JJ2_PP«n D Time: /Qt 5S A 

RYCSCPXA-26511 81 _fLifi_PP m D Samples Analyzed RYDSCPXA-26S11 B2 IB S ppm n 

RDZOCPXA-BOSII BZ ~ PP"' D n XRFUr.«: G5HC > Book: 20 T 

rtozocrxAaoon—sz ~ pom D D Date: -3^-Of t 

RPZSCPXA-aesii—PZ ~ PO«n D D Time: A ^ 

Staff M^i^ / Number of Samples = I 4 1 | 0 | 

Legend: Fl « Front Left. F2 « Front Right B1 = Back Left, 82 = Back Right D2 = Drip Zone, G2 = Garden. PZ = Play 

A l quadrants areK viewed from the street, facing property 

A-lut't 

Bl = 204 PPM @ 4" 

B2 = 244 PPM @ 4" 

lUv anXN CluKd MhFdKW 

Legend 

Concrete Drip Zone Excavated Quadrants Excavated 

Area replaced with

Sod

 Area replaced with 

 Rock/Mulch Area left bare 

Contrac t # : EP-R7-07-0 5 Coasta l Environmenlia l Group In c 
l i illZ 26511 

Omah Exterior Paint North Arrow a Lead Site 

Site • Good Sketch 

• Poor 

Sampling Address: 1546 N 18 ST 0'^Not paint 

Sample Number Lead Sample Sampl^ Collected LA8 Concentration Collected Firm: 9 ^ -UnC iV^irS ) 

RYASCPXA-26511 Fl 2 q e ppm D Date: 5/i^lMfi •.5M. ' -^" — RYBSCPXA-26511 F2 ppm D Time: 10'^ 5 5 A 511 RYCSCPXA-26511 81 ppm D 

Samples Analyzed 

RYDSCPXA-26511 82 IBS ppm D

RD£GCr)(A-2G011 DZ ppm D D XRF Unit: G>5HO Book: 20* 7 

ROZ0CPXA-20Q11 GZ ppm D D Date: ^-2 ^ -Qg ) 

RPZSCPXA-2e5l I Pf ppm D D Time: A M 

Staff: ffiv/ Numt)er of Samples = [ •^ | | Q 

Legend: F1 = Front Left, F2 = Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from ttie street, fadng property 

M&M^ ie>4.6 »CJ8^h, 

Rev2008.N Created: 2fr.Feb-08 044701.01.23 
26511 

Exterior Paint North Arrow Omah a Lead Site 

• Good Site Sketch 

• Poor 

Sampling Address: 1546 N 18 ST ^ftkA paint 

Sample Number 

RYASCPXA-26511 F1 

RYBSCPXA-26511 F2 

RYCSCPXA-26511 Bl 

RYDSCPXA-26511 82 

RDZ0CPXA-2GG11 DZ 

ROZOCrXA20G11 GZ 

RPZSePXA-26511 Pf 

Lead Samp>le 

Concentration Collected 

2<^ 8 ppm 

/S/ 7 ppm 

H 3 Q ppm 

-IBS ppm 

ppm D — ppm D — ppm D 

Number of Samples = | -^ |

LAB 

D 

D 

n 

D 

D 

D 

D 

 | Q [ 

Samples Collected 

Firm 

Date •.5/m0 l<&^ 

Time: /Qt 5 5 A 

Samples Analyzed 

XRF Unit: G5HC > Book: 20 1 

Date: '5-25 ? -O B 

Time: A M 

Staff: MIW^ 

Legend: F1 = Front Left, F2 = Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone. GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

N, 18 5+.' \^p t A 

s- .v^('.i-.:(i(.fo4p. 

Rev 2U08.N Craled: 26-Feb.Og 04470I.0IJ3 
ni5\ 

COASTA l 

inriiONnlHiAi C t 0 Uf . IN C 

Consent for Accessf 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: j^ ^ fkcf^ S Daytime Phone: 

Address of Property 

covered by this 

Agreement: ]5W<^ /^ 1^ ^ 

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 
3

 ~ ' ' " 

V'-" ^ >' COASTAL •j .

 j^f^ ItlVKOMHIKtl l 

' PRO^*" C « O U r t M c 

c Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

c 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 (402) 991-1199 

101 grant access to my properties D > do not grant access to my properties 

Signature' f ^ Date Signature Date 

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

Page 2 of 2 
C , 0 A S T A L 

(MVinONMSMTAL C « 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). 

PropertylD: ^5] ) 

PropertyAddress; ]^L/I^i^ ]Q-^-f 

0^^""-= ^oc, fk^r,<, 

Phone: ljC,^^o(2^ 

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: 

Item: 

N£>/\ii_ 

Item: y 

Item: <f — 

Item: i 

Page 1 of. 
C O A S T A L 

C R O U r . INC . 

Items to Be Removed By Contractor During Remediation and Replaced 

Item: 

-$<? ) '/?/ , /?f. yy^ 

Item: *• y 

t>0(i y Item: 

Item: 

Landscape Inventory 

Item Quantity Unit ConditionrType/Species 

Pre-existing property area, .Quadrants that will be excavated, that 

is covered with grass. f^.Bl.Bl 

Number oftrees > 2 inch Each 

trunk diameter 

Number of trees <= 2 inch E^ch 

trunk diameter y• 

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. (f Square Feet 

Attach a sketch of relative 

sizes and locations. 

Agreed upon value of plant 

materials not to be 

reolaced bv contractor. $ Note this value will be 

used to issue a plant / 

voucher to the property 

owner. 

Easement Area, to be Each excavated %i fj£iOP:iy^(^ 

Page 2 of. 
COASTA L 

C R O U r , INC . 

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 underlying 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 removal 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 cify of Omaha's Planning Department at (402) 444-5150. 

|Tj Please check this box if you understand the information outlined above. 

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

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

interior of house, including foundation cracks or fissures. 

O I do not agree 

y \' " ^_ _ 

Contractor's Signature 

Page 3 of. 
B\/\D #JZXa£lL 

XRF PROPERTY SAMPLE SHEET 


Date fMfl^-CZfUl Address 

Project Omatia Lead ARRA Sample time 

XRF ID# '^i^n9,^ sample length 

Shot# Reading Sample area Shot# 

ZS 2^t - 18 ^7. 

T^ip 2.8^^^ l Depth 

-2^1 2.4'2'-t^o 4 " 

Average 'X-HH t 2 C 1/ Average 

Shot# Reading Sample area Shot# 

O-l ^2'l t\<i Bl 

lyi^ HHv ig Depth 

7 ^ y\u> ti 6 4" 

Average ^04: J: \ ^ y Average 

Shot# Reading Sample area Shot# 

\-l l»^ -t in ^ X 

10 7.7.3 i in Depth 

l ^ VO^t^\'& 4. 

Average XQg^ :tV8 Average 

RETEST AREAS 

Shot# Reading Sample area Shot# 

, . . ..„ ^ Depth 

/ y" 

; 

Average / Average 

Sianature \ yy^y ^ 

PH„.^/h^ W/n^i 

1*54^ Ai, 16 S^ 

am/pm 

30 sec 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

_Xi3t-32 

Reading No 

)de 

Juration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Mo 

Zr 

S f 

u 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Certificate of Verification 

28 

SOIL 

25il-W-15 51:44'\ 

92.61 

Final 

Avg of 25-2Z. 

1546 N 18 ST 

B2 

4" 

M. MATEUS 

CONFIRMATION 

CLEAR 

ppm 

< LOD 

396.127 

138.523 

< LOD 

59.083 

< LOD 

•844.216 

< LOD 

< LOD 

< LOD 

175.817 

< LOD 

39.109 

< LOD 

184.454 / 

17842.727/ 

534.473^ 

Error 

:; • 7.394 

' ± 14.073 

± 7.740 

13.315 

± 5.873 

: 12.253 

± ^e.2iz 

* 5.055 

26.541 

11.056 

± 21.535 

—>) 80.589 

/

± y-^

Supervised By: /9'> ^ y/ 

/ 20.316 

 70.536 

 117.311 

364.438 

100.264 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpil<e 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

BVIDI^^^ H 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Mo <

Certificate of Verification 

25 

SOIL 

2011-04-12 21:42 

30.88 

Final 

||^V2651 1 

^^154 6 N 18 ST 

B2 

4" 

M. MATEUS 

CONFIRMATION 

CLEAR 

ppm 

 LOD X 

Zr 400.234 ± 

Sr 144.568 ± 

U < LOD • 

Rb 59.665 ± 

Th < LOD 

i n 207.680 ± •m < LOD 

As < LOD 

Hg < LOD : 

Zn 176.208 ± 

W < LOD : 

Cu 37.332 ± 

Ni < LOD ; 

Co 185.868 ± 

Fe 16468.811 ± 

Mn 511.422 ± 

Supervised By: 

Error 

7.326 

13.979 

7.802 

13.554 

5.859 

11.961 

18.64S* 

5.342 

24.580 

11.065 

21.231 

77.303 

19.816 

69.608 

111.829 

346.004 

96.267 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpil<e 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 393.554 

Sr 137.420 

U < LOD 

Rb 62.982 

Th < LOD 

Pb 282.173 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 163.725 

w < LOD 

Cu 41.429 

Ni < LOD 

Co < LOD 

Fe 17411.600 

Mn 579.131 

Supervised Bv: 

Certificate of Verification 

26 

SOIL 

2011-04-12 21:43 

30.98 

Final 

26511 

1546 N 18 ST 

B2 

4" 

M. MATEUS 

CONFIRMATION 

CLEAR 

Error 

,«i 7.379 

± 14.075 

± 7.732 

* 13.253 

± 6.028 

12.847 

: 5.245 

27.690 

10.764 

± 20.986 

: 82.218 

± 20.572 

: 70.488 

] 171.912 

± 361.211 

± 103.706 
ThMmo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpil<e 

Billerica, MA 01821 

Certificate of Verification 

27 

SOIL 

2011-04-12 21:44 

30.75 

Final 

26511 

1546 N 18 ST 

B2 

4" 

M. MATEUS 

CONFIRMATION 

CLEAR 

Error 

J 7.477 

± 14.165 

± 7.685 

13.138 

± 5.732 

11.950 

± 20.331 

4.577 

± 18.235 

11.340 

± 22.387 

82.246 

± 20.559 

71.512 

± 125.497 

± 386.097 

± 100.819 

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 

394.594 

133.580 

< LOD 

54.602 

< LOD 

242.794 

< LOD 

27.790 

< LOD 

187.518 

< LOD 

38.567 

< LOD 

258.667 

19647.770 

512.872 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpil<e 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

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 

356.394 

139.449 

< LOD 

57.875 

< LOD 

«a04.124

< LOD 

< LOD 

< LOD 

184.308 

< LOD 

40.642 

< LOD 

< LOD 

16809.416

570.592

Supervised By: / 

Certificate of Verification 

24 

SOIL 

2011-04-12 21:40 

92.48 

Final 

"Avg of 21-23 

1546 N 18 ST 

Bl 

4" 

M. MATEUS 

CONFIRMATION 

CLEAR 

; 

± 

± 

: 

± 

' ± 

: 

* 

: 

± 

: 

± 

. ^ 

y ^ '

 /^ ^ 

X f^. 

y y ^

Error 

7.244 

13.366 

7.719 

12.929 

5.755 

10.929 

^snop 5.460 

24.204 

10.467 

21.675 

74.000 

20.132 

- 7 68.041 

/ 167.168 / 

351.893 

101.312 

7 

i

( . 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpil<e 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 21 

Mode SOIL 

Time 2011-04-12 21:38 

Duration 30.82 

Sequence Final 

Flags 

BVID 26511 

ADDRESS 1546 N 18 ST 

QUADRANT Bl 

DEPHT 4" 

XRF TECH M. MATEUS 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD : 7.237 

Zr 348.408 ± 13.231 

Sr 139.823 ± 7.717 

U < LOD 12.839 

Rb 60.802 ± 5.850 

Th < LOD 11.383 

Pb 221.224 ,.l^ m .. .-»49,23& 

Se < LOD I 5.176 

As < LOD : 25.387 

Hg < LOD 10.270 

Zn 190.705 ± 22.008 

W < LOD 74.801 

Cu 45.636 ± 20.464 

Ni < LOD 68.428 

Co < LOD 164.029 

Fe 16196.125 ± 345.067 

Mn 541.904 ± 99.173 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 22 

Mode SOIL 

Time 2011-04-12 21:39 

Duration 30.91 

Sequence Final 

Flags 

BVID 26511 

ADDRESS 1546 N 18 ST 

QUADRANT B l 

DEPHT 4" 

XRF TECH M. MATEUS 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD ; 7.297 

Zr 347.075 ± 13.249 

Sr 135.015 ± 7.627 

U < LOD : 13.053 

Rb 53.235 ± 5.609 

Th < 1 n n 11 018 

Se < LOD : 

iMpf^'"' ^ 

5.198 

As < LOD : 23.692 

Hg < LOD : 10.368 

Zn 160.312 ± 20.437 

W < LOD : 71.915 

Cu 46.080 ± 20.712 

Ni < LOD \ 70.226 

Co < LOD 166.713 

Fe 16326.306 ± 347.984 

Mn 564.640 ± 100.792 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpil<e 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD : 

Zr 373.697 ± 

Sr 143.510 ± 

U < LOD : 

Rb 59.587 ± 

Th < LOD • • B 196.240 ^ ^ 

 < LOD

As < LOD 

Hg < LOD 

Zn 201.906 

W < LOD 

Cu 30.211 

Ni < LOD 

Co < LOD 

Fe 17905.820 

Mn 605.231 

1 ^ "

Supervised By: 

Certificate of Verification 

23 

SOIL 

2011-04-12 21:40 

30.75 

Final 

26511 

1546 N 18 ST 

Bl 

4" 

M. MATEUS 

CONFIRMATION 

CLEAR 

^^"—~— ^ 

; 

* 

± 

± 

: 

: 

± 

± 

Error 

7.198 

13.619 

7.813 

12.894 

5.805 

10.388 

6.005 

23.532 

10.764 

22.580 

75.284 

19.219 

65.470 

170.761 

362.629 

103.970 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS — 

QUADRANT

T5EPHT 

XRF TECH 

MISC 

NOTE 

Mo 

Certificate of Verification 

20 

SOIL 

2011-04-12 21:36 

92.66 

Final 

• Avg of 17-1 ^ 

»H^^^154 6 N 18 ST 

m^^PF 2 

4" 

M. MATEUS 

CONFIRMATION 

CLEAR 

ppm 

< LOD 1 

Zr 380.981 ± 

Sr 135.987 ± 

U < LOD : 

Rb 61.144 ± 

Th < LOD 

Pb ^^3.99 1 ± 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 206.855 ± 

W < LOD 

Cu 53.303 ± ^ 

Ni < LOD 

^ y Co < LOD yy : 

Error 

7.340 

13.748 

1.^21 

13.352 

5.918 

11.933 

"^i.Baa-i 

5.383 

24.391 

11.114 

22.932 

^.,^7e;^19 

21/096 

)S8.825 

/165.421 

Fe 16827.813/ ± // 351.912 

Mn 551.1ir 99.933 

yy? 

Supervised By: / ezz 7 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 17 

Mode SOIL 

Time 2011-04-12 21:35 

Duration 30.89 

Sequence Final 

Flags 

BVID 26511 

ADDRESS 1546 N 18 ST 

QUADRANT F2 

DEPHT 4" 

XRF TECH M. MATEUS 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 


Mo < LOD 7.419 

Zr 375.370 ± 13.586 

Sr 137.764 ± 7.626 

U < LOD 13.164 

Rb 62.500 ± 5.920 

Th < LOD 11.519 

Pb ---3-482.039 ± 17.606 

Se '< LOD 5.352 

As < LOD 23.452 

Hg < LOD 10.762 

Zn 208.979 ± 22.898 

W < LOD 77.755 

Cu 55.460 ± 20.968 

Ni < LOD 65.640 

Co < LOD 162.287 

Fe 16792.012 ± 349.579 

Mn 572.112 ± 100.734 

Supervised By: 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 18 

Mode SOIL 

Time 2011-04-12 21:36 

Duration 30.75 

Sequence Final 

Flags 

BVID 26511 

ADDRESS 1546 N 18 ST 

QUADRANT F2 

DEPHT 4" 

XRF TECH M. MATEUS 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD : 7.274 

Zr 395.559 ± 13.885 

Sr 128.910 ± 7.405 

U < LOD 12.935 

Rb 63.042 ± 5.924 

Th 

IB! ^ I m

^ ^

< LOD 

 223.684 

 < LOD 

i 

: „

1 ") O"?"? 

 19.29g^ 

5.465 

As < LOD 25.158 

Hg < LOD ' 11.254 

Zn 215.640 ± 23.283 

W < LOD 80.125 

Cu 65.655 ± 21.902 

Ni 85.171 ± 47.576 

Co < LOD : 167.105 

Fe 17289.867 ± 355.041 

Mn 587.188 ± 101.789 

Supervised By: 
Themio 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 19 

Mode SOIL 

Time 2011-04-12 21:36 

Duration 31.02 

Sequence Final 

Flags 

BVID 26511 

ADDRESS 1546 N 18 ST 

QUADRANT F2 

DEPHT 4" 

XRF TECH M. MATEUS 

MISC CONFIRMATION 

NOTE CLEAR 

ppm Error 

Mo < LOD I 7.328 

Zr 372.014 ± 13.773 

Sr 141.289 ± 7.848 

U < LOD * 13.956 

Rb 57.891 ± 5,912 

Th < LOD 12.060 

ilk— _^6.25 0 . ^ ••^H i B^ 18.891 

Se < LOD ; 5.332 

As < LOD : 24.562 

Hg < LOD : 11.326 

Zn 195.945 ± 22.614 

W < LOD 78.878 

Cu 38.793 ± 20.419 

Ni < LOD ; 69.471 

Co < LOD : 166.871 

Fe 16401.559 ± 351.116 

Mn 494.053 ± 97.277 

Supervised By: 
ijQL\ Omaha Lead Site—Fixed Price EP-R7-09-06 

Coastal Environmental Grou p Inc. V) 

www.coastalgrp.ne t K^y^^ COASTAL 

^ 

INVIIOMNINTAL 

C > 0 U P. IN C 

EXECUTIVE SUMMARY: 

BVID #26511 - (1546 N 18 St) 

No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 

DAN GARVEY WALKED THE PROPERTY ON 5/4/11 
Property Completion Agreement 

This agreemenl documents the completion ol remedial activities perloimed on my properly. My signature 

will designate ihal I am satisfied with (he rcsioralion of my properly, and (ha( no ileins are in questions, 

now, or al any lime in the future, except those items listed below, if any 

PropertylD: XQ'^ U 

Propcrfy Addrc.ss:|9(^ ^^ M , j T SF ^ 

Owner: \Z^O^A [\rXYVi ^ 

Phone: U j 0^k . - VA C 3 ^ n \l S 

Restoration Items in Question: 

item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

y« J 1 nyrcc I'C.^toriilion is completed, excepl as nnleri 

[_) I rio nal-M;i-ec re*lor«tion is coniplelcri 

Own«>'5 Signatiirr 
P^EPA 

EPA Propcrt>' Close Out Form 

Property H: iMf W . . Prn^-rt Propertvy Addre.ddres5.: JSUU^L-iC^ ' 

Date/Time: Owner's Name: 

Quads Excavaled: Contractor Group 

Excavatio Ves No n General 

1. if necessao', were ihc correct quadrantfs) excavated and restored? / 

2. If necessary, were the correct areas ofdrip zone excavaled and restored? y -J 

Grad Ves No i oe Sod and Vefletatioo 

1. Does the grading around the 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 the sod appear to be generally healthy and growing? (Only evaluaie if inspected at a 30 

day time period) y

4. 

.'ire sodded areas generally firm and evenly graded? y 

5. 

Are the joints berween the sod strips generally tight? (Only evaluate if inspected at a 30 day y time period) 

6. 

Was the property graded such that water will not pool on the property? 

7 

Was damage to landscaping or plant materials avoided? y 

Gales. Fences and ReUining Walls 

Ves No 

i. Do gates open and clo,";e freely? (Ifapplicable) ^ 

2. Were all gates or fences taken down during restoration aciiviiies reinstalled? (Ifapplicable) / 

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

4. Wa.s damage to retaining walls avoided? (Ifapplicable) . \ 

Fouodation, Siding atid Gotlers 

Ves .No 

I. Was damage lo ihc siding or trim avoided? 

2. Was damage to the foundation avoided? / 

3. Was damage to windows avoided? 

— - ­ 4

 Was damage to windows or door screens avoided? / 

5. Was damage lo downspouts or downspoul t-'xtensions avoided? y 

Sidewalks and Driveways (Coocrete) 

^'c v ys Nil _r> 

Was damage lo driveway surface.^ avoided'' 

i 

2. Wa.s damage to walkway surfaces avoided'.' r
Owners comments: 

Inspection notes: 

Removal and resioration aclivales complete incIucJing (he 30-day .sod warranty: 

EPA Represenlaiive _ _ _^_ ^ Dale: s/V/w