TRANSMITTA L of OMAH A LEAD SITE 

SOIL REMEDIATIO N FILE FOLDER 

SAID#: 5Sn^" l Date: 

Address: "bO \ ^ '^CK( (Wpj "ZfT 

Remediation Contractor: Environmental Restoration, LLC_ Year: 2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

L> Video of property (DVD) JsiBefore DAfter D Basement D H/O 6ct.<::KrJi.^T 

D Executive Summary (Final Report) 

Nl. EPA-provided property sketch 

\ Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

N^ Restoration Agreement 

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

^ Confirmation data 

^H,^^ Photographs JD Before DCrew Photos^During Excavation D Sod 

X30-day Sod D 

\3 As-built sketch 

Completion Agreement signed by Property Owner 

EL Property close-out check list signed by EPA 

D Description ofarea s not meeting ROD cleanup criteria 

^ Utility clearances 

Qs Property information from Douglas County Assessor's Office 

^1s!^ Property access checklist 

N,^ Contact Log 30260490 

D 

lilllillll 

Superfund 

Environmental Restoration Signature Date 

yf^^.J^/3 ^ <:^-^^ 7 _^y^^Z^ 

gnature PP ^ Date ^EPA COK signati 
EPA Property Close Out Form 

Omaha Lead Site 

t^i'f\ 

Property #: S^lM I Property Add ress :__^t>/_^ V^<'f\e>/ 5 r 

Date/Time Owner's Name: _ ^ ^^fJ <JP^t^Ore^dS : 

Contractor Group : Envirotimental Restoration (ER) Quads Excavated: f3L ^^h'h'X 

Excavation General 

\/^(^A>^ L^"^ Yes No 

1 i / ­ . If necessary, were the correct quadrant(sj excavated and restored? 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? \l(LC€iA\llr [n T 7

 ^ 

Gradin Yes No g Sod and Vegetation 

1. Does the grading around the perimeter of the house in excavated areas generally slope away trom (lie fc^ 

house? 

2. Has 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 30-day time *^ 

period). 

4. Are sodded areas generally firm and evenly graded? 

5. Are thejoints between the sod strips generally tight? (Only evaluate ifinspected at 30-day time period). 

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

4 ^ 

7. Was damage to landscaping or plant materials avoided? 

Gates Yes No , Fences and Retaining Walls 

1. Do gates open and close freely? (ifapplicahle) 

2. Were ail gates or fences taken down during restoration activities re-installed? (if applicable) 

3. Was dam.age to gates or fences avoided? (if applicable) 

i / 

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

Yes No Foundation, Siding and Gutters 

I. Was damage to siding or trim avoided? 

2. Was damage to the foundation avoided? -Xfi^ 

3. Was damage to windows avoided? 

g Jl 

4. Was damage to window screens or door screens avoided? 

5. Was damage to downspouts or downspout extensions avoided? 

Yes No Sidewalks and Driveways (Concrete) 

1. Was damage to driveway surfaces avoided? 

1 ^ 

2. Was damage to walkway surfaces avoided? 

• ^ 

Inspection notes inspecuou uoira.

 {Il l 

pb h/is tvcrf St^heci iff utuiii^ to C£>yJ:o^/n[eiARemedial and restoratioa activities compiete including 30-day sod warranty: 

Date: K/un i P EPA Representative: 
/ \v<@^ 'f Omaha Lead Sit»—EP-R7-0d-05 

\-PfPJ Environmental Rosloration, U X 

%,„ ^ P www.«r1lc.com 

EXECUTIVE SUMMARY: 

55747 3015 HARNEY ST 

No Issues or Concerns Q Issues/Concerns 

Detail r-xnlnnntinn­
PROPOSAL, 

PROPOSAL NO. 

.Great Pkins 

SHEET NO. ^gfcWTREE CARS 

rO Box 540697. Omaha. NE 681S4 

*«ni.Tf«eCareE8tiiii|(hM«tt DATE 

ll 402-641-28»f jjim 

PROPOSAL WORK TO BE PERFORMED AT: SUBMITTED TO: 

NAME ADDRESS £2 r\lJ ^ r<» /> A^^t^-x/? ^ A-yA,

HE?'S,<^^^^^ ADDRESS L^PPP^PmPjOpx. D)«« OF PLANS " 

PHONE NO. ARCHITECT

j'^f-i'^i'7 

We hereby propose to furnish the maieriais and perform the labor necessary for the completion of _ 

V^va^- ^ W^J^^ ^QAI ^ J X -^.n^h/^JsT— - ^ l ^ t^\^oH— ^ ­

-—~ r <^s-Q^ ^ C-<>r\K^^err\^ , jjc^^.Ajl.^ t^*;-^ \ l 

AH Material is guaranteed lo be as specified, and the above work to be performed in accordance with the drawings and specifications 

subnitted for above work, and completed in a substantial workmanlike manner for the sum of — • 

Dollars ($_ .) 

witli payments to be made as follows: 

Respectfully submitted^^^'^^''''C>-c 

An ; alteration or deviation from above specifications involving extra costs 

vi^tlifceexecuted only upon written order, and will become an extra charge 

oy«- and above the estimate. Ali agreements contingent upon stril<es, acci^^Ms, or delays beyond our control. Note - This proposal may be withdrawn 

by us if not accepted within days. 

TANCE OF PROPOSAL 

tory and are hereby accepted. You are authorized to do the work 

Signature,

Great Plains Signature. 

•TREE CARE 

•ikeMeyser,burg,Cer(,/?e</Mof/st ^OPOSAL 
^\.%%h \ 

•~^. 

'mtrfV.- rt'^i ^ 
Page 1 of2 

"> 

[ Create Another Ticket ~ ] [ Back to Irth Internet ] Send Email 

• YOUR TICKET NUMBER IS 2592637. 

Original Call Date: 

Work to Begin Date: 

9/15/10 

9/17/10 

Time: 11:08 am 

Time: 11:45 am 

Op: ADAM24186 

State: NE 

Address : 3015 

County: 

Street: 

DOUGLAS 

HARNEY ST 

Place: OMAHA 

Twp: 15N Rng: 13E Sect-Qtr: 21-NE-NW 

Twp: Rng: Sect-Qtr: 

Legal Given: C 

Type of Work: LANDSCAPING 

Location of Work: LOCATE ENTIRE PROPERTY 

Remarks: FAX ALL CLEARS TO: (402)451-1069 

: 55747 

Company : ENVIRONMENTAL RESTORATION 

Contact Name: ADAM Phone: (402)451-1314 

Alt. Contact: Phone: (636)288-9616 

Work Being Done For: EPA 

Depth of Excavation: 24 Corner Lot: N Front: Y Rear: 

Involves Tunneling or Horizontal Boring : N Explosives: N 

CXCATV LEVELS MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 

Service Area Contact Phone Nuinber Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVEL3 LEVEL3 COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITYOFOMAHA-TRAFFICSEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

http://vmw.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/15/2010 
Page 2 of 2 

OPPDGPRS OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret==<RESULTS... 9/15/2010 
*x**xx***xx  -COIIM. JOURN/^B** ***************** DATE JUL-OS ^PlO ***** TIME 15:11 ******** 

MODE = MEMORY TRMSMISSION START=JUL-09 15:08 END=JUL-09 15:11 

FILE No.=048 

STN COMM. KEY NAME STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES DURATION 


No. 


001 OK a 3416132 013/013 00:02:29 


-ENVIRONMENTAL RESTORATION­

***** DP-3530 ********************** - - ***** - 4024511069- ********* 


Environmental PROVIDING QUALITY ENVIRONMENTAL REMEDIATION 

EMERGENCY RESPONSE SERVICES 

EMVIRONMEWTAteONST-RUeTION 

PROJECT STAFFING 

Restoration 

Environmental Restoration, LLC • 3510 N 33rd St •Omaha, NE68111 • www.erllc.com 

Fax Cover Sheet 

TO: C / I • ''^°** - ^ J 

• C^Uo^^.r^UJ i H.o.>«.- PHONE: >^p^ . ;ii1- j 

FAX: 3'//-G(3 i °'^'^^'- "7-'' - / 6 

CC; PAGES; | ^ 

S Urgent D ForReview D Please Coniment D Please Reply • Please Recycle 

Comments p|^^j^ ^^4^^ ^ ^^5^ ^ 

Confidentiality 

This facsinnile is interided to be transmitted to the person named. Should il be received by another person, its contents 

are to be treated as strictly confidenlial. It Is privileged communication between the firm and the person named. Any 

use, distribution or reproduction ol Ihe information by anyone other Ihan that person is prohibited. 

ENVIRONMENTAL RESTORATION LLC 

402.451.1314 • Fax 402.451.1069 •Tol l Free 888-814-7477 
Contact Information Log 

SA1D# ^3"7y 7 

tZla,>r\c NDIJI'^C.C, n<LjJ 

vner's Name: 3(^C/^^^^ J^^.^J^,^4 s | Daytime Phone: V^ P --gf^pv ­ 7 7^5"^ I 

Property Address; J'^/j ­ /^.^y^e./

^ 

 3^^ 

Attempt to contact Date/time Name 

fyiPH^'(s>\\X 

7-^^ ­ ' b ^Js ' z^­

^'^Izi-ZD j^ ^ 

• 

' 
Property Access Checklist 

SAID: iP-r7<Y7 n WORK STARTED ON: / / 

Property Address: ^>) / <•" YY^ry^-e-y/^-f. n WORKCOMPELTED ON: / / 

Owner: g^ ; f T^,,^frU^t.h Renter: 

Add Phone: 

Fax: 

Cell/Pager: 

Phone: ^^ ^ , ^r^^ ­ y P S %- Additional Information: 

Fax: ya^ ~ 3^7 " &/SA 

D Access Agreement Signed: / / By: 

• Restoration Agreement Signed: / / By: 

C] Video Property Before On : / / By: 

n Digital Photos Before On : / / By: 

n Video Property After On : / / By: 

D Digital Photos After On : / / By: 

Q Property Completion Agreement Signed: / / By: 

n Final Report Signed: / / By: 

Additional Video or Digital Photo's Taken: 

D Video D Digital Photo On : / / By: _ ___. J 

Reason: 

n Video n Digital Photo On : / / By: 1 

Reason: | 

n Video D Digital Photo On : / / By: 1 

Reason: | 

D Video n Digital Photo On : / / By: 1 

Reason: 

Omaha Lead Project Work Plan Pagel of 19 
c-r • n^^Miicii 1 n u i\E.o i ui\ n t x \Ji>t *tKJ^*fJ i iUO J 

Restoration Agreement 

UJ ii\J l\J IJilJ J 

Th'e purpose of rlils agfeeWcnt is to provide-a-rautual--agreemenl--as-tG-cojiditions..ftf4)topcdy4),norjo 

contractor activities. This will also serve as documentation for the purpose of assuring that restoration 

activiiies are completed to the satisfaction of the property owner and the United States Enviroomental 

Protection Agency (EPA). 

SAID: S'>'7U1 

1 Property Address: Ti,^ / ij |4^^. '^^.y fl h - ^ U-I— j Owner; 

j Phone: 

On the attached diagram(s) indicate area(s) to be excavated and depib of excavation, location ofall known 

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

contractor, and the direction ofNorth. Indicate distances, deptiis, matenal types, etc. Indicate digital photos 

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

itents to be removed by Contractor and not replaced: 

Item: 1 -^U" ^ 

-/On - 7> 

Item: 

Item: 

item: 

Item: 

Item: 

ttem: 

Page 1 of 2 
 I 

uv^ i,.. u^i, , ,j.^. , ^„.ii,^i,.„^i,i^^ n.:.o,^iv,i.i,..i, ,w^,..,.„o^ 

Consent for Access to Property SAID# ^s 7w") 

RIGHT OF ENTRY TO PREMISES 

Gfanwr"(tfie~pn5peny"'owjier), consents to and-authorizes the -Uflited States..EnyjiotmientaJ 

Protection Agency (USEPA) or its authorized representatives, collectively the Grantee to enter 

and perform certain environmental response activities upon the following described premises: 

Owner's Name: 

Oayttme Pbone: • I III I II I 11 

Address: \0IS M^r,.,,y $tAddress: 

Addresses of Properties 

covered by thh Address: 

Agreement: 

Address: 

Address: 

PURPOSE OF INVESTIGATION 

The purpose of thc remedial activities is to remove all soils al the property which are 

contaminated with hazardous .substances, in. particular lead at concentrations greater than or equal 

to 400 parts per million (ppm). 

R1;M£DL\ L ACTIONS 

The envuonmental response actioas to be perfonned ou said property may include thc foltowing 

activities: 

a. Taking photographs anil/or video of the property before, during^ and alter remedial 

activitie<i; 

b. Locating equipment and machinery on-site in preparation for and in the course of the 

envirorimental response; 

c. Planning and implementing the removal action on or near Grantor's property. 

d. Obtahiing samples from Gianlor's property; 

AGREEMENT NOT TO INTERFI-RE 

The Grantor agrees not lo interfere or tamper with any of the activities or work done, or thc 

equipment used to pertbrm the activities, or to undertake any actions regarding the use of said 

property which would tend to endanger tbe health or welfare ofthe Grantees or the environment, 

or to allow otherii to use the property in such -(<&. •**'*>>Pi * 

^3<g''*i»* access to my properties Cl I do not grant access to my properties 

Ylt.ic^L'^M^^ 

i^gnalurc ^ Date Sienature Date M^Oy^yk^/I^Jj^ ^-^i^ 1^ 
dUL-ua-^uiu io;u3 tP •'KUNntNTftL KtblUKHriUK 
 4U^4011Ub3 f.U J 

36^ ^ DAJU 

Addtttonai Comments / Instructions: 

p ^ 1; •?-»'''"' 

/O 

^^ChecK this box if owner does not want E.R. to enter theresidente-to document interior 

foundation walls and possible preexisting damage By checking this box E.R. is not responsible 

for any damage done to the interior of house, including foundation cracks or fissures 

"^^ ^ \^^rut\WV 

n I <J* not agree n I agree Old © not agrct 

2lp^^ 

0^«n$t'« SigDHture Oate ' Contractor'* f Signature Date 
Property Completion Agreement 

This agreement documents the completion of remedial activities performed on my property. My 

signature will designate that I am satisfied with the restoration of my property, and that no items are in 

question, now, or at any time in the future, except those items listed below, if any. 

SAID: SY>y^ 7 

Property Address: ^ ^ , t^ >/^^^ . . ^/^.^ ^ 

Owner: ^^ ^ ^ ^ , ,^ JT^....^^ . _ / ^ 

Phone: / 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

^ ^ r^o^U-y OcoM/^ bti^l-f] 

I 1 I agree restoration is completed, except as noted I/T I agree restoration is completed, except as noted 

I I I do not agree restoration is completed I 11 do not agree restoration is completed 

T^/d^ /j/-t^9u^-u( , /y//yY7 o 

Owner's Signature Date Contractor's Signature Date 
Douglas County Account Information Page 1 of2 

Douglas County, Nebraska Property Record - R0219880004 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - Vle W O n Ma p Information is valid as of 2009-12-1 Treasurer's Tax Report 

New Feature ->-*- + Auto Sales Search 

Owner 

BEL FURY INVESTMENT GROUP LLC 

P O BOX 55022 

OMAHA NE 68155-0211 

Property Informatio n 

Key Number: 1988 0004 02 

Account Type: Residential 

Parcel Number: 0219880004 

Parcel Address: 3015 HARNEY ST 

OMAHA NE 68131-0000 

Legal Description: LANDS SEC-TWN-RGE 21-15-13 W 41 E 200 S 93 N 107 FT SUB LT 7 TX LT 16 

SE 1/4 NWl/4 

Value Informatio n 

Land Improvement Total 

2009 $4,900.00 $3,200.00 $8,100.00 

2008 $4,900.00 $2,900.00 $7,800.00 

2007 $4,900.00 $2,900.00 $7,800.00 

2006 $4,900.00 $2,900.00 $7,800.00 

2005 $8,600.00 $0.00 $8,600.00 

2004 $8,600.00 $0.00 $8,600.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.08 3813.0 0.0 0.0 0.0 Yes 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-onIine.coni/DouglasCoNe/static/accountinfo.jsp?accountno=RO... 12/16/2009 
Douglas County Account Information Page 2 of2 

Fitst Fioot 

*:sz.o 

i.^rj:w:wi{«}.^ii*iiwg-K*K.ii]L^b>'J.M.-tj--i:!S!rt 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 432.0 Percent Complete 100 0% 

Perimeter i 96.0 Quality Average 

Unit Type: Condition: Average 

Built As: Detached Garage Condo Square Footage: 0.0 

HVAC: None Rooms: 0.0 

Exterior: Masonry Common Brick Units: 0.0 

Interior: Baths: 0.0 

Roof Cover: Bedrooms: 0.0 

Roof Type: Flat Stories: 1.0 

Floorcover: Foundation: 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1910 0% 1910 99 

httD://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RO... 12/16/2009 
ENVIRONMENTAL AS-BUILT DRAWING 

^OMfi&iA LEAD SUPERFUND SITE 

RESTORATION 

5^r^T 

Omah Exterior Paint North Arrow a Lead Site • Good Sampling Address: dOI S

 /-fame y (3f . Site Sketc h 

• Poor Phone: »• ALT: r [ ^ Not paint 

Sampl Lead Sample 

Samples Collected e Number 1J\B Concentration Collected Firm: Fp A CC, glAJ 

RYASCPXA-j y rVTF I 3Z.U, ppm D Date; ]-^-0^ 

RYBSCPXA-^5-7'y 7 F2 

—tL2Ji. ppm n Time: ^^ 3 pM 

RYCSCPXA-5a"?-y7' Bl J±L5L . ppm/ ^ I a

Samples Analyzed 

RYDSCPXA-.53-T'jy 7-62 101 ppm D 

RDZSCPXA SS7*/r^ ^ ppm D n XRF Unit: G,S''iO Book: Zo 3 

ROZGCPXA ssr-¥T^ ^ ppm D n Date: O/ - /7 - 02> 

BPzecpy/^-gf 7Vypz 

, ppm D D 

Time: ^n^ 

Staff: Number ol Samples = ^ 

_0 mv^ 

Legend: F l = Front Left. F2 = Frpnt Right. 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from tiie street, facing property 

Quadram ciceavatcid 

Dfip Zono Excavalod Contamination Loft Behind 

Contract #: EP.R7-09-05 

Environmental Restoration LLC 
- P<\y M j(jPfrjypf i l uf 4 _55TH-T 

Omah Exterior Paint North Arrow a Lead Site 

• Good Sampling Address: dOiE__H3r/)&yj3f . Sit e Sketc h 

• Poor 

Phone: _H: Ap^''Pl'h%iK\^-. ^'^ ^ 

Q Not paint 

Sampte Number 

RYASCPXA- ^ 5 THl^ ^ 

RYBSCPXA-^5-7^y j F2 

RYCSCPXA-5:5T'^7- 81 

RYDSCPXA-5]5-7y7-B2 

RDZSCPXA SS'7*fr^ ^ 

nczscPXA SS7*i 7 Q'^ 

RPZSCPXA.iSy 7^ 7 PZ 

Legend: F1 = Front Left, F2 =

V.^X7^~ 

)6 yy p 

.^P3r 7/Y 

T^V -TXW 

-g^t^J^ 

^ 

Lead 

Concentration 

32 . £p ppm 

H I 5" ppm n 

*f O i ppm 

Sample 

Collected 

i 

LAB 

n 

n 

D 

D 

Firm:

Date:

Time: 

Samples Collected 

 FpA <X., S-[\} 

 \~^-02> 

W!^3 pni 

Samples Analyzed 

~ ppm n D XRF Unit: G>S'^ 0 Book: 2o 3 

~ ppm D D Date: O/ - / 7 ­ O Q 

~ , , ppm a D Time: A/ ^ ' 

Number of Samples =1 4 \ j Q \ Staff: nS W 

 Front Right, Bl = Back Left, 82= Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from tfie street, facing property 

JAM 1 6 2Q03 Si s 

ms ^ 0 / 

Bl .6^ I­

& " 

32L6 HZH 

Pl fz d^^ 

^ 

WAL-K 

HAfiHrj 
55rH-r 

Omah Exterior Paint North Arrow a Lead Site • Good Sampling Address: 2Y^1 5 JdStDQ y <3f. Site Sketch • Poor 

Phone: ^'- ^i-T: r 

Q j Not paint 

Sample Number 

RYASCPXA- ^ S THl^ ^ 

R YBSCPXA-^^7y J F2 

RYCSCPXA-5'5Ty7' Bl 

RYDSCPXA-5y T'y ;- B2 

HDZSCPXA SS7*^r^ ^ 

nOZGOPXA SSTH 7 G*^ 

RPzscpy,A.tfy7V7PZ 

Lead 

Concentration 

ppm 

^2. ^ ppm 

JlLSLppmn 

*/ O 1 ppm 

~ ppm 

~ ppm 

ppm 

Sample 

Collected 

I 

D 

D 

D 

Number of Samples =1 4 '

LAB 

D 

D 

D 

D 

n 

n 

XRF Unit:

Date: 

D Time: jAi± 

Staff: n s w ! (^ 

Samples Analyzed 

 (p^'j O Book: Z0 3 

o / - n - OQ 

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

All quadrants are as viewed from the street, facing property 

Sl 

i !] NTF HED 

JAN t 6 2503 

PT^ k Kfc I >.c s 

HIS- HQI. 

El .6^ 

* f V

& " 

32-6 HlH 

Pl f z c^^ 

^ 

WAL K 

HAfiHrj 

Rev 

vt^f^ -

A^ r ^ 
ENViRONMENTAL XRF DATA ENTRY LOG 

c 

RESTORATION 

SAID#^S7VV DATE ^ \7n \(f o 

PROPERTY ADDRESS TIME 

1^015 Hc^rn-TM. ,^ r 

XRF S/N 

QUADRENT OR SAMPLE ARE>i 

DEPTH AVERAGE OF RESULTS SHOT#s 

redig 

n F2 4 ,3? :t 1?. ^.^..-^^ ^ 

n Bi ^ Z.'~7^t2£> .^&q<b-3S9<? 

n B2 + ZSo?.t7JL T?toCO - .^CoO 3. 

D DZ 

• PZ 

• GZ 

n EZ1 KIO r.? i 

n EZ2 

r~| OTHER 

SAMPLER NAME \\ . Oar^LaA 
Thermo Fisher Scientific 

900 Middlesex Tumpike 

Billerica, MA 01821 

SCIENTIFI C 

AVKK.ACK ADDRKSS SAMPI.E ARKA OPKRA IOR DKPIH 

: 2010-09-27 13:48 .Avg of 3600-360:3015 hamey st B2 jiinmy 4 final clearance 262.88 ± 25.71 

2 2010-09-27 13:48 3015 hamey st B2 jiinmy 4 final clearance 55747 261.38 ± 25.49 

3 2010-09-27 13:48 3015 hamey si B2 jiinmy 4 final clearance 55747 270.53 ± 25.96 

4 2010-09-27 13:47 3015 hamey st 82 jimmy 4 final clearance 55747 256.73 ± 25.70 

5 2010-09-27 13:41 Avg or3596-35913015 hamey SI Bl jimmy 4 final clearance 258.66 ± 25.44 

6 2010-09-27 13:41 3015 hamey Sl Bl jimmy 4 final clearance 55747 275.35 ± 26.14 

7 2010-09-27 13:40 3015 hamey st Bl jimmy 4 final clearance 55747 256.64 ± 25.36 

8 2010-09-27 13:40 3015 hamey sl Bl jimmy 4 final clearance 55747 243.98 ± 24.81 

9 2010-09-27 13:37 Avg of 3592-359'3015 hamey st F2 jimmy 4 final clearance 30.17 ± 12.14 

10 2010-09-27 13:37 3015 hamey st F2 jimmy 4 final clearance 55747 36.72 ± 12.70 

II 2010-09-27 13:36 3015 hamey si F2 jimniy 4 final clearance 55747 25.40 i: 11.64 

12 2010-09-27 13:36 3015 hamey SI F2 jinmiy 4 final clearance 55747 28.39 ± 12.07 

Page t of I 09/27/10 14:13:20