## TRANSMITTALo f

OMAHALEAD SITE SOI LREMEDIATIO NFIL EFOLDE R 

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### SAID # : 

# 4lli< ^ Date : Address : il^ V K T'Z<' ^ 'I' ( Remediatio nContractor : _Coasta l Environmenta l Group

_Year : _2010ARRA

_ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o o f property (DVD ) 

# Z , Executiv e Summary EPA-provide dproperty sketc h Signe dAcces s Agreemen t fo r subjec t property Signe dAcces s Agreement(s ) for adjacent property 

# z Restoratio nAgreemen t Settlemen t document s (i.e. , for damag e o r to replac e plants , etc. ) Confirmatio ndat a 

# y Photograph s (f ^ ^O^ii^^Q^ ^ \<^
. As-buil t sketc h Satisfactory restoratio nsigne db y Property Owne r Property close-ou t chec k lis t signe db y EPA Descriptio nofarea s no t meetin g RO D cleanu p criteri a Utility cleara»ee s iatio nfro mDougla s County Assessor' s Offic e

## Propert yAcces s Checklis t Propert y ID : ^ 9MS Propert y Address : ^^^ ^ ^ A / ^^'S f D n WOR K STARTE D WORKCOMPELTE D ON : ON : / / / /
Owner : 

## 0^^^< ^ 0/y\<L\^^ ^ Address :

Phone : Fax : 

### (^L/L{^M2^<H( ^ Cell/Pager : Renter : Phone : Fax : Cell/Pager : Additiona l Information :

nNotificatio nLette r Q * Acces s Agreemen t V ? Restoratio nAgreemen t D Topsoi l Samplin g (i f appUcable ) D Disposal Samplin g (i f applicable ) l~ l Garde nSamplin g (i f applicable ) D Utility Clearanc e •^Video/Photo s (Before ) D Video/Photo s (During ) D Video/Photo s (After ) D Video/Photo s (30-Day )

• Propert y Completio nAgreemen t D Fina l Repor t Sent : / / Siened : | (?/ H ^ ( Q 

## Si^eA : l_0_ l ti l 10
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Omah a Lea d Sit e

### Dougla s Cotmt y Accoun t Infd^atio n Pag e 1 o f 1 • d ^ 2
Dougla s County , Nebrask a Propert yRecor d - R200091000 0 Prin t Reoor t Vie winteractiv e GI S Ma o Informatio n i s vali d a s o f2010-8-3 0 Treasurer' s Ta xReoor t Ne wFeatur e ^ ^ ^ Subdivisio n Sale s Searc h Owne r CITYO F OMAH A C/

O PLANNIN G DEPARTMEN T 181 9 FARNA M S T#111 1 OMAH AN E 68183-000 0 Propert yInformatio n KeyNumbei r 009 1 OOO O 2 0 Accoun t Type : E xGovemmen t Parce l Number : 200091000 0 Parce l Address : 202 0 N 2 5 S T OMAH AN E 68111-OOO O Lega l Description : PATRICK S AD D LO T2 BLOC K5 N 7 0 FTLT1 & N 7 0 E 3 0 FTLO T2 7 0 X 9 0 Valu e Informatio n Lan d /mprovemen f Tota l 201 0 $0.0 0 $0.0 0 $0.0 0 200 9 $0.0 0 $0.0 0 $0.0 0 200 8 $500.0 0 $0.0 0 $500.0 0 200 7 $500.0 0 $0.0 0 $500.0 0 200 6 $500.0 0 $0.0 0 $500.0 0 200 5 $500.0 0 $0.0 0 $500.0 0 

### Sho w All Transaction s

http://douglasne.mappmg-oiiline.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R200.
. . 9/2/201 0

### 3/31/201 1 www.dh6n.org/irthinternet/DHONNoti c [Create^ Anothe rTicket ] [Back^n n iit h internet" ] Sen d Enriai?" |



## YOURTICKE T NUMBE RI S 2699994
. Origina l Cal l Date : 3/31/1 1 Time : 12:5 5 pmOp : ALFONSO1879 0 Wor k t o Begi n Date : 4/04/1 1 Time : 1:3 0 pm State : N E County : DOUGLA S Place : OMAHA Address : 202 0 Street : N25T H S T Twp : 15 NRng : 13 E Sect-Qtr : 09-SE,16-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Lea d Remediatio n Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D T O TH E PEDESTA L Remarks : FA X AL L CLEAR S TO : (402)934-281 1 : PLEAS E INCLUD E AL L EASEMENT S Company COASTA L ENVIRONMENTA L SERVIC E Contac t Name ; ALFONS O Phone : (402)934-283 7 Wor k Bein g Don e For : Coasta l Dept ho f Excavation : 4f t Corne r Lot : Y Front : Y Rear ; Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCATV LEVEL 3 MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C



## Servic e Are a Contac t Phon e Niunbe r 

## Utilit y Typ e
CXCATV CO X COMMUNICATIONS , IN C HEIDI Day : 402934046 9 Ak : 402934046 9 Emei^ : 402932975 7



## LEVEL S LEVEL S COMMUNICATIONS , LLC 

## N A Day : 877366834 4 Alt : 

## Emerg : 877366834 4

MUDO l METROPOLITA NUTILITIES DISTRIC T 

## SAND Y MU D Day : 402504782 3 Al : 

## Emerg : 402504797 0 Day : 402444719 7 

## CITY OFOMAHA

- OMAHACO F RICH/TRAFFIC Alt : 402444516 1 TRAFFICSEWE R Emerg : 402444516 0 dhon.org/irthintemet/.../MessageText.as..

. 1/ 2

### 3/31/201 1 ^ ^ www.dhon.org/irthinternet/DHONNoti c 

## • IPDay : 406728934 3 rMJOT^r^Tjij^ OMAHA PUBCI C 

## POWEREL M , / .«..«^ , .^
. 0PPDGPR 5 j^jg^^ ^ LOCATIN G^ ^ 406207149 4 Emerg : 888728934 3 RM Day : 406728934 3 QLNNEI C QWES T LOCALNETWORK TM\-T^T ^ 

## Alt : 406207149 4 LOCAriN O Emeig : 888728934 3

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. 2/ 2

# As-Buil t Drawin g ^
COASTA L 

# Omah aLea dSuperfun dSit e ENVIKONHCNTA L GROUP

. IN C OLS# : 2745 9 Dat e Excavated : 4/6/201 1 Dat e USEP ASiane d Off : 4/19/2Blil i 

### 2745 9 Are a Sodden : 191 2 s o f t "'* ' Omah a Lea d Sit e Exterio rPain t Nortt i AfTO w Owne rName : NEA L R REYNOLD S •Goo d Sit e Sketc h Address : 202 0 N 2 5 ST •Poo r

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r.nOmah al^a dSit e 4613 0



### Legen d
Concret e Dri p Zon e Excavate d Quadrant s Excavate d Are a replace d wit h So d Are areplace dwit h Rock/Mulc h Are alef t bar e 

### Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc
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# 2745 9 

# \ i 1

Omah a Lea d Sit e Exterio rPaint Owne rNanne : NEA L R REYNOLD S 

### Sit e Sketc h • Goo d Address : 202 0 N 2 5 S T •Poo r Phone : H:51. g 6

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## Coiireii i lu r A(:c;c^.i;,^-
. 'i o !"ici|H-!ii y RIGH TO F ENTR YTO PREIV/JISE S 

### Granlo ! (th e property ' ownet ) conseiiti^ , to an d aulhoiize s th e Unite d State s Environmenta l Protectio n Agenc y(FPA ) o i its authorize d representatives , collectivel y th e Grantee , t o ente rsn d perfor m certai n environmenta l lespons e activitie s upor i th e followin g describe d premises : / H "ZhJy~^

OwneF' s Kame : Da^flim e Phone :

Addres s o fPropert y covere d bythi s Agreement : 

# to w V t b $ f

PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EPAi s requestin g acces s t o collect soi l sample s an d remove soi l that contain s elevate d concentration s oflea d an d ma ypos e a healt h hazard

. Th e area(s ) vv'il l be excavate d t o remov e contaminate d soil

. Th e remove d contaminate d soi l wil l be replace d wit h clea n material s an d th e are a wil l b e restore d t o it s origina l condition

. Thi s wor k i s bein g performe d unde rth e Omah a Lea d Superfun d Site remediatio n program , Arepresentativ e ofCoasta l Environmenta l Group , contracte d byUSEPA , wil l contact th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l have a n opportunityt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k before i t begins

. Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approval

. Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Athat th e property ' has bee n remediated

.
ENVIRONMENTA L RESPONS E ACTIOI^ S 

### B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , its employees , contractors an d subcontractor s th e righ t t o ente rth e property , a l al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e ofperformin g th e worl- xThi s acces s shal l remai n i n effect unti l th e wor k ha s bee n satisfactoril ycornpleted

. Th e Granto rals o agree s to ;

Pag e 1 o f2C C AS 1 A1

C R0L' '



### ' Remov e obstruction s includin g boats , Itsiieis , vehicles , pisyscap e ilen-ir , woo d piles , do o houses , etc ; < Remov e fiov/e rbulb s o i piafit s tha t th e Granto i o rth e Grantni' s tfenan l ma ywis h t o save ;

' Wate ran d maintai n leplacemen t vegetation , includin g lerliii/.e rspplicgiion , a s necessary ' subsequen t t o a n initia l waterin g perio d b yEPA ;

' Abid e b yheslt h an d safet yguidanc e provide d byEPA ; < I fth e property ' i s rented , assis t EP Ai n obtainin g tenan t appiova l fo i acces s l o th e property / t o perfor m th e work

. I Allo wvideotapin g and/o rphotographin g o fth e properly

. ACREEtv^EN TNO TT O INTERFERE Th e Granto ragree s no t t o interfer e o rtampe rwit h an yofth e wor k activities , o i v^'it h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s properly , o rt o undertak e an y action s regardin g th e us e o fsai d property ' whic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9

P I gran t acces s t o m ypropertie s D I d o no l gran t acces s t o m ypropertio E



### Date Signatur e Dat e

O fwouio ' like , t o b e presert t duriri g an yEampUn o iha t t s leqi/iied

. I » • C

Paa e 2 o f2C O A. s TA. L 

## Restoratio n Agreemen t Th e purpos e o f thi s agreement i s t o provid e amutual agreement a s to condition s o f th e property prio r t

o remediatio nactivities
. Thi s wil l als o serv e a s documentatio nfo r th e purpos e o f assurin g that restoratio n activitie s ar e complete dto th e satisfactio no f th e property owner andth e Unite dState s Environmental Protectio nAgenc y (EPA)
.

Property Address : -g ^ / ^ ^ 5 47

- Owner : 

### Q T YC fO/^/ihh A Phone : 

# Ml ^^ ^ H2Ht > Onth e attache ddiagrara(s ) indicate area(s ) to excavate , surfac e structure s andlandscapin g feature s an d acces s location(s ) to b e use db y th e contractors
. Indicate distances , depths , materia l types , etc
. Photographicall y andVideographically documen t th e existin g condition s ofth e propert y andth e basement i

f necessary . 

### Item s t o b e Remove d b yth e Owne rbefor e Star t o fRemediation : Th e removal , storage , disposal , and/o rretur n o fthes e item s i s th e Owner' s responsibility

.



### Ite m s t o b e Remove d b yth e Contracto rD i jrin g Remediatio n an d No t Replace d Item :
Item :
Item :
Item :

Pag e 1 of

.C C AS TAL CNVIMONHf M T AL C M O U r, IM C 

### Item s t o B e Remove d B yContracto rDurin g Remediatio n an d Replace d

Landscap e Inventor y Ite m Quantit y Uni t Condition/Type/Specie s Pre-existin g property area , Quadrant s tha t will b e excavated , tha t 

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i s covere dwit hgrass . Number o f tree s > 2 incf i Each ^ trunk diameter Number o f tree s <= 2 inch ^ ' Eac h trunk diameter Number o f Sprinkler Zones , Contro l Valves , Each Timers , Heads , etc
. .'^ttacl i asketcho f the
• sprinkle r layout
. Number of andsiz e of eac hgarden / flowe r be d Each area . Square Feet Aliacl l askeic ho f rel;iu\ f size s an dlociuions
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. Not r thi s \alu e \^ill l) C iise< l lo is.sii e ai.'huii ^(Hlcln'r K l tli e propcri s
Easement Area , t o b e Each excavate d 

### • yi^na ^ /7ei>tt^ ^ ^ i

^ Pag e 2 of

.

# 1 C O AS TJH , U •NVinONHI M TAL C R O U r. INC '

Additiona l Comment s / Instructions : Th e cit y ofOmah a ordinance s ma yprohibi t yo u fro m usin g dir t orgrave l area s on you rpropert y as driveway s orvehicl e parkin g areas . Th e Environmenta l Protectio n Agenc y(EPA) ma ybe removin g an d replacin g soi l underlyin g a grave l ordir t are a on you rpropert ytha t yo u ma ybe usin g as a drivewa y orvehicl e parkin g area . Ifthi s is th e case , yo u shoul d understan d tha t thi s removin g an d replacin g ofsoi l doe s no t mea n tha t an yillega l drivewa y orparkin g are a on you r propert yis mad e legal

. To th e contrary , yo u ma ybe cite d byth e cit y ifyo u us e a grave l ordir t are a [ as a drivewa y orparkin g area , no t withstandin g an yremova l orreplacemen t ofsoi l byth e EPA

. Ifyo u hav e an yquestio n abou t legalit y ofa certai n drivewa yorparkin g area , yo u ma ycontac t th e cit y ofOmaha' s Plannin g Departmen tat (402 ) 444-5150

. O Pleas e chec k thi s bo xifyo u understan d th e informatio n outline d above

.

•Chec k th e bo x ifOwne rdoe s no t wan t CE G to documen t interio rfoundatio n wall s an d possibl e pre-existin g damage

. Bycheckin g thi s bo xCE G is no t responsibl e fo ran ydamag e don e to th e interio rofhouse , includin g foundatio n crack s orfissures

.



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## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 9 1 r^lod e SOI L Tim e 2011-04-0 7 22:2 8 Duratio n 91.2 0 Sequenc e Fina l Flag s AVERAG E Av g o f88-9 0 ADDRES S 202 0 N 2 5 S T QUADRAN T EA DEPH T 1 " XR F TEC H r^

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pp m Erro r M o < LO D 

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. MATEU S CLEARANC E CLEA R

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• 86.86 5 ± 21.79 1

: 73.96 2 : 210.42 9 ± 453.52 1 ± 113.16 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

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## w C u 50.10 4 N i < LO D C o < LO D F e 22921.14 6 M n 552.57 4 Supervise d By : 

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. MATEU S CLEARANC E CLEA R

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: 15.22 9 ± 7.03 8

I 10.68 5 ± 13.05 2 5.26 9 : 17.60 4 11.93 6 ± 19.32 4

: 80.75 4 ± 22.86 4 78.47 5 : 208.72 4 ± 435.06 2 ± 109.39 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 MiddlesexTurnpik e Billerica , M A0182 1

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## w C u 35.49 1 N i < LO D C o < LO D Fe 24223.45 5 M n 662.20 2 Supervise d By : 

## Certificat e o fVerificatio n

9 0 SOI L 2011-04-0 7 22:2 8 30.1 7 Fina l 2745 9 202 0 N 2 5 S T E A 1 " M

. MATEU S CLEARANC E CLEA R

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: 15.81 2 ± 7.21 5 ± 8.65 6 ± 16.81 2 5.23 4 22.09 8 12.73 5 ± 22.92 2

I 84.56 2 ± 22.48 0

: 77.44 8 : 217.19 0 ± 458.77 8 ± 119.33 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 8 7 Mod e SOI L Tim e 2011-04-0 7 22:2 5 Duratio n 91.2 0 Sequenc e Fina l Flag s AVERAG E Av g o f84-8 6 ADDRES S 202 0 N 2 5 S T QUADRAN T B l DEPH T 4 " XR F TEC H M

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rvise d By : \ Erro r 7.69 6 14.13 8 11.63 9 14.80 7 6.59 3 7.70 5 14.42 2

5.85 5 19.41 4 12.31 2 20.65 7 87.63 4 ^22.03 4 

### y^s.^^ x 191.62 9 ^

403.60 9 108.91 9

• p ^ <

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 MiddlesexTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 356.67 5 S r 299.69 6 U < LO D R b 75.96 1 T h 14.86 8 P b 99.97 1 S e < LO D A s 27.06 8 H g < LO D Z n 129.26 7 < LO D 

## w C u 40.42 9 N i < LO D C o < LO D F e 20548.06 8 M n 638.93 5 Supervise d By : 

## Certificat e o fVerificatio n

8 4 SOI L 2011-04-0 7 22:2 4 30.1 7 Fina l 2745 9 202 0 N 2 5 S T B l 4 " M

. MATEU S CLEARANC E CLEA R

Erro r : 7.74 7 ± 14.85 4 ± 11.89 9

: 14.92 5 ± 6.91 2 ± 8.00 9 ± 14.94 3

I 6.57 9 ± 13.88 2

: 12.97 6 ± 20.41 7

: 93.01 3 ± 22.55 7

: 79.08 7 ' 195.36 4 ± 416.02 5 ± 114.64 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n

8 5 SOI L 2011-04-0 7 22:2 4 30.5 3 Fina l 2745 9 202 0 N 2 5 S T B l 4 " M

. MATEU S CLEARANC E CLEA R

Erro r 7.67 6 ± 14.67 1 ± 12.86 7 15.09 6 ± 6.27 8 ± 7.26 8 ± 12.60 5 6.10 4 16.87 0 12.12 9 ± 20.91 0

: 82.81 7 ± 22.21 2

; 71.55 7 : 177.65 6 ± 373.41 3 ± 105.19 7 XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

M o Z r S r U R b T h P b S e A s H g Z n W C u N l C o F e M n pp m
< LO D 354.44 1 370.05 7

< LO D 61.54 6 12.75 0 67.21 3 < LO D < LO D < LO D 149.20 6

< LO D 49.39 4 < LO D < LO D 17364.40 8

555.69 6 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 MiddlesexTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 272.66 4 S r 225.21 4 U < LO D R b 71.00 3 T h 12.99 2 P b 123.40 4 S e < LO D A s < LO D H g < LO D Z n 142.35 8 W < LO D C u 34.76 7 N i < LO D C o < LO D Fe 21990.88 3 M n 557.14 0 Supervise d By : 

## Certificat e o fVerificatio n

8 6 SOI L 2011-04-0 7 22:2 5 30.5 0 Fina l 2745 9 202 0 N 2 5 S T B l 4 " M

. MATEU S CLEARANC E CLEA R

Erro r J 7.66 6 ± 12.88 9 ± 10.15 1

: 14.39 9 ± 6.59 0 ± 7.83 7 ± 15.71 7 4.88 3 20.55 0 11.83 2 ± 20.64 4

: 87.07 1 ± 21.33 3

: 75.68 0 : 201.86 8 ± 421.39 0 ± 106.91 3

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 8 3 Mod e SOI L Tim e 2011-04-0 7 22:2 2 Duratio n 91.1 9 Sequenc e Fina l Flag s AVERAG E Av g o f80-8 2 ADDRES S 202 0 N 2 5 S T QUADRAN T F l DEPH T 4 " XR F TEC H M

. MATEU S MIS C CLEARANC E NOT E CLEA R

pp m Erro r M o < LO D 7.50 0 Z r 246.92 5 ± 12.32 1 S r 186.14 5 ± 9.30 4 U < LO D 15.26 6 R b 77.69 6 ± 6.92 8 T h 12.53 1 ± 7.10 9 P b

_ 46.69 4 S e < LO D 5.40 7 A s < LO D 15.12 1 H g < LO D 11.93 9 Z n 100.54 8 ± 18.03 0 

### w < LO D 84.41 9 C u 43.77 3 ± 22.02 7 N i < LO D !,.-
- -^"^.34 9 C o < LO D ^^3.64 3 

## y Z F

e 22176.53 7 / ^

±^ ^425.16 7 M n 515.022 / 105.34 9 

## y^-y ^ Supervise d By : y^y 

# -y y P

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 MiddlesexTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 251.73 9 S r 202.20 2 U < LO D R b 83.85 8 T h 16.38 2 P b 48.24 0 S e < LO D A s < LO D H g < LO D Z n 92.62 6 < LO D 

## w C u 50.43 8 N i < LO D C o < LO D F e 22316.57 4 M n 550.90 7 Supervise d By : 

## Certificat e o fVerificatio n

8 0 SOI L 2011-04-0 7 22:2 0 30.1 7 Fina l 2745 9 202 0 N 2 5 S T F l 4 " M

. MATEU S CLEARANC E CLEA R

Erro r
: 7.51 7 ± 12.49 4 ± 9.69 5

: 14.99 4 ± 7.10 7 ± 7.53 8 ± 11.30 1 5.30 9 15.29 2 12.45 8 ± 17.55 1

: 84.71 1 ± 22.45 6

J 71.95 4 202.56 3 ± 426.78 7 ± 108.37 7

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 MiddlesexTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 229.39 8 S r 168.48 2 U < LO D R b 80.60 0 T h 11.99 4 P b 33.41 7 S e < LO D A s 15.45 3 H g < LO D Z n 95.09 6 W < LO D C u 49.82 3 N i < LO D C o < LO D Fe 22627.44 5 M n 541.53 8 Supervise d By : 

## Certificat e o fVerificatio n

8 1 SOI L 2011-04-0 7 22:2 1 30.5 2 Fina l 2745 9 202 0 N 2 5 S T F l 4 " M

. MATEU S CLEARANC E CLEA R

Erro r
: 7.36 4 ± 11.96 9 ± 8.91 3

: 15.39 8 d b 7.06 6 ± 6.96 3 ± 10.25 0 \ 6.05 6 ± 9.62 8

I 11.83 4 ± 17.77 8

: 86.12 6 ± 22.71 6

: 75.32 4 : 207.15 9 ± 431.27 2 ± 107.64 9# # 

# Therm o

SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTumpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 8 2 Mod e SOI L Tim e 2011-04-0 7 22:2 2 Duratio n 30.5 0 Sequenc e Fina l Flag s BVI D 2745 9 ADDRES S 202 0 N 2 5 S T QUADRAN T F l DEPH T 4 " XR F TEC H M

. MATEU S MIS C CLEARANC E NOT E CLEA R

pp m Erro r M o < LO D I 7.62 0 Z r 259.64 0 ± 12.50 2 S r 187.75 1 ± 9.30 3 U < LO D : 15.40 8 R b 68.62 9 ± 6.61 0 T h < LO D • 10.24 0 P b 58.42 6 ± 11.84 7 S e < LO D : 4.85 6 A s < LO D : 15.62 9 H g < LO D I 11.52 4 Z n 113.92 0 ± 18.76 2 W < LO D I 82.42 1 C u < LO D : 31.36 2 N i < LO D : 72.76 8 C o 215.88 6 ± 134.13 9 Fe 21585.58 8 ± 417.44 1 M n 452.62 1 ± 100.02 1 Supervise d By :

### iJ^^ \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 3 ^^K ^

^ Coasta l Environmenta l Grou p Inc

. ^^~**"Jfwww.coastalhazmatco m COASTA L (•Tiieaiitim i ciour

. la c 

# EXECUTIV ESUMMARY : BVI D #27459-(202 0 N2 5 ST )
N o Issue s o r Concern s | ^ Issues/Concern s
Detai l Explanation : -DA NGARVEY WALKED THEPROPERTY ON4/19/201 1

### Fron:ENVIROWORK S LLC . 40 2 93 4 281 1 04JV201 1 14:3 9 #13 9 P.006/01 1



# '^&i ^ Propert yCompletio n Agreemen t
thi s agiecmen i docuinent s th e complclio n o freinedia l activilie s {lerlbiine d o n m yproperi yM ysignatur e Wil l de$tguai e tha i I a m salisfie d wii h (h e resloralio n o fm yproperly , an d iha l n o item s ar e i n queslions

. now . o ra l an ylim e i n ih e fulure , excep i tiios e uem s liste d below , i fan y

Propert yID : 

# ^9^LS ^ Propert yAddrcw : ^^ ^

/< / g-S ~ ^T " Owner : Phone : 

# ^^^ - ^^Yr f Restoratio n Item s I n Question :

Ilem : \\mm : item : item : Item : Item :
Additiona l Comments :

^ 0 1 «|>rr crMtoralio n i t completed , ctctp l m t noiri i [

j I d o na t •eCf crc«(orMio n k complete d

Ownc i 'j : Sicm/tnr f Dat e Conliarloi' t SigiuKiir v OAI C4 

# €»EP A EP APropert y Clos e Ou t For m 

# Prop*n,#:_^l2:^l23
. Propert y Address : 

# ZO-MJ^^T ^ Detc/Ttme : Owner' s Name:
. / ^ Quad s Excavated : Contracto r Grou p _j^ 

# f

Yes N o Excavatio nGenera l 1
.I f necessaiy , wer e th e correc t quadTant(s ) excavate dan drestored ? / 2
.I f necessaiy , wer e th e correc i area s ofdri p zon e excavate dan drestored ? 

## y Gradin g So dan dVegetatJo a Yes No I
.Doe s th e {fadin g aroun dth e perimele r ofth e hous e i nexcavaieri area s generall y slop e awa y / fromth e house ? 2
.Ha s so dbeenlai dI nal l area s that wer e excavated ? 

# y J
.Doe s th e so dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 / da y tim e period )
. 4
.ARsodde darea s generall y fir man devenl y graded ? / 5
.

Ar c thejoint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 da y / tim e period ) 6
.Wa s tfa e property grade dsuc htha t wate r wil l not poo l onth e property ' 7
.Wa s damag e l o landscapin g o r plant material s avoided ? / Gates , Fence s an dRetainin g Wall s Ve s N o 

# 7 1
.D o gate s openan dclos e freely? (I f applicable ) Wer e al l gate s o r fence s take ndow ndurin g rcstotalio nactivilie s reinstalled ? (i f applicable ) 3
.Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 

# r

Wa s dainag e t o retainin g wai I s avoided ? ( 1 f applicable ) 

# 7

Foundation , Sidin g an dGutter s 

# f .N o 

# ' I
.Wa s damag e t o th e sidin g o r tri mavoided ? 

# 7 2
.We s damag e t o th e foundatio navoided ? 5
.Wa s damag e l o window s avoided ? 

# 7
AWa s damag e t o window s o r doo r screen s avoided ? 

# 7
S
.Wa s damag e i o downspout s o r downspou t extension s avoided ? 

# 7
Sidewalk s nn dDrivcway i (Concrete ) 

# 7 N o 1
.Wa s damag e l o drivewa y surface s avoided ? 

# -t 2
.Wa s damag e t o walkwa y surface s avoided ?

# « k Owner s comment s

I 

## [ln.<:pectio nnotes :

Removal andrestoratio nactivate s complete includin g the 30-da y so dwarranty : EP ARepresentativ e .1__ V ^Dale : ^1*^1 1