TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: 4lli<^ Date: < • U

Address: il^ V KT 'Z<' ^ 'I'( 

Remediation Contractor: _Coastal Environmental Group_ Year: _2010ARRA_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

Z, Executive Summary 

EPA-provided property sketch 

Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

z 

Restoration Agreement 

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

Confirmation data 

y 

Photographs (f^ ^O^ii^^Q^^ \ <^ . 

As-built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description ofareas not meeting ROD cleanup criteria 

Utility cleara»ees 

iation from Douglas County Assessor's Office 
Property Access Checklist 

Property ID: ^ 9MS 

Property Address: ^^^ ^

^ 

 A / ^^'S f 

D

n

 WORK STARTED

 WORKCOMPELTED

 ON:

 ON:

 /

 /

 / 

/ 

Owner: 0^^^<^ 0/y\<L\^^^ 

Address: 

Phone: 

Fax: 

(^L/L{^M2^<H( ^ 

Cell/Pager: 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

n Notification Letter 

Q* Access Agreement 

V? Restoration Agreement 

D Topsoil Sampling (if appUcable) 

D Disposal Sampling (if applicable) 

l~l Garden Sampling (if applicable) 

D Utility Clearance 

•^Video/Photos (Before) 

D Video/Photos (During) 

D Video/Photos (After) 

D Video/Photos (30-Day) 

• Property Completion Agreement 

D Final Report 

Sent: / / 

Siened: | (?/ H ^ ( Q 

Si^eA: l_0_l ti l 10. 

I I 

I I 

I I 

Called: / / 

On:|j^/LM/ I 0 

On: / / 

On: / / 

On: / / 

Signed: / / 

Issued: / / 

By: 

By=

By=

By: 

By: 

By: 

By: 

By=

By: 

By: 

By: 

By: 

By: 

 b.vv 

 V... V 

 torcv. 

Air Monitoring (as applicable) 

r~l Community n Crew 

Results: 

On: / / 1 

r~l Conununity

Results: 

 JZl Crew On: / / By: 

|~l Community

Results: 

 \Z\ Crew On: / / By: 

Omaha Lead Site 
Douglas Cotmty Account Infd^atio • d ^ 2 n 

Page 1 of 1

Douglas County, Nebraska Property Record - R2000910000 

Print Reoort 

View interactive GIS Mao Information is valid as of 2010-8-30 Treasurer's Tax Reoort 

New Feature ^ ^ ^ Subdivision Sales Search 

Owner 

CITY OF OMAHA 

C/O PLANNING DEPARTMENT 

1819 FARNAM ST #1111 

OMAHA NE 68183-0000 

Property Informatio n 

KeyNumbeir 0091 OOOO 20 

Account Type: Ex Govemment 

Parcel Number: 2000910000 

Parcel Address: 

2020 N 25 ST 

OMAHA NE 68111-OOOO 

Legal Description: PATRICKS ADD LOT 2 BLOCK 5 N 70 FT LT 1 & N 70 E 30 FT LOT 2 70 X 90 

Value Informatio n 

Land /mprovemenf Total 

2010 $0.00 $0.00 $0.00 

2009 $0.00 $0.00 $0.00 

2008 $500.00 $0.00 $500.00 

2007 $500.00 $0.00 $500.00 

2006 $500.00 $0.00 $500.00 

2005 $500.00 $0.00 $500.00 

Show All Transactions 

http://douglasne.mappmg-oiiline.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R200... 9/2/2010 
3/31/2011 www.dh6n.org/irthinternet/DHONNotic 

[Create^ Another Ticket] [Back^nn iith internet"] Send Enriai?"| 

YOUR TICKET NUMBER IS 2699994. 

Original Call Date: 3/31/11 Time: 12:55 pm Op: ALFONSO18790 

Work to Begin Date: 4/04/11 Time: 1:30 pm 

State: NE County: DOUGLAS Place: OMAHA 

Address: 2020 Street: N 25TH ST 

Twp: 15N Rng: 13E Sect-Qtr: 09-SE,16-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: (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: Y Front: Y Rear; 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Niunber 

Utility 

Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Ak: 4029340469 

Emei^: 4029329757 

LEVELS LEVELS COMMUNICATIONS, 

LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUDOl METROPOLITAN UTILITIES 

DISTRICT 

SANDY MUD 

Day: 4025047823 

Al: 

Emerg: 4025047970 

Day: 4024447197 


CITY OF OMAHA- OMAHACOF RICH/TRAFFIC Alt: 4024445161 TRAFFICSEWER 

Emerg: 4024445160 

dhon.org/irthintemet/.../MessageText.as... 1/2 
3/31/2011 ^ ^ www.dhon.org/irthinternet/DHONNotic 

• I P Day: 4067289343 

rMJOT^r^Tjij^ OMAHA PUBCIC POWER ELM , / .«..«^ , .^. 

0PPDGPR5 j^jg^^ ^ LOCATING ^ ^ 4062071494 

Emerg: 8887289343 

R M Day: 4067289343 

QLNNEIC QWEST LOCAL NETWORK TM\-T^T ^ Alt: 4062071494 

LOCAriNO 

Emeig: 8887289343 

dhon.org/irthinternet/.../MessageText.as... 2/2 
As-Built Drawing ^ 

COASTA

ENVIKONHCNTA

L 

L Omaha Lead Superfund Site GROUP . IN C 

OLS#: 27459 

Date Excavated: 4/6/2011 

Date USEPA Sianed Off: 4/19/2Blili 

27459 

Area Sodden: 1912 so ft "'*' 

Omaha Lead Site Exterior Paint Nortti AfTOw Owner Name: NEAL R REYNOLDS 

Site • Good Sketch Address: 2020 N 25 ST • Poor Phone: H 5<lg g w r y Nol paint 

r.nOmaha l^ad Site 46130 

Legen d 

Concrete Dri p Zone Excavate d Quadrants Excavate d 

Area replaced with 

Sod 

Are a replace d wit h 

Rock/Mulch Area lef t bar e 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
• \i 1 27459 

Omaha Lead Site Exterior Paint Owner Nanne: NEAL R REYNOLDS 

Site Sketch • Good Address: 2020 N 25 ST • Poor 

Phone: H:51.g 6 . W: 

[2Z Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm: 

Samples Collected 

RYASCPXA-27459 F1 ^ l ?> ppm Ef D Date: fZ^t^aS -

RYBSCPXA-27459 F2 2.BH ppm C3^ D Time: /.'3 a 

RYCSCPXA-27459 

RYDSCPXA-27459 

Bl 

82 

7^ 3

23 8

 ppm 

 ppm ^ n Samples Analyzed 

RD^SrPXA 27'im -9 ^ 

«62SGPXA-3nfS45&—-G2 

rz. 

~ ppm 

• " pp m 

ppm 

Number of Samples =i

n n 

n 

y •

a 

n 

­ • 

XRF Unit 

Date: _ 

Time: _ 

, Staff:._ 

; / 0 3 1 Book; 

Aj-zr-fisF ^ LA 

1^? 

ENTERiED 

; SEP2 7 2IJ85 

-.i^Oniaha Lead Site 46130 
27459 

Omaha Exterior Paint North Arrow Lead Site ri Owner Name: NEAL R REYNOLDS 

Site • Good Sketch Address: 2020 N 25 ST • Poor 

Phone: H 5«lg g [jJ'Not paint 

'~:.H,Qmaha lead Site 46130 
1 iiiiii i 27459 

Owner Name: NEAL R REYNOLDS Omaha Lead Site 

Address: 2020 N 25 ST Site Sketch 

Phone: »-6*^& 0 W: 

Sampie Number Lead 

Concentration 

Sample 

Collected LAB 

RYASCPXA-27459 Fl 51S_PPm D 

RYBSCPXA-27459 F2 2.3 ^ pom D 

RYGSCPXA-27459 81 7^ 3 pom D 

RYDSCPXA-27459 82 238 ppm n 

F?n7srpYrt i7<\m—9 2 • " ppm D a 

WCZSGPXA D7460 GZ " " ppm D n 

RPZACPXA-iMOg P ? ~~ ppm D n 

Number of Samples =\ V ] 

Exterior Paint North Arrow 

• Good 

Ci • Poor 

Q^Not paint 

Samples Collected 

Firm: 4su j e s /*-**^ 

Date: f/zf^ji " 

Time: /-3< ? 

Samples Analyzed 

XRF Unit: / 0 3 7 Book: \ ^ ^ 

Date: fO''Z.7't ^ 

Time; P/lf\ 

Staff; L A 

SEP 2 ? 2^05 

2^8 7fl3 

en 

©•^ 

F/ /"? 

5l6jZe^ D 

r J •2r-.S* 

•r:j\Oniaha Lead Site 46130 
'v'^'v / 

C O A S 1 A I 

Coiireii i lur A(:c;c^.i;,^-. 'i o !"ici|H-!iiy 

RIGHT OF ENTRY TO PREIV/JISES 

Granlo! (the property' ownet) conseiiti^, to and aulhoiizes the United States 

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

the Grantee, to enter snd perform certain environmental lesponse activities upori the 

following described premises: /H "ZhJy~^ 

OwneF's Kame: Da^flime Phone: 

Address of Property 

covered by this 

Agreement: tow V tb $f 

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) vv'ill 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 ACTIOI^S 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, al all reasonable times 

and with prior notice, for the sole purpose of performing the worl-x This access shall 

remain in effect until the work has been satisfactorily cornpleted. The Grantor also 

agrees to; 

Page 1 of 2 
C C A S 1 A 1 

C R 0 L' '

' Remove obstructions including boats, Itsiieis, vehicles, pisyscape ilen-ir, wood 

piles, doo houses, etc; 

< Remove fiov/er bulbs oi piafits that the Grantoi or the Grantni's tfenanl may wish 

to save; 

' Water and maintain leplacement vegetation, including lerliii/.er spplicgiion, as 

necessary' subsequent to an initial watering period by EPA; 

' Abide by heslth and safety guidance provided by EPA; 

< If the property' is rented, assist EPA in obtaining tenant appioval foi access lo 

the property/ to perform the work. 

I Allow videotaping and/or photographing of the properly. 

ACREEtv^ENT NOT TO INTERFERE 

The Grantor agrees not to interfere or tamper with any ofthe work activities, oi v^'ith any 

of the work done, or with the equipment used on his properly, 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 

P I grant access to my properties D I do nol grant access to my propertioE 

Date Signature Date 

O f wouio' like, to be presertt duririg any EampUno ihat ts leqi/iied. 

I »• C 

Paae 2 of 2 
C O A.s T A.L 

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). 

Property Address: -g ^ / ^ ^ 5 47 -

Owner: Q TY Cf O/^/ihhA 

Ml Phone: ^^^ H2Ht> 

On the attached diagrara(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 s to be Removed by the Contractor Di jring Remediation and Not Replaced 

Item: 

Item: 

Item: 

Item: 

Page 1 of. 
C C A S T A L CNVIMONHf M TA L 

C M O U r , IM C 

Items to Be Removed By Contractor During Remediation and Replaced 

Landscape Inventory 

Item Quantity Unit Condition/Type/Species 

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

Number of trees > 2 incfi Each ^ 

trunk diameter 

Number of trees <= 2 inch ^ ' Each 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, Each Timers, Heads, etc. 

.'^ttacli a sketch of the 

•sprinkler layout. 

Number of and size of 

each garden/ flower bed Each 

area. Square Feet 

Aliacll a skeich of rel;iu\f 

sizes and lociuions. 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

Notr this \alue \^ill l)C 

iise<l lo is.siie a i.'huii 

^(Hlcln'r Kl tlie propcris 

Easement Area, to be Each 

excavated •yi^na^ /7ei>tt^ ^ ^ i 

^ 

Page 2 of. 
1 

C O A S T JH, U • NVinONHI M TA 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 city of Omaha's Planning Department at (402) 444-5150. 

O Please check this box ifyou understand the information outlined above. 

• 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. 

IZflI agre s e n I do not agree

IC-H'iQ ^/zZ^ecCyy^/£>M/cO 

Owner's Signature Date Contractor' ntractor'ss Signatur Signaturee Date 

Page 3 of. 
m 

BVID# Z ^ ^ 

XRF PROPERTY SAMPLE SHEET 

ZC>2^ ^ Z ^ S^7— 

am/pm 

30 sec 

Reading Sample area 

^qqix \^q ^ B\ 

lol.7)^ . V7,lp Depth 

q l i a-^iA V ,<,.i \ 

 q^^.l^lr. t \L\ LAQ 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Reading Sample area 

Depth 

Date 

Project 

XRF ID# 

Shot# 

^ ^ 

S<^ 

% 

Average

Shot# 

9n 

?.^ 

^1 

Average

Shot# 

Average 

Shot# 

Average 

Signature 

Print 

V/7/i'^ // 

Omaha Lead ARRA 

az^H'v 

Reading Sample area 

'^%.2l t Unl- ) HA 

l^^i z v^.n^ Depth 

V^lSin V U„.^ \ \ " 

 \\ ^ ^ ^ 1 \5.5 7 

Reading 

^'KlU t W. ^ 

^?> ^l t \^»,7S 

5^^7^- IV^H 

 HU.U^- ^ \\ .

Reading 

Reading 

-^-" ^ 

./ y 

Sample area 

r \ 

Depth 

M " 

 \ ^ 

Sample area 

Depth 

\AN^C M/W^ 

Address 

Sample time 

sample length 

Shot# 

^ ^ 

^ 5 

^ I D 

Average

Shot# 

Average 

Shot# 

Average 

RETEST AREAS 

Sample area Shot# 

Depth 

Average 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 l^iddlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 91 

r^lode SOIL 

Time 2011-04-07 22:28 

Duration 91.20 

Sequence Final 

Flags 

AVERAGE Avg of 88-90 

ADDRESS 2020 N 25 ST 

QUADRANT EA 

DEPHT 1" 

XRF TECH r^. r^ATEUS 

I^IISC CLEARANCE 

NOTE CLEAR 

ppm Error 

Mo < LOD i.iw 

Zr 305.857 ± 13.664 

Sr 202.841 ± 9.856 

u < LOD 15.297 

Rb 78.183 ± 7.032 

Th 13.113 ± 7.946 

Ph 114.387 ± 15.529 

Se < LOD 5.386 

As < LOD 20.785 

Hg < LOD 12.381 

Zn 148.753 ± 21.312 

w < LOD 84.060 

Cu 40.829 ± ,,..—^2.378 

Nl < LOD j ^ /76.628 

Co < LOD /212.II 5 y"^: ± y Fe 24023.092 / 449.120 

Mn 602.473/ -y 113.964 

'y 

/ ^ 

Supe rvised By: / 7
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 307.659 

Sr 203.669 

U < LOD 

Rb 75.279 

Th 12.696 

Pb 138.219 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 156.206 

w < LOD 

Cu 36.890 

Ni < LOD 

Co < LOD 

Fe 24924.674 

Mn 592.643 

Supervised By: 

Certificate of Verification 

88 

SOIL 

2011-04-07 22:27 

30.51 

Final 

27459 

2020 N 25 ST 

EA 

1" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 7.744 

± 13.582 

± 9.789 

; 14.850 

± 6.845 

± 8.059 

± 16.723 

5.656 

22.653 

12.473 

± 21.689 • 86.865 

± 21.791 

: 73.962 

: 210.429 

± 453.521 

± 113.165 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 289.738 

Sr 197.079 

U < LOD 

Rb 80.064 

Th < LOD 

Pb 73.374 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 120.254 

w < LOD 

Cu 50.104 

Ni < LOD 

Co < LOD 

Fe 22921.146 

Mn 552.574 

Supervised By: 

Certificate of Verification 

89 

SOIL 

2011-04-07 22:28 

30.52 

Final 

27459 

2020 N 25 ST 

EA 

1" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 7.439 

± 13.227 

± 9.637 

: 15.229 

± 7.038 

I 10.685 

± 13.052 

5.269 

: 17.604 

11.936 

± 19.324 

: 80.754 

± 22.864 

78.475 

: 208.724 

± 435.062 

± 109.390 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 320.175 

Sr 207.775 

U < LOD 

Rb 79.205 

Th 17.494 

Pb 131.568 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 169.799 

w < LOD 

Cu 35.491 

Ni < LOD 

Co < LOD 

Fe 24223.455 

Mn 662.202 

Supervised By: 

Certificate of Verification 

90 

SOIL 

2011-04-07 22:28 

30.17 

Final 

27459 

2020 N 25 ST 

EA 

1" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 7.929 

± 14.183 

± 10.144 

: 15.812 

± 7.215 

± 8.656 

± 16.812 

5.234 

22.098 

12.735 

± 22.922 

I 84.562 

± 22.480 

: 77.448 

: 217.190 

± 458.778 

± 119.336 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 87 

Mode SOIL 

Time 2011-04-07 22:25 

Duration 91.20 

Sequence Final 

Flags 

AVERAGE Avg of 84-86 

ADDRESS 2020 N 25 ST 

QUADRANT B l 

DEPHT 4" 

XRF TECH M. MATEUS 

MISC CLEARANCE 

NOTE CLEAR 

Mo 

Zr 

Sr 

u 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

w 

Cu 

Ni 

Co 

Fe 

Mn 

Supe 

ppm 

< LOD 

327.927 ± 

298.322 ± 

< LOD 

69.503 ± 

13.536 ± 

96.863 ± 

< LOD 

< LOD 

< LOD 

140.277 ± 

< LOD 

41.530 ± 

< LOD 

< LOD ^ 

vi<i^i.imy\ y ± 

y ^ y­ y " ' 

rvised By: \ 

Error 

7.696 

14.138 

11.639 

14.807 

6.593 

7.705 

14.422 

5.855 

19.414 

12.312 

20.657 

87.634 

^22.03 4 

y^s.^^x 

191.629 

^ 403.609 

108.919 

• p ^ < 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 356.675 

Sr 299.696 

U < LOD 

Rb 75.961 

Th 14.868 

Pb 99.971 

Se < LOD 

As 27.068 

Hg < LOD 

Zn 129.267 

w < LOD 

Cu 40.429 

Ni < LOD 

Co < LOD 

Fe 20548.068 

Mn 638.935 

Supervised By: 

Certificate of Verification 

84 

SOIL 

2011-04-07 22:24 

30.17 

Final 

27459 

2020 N 25 ST 

Bl 

4" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 7.747 

± 14.854 

± 11.899 

: 14.925 

± 6.912 

± 8.009 

± 14.943 

I 6.579 

± 13.882 

: 12.976 

± 20.417 

: 93.013 

± 22.557 

: 79.087 

' 195.364 

± 416.025 

± 114.646 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

85 

SOIL 

2011-04-07 22:24 

30.53 

Final 

27459 

2020 N 25 ST 

Bl 

4" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

7.676 

± 14.671 

± 12.867 

15.096 

± 6.278 

± 7.268 

± 12.605 

6.104 

16.870 

12.129 

± 20.910 

: 82.817 

± 22.212 

; 71.557 

: 177.656 

± 373.413 

± 105.197 

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 

Nl 

Co 

Fe 

Mn 

ppm 

< LOD 

354.441 

370.057 

< LOD 

61.546 

12.750 

67.213 

< LOD 

< LOD 

< LOD 

149.206 

< LOD 

49.394 

< LOD 

< LOD 

17364.408 

555.696 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 272.664 

Sr 225.214 

U < LOD 

Rb 71.003 

Th 12.992 

Pb 123.404 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 142.358 

W < LOD 

Cu 34.767 

Ni < LOD 

Co < LOD 

Fe 21990.883 

Mn 557.140 

Supervised By: 

Certificate of Verification 

86 

SOIL 

2011-04-07 22:25 

30.50 

Final 

27459 

2020 N 25 ST 

Bl 

4" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

J 7.666 

± 12.889 

± 10.151 

: 14.399 

± 6.590 

± 7.837 

± 15.717 

4.883 

20.550 

11.832 

± 20.644 

: 87.071 

± 21.333 

: 75.680 

: 201.868 

± 421.390 

± 106.913 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 83 

Mode SOIL 

Time 2011-04-07 22:22 

Duration 91.19 

Sequence Final 

Flags 

AVERAGE Avg of 80-82 

ADDRESS 2020 N 25 ST 

QUADRANT Fl 

DEPHT 4" 

XRF TECH M. MATEUS 

MISC CLEARANCE 

NOTE CLEAR 

ppm Error 

Mo < LOD 7.500 

Zr 246.925 ± 12.321 

Sr 186.145 ± 9.304 

U < LOD 15.266 

Rb 77.696 ± 6.928 

Th 12.531 ± 7.109 

Pb _ 46.694 

Se < LOD 5.407 

As < LOD 15.121 

Hg < LOD 11.939 

Zn 100.548 ± 18.030 

w < LOD 84.419 

Cu 43.773 ± 22.027 

Ni < LOD !,.---^"^.34 9 

Co < LOD ^^3.64 3 y Z Fe 22176.537 /^ ± ^^425.16 7 

Mn 515.022 / 105.349 

y^-y^ 

Supervised By: y^ y -yy P 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 251.739 

Sr 202.202 

U < LOD 

Rb 83.858 

Th 16.382 

Pb 48.240 

Se < LOD 

As < LOD 

Hg < LOD 

Zn 92.626 

w < LOD 

Cu 50.438 

Ni < LOD 

Co < LOD 

Fe 22316.574 

Mn 550.907 

Supervised By: 

Certificate of Verification 

80 

SOIL 

2011-04-07 22:20 

30.17 

Final 

27459 

2020 N 25 ST 

Fl 

4" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 7.517 

± 12.494 

± 9.695 

: 14.994 

± 7.107 

± 7.538 

± 11.301 

5.309 

15.292 

12.458 

± 17.551 

: 84.711 

± 22.456 

J 71.954 

202.563 

± 426.787 

± 108.377 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Mo < LOD 

Zr 229.398 

Sr 168.482 

U < LOD 

Rb 80.600 

Th 11.994 

Pb 33.417 

Se < LOD 

As 15.453 

Hg < LOD 

Zn 95.096 

W < LOD 

Cu 49.823 

Ni < LOD 

Co < LOD 

Fe 22627.445 

Mn 541.538 

Supervised By: 

Certificate of Verification 

81 

SOIL 

2011-04-07 22:21 

30.52 

Final 

27459 

2020 N 25 ST 

Fl 

4" 

M. MATEUS 

CLEARANCE 

CLEAR 

Error 

: 7.364 

± 11.969 

± 8.913 

: 15.398 

db 7.066 

± 6.963 

± 10.250 

\ 6.056 

± 9.628 

I 11.834 

± 17.778 

: 86.126 

± 22.716 

: 75.324 

: 207.159 

± 431.272 

± 107.649 
# # 

Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Tumpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 82 

Mode SOIL 

Time 2011-04-07 22:22 

Duration 30.50 

Sequence Final 

Flags 

BVID 27459 

ADDRESS 2020 N 25 ST 

QUADRANT Fl 

DEPHT 4" 

XRF TECH M. MATEUS 

MISC CLEARANCE 

NOTE CLEAR 

ppm Error 

Mo < LOD I 7.620 

Zr 259.640 ± 12.502 

Sr 187.751 ± 9.303 

U < LOD : 15.408 

Rb 68.629 ± 6.610 

Th < LOD • 10.240 

Pb 58.426 ± 11.847 

Se < LOD : 4.856 

As < LOD : 15.629 

Hg < LOD I 11.524 

Zn 113.920 ± 18.762 

W < LOD I 82.421 

Cu < LOD : 31.362 

Ni < LOD : 72.768 

Co 215.886 ± 134.139 

Fe 21585.588 ± 417.441 

Mn 452.621 ± 100.021 

Supervised By: 
iJ^^\ Omaha Lead Site—Fixed Price EP-R7-07-05 

3 ^^K ^ ^ Coastal Environmental Group Inc. 

^^~**"J f www.coastalhazmatcom 

COASTAL 

(•Tiieaiitimi c iour . la c 

EXECUTIVE SUMMARY: 

BVID #27459-(2020 N 25 ST) 

No Issues or Concerns | ^ Issues/Concerns 

Detail Explanation: 

-DAN GARVEY WALKED THE PROPERTY ON 4/19/2011 
Fron:ENVIROWORKS LLC. 402 934 2811 04JV2011 14:39 #139 P.006/011 

'^&i^ 

Property Completion Agreement 

this agiecmeni docuinents the complclion of reinedial activilies {lerlbiined on my properiy My signature 

Will de$tguaie thai I am salisfied wiih (he resloralion of my properly, and ihal no items are in queslions. 

now. or al any lime in ihe fulure, excepi tiiose uems listed below, if any 

Property ID: ^9^LS^ 

Property Addrcw: ^^ ^ /< / g-S ~ ^T " 

Owner: 

Phone: 

^^^ - ^^Yr f 

Restoration Items In Question: 

Ilem: 

\\mm: 

item: 

item: 

Item: 

Item: 

Additional Comments: 

^ 0 1 «|>rrc rMtoralion it completed, ctctpl mt noirii 

[ j I do nat •eCfc rc«(orMion k completed 

Ownci 'j: Sicm/tnrf Date Conliarloi' t SigiuKiirv OAIC 
4

€»EPA 

EPA Property Close Out Form 

Prop*n,#:_^l2:^l23. 

Property Address: ZO-MJ^^T^ 

Detc/Ttme: Owner's Name:. / ^ 

Quads Excavated: Contractor Group _j ^ f 

Excavation Yes No General 

1. If necessaiy, were the correct quadTant(s) excavated and restored? / 

2. If necessaiy, were the correci areas ofdrip zone excavated and restored? y 

Grading Sod and VegetatJoa 

Yes No 

I. Does the {fading around the perimeler ofthe house in excavaieri areas generally slope away / from the house? 

2. Has sod been laid In all areas that were excavated? y

J. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 / day time period)

 . 

4. A R sodded areas generally firm and evenly graded? / 

5. Arc thejoints between the sod strips generally tight? (Only evaluate if inspected at a 30 day / time period) 

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

7. Was damage lo landscaping or plant materials avoided? / 

Gates, Fences and Retaining Walls 

Ves No 

1. Do gates open and close freely? (If applicable) 7

Were all gates or fences taken down during rcstotalion activilies reinstalled? (if applicable) 

3. Was damage to gates or fences avoided? (If applicable) r 

 Was dainage to retaining wai Is avoided? (1 f applicable) 

7 

Foundation, Siding and Gutters f .No 

I. Was damage to the siding or trim avoided? 

'

2. Wes damage to the foundation avoided? 7

5. Was damage lo windows avoided? 7 

A Was damage to windows or door screens avoided? 7 

S. Was damage io downspouts or downspout extensions avoided? 7 

Sidewalks nnd Drivcwayi (Concrete) 7 No 

1. Was damage lo driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? -t
«k 

Owners comments 

I 

[ln.<:pection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative .1__V ^Dale: ^1*^11