TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: y^i-^ Date: 

^ n ll 

Address: Uo i i (^W ^f 

Remediation Contractor: Coastal Environmenta) Group Year: 2010ARRA 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

7 Video ofproperty (DVD) ^ 

/ Executive Summary 

EPA-provided property sketch 

7 Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

Restoration Agreement 

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

Confirmation data 

7 Photographs 

7 As-built sketch 

7 Satisfactory restoration signed by Property Owner 

7 Property close-out check list signed by EPA 

Description of areas not meeting ROD cleanup criteria 

Utility clearances 

y Propertvi«^fmation from Douglas County Assessor's Office 

D 

IJ 

7 n /) 

)ate 

30237339 

•IM 

Superfund 
Property Access Checklist 

Property ID: ^^^^ ^ D WORK STARTED ON: _/ /_ 

Property Address: n WORKCOMPELTED ON: / /

3kW^ , VJ__5J ^v , 

Owner: 

Renter: 

gt- 0^\nl^y^ -QV v 

Address 

Phone: 

Fax: 

Ccll/Pager: 

Phone: Additionul Iiilormatinn: 1 _W).. H.M,H • H-jvVb 

Fiix: 

L Cell/Pager: 

Q Notification L/Ctlcr Sent: Bv: 

n~l Access Agreement Signed: jia_ / js^-' aft- By: 

»»'>t.v. 

^ Restoration Agreement Signed: _ia / _J!A. / xa_ By: VJ.tV 

r~l Topsoil Sampling (if applicable) By: 

Q Disposal Sampling (if applicable) Bv; 

r~l Garden Sampling (if applicable) / By: 

[ 3 Utility Clearance Called: v» / w /\<» Bv / f vf9^ ­

5) Video/Photos (Before) On: vo / \>N / v> By 

V-Oc 

n Video/Photos (During) On: By: 

D Video/Pholos (After) On: By: 

D Video/Photos (30-Day) On: Bv: 

r~l Property Com])letion Agreement Signed: / / By: 

D Final Report Lssued: / By: 

t l 

Air Monitoring (as applicable) ^ 

• Community Q Crcn On '^=y=i=ZI^- Results: 

Q Community CD Crctv On: / / Bv: 

Rcsults: 

CD Community O CrcH On: / / ATiA 

Results: 

Omaha Lead Site 
Douglas County Account In|^natio n|^n a n 

Page 1 of2 

% 

Douglas County, Nebraska Property Record - R2030550000 

Print Report 

View Interactive GIS IMao Information is valid as of 2010-8-30 Treasurer's Tax Report 

New Feature -^ -^ •^ Subdivision Sales Search 

Owner 

CITY OF OMAHA 

c/0 CITY FINANCE 

1819 FARNAM ST 

OMAHA NE 68183-0000 

Property Informatio n 

Key Number: 3055 OOOO 20 

Account Type: Ex Government 

Parcel Numlier: 2030550000 

Parcel Address: 

2605 N 18 ST 

OMAHA NE 68110-0000 

Legal Description: PRUYNES SUB DIV LOT 25 LOT 8 BLOCK 0 33.3 X 105 

Value Informatio n 

Land Improvement Total 

2010 $0.00 $0.00 $0.00 

2009 $0.00 $0.00 $0.00 

2008 $0.00 $0.00 $0.00 

2007 $0.00 $0.00 $0.00 

2006 $0.00 $0.00 $0.00 

2005 $0.00 $0.00 $0.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.0 0.0 0.0 0.0 

0.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R203... 9/3/2010 
Douglas County Account In|^natio l^u a n Page 2 of2 

% 

« Binney St Binney St Binney St 

Locust St Locust St Locust St 

5" 

5 - Maple St a 

Maple St s ^ ,52, <2 

m 

J?o!l»ys*. .jCort)y St z . 

tM r' I' z Miami St Miami St '.I t — Ohio St Ohi6» Qfjio s t 

Ohio St NIflthSt 

! 9 z i CadyAwt 

_ K CO 

E. LakeSt LakeSt 

«| 

StteoMOOdAve 

Ame Church Ui £2 

y^L-y\ WilijsAve WiteAvg .•f 

StJohn 5 

fomxa >BV i Wilis Ave 

Googl VldorAve ;f e 1 ^ ( Map data @(2010 Google 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R203... 9/3/2010 
Page 1 of 1 

"> 

[ Create Another Ticket ) Back to Irth Intemet ) [ Send Email | 

• YOUR TICKET NUMBER IS 2621253. 

Original Call Date: 10/19/10 Time: 6:01 pm Op: ELI2LABETH18790 


Work to Begin Date: 10/22/10 Time: 7:15 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2605 Street: N 18TH ST 


Twp: 15N Rng: 13E Sect-Qtr: 10-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: LEAD REMEDIATION 


Location of Work: LOCATE ENTIRE PROPERTY, ALL EASEMENTS AND TO THE PEDESTAL 


Remarks: FAX ALL CLEARS TO: (877)662-4211 


: UNSURE IP CORNER LOT. 

CompcUiy : COASTAL ENVIRONMENTAL SERVICE 

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

Work Being Done For: COASTAL 

Depth of Excavation: 4 FT Comer Lot: N 

Involves Tunneling or Horizontal Boring : N 

Front: Y

Explosives: N 

 Rear: 

CXCATV Mtrooi OMAHACOF 0PPDGPR5 QLNNEIC 

Service Area Contact Plione Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emeig: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK 

Day: 4067289343 

ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

http://www,dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/19/2010 
OLS#: 29231 ^ As-Built Drawing ^ Date Excavated: 11/2/2010 

Date USEPA Sioned Off: 12/2/2010 COASTA L Wnaha Lead Superfund Site Area Sodden: 2320 so ft 

Name: C iT 'r Omaha Lead Site 

Address: 2^/--; .<7. 7Jf'^s7 Site Sketch 

Ptione: ^_^ _ 

Date XRF Code c,y^j:^^'^_iy.^^M ^"^^ A^AA3/ 

Sampte Number Lead Concentration Confirmation Sample 

/*^ ^ . '=1"1. I

 PPni 

 ppm 

t^lYes

f'ZYes

 O 

• 

No 12^ 

No<5' 

^U^Oj, ppm ^|Yes n mjzr 

SJi^^ce^^a. .P^tPSI 333-3 ppm ^¥e s • No JzT' 

ppm Yes • No • 

OSS'; Ji^C/' V 

EA = 322 PPM @ 4" 

oi\,o 'XioOfi' 

Omaha l^ad Site 46904.783-01 

Legend 

Concret e Dri p Zone Excavate d Quadrants Excavate d 

Area replaced with 

Sod ' ' 

Area replace d wit h 

Rock/Mulch Area lef t bar e 

Contrac t #: EP-R7-07-05 Coastal Environmental Group Inc . 
pc\ r J^J ^ \o|^^ 

Name: C tTV Omaha Lead Site 

Address: 2^n c l7. /}f7Ar / Site Sketch 

Phone: I' 

XRF Code //r/>v ^"^ /A.^ M ^'°* ^m / 

Sample Number Lead Concentration Confirmation Sample 

\k^ ^ ppm f^<Yes • No 0 ^ 

^-1 i 1 ppm l^'^es • No'; ^ VS^c^ey/^ •- by^3\ ^i& B ppm ^jYes • mjzr ^>L.pyp^^ sy^^ \ 333. 3 ppm ^Ye s • No j2 ^ 

ppm Yes • No • 

Omaha Lead Site 46904.783-01 
^ % 

Name: C iTV Omaha Lead Site 

Address: 2kn T i/. 7.?/^ r / Site Sketch 

Phone: t

Date / / Team BVID# XRF Code 

0//7r77 / V M/TL y).^Jt^'^ •^^73 / 

Sample Number Lead Concentration Confirmation Sample 

^/^ ^ ppm P'l Yes • No IZT^ 

^"l . ^ ppm f^^es • No';;S' 

^i^. 3 ppm l^jYes • Nd^^ia^ 

yof^p>^ .P^^3 ) 333. 3 ppm ^Ye s • No j3 ^ ­ ppm Yes • No • 

OiriO TCOCtA 

Omaha Lead Site 46904.783-01 
Name: CiT ^ Omaha Laad Site 

Address: 2tia ^ i/. /Jf7AsA Site Sketch 1Noith 

Phone: 

Date Team XRF Code o///r/^ bL /y/,.w,7fe»1 ^ " in.j ^ 

Sample Number Lead Coneentraton Confirmation Sample 

Uf?^, ppm P'fYes a No Ea"^ 

^"l - 1 ppm f^e s D No<a 

^Ca ^ ppm ^jYes • Nrfja^ 

^^tyeyp t syi^3\ 333.3 ppm e^Yes a No jZ ^ 

ppm Yes • No D

O08Y X'ZCd A/ - ^ 

•1 

3. -T' ' 

D 

- ^ 

IX-XX 

/^•/vrt 

><:X ^ 

^< 

^>^ f7i£p[ ^/y€ -7 

-k 

?> 33s ^ 

y 

^iV^'*^ r ^~ ­ ­^ 

A^i //««A 

t3= ~^ i 

-x0^/f^ :U^i?.^ 

Omaha Lead Site 46904.783-01 
C C W 5 I A I t K ' • » 0 h K [ . W. I 

t I C -J f

C^()lii:C-;ii\ \c': /•c:c;or.i- 'I C !"IOIK-I( Y 

RiGHi OF ENTRY TO PREMISES 

Grgnloi (the property' ownei) consecits tc snd aulhoii2.e£ the United States 

Fnviionmental Protection Agency (F-PA) oi its authorized representatives, collectively 

the Grantee, to enter and perform cerlain enviiontrienta! lesponse activities; upori the 

following described premises: 

ownei's Wame:.,?^<?- CUka ^ 0>^U t Daiflime Phone: Lfi^i^i- L^ j y^jy 

Address of Property 

covered by this o?^or//-^ ^ /(j ^ sA-,c^7 Agreement: 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of lead and may pose a health hazard. The area(s) 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 leasonable times 

and with prior notice, for the sole purpose of performing the work This access shali 

remain in effect until the work has been satisfactorily completed Ih e Grantor also 

agrees to: 

Page 1 of ? 

f C 
C C A S I ^ I 

I ^ V p * 0 »• t-. ' • 1; . I 

< Remove obstiuciions including boats, tioileis, vc-.hiclGs, pisytcafje

piles, rioo houses, etc: 

 iif-mr, wood 

I rfemove fiov>'ei bulbs oi pieiiii; thai the Grantoi or the Gicfitoi's t(-,nc.nl iney w

to save; 

ish 

Water and msintain leplscernent vegetation, includino ferlili?.er

necessary' subsequeni to an initial watering period by EP/-\; 

 sppiicption, as 

' Abide by health and safety guidance provided by EPA; 

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

the property to perform the work. 

 access to 

I Allov\' videotaping and/or photographing of the properly. 

AGREEMENT NOT TO iKfTERFERE 

The Grantor agrees not to interlere or tamper with any of the work activities, oi with any 

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

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

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

such a manner. 

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

Environmental Group, at (402) 991-1199 

" ^ 1 grant access to my properties D I do not grant access to my properties 

/Q-OrA-yo^O 

Signature Date Signature Daie 

G I would (ike. to be iTfesent duiiitfe any sampline \Wi\ is leoi'iied, 

Pace 2 of 2 
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 ofthe property owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: I 

PropertyAddress: ^^Q ^ A/o^J^ /f ^ ^j^rcjOwner: Z^A cJ- 0,^^94/S 

Phone: 

W ^ V^^^ 

On the attached diagram(s) indicate area(s) to excavate, surface structures and landscaping features and 

access location(s) to be used by the contractors. Indicate distances, depths, material types, etc. 

Photographically and Videographically document the existing conditions ofthe property and the basement if 

necessary. 

Items to be Removed by the Owner before'Start of Remediation: 

The removal, storage, disposal, and/or return of these items is the Owner's responsibility 

Items t( > be Removed bv rthe Contractor During Remediation and Not Reolaced 

Item: 

yZ/ ^ ^ 

Item: 

Item: 

Item: J 

Page 1 of. 
COASTA L 

CNVtnOMM E NTA L 

C H O U ^ , IN C 

Items to Be Removed By Contractor During Remediation and Replaced 

Item 

Pre-existing property area, 

that will be e.xcavated, that 

is covered with grass. 

Number of trees > 2 inch 

trunk diameter 

Number of trees <= 2 inch 

trunk diameter 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

.Attach n sketch oi the 

.sprinkler ki>OLit. 

Number of and size of 

each garden/ flower bed 

area. 

\iMi.'li ;i skcK'li oi' rckili'.Lsi/.cs and loLiiiion.'.. 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

'^Dic this Miliif uill lie 

• ivfd \ii SMU- .1 plain 

(UKIUM Id till' priip(ri\ 

• >'i\ Mtr . 

Easement .\iea, to be 

excavated 

Landscape Inventory 

Quantity Unit Condition/Type/Species 

N/"^^ Quadrants 

Each 

Each 

0 Each 

y Each 

Square Feet 

y 

$ 

Each €J^^ ^ 

y / ziyiT^ 

f y 

Page 2 of 3 
C O A S T /^ L VMVIHONMf f NTA L 

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. 

\y\ Please check this box if you understand the information outlined above. 

ra^heck 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. 

^ 1 I agree \7] I do not agree 

.4_^ l£:AK4, JOwner' Contractor's Signature Date 

Page 3 of v? 
BVID # Z ^ Z 3 ( 

XRF PROPERTY SAMPLE SHEET 

Date / - IL - ZDH Address 7-bos M (8 s r 

Project Omaha Lead ARRA Sample time am/pm 

XRF ID# 3°\0Z Z sample length 30 sec 

Shot# 

133 

154 

135 

Reading 

305 i Z3 

33"^ i Z3 

3ZL( iZ.6 

Sample area 

&A 

Depth 

4u 

Shot# Reading Sample area 

Depth 

Average 3ZZ ^- 2.4 i / Average 

Shot# 

I3A 

156 

/3°i 

Reading 

m t i( 

2-1'=! i ZZ^ 

Zi 6 t ^^. 

Sample area 

F( 

Depth 

/|n 

Shot# Reading Sample area 

Depth 

Average Z,/l t UL "^ Average 

Shot# 

141 

(4^ 

/43 

Average 

Reading 

Z % t Z S 

ZSG i Z.<J260i Z\ 

Z-V­ i 

Sample area 

ft! 

Depth 

L' 

y 

Shot# 

Average 

Reading Samplearea 

Depth 

Shot# Reading 

RETEST AREAS 

Sample area Shot# Reading Sample area 

y^

^^^^- ) 

y 

Depth Depth 

Average Average 

Signature 

Print kf\]^i^ kf^ ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Supervised By 

Certificate of Verification 

136 

SOIL 

2011-01-12 17:54 

91.46 

Final 

Avg of 133-135 

2605 N 18 ST 

EA 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 305.221 

Supervised By: 

Certificate of Verification 

133 

SOIL 

2011-01-12 17:53 

30.51 

Final 

29231 

2605 N 18 ST 

EA 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

db Error 

± 23.114 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 339.488 

Supervised By: 

Certificate of Verification 

134 

SOIL 

2011-01-12 17:54 

30.63 

Final 

29231 

2605 N 18 ST 

EA 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

23.923 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 321.931 

Supervised By: 

Certificate of Verification 

135 

SOIL 

2011-01-12 17:54 

30.32 

Final 

29231 

2605 N 18 ST 

EA 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

± 26.344 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Supervised By 

Certificate of Verification 

140 

SOIL 

2011-01-12 17:57 

90.68 

Final 

Avg of 137-139 

2605 N 18 ST 

Fl 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 188.013 

Supervised By: 

Certificate of Verification 

137 

SOIL 

2011-01-12 17:56 

30.19 

Final 

29231 

2605 N 18 ST 

Fl 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 21.286 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 219.178 

Supervised By: 

Certificate of Verification 

138 

SOIL 

2011-01-12 17:56 

30.22 

Final 

29231 

2605 N 18 ST 

Fl 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 22.728 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 226.089 

Supervised By: 

Certificate of Verification 

139 

SOIL 

2011-01-12 17:57 

30.27 

Final 

29231 

2605 N 18 ST 

Fl 

4" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

± 22.458 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

Supervised By: 

Certificate of Verification 

144 

SOIL 

2011-01-12 18:00 

1478.84 

Final 

Avg of 111-143 

2605 N 18 ST 

Bl 

6" 

C.PADILLA 

CONFIRMATION 

CLEAR 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 286.272 

Supervised By: 

Certificate of Verification 

141 

SOIL 

2011-01-12 17:58 

30.20 

Final 

29231 

2605 N 18 ST 

Bl 

6° 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 25.282 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 256.503 

Supervised By: 

Certificate of Verification 

142 

SOIL 

2011-01-12 17:59 

30.29 

Final 

29231 

2605 N 18 ST 

Bl 

6" 

C.PADILLA 

CONFIRMATION 

CLEAR 

± Error 

24.204 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 260.479 

Supervised By: 

Certificate of Verification 

143 

SOIL 

2011-01-12 18:00 

30.66 

Final 

29231 

2605 N 18 ST 

Bl 

6" 

C.PADILLA 

CONFIRMATION 

CLEAR 

Error 

21.127 
i^JJL\ Omaha Lead Site—Fixed Price EP-R7-07-05 

o ^^^ ^ ° Coastal Environmentai Group inc. 

\y^^? www.coastaihazmat.com 

^^tPBoT*' COASTA L ENVIIONHENTAL 

e IIO U P. IH C 

EXECUTIVE SUMMARY: 

BVID #29231-(2605 N 18 ST) 

No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 

-DAN GARVEY WALKED THE PROPERTY ON 12/2/2010 
# 

EPA PropcrtA' Close Out Form 

;>P<T; A/ ml, s4to/- Propfrt)' tf: .yl^ U Property Addrtjr. 

Dste/rirae: Owner's Nsrot' '•­ -<a/2./io Quads F.xcBVHtfd Coniractor Grou|i CeotrfX' . Fi^-Bt 

E:itavatlon (Jeneral 

I If ncctssarj', were thc corrtct quadranl(s) excavated and restored'' y7-. 

2 If nctessani', *ere the correcl areas of dnp /one excavated wid restored'' 4 

CiradipR Sod and VtucUtion 

1

_

2

 Does the {rading around the pcrimeicr ofthe houve in excavairri areas generally sK>|>t awa^ 

from Ibe house? 

 Has sod been laid in all areas thai were excavated? A\ 

'i Docs the iodappear to be generally healthy and growing? (Only evaluate if insprrifdai a .fO j y 

day time period) _ _ • 

A. Art sodded areas gemerally firm and evenly graded'' ! 7 

-I *> Are the Joints berween the sod strips generally tight? (Only evaluate if m^pccicri at a 30 day 

Jjmej>eriod} _ _ y r 

6 Was the propeny graded such thai water will uoi pool (in iht propenv"^ \y 

... A . • 

1 Was damige to landscaping or plant mairrials avoided'' 1 y 

Catet. Ftpces and RetJipIng Watls 

Do gates open and close freely'' (If applitablr) ! y, 

I 2 Were all gates oi fences laken dov\Ti during restoralion acliviiies reinstalled'.' (II apolicahlf i "' yy ' Was demage to gates or fences avoided? (irapplicablcj I /I 

4 Wa.^ dam&ge to retaining walls avoided? (Ifapplicable) 1 /i' 

Foupdarion, Siding and Cutlers _ 

I Was dunage to the siding or trim avoided? 

y + 

i 

2 Was damage in the foundation avoided'' y\ 

Was damage lc windows avoided'' 

^ Was damage to windows or door screens avoided'' J / I . J 

•^ Wa.^ damage to downspouts nr downspoui txiensionj avnidci)'' I / i : 

^d^^lkjjn d Driveways (Concrett) I : 

I Wai damage lo driveway surfaces avoided' > c s ^f • 

! / '' ' 2. Was demBge lo walkway surfaces avoided'' 1/1' 1 
.c> 

Property Completion Agreerrienl 

Ihti Httccmeni dllculn(:nl^ Ihe ctimplcllOn ol tcincdial aciivmei pti lonntd on my ptoperly My signatute 

will designate iliai I am satisfied with ihe icsloialion of my properly »ndihai no iir.m!; are m que.«iions 

now, or ai any time m the tuiuir. except ihose items hiled below, if any 

Propct ty II): ^ ^2, % I 

Owner: C> ^'^^ j Q f Q ^ CJiKc±_ 

Restoration Ilems In Queslion: 

Item: 

lt«m: 

llem: 

— ^ I 

Item: 

Item; 

Hem: 

ZZ] 

Addilional Commenls: 

Qjs l ii^rt t rc«loi»lion l< cvmpltltd, ctctpi t i nni»(1 

[_J I rid nnt aijrtc irtitir;ili<in tt toniplclrri 

-^ L