# TRANSMITTA Lof OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R 

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Remediatio nContractor : Coasta lEnvironmenta lGroup

_Year : _200ft

SOILREMEDIATION PROPERTYnLEFOLDERDOCUMENT S
Vide o o f propert y (DVD )


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## EPA-providedproperty sketch SignedAcces s Agreement fo r subject property SignedAcces s Agreement(s ) fo r adjacen t propert y RestorationAgreement Settlemen t doctmient s (i.e. , fo r damag eo r to replac eplants , etc. ) Confinnationdata E
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## .Dougla s Count y Accoim t In^rtnatio n Page1 of3 "-, /
Dougla s County , Nebrask a Propert yRecor d - R101566000 0 Prin tRepor t NE WFeatur e - Parce l Dimension s availabl e (a > scal e 0-5 0 ftwes to f52n d S t- VleWO H Ma p 

### Informatio n i s vali d a s o f2009-9-1 5 Treasurer' s Ta xRepor t Ne wFeatur e • •^ • •Aut o Sale s Searc h Owne r NER O LL C
1632 4 EL M S T OMAH AN E 68130-000 0 Propert yInformatio n Ke yNumber : 156 6 000 0 1 0 Accoun tType : Residentia l Parce l Number : 101566000 0 Parce l Address : 83 0 S 3 5 S T OMAH AN E 68105-000 0 Lega l Description : ELLI S PLAC E LOT2 3 BLOC K0 4 0 X12 5 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $5,700.0 0 $79,800.0 0 $85,500.0 0 200 8 $5,700.0 0 $79,800.0 0 $85,500.0 0 200 7 $5,700.0 0 $79,800.0 0 $85,500.0 0 200 6 $5,700.0 0 $44,000.0 0 $49,700.0 0 200 5 $5,700.0 0 $44,000.0 0 $49,700.0 0 200 4 $5,700.0 0 $44,000.0 0 $49,700.0 0 Sale s Informatio n Sale s Date : 2005-10-1 2 Dee d Type : Q C Sooilr : 200 5 Page : 13903 0 Price : $0.0 0 Grantor : AlbertRotell a eta l Grantee : NERO , LL C Valld/lnvalld : Invali d Exclusio n Reason : Famil ySal e Sale s Date : 2004-08-0 6 Dee d Type : PR D BooIr ; 200 4 Page : 10578 3 Price : $38,500.0 0 Grantor : Brend a LClarke P R



## http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accotmtno=Rl0..

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## Pag e2 o f 3

Grantee : Valid/invalid : Exclusio n Reason : Alber tJ Rotell a eta l Vali d

Lan d Informatio n Acre s 0.1 1 S F 5000. 0 Unit s 1. 0 Dept h 125. 0 Widt h 40. 0 Vacan t N o Improvemen t Buildin g 1 Informatio n

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## ^Dougla s Cotmty Accoun t In&mijgip n fi^jmj^ Pag e3 of 3

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### Pag e1 of 2

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• YOU RTICKE TNUMBE RI S 2382979

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Origina l Cal l Date : 10/08/0 9 Time : 2:4 1 p m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 10/13/0 9 Time : 3:1 5 p m State : N E County : DOUGLA S Place : OMAH A Address : 83 0 Street : S 3ST H S T Twp : 15 NRng : 13 E Sect-Qtr : 21-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : INCLUD E AL L EASEMENT S LOCAT E ENTIR E PROPERT Y Remarks : FAX AL L CLEAR S TO : (877)662-421 1 UNSUR E O F CORNE R LOT S
RESEN T DU E T O WOR K EXTENDING
. PLEAS E REFRES H PAIN T AN D FLA G Compan y: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ELIZABET H Phone : (877)662-421 0
Wor k Bein g Don e For : COASTA L Dept ho f Excavation : 4 F T Come r Lot : NFront : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V LEVEL 3 MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C

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CXCAT V CO XCOMMUNICATIONS , IN C HEIDI Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 Day : 877366834 4 LEVEL3 LEVEL S COMMUNICATIONS , LL C N AAlt : Emerg : 877366834 4 Day : 402504782 3 MUDO l METROPOLITA NUTILITIES DISTRIC TSAND YAlt : Emerg : 402504797 0 

## Day : 402444719 7 OMAHACO FCIT YO FOMAHA-TRAFFIC.SEWE R 

## RO NAlt : 402444516 1 Emerg : 402444516 0

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QLNNEI C QWES TLOCA LNETWOR K

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. . 10/8/200 9OLS# : 2202 5 Dat e Excavated : 10/20/0 9 Dat e USEP ASione d Off : 12/1/0 9 

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### Th e EP Ai s requestin g acces s t o collectsoi l sample s an d remove soi l tha tcontain s elevate d concentration s o flea d an d ma ypos e a healt h hazard

. Th e areafs ) wil l b e excavate d t o remov e contaminate d soil

. Th e remove d contaminate d soi l wil l b e replaoa 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 SR e remediatio n program
. Arepresentativ e o fCoasta l Environmenta l Oroup , contracte d b yUSEPA , 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 hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i tbegins

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EKrVIROWMENTA LRESpONB E ACTION S 

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### < Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; cRemov e flowe rbulb s o rplant s tha tth e Granto ro rth e Grantor' s tenan tmaywis h t o save ; ( Wate ran d maintai n replacemen tvegetation , Includin g fertilize rapplication , as necessarysubsequen tt o a n initia l waterin g perk) d b yEPA ;

' Abkf e b yhealt h an d safet ygukJance provkle d b yEPA ; fI fth e propert yi s ranted , assis tEP Ai n obtainin g tenan tapprova l fo racces s t o th e propert yt o perfor m th e work

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' Allo wvideotapin g and/o rphotographin g o fth e property

. AGREEMEN TNOTT O 

### tWTERFER E Th e Granto ragree s no tt o interfer e o rtampe rwit h an yo fth e wor k activities , o rwit h an y o fth e wor k done , o r^ h th e equipmen tuse d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propertywhic h woul d ten d t o endange rth e healt h o r welfiare o fth e Grantee s o rth e environment , o rt o allo wothers t o us e th e propert yi n suc h a manner
. Shoul d yo u hav e an yquestion s abou tthi s program , pleas e contactCoasta l Envin>nmenta l Group , a t(402 ) 991-119 9

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## —I9rf5 r A g < LO D 13.71 5 S r 110.22 8 ± 7.92 6 U < LO D 19.88 9 R b 44.45 6 ± 5.93 9 T h < LO D 15.07 1 S e < LO D 5.87 4 A s < LO D 27.93 7 H g < LO D 12.44 9 Z n 244.35 6 ± 27.81 4 W < LO D 74.32 2 C u 39.60 6 ± 20.69 3 N i < LO D 66.40 3 C o < LO D 154.47 0 F e 14019.66 8 369.18 4 M n 389.91 8 94.14 6 C r < LO D 110.07 6 < LO D 261.77 7 T i < LO D 626.31 8 S c < LO D 99.15 8 C a < LO D 1403.27 0 K < LO D 1436.80 4 / S < LO C 1280.60 4 Supervise d By : V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 40 0 Mod e SOI L Tim e 2009-10-2 0 17:5 0 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2202 5 LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTRY CO R1 easemen t CO R2 1 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

pp m ± Erro r P b 248.46 1 ± 23.24 2 C d < LO D 19.83 2 A g < LO D 14.24 3 S r 108.28 6 ± 8.02 1 U < LO D 20.57 1 R b 45.70 3 ± 6.12 8 T h < LO D 15.55 7 S e < LO D 6.40 2 A s < LO D 29.00 8 H g < LO D 12.62 5 Z n 258.08 2 ± 28.95 4 W < LO D 70.90 0 C u 34.04 7 ± 20.61 2 N l < LO D 64.98 9 C o < LO D 150.11 3 F e 13438.42 9 ± 368.35 6 M n 383.07 0 ± 96.03 1 C r < LO D 117.10 1 < LO D 299.86 4 T i < LO D 466.15 0 S c < LO D 101.43 5 C a < LO D 1182.35 7 K < LO D 2384.93 4 S < LO D 1445.60 4 Supervise d By : V

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s SAMPL E LOCATIO N INSPECTO R CO R1 CO R 2 MIS C NOT E Use rLogi n 

## Certificat e o fVerificatio n

40 1 SOI L 

### 2009-10-2 0 17:5 1 30.0 0 Fina l 2202 5 83 0 s 3 5 s t VENTRY easemen t 1 clearenc e ep a gu n EP

A

P b C d A g S r U R b T h S e A s H g Z n W C u N

i C o F e M n C r T i S c C a K S Supervise d By : pp m 

### 267.60 6

< LO D < LO D 105.66 6

< LO D 43.96 1 < LO D < LO D < LO D < LO D 272.35 8

< LO D 38.63 3 < LO D 158.42 6 

### 13522.61 6

359.13 2

< LO D < LO D < LO D < LO D < LO D < LO D < LO D ±
±

±
±

±
±
± ± ± Erro r 

### 23.27 5 19.02 9 13.34 7 7.70 5 19.47 2

5.83 9 15.65 9

5.41 4 28.17 9 12.28 3 28.94 1 75.53 7 20.38 7 67.75 0 101.94 4 358.79 7

89.82 9 48.72 7 207.15 1 738.34 7 150.82 0 1397.47 9

63.87 3 1018.91 4 V

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s SAMPL E LOCATIO N INSPECTO R CO R 1 CO R 2 MIS C NOT E Use rLogi n 

## Certificat e o fVerificatio n

40 2 SOI L 2009-10-2 0 17:5 2 30.0 0 Fina l 2202 5 83 0 s 3 5 s t VENTR Y easemen t 1 clearenc e ep a gu n EP

A

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m 245.05 1

< LO D < LO D 114.12 5

< LO D 42.04 7 < LO D < LO D < LO D < LO D 233.34 1

< LO D 42.10 3 < LO D < LO D 13355.42 1

399.12 3

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Supervise d By : d b
±

±
±

±
±

± Erro r 22.04 9 18.18 4 13.56 0 7.83 3 18.66 3

5.61 3 14.26 5 6.05 9 26.80 3 12.66 0 26.64 5 75.59 5 20.37 2 69.45 7 147.76 5 351.32 3

92.25 0 114.83 7 286.97 2 699.89 9

36.66 3 1436.99 8 2065.51 0 1392.17 2 V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 40 3 Mod e SOI L Tim e 2009-10-2 0 17:5 2 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2202 5 LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTR Y CO R 1 easemen t CO R 2 1 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

pp m ± Erro r P b 235.12 5 22.54 6 C d < LO D 19.56 5 A g < LO D 13.70 8 S r 112.83 5 ± 8.14 7 U < LO D 20.85 0 R b 46.11 4 ± 6.17 5 T h < LO D 14.80 5 S e < LO D 5.62 2 A s < LO D 27.75 7 H g < LO D 12.22 8 Z n 213.64 2 ± 26.71 4 W < LO D 75.25 5 C u 43.64 0 ± 21.40 0 N i < LO D 63.41 6 C o < LO D 167.08 6 F e 15762.20 5 ± 398.26 1 M n 418.34 7 ± 98.47 6 C r < LO D 159.64 0 < LO D 253.12 0 T i < LO D 600.87 5 S c < LO D 107.71 4 C a < LO D 1596.24 5 K < LO D 1232.89 9 S < LO D 1265.72 4 Supervise d By : V

### # 

# Therm o

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 41 9 Mod e SOI L Tim e 

### 2009-10-2 0 18:0 3 Duratio n 

### 120.0 0 Sequenc e Fina l _F!ags

_ '^AVEEASE
- Av q o f4155l8 l

LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTR Y CO R 1 D Z CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

pp m Erro r 

### 429.89 1 LZ53

_ C d < LO D 

### 21.30 0 A g < LO D 

### 15.38 7 S r 122.51 0 

### 8.98 1 U < LO D 

### 22.78 7 R b 55.06 5 

### 7.02 7 T h < LO D 

### 19.19 9 S e < LO D 

### 6.82 4 A s < LO D 

### 39.24 0 H g < LO D 

### 13.76 4 Z n 360.51 2 

### 35.95 5 W < LO D 

### 83.54 6 C u 39.42 6 

### 23.26 3 N i < LO D 

### 77.54 1 C o < LO D 

### 179.59 2 F e 16052.04 1 d b 

### 427.37 5 M n 

### 643.74 3 ± 122.88 7 C r < LO D 

### 130.04 6 V < LO D 

### 144.14 3 T i < LO D 

### 718.45 9 S c < LO D 

### 69.24 3 

# •- 7 C a < LO D 

### 1270.06 5 K < LO D 

### 1382.93 4 S 

### 44464.49 2
Superviise d

### # # 

# Therm o

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 41 5 Mod e SOI L Tim e 2009-10-2 0 18:0 1 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2202 5 LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTRY COR l D Z CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A



### pp m Erro r P b 485.69 4 ± 34.16 4 C d 23.33 3 ± 14.86 0 A g < LO D 15.49 0 S r 130.78 5 ± 9.37 3 U < LO D 22.99 0 R b 52.60 9 ± 7.02 2 T h < LO D 20.10 1 S e < LO D 5.94 0 A s < LO D 41.10 2 H g < LO D 14.02 4 Z n 396.21 3 i 38.18 9 W < LO D 87.49 0 C u 48.13 6 ± 24.47 3 N i < LO D 75.33 4 C o < LO D 182.43 4 F e 16276.59 2 ± 436.61 3 M n 639.43 6 ± 125.31 2 C r < LO D 118.86 0 

## v < LO D 75.73 3 T i < LO D 763.25 2 S c < LO D 109.47 5 C a < LO D 1394.47 0 K < LO D 50.07 7 S < LO D 1089.24 8 Supervise d By :

### # # 

# Therm o

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 41 6 Mod e SOI L Tim e 

### 2009-10-2 0 18:0 2 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 2202 5 LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTR Y CO R1 D Z CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

pp m ± Erro r P b 

### 384.61 4 ± 

### 29.82 6 C d < LO D 20.84 7 A g < LO D 

### 15.27 0 S r 117.83 3 ± 

### 8.73 6 U < LO D 

### 23.79 0 R b 57.93 4 ± 

### 7.16 6 T h < LO D 

### 18.20 1 S e < LO D 

### 6.57 9 A s < LO D 

### 36.25 9 H g < LO D 

### 14.33 9 Z n 323.92 0 

### 33.73 7 W < LO D 

### 79.09 2 C u < LO D 

### 33.40 2 N l < LO D 

### 80.64 1 C o < LO D 

### 178.98 8 F e 16676.74 8 ± 

### 429.79 3 M n 

### 560.05 0 ± 

### 115.58 1 C r < LO D 

### 157.90 4 V < LO D 

### 205.03 6 T i < LO D 

### 800.57 0 S c < LO D 

### 31.02 4 C a < LO D 

### 1209.82 3 K < LO D 

### 1742.49 1 S < LO D 

### 1227.28 7 Supervise d By :

### # # 

# Therm o

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 41 7 Mod e SOI L Tim e 

### 2009-10-2 0 18:0 3 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 2202 5 LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTR Y 

### CO R1 D Z CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

pp m ± Erro r P b 

### 309.73 5 ± 

### 26.75 6 C d < LO D 

### 20.83 1 A g < LO D 

### 14.86 1 S r 131.00 0 ± 

### 9.03 9 U < LO D 

### 23.36 3 R b 60.45 4 ± 

### 7.19 1 T h < LO D 

### 18.10 3 S e < LO D 

### 6.61 5 A s < LO D 

### 34.16 6 H g < LO D 

### 13.34 2 Z n 379.62 1 

### 36.09 0 W < LO D 

### 83.47 1 C u < LO D 

### 32.47 4 N i < LO D 

### 72.41 0 C o 291.85 3 ± 

### 121.89 6 F e 

### 16134.76 8 ± 

### 419.69 3 M n 

### 808.98 8 ± 

### 131.37 1 C r < LO D 

### 115.82 9 V < LO D 

### 224.61 5 T i < LO D 

### 598.84 7 S c < LO D 

### 104.81 0 C a < LO D 

### 1218.20 4 K < LO D 

### 2462.36 4 S < LO D 

### 1523.02 2 Supervise d By :

### # 

# Therm o

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 41 8 Mod e SOI L Tim e 2009-10-2 0 18:0 3 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2202 5 LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTR Y COR l D Z CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A



### pp m Erro r P b 539.52 1 ± 36.26 5 C d < LO D 21.23 3 A g < LO D 15.92 5 S r 110.42 1 ± 8.77 8 U < LO D 21.00 5 R b 49.26 3 ± 6.73 0 T h < LO D 20.39 4 S e < LO D 8.16 1 A s < LO D 45.43 4 H g < LO D 13.35 1 Z n 342.29 6 ± 35.80 5 W < LO D 84.13 2 C u 46.27 7 ± 24.66 1 N i < LO D 81.77 9 C o < LO D 174.10 3 Fe 15120.05 6 ± 423.39 9 M n 566.50 0 ± 119.28 4 C r < LO D 127.59 0 V < LO D 71.19 0 T i < LO D 711.16 8 S c < LO D 31.66 4 C a < LO D 1257.76 2 K < LO D 1276.80 3 S < LO D 174018.40 6 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 40 9 Mod e SOI L Tim e 2009-10-2 0 17:5 6 Duratio n 120.0 0 Sequenc e Fina l Flao s VWERAG E Av g o f405-40 8 ] LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTR Y COR l f l CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A



### pp m Erro r ^ b

. 51.15 0 •: ' i ____j^l2.213 j C d <LO D 19.93 7 A g < LO D 14.53 9 S r102.95 1 ± 7.93 0 U < LO D 21.22 5 R b 54.36 2 ± 6.59 1 T h < LO D 13.29 0 S e < LO D 5.70 1 A s < LO D 15.76 8 H g < LO D 12.56 6 Z n 151.20 0 ± 22.98 4 W< LO D 78.14 9 C u < LO D 30.08 8 N i < LO D 73.05 2 C o < LO D 158.99 1 F e 14360.75 2 ± 384.87 7 M n 458.53 5 ± 103.03 0 C r< LO D 68.34 1

< LO D 411.18 9 T i < LO D 726.72 6 S c< LO D ^ ^

^75.05 6 C a < LO D ^,y ^ ^58.02 4 K< LOD / /^1947.19 2 S < LO 0 i ^

1248.51 0 

## y 

# y
. ^Z

_ Supervise d By : ^y ^

^ V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 40 5 Mod e 

### SOIL Tim e 

### 2009-10-2 0 17:5 4 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 2202 5 LOCATIO N 

### 83 0 s 3 5 s t INSPECTO R 

### VENTR Y COR l fl CO R2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U R b T h 

### S e A s H g Z n W C u N l C o F e M n C r 

### T

i S c C a K S pp m ± Erro r 

### 39.92 2 11.48 5 < LO D 

### 20.34 9 < LO D 14.78 0 96.21 6 ± 

### 7.84 5 < LO D 

### 20.14 2 52.28 8 ± 

### 6.48 0 < LO D 

### 12.30 0 < LO D 

### 5.96 6 < LO D 

### 14.99 4 < LO D 12.53 8 104.21 1 20.10 9

< LO D 

### 72.57 7 < LO D 

### 28.41 1 < LO D 

### 77.64 7 < LO D 158.25 0 13578.11 0 ± 

### 380.80 1

543.59 4 ± 

### 110.84 3

< LO D 

### 128.52 3 < LO D 524.85 0 < LO D 

### 1046.05 1 < LO D 

### 147.71 8 < LO D 

### 659.52 3 < LO D 

### 2549.32 4 < LO D 

### 1416.01 2 Supervise d By : 

### V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 40 6 Mod e SOI L Tim e 

### 2009-10-2 0 17:5 5 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 2202 5 LOCATIO N 

### 83 0 s 3 5 s t INSPECTO R VENTR Y 

### COR l fl CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g 

### S r U R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m 

### 54.88 9 < LO D < LO D 107.06 4

< LO D 61.37 2 < LO D < LO D < LO D < LO D 132.47 9

< LO D < LO D < LO D 

### < LO D 14515.94 4

458.58 4

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Supervise d By : ±
±

±
±

d b ± Erro r 

### 12.67 2 20.17 1 14.87 9

8.15 1 22.04 5

7.00 8 14.02 0

5.44 8 15.62 6 12.85 6 22.43 7 82.52 3 31.49 3 68.11 2 156.60 7 391.32 8 103.90 0 51.70 2 278.38 2 759.71 3

97.27 3 992.12 5 1632.07 1 1130.04 0 V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 40 7 Mod e SOI L Tim e 2009-10-2 0 17:5 5 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2202 5 LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTR Y CORl f l CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m ± 68.85 6 ± < LO D < LO D 109.71 3

< LO D 56.73 8 ± 14.38 6 < LO D < LO D < LO D 245.83 6

< LO D < LO D < LO D < LO D 14898.32 1

465.94 8

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Erro r 13.29 5 19.54 0 14.06 8 7.92 5 21.03 9

6.54 3 9.19 5 5.45 9 16.81 6 12.72 3 27.98 7 77.59 3 29.28 8 72.46 0 157.98 2 381.29 0 100.95 4 40.82 2 405.57 4 595.91 4

28.56 3 1125.90 8 1866.90 6 1272.58 8 Supervise d By : V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 40 8 Mod e SOI L Tim e 

### 2009-10-2 0 17:5 6 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 2202 5 LOCATIO N 

### 83 0 s 3 5 s t INSPECTO R VENTR Y CO R1 

### f l CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U R b T h 

### S e A s H g Z n W C u N

l C o F e M n C r T i S c C a K S pp m Erro r 

### 40.93 3 ± 

### 11.39 9 < LO D 

### 19.68 9 < LO D 

### 14.42 7 98.81 2 ± 

### 7.79 8 < LO D 

### 21.67 3 47.05 2 ± 

### 6.33 5 < LO D 

### 13.04 7 < LO D 

### 5.93 0 15.91 1 ± 

### 10.42 4 < LO D 

### 12.14 7 122.27 4 ± 

### 21.40 4

< LO D 

### 79.90 2 < LO D 

### 31.16 1 < LO D 

### 73.98 8 < LO D 

### 163.12 6 14450.63 2 ± 

### 386.09 0

366.01 5 ± 

### 96.42 5

< LO D 

### 52.31 9 < LO D 

### 435.94 9 < LO D 

### 505.22 4 < LO D 

### 26.67 2 < LO D 

### 1054.53 9 < LO D 

### 1740.46 7 < LO D 

### 1175.40 2 Supervise d By : V

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s NAVE^GE — LOCATIOTT " INSPECTO R CO R 1 CO R 2 MIS C NOT E Use rLogi n

\-Pb

­



## ca- - A g S r U R b T h S e A s H g Z n W C u N i C o F e M n C r T i S c C a K S pp m 174:718 "

<LO D < LO D 108.09 2

< LO D 49.76 9 < LO D < LO D < LO D < LO D 157.25 9

< LO D 29.65 3 < LO D < LO D 14324.84 2

548.60 9

< LO D < LO D < LO D < LO D < LO D < L O < L l
Supervise d By : 

## Certificat e o fVerificatio n

41 4 SOI L 2009-10-2 0 18:0 0 120.0 0 Fina l Av g o f410^413 1 83 0 s 3 5 s t VENTR Y b l 1 3 clearenc e ep a gu n EP

A

±

±

± Erro r 19120 5 206 ^ 19 , 165~ ^ 13 , 72 5 7
.

78 1 20 , 11 2

6 ,

13 0 13 , 87 0 5 ,

54 0 24 , 04 7 12 , 17 2 22 , 66 8 70 , 14 6 19 , 46 2 66 , 87 4 153 , 90 2 369 , 59 9 105 ,47 8 144 ,96 0

90 ,50 5 663
. 31 8

77 , 64 5 1131 , 40 7 2337 , 11 6 1457 , 96 9 V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 41 0 Mod e SOI L Tim e 

### 2009-10-2 0 17:5 8 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 2202 5 LOCATIO N 

### 83 0 s 3 5 s t INSPECTO R VENTRY CO R1 b l CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U R b T h S e A s H g Z n W C u N l C o F e M n C r T i S c C a K S pp m 

### 155.98 0

< LO D < LO D 95.93 3 < LO D 51.66 9 < LO D < LO D < LO D < LO D 160.84 0

< LO D < LO D < LO D < LO D 14252.94 3



### 441.22 4

< LO D < LO D 770.98 6

< LO D < LO D < LO D < LO D Supervise d By : ±
±

±
±

± Erro r 

### 18.49 6 19.07 9 13.90 2 7.47 1 20.32 8

6.25 5 14.61 3

5.90 4 23.31 3 12.29 6 22.91 0 66.11 0 28.73 8 70.44 6 154.54 1 371.09 1

98.76 4 160.89 6 454.25 8 500.45 8

27.59 5 1092.84 2 1803.20 1 1280.69 8 V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 

### 41 1 Mod e SOI L Tim e 

### 2009-10-2 0 17:5 8 Duratio n 

### 30.0 0 Sequenc e Fina l Flag s SAMPL E 

### 2202 5 LOCATIO N 

### 83 0 s 3 5 s t INSPECTO R VENTR Y COR l 

### b l CO R 2 

### 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

P b C d A g S r U R b T h S e 

### A s H g Z n C u N l C o F e M n C r T i S c C a K S pp m 

### 169.13 7

< LO D 

### < LO D 110.19 3

< LO D 45.19 3 < LO D < LO D < LO D < LO D 150.86 9

< LO D < LO D < LO D 

### < LO D 14609.16 6

589.56 0

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Supervise d By : ±

± ± ' Erro r 

### 18.81 2 19.03 0 13.85 7 7.82 5 20.45 3

5.95 7 12.88 5

5.04 3 23.25 8 12.25 3 22.18 4 69.46 5 27.32 6 66.97 9 156.61 2 372.16 0 108.29 2 17i:01 1 381.53 3 849.40 9 111.73 9 1663.58 8 2850.35 3 1804.25 4 V

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

XL3t-3207 5 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s SAMPL E LOCATIO N INSPECTO R 

### CO R1 CO R 2 MIS C NOT E Use rLogi n 

## Certificat e o fVerificatio n

41 2 SOI L 

### 2009-10-2 0 17 ; 5 9 30.0 0 Fina l 

### 2202 5 83 0 s 3 5 s t VENTR Y 

### b l 1 3 clearenc e ep a gu n EP

A

P b C d A g S r U R b T h S e A s H g Z n W C u N i C o Fe M n C r T i S c C a K S pp m ± 

### 191.99 7 ±

< LO D < LO D 117.80 2

< LO D 53.29 5 < LO D < LO D < LO D < LO D 154.23 3

< LO D < LO D < LO D < LO D 13965.07 7

653.77 6

< LO D < LO D < LO D < LO D < LO D < LO D < LO D Erro r 

### 20.08 4 19.61 0 13.52 0 8.07 4 20.14 2

6.28 5 14.96 9

5.58 1 24.26 5 12.22 2 22.58 6 73.08 9 29.07 1 65.71 8 152.50 5 365.53 3 112.89 2 120.89 2 296.90 4 772.05 7 142.44 6 626.39 1 1743.02 2 1119.82 4 Supervise d By : V

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

## Certificat e o fVerificatio n
XL3t-3207 5 Readin g N o 41 3 Mod e SOI L Tim e 2009-10-2 0 18:0 0 Duratio n 30.0 0 Sequenc e Fina l Flag s SAMPL E 2202 5 LOCATIO N 83 0 s 3 5 s t INSPECTO R VENTR Y CO R1 b l CO R 2 1 3 MIS C clearenc e NOT E ep a gu n Use rLogi n EP A

pp m ± Erro r P b 181.75 7 ± 19.43 2 C d < LO D 18.94 2 A g < LO D 13.62 2 S r 108.44 2 ± 7.75 3 U < LO D 19.52 6 R b 48.91 8 ± 6.02 4 T h < LO D 13.01 4 S e < LO D 5.63 3 A s 25.63 6 ± 16.90 0 H g < LO D 11.91 7 Z n 163.09 2 ± 22.99 3 W < LO D 71.92 0 C u 49.30 8 ± 21.09 0 N i < LO D 64.35 3 C o < LO D 151.95 2 F e 14472.18 2 ± 369.61 3 M n 509.87 3 ± 101.96 2 C r < LO D 127.04 1 < LO D 29.32 3 T i < LO D 281.12 2 S c < LO D 28.80 0 C a < LO D 1142.80 5 K < LO D 2951.89 1 S < LO D 1627.09 9 Supervise d By : V0.*-''"'^^ , 

## i^jfJL \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 I ^^^ ^

° Coasta l Environmenta l Grou p Inc

. ^"^S^ ^ V^'^J ^

vvww.coastalhazmat.co m '^^ ^ %PHO^" ^ COASTA L mviiomiENTA i ciour

. IN C 

# EXECUTIV ESUMMARY : BVID #22025-(83 0 S 3 5 ST )
No Issue s o r Concern s \~ \Issues/Concern s
DetailExplanation :

# EP APropert y Clos eOu t For m Propert y # : ryV^Q.^^ , Propert y Addresr.

­ 

### Daten-lme : ^^ ^ ^ Owner' s Name : ,/^LL Quad * Excavated : O j < \Jfi ) ContractorGrou p PjOfik? '
Ye s No Excavatio nGenera l 1

.

I f necessaiy , wer etii econec t quadrent(s ) excavate dan drestored ? 2

.I f necessary , wer eth ecorrec i area s o f dri p zon eexcavate dan drestored ? 

# 1? ^

Ye s C o Gradin g So dan dVegetatio n I

.Doe s th egradin g aroun dth eperimete r ofth ehous ei nexcavate darea s generall y slop eaway fromtb ehouse ? 

# 17 ' 2

.Ha s so dbeeniaf db t al larea s that wer eexcavated ? J

.Doe s th eso dappea r t o b egenerall y health y andgrowing ? (Onl y evalual ei f inspecte da t a3 0 

# ~y ^ da y tim eperiod ) 4

.Al t sodde darea s generall y firman devenl y graded ? ~ ^ 5

.

Ar eth ejoint s betwee nth eso dstrip s generall y tight ? (Onl y evaluat eif inspecte da t a3 0 da y 

# ¥ y



# ­ tim eperiod )

__ „ 6

.Wa s th eproperty grade dsuc hthat wate r wil lnot poo lo nth eproperty ' 

# r 7

. Wa s damag et o landscapin g o r plant material s avoided ?
Gates

. Fence s an dRetajnln g Wall s Vc s N o I1

. D o gate s openan dclos efreely? (I f applicable ) 

# 7 [
2

.Wer eal lgate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

# 17 ' 3

. 

# 77 ^

Wa s damag et o gate s o r fence s avoided ? (Ifapplicable ) 

# y 1

.Wa s damag et o reuinin g wall s avoided ? (Ifapplicable )
Foundation , SidiB g an dGutter s Ye s N o I

.

Wa s damag et o th esidin g o r tri mavoided ? 

# W 2

.Wa s damag et o th efoundatio navoided ? 

## y " " ?

. Wa s damag et o window s avoided ? 

# Tx '
4Wa s damag et o window s o r doo r screen s avoided ? 5

.

Wa s damag et o downspout s o r downspou lextension s avoided ? 

### ^ '
Sidewalk s an dDrWeway s (Concrele ) Ye s No I

.Wa s damag et o drivewa y surface s avoided ? 2

.Wa s damag et o walkwa y surface s avoided ? 

### ^ '

## OM'oer s comments :

pinfipectio nnotes :

Removalandrestoratio nactivate s completeincluding the30-da y so dwarranty :
EPARepresentativ e

# DRemot eID ; Rpag eo f

Propert yComplotio n Agreemen t
I'hi s agreemen tdocuinenl s th e completio n o > remedia l aclivitiie s perlbinie d n n m ypropert yM ysignature Wil l designat e thatI a m saliiifie d wri h th e resloralio n o fm ypropaty

. an d tha i n o item s ar e m que5lion^

. now
. o ra l an ylun e t n th e fulure

. exceptihoi e item s liste d belpw , ifan y

Properl yID ; ITJOI/ S PropertyAddn.» : g ^ . J ^ -2, ^ ^ _ Owner : /^ i {l/AeMC K 

## f^l" ^ gov
. \eJ9i'^l^ l ^M' , ,^91^rft'^L p Resloratio n Ilem s i n Question : [iteiTi :

Itsm : 1 ItMTi :

lloin : 

# 1 Item : 1 Item.
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# 1

. 1 Addttiona i Comment^ : 

# L

eilfirtliof ti t complEieri , except» % nolti l 

## Check : "^ S^.B-

. V)o X O I rto no i Jliirt crtlfprRtio n l l complilc d

I ISA^j* ^ ^ \ Owner' s Sicnaiiir fDate Conliartor' tSignftiiirc0«i r 

## "Sig n

# DRemot eID : Rpag eo f ^ ^ ^ 

# RECEIVE D Propert yOwne rS&tisfsCcio n Surve y Omah a lea d Superfun d S h DE C 0 7 200 9 200 8 Remedi»tlo n Contractor : Coasta l Envifopnienta l Groij p QIIDPDCIIM n ni\/ICin M n.»»,m,IH,nt.r,P rMember : ^^^^Z ^

OUKthrUIM U UIVIblO N Propert yArit4rM » VS'^ n 5J?> S 5V

. Propert yOwner' s Name : A \ Un^-oWr x (abow e informatio n t o b ffille d ou tbyremediatio n contracto rprio rl o deliver yo ' 'or m t o Propert yOwner }

Instruction s tfProoert vOwner ; Thi s for m i s provide d t o yo u as « mean s o ftryin g t o captur e you rleve l o fjBtisfectio n wit b th e wor k o fth e aboveMdenttfie d remediatio n contractor , a s applicabl e t o Ih e soi l cleanu p actio n a tyou r property

. Th e U.S

. Eni/ironmenfa l Protectio n Agency(EPA ) i s veryintereJte d i n you ropinio n regardin g th e wor k performe d b yit s contratlors

. Thi s for m I s intende d t o provid e » n eas ymean s fo ryo u t o expres s you ropinio n abou tth e wor k performe d o n you rproperty

. Pleas e inoicat e you rleve l ofsatisfactio n wit h th e conuaclor' s wor k b yselectin g a numerica l ratin g (rangin g fro m I t o 10 ) usin g th e followin g ratin g scale , the n pleas * sig n an d dat e ih e for m an d retur n i tt o thi ^ USEP Ai n th e attache d self-addresse d Astampe d envelope , (additiona l comment s ma y als o b e provide d i n tb fspac e below , a l th e optio n o fth e propert yowner. ) 9-1 0 "excellent " 7- 8 "ver ygood " 5- 6 "acceptable " 3-4 "poor * J' 2 "ver ypoor ^

^

Propert yOwnet^s Satisfactio n Watln £Heiirdtn e ContraetoH s Wor k

7 2 6 1 Additiona l Commtnt s fro m Proaart vOwne rfoptlonal : continu e t o bac k ofnae cI ft\^t6tA \

^

Propert yowner' s Signature : /J ^

/Ct^d..^ ^ Date : /y/?tf/j ?