TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

Date: ("S'l ^ SAID*:2Z^3 i 

Address: 303 ^ U(\ \ d i ^ 

Remediation Contractor: Coastfil Environmental Group Year: 2^/ 2 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video ofproperty (DVD) 

y / ' Executive Summary 

EPA-provided property sketch 

/__ 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.) 

/ Confinnation data 

Photographs ^f.i^<-AMCrt?dty\ v&rZllQcfarA^ S p 

/ As-built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out cJieck list signed by EPA 

Descnption ofareas not meeting ROD cleanup criteria 

Utility clearances 

Property infonnation from Douglas County Assessor's Office 

- a/ ^ 

•Date 
% 

^ 

Property Access Checklist 

Property ED: 222.3* 7 

Property Address: 2JQ3> ^ 

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 WORK STARTED

 WORKCOMPELTED

 ON: 

 ON: 

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Q"°^'^= rVhAA-iZo^ -^rtwAaA" 

Address: 

Fax: 

Renter: 

Plione: 

Fax: 

Cell/Pager: 

Additional Information: 

Cell/Pager: 

D

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M^

D

CH

Q

D

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CH

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 Notification Letter 

 Access Agreement 

 Restoration Agreement 

 Topsoil Sampling (if applicable) 

 Disposal Sampling (if applicable) 

 Garden Sampling (if applicable) 

 Utility Clearance 

 Video/Photos (Before) 

 Video/Photos (During) 

 Video/Photos (After) 

 Video/Photos (30-Day) 

 Property Completion Agreement 

 Final Report 

Sent: / / 

Siened: 5 l^{6l k 

Signed: ~) l2 3 1 ] 

1 1 

1 1 

1 1 

CaUed: / / 

On: / / 

On: / / 

On: / / 

On: / / 

Signed: / / 

Issued: / / 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

By: 

Air Monitoring (as applicable^ 

CH Community CH Crew 

Results: 

On: / / By: 

CH Community

Results: 

 CH Crew On: / / By: 

1 1 Community

Results: 

1 1 Crew On: / / By: 

Omaha Lead Site 
4/17/2011 Douglas County Account Informatioij 

Douglas County , Nebraska . .opert y Record - R053681000 1 

Print Report 

View Interactive GIS Map Information is valid as of 2011-4-13 Treasurer's Tax Report 

New Feature -»••- > Subdivision Sales Search 

Owne r 

ROSE-GRIMES DANA T 

ETAL 

3032 MARCY ST 

OMAHA NE 68105-0000 

Propert y Informatio n 

Key Number: 3681 0001 05 

Account Type: Residential 

Parcel Number: 0536810001 

Parcel Address: 3032 MARCY ST 

OMAHA NE 68105-0000 

Legal Description: BARTLETFS ADD LOT 2 BLOCK 0 -EX ST - W 32.5 E 400 FT 

Valu e Informatio n 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$5,400.00 

$5,400.00 

$5,400.00 

$5,400.00 

$5,400.00 

$5,400.00 

Improvement 

$47,700.00 

$47,700.00 

$47,700.00 

$47,700.00 

$51,800.00 

$51,800.00 

Total 

$53,100.00 

$53,100.00 

$53,100.00 

$53,100.00 

$57,200.00 

$57,200.00 

Sales Informatio n 

Sales Date: 2009-11-18 View Document 

Deed Type: 

Price: 

PRD 

$47,000.00 

Sock: 2009 Page: 135909 

Grantor: MCINTIRE JACK 

Grantee: ROSE-GRIMES DANA T ETAL 

Valid/Invalid: Valid 

Exclusion Reason: 

Lan d Informatio n 

Acres SF Units Depth Width Vacant 

0.09 4059.0 1,0 123.0 33.0 No 

Improvemen t Informatio n 

.mapping-online.com/.../accountinfo.js.. 1/3 
1 

4/17/2011 ^ Douglas County Account Informatioj^^ 

Buildir.g 1 ^ " ^ 

. , h . i »•-

I

MtJM ^B^BL^-^^Sk S^^^s,W ^ M -•'-•'

• ^ • 

^ •••'• • ••'•'•• ••5 8 u IHy.i'-h 2007 riouGi AS COUN'V*ASS 

1 CLICK TO ENLARGE IMAGE 

1

Square Footage: 1266.0 

Perimeter 0.0 

Unit Type: 

Built As: 2 1/2 Story Unfin 

HVAC: Forced Air 

Exterior: Frame Vinyl 

Interior: Drywall 

Roof Cover: Composition Shingle 

Roof Type: Gambrel 

Floorcover: Allowance 

year Percent Year Built Remodeled Remodeled 

1900 0 0% 

Deta/7 Type Oeta/7 Description 

Appliance Allowance 

Basement Bsmnt Block 8 fl 

Fixture Base Fixtures 

Fixture Bath Fuli 

Porch End Solid Wall 

Porch Slab Roof Ceiling 

U l ] !l. . ft*. ' • 

' It • ' . f 1 

> ( • 

. 1, 

1 t .-f. . 

1 •!• ! .11 

• 

} , ••"<• !• 

1 ­ ' 

.. . ...wj. . . J 

TWO STORY 

¥-n. l I f 

 CLICKTO ENLARGE IMAGE

Percent Complete: 

Quality: 

Condition: 

Condo Square Footage: 

Rooms: 

Units: 

Baths: 

Bedrooms: 

Stories: 

Foundation: 

Sprinkler Square Footage: 

Adjusted Year Physical Age Built 

1900 111 

Units 

1.0 

616.0 

1.0 

1.0 

35.0 

140.0 

| 

100.0% 

Average 

Good 

0.0 

7.0 

1.0 

1.0 

4.0 

2.0 

Block 

0,0 

.mapping-online.com/.../accountinfo.js... 2/3 
As-Built Drawing 

OLS: 22237 

COASTAL DATE EXCAVATED:8/15/2011 

DATE USEPA SIGNED OFF: 9/6/2011 

Environmental (iroup. Inc. Omaha AREA SODDED: 2025 Lead Superfund Site 

22237 

Owne r Name : JAC K MOINTIR E 

Address : aos:^ MARC Y ST 

Phone : H; 

Omah a

Sit e

 l-ea d Sit e 

 Sketc h 

txleno r F*ainl 

I I Goo d 

I I Poor 

[3''^<-' ' pair\t 

Nortrt Arrow 

Firm: 

Dale: 

Tirne. 

Sample s Collected 

c| .,3,;_, 

&• • '-t V 

•^ v 

A,.- ^ 

P -

Sample s Analysed 

XRF Ur 

Date: 

Time: 

Staff 

it; ^B- ^ ^ - Book: 

y^>* ^ 

.c;^c^ 

-^ 

"^ ^ 

-5»- ^ 

<; 

t )ma!in I ca d Sit e If. 1 :MI 

CONCRETE DRIP ZONE EXCAVATED QUADRANTS EXCAVATED 

YA 

AREA AREA REPLACED WITH AREA LEFT BARE REPLACED WITH SOD ROCK/MULCH 

CONTRACT #: EP-R7-09-06 COASTAL ENVIRONMENTAL GROUP, INC. 
22237 

Owner Name: JAC^K MCINTJRE 

Address: 3032 MARCY ST 

Phone: H: 

Sample Number 

RYASCPXA-22237 

RYBSCPXA-22237 

RYCSCPXA-22237 

RYDSCPXA-22237 

RDZSCPXA-22237 

RGZOCnXA-gggD? 

RPZSCPXA 32237 - P ^ 

w^ 'f^%p ^ 

Omaha Lead Site 

Site Sketch 

W: 

- ^ 0 -2/1^ 

Lead Sample LAB Concentration Collected 

35i I 

3^^ 

Number of Samples -5 o 

Exterior Paint North Arrow 

• Good 

/IK • Poor 

[g-^ t paint 

Samples Collected 

Firm: -P.E. MT-^. A jg-

Date: '^S G - ^ 

Time: S-'^J T A/ ^ 

Samples Analyzed 

XRFUnit: ^/ ^ Book:*^ ^ 

Date: _ /^ ' / 3^ ' - ^ V ^ 

Time: _ /^J^- 7 

Staff: P^'TT^ y 

t-^ -

H 

Omaha Lead Site 46110 ^^r ^ p i ^ 

h/lOl i ^^ 
OPftflSt" 

22237 

Omaha Exterior Paint North Arrow Lead Site Owner Name: JACK MCINTJRE 

Site • Good Sketch Address: 3032 MARCY ST • Poor 

Q-^ t paint 

Omaha Lead Site 46130 

l\)6 y ^ 
Owner Name: JACK MCINTIRE 

Address: 3032 MARCY ST 

Phone: H:

Sample Number 

RYASCPXA-22237 F1 

RYBSCPXA-22237 F2 

RYCSCPXA-22237 Bl 

RYDSCPXA-22237 82 

RDZSCPXA-22237 DZ 

nOZOCP)0ai-22237 GZ 

RPZSCPXA 22237 P2­

^%- ^ 

55"/ 

Omaha Lead Site 

Site Sketch 

 W: 

Lead Sample LAB Concentration 

Collected 

ppm D 

ppm D 3S/ 

ppm 0^ 

D 

ppm 0^ 

D 

ppm \ ^ 

D ^3f 

ppm n n 

ppm n n 

Number of Samples = ;^ ^ o 

fe-3-; 5'/7 

fe-i 

3^ ^ 

Ct/IA 

Jjeg 

^A5?- prvs.^^ 6T 

Z7ZD t 

IONV ^ : 

35:1 f k 

OA\K 

:mt^^ JST 

iiiniiiiiiiinii 22237 

Exterior Paint North Arrow 

•

 Good 

/ | \ 

• Poor 

Q'l^ t paint 

Samples Collected 

Firm:£p- /v\T-^.A £. 

Date <=^-3o -^ : 

Time: S-'Oi T ArA 

Samples Analyzed 

XRF Unit : ^/ ^ Book:'5^^ 

Date: 

Time >^> ^ : 

Staff: £P=ry ^ 

^ • 1 ­

. ' 

•c=> ? ' 

C_J 

f^3- ^ I

p 

^ 

Omaha Lead Site 

46130 
 I 

#»H-D sr, , 

»>^ *1P l# 

\ - CGAST A EhVIROKHt K 1AI 

C • O U r I *« c 

Consenlfo r Access To Fro peirty 

RIGHT OF ENTRY TO PREMISES 

Grantor (the propert^^ owner) consents to and authorizes the United States 

Environmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

following described premises: 

Owner's Name: Daytime Phone: 

l^i^m. 1lkfc-rfn>vo^. 

Address of Property 

covered by this 

Agreement: 

PURPOSE OF RESPONS E 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 ali reasonable times 

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

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

agrees to: 

Page 1 of 2 
COAStA l 

tiititevMiDUi 

C Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

« Remove flower bulbs ot plants that the Grantor or the Grantor's tenant may wish 

to save; 

( Water and maintain replacement vegetation, including fertilizer application, as 

necessar)' subsequent tc an initial watering period by EPA; 

< Abide by health and safety guidance provided by EPA; 

' If the property is rented, assist EPA in obtaining tenant approval for access to 

the property to perform the work. 

< Allow videotaping and/or photographing of the property. 

AGREEMENT NOT TO ItnBRFERE 

The Grantor agrees not to interfere or tamper with any of the work actlvltjes, or 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 heatth 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 contdct Coastal 

Environmental Group, at (402) 991-1199 

X'i grant access to my properties G I do nol grant seeess to my properties ' 

(/Lif/£t^ S::£kilL 

Signature Date Signature Date 

D I would like to be present during sny sampling that ts required. 

PaBe2of2 
Restoratioo Agreement 

The purpose of this agreement is lo provide a mutual agreemeni as to condilions of the properly prior lo 

remediation activities. This will also serve as documentalion for the purpose of assuring that restoration 

activities are completed lo the satisfaction of the propeny owner and the United Slates Environmenla) 

Proieci ion Agency (EPA) 

Property ID: 2/2-'2- 3 "^ 

Proper^-Address: -^Q^ ^ ^^All^j d S T 

Owner: Vcif\j:\ ^v^e- (fn^TKfs 

Phone: Mo-L- -\wry\^ i 

On the attached djagram(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, Etorage. disposal. End/or return of these i&smete the Owner's responsibility. 

Item: 

^r/u^(( ^/«.^v4-^ IA 1>Z 

Item: ' 

Kem; .--'' 

Item: 

Items to be Removed by the Contractor During Remediation and Not Replaced 

Item: 

item; 

Item: 

Item: 

?J^Ait$ A'Loy^O ^Jg^r D^/B ^ 

Page 1 of. 
Items to Be Removed By Contiractor Durini^ Remediation and Replaced 

hem: 

4^;( ­ f l .5 ^ .P ^ 

item: 

^<.c( ­ P I , 1^ \ ^ ,3 Z D ^ 

item: 

Landscape Inventory 

item Quantity Unit Condition/Type/Species 

Prc-exisiing propeny area, Quadrants thai will be excavaled, that 

i.*; covered wilh gra.ss. fl^^.B! 

Number of trees > 2 inch Each ZA 

trunk diameter 

Number of trees <= 2 inch Each f^ trunk diameter 

Number of SprinkJer 

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

Attach a sketch of the 

sprinlder layout. 

Number of and siie of 

each garden/ flower bed Each 

area. Square Feet 

Attach a sketch of relative 3t sizes and locations. 

Agreed upon value of plant 

materials not to be L6 

replaced bv contractor. 

Note tills value will be 

ueed to issue a plsnt 

voucher to the property 

owner. 

Easement Area, to be 

:z Each 

excavated 

Page 2 of. 
I

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 tie 

removing and replacing soil underiying a gravel or dirt area on your property thai you may be 

using as a driveway or vehicle parking area. K 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. 

I Please check this bos if you understand the information outlined above. 

Q Check the box if Owner does not want CEG to document interior foundation walls and possible 

pre-exisfing damage. By checking this box CEG is not responsible for any damage done to the 

interior oS house, including foundation cracks or fissures. 

P 1 agree D I do not agree 

li /^Mr>^ /^'Cf^Ji 'I / .^ 1 ^ T^ - Ci 

[jwncr's e Signatur DaJe Con*Mctor>S/Signafure / / Date/ e Dale Con*Mctor>SySignafure A / Date / 

Page 3 of 
BviD# ^2^-Ty - XRF PROPERTY SAMPLE SHEET 


Date 7-/^-/ / Address :PO3 ^ /^at-cy Si-. 

Project Omaha Lead ARRA Sample time am/pm 

XRF ID# 7,90 0^9­ sample length 30 sec 

Shot# 

^ ^ 

16 

yi 

Average 

Reading 

ZzMi z-^ 

-ZiT- i z-Z. 

Zo \ ±z i 

3LI? ~2-Z -

Sample area 

^< 4 

Depth 

/ "' 

Shot# 

5 3 

7 ^ 

Ts " 

Average 

Reading 

/7r^z / 

2Cb ^ Z\ 

27 7 ­ 2 / 

2\ \ ±

Shot# 

3 1 

3? 

J7 

Average 

Reading 

Lf^ t 13 

^l i / / 

r^ i /4^ 

Sample area 

Q ^ 

Depth 

^ " 

5-y -/< / 

Shot# 

<// 

V 2 

f^J 

Average 

Reading 

57^-^ S^ 

VVO 1 3 1 

Wy ± 3 0 

97yi

Shot# 

yr 

^l ^ 

4^ 7 

Reading 

//^ ^ /6 

\\ 1 t /6 . 

IZ / ? /A 

Sample area 

/^/ , L S 

Depth 

/ ' • 

Shot# Reading 

Average //^^/ ^ Average 

Shot# Reading 

RETEST AREAS 

Sample area Shot# Reading 

Depth 

Average Average 

Signature ^ Q , (? ­ ^[\ ^ 

Print "^y^^.sfi n^Ucc ^ 

Sample area 

/=^( 

Depth 

l o " 

 -z,] 

Sample area 

D ^ 

Depth 

/ ? " 

 ^ / 

Sample area 

Depth 

Sample area 

Depth 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 32 

Mode Soil 

Time 2011-08-16 17:02 

Duration 90.66 

Units ppm 

Sigma Value 2 

Sequence Final 

Flags 

AVERAGE Avg of 29-31 

ADDRESS 3032 marcy st 

QUADRANT EA 

DEPHT 1" 

XRF TECH KING 

MISC EX-SITUS 

NOTE confirmation 

ppm Error 

Pb 213.815 22.027 

Supervised By: J 2 £ /2^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 29 

Mode Soil 

Time 2011-08-16 17:01 

Duration 30.30 

Units ppm 

Sigma Value 2 

Sequence Final 

Flags 

BVID 22237 

ADDRESS 3032 marcy st 

QUADRANT EA 

DEPHT 1 " 

XRF TECH KING 

MISC EX-SITUS 

NOTE confirmation 

ppm ± Error 

Pb 224.232 ± 22.594 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 215.624 

Supervised By: 

Certificate of Verification 

30 

Soil 

2011-08-16 17:02 

30.19 

ppm 

2 

Final 

22237 

3032 marcy st 

EA 

1" 

KING 

EX-SITUS 

confirmation 

± Error 

± 22.075 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 201.590 

Supervised By: 

Certificate of Verification 

31 

Soil 

2011-08-16 17:02 

30.17 

ppm 

2 

Final 

22237 

3032 marcy st 

EA 

1" 

KING 

Ex-srrus 

confirmation 

± Error 

± 21.414 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 36 

Mode Soil 

Time 2011-08-16 17;06 

Duration 91.08 

Units ppm 

Sigma Value 2 

Sequence Final 

Flags 

AVERAGE Avg of 33-35 

ADDRESS 3032 marcy st 

QUADRANT Fl 

DEPHT 6" 

XRF TECH KING 

MISC confirmation 

NOTE confirmation 

ppm Error 

Pb 211.370 21.676 

Supervised By: K.(1JI p:­
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags _ 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 195.961 

Supervised By: 

Certificate of Verification 

33 

Soil 

2011-08-16 17:04 

30.20 

ppm 

2 

Final 

22237 

3032 marcy st 

F l 

'©" 

KING 

confirmation 

confirmation 

± Error 

± 21.892 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 200.691 

Supervised By: 

Certificate of Verification 

34 

Soil 

2011-08-16 17:06 

30.23 

ppm 

2 

Final 

22237 

3032 marcy st 

Fl 

6" 

KING 

confirmation 

confirmation 

± Error 

± 21.992 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 237.460 

Supervised By: 

Certificate of Verification 

35 

Soil 

2011-08-16 17:06 

30.65 

ppm 

2 

Final 

22237 

3032 marcy st 

Fl 

6" 

KING 

confirmation 

confirmation 

± Error 

± 21.145 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-39022 

Reading No 40 

Mode Soil 

Time 2011-08-16 17:11 

Duration 90.41 

Units ppm 

Sigma Value 2 

Sequence Final 

Flags 

AVERAGE Avg of 37-39 

ADDRESS 3032 marcy st 

QUADRANT B2 

DEPHT 6" 

XRF TECH KING 

MISC confirmation 

NOTE confirmation 

ppm Error 

Pb 55.544 14.065 

Supervised By: ^X^ ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 45.354 

Supervised By: 

Certificate of Verification 

37 

Soil 

2011-08-16 17:09 

30.15 

ppm 

2 

Final 

22237 

3032 marcy st 

&2 

6" 

KING 

confirmation 

confirmation 

± Error 

± 13.328 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 63.546 

Supervised By: 

Certificate of Verification 

38 

Soil 

2011-08-16 17: 10 

30.17 

ppm 

2 

Final 

22237 

3032 marcy st 

B2 

6" 

KING 

confirmation 

confirmation 

± Error 

± 14.580 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 57.732 

Supervised By: 

Certificate of Verification 

39 

Soil 

2011-08-16 17:11 

30.09 

ppm 

2 

Final 

22237 

3032 marcy st 

B2 

6" 

KING 

confirmation 

confirmation 

± Error 

± 14.286 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 475.728 

Supervised By: 

Certificate of Verification 

44 

Soil 

2011-08­

90.84 

ppm 

2 

Final 

16 17:14 

Avg of 41-43 

3032 marcy st 

DZ 

13" 

KING 

confirmation 

confirmation 

± Error 

± 31.675 

p. ft : 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 510.946 

Supervised By: 

Certificate of Verification 

41 

Soil 

2011-08-16 17:12 

30.29 

ppm 

2 

Final 

22237 

3032 marcy st 

DZ 

13" 

KING 

confirmation 

confirmation 

± Error 

± 32.841 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 470.425 

Supervised By: 

Certificate of Verification 

42 

Soil 

2011-08-16 17: 13 

30.26 

ppm 

2 

Final 

22237 

3032 marcy st 

DZ 

13" 

KING 

confirmation 

confirmation 

± Error 

± 31.605 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 445.815 

Supervised By: 

Certificate of Verification 

43 

Soil 

2011-08-16 17:14 

30.29 

ppm 

2 

Final 

22237 

3032 marcy st 

DZ 

13" 

KING 

confirmation 

confirmation 

± Error 

30.578 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 119.475 

Supervised By: 

Certificate of Verification 

48 

Soil 

2011-08-16 17:20 

90.53 

ppm 

2 

Final 

Avg of 45-47 

3032 marcy st 

F1,LS 

1" 

KING 

EX-SITUS 

confirmation 

± 

± 

S l ^ I 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 118.950 

Supervised By: 

Certificate of Verification 

45 

Soil 

2011-08-16 17:18 

30.15 

ppm 

2 

Final 

22237 

3032 marcy st 

F1,LS 

1" 

KING 

EX-SITUS 

confirmation 

± Error 

± 16.944 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 117.826 

Supervised By: 

Certificate of Verification 

46 

Soil 

2011-08-16 17: 19 

30.19 

ppm 

2 

Final 

22237 

3032 marcy st 

F1,LS 

1" 

KING 

EX-SITUS 

confirmation 

± Error 

± 16.905 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 121.648 

Supervised By: 

Certificate of Verification 

47 

Soil 

2011-08-16 17:20 

30.19 

ppm 

2 

Final 

22237 

3032 marcy st 

F1,LS 

1" 

KING 

EX-SITUS 

confirmation 

± Error 

± 16.835 
i Q o Omaha Lead Site—Fixed Price EP-R7-09-06 

I ^^^ y g Coastal Environmental Group inc. 

V^*^ ^ www.coastalhazmat.com — ^"tpRoi*^ COASTA L ENVIRONMENTAL 

CROUP . IN C 

EXECUTIVE SUMMARY: 

BVID #22237-(3032 MARCY ST) 

No Issues or Concerns Issues/Concerns 

Detail Explanation: 

PO WROTE ON COMPLETION SLOPE SUNK NORTH WEST AND BACKYARD. 

DAN GARVEY WALKED AND SIGNED OFF ON THE PROPERTY ON 9/6/2011 
COASTAL 

Property Completion Agreement 

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

designate that I am satisfied with the restoration of my property, and that no items are in question, now or at any 

time in the future, except those items listed below, if any 

Property ID: 2223 ^ 

Property Address: 'hO'b d^ /T/1arcw ^4 . 

Owner: X)u.^(, fto-:>^ 

Phone: ^OT.^ ^FtY 3-70?-? 

Restoration Items in Question: 

Item: 

^Jl^^^Jl ^ ^^tXAAK ^ /Jc^^JA^^- h hcx^^Kjcn) 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

0 ^ I agree restoration in completed, except as noted 

LJ I do not agree restoration is completed 

^ 7-/.-// j ^ ^T " 'f-l'>'^ 

Owner's Signature Date Contractor's Signature Date 
EPA-

EFA Property Cl'ose Out Form 

Property #: _ 2 - 2-/? - y, 7 

DEti/riroe Owner's Nsroe: t<^ g ^XfT^.^^--

QuEds Ettctviifd; f^/^ P"g^ >6Z - Contrsclor Group _Cc)_^S.Tjli\ _ 

EscsvBiloiD Vw No GcntrsI 

1. If necesssjy, were the correct qtiadrant(s) excsveied and restored? y 

2. If ncctissry, wen tht corrtcl areas ofdrip zone txcBvalcd Mid rtstotfd'' / 

Grgtllnti Sod ted VeBctBtiop YM NO 

I Does the grading around the perimeter ofthr house in e xcsvairr) srces generally slope ewaj I 

from tbe house? /

+ - • -

Has sod been laid in &II areas that were cxcsvsted? / 

.i Does the sod appear to be generally healthy and growing,? (Only evaluate if insprrird s\ f. }0 y day time period) - I ­

4. Are sodded areas generally firm and evenly graded? 1 / 

5 Are the joints between the sod strips generally tight? (Only f vjlustc if inspected at ^ 30 day \ / time period) _\_ 

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

— _ ­

7. Was damage to landscaping or plartl msierials avoided? 

Gales. Fencea and ReUinitig Walls 

r" Do gates open and close freely? (If applicable) 

Were all gates oi fences taken down during rtstoralion activities retnsialltd? (If applicable) z. .:. Was damage to gales or fences avoided? (ITapplicable) / i 

4. Was damage to retaining walls avoided? (If applicable) 

Foundaiion, SidiBK and GnOers Yes .No 

1. Was damage to ihe siding or xr\m avoided? / 

7. Was damage to the foundation avoided? / 

.". Was damage to windows avoided? / 

4 Was damage to windows or door screens avoided? / 

Was damage to down.spouls ot down.spoui extensions avoided? / 

Sidewalks and Driveways (Copcrete) Vcs No 

). Was damage to driveway surfaces avoided? / 

2. Wa.s damage to walkway surfaces avoided? 7 
On'tifiT? cctmreifnils: 

Inspection notes: 

Removal ajid restoration activates complele including ihe 30-day .sod warrnnry 

HPA Rcpresenlaiive ^ M £)y,e; 'il^^'^