TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID# iflJlO ^ DATE = =>/«/u 

ADRESS: 3X2.1^ GhlMET %-r 

REMEDIATION CONTRACTOR: COASTAL ENVIRONMENTAL GROUP Contract: EP-R7-09-06 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

K Executive Summary 

^ EPA-provided property sketch 

Sr Signed Access Agreement for subject property 

^'^Signed Access Agreement (s) for adjacent property 

& Restoration Agreement 

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

Tl Confirmation data 

AoP* Photographs SOD 

i 

Pre-Excavation 

Excavation 

As-Built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

jVj< Description of areas of areas not meeting ROD cleanup criteria 

sf Utility clearances 

<4] Property information from Douglas County Assessor's Office 

^ 

Signature ^ - EPA ^ 

Date 30262901 

Supeifund 
9 

Property Access Checklist 

Property ID: '^{^y? D WORK STARTED ON: 

Property Address: ^2 M f^ ^ QJh^=f ^ WORK COMPELTED ON: 

Owner: ^y^C ^ / lenter: ll/vyr^6^7rri JimD^rt 

Address: Phone: 

<^^l^ry\JL. Fax: 

Cell/Pager: 

Phone: I/Q Z ^ 0'I 7.^/^^" ^ Additional Information: 

Fax: 

35^1 MWS 

Cell/Pager: 

CU Notification Letter Sent: / / By: 

\Access Agreement Signed: ij_/j_/(i 2 By: Vi. CVL 

Restoration Agreement Signed: JJ t j_l/ 1 0 By: 

JoicAc 

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

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

n Garden Sampling (if applicable) / / By: 

sip Utility Clearance Called: W / ?, / w 

y ' \v / t n k o W?.,vA' \ ideo/Photos (Before) On: Jj!_l_t J_D By: V'^c-V;­

Video/Photos (During) On: By: 

n Video/Photos (After) On: By: 

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

I I Property Completion Agreement Signed: / By: 

n Final Report Issued: / / By: 

Air Monitoring (as applicable) 

• Community • Crew On: / / By: 

Results: 

• Community • Crew On: / / By: 

Results: 

• Community • Crew On: / / B ,: 1 

Results: 

Omaha Lead Site 
Douglas County Account In Page 1 of2 

Douglas County, Nebraska Property Record

Information is valid as of 2010-8-30 

­ R0542980000 

New Feature -> ­ • ­^

Print Reoort 

View Interactive GIS Mao 

Treasurer's Tax Reoort 

 Subdivision Sales Search 

Owner 

THOMPSON-BROWN BRIDGETTE 

3224 EMMET ST 

OMAHA NE 68104-0000 

Property Informatio n 

Key Number: 4298 0000 05 

Account Type: 

Parcel Number: 

Parcel Address: 

Legal Description: 

Residential 

0542980000 

3224 EMMET ST 

OMAHA NE 68111-0000 

BEDFORD PLACE LOT 15 BLOCK 8 W 1/2 25 X 128 

Value Informatio n 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

Show All Transactions 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.07 3200.0 0.0 128.0 25.0 Yes 

http://douglasne.niapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 9/15/2010 
3/31/2011 www.dlion.org/irthinternet/DHONNotic.. 

Create Another Ticket [ Back ttOTH^ h Intemet Send Email 

• YOUR TICKET NUMBER IS 2700331. 

Original Call Date; 3/31/11 Time: 3:40 pm Op: ALFONSO18790 


Work to Begin Date; 4/04/11 Time: 4:15 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 3224 Street: EMMET ST 


Twp: 15N Rng: 13E Sect-Qtr: 09-NW 


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: (4 02)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: N Front: Y Rear; 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Utility Service Area Contact Phone Number Type 

Day: 4029340469 


CXCATV COX COMMUNICATIONS, INC HEIDI Ak: 4029340469 


Emerg: 4029329757 


Day: 4025047823 


METROPOLIT/^ UTILITIES MUDOl SANDY MU D Alt: DISTRICT 

Emerg: 4025047970 


Day: 4024447197 


CITY OF OMAHA- OMAHACOF RICHAmAFFIC Ah: 4024445161 

TRAFFIC,SEWER 

Emerg: 4024445160 

Day: 4067289343 


OMAHA PUBLIC POWER ELM 0PPDGPR5 Alt: 4062071494 DISTRICT LOCATING 

Emerg: 8887289343 


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

FI M ^Day: 4067289343 

QLNNEIC QWEST LOCAL NETWORK rr^r^ATTxir^ Ak: 4062071494 

LOCA UN O 

Emerg: 8887289343 

dhon.org/irthinternet/.../MessageText.as... 2/2 
04/02/11 10:00AM (111)111-1111, QWEST ^^^
 04/06 

To: COASTAL ENVIRONMENTAL SERVICE Attn: ALFONSO 

Voice: 4029342837 Fax: 4029342811 

Re: Message from Qwest 

Message from Qwest 
 -^^^^z 

Ticket: 2700331 


County: DOUGLAS Place: OMAHA 


Address: 3224 EMMET ST 


QLNNEIC: 


The described dig area of your locate request has been checked and is clear for 


Qwest Communication's Local Network. If you have any questions please call 


Qwest at 1-800-283-4237. 


Ticket: 2700081 


County: DOUGLAS Place: OMAHA 


Address: 1507 BINNET ST 


QLNNEIC: 


The described dig area of your locate request has been marked. Qwest 


Communications Local Network facilities are present in the dig area. If you 


have any questions, please call Qwest at 1-800-283-4237. 


Ticket: 2700058 


County: DOUGLAS Place: OMAHA 


Address: 2418 N 17TH ST 


QLNNEIC: 


The described dig area of your locate request has been checked and is clear for 


Qwest Communication's Local Network. If you have any questions please call 


Qwest at 1-800-283-4237. 


Message from Qwest 

As-Built Drawing ^ 

COASTA L Omaha Lead Superfund Site 

OLS# : 3120 2 

Dat e Excavated : 4/11/2011 

Dat e USEP A Signe d Off: 5/3/2011-

Are a Sodden : 213 8 s a ft 

niiiiii 31202 

Exterior Paint North Arrow 

Owne Omah a Lea d Site r Name: BRIDGETTE THOMPSON-BR • Good 

Address: 3224 EMMET ST Sit e Sketc h <1 • Poor Phone: » 402-612-1950 W: Q^o t paint 

Sampl Lead Sample Samples Collected e Number LAB Concentration Collected Firm: 

RYASCPXA-31202 F1 35( o ppm D Date: 0 9 „L5-03 

RYBSCPXA-31202 F2 3*^ 0 ppm D Time: \0.<SJ 5 Ar<-

RYCSCPXA-31202 Bl 19 0 ppm 

n Samples Analyzed RYDSCPXA-31202 B2 ^*^ ^ ppm 

RDZ9CPXA-31g02-- -BZ ~ ppm D D XRF Uni : t03 1 Book: 13 ^ 

RQZSCPXA-31202 - 8 2 ~ ppm D D Date: 1 0 -2.lt>-£)S 

RPZ3CPXA-3I202 -PZ ~ ppm D D Time: p m 

D Staff: Number of Samples = i 

Legend: Fl = Front Left, F2= Front Rigtit, Bl = Back Left. B2 = Back Right DZ = Drip Zone, GZ = Garden, VZ = Play 

AH quadrants are as viewed from the street, facir>g property 

Legen d 

Concre'te Drip Zone Excavated Quadrants Excavated 

Area replaced with Area replace d wit h ^^ _ 

S o d ' ' Rock/Mulch ^ *^« * 1«^ ^ ^'^^ ^ 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
# 

31202 

cc v^v 

Omah Exterior Pairri North AiRMr 

Owne a Lead SHe r Name: BRIDGETTE THOMPSON-BR 

Site Sketch Address: 32M EMMET ST • Good 4 • Poor 

Phone: ^ 402-612-1969 W Q4Wpainl 

1 

Lead Sample 

Samples Collected Sample Number LAB CoTKentration Collected Firm: 

RYASCPXA-31202 F1 33^ ppm D Date OS 

RYBSCPXA-31202 F2 $'40 ppm D Time: lO:> ^ Ar ^ 

RYCSCPXA-31202 Bl 7 So ppm D 

Samples Analyzed RYDSCPXA-31202 B2 !iil ^ ppm 

D 

RPZ3CPXA-31g0g BZ " " ppm a D XRF Unit: ID2>'7 Book; f 3 a 

RQZ8ePXA-91202—-SZ " ppm D D Date 

RP28CPXA-31202 PZ " " ppm D D 

Time 

Staff: 

Number of Samples = '• H 

Legend: Fl = Front Left, F2 = Front Right. B1 = Back Left, B2 = Back Right DZ = Drip Zone. GZ = Garden. PZ = Play 

Al qvadranl* ate as viewwl from the clHMt, (acing property 

; ^i7?n im 

./f/....;i -f>^. 

i1­

'cc/^yeX :<!5r 

lUvj 

M«t4IUIJ) 

A}r/<rA 
LC 31202 y/ y 

Exterio North Arrow Omaha r Paint Lead Site Owner Name: BRIDGETTE THOMPSON-BR 

Site Sketch • Good Address: 3224 EMMET^ <

• Poor Phone: H: 402-612-1959 W: 

[3^o t paint 

Lead Sample Samples Collected Sample Number LAB Concentration Collected Firm: _ 

RyASCPXA-31202 F1 33(e> ppm D Date: . OS ^5-0-5 

RYBSCPXA-31202 F2 3^ g ppm D Time: _ fo/v3^/w- RYCSCPXA-31202 B1 7gf l ppm D Samples Analyzed 

Number of Samples = 

RYDSCPXA-31202 B2 4^ ^ PP^ D 

"" ppm D D XRF Uni 10 3 1 Book: \37> 

RQZ3CPXA-31202 -"-6 £ •" ppm D D Date: _ 1 0 -2.to-i) S 

RPZ3CPXA-31202 P2 •~ ppm D D Time: _ pyy \ 

Staff: 

Legend: F1 = Front Left, F2 = Front Right. 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

ENTEREjb 

F.l F ^ 

3 3 ^ ^ 3^0 

"Fy^ :^^5r: 

R<v 4 046MI.UI2.1 

A/rrrA 
IPIEiil Iliii i 31202 

Exterio North Arrow Omaha r Paint Owne Lead Site r Name: BRIDGETTE THOMPSON-BR 

Site Sketch • Good Address: 322£EMMET ST <

• Poor 

Phone: ": 402-612-1959 W: 

(P^ot paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm: 9f = A\ T 4-t. ^ 

RYASCPXA-31202 F1 33( o ppm D Date: 0 9 A 3 Q-5 

RYBSCPXA-31202 F2 3^40 ppm D Time: iQ'-^^yS Arr^ 

RYCSCPXA-31202 B1 7S0 ppm D Samples Analyzed RYDSCPXA-31202 B2 ^ ^ ^ ppm 

RDZ3CPXA-31202 BZ ppm D n XRF Unit: iO^ y Book: |?, g 

RGZ3CPXA-31202—-92 - ppm D D Date: _ fO -2,(o-£>S 

RPZ3CPXA-31202 PE — ppm D D D Time: F ^ 

Staff: Number of Samples = 

Legend: Fl = Front Left, F2 = Front Right. 81 = Back Left. 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

ENTEBEL 

%^l i 2005 

K L. 

y^<< ^ ^^5r: Rev 4' 046141.0123 

A/o^rA 
31202 

Omah Exterior Paint North Arrow 

Owne a Lead Site r Name: BRIDGETTE THOMPSON-BR 

Sit • Good 

Address: 3224 EMMET ST e Sketch < • Poor 

Phone: ^ 402-612-1959 W: Q^o t paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm: Pg ' A\ T 4-b ^ 

RYASCPXA-31202 Fl 33( o ppm B" D Date: OS • A3 0-5 

RYBSCPXA-31202 F2 a^ g ppm D Time: \0'>^y ^ Arr- RYCSCPXA-31202 81 Id O ppm D Samples Analyzed RYDSCPXA-31202 82 _Jifi^pp m % - D 

RDZ3CPXA^01202 BZ " • ppm D D XRF Unit: ^^37 Book: jLaa 

RQZ3CPXA-31202 6Z " ppm D D Date: _ 

RPZSCPXA-31202 PZ -~ ppm D D Time: Em 

Staff: Number of Samples • W y^ 

Legend: F1 = Front Left, F2 = Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from ttie street, facing property 

ENTEREi> 

%lf 1 7i?flfl5 

6Ji 

%z ^4aM di^r^vfi^ 

I 

F.I f3­

336 ^ 3^ 6 

£r^/Yv£rr ^^5r 

Rev 4- 046141.UI23 
COASTA l 

[hVlltDNHIhlAl 

c I 0 tl r \ h c 

Cons&rit fof Access- Yo Pioperiy 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States 

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

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

following described premises: 

Ovifner's Name: D Daytime Phone: ^C)Z~l^(Sl-^' ^ r^ i^oWM C I koAvpStiyv 

Address of Property 

covered by this ""S^- ^ L ^fr^rre^ ^ 

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 reasonable times 

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

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

agrees to; 

Page 1 cf 2 
o o 

C 0 AS 1 A i lhri*ONhfKTi. i 

C R D U r > I* C 

I Remove obstructions including boats, trailers, vehicles, playscape ilems, wood 

piles, doo houses, etc; 

<• Remove flov/er bulbs oi plants that the Grantor or the Granlor's tenant may wish 

to save; 

I Water and maintain replacement vegetation, including fertilizer application,

necessary' subsequent to an initial watering period by EPA; 

 as 

« Abide by health and safety guidance provided by EPA; 

t If the property' is rented, assist EPA in obtaining tenant approval for access

the property/ to perform the work. 

 lo 

t Allow videotaping and/or photographing of the properly. 

AGREEMENT NOT TO INTERFERE 

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

grant access to my properties • I do not grant access to my properties 

.'•-• • / 

>U '=^^^. 

'(ik'yyQ^^yTyyyyMn l ( J 

Signatu, / Date Signature Date 

Q i vi^ould like lo be present duririQ any sampling that Is required. 

Paae 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 of the property owner and the United States Environmental 

Protection Agency (EPA). 

Property ID:31 ;^ ^ 

Property Address:-57^2^ £^,v^j V 

<i''^fOSiri\ 

Phone:^/^^^/;!,/^^" / 

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. 

"""•• yy ^ 

Item: 

Item: 

Item: ] 

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

Item: 

Item: 

Item: 

Item: 

Page 1of ^ 
o o 

COASTA L CNVIRONMINTA L 

C K O U r , INC . 

items to Be Removed By Contractlor During Remediation and Replaced 

Item: 5, 

Item: s=.y 

Hem: 

Item: 

Pre-existing property area, 

that will be excavated, 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 a sketch of the 

sprinkler layout. 

Number of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Easement Area, to be 

excavated 

Landscape Inventory 

Unit Condition/Type/Species 

B'/B2 Quadrants 

y^ 

Each 

Each 

Each 

Each 

Square Feet 

Each 

. J ct/yt^^.^^ <^5^?^^ 

Page 2 of. 3
o o 

COASTA L tNVinONMENTA L 

C II O U P . 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. 

r~l Please check this box if you understand the information outlined above. 

O 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. 

[YI I agree n I do not agree 

ni•// l H/ O 

J Owner's Signpture Contractor's Signature Date 

Page 3 o, 3 
BVID# ?>l^o -^ 

XRF PROPERTY SAMPLE SHEET 


Date 0 bi t \ I 7.0T '-52.-ZM F.^m^ v S ^ 

Wject' Omaha Lead ARRA am/pm 

W f W 3"lo-^7^ sarngfe 30 sec 

sm0' Readiig y "^m^y^ :Shpf#: • RieiilJri: ;"} "SatTTfjIe area 

Ol \iy\ y \R Bl 

0-2 Vo?^^\^ .©letfe- • -;. 'Crepth 

Q3 ai^^ r ^ y iv"' 

Average iki_M:\_ Average 

wm. VS ^0?-:^-Z^\ ^ y 

0(p ^^U) "^^ 3 W^^M 

^ ^ mi m. o ^ _^Z/1 '^^ l l^^' 

Average ^\A ^.1^ ^ Average 

m i - J .44 MJ 

S4 

Average Average 

RETEST AREAS 

..;3^tt'^::^>l^^iW^!^ ,'^sm fe5^;^^l 

^ 

Average I Average 

Signature • ^B^p ^ 

Print 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, I^A 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 164.265 

Supervised By: 

Certificate of Verification 

4 

SOIL 

2011-05- 11 10:30 

90.64 

Final 

Avg of 1-3 

3224 EMMET ST 

Bl 

6" 

CPADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 19.902 
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 127.701 

Supervised By: 

Certificate of Verification 

1 

SOIL 

2011-05-11 10:28 

30.19 

Final 

31202 

3224 EMMET ST 

Bl 

6" 

CPADILLA 

CONFIRMATION 

CLEAR 

± Error 

18.294 
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 165.047

Supervised By: 

Certificate of Verification 

2 

SOIL 

2011-05-11 10:29 

30.17 

Final 

31202 

3224 EMMET ST 

Bl 

6" 

CPADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 19.693 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 200.048 

Supervised By: 

Certificate of Verification 

3 

SOIL 

2011-05-11 10:30 

30.28 

Final 

31202 

3224 EMMET ST 

Bl 

6" 

CPADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 21.719 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Blllerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 219.948 

Supervised By: 

Certificate of Verification 

8 

SOIL 

2011-05-11 10:32 

90.68 

Final 

Avg of 5-7 

3224 EMMET ST 

B2 

6" 

CPADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 22.670 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerlca, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 203.578 

Supervised By: 

Certificate of Verification 

5 

SOIL 

2011-05-11 10:31 

30.20 

Final 

31202 

3224 EMMET ST 

B2 

6" 

CPADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 21.891 
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 226.515 

Supervised By: 

Certificate of Verification 

6 

SOIL 

2011-05-11 10:31 

30.20 

Final 

31202 

3224 EMMET ST 

B2 

6" 

CPADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 23.073 
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 229.752 

Supervised By: 

Certificate of Verification 

7 

SOIL 

2011-05-11 10:32 

30.28 

Final 

31202 

3224 EMMET ST 

B2 

6" 

CPADILLA 

CONFIRMATION 

CLEAR 

± Error 

± 23.046 
/x^^^\ Omaha Lead Site—Fixed Price EP-R7-09-06 

\ ^ •

o

 J?

 Coastal Environmental Group Inc, www.coastalhazmat.com A 

""""''* COASTAL 

EXECUTIVE SUMMARY: 

BVID #31202- (3224 EMMET ST ) 

^ No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 

• COASTAL IS UNABLE TO PROVIDE PRE-EXCAVATION, EXCAVATION, AND SOD 

PHOTOS AS PART OF THIS FINAL PROPERTY FOLDER. THESE PHOTOS WERE IN 

THE POSSESSION OF A SUBCONTRACTOR THAT WAS CONTRACTED TO PERFORM 

ALL OF THE SITE COORDINATIOIN REQUIRED BY THE SCOPE OF WORK AND THE 

SUBCONTRACTOR HAS SINCE LEFT THE PROJECT. THEREFORE, THE PHOTOS 

ARE NO LONGER AVAILABLE. 

DAN GARVEY WALKED AND SIGNED OFF ON THE PROPERTY AS COMPLETE ON 

5/3/2011. 
D O 

Property Completion Agreement 

I'his agreemem ducumenls. the coinpiclion ol remedial aclivmes perlbimed on my pioperiy My signature 

will designate ihal I am satisfied with the restoration of my property, and that no items are m queslions. 

now, or al any lime iii Ihe fuluie, except lliose items listed below, if any 

Property ID: "^ j Z^Q ^ 

TT^crr y Address: "^^^-cf ' ^ ^ ^ r^y^-^t^ . ^^^f^^ ^ 

Ovvnci': P)W^£fe . -ruyyytjynrK^ Jy^, 'fyi/y\— 

Phone: 

Restoration Items in Question: 

Item: 

llem: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

jjy j ayrcc I cstoi a(ion is complcied, cxccpl as noted 

[_J I rio nol xylite restoration is complcied 

>^^^jr^ 

Ow'iiei 'vJSignatiire Date Conti ailovTs Signature 
(mi ^A 

CD 

EFA Property Close Out Form 

Property W: Q (^07 ^ 

DBte/Tlroe: 

Quads Excavattd; Contractor Group 

Ve5 No Excavation General 

1. if necessary, were the correct quadrant(s) excavated and restored? / 

2. If necessary, were the correcl areas ofdrip zone excavated and restored? y 

Gradin Yes No g Sod and VeffeUtion 

1 Does the grading around the perimeter ofthe house in cxcavaierl areas generally slo(.>e away 

y from the house? . 

2, Has sod been laid in all areas that were excavated? / 

J. Doe

day tim

s th

e

e

 period

 sod appea

) 

r to be generally healthy and growing? (Only evaluate if inspected at a ?0 V

4, Are sodded areas generally Hrm and evenly graded? y — 5. Are the joints berween the sod strips generally tight? (Only evaluate if inspected at a 30 day /

time period) 

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

I 7. Was damage 10 landscaping or plant materials avoided? 

Gates. Ftpces and Retaining Walls Vcj Nu 

I 1. Do gates open and close freely? (Ifapplicable) / 

2. Were all gates or fences taken dowTi during restoration acliviiies reinsialled? (If applicable) / r 1 

,V Was damage to gales or fences avoided? (Ifapplicable) y 

4. Was damage to retaining walls avoided"!* (Ifapplicable) " ^y 

Foupdation, Siding and Cutlers Ves .No 

1 Was damage to the siding or trim avoided? y 

2. Was damage to the foundation avoided? y 

Was damage lo windows avoided** / 

^ Was damage to windows or door screens avoided? / 

5. Was damage to downspouts or downspoui extensions avoided? 

Sidevyalks and Driveways (Concrete) Yes No 

1 Was damage to driveway surfaces avoided? 

~y 2, Was damage to walkway surfaces avoided'' 
-CO-

Owners comraenils: 

Inspection noies: 

Removal 'and resloration aclivale.s complele including the 30-day sod warranry: 

EPA Represenlaiive ^'^ ^ Date: i'^l'L