### TRANSMITTA L o f OMAH A LEA D SIT E SOI L REMEDIATIO N FIL E FOLDE R 

## SAn)# : ^ / 1i" ^ Date : Address : /^.^ ^ p,'L^lc.^y^. ^ S<f
Remediatio n Contractor : K-\,.p.y h "X^^.^ . y­ - ' >"^< ^ ­ ^^^'
­ 2=^^!
- SOI L REMEDIATIO N PROPERT Y FIL E FOLDE RDOCUMENT S iz

f H a B

l D B z

T \ y ^ e

T ^ la D o r 

### G

r D D D 

### Vide o o f propert y (DVD ) _^_^__ Executiv e Summar y EPA-provide dpropert y sketc h

Signe dAcces s Agreemen t fo r subjec t propert y Signe dAcces s Agreement(s ) fo r adja^«n t propert y Restoratio n Agreemen t

Settlemen t document s (i.e. , fo r damag e o r t o replac e plants , etc. ) Confinnatio n dat a Photograph s

As-buil t sketc h Satisfactory restoratio n signe db y Propert y Owne r Propert y close-ou t chec k lis t signe db y EP A Descriptio n o f area s no t meetin g RO D cleanu p criteri a Utilit y clearance s 

### Propert y informatio n firomDougla s Cotmty Assessor' s Offic e

iMgoa^ ^ '. ijat e 4031075 0

# II I Superfun d

### PROPERT Y SUMMAR Y Date : 01/23/200 9 Omah aLea dSite Remedia l Actio n Contrac t #EP-R7-07-06/0004 Montl i of : Dec/Jan Propert y Address : 146 4 PINKNEY S T A . EXECUTIV E SUMMAR Y A. 1 Issue s Encountered : NON E A. 2 Issue s Resolved : NON E A. 3 Uniqu e Findings : NON E A. 4 Odie r Relevan t Information : NON E CONFIRMATIO N SAMPLIN G DATA/RESULTS : B l = 26 6 PP M @ 8" ; E A = 6 4 PP M @ SCRAPE ATTACHMENT S 1 ) Propert y sketch provide dby EP A pursuan t to contract specification s 2 ) SignedAcces s Agreemen t including acces s agreement s require dfo r crossing othe r propertie s 3 ) Pre-Excavatio n digita l vide o clip/photograph s 4 ) Post-Excavation digita l vide o clip/photograph s 5 ) Documentation - CompletedClose-ou t Checklis t 6 ) As-Btiil t sketc h ­ i ) Shal l include final lea dlevel s v ) Legen d ii ) Contamination lef t behindarea s vi ) Contracto r identification iii ) Propert y addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e includedi n th e individua l propert y file, i f available , o r obtainedinclude : i ) Pre-excavation agreemen t detail s (i f an y ar e mad e wit h th e propert y owner ) ii ) Propert y Statu s For msignedb y propert y owne r iii ) Excavation digita l vide o i n MPEG , WM V (Window s Medi aVideo ) or SW F(Flas h Player) forma t and/o r photograph s iv ) Signedfor mverifyin g satisfactor y restoratio n v ) Descriptio n o f area s no t meeting InterimRO D cleanu p criteria .

TECHNOLOCIES , INC .m:HNOLOGIES.IN C 

# EP A Propert y Clos e Ou t Property* : BlSf^ y Propert y Address : "iif^lj- P/Vifcv ^ ^ Date/Time : Owner' s Name : Quad s Excavated : g \ Contracto r Grou p Pruden t Technologie s Excavatio n General Ye s N o 1 .

I f necessary , wer e th e correct quadrant(s ) excavatedan drestored ? / 2 .I f necessary , wer e the correct areas o f dri p zone excavatedan drestored ? / Gradin g Sodan dVegetatio n Ye s No 1 .Doe s the grading aroun dthe perimete r o f the hous e i n excavatedarea s generall y slope awa y / fromth e house ? 2 .Ha s sodbee n laidi n all area s tha t wer e excavated ? / 3 .

Doe s th e sodappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e if inspecteda t a3 0 / da

y tim e period) 4 .

Ar e sodde dareas generall y fir man devenl y graded ? / 5 .

Ar e th e joint s betwee n th e sodstrip s generall y tight ? (Onl y evaluat e if inspecteda t a3 0 da y tim e period) / 6 .Was the propert y gradedsuc h tha t wate r wil l not pool on the property ? / 7 .

Was damage t o landscaping o r plan t material s avoided ? / Gates , Fence s an dRetainin g Wall s Ye s No 1 . D o gate s ope n an dclos e freely? (If applicable) 

# y 2 . Wer e all gate s or fence s taken dow n durin g restoration activitie s reinstalled ? (I f applicable ) / 3 . Was damage t o gate s or fence s avoided ? (If applicable) 

# y 4 . Was damage t o retaining wall s avoided ? (If applicable) / Foundation , Sidin g an dGutter s Ye s No 1 .

Was damage t o th e siding or trimavoided ? / 2 .Was damage t o th e foundatio n avoided ? / 3 .

Was damage t o window s avoided ? / 4 .

Was damage to window s or doo r screen s avoided ? / 5 .Wa s damage t o downspouts o r downspou t extension s avoided ? / Sidewalk s an dDriveway s (Concrete ) Ye s No 1 . Wa s damage t o drivewa y surface s avoided ? 

# y 2 . Was damage t o walkwa y surface s avoided ? /

### Owner s comments :

Inspectio n notes :

Remova l andrestoratio n activate s complet e including th e 30-da y so dwarranty : EP A Representativ e .Qc^ j> ^ Date : f/:io/o j

## Propert yCompletio n Agreemen t Thi s agreemen t dociunent s th e completion o f remova l activitie s performedo n th e belo w liste dproperty . The propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfiedwit h th e restoratio n o f th e subject property , an dtha t n o item s ar e mquestion , now , or a

t an y tim e i n th e future , excluding an y remainm g warrant y (3 0 day s total ) except thos e item s liste dbelow , if any . Propert y ID : " Z I <^'7< ^ Propert y Address : jH^f^jf ^ P>>.^di/^ . Q( - Owner : I f I I » Z l I . v \_, . ^ f 

## IL^<^y^Ji A 6<\i\,s.o^A ^ Phone : Restoratio n Item s i n Question :

item : Item : Item : Kem : Item : Item : Require d correction s t o complet e th e property :

0 1 agre e restoratio n i s completed , excep t a s note d above . L J I d o no t agre e restoratio n i s complete d 

# /-/&
- o i

Owner' s Signatur e Dat eFin d Recor d Clea n U p Query Lea d Remainin g QueryI Propert yDamag e Quer y Backfill :

Sampl e Area : 3195 9 - 146 4 PINKNE Y S T Owner : D Owne rOccupie d Owne rName : [WILSO N JEREL L Owne rAddressl : 

# I Owne rAddress2 : |146 8 PINKNE Y ST City : State : Zi p Code : |OMAH A [N E [6811 0 Owne rPhone : Alternat e Phone : 

# I Resident : Residen t Name : 

# r Propert yAddress : (146 4 PINKNE Y S T Zi p Code : [6811 0 Residen t Phon e 

# I Contract : Contractor : Group : Assessment : Qualifyin g Grou p [120 0 Assessmen t XR F Date : 

# r~ Assessmen t MaxXR F Value : I 1489. 4^ * DOO . . _ 

### p .vv. . / J J ­ V ' * ^o '

Pffl^KE l Sedtea^D^i ^ fee. ^B^ea ^ J B cat o D58iv)sSeB!ieWofct 3 tk > doca^^sJcfis; ] sai l ssupcT , raaciwdl o f loDfi-coEJjxiiaiElsd l caB , aaslroElojction offfflj o Kfotato i jHiipc3;5r . If

youlBOT O or / ^jMiiioBS B obaa& o K S doosag ) jfcEasa&iywnsatpcity . piece s tosaaslKBaoigl'B Afcife^Eigjjyf tCicg i JJiatS a OaciEaLoi^^SSt o cton3gA-MB-.^!:3aaM!aaia-3if402)3C4-lGl)4 . <v«!£2 d(jBaESaiaEdteultiisaOQi^LoEliSit o doESS]> soib o Rsopcs^ii«coir;i'i8eaGad337: , 

## -^^^5"^"- ^ ( 5 ^^ ^ ^'^^<^ ' c c 8 \ \ t- O P' o b o coiqjbi ab y Bcdfbr i QcilfoirpiKjpartS ? ooc3f f - ptaDjjBfcifl J

araaEis' s DfiHiiai E A0®iaE8S : a03EC5"STiLETM®nEC3!lilC23ECl-llii(aCE : i t tmRK :

a s E mMiEaE? : VEaas . Hsrai®c3 © KGWC va u niiyEB S HEKS ? VEaa s ma s TOE EOTEisioi a SEEC 3 ifiaoia¥E e m . c®WEaE i I;;OTI{ I saca s SOC E tisTO P •.••, . ve s KiiisaBE R®i ? ©cciupacnr s ycajtE R7 VEais s ©Lie; : nmnsE Rm®oB!i)ii»ac3Tr8 ? VE^ S ©l aaaa s ©iBiEi a / J Hiijiaoia^ ffip Ciii!:3.0REc i wmfss . r YEMJ S ©a. © raw® piu w aTOE YAE ^ PI2IEL5-!>3^J5B @ m . csiia E PE RKJEEK : Man^uT S © aspeecaa . ciasTOsiiCTi®^® : (JLE . IS)®IBS . Eum v ©aiss . Eins. )

• • ' \...-..^rik
- 

### r^ V 

### j , V "
- /7^- > .^'i!> ' • " " 

### X-J-^dL l -teTTryrcE
­ 

## -P ^ - ^ ' t (11
­ ^ t

tEa&8 t^ B t^o , O f oSk(Xims 3 CROCKET S (li! 9 ]pn>mdoi3 B oiflks tJSlo. " C13 ® Wo aPoGt^::;; , Stoit o <E S SgS S C3 . aO ^ Stea l S!3l&)£3 3 SradGQ , C3c3)ircDCifi3Q"a'ii a s aatlfec33 , TO 7822 9 FE C I3-8GJSSS-8F® F ?giBs:piis|s?8-es7 y

### A S - BtJIt T ^RAWIN G . OMAH A LfcA P SUPfcRFUN O SIT E > OLS# : 3195 9 Dat e Excavated : 7/09/200 8 Dat e USEP A Sigped-Off : 

### 3195 9 Exterio rPaint Nort h Arro w Omah a Lea d Sit e Owne rNama : wiiaj N JEREL L D Goo d Sit e Sketc h Address : 146 4 PINKNE Y S T • Poo r H Phone : W : Q * No t pain t 

# I
Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Concentratio n Collecte d Firm : A w gP.f e RYASCPXA-3196 9 F l 

### D Oats : IM/o c RYBSCPXAr3195 9 F2 -J.£L e pp m 

### D Time : Z:| « RYCSCPXA-3195 9 B l m g q pp m Sample s Analyze d RYDSCPXAr3195 9 B 2 

### D -iJa O pp m nDZaCPXA-0190 9 B2 ­ " • pp m 

## n 

# • XRFU r li t /c>e 7 Book : 

## n" ^ ^OZO0PXA-ai9S 9 &t - 

## n D ' - pp m Date : ict-n . -e^ U -RPZOCPX/^3195 9 P2 ­ " " pp m 

## n D Time : 

### 7 ^ \ - La b RYCSCPLA-3196 9 Staff : /*ku j Numbe ro f Sample s = i < f Resul t 156pp m _ / L^yeiiu . ri - rimi i LOII , r i = • Fron t Right , B 1 = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y A D quadrant s ar

e a * viswad (ra m th e street , facin g • --^—If— y1 i—) ? 

## ENTERED : %l ? 2 8;200 8 I.Hfefl . 2,3.0 ;
» . ^ ^ 

# m IHft.H...P». 0 Kojl^ . -Sirl^_..|.._L. i ; -): • 

### ^5 .

w/Hi c E A = 6 4 PP M (ff i SCRAP E 

## 5

+
CONTRAC T # : E P - R7-07-0 6 / 000 4 PRUDEN T TECHNOLOGIES , INC .

# ^RUDEN ^ rECHNOLOGIES , INC . 

# Propert y Statu s For m Address : \^ct ^ 'FTf^\CJ^<Lx ^ Sl
- ^^^^ ' c^^"- W - Ae^ S

. ^ SJ
Phone : BVID : ^t>a . - S5"b
- 51^ 0 3\<= \5< 1 Plant s & Permanen t Landscapin g Item# O

n Ma p Description an dLocatio n

Pre-Existin g Conditio n o f

Structure s Doe s you r

Basemen t hav e ahistor y o f

leaking ? Ye s — N o Item# Descriptio n & Location O

n Ma p

/ ^ 

### Propert y Owne r

^^f^e^^jkO^//^ ^ Pruden t Empl o Signature : (T^'^'^ ^ >e«^/ ^ Signature : 

# K. . 808 0 Ward Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 4242 Medica l Drive , Suit e 425 0 Kansa s City , MO 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , T X 7822 9 Phone:(816)363-370 3 Fax : (816 ) 363-370 7 Phone : (402)504-100 4 Fax : (402)504-100 5 Phone : (210)822-958 8 Fax:(210)579-657 7

### 3195 9 Exterio rPain t Nort h AntM V Owne rName : WILSO N JERELL Omah a Lea d Sit e • Goo d Address : 146 4 PINKNE Y ST S'* ® SKetC h • Poo r Phone : H: W: ^ No t pain t Sampl e Numbe r Lea d Sampl e Sample s Collecte d LA B Concentratio n Collecte d Flmri:/kw . gP.f e RYASCPXA-3195 9 Fl __9_5__

_pp m 

## D Date : ^/Vf/a j RYBSCPXA-3195 9 F2 3 5 b pp m 

## D Time : "Z'l o RYCSCPXA-3195 9 Bl 

## iiLa3_PP m \3 r Sample s Analyze d RYDSCPXA-3195 9 82 2.?iC > pp m 

## D RDZ3CPXA-0190 9 B2 ­ • " pp m 

## D D XR F Unit l:

: too l Book : i^ 3 ^QZGCPXA-3195 9 62 - I ! pp m 

## D 

# n Dat e '(iij i RPZQCPXA-3195 9 PZ- pp m 

# • n Time : 

## ?^ La

b RYCSCPLA-3195 9 Staff : 

## n^s ^ Numbe r of Sample s = 1 M 

## I Result 15 6 pp m

Leytsrtu . ri - rtuti i ueii , r l = Fron t Right , Bl = Bac k Left , B2 = Bac k Righ t DZ = Dri p Zone , GZ = Garden , PZ = Pla y Al l quadrant s ar e as viewe d firom th e street , facin g propert v )( i i 

# ENTEBE B SE P 2 8 200 6 

## 2.3. 0 *1 . 

## ...i l

• ; : 

### -;r - I 

## -iHc i :r ­ 

## -6i: — — ) ; 

### L35(p . 

## F) . Fl

•> 

## l \ 

# r- * n ifiiidf e ^ 

## fi^Me y Rev4 046141.012 3 

# i+

## 3195 9 Exterio rPaint Nort h Arro w Omah a Lea d Sit e Owne rName : WILSO N JERELL • Goo d Sit e Sketc h Address : 146 4 PINKNE Y S T • Poo r

Phone : H : W : ^ No t paint 

# i
Sampl e Numbe r Lea d Sampl e Sample s Collecte d LA B Concentratio n Collecte d Fimri : Jk ^

gP.f e RYASCPXA-3195 9 F 1 ^ 5 pp m 

## D Date : f/lWa C RYBSCPXA-3195 9 F 2 351 P pp m 

## D Time : Z'l ^ RYCSCPXA-3195 9 B l 

## ifLa3_PP m 

## \a r Sample s Analyze d RYDSCPXA-3195 9 B2 2.a<! ) pp m 

## D RDZ3CPXA-319D 9 B2 - • ^

pp m 

# n D XR F Unit : loo l
. Book : O^ L ^QZOCPXA'3195 9 G2 - " " pp m 

## D D Date : /Q-// n 

## M i RPZGCPXA-3195 0 PZ- pp m 

## D D Time : Pt n 

### I . Lab RYCSCPLA-3195 9 Staff : /^u J Numbe rof Sample s = i M / Result 15 6 pp m

Leyetiu . ri - rtutr i Ltsii , r l = Fron t Right , B 1 = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , PZ = Pla y Al l quadrant s ar e a s viewe d fro m th e street , facin g propert y %j/}^?/y%/ yi i^—H T

Rev 4 . . 04614 1 012 J

### Prin t Preview Pag e 1 of2 Dougla s County-Omaha , N E

Parce l I D Owne r Nam e Propert y Addres s Cit y Zi p Owne r Addres s Owne r Addres s 2 Owne r Cit y Owne r Stat e Owne r Zi p 064417000 0 WILSO N JEREL L 146 4 PINKNE Y S T OMAH A 6811 0
146 8 PINKNE Y S T OMAH A N E 6811 0 Sec-Twn Rn g Additio n Bloc k Lo t Lega l 1 Legal 2 Lega l 3 Lega l 4 Treasure r Websit e Lin k Assesso r Websit e Lin k 10-15-1 3 BLUF F VIE W AD D 0 3 1 50X13 4

http://webapps.dotcomm.org:8080/TreasTax/faces/pages/taxinfo.jsp ? parc=064417000 0 http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? acco u n t no=R064417000 0 "s»»^ n Ma p Scal e \r\ J •• I W V V W . ViV*Jil,l^' » v l 1^ ' V * v'^i. : 

# Ifb H l^l-^l<rMe ^ ^ T

# 44 4 Pfoknev^S ^

J ­

## /'W6t / ?l^J)i^^ y s|;9/o rfile:///C:/Users/lord»^B|s%20iiiy%20shepherd/Desktop/STREETS/l . .Creat e AnotlierTicke t Backt o Irt h internet . Sen d Emai l 

### YOU RTICKE T NUMBE RI S  2077045 . Origina l Cal l Date : 7/08/0 8 Time : 9:3 6 p m Op : RAMITA1 8 96 7 Wor k t o Begi n Date : 7/11/0 8 Time : 7:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 1 4 6 4 Street : PINKNE Y S T Twp : 15 NRng : 13 E Sect-Qtr : 10-NE-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : lea d remidatio n Locatio n o f Work : ENTIR E PROPERT Y LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : [402)504-100 5 : UNSUR E CORNE R Compan y: PRUDEN T TECHNOLOGIE S Contac t Name : RAMIT A Phone : {402)504-100 4 Alt . Contact : Phone : (402)452-980 6 Wor k Bein g Don e For : EP A Dept h o f Excavation : 6f t Corne r Lot : NFront : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V MAGELLA NMUDO l OMAHACO F 0PPDGPR 5 QLNNEI C 

### Utilit y Servic e Are a Contac t Phon e Numbe r Typ e Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 918574709 8 MAGELLA N MIDSTREA M MAGELLA N TONY AAlt : PARTNER S L P Emerg : 918574709 8 Day : 402504782 3 METROPOLITA N UTILITIE S MUDO l EDWIN AAlt : DISTRIC T Emerg : 402504794 6 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFICSEWE RRO N Alt : 402444516 1 Emerg : 402444516 0 OMAH A PUBLI C POWE R Day : 406728934 3 0PPDGPR 5 

## N A DISTRIC T
lof 2 7/9/200 8 1:1 6 P Mfile:///C:/Users/lord»/i*^%20my%20shepherd/Desktop/STREETS/1 .

. 1 Alt : 888728934 3 Emerg : 406728934 3 Day : 406728934 3 QLNNEI C QWES T LOCA L NETWOR K

N A Alt : Emerg : 888728934 3

2 o f 2 7/9/200 8 1:1 6 P M