## TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO N FIL EFOLDE R SAID# : Date : njt^l<lrsn9 , uSSL X Address : ,9^^Q , \^ARrf)nAr ^ Remediation Contractor : fev^rx^fM'f"fe^4.)r>try<v^)g-<. ./MC . . Year : Snt^9 \ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o o f propert y (DVD ) IZ

I Executiv e Sxmimar y 

# czr EPA-providedpropert y sketch 

# A SigjiedAcces s Agreemen t fo r

subject propert y 

# a SignedAcces s Agreement(s ) fo r

adjacen t propert y 

# \

y Restoratio n Agreemen t D 

## Settlemen t documents (i.e. , fo r

damag e or to replac e plants , etc. ) Con&mationdat a Photograph s As-built sketch Satisfactor y restoratio n signedb y Propert y Owne r 0 Propert y close-out chec k

lis t signedby EP A D 

## Descriptio n o f area s no t meeting RO D cleanu p criteri a Utilit y clearance s / 

## Propert y mformation fromDougla s Coimt y Assessor' s Office D D D ^/Jtfk'i . 

# Si^atSS ^ )at e 40312944 

# IIIIINIIIfHII I Superfun d

### PROPERT Y SUMMAR Y Date : 11/19/200 8 Omah aLea dSit e Remedia l Actio n Contrac t #EP-R7-07-06/000 4 Mont hof : Oct/Nov . Propert y Address : 252 8 HARTMA N AV E A . EXECUTIV ESUMMAR Y A. 1 Issue s Encountered : NON E A. 2 Issue s Resolved : NON E A. 3 Uniqu e Findings : NON E A. 4 Othe r Relevan t Information : NONE . CONFIRMATIO N SAMPLIN GDATA/RESULTS : F l = 16 5 PP M @ 4" ; D Z= 36 6 PP M @ 12" ; E A = 8 4 PP M @ SCRAPE . ATTACHMENT S 1 ) Property sketc hprovide db y EPA pursuan t t o contrac t specification s 2 ) Signe dAcces s Agreemen t includin g acces s agreement s require dfor crossin g othe r propertie s 3 ) Pre-Excavatio n digita l vide o clip/photograph s 4 ) Post-Excavatio n digital vide o clip/photograph s 5 ) Documentatio n - Complete dClose-ou t Checklis t 6 ) As-Bui hsketch i ) Shal l includ e final leadlevel s v ) Legen d ii ) Contaminatio n lef t behin darea s vi ) Contracto r identificatio n iii ) Property addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e include din th e individual property file, i f available , o r obtaine dinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit hth e property owner ) ii ) Property Statu s Formsigne db y property owne r iii ) Excavatio n digita l vide o in MPEG , WM V (Window s Medi aVideo ) o r SWF(Flas hPlayer ) format and'o r photograph s iv ) Signe dfor mverifyin g satisfactor y restoratio n v ) Descriptio n o f area s no t meetin g Interi mRO D cleanu p criteria .

TECHNOLOCIES , INC .Fin d Record Clea n U p Query Lea d Remainin g Quer yPropert yDamag e Query 

### Backfill :

Sampl e Area : 551 7 - 252 8 HARTMA N A V Owner : Resident : Contract : D Owne rOccupie d Residen t Name : Contractor : Owne rName : CRAWFOR D BETT Y jCRAWFOR D BETT Y Propert yAddress : Group : Owne rAddressl : [252 8 HARTMA N A V 

### Zi

p Code : Assessment : Owne rAddress2 : 

### 68111 1252 8 HARTMA N AV E Residen t Phon e Qualifyin g Grou p City : State : Zi p Code : I PRIORIT Y |OMAH A|N E J6811 1 Assessmen t XR F Date : Owne rPhone : Alternate Phone : 

# I 

# 1 1 Assessmen t Ma xXR F Value : I 513. 2TECHNOLOGIES . IN C 

# &EPfii EP A Propert y Clos e Ou t Property# : S^l l Propert y Address : 2. 5 2 S Hcodwvov i Date/Time : Owner' s Name : Quad s Excavated : Fi ^ p i Contracto r Grou p Pruden t Technologie s Excavatio n Genera l 1 .If necessary , wer e th e correc t quadrant(s ) excavate dan drestored? 2 .I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? Gradin g So dan dVegetatio n 1 .Doe s th e gradin g aroun dth e perimete r ofth e hous e i n excavate darea s generall y slop e away fromth e house ? 2 .Ha s so dbee nlai din al l area s that wer e excavated ? 3 .Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte dat a3 0 day tim e period ) 4 .

Ar e sodde darea s generall y fir man devenl y graded ? 5 .

Ar e th e joint s betwee n th e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte dat a3 0 day tim e period ) 6 .Wa s th e property grade dsuc hthat wate r wil l no t poo l o n th e property ? 7 .Wa s damag e t o landscapin g o r plan t material s avoided ? Gates , Fence s an dRetainin g Wall s 1 .

D o gate s ope n an dclos e freely? (I f applicable ) 2 .Wer e al l gate s o r fence s take n dow ndurin g restoration activitie s reinstalled ? (I f applicable ) 3 .Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) Foundation , Sidin g an dGutter s 1 .Wa s damag e t o th e sidin g o r tri mavoided ? 2 .

Wa s damag e t o th e foundatio n avoided ? 3 .Wa s damag e t o windows avoided ? 4 .

Wa s damag e t o windows o r doo r screen s avoided ? 5 .

Wa s damag e t o downspout s o r downspou t extension s avoided ? Sidewalk s an dDriveway s (Concrete ) 1 .

Wa s damag e t o driveway surface s avoided ? 2 .Wa s damag e t o walkway surface s avoided ? Ye s N o / 

# y Ye s N o

/ / / / / / 

# y Ye s N o / / 

# y 

# y Ye s N o / 

# y 

# y y y Ye s N o

/ /

### Owner s comments :

Inspectio n notes :

Remova l an drestoratio n activate s complet e includin g th e 30-day so dwarranty : EP A Representativ e 9c^yi ^ Date : ^oj ^ 7/0?/

# «EFA Propert yCompletio n Agreemen t Thi s agreemen t documents th e completio n o f removal activitie s performe do n th e belo w liste dproperty . Th e property owner' s signatur e indicate s tha t th e property owne r i s satisfie dwithth e restoratio n ofth e subjec t property , an dtha t n o item s ar e in question , now , o r at an y tim e in th e future , excludin g an y remaining warranty (3 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert yID : Propert yAddress : g.. S 2- S VAOL V V w.^<xv \ ' FF F 

### Owner : - ^ e^r^U o vt ^ Crav.0^cr A 

## dj^r i B ^ Phone : Restoratio n Item s i n Question :

hem : Kem : Item : Item : Item : 

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

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

# AAF^j yiyLy..,.fA4^A9 /\ o / & Owner!^ignatur e Dat e I, J,-—•-*-*••• • /- • ... . ' \

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Piudtn t T*diB(2o9»s , Inc . (Piud«^ | i s und n coa&actvifttl u tJ . S . Exmioi mtota l Prot ^ contamimttdEDII EA aiiunb « o f piopeiti»Elocat»di nOnaha , N tbnuia , includiii g th» piopM ^ locateda t

. Th * EP A»qu»sl. s you r punisao n toalToc r Piudni t t o p«ifot maso UcI»aoii; > a t ftdic piop«ityt o imcml«ad-cciitaiiuid«dsoil . B y signngftdEfoim , tk « prop»it y ownti g^mtxptimistiont o Piudtntt c pwfon n icti^nti«sT»lat» dt o th» cl*arm p includii qsoil sanpling^ itmoTa l o

f ItadrconlaiHiiuttdsoi Landnaondio no f th» r»f«r»ac»d]scp«ity . I f youhaT » an y qutdion s abou t th » soi l cl*iii9plaun»dfoiyouiprop«ity , pUa » contact Pmdwit'sAdministratiTt CUri c forth * OnahaLtadSi U cUanup . Ms . Shannon Holt-a t f402! ) 304-1004 . G«a«n l qutstion s abou t &

« OaahaL»adKt « cUan ^ canb » dir»ct» dt o fti»EPAPubUeMonBaiionCent»rsat(402)731-3(J^(PouthOmahaoffic»)or(4C2) 991-938 3 (JlorthO»ahaoffic»^^ .onCent»rsat(402)731-3QA5(PouthOmahaoffic»)or(4 Piopu^AcctssGianttdBy : Prop»it y Ownt T Signatm* : 

# 4^m-tMfi^4^^Ft ­ (Pat» ) ^ PROPERTY MFORMATIO N (T * b e c»mf)ttb i \ j midea l ani/arpnpirtj Fowner ~ pleu B print ) RESIDEN TNAME : Owne r Rente r RESIDEN TADDRES S 

# rZszrLiLdihaAv^^ii^: ^ W RENTAL . PROPERTYOWNE D BY : OWNER' S MAILM G ADDRESS : 

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# y YE S NO NUMBER O F OCCUPANT S UNDE R 7 YEAR S OLD : I NUMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLDE R 

# J L ' ^ rminrc K o r cmLonci r Diroc n r TTAR S OL D wn o PLA T M m t YAR B J-O H s r rtotm s W H BWit t Vbu . wtts COMMENT S o n SPECIA LINSTRUCTIONS ; (I.E . DOGS . ENTR Y GATES , ETC. )

AOT«fcMa « *yK.*fl¥a<ifc»(««t«TALtaia»W«i« l AUntWIS i tn * actiwtt«stot> » Uttpl»iB«nt»a'byTLF A una»r«l3lsay»«a!«n t ai» pursuan t to Section 10 4 o f CERCLA, 4 2 U S.C . 9604 . EPA' s n ^ o f acetn : t o th » prop»rt y i s provid»dfo r i nS»ction104(* ) o f CERCLA, 42 U S . C 9(03(«) , whic hpro«id» s tnti y fo r "ddtiaunin g th * n»«dfotrtqions* , o r choosing o r talcin g ai y r«q>on5 * action und*rthistitl* , o x oth«twis « «nforcingth * provision s o f th * titlt. " «)8 0 War d Parkwav . Suit e 40 5 2S0 S N . 24* * Stree t Suit e 30 8 424 2 Medical Drive . Suite42S 0 KaneasClfy . MOe4li 4 Phons : (81C ) 3C3-370 3 Fax : (616)363-370 7 Omaha . NabraskaKII O Phon« : (402)504-100 4

Fox : (402)504-100 5 Sa n Airioniii , T X 7822 3 Phono : ^10)822458 8 Fax : (210 ) S73-6S7 7,....^•••1 * •«'••" - J ^ .VV . f \

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^WetOf c HfMK A • \K(MU » MOmrOUCMVACAOnnAeOHEMt i *fe*K« ? If you B^ » By qutoon s abou t th « soi l cuam p p]ann«dto t you r proptity , pl*as » contact Piudtnt' s AdmimrtraliT * Clwi c fo r th * 0»ahaL*adSit « cltamy . Ms . Shannon Holt-a t (402) 304-1004 . Central qutstion s abou t &» Cm ah aLtadSSt * cUanu p canb * dii»ct*d^lfa*fi^-PnUicinfaasatron:C«Dt»trBt(40 ^ 731-304 3 l^out h Omah aoffic*) ) o{(402) 991-938 3 (^oithOnah aoffic*) . • ttOK K PropWi««Sfe^Sfe^<**'^"j4^i^vg> ^ ~f " 

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# 1 ^ ^ AS - BUILT DRAWIN G( OMAHA LEAD SUPERFUND SIT E OLS# : 551 7 Dat e Excavated : 7/30/200 8 Dat e USEP A Signed-Off : Name : Rf , tt'J CreiiJ.Fe"r d Omah a Lea d Sit e Date : ^/f/o ) Nort h AiTO w Address : J<kAi f M-A.^^>ma' \ Sit e Sketc h Time : ^W T Phone ; 

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http://webapps.dotcomm.org:8080/TreasTax/faces/pages/laxinfo.jsp?parc=053506000 0 http://douglasne.mapping-online.com/DougiasCoNe/static/accountinfo.jsp?accountno=R053506000 0 Disclaimer : Ma p an d parce l dat a ar e believe d t o b e accurate , bu t accurac yi s no t Ma p Scal e guaranteed . Thi s i s no t a lega l documen t an d shoul d no t b e substitute d fo ra titl e search , 1 inc h = 4 4 fee t appraisal , survey , o rfo rzonin g verification .

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## Prin t Preview Pag e 1 of 2 Dougla s County-Omaha , N E

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## ^Zs 2 Owne r City Owne r Stat e g^"^' ' 053506000 0 CRAWFOR D BETT Y 252 8 HARTMA N A V OMAH A 6811 1 

## ||« ^ OMAH A N E 6811 1 Sec-Twn Rn g Additio n Bloc k Lo t Lega l 1 Lega l 2 Lega l 3 Legal 4 Treasure r Websit e Un k Assesso r Websit e Lin k 33-16-1 3 BARBE S AD D 0 4 60X13 3

http://webapps.dotcomm.org:8080/TreasTax/faces/pages/taxinfo.jsp ? parc=053506000 0 http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R053506000 0 Disclaime rMa p an d parce l dat a ar e believe d t o b e accurate , bu t accuracyi s no t guaranteed . Thi s i s no t a lega l documen t an d shoul d no t b e substitute d fo ra titl e search , 

## Ma p Scal e http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas%20County-Omah.. . 6/12/200 8 

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### YOU RTICKE T NUMBE RI S 2093629 . Origina l Cal l Date : 7/29/0 8 Time : 12:1 2 p m Op : RAMITA1896 7 Wor k t o Begi n Date : 7/31/0 8 Time : 12:4 5 p m State : N E County : DOUGLA S Place : OMAH A Address : 252 8 Street : HARTMA NAV E Twp : 16 NRng : 13 E Sect-Qtr : 33-S E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO N Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)733-188 3 : UNSUR E CORNER S Compan y PRUDEN T TECHNOLOGIE S Contac t Nam e RAMIT A Phone : (402)733-145 5 Alt . Contac t Phone : (402)733-118 8 Wor k Bein g Don e For : 6F T Dept h o f Excavation : EP ACorne r Lot : NFront : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V MAGELLANMETR O MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C SPRNTPC S Servic e Are a Contac t Phon e Numbe r Utility 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 MAGELLA N MIDSTREA M PARTNER S LPTONY A AU : 

### Emerg : 918574709 8 Day : 402457230 7 METR O METR O COMM . COLLEG E 

### CHRI S Alt : 402672703 3 Emerg : 402457231 3 Day : 402504782 3 MUDOl METROPOLITA N UTILITIE S DISTRIC T EDWINA Alt : 

### Emerg : 402504794 6 http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 7/29/200 8

### Pag e 2 o f 2 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE R 

### RO NAlt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 OPPDGPR 5 OMAH A PUBLI C POWERDISTRIC T 

### N A Alt : 888728934 3 Emerg : 406728934 3 Day : 406728934 3 QLNNEI C QWES T LOCALNETWOR K N A Ah : 

### Emerg : 888728934 3 Day : 402537180 0 SPRNTPC S SPRIN T SPECTRU M LP 

### Alt : 402537181 0 Emerg : 800521057 9

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