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SOI LREMEDIATIO N PROPERT YFIL EFOLDE RDOCUMENT S iO

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/ EPA-providedproperty sketch V SignedAcces s Agreement fo r subject propert y SignedAcces s Agreement(s } fo r adjacen t propert y RestorationAgreement K

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o replac e plants , etc. ) V Confinnationdata 

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^ Utilit y clearance s V Propert y informatio nfro mDougla s Count y Assessor' s Office 3026134 8 

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yJ Dougla s Count yAccoun t Information(^ : J ^ Dougla s County , Nebrask a . ropcrt yRecor d - R222098000 0 4/17/201 1

Informatio n i s vali d a s o f2011-4-1 3 Nev. * Featur e -•=$=# ' Prin t Repor t Vie wInteractiv e GI S Ma p Treasurer' s Ta xRepor t Subdivisio n Sale s Searc h Owne r JIMENE Z REN E ETA L 1351 1 HASCAL LS T OMAH AN E 68144-000 0 Propert yInformatio n Ke yNumber : 209 8 000 0 2 2 Accoun t Type : Residentia l Parce l Number : 222098000 0 Parce l Address : 135 7 S 2 1 S T OMAH AN E 68108-000 0 Lega l Description : SHULL S 3R D AD D LO T2 1 BLOC K1 3 0 X128. 5 VaOu e InlTonnniattDo n
201 0 200 9 200 8 200 7 200 6 2005 Lan d $3,900.0 0 $3,900.0 0 $3,900.0 0 $3,900.0 0 $3,900.0 0 $3,900.0 0 Improvemen t $52,600.0 0 $52,600.0 0 $53,400.0 0 $53,400.0 0 $68,400.0 0 $68,400.0 0 Tota l $56,500.0 0 $56,500.0 0 $57,300.0 0 $57,300.0 0 $72,300.0 0 $72,300.0 0 SaDe s Informniatio n Sale s Date : 2003-03-1 4 Dee d Type : W D Book : 224 0 Page : 47 3 Price : $ 45,000.0 0 Grantor : CHALRE S SMIT H Grantee : HECTO R JIMENEZ-GALVA N Valid/Invalid : Vali d Excluso n Reason : 

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### 194 2 0 0 % 

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### 1. 0 Basemen t Bsmn t Bloc k 8 f t 680. 0 Fixtur e Bas e Fixture s 

### 1,0 Fixtur e Bat h Ful l 

### 1. 0 Garag e Detache d 280. 0 Porc h En d Scree n 40. 0 Porc h En d Sdi d Wal l 

### 160. 0 Porc h Woo d Dec k 

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# As-Buil tDrawin g OLS : 2011 5 DAT E EXCAVATED : 8/24/201 1 

## COASTA L DAT E USEP ASIGNE D OFF : 9/22/201 1 

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# Omali aLea d Superfun d Sit e ARE ASODDED : 135 0 

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ENTRYi o PREK/IISE S 

### Granto i (th e property ' owner) consent s t o an d authorlie s th e Unrte d Slate s Environmenta l Protectio n Agency(EPA) o i it s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e follov/in g describe d premises :

Owner' s K'ame : Daytim e Phone : 

# v^ii^evvic iKcv\ ^ 1351 ?)."9,\SV ' Addres s o fPropert y covere d b ythi s Agreement :
PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remove soi l tha t contain s elevate d concentration s oflea d an d ma ypos e a healt h hazard
. Th e area(s ) wil l be excavate d t o remove contaminate d soil
. Th e remove d contaminate d soi l wil l be replace d wit h clea n material s an d th e are a wil l be 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 Site remediatio n program . Arepresentativ e o fCoasta l Environmenta l Group , contracte d b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l have a n opportunityt o revie wan d approv e th e planne d soi l removal , an d restoratio n workbefore i t begins
. Once th e wor k i s finished , th e Granto rwil l b e aske d t o reviewth e work an d confir m tha t i t i s complet e an d meets wit h th e Grantor' s approval
. Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EPAtha t th e propert y has bee n remediated
.
ENVIRONMENTA LRESPONS E ACTION S 

### B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , It s employees , contractors an d subcontractors th e righ t to ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e ofperformin g th e work
. Thi s acces s shal l remai n i n effect unti l th e wor k ha s bee n satisfactoril ycompleted
. Th e Granto rals o agree s to ;

Pag e 1 o f2

# o o ;I(J ^ \^/ / C O AS 1 H i

< Rerriov e obslructicn s incl^dirt o bosis , Uoilets , vt-hicSes , plcyscap e items , vi'oo d piles , do g houses , etc ,
' Remov e flov^'s i bulb s o i piani s tha i ih e Granto i o rih e Grantoi' s lenan i ma ywis h t o save ; cWate ran d meintai n leplacemen t vegetation , includin g fertilize rapplication , a s necessary ' subsequen t t o a n initia l waterin g perio d b yEPA ,
•Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; cI fth e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e wor k I Allo wvideotapin g and/o rphotographin g o fth e properl y
AGREEMEN TNO TT O INTERFER E Th e Granto ragree s no t t o interfer e o rtampe i wit h an yo fth e wor k activities , o i wit h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t cendange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9

I gran t acces s t o m ypropertie s Q I d o no l gran t acces s t o m ypropertie s 

# ^:A^d l Signatur e Dat e Signatur e Dat e

O I woul d lik e l o b e presen t durin g an ysamplin g tha t i s required
.

Pag e 2 o f2

## Restoratio n Agreemen t Th e purpos e o fthi s agreemen t i s l o provid e a mutua l agreemen l a s t o condition s ofth e propert yprio rl o remedialio n acliviiies
. Thi s wil l als o serv e a s documentatio n fo rIh e purpos e o fassurin g tha t restoratio n activitie s are complele d t o th e satisfactio n o fth e propen yowne ran d th e Unite d Stale s Environmenta l Protectio n Agenc y(EPA ) 'Propert y ID : ^QU ^

PropertyAddress : [Z^c^- ^ g . 1^[ S ^ Owner : \^^^e ^ .\\(Y\ar\e2 ^ Phone : O n th e attache d diagram(s ) indicat e area(s ) t o excavate , surfac e structure s an d landscapin g feature s an d acces s localion(s ) t o b e use d b yth e contractors
. Indicat e distances , depths , materia l types , etc
. Photographicall yan d Videographicall ydocumen t th e existin g condiiion s ofth e propert yan d th e basemen t i f necessary . Item s t o b e Remove d b yth e Owne rbefor e Star t o fRemediation : Th e femoval , storage , dteposat , end/o rreturn o fthgs e Vtam e te th e Ownsr-' g responsibl e Item : (\y<^A ^ 

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### Condition/Type/Specie s Prc-exisun ^ propert y area , Quadrant s thai wil l b e excavated , ihat i.s covere dwit hgra.ss . Numbe r o l tree s : 2 inc h Eac h trun k diamete r Numbe r o f tree s <= 2 inc h 

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# \>ce , Ai^^"^ ^ trun k diamete r Numbe r of Sprinlde r Zones , Contro l Valves , Eac h Timers , Heads , etc . ^ Attac hasketc ho f th e Sprinkle r layout
. Numbe r o f an dsiz e o f eac hgarden / flowe r be d Eac h ^ area . Squar e Fee l Attac hasketc ho f relativ e size s an dlocations
. Agree dupo nvalu e o f plan t material s no l l o b e replace db v contractor . 

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Additiona l Comment s / Instructions : Th e cit yo fOmah a ordinance s mayprohibi t yo u fro m usin g din i o rgrave l area s o n you rpropert y as driveway s o rvehicl e parkin g areas . Th e Environmenta l Protectio n Agency(EPA) mai ybe removin g an d replacin g soi l underlyin g a grave l o rdir t are a o n you rpropert ytha i yo u ma ybe usin g as s drivevtra yo rvehicl e parkin g area . > fthi s i s th e case , yo u shoul d understan d tha t thi s removin g an d replacin g o fsoi l doe s no t mea n tha t an yillega l drivewayo rparkin g are a o n you r propert yi s mad e legal
. To th e contrary , yo u mayb e cite d b yth e cityi fyo u us e a grave l o rdirt are a a

s a drivewa yo rparkin g area , no t Vtfithstandin g an yremova l o rreplacemen t o fsoi l b yth e EP A I fyo u have an yquestio n abou t legalit yo fa certai n drivevt^a yo rparkin g area , yo u maycontact th e cit yo fOmaha' s Plannin g Departmen t at (402 ) 444-5150
. [ D Pleas e chec k thi s bo xi fyo u understan d th e informatio n outline d above
. 

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## Certificat e o fVerificatio n

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# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

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pp m P b 179.19 3 Supervise d By : 

## Certificat e o fVerificatio n

4 5 Soi l 2011-08-2 5 16:4 3 30.1 9 pp m 2 Fina l 2011 5 " 135 7 s 2 1 s t E A 1 " KIN G EX-SITU S confirmatio n

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

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pp m P b 183.62 0 Supervise d By : 

## Certificat e o fVerificatio n

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

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pp m P b 172.00 1 Supervise d By : 

## Certificat e o fVerificatio n

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pp m P b 190.25 9 Supervise d By : 

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± Erro r
± 19.69 3 

# Ji ^ 

# n ^

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 204.16 2 Supervise d By : 

## Certificat e o fVerificatio n

4 9 Soi l 2011-08-2 5 16:4 6 30.1 6 pp m 2 Fina l 2011 5 135 7 s 2 1 s t 8 2 6 " KIN G confirmatio n confirmatio n

± Erro r
± 21.78 9

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 191.52 4 Supervise d By : 

## Certificat e o fVerificatio n

5 0 Soi l 2011-08-2 5 16:4 8 30.5 4 pp m 2 Fina l 2011 5 135 7 s 2 1 s t 8 2 6 " KIN G confirmatio n confirmatio n

±Erro r ±19.12 1

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 175.09 0 Supervise d By : 

## Certificat e o fVerificatio n

5 1 Soi l 2011-08-2 5 16:4 8 30.5 9 pp m 2 Fina l 2011 5 135 7 s 2 1 s t B 2 6 " KIN G confirmatio n confirmatio n

± Erro r ± 18.16 9

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

## Certificat e o fVerificatio n XL3t-3902 2 Readin g N o 5 6 Mod p ^

_Sni l Tim e 2011-08-2 5 ] Duratio n 90.6 7 Unit s pp m Sigm a Valu e 2 Sequenc e Fina l Flag s AVERAG E Av g o f53-5 5 ADDRES S 135 7 s 2 1 s t QUADRAN T D Z DEPH T 13 " XR F TEC H KIN G MIS C confirmatio n NOT E confirmatio n

± Erro r P b 40.37 5 pp m 744.22 3 ± Supervise d By :

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 779.66 6 Supervise d By : 

## Certificat e o fVerificatio n

5 3 Soi l 2011-08-2 5 16:5 0 30.0 1 pp m 2 Fina l 2011 5 135 7 s 2 1 s t D Z 13 " KIN G confirmatio n confirmatio n

± Erro r
± 41.65 5

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 727.36 0 Supervise d By : 

## Certificat e o fVerificatio n

5 4 Soi l 2011-08-2 5 16:5 1 30.3 2 pp m 2 Fina l 2011 5 135 7 s 2 1 s t D Z 13 " KIN G confirmatio n confirmatio n

± Erro r
± 39.60 0

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Unit s Sigm a Valu e Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m P b 725.64 4 Supervise d By : 

## Certificat e o fVerificatio n

5 5 Soi l 2011-08-2 5 16:5 2 30.3 4 pp m 2 Fina l 2011 5 135 7 s 2 1 s t D Z 13 " KIN G confirmatio n confirmatio n

±Erro r ±39.87 0

## i^QL \ Omah a Lea d Site—Fixe d Pric e EP-R7-09-0 6 o ^^^ ^

I Coasta l Environmenta l Grou p Inc
. ^'^S?'^ ^ V^^^Tp * www.coastalhazmat.co m "'^^^ ^ %PBOi« ^ COASTA L EHVmONHENTA L GROUP

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# EXECUTIV ESUMMARY : BVID #20115-(135 7 S 2 1 ST )

~x \No Issue s o r Concern s | ^ Issues/Concern s
Detai l Explanation:

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Propert yCompletio n Agreemen t
Thi s a^ireemen i duciiment s lh e complclio n o l remedia l acliviiie s perl'oime d o n m ypropen yM ysignaiui e wil l designat e iha i I a m satisfie d wit h lh e restoratio n o fm yproperly , an d iha l n o item s ar e m questions , now , o ra l an ylim e m th e future , excep l thos e item s liste d below , i fan y JVopcrt yID^_^^^^ ^ Propert yAddress : y- . c^- ^ < : ^ v ? . \ Ownci' : Q „ \- Phone : 

# r KO^ - Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item :
Additiona l Comments :

1

^ I ayrc cicstoialio n i s completed , cxccp l a s nnler i I _J I rio no t x]iit crrsioratin n i s complete d 

# Q , 

# 7 > . . W/ ' Owner'," ; Signatur e rDal e Dal e Cont i atlfuy s Signaliir e

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^ t s N o E;,cE^•tilo E Gtren. ! 1 I fnccessiT) , ^'^^r e liit
. cnrrtc l qiiadrenlfs ) txc«vfie d &n d restored' ' ? I fneccsssry , v,ercth e corne l Ere& 5 ofdri p 2on ce>iC8vale d an d restoird' ' Gr rfilp g So d te d VeyeUilio c 1 Doc s Ih t gredin g aroun d th e perimete rofth e hou « i n e«ci!\aifr i Brcs s ftntrall ysl(if> fB^^a v frorrth e house ?

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# 'A D 2 HB S so dbee nlei di nal l artt s Iha l wer e excevsied ? 

# A Doe s lh e sod appea rt o b e generall yhealth yen d growing' ' (Onl yesTiluai e i fmsprrir d e i p * n de ytim e period )
^ Ar e sodde d area s generall yfirm an d evenl ygraded ? 

# A J_ "^

Art thejoint s berwee n th e so d strip s penerzll ytight ? fOnl) ' fvalu^ Ki finspecte d 2 i c" 0 d3 N tim e period ) 6 Vi'a s th e propert ygrade d suc h tha i wait rwil l not poo l e n th e propeny' ' 7 W2 S dfimig t V o landscapin g o rplan t msieritil s avoided' ' Gales , Ftncc a ap d Rtuinin g Wall s Vt- < .N(
. 

## r " D o gate s ope n an d clos e freely'' (Ifapplicable ) Wer e al l gate s o rfence s take n dow n durin g resloratio n acliviiie s reinstalled ? (I ) applirahlr )

"
. Wa s damag e t o gate s o rfence s avoided ? (Ifapplicable ) 

# ' 7
4 WSLS dam»g e 1 0 retainin g wall s avoided ? (Ifapplicable ) 

## 1 

# /I "
f oupdaiion , SidinRan dGu<t»r s 'le s .N' c 1 Vr'a s damag e to th e sidin g or tri mavoided ? 7
. Wa s damag e t o th e foundatio n avoided ? Wa s damag e t o window s avoided' ' 

# A r ^ Wa. s damag e t o window s o rdoo rscreen s avoided' ' \Va." i damag e t o downspoul s o rdownspou l exiension s aviudcd' ' Sidewalk s an d Driveway s (Concrete ) Vcs N( ' 1 Wa s damag e t cdrivewa ysurface s avoided' ' 2
. Wa. s damag e l o walkwa ysurface s avoided' '

# o O'-^.TiP.v t camiJifnH :

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