## TRANSMITTA Lo f OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAI D # : M^\l ^ Date : Address : S\o n6> ^ O "^ T Remediatio nContractor : Envrionmenta l Restoration , LLC _ Year : 201 0 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S y Vide o o f property (DVD ) 2;SJBefor e DAfte r D Basement ^ f^ O hn^l/JlQbc r L> Executiv e Summary (Final Report ) nSHCf ^ I S EPA-provide dproperty sketc h "S . Signe dAcces s Agreemen t fo r subjec t property D Signe dAcces s Agreement(s ) for adjacent property ""l3 s Restoratio nAgreemen t D Settlemen t document s (i.e. , for damag e o r to replac e plants , etc. ) ^ Confirmatio ndat a

y Photograph s 3i Befor e DCre w Photos^Durin g Excavatio nD So d B^O-da y So dD "b ^ As-buil t sketc h ~ ^ Completio nAgreemen t signe db y Property Owner ^""^"H.,,^ ^ Property close-ou t chec k lis t signe db y EP A D Descriptio no f area s no t meetin g RO D cleanu p criteri a ^ ^ Utility clearance s ^ ^ Property informatio nfromDougla s County Assessor' s Offic e ~^l5 x Property acces s checklis t 3026006 0 

### ^S LContac t Lo g D Superfun d 

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### fT^© ^ '^ Omah a Lea d Site—EP-R7-09-0 5 ' ^^*^2m , fEnvironmenta l Restoration , LL C 

# EXECUTIV ESUMMARY : 48119-510 7 S 4 0 S T I 1 N o Issue s o r Concern s [ ^ Issues/Concern s Detai l E.xpianation :a% . 

# EP A EP APropert y Clos e Ou t For m Omah aLea dSit e OU# 2 Propert y # : 'A ^ 11 ^ Propert y Address : S'lO' ^ ^ S 4 o 

## ^ T Date/Time : Owner' s Name : ijViJbg/-^ P(xlrne r Quad s Excavated : j^3 L Contracto r Grou p : Environmenta l Restoratio n (ER ) Excavatio nGenera l Yes N o 1 . If necessary , wer e th e correc t quadrant(s ) excavatedan drestored ? 2 . Ifnecessary , wer e th e correct area s ofdrip zon e excavatedan drestored ? Gradin g So dan dVegetatio n Ve s N o 1 . Doe s th e gradin g aroun dth e perimete r ofth e hous e inexcavate darea s generall y slop e away fro mth e A/A ­ house ? 2 . Ha s so dbee nlai dinal l area s tha t wer e excavated ? iZ 3 . Doe s th e so dappear to b e generall y healthy an dgrowing ? (Onl y evaluat e if inspecte dat 30-day tim e period) . 4 . Ar e sodde darea s generall y fir man devenl y graded ? y 5 . Ar e th e joint s betwee nth e sodstrip s generall y tight ? (Only evaluat e i f inspecte dat 30-day tim e period) . 6 . Wa s th e propert y grade dsuc hthat wate r will no t poo l o nth e property ? ^ 7 . Wa s damag e t o landscapin g o r plan t material s avoided ? i ^ Gates , Fence s an dRetainin g Wail s Ve s N o 1 . D o gate s ope nan dclos e freely ? (ifapplicable ) 4 ^ 2 . Wer e al l gate s or fence s take ndow ndurin g restorationactivitie s re-installed ? (ifapplicable ) • 3 . Wa s damag e t o gate s or fence s avoided ? (ifapplicable ) 1 ^ 4 . Wa s damag e t o retainin g wall s avoided ? (ifapplicable ) tJP i Foundation , Sidin g an dGutter s Ye s N o 1 . Wa s damag e t o sidin g or tri mavoided ? 2 . Wa s damag e t o th e foundatio navoided ? , 3 . Wa s damag e t o window s avoided ? 

# ii k 4 . Wa s damag e t o windo w screen s 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 ) Yes N o 1 . Was damag e to drivewa y surface s avoided ? 2 . Was damag e to walkwa y surface s avoided ? 

# Tt f Inspectio nnotes :

Remedia l an drestoratio n activitie s complet e includin g 30-da y so dwarranty : EP A Representatjy^rl^ ^ Date : 

# (p/^// 0

### Pag e 1 of2

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### YOU RTICKE T NUMBE RI S 2486661 . Origina l Cal l Date : Wor k t o Begi n Date : 5/06/1 0 5/10/1 0 Time : Time : 2:4 1 p m 3:1 5 p m Op : TRACY2418 6 State : N E Address : 510 7 County : Street : DOUGLA S S 41S T S T Place : OMAH A Twp : 14 NRng : 13 E Twp : Rng : Lega l Given : C Sect-Qtr : 05-SE,08-N E Sect-Qtr : Typ e o f Work : Excavatin g th e entir e propert y Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)451-106 9 : SAI D #4811 9 Compan y: ENVIRONMENTA L RESTORATIO N Contac t Name : TRAC Y BRISTO W Phone : (402)451-131 4 Alt . Contact : Phone : (314)504-487 4 Wor k Bein g Don e For : EP A Dept h o f Excavation : 1 2 Corne r Lot : NFront : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V METR O MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F QWESTN E UNITEO M

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e CXCAT V CO X COMMUNICATIONS . INC HEID I 

### Day : 402934046 9 Alt : 402934046 9 Emera : 402932975 7 METR O METR O COMM . COLLEG E CHRI S 

### Day : 402457230 7 Alt : 402672703 3 Emerg : 402457231 3 m'uuu i METROPOLITA NUTILITIE S DISTRIC T SAND Y 

### Day : 402504782 3 Alt : Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE R RICH/TRAFFI C 

### Alt : 402444516 1

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# ^ot k s-fAddress : Addresse s o f Propertie s covere db y thi s Address : Agreement : Address : Address : PURPOS EO FINVESTIGATIO N 

### Th e purpos e of th e remedia l activitie s i s to remov e al l soil s at th e property Vt-iiic hare contaminate dwit hhazardou s substances , i npailicular lea da t concentration s greate r than.c r equal t o 40 0 part s pe r millio n(ppm) . REMEDIA LACTION S Th e environmenta l respons e action s t o b e perfomie do nsai dpropert y ma y includ e th e foliovving activities : a .Takin g photograph s snd/o r vide o o f th e propeit y before , during , an dafte r rernedial activities ; b .

Locatin g equipmen t andmachinery cn-sit e i npreparatio nfor an di nth e cours e o f th e enviromnenta l response ; c .Plannin g an dimplementin g th e removal actio no nc r near Grantor' s property . d .Obtainin g sample s fromGrantor' s property ; AGREEMEN T NO T T O INTERFER E Th e Granto r agree s no t t o interfere c r tampe r withan y o f th e activitie s o r work done , o r th e equipmen t use dt o perfor mth e activities , or to undertak e an y action s regardin g th e us e o f sai d propert y v/hic hwouldten dt o endanger th e healt hor welfar e ofth e Grantee s c r th e environjnent , c r

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SAID : y^/r f Propert y Address : SI0 7 S- f^ ^ ^ f Owner : ''^^\^ { T'aUcZ r 

## Fhone : -j2Y ' '/7S ? O nth e attache ddiagram(s ) indicat e area(s ) t o b e excavate dan ddept ho f excavation , locatio no f al l know n utilities , subsurface ; features , surfac e structure s an dlandscapin g features , acces s location(s ) t o b e use db y contractor , an dth e directio no f North . Indicate distances , depths , materia l types , etc . Indicate digita l photo s b y referencin g the photo-lo g numbe r witha narro w indicatin g directio no f view . [tem s t o b aremove dfay Contracto r an dne t replaced : Etsm : 

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t an y tim e i nth e future , excep t thos e item s liste dbelow , ifany . SAID : 9^/^ ^ Fr o pert y Address : ^/ Q 'y , ^ ^ c t Lj^' . Owner : ^^oUgr / ~^a\,^ ^ ~ Phone : -yjl/ . y7S'S ' Restoratio nEtem s i

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_$0.0 0 $ 4,300.0 0 200 8 $ 4,300.0 0 $ 11,600.0 0 $ 15,900.0 0 200 7 $ 4,300.0 0 $27,000.0 0 $ 31,300.0 0 200 6 $ 4,300.0 0 $27,000.0 0 $ 31,300.0 0 „.j . 200 5 $ 4,300.0 0 $21,500.0 0 $ 25,800.0 0 200 4 $4,300.0 0 $19,500.0 0 $ 23,800.0 0 Sale s Informatio n Sale s Date : , 2002-07-1 9 Dee d Type : ; W D Book ; ; 221 8 Page : •. 16 8 Price : $ 10,000.0 0 Grantor : Grantee : Valid/Invalid : j Vali d 1 Exclusio n Reason : Acre s S F Unit s Dept h 1 Widt h ! Vacan t 0.1 1 4800. 0 1. 0 120. 0 40. 0 N o



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# • b MAH ALEA D SUPERFUN D SITE l RESTORATIO N 

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