• • 

TRANSMITTA L of OMAH A LEA D SITE 

SOIL REMEDIATIO N FILE FOLDER 

SAE)*: l _ _ Date: ^H/TD S 

Address: /^/3 T^r^Xe/ SJRemediation Contractor: _CoastaI Environmental Group_ Year: 2007 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

Executive Summary 

^ EPA-provided property sketch 

B Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

a Restoration Agreement 

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

0 Confirmation data •__• 

•^/ Photographs 

As-built sketch 

Satisfactory restoration signed by Property Ovvner 

Property close-out check list signed by EPA 

D Description ofareas not meeting ROD cleanup criteria 

D Utility clearances 

D Property information from Douglas County Assessor's Office 

D 

D . 

40317790 iiiili 

Superfund 
Final Report Property Check List (Please place with each 

Har d Cop y Informatio n

] / Property Check List

/X, Site Working Drawing Map 

EPA originals Map 

Douglas County Assessor's Map 

/5. Property Contact Sheet 

Agreement 

V. Access Agreement 

^ Restoration Agreement 

[iscellaneous Documents 

'Final Map from the Field 

Change Orders 

XRF Data 

4. Any einails or PO correspondences 

property Completion 

fl. Executive Suinmary 

2. AS BUILT 

J. Property Completion Agreement 

4. Any buyout info or reimbursement info 

5^ Check or money order copies 

EPA Property Close Out Fonn 

Attached Begin Video 

Electroni c Documentatio n 

Drawings 

.-1 .^ EPA original 

'^X Working Drawing 

3. AS Built.vso 

4. AS Built.jpg 

Photos 

Begin Photos 

During/Excavation Photos 

Sod Photos 

30-Day Sod Photos 

Scanned Documents 

Final Documents 

' 7 Executive Summary 

Videos 

Begin Video 

My Movie 

file) Jf^ 4" ^ y 

 jQ j '^7)1^^^- ^ ^ 

' ' 
Ai_*- IdOOlo y r(ivti<-' ^ lQLiad~C£> Total QL' ^iSquar e Footage to be Excavated = 1500 

Roperty Classification: 800 .^k . ^ Tota. ^^n e Linear Footaqe to be Excavated = 0 

Drexel Street 

Legend 

Concrete 

NorthArrow Omaha Lead Site 

Omaha, Nebraska 

Excavated Area 

Existing Structure 

Permanent Landscaping 

Fence 

Scale 

1 Inch = 20 feet or 1 grid = 5 x 5 ft 

Property Number 

OLS-44601 

Property Address 

1918 DREXEL ST 

Quadrant Boundary Post Excavation Concentrations (ppm) i ,© 'i T HG L F1 . B2 Play Area Street Boundary \ J*«i * ^ •=• •iv<!Ai:>g!.,r;<ji-::, |f<i- F2 DZ Easement o Tree/Shrub Bl Garden Other 

Description of post excavation areas: F1, front yard left-hand quadrant; F2, front yard right-hand quadrant; B1, backyard left-hand quadrant; B2, backyard right-hand quadrant; 

DZ, drip zone (1-3 foot area of soil around the foundation of the house). 
Property Access Checklist 

Property ID: ^{^Q l D WORK STARTED ON: / / 

Proper,, A,l.lrc.s,.: y ^/ g 171)/^/ 77 - D WORKCOIVIPELTED ON: / / 

Renter: ^^^"'^••= Sny n 7()i7in LLC 

Addre.s.s: 

Plione: 

Fax: 

Cell/Pager: 

Phone: CjT^^.QQJL j Additional Information: 

Fax: 

Cell/Pajrer: 

• Notification Letter Sent: / / By: 

PN} Access Agreement Signed: i^/2^_ ^ By: illr/ 5 

Q ' Restoration Agreement Signed: ( j lQ6iry ] 

^y-ciyy 

CJ Topsoil Sampling (if applicable) 1

 1 By: 

C] Disposal Sampling (if applicable) 1

 1 By: 

n Garden Sampling (if applicable) 1

 1 By: 

-[3 Utility Clearance Called: 4" 1 9^'1 0 1 Byr^ (i>l^5'^.C«:> VP^|« ' 

n Video/Photos (Before) On: / / By: 

mi Video/Photos (During) On: / / By: 

D Video/Photos (After) On: / / By: 

n Video/Photos (3()-Day) On: / / By: 

1 1 Property Completion Agreement Siuned: / / By: 

D Final Report Issued:

 / / By: 

Air IVIonitoring (as applicable) 

n Community CU Crew On: / / By: 

Results: 

r~l Community [H Crew On: / / By: 

Results: 

CU Community CU Crew On: / / By: 

Results: 

Omaha Lead Site 
t Square Footage to be Excavated = 1500 

Property Classification: 800 Zone Linear Footage to be Excavated = 0 

4OtKUCferlAei 

Description of post excavation areas: Fl, front yard left-hand quadrant; F2, front yard right-hand quadrant; B1, backyard left-hand quadrant; B2, backyard right-hand quadrant; 

DZ, drip zone (1-3 foot area of soil around the foundation of the house). 
44601 

Exterior Paint North Arrow Owne Omaha Lead Site r Name:feW4. PEARSON­ • Good Site Sketch Address:J9l8 DREXEL ST [g'foor i

Phone: H^32 - ^i'. ^ ^ Q Not paint 

Omaha Lead Site 46130 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

1628270000 

PEARSON ILAR 

L 

1918 DREXEL 

ST 

OMAHA 

68107 

C/O SUSAN 

BOWEN LC 

1918 DREXEL 

ST 

OMAHA 

NE 

68107 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

10-14-13 

C/O SUSAN BOWEN LC 

LINDQUISTS ADD TO S OMAHA 

0 

23 

45X11 7 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R1628270000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 Inch = 288 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis alias/dogis/printPreview.aspx?PrintOptData=DougIas County-... 6/7/2007 
CONTACT FORM 

Property ID # ^%ol 

Property 

Address: yiMMdS^-

Initial Contact: Date: ^^'/^'/y/Time: Action: 

Second Contact: Date:^ Time: Action: 

Final Contact: Date: Time: Action: 

Final Action: Transmit to EPA D Other Action: D 

Comment: 

Owner 

Comment (s): . 

Site 

Coordinator 

Comment (s): 
,ifciJ sr<. . s* 

> # 

COASTA L ENVINONKENTA L 

CROUP , INC . 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

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

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

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

following described premises: 

Owner's Name Daytime Phone: <^g/ ' g"/ ^ ff)4t/c /./^e^mr 

Address of Property /^Wi^^^^^7 '^^ "^^ ^ ^ ^ /927^ 

covered by this D^i^'-I 

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 performing the work. This access shall 

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

agrees to: 

Page 1 of 2 
\"^***^* '

 COASTA COASTAL L * > - -r^ ^ ENVIRONMENTA L 

CROUP . IN C 

• Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

• Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

• Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

• Abide by health and safety guidance provided by EPA; 

• If the property is rented, assist EPA in obtaining tenant approval for access to the 

property to perform the work. 

• Allow videotaping and/or photographing ofthe property. 

AGREEMENT NOT To INTERFERE ' . , ,,. v^ 

The Grantor agrees not to interfere or tamper with any ofthe 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 (877) 234-6270. 

^Q^grant access to my properties O I do not grant access to my properties 

4Z ^^AT/ ^ 

S^Tiature ^ Date 7 Signature Date ^ D a t e ' 7 

O I would like to be present during any sampling that is required. 

Page 2 of 2 
mi COASTA L ENVIRONMENTA L 

CROUP , INC , \ rf 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

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

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

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

following described premises: 

- ly i-XdJJ 'AJ'-J^P^AM^'^ 

Owner' 'ner ss Name:, Name T /\ Daytime Phone:/-^-7 ., ^^ / 

ur iLfr,yy-mi^ 

Address of Property 

covered by this /^/? hU^chk. 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 anr! 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 performing the work. This access shall 

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

agrees to: 

Page 1 of 2 
COASTA L ENVIRONMENTA L 

CROUP , INC , 

Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

Abide by health and safety guidance provided by EPA; 

If the property is rented, assist EPA in obtaining tenant approval for access to the 

property to perform the work. 

Allow videotaping and.'or photographing ofthe property. 

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 (877) 234-6270. 

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

A /TU^eiO IttiP^ 

Signature Date Signature Date 

G I would like to be present during any sampling that is required. 

Page 2 of 2 
Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions ofthe property prior to 

remediation activities. This will also serve as documentation for the purpose of assuring that restoration 

activities are completed to the satisfaction ofthe property owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: 7^6'7}/ 

Property Address: 7^7 ^ ///t^i^ ^ S7 ^ 

Owner: 

Phone: ? ? 7 • ao M 

On the attached diagram(s) indicate areaCs) to excavated and depth of excavation, location of all known 

utilities, subsurface features, surface structures and landscaping features, access location(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material t\pes. etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

Items To Be Removed By Owner Before Start Of Remediation: 

(Use additional sheets as necessary) 

The removal, storage, disposal, and/or return of these items is the Owner's responsibility. 

Item Boo^ 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 1 of. 7 
CCASTA-: -

P IN C 

Items To Be Removed By Contractor During Remediation And Not Replaced 

(Use additional sheets as necessary) 

Item: 

^t^C 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 2 of_ ^ 
( ^ 

C O.A S T A i. 

CROUP . IN C 

Items To Be Remove d By Contractor During Remediation An d Replaced 

(Use additional sheets as necessary) 

Item: 

^ ^ > 

Item: 

^IL ^ 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 3 of (y^ 
C O ,A E T A i f rs<VinONMCNTA L 

Landscape Inventory 

(Use additional sheets as necessary) 

Item Quantity Unit Condition/Type/Species 

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. 

.^nach a sketch of the 

sprinkler la> out. 

Number of and size of 

each garden/ flower bed 

area. 

.^nach a sketch of relative 

sizes and locations. 

1^0 Square feet A 

r\6Qh 

Each 

^ 

7 Each 

Each 

/ 

Each 

Square Feet 

^ 

Page 4 of Cy 
C O.A 'S T'A*L ENVIROMM E NTA L 

Item 

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. 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. 

Include a sketch of were 

each plant will be placed 

by the contractor. 

Agreed upon area of 

property to be replaced 

with grass sod. 

Include a sketch of the 

area(s) to be replaced uith 

grass sod. 

Area of City or County 

property to be landscaped 

per their requirements. 

Include a sketch of the 

area (s) 

Easement Area, to be 

excavated 

Quantity Unit Condition/Type/Species 

/ 

$ 

1 

7 Each 

106 SF 

^ 

SF 

y 

SF 

Pages of b 
C C A- S y A' L ENVIMONHCNTA L 

CROU P INC . 

II Additional Comments / Instructions: 

(Ckj>>^ I / O 

/^ W P . F ^ i--^ ^ ^e^ ^ B^^'"-^ /l-a.r7a,^y L-c^ec lllftp.'M 

• 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. 

n 1 do not agree 

Owner's Signature Date Contractor's Signature Date 

Paqe6 of i f 
PROPERTY CLEARANCE WORKSHEET 

Date 

V Yiyp 

Property ID M(or)\ 

Property Project 

Omaha Lead — Fixed Price Address c{\7 V^4Cy '^^ 

Measurement XRF ID 

0107-51 Count/Time 

Field SInots 

Shot # Reading Sample Area Shot # Reading Sample Area 

h i t i l in-k-' a-^ 

Sample Area 7 Coy 

I n Situ Composite Composite Analytical Aliquot Composite Readings 

Lab Analytical 

Readinq Average (Dried & Spilt Sent (Bag) 

Number Results 1 

(Bag) Sieved) 7

,^4 2 A?, '3Q 3 S4-­ ' ^ • ^

yy 

4 by 76^ 

5 XRF Corrected Value —> b? 5 

(use calibration chart or add 

20"/o to value) 

Sample Area Pass/Fai l ? 

I n Situ Composite Composite Analytical 

Aliquot Composite Readings 

Lab Analytical 

Readinq 

Average (Dried & Spilt Sent (Bag) 

Number Results 1 

(Bag) Sieved) 7 

2 

3 

4 

XRF Corrected Value - > 

5 (use calibration chart or add 

20% to value) 

Sample Area Pass/Fai l ? 

I n Situ Composite Composite Analytical 

Aliquot Composite Readings 

Lab Analytical 

Readinq Average (Dried & Spilt Sent (Bag) 

Number Results 1 

(Bag) Sieved) 7 

2 

3 

4 

XRF Corrected Value - > 

5 (use calibration chart or add 

200/0 to value) 

Sample Area Pass/Fai l ? 

I n Situ Composite Composite Analytical 

Aliquot Composite Readings 

Lab Analytical 

Readinq 

Average (Dried & Spilt Sent (Bag) 

Number Results 1 

(Baq) Sieved) 7 

2 

3 

4 

XRF Corrected Value —> 

5 (use calibration chart or add 

20% to value) 

Sample Area Pass/Fai l ? 

I n Situ Composite Composite Analytical 

Aliquot Composite Readings 

Lab Analytical Readinq 

Average (Dried & Spilt Sent (Bag) 

Number Results 1 

(Bag) Sieved) 

2 

3 

-» 

XRF Corrected Value - > 

5 (use calibration chart or add 

20% to value) 

1 

+ 

US[ ADDIIIOHAI. SHUTS IF 

XRF Technician's Signiture 

YyJAy HECDFD 
1 •• I'- " 

RESTORATION CHANGE ORDER 

OMAHA LEAD 

Property ID # /ky^J>77/^7 /f^/W^/ T /^ ^ 7M^7y/i^(7/<r^of) 

Property Address l^^jD })^^grg ^ 

Owner Name TYIyjitfy /^t^y^eUT 

Date l/f^/oy 

Comments 

Owner Signature 

Contractor Signature 
<r — ** 

Omaha Lead Site—Fixed Price EP-R7-07-05 

Coastal Environmental Group Inc. 

\ ^ • .-^ www.coastalhazmat.com 

^-i«,o^^ COASTA L ENVIRONMENTAL 

C n O U P , IN C 

EXECUTIVE SUMMARY: 

44601—1918 DREXEL ST 

'x\ No Issues or Concerns | ^ Issues/Concerns 

Detail Explanation: 
As-Built Drawing ^ 

COASTA L Oinaha Lead Superfund Site 

WHWBJy CBsaifcallon: aoo 

Scrape alley for access i j 

Bl = 57 PPM I 

I^S^ ^ OLS#: 44601 

,^Date-E)fc¥^ated: 7/20/07 

Date USEPA Signed Off: 7/27/07 

Puiiu'mnl L^ndbcap^ng 

- • Fence 

— Quattant BowNBiy 

— Street Boindaiy y~i.. 

\y ' Tree^Stvub 

Alii ay 

"•^ • 

.r' •tTT-^T-f 

Driexfel Street 

Norlh Arrow 

*caM 

1 incn - 20 reet or 1 gnd - 51 5 it 

/ ^ 

F l . 

F2 

Bl 

Ibb I Quadrant Square Footage to be Excavated - 1500 

TWM D m am e i*iBar FowaQe to De Encavated - D 

- V 

Omdtia Lead Site 

Omana. Neoraeta 

Prpperty Number 

oils-usoi 

Propeny Aa<Sres5 

1»18 DREXEL ST 

Post Excavation ConcenVations (ppm) 

B2 PlayArea 

DZ Easement 

0«ier 

1 <WMi«nJI»«r»i<0jM>«r<tW.t>«Wf<r<lil»t-liM»<»ill«i«»1, ««CIO»MM>MI»IIM 111 ••»,» , b»at|»idr>)M>«na; 

te,* .<V» i 

Legen d 

Area not Excavated 
 Dripzone Excavated Quadrants Excavated 

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

This agrccnicnl documciils the completion of remedial aciivilies performed on my properly. My 

sigiialiire wili dcsignalc lhal I am satisfied with ihc rcsloralion oTmy properly, and lhal no ilcms are in 

qiicslions. now, or al any time in the fuUirc, except those ilcms listed below, ifany. 

Properly lb: ^C/<^/ 

Property A.l.lrc.ss: /f/ ^ ff/^y^X^O ^ T 

Ow "^''" :$o^AM ^c^toein 

Phone: ^ ^ ^ , 3^y / 

Restoratiori Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

I T l iimcv rcstoiiition is i:oniplcttHl, except as noted 

 I I <l<> ^ol amev re.storatioii i.sjtjmipleted 

imy. Owners Signature Date Vate 

I
t PA Property Close Out Form 

Property #: V^^^/ 

Property Address: 1^7^Tv^jj^yPT ^ 

Datc/Tlmc: Owner's Name: ,^^$/U j j^/:>uU-en 

Quads Excavated: CoDtractor Group 

Excavatioii Gencnil 

Yes No 

1. If necessary, were the correct quadrant(s) excavated and restored? ^ 

2. If ncccssa.7, were the correct areas of drip zone excavated and restored? L ^ 

GradlDKSodaBdVcseUlioB Yes No 

1. Does the grading around the perimeter ofthe house in exca\ ated areas generally slope away 

y from the bouse? 

2. Has sod been laid in all areas that were excavated? ^ 

3. Docs the wd appear to be generally healthv and grow ing? (Onlv evaluate if inspected at a 30 

day time period) 

4. Are sodded areas generally firm and evenly graded? t - ^ 

5. Are the joinu between the sod strips generally tight? (Only e\ aloate if inspected at a 30 day 

tinK penod) 

6. Was the property graded such that water w ill not pool on the prope'T> ? ^ 

1 

". 'A'as damage to landscaiping or pla-it r;ateri8!s Evcided']' ..^ • 

Gaicv, FCDCCS aac RcUiDiDf S^aib Yes No 

1 '. Do gates open zmd close Srei}? (!f applicable) ^ ^ 

1 2.

 Were all gates or fences taken down during restoration ac!i> ;:its -e;r.s*.iil!e-d? if applicable) pN 

1 3. Was damage to gates or fences avoided? Of applicable) P>. 

4. 'A'as damage tc retaining v^alh avoided? (If applicable) f)^ 

Foundation, Sidiaf aod Gutters Yes N'o 

1. Was damage to the siding or trim as oided? tx^ 

2. W4s damage to the foundation avoided? t ^ 

3 Was damage to windows avoided? u ^ 1 

4. Was damage to windows or door screens avoided? 1 

5. Was damage to downspouts or dovMispout extensions avoided? | / ^ , 

Sidewalks and Driveways (Concrete) Y es No 1 

1. ''A'as damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? t / • 
Owners comments: 

Injpecticn nct« 

^-S^ ^ ^'^^y^^ ^ ^^-^ 

Remc\al and restoration acthates coT.r'ete inc'.udir.e the 30-da\' sod v^arrantv 

EP.A Re preser.tativ^y^^^klfc/t^^^,^^b^.i3^at e : l/ z ?ya 7