TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID# "^"in \ 11 \\ : Date: 

Address: W\0 h^K ^ ^f 

Remediation Contractor: Coastal Environmental Group_ Year: 2010ARRA 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

^ Video ofproperty (DVD) _^ _ 

Executive Summary 

EPA-provided property sketch 

Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

Restoration Agreement 

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

Confirmation data 

Photographs \ k ^C{>(]/t(\(^^ ^ ^KAfVl^l<M ^ ^^ ^ 

As-built sketch 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description of areas not meeting ROD cleanup criteria 

t/ Utility clearances 

0/ Property mfomizrtion from Douglas County Assessor's Office 

1 J ' I ^ 

'Date 

30217691 

Superfund 
^v 

Property Access Checklist 

Property ID: 14m n WORK STARTED ON: / / 

Property Address: yq' p SWHUig ^ ^^ D WORK COMPELTED ON: __/__/_ 

uiAryiM^K <XNA 

Owner: »^g|^ 5 fJX/rOfr<S-T vi|.^K!> Renter: ^/t^s^sC S I(>U£A ^ 

Phone: ^55 . ^32 5 

Fax: 

Cell/Pager: 

Phone://07)^;^ . ^/y ? ? ^ 

Additional Information: 

Cell/Pager: 1 ^l^Bj 

• Notification Letter Sent: / / By: 

J 3 Access Agreement Siened: lll^ t \6 By: 

0 Restoration Agreement Siened:2 // 5 H D By: 

D TopsoU Sampling (if applicable) I 1 By: 

Q Disposal Sampling (if applicable) I 1 By: 

D Garden Sampling (if applicable) I I By: 

5] UtiUty Clearance CaUed: bSl Of»l\0 

^ Video/Photos (Before) On: 3-1^ 1 I n By: 

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

• Video/Photos (After) On: / / By: 

D Video/Photos (30-Day) On: / / By: 

• Property Completion Agreement Siened: / / By: 

D Final Report Issued: / / By: 

Air Monitoring (as appUcable) 

D Commimity QCrew On: / / By:

 1 

Results: 

D Community • Crew On: / / By: 1 

Results: 

• Community C] Crew On: / / By: 

Results: 

Omaha Lead Site 
Dovlglas County Account I n|^^o n Page 1 of3 

Douglas County, Nebraska Property Record - R0702070000 

Print Report 

NEW Feature - Parcel Dimensions avaiiable @ scaie 0-50 ft west of 52nd St - VIe W O n Ma ^ Information is valid as of 2009-12-15 Treasurer's Tax Rejsprt 

New Feature -•->- • AutoSjaies Search 

Owner 

THEISS LLC 

C/O FORRESTJINKS 

P 0 BOX 6787 

SANTA ROSA CA 95406-0787 

Property Informatio n 

Key Number: 0207 OOOO 07 

Account Type: Residential 

Parcel Number: 0702070000 

Parcel Address: 1710SAHLERST 

OMAHA NE 68110-0000 

Legal Description: BOULEVARD PARK SUB DIV LOT 5 BLOCK 1 40 X 115 

Value Informatio n 

2009 

2008 

2007 

2006 

2005 

2004 

Land 

$7,000.00 

$7,000.00 

$7,000.00 

$7,000.00 

$7,000.00 

$7,000.00 

Improvement 

$23,300.00 

$27,200.00 

$27,200.00 

$27,200.00 

$6,500.00 

$5,900.00 

Total 

$30,300.00 

$34,200.00 

$34,200.00 

$34,200.00 

$13,500.00 

$12,900.00 

Sales Informatio n 

Sales Date: 2004-01-13 

Deed Type: 

Price: 

Grantor: 

Grantee: 

WDM 

$1,100,000.00 

Forrest Enterprises, LLC 

Forrest L Jinks 

Book: 2004 Page: 024780 

Valld/lnvalld: Invalid 

Exclusion Reason: Multiple Parcel Sale 

Sales Date: 1996-09-26 

Deed Type: 

Price: 

Grantor: 

DM 

$19,500.00 

Book: 2046 Page: 492 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoxmtinfo.jsp?accountno=RO... 12/31/2009 
Douglas County Account I rJ^B^o n Page 2 of3 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Valid 

Lan d Informatio n 

Acres 

0.1 

SF 

4600.0 

Units 

1.0 

Depth 

115.0 

Width 

40.0 

Vacant 

No 

Improvemen t

Building 1 

 Informatio n 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1063.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Fair 

Built As: 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 6.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Fioorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1915 0% 1915 94 

Deta/7 Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 624.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RO... 12/31/2009 
Doiiglas Coimty Accotmt InJBMdo . n Page 3 of3 

Garage Detached 216.0 

Porch End Screen 160.0 

User Attic Full Finish 249.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accovmtno=RO... 12/31/2009 / i 
Page 1 of2 

"> 

Create Another Ticl<et J Back to Irth Intemet ,:^^j jfPg'l- j 

• YOUR TICKET NUMBER IS 2458408. 

Original Call Date: 4/08/10 Time: 5:19 pm Op: ELIZABETH18790 


Work to Begin Date: 4/12/10 Time: 5:45 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1710 Street: SAHLER ST 


Twp: 15N Rng: 13E Sect-Qtr: 03-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: LEAD REMEDIATION 


Location of Work: LOCATE ENTIRE PROPERTY, ALL EASEMENTS AND TO THE PEDESTAL 


Remarks: FAX ALL CLEARS TO: (877)662-4211 


: UNSURE IF CORNER LOT. 


Company : COASTAL ENVIRONMENTAL SERVICE 


Contact Name: ELIZT^ETH Phone: (877)662-4210 


Work Being Done For: COASTAL 


Depth of Excavation: 4 FT Comer Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MAGELLAN MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


UtiUty Service Area Contact Phone Number Type 

Day: 4029340469 


CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 


Emerg: 4029329757 


Day: 9185747098 


MAGELLAN MIDSTREAM PARTNERS MAGELLAN DEBORAH Alt: LP 

Emerg: 9185747098 


Day: 4025047823 


MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 


Day: 4024447197 


OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RICH/TRAFFIC Alt: 4024445161 


Emerg: 4024445160 


http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 4/8/2010 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT FI M fJ^^AXTvi/-

LOCATING 

Day:

 Alt:

 4067289343 

 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK

FT M 

 LOCATING

Day: 4067289343 

 ^^^' 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 4/8/2010 
OLS#: 34121 A As-Built Drawing A Date Excavated: 4/9/2010 

Date USEPA Signed Off: 11/9/2010 

COASTA

IMVIKOHHEMTA

L 

L Omaha Lead Superfund Sne Area Sodden: 1305 so ft K O U P. IN C 

. ^ 34121 

Omah Exterior Paint ^)or1tl Arrow 

Owne a Lead Site r Name: FORREST ENTERPRISES LL 

Site • Good Sketch Address: 1710 SAHLER ST £>P6Sr 

Phone: H: v t Q Notpaint t

Sample Number Lead 

Concentration 

Sample 

Collected ecieo / 

LAB 

Firm:

Samples Collected 

 9-9 L . ^^cnr^'^«S^t ^ 

RYASCPXA-34121 Fl ^ L S ppm D 

RYBSCPXA-34121 F2 SlLt^PPm D Time: R '. VO Kf*\ 

RYCSCPXA-34121 

RYDSCPXA-34121 

B1 

B2 

pl" 1 U? ppm D 

D Samples Analyzed 

RDZSCPXA-34121 DZ D 

RGZOCrXA-34121 GZ ppm e— -B 

RPgSCPXA 54121 -P2 - ppm 

Fl = 78 PPM @ 6" 

Oinaha Lead Site 46130 

Legen d 

Concrete Drip Zone Excavated 

Quadrants Excavated 

Area replaced with Area replaced with 

Sod Rock/Mulc Area lef t bare h 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
u, ^\^li^ 

cO 

l>^» 34121 

Omaha Lead Site Exterior Paint North Arrow Owner Name: FORREST ENTERPRISES LL 

Site Sketch • Good 

Address: 1710 SAHLER ST 

gJ.'PSor 

A

Phone: H: W: • Not paint 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm: j?-^_ • CV\-^f^«S.l ^ 

RYASCPXA.34121 Dale: ^- \ ' ^ 

RYBSCPXA.^121 Time: ^ : VO ft^rv\ 

RYCSCPXA-34121 

Satnples Analyzed RyDSCPXA-34121 

RDZSCPXAr34121 _ l i [ Book: ^ ^ 

RGZGCPXA-04121 ^ - \ ^ '0 ^ 

RPZ6CPXA 94121 

Omaha Lead Site lt\ ^ ^ S 0 1 ^ ^ ^((^tiyk^ 1 ^ 
Uy "^\Mi^ 

\> / 34121 

Omaha Lead Site 46130 
34121 \> / 

Omah Exterior Paint North Arrow Owne a Lead Site r Hame: FORREST E^^^ERPRISES LL • Good Site Sicetch Address: 1710 SAHLER ST 4 

Phone: H: w: Q Notpaint 

Sample Numt)er Lead 

Concentration 

Sample 

Collecte ected,/ d ' LAB 

Firm 

Samples Collected 

RYASCPXA-34121 Fl > S L* ^ ppm D Date 3rLrJ 

RYBSCPXA-34121 F2 D Time: ^ : VO ft>/A 

RYCSCPXA-34121 

RYDSCPXA-34121 

Bl 

B2 

«^ 1 { Q ppm 

."5 o n ppm n 

n Samples Analyzed 

RDZSCPXA-34121 DZ 5SS ^ ppm n 

RQZOOPXA-04121 

RPZCCPXA 3»iai 

GZ 

-P2­

ppm 

ppm 

B •Q q - \ ^-0^ ^ 

Omaha Lead Site 46130 
fi .^^'ll'^v. 

COASTA I iHVIItONHIhTAl 

CROUP . I h C 

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 perfornri certain environmental response activities upon the 

following described premises: _ , \Lin9t 

Owner's Name: 

Address of Property 

covered by this mo Sahier £A. 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 perfonned, 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 vkfritten 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 vknth 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 INrmONKtKU L '••» PRO** ' C II O U r ( K c 

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

piles, dog houses, etc; 

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

to save; 

c 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. 

e Allow videotaping and/or photographing of the 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 (402) 991-1199 

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

Signature Date 

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

Page 2 of 2 
I^., 4 

C O A S T A L 

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 of the property owner and the United States Enviroimiental 

Protection Agency (EPA). 

Property ID: ^L \ \ ^ \ 

PropertyAddress: n^( ^ ^_^Q X W . 

Owner; 

Phone: k/0 ~r/(1>^V<^/:jy fem-s- f^r^rs t cVy^e^ 

On the attached diagram(s) indicate area(s) to excavate^ surface structures and landscaping features and 

access location(s) to be used by the contractors. Indicate distances, depths, material types, etc. 

Photographically and Videographically document the existing conditions ofthe property and the basement if 

necessary. 

Items to be Removed by the Owner before Start of Remediation: 

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

Item: , f. he^ Sc^ \ vrc^Q ^ 

Y(Bm.lf ' 

Kem: 

Kem: 

Items to be Removed by the Contractor During Remediation and Not Replaced 

Item: ^ 1 

^ lAA cJ l rp av ih ir^rT^ h^hrn^ 

Kem: ' \t 

Kem: 

Kem: 

Paget »,i 
C O A S T A L • NVHtONHIHTA L O M O U P . INC . 

Items t o Be Remove d By Contractor During Remediation an d Replaced 

Kem: 

i^U

Kem: 

s J

Kem: 

Kem: 

Item 

Pre-existing property area, 

that will be excavated, tliat 

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. 

Attach a sketch of the 

sprinkler layout. 

Nimiber of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a piant 

voucher to the property 

owner. 

Easement Area, to be 

excavated 

 ^^P^ , D^.^e 

 f\^n. D^yz^ 

Landscape Inventory 

Quantity Unit ConditionH'ype/Species 

Quadrants 5^- Each 

Each 

Each 

Each 

Square Feet 

$ 

Each 

Pago 2 of _3 . 
4 

COASTA L • MVinONMK H T A L O n O U P , INC . 

Hr\f)-:'^\U 

Additional Comments / instructions: 

The city of Omaha ordinances may prohibK you from using dirt or gravei areas on your property 

as driveways or vehicie parking areas. The Environmental Protection Agency (EPA) may be 

removing and repiacing soii underiying a gravel or dirt area on your property that you may be 

using as a driveway or vehicie parking area. If this is the case, you should understand that this 

removing and replacing of soil does not mean that any iiiegai driveway or parking area on your 

property is made legal. To the contrary, you may be cited by the city if you use a gravel or dirt area 

as a driveway or parking area, not wKhstanding any removal or replacement of soil by the EPA 

If you have any question about legality of a certain driveway or parking area, you may contact 

the cKy of Omaha's Planning Department at (402) 444-5150. 

P Please check this box if you understand the information outlined above. 

D 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. 

Dl^agre j e LU I do not agree 

'>'l8-'0 

Cohtractor's Sienatur Signati e Date 

Page 3 of y 
• 4 

BVID; 


XRF PROPERTY SAMPLE SHEET 


Date Address 'S-lfP"/'^ 

Project Omaha Lead ARRA Sample time 

XRF ID# ^•^;^^>f sample length 

Shot# Reading Sample area Shot# sample a 

^JSQ. imMiL 

^ Depth • ^ ^ 

& UL mB- Average / (j(^ t^ f ^ Average

Shot# Reading Sample area Shot# 

m2i. /«^^ H I2L ^ 3 y 

Depth ^35" 

^ I M t. ICf JiJL ^JrQl^ 

Average IfT/^t. 1^ Average

Shot# Reading Sample area Shot# 

^C ^•^^/• ^ pg: 

'/-^ ^^ A Depth 

D ?7^ /^. 7^ 

Average qii-1"/ Average 

RETEST AREAS 

Shot# Reading Sample area Shot# 

Depth 

1 

--"• ^ ^ 

Average Average 

Signature 

Prin»\(Wt ^ I^MV^ 

30 sec 

Reading Sampl am e area PI 

/oi-t./'-/ 1>2-

S^^j Depth . 3U± 

't ^ ^ 

y ^ Z l /£ / 

Reading Sample area 

•^^ ^ 1 ^ £L W% epth 

. ^ rr 

 'yg y ^ / 3 

Reading Sample area 

Depth 

Reading Sample area 

Depth 
SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 453 

Mode SOIL 

Time 2010-05-10 16:20 

Duration 90.34 

Sequence Final 

Flags 

AVERAGE Avg,of-450=452-ii 

ADDRESS c=1710'Sahler st 

QUADRANT EA 

DEFTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 7.922 

Zr 480.473 ± 15.817 

Sr 174.006 ± 8.854 

U < LOD : 14.739 

Rb 70.008 ± 6.521 

Th 12.330 ± 7.913 

'P-J5iz:rz - 166.069: .......± -17.14 3 

Se < LOD 5.614 

As < LOD 22.146 

Hg < LOD 12.685 

Zn 154.691 ± 21.336 

W < LOD J 86.009 

Cu 38.071 ) 20.591 

Ni < LOD / -''"^ • / 71.271 

Co < LOp ^ 182.855 

Fe 19300.139 y 393.843 

Mn 50(^513 / y 94;316 ^ 7 

Superv J „ y y ^ ^ i 

sed By: y 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPTH 

TYPE 

INSPECTOR 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

473.266 

170.668 

< LOD 

65.312 

< LOD 

178.179 

< LOD 

< LOD 

< LOD 

140.876 

< LOD 

47.398 

< LOD 

< LOD 

18993.717 

428.520 

Supervised By: 

Certificate of Verification 

450 

SOIL 

2010-05-10 16:18 

30.10 

Final 

34121 

1710 Sahier st 

EA 

1" 

CONFIRMATION 

N. LOPEZ 

Error 

: 7.897 

± 15.756 

' ± 8.801 

; 14.658 

± 6.369 

: 11.786 

± 17.734 

: 5.695 

: 22.382 

: 13.066 

± 20.770 

: 90.835 

±i 21.536 

; 74.481 

: 182.018 

± 391.970 

± 89.977 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 451 

Mode SOIL 

Time 2010-05-10 16:19 

Duration 30.11 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT EA 

DEPTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 7.961 

Zr 475.528 ± 15.735 

Sr 176.932 ± 8.918 

U < LOD 15.409 

Rb 71.549 ± 6.638 

Th < LOD 11.433 

Pb 161.633 • ± 16.918 

Se < LOD 5.580 

As < LOD 21.927 

Hg < LOD 12.643 

Zn 170.488 ± 22.098 

W < LOD 83.736 

Cu < LOD 29.782 

Ni < LOD 71.431 

Co < LOD 179.748 

Fe 19371.061 ± 394.271 

Mn 578.870 ± 99.034 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 452 

Mode SOIL 

Time 2010-05-10 16:20 

Duration 30.13 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT EA 

DEPTH 1" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD J 7.907 

Zr 492.626 ± 15.960 

Sr 174.419 ± 8.843 

U < LOD : 14.149 

Rb 73.163 ± 6.558 

Th 17.372 ± 8.260 

Pb 158.394 ± 16.776 

Se < LOD 5.567 

As < LOD 22.131 

Hg < LOD 12.347 

Zn 152.710 ± 21.140 

W < LOD ; 83.456 

Cu 38.381 ± 20.382 

Ni < LOD \ 67.900 

Co 211.470 ± 124.534 

Fe 19535.639 ± 395.289 

Mn 494.149 ± 93.936 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 449 

Mode SOIL 

Time 2010-05-10 16:08 

Duration 90.62 

Sequence Final 

Flags 

AVERAGE CAyg-Of-446-448 — 

ADDRESS 1710 Sahier st 

QUADRANT B2 

DEPTH 6'' 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD : 8.266 

Zr 505.181 ± 16.455 

Sr 160.067 ± 8.687 

U < LOD : 15.496 

Rb 73.418 ± 6.820 

Th 13.845 ± 7.596 

Pb 95.770 ±. 13.740 .. 

CSe - - < LOD 5.025-

As < LOD 18.312 

Hg < LOD 12.879 

Zn 117.427 ± ^.^.-Vi^ISi 

W < LOD > - ^ 88. ^ 

Cu < LOD y ^ : 3Q/%8 

Ni < LOD / ^4.774 

Co < LOp^ /185.616 

Fe 19547.555 ^ A:: ^ 404.640 

Mn b//.4 K y 101.249 

y -y-^^ 

Supervis ed By: / / 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 446 

Mode SOIL 

Time 2010-05-10 16:07 

Duration 30.10 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT B2 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.295 

Zr 498.721 ± 16.332 

Sr 161.736 ± 8.704 

U < LOD : 15.184 

Rb 78.274 ± 6.943 

Th 15.284 ± 7.776 

Pb 100.861 ± 14.018 

Se < LOD 5.098 

As < LOD 18.391 

Hg < LOD 12.551 

Zn 110.442 ±. 19.135 

W < LOD : 90.458 

Cu 33.765 ± 20.999 

Ni < LOD : 75.118 

Co < LOD : 180.652 

Fe 18793.031 ± 395.836 

Mn 543.260 ± 98.276 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 447 

Mode SOIL 

Time 2010-05-10 16:08 

Duration 30.42 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT B2 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.284 

Zr 504.265 16.372 

Sr 154.362 d: 8.517 

U < LOD 15.334 

Rb 68.915 ± 6.629 

Th 12.774 ± 7.445 

Pb 95.448 ± 13.665 

Se < LOD 4.968 

As 20.139 ± 12.481 

Hg < LOD 13.251 

Zn 129.700 ± 20.275 

W < LOD 88.218 

Cu < LOD 30.164 

Ni < LOD 72.693 

Co < LOD 185.081 

Fe 19683.572 ± 404.804 

Mn 602.400 ± 102.719 

Cr < LOD 285.948 

V < LOD 740.279 

Ti 3840.207 ± 1928.931 

Sc < LOD 133.073 

Ca 8303.349 ± 4136.771 

K < LOD 7706.299 

S < LOD 238.277 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 448 

Mode SOIL 

Time 2010-05-10 16:08 

Duration 30.10 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT B2 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.220 

Zr 512.558 ± 16.663 

Sr 164.104 i 8.841 

U < LOD 15.971 

Rb 73.064 ± 6.887 

Th 13.478 ± 7.565 

Pb 91.001 ± 13.536 

Se < LOD 5.008 

As < LOD 17.821 

Hg < LOD 12.837 

Zn 112.139 ± 19.262 

W < LOD 86.575 

Cu < LOD 31.240 

Ni < LOD 76.512 

Co < LOD 191.113 

Fe 20166.063 ± 413.278 

Mn 586.704 ± 102.751 

Supervised By: 
SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPTH 

TYPE 

INSPECTOR 

Mo 

Zr 

Sr 

U 

Rb 

Th 

iPb^ ' 

Se~~~ 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

Supervised By:

Certificate of Verification 

445 

SOIL 

2010-05-10 15:59 

90.34 

Final 

^ -— — 

" ^ rAvg of-442-444 

47l 6 Sahier st 

ppm 

< LOD 

490.072 

167.188 

< LOD 

78.266 

< LOD 

102.484 ­

< LOD 

< LOD 

< LOD 

107.842 

< LOD 

< LOD 

< LOD

< LOp ^ 

18927.760 

521J762 

DZ 

13" 

CONFIRMATION 

N. LOPEZ 

Error 

7.875 

d: 15.859 

i: 8.654 

14.872 

± 6.784 

10.813 

•• ± 13.832> 

5.208 

18.422 

12.153 

± 1&300 

^^-"80^^3 3 

^ y 29.636 

/ yi2.1^1 

y 178.015 

1 X^„^8.506 

/ . y y "is.^ii 

y Ly y ^ ^—" ^ 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 442 

Mode SOIL 

Time 2010-05-10 15:58 

Duration 30.11 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 7.861 

Zr 487.229 ± 15.820 

Sr 168.901 ± 8.690 

U < LOD 14.962 

Rb 77.057 ± 6.752 

Th 13.006 i 7.430 

Pb 104.773 i 13.955 

Se < LOD 5.199 

As < LOD 18.490 

Hg < LOD 12.489 

Zn 110.802 i: 18.576 

W < LOD 83.841 

Cu < LOD 29.374 

Ni < LOD 73.581 

Co < LOD 176.563 

Fe 18415.666 ± 383.035 

Mn 501.114 ± 93.097 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPTH 

TYPE 

INSPECTOR 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

494.192 

163.587 

< LOD 

74.544 

< LOD 

98.976 

< LOD 

19.501 

< LOD 

113.434 

< LOD 

< LOD 

< LOD 

< LOD 

19111.285 

527.263 

Supervised By: 

Certificate of Verification 

443 

SOIL 

2010-05-10 15:59 

30.11 

Final 

34121 

1710 Sahier st 

DZ 

13" 

CONFIRMATION 

N. LOPEZ 

Error 

* 7.889 

± 15.877 

± 8.554 

: 14.929 

± 6.660 

; 10.343 

± 13.601 

: 5.173 

± 12.343 

: 11.888 

± 18.539 

I 77.907 

: 29.239 

J 72.989 

177.643 

± 389.840 

± 95.695 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 444 

Mode SOIL 

Time 2010-05-10 15: 59 

Duration 30.12 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT DZ 

DEPTH 13" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD J 7.874 

Zr 488.794 ± 15.879 

Sr 169.074 ± 8.717 

U < LOD ; 14.724 

Rb 83.196 ± 6.940 

Th 11.143 ± 7.300 

Pb 103.704 ± 13.940 

Se < LOD 5.251 

As < LOD 18.263 

Hg < LOD 12.081 

Zn 99.291 ± ' 17.786 

W < LOD : 80.153 

Cu 34.212 ± 20.197 

Ni < LOD I 71.552 

Co < LOD I 179.838 

Fe 19256.334 ± 392.642 

Mn 536.910 ± 96.440 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 437 

Mode SOIL 

Time 2010-05-10 15:53 

Duration 90.33 

Sequence Final 

Flags 

AVERAGE C^Avg-oM34336: 

ADDRESS 1710 Sahier st 

QUADRANT Fl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.165 

Zr 452.257 ± 15.935 

Sr 182.244 ± 9.337 

U < LOD 15.221 

Rb 72.752 ± 6.827 

Th 11.076 ± 7.243 

Pb 77.883 _ ± ^ - - 12.781 

Se <~LOD 5.510 

As < LOD 17.316 

Hg < LOD 12.976 

Zn 79.455 ± 17.288 

W < LOD ^—91.94 2 

Cu < LOD ^ ^ ^0.43 2 

Ni < LOD / - y 74.851 

Co < LQBT y 185.150 

Fe 18573/15 / ^ 399.146 

Mn 52-^069 y > 98.569 

Superv sed i ^ - ^ ' By: \ y < 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 434 

Mode SOIL 

Time 2010-05-10 15:52 

Duration 30.11 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT Fl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.094 

Zr 459.292 ± 16.068 

Sr 178.560 ± 9.268 

U < LOD 15.304 

Rb 72.469 ± 6.840 

Th 10.957 ± 7.168 

Pb 70.047 ± 12.316 

Se < LOD 5.717 

As 16.898 A 11.260 

Hg < LOD 12.583 

Zn 95.962 ± 18.461 

W < LOD 91.910 

Cu < LOD 30.124 

Ni < LOD 76.181 

Co < LOD 183.176 

Fe 18584.738 i 400.233 

Mn 489.931 ± 96.498 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 435 

Mode SOIL 

Time 2010-05-10 15:53 

Duration 30.10 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT Fl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.217 

Zr 452.138 ± 15.909 

Sr 184.652 ± 9.380 

U < LOD 15.801 

Rb 72.122 ± 6.854 

Th < LOD 10.710 

Pb 78.041 ± 12.776 

Se < LOD 5.652 

As < LOD 17.192 

Hg < LOD 13.688 

Zn 72.248 ± 16.877 

W < LOD 95.125 

Cu < LOD 29.919 

Ni < LOD 75.868 

Co < LOD 185.718 

Fe 18730.670 i 399.981 

Mn 485.403 db 95.876 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 436 

Mode SOIL 

Time 2010-05-10 15:53 

Duration 30.12 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT Fl 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.185 

Zr 445.340 ± 15.829 

Sr 183.521 i 9.363 

U < LOD 14.558 

Rb 73.663 ± 6.787 

Th 12.180 ± 7.421 

Pb 85.561 dt 13.252 

Se < LOD 5.161 

As < LOD 17.867 

Hg < LOD 12.657 

Zn 70.154 ± 16.526 

W < LOD 88.792 

Cu < LOD 31.254 

Ni < LOD 72.503 

Co < LOD 186.557 

Fe 18403.941 i 397.225 

Mn 596.873 ± 103.333 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPTH 

TYPE 

INSPECTOR 

Mo 

Zr 

Sr 

U 

Rb 

Th 

--Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Certificate of Verification 

441 

SOIL 

2010-05-10 15:56 

90.64 

Final 

c:5Avg-ofr438-440 

1710 Sahier st 

F2 

6" 

CONFIRMATION 

N. LOPEZ 

ppm 

< LOD : 

376.553 ± 

253.317 

± 

< LOD 

64.260 ± 

< LOD 

90.928 

± 

~]

< LOD 

< LOD 

< LOD 

93.176 ± 

< LOD 

< LOD 

^ y ^ < LOD yy: 

Fe 16870.588 

Mn 454.364 

Supervised By: • 

< Looy y

y^ 

yy. 

^ 

Error 

8.183 

15.326 

11.164 

15.366 

6.634 

11.122 

13.908 

==5r54 2 

18.749 

13.319 

18.654 

^^--9S.469 

>32.744 

X 78.082 

178.844 

?» 388.936 

95.332 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 438 

Mode SOIL 

Time 2010-05-10 15:55 

Duration 30.43 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT F2 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.283 

Zr 387.721 d: 15.546 

Sr 249.370 d: 11.106 

U < LOD 15.387 

Rb 66.244 d: 6.729 

Th 15.531 d: 7.889 

Pb 82.357 d: 13.461 

Se < LOD 5.892 

As 22.863 d: 12.481 

Hg < LOD 13.193 

Zn 77.545 d: 17.625 

W < LOD 95.813 

Cu < LOD 31.102 

Ni < LOD 78.547 

Co < LOD 180.481 

Fe 16885.576 d: 390.074 

Mn 427.122 d: 93.339 

Cr < LOD 162.621 

V < LOD 1207.802 

Ti < LOD 5902.353 

Sc < LOD 1349.008 

Ca 63181.039 ± 18781.240 

K < LOD 18270.594 

S < LOD 934.476 

Supervised By: 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-32089 

Reading No 

Mode 

Time 

Duration 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPTH 

TYPE 

INSPECTOR 

Mo 

Zr 

Sr 

U 

Rb 

Th 

Pb 

Se 

As 

Hg 

Zn 

W 

Cu 

Ni 

Co 

Fe 

Mn 

ppm 

< LOD 

364.116 

250.716 

< LOD 

65.418 

< LOD 

95.546 

< LOD 

< LOD 

< LOD 

100.388 

< LOD 

46.957 

< LOD 

< LOD 

16669.189 

465.663 

Supervised By: 

Certificate of Verification 

439 

SOIL 

2010-05-10 15:56 

30.10 

Final 

34121 

1710 Sahier st 

F2 

6" 

CONFIRMATION 

N. LOPEZ 

Error 

; 8.092 

± 15.058 

± 11.077 

: 15.253 

± 6.645 

: 10.574 

± 14.109 

I 5.236 

; 18.959 

: 13.545 

± 19.108 

: 91.106 

± 22.950 

I 74.649 

I 176.725 

± 385.440 

± 95.931 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Certificate of Verification 

XL3t-32089 

Reading No 440 

Mode SOIL 

Time 2010-05-10 15:56 

Duration 30.11 

Sequence Final 

Flags 

BVID 34121 

ADDRESS 1710 Sahier st 

QUADRANT F2 

DEPTH 6" 

TYPE CONFIRMATION 

INSPECTOR N. LOPEZ 

ppm Error 

Mo < LOD 8.174 

Zr 377.822 ± 15.374 

Sr 259.866 ± 11.308 

U < LOD 15.457 

Rb 61.118 ± 6.528 

Th < LOD 10.957 

Pb 94.882 ± 14.156 

Se < LOD 5.497 

As < LOD 18.566 

Hg < LOD 13.219 

Zn 101.594 ± 19.230 

W < LOD 93.489 

Cu < LOD 32.705 

Ni < LOD 81.050 

Co < LOD 179.327 

Fe 17056.996 ± 391.296 

Mn 470.128 ± 96.725 

Supervised By: 
Omaha Lead Site—Fixed Price EP-R7-07-05 

Coastal Environmental Group Inc. M 

Sy^y^ wwinw.coastalhazmat.com 

^^tPf.o^*'^ COASTA L iNVIHONHENTAL 

CROUP , IN C 

EXECUTIVE SUMMARY: 

BVID #34121-(1710 SAHLER ST) 

No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 

-DAN GARVEY WALKED THE PROPERTY ON 11/9/2010 
SEPA ii 

ii 

EPA Property Close Out Form 

Property H: 3 4 I Z.\. Property Address: 

Datc/Tlmc: Owner's Name: 

Quads Excavated: Contractor Group 

Excavation Yes No General 

1. if necessaiy, were tiic correct quadrant(s) excavated and restored? y 

2. if necessary, were the con«ct areas of drip zone excavated and restored? 

y 

Grading Sod and Vegetation 

Yes No 

I. Does the grading around the perimeter ofthe house In excavaled areas generally slope away y from the house?

 • 

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

3. Does the sod appear lo be generally healthy and growing? (Only evaluate if inspected at a 30 y day time period)

 • • . 

4. Are sodded areas generally firm and evenly graded? y 

S. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) _. 

y 6.

 Was the property graded such that water will nol pool on the property? 

~y 1.

 Was damage to landscaping or plant materials avoided? 

Gatesi Fences and ReUining Walls 

Yes No 

1. Do gatesopen and close freely? (Ifappiicable) / 

2. Were ail gates or fences taken down duriiig restoration activities reinsulled? (If applicable) y 

y 3.

 Was damage to gates or fences avoided? (Ifappiicable) 

4. Was damage to retaining walls avoided? (Ifappiicable) y 

Foundation, Sidiog and Gnllcn Yes No 

/ 1.

 Was damage to the siding or trim avoided? 

2. Was damage to the foundation avoided? / 

3. Was danuge to windows avoided? y 

4. Was damage 10 windows or door screens avoided? 

y 

5. Was damage lo downspouts or downspoul extensions avoided? 

y 

Sidewalks and Driveways (Concrete) 

Yes No 

1 / . Was damage lo driveway surfaces avoided? 

2. Was damage to wallcway surfaces avoided? y 
Ovfoers comments: % 4» 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod vyarranty: 

EPA Representative Q^ iQu. Date: iijilio 
2 707-544-207 c In , Ejqaowih a 08:13 0 1 0 1 d O 2 P

0 (t«| s itfii , t $ 9jiu«u3| 0 «i«

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V 20 6 (€ 2 LL8 1 
 0103/61/0 1 15:5 # 910 d ZOO/200' d SMdONOUIANBiiiOJ 1 '31

4 •
# # ® 

Froti:EllVll«)WOfiltt LLC. 402 93*2811 10/18/2010 15:52 #018 P.003/007 ^ea 

Property Owmer Assessment of Perfomumce F$nr(/Ait^ 

American Reeovory and Reinvesmieni Act (ARRA) ^ ^/l//o 

Omaha Lead Soperfimd Site ^^OA I 

2009/2010 ^ 

ttpmrfin<k»CttMtir»gtoriCa<MtolltoidraBMnt>l€awHm .KP-R74W.W 

Property tdanOfisr WuMbf: ^4*^ i . 

PmpertirAildrtg: f7/ 0 f->fXV^rfi P 

FronertvOwer'sNiiie; Fer/Tg.^4. ^^^^^S * 

lMinirtioi»«0«li«P»i«artvOiiHi«ri 

Tliis fonn serves to leoofd die Proper^ Owner's assesstneot of peribmanfie (Aacentive 1 - Quality Assunmoe Sutvdlfamce PUn) involviiig the listed tcniedistioa Gontncior. as sppticable 

to the Omaha Lead SifflL This (btm doeonienti ibetis&diaess of poBfclt lUl teaoh^^ 

rdatiODS,GomplaiiilRSQliitioaaiuitbeovcndI(|aaiityQfwork. Ifneedte^OePntpertyOdmer 

nuy ntiliae this ibimtoreooid prableottflod/or issues aoi spoc^ 

yIMfw— fipa- fiKufiplfi^ htwM M wriaHwrt* HM * prnKMSty Awi*f faWowtf t*w> gtrfftoliii^ «<t ferlh in tin. 

Pflrfonnanoe Wwk Statemcftt. 

The ftopeny Owner will indicate hisfteraaiBssmcnt of perfanaumce with the coaatractor's 

woric ^ dwddnt anoMikatnfiagenthcttbfelMlowusiogtheiiumericddGGnitionsfiQm 

tbe xaiing scale below, dwa sign ft date die lonn. 

9.10 "exceilenr 

7-8 "very good" 

S^ '*eoeept«ble~ 3-4 "^oaf 

1-2 •*vecypoor" 

Property Ownw's Aaarwwent of PwfenMff Rrtaidfag Ifcc Contractor's Work 

10 5 

9 4 

8 3 

7 _ ^ 2 

6 . I 

Pranertv Owaer AJOttfanal Coaaaasnta tnm <€iorionafa coodnae o« beck naat If oecdwft 

Property Owner SJKmHa^a'-'^'''^ ^y^ ^ _^^''''" ^ "^tOK, l<^(^l O