## TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : /PS7X ^ Date : ^/s'/^QO ^ Address : /l4 3 Hr t tJl/^^e . Remediatio nContractor : Coasta l Environmenta l Group

_Year : _2007 _ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o o f propert y (DVD ) 

# Y Executiv e Summar y M EPA-provide dpropert y sketch B ^ SignedAcces s Agreemen t fo r

subject propert y D Si^e dAcces s Agreement(s ) fo r

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lis t signedby EP A (Y > JB7t^^CO' y Q Descriptiono f area s not meeting RO D cleanu p criteri a / 

## Utilit y clearance s D Propert y informationfiro mDougla s Count y Assessor' s Office 

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## Propert yAcces s Checklis t PropertylD : /f^7^5 ^ D WOR K STARTED ON : / / Propert y Address : y -7^ 3 ^^// ^ /L|/^ . D WORKCOMPELTE D ON : / / 

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### , WhitePages.co m- Onlin e Dir^or y Assistanc e ^ ^ r Pag e 1 of 2

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# 1 J ZI P Cod e I 6810 5 Ge t a FRE E valuatio n o f you rhom e Powere d by : 

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How rpopula ri s th e nam e JuSti n Lappe ? 

### http://www.whitepages.com/1000 1 /search/ReverseAddress?housenumber = 1743&street=Par.. . 5/3/200 7

### Yahoo ! Mai l - trishkasl@yahoo.co mPag e 1 o f 2 

# "S3ilK>O f MAI L Prin t - Clos e Windo w From : "N E DIGGERS " <info@ne-diggers.com > To : trishkasl@yahoo.co m Subject : Re : NE-Diggers.co m - LOCAT E Contractor s Reques t For m Date : Tue , 8 Ma y200 7 14:10:1 8 -050 0 DIGGER S HOTLIN E PRESENT S TH E 'N O WAI TN.I.TE.S . TICKE TENTRY ! Avoi d length ywai t tim e - Immediat e ticke t numbe rrespons e - Use rha s acces s t o al l issue d tickets . FRE E trainin g sessions . Contac t Conni e o rLis a a t 402-330-186 6 fo rfurthe rinformation . Ticket * 178200 7 Wor k Begi n Dat e : 5-1 0 a t 21 5 p m Utilitie s Notifie d : Cit yo f Omah a Traffi c& Sewer , Cox , Mud , Oppd , Qwes t Local , Level3 , Mci , McLeodusa , QwestLon g I f Ther e ar e an yothe rutilitie s no t mentione d abov e yo u wil l nee d t o notifythe m yourself . An yprivatel yowne d line s wil l no t b e located . Than k Yo u Fo rUsin g Email .

—Origina l Messag e — From : trishkas1@yahoo.co m To : info@nejLdiggers.co m Sent : Tuesday , May08 , 200 7 12:4 7 P M Subject : NE-Diggers.co m - LOCAT E Contractor s Reques t For m NE-Diggers.co m - LOCAT E Contractor s Reques t For m Name : Trishk a Simmon s Alt . Name : Phone:402-504-219 4 Alt . Phone : 706-732 2 Email : trishkas1@yahoo.co m Calle rID : 1879 0 Company : Coasta l Environmenta l Typ e o f work : EXCAVATIO N Fo rWhom : COASTA L ENVIRONMENTA L Ho wDeep : 3ft . Oin . Explosives : N o Corne rLot : N o Fron t o f Property : Ye s Rea ro f Property : Ye s Tunneling/Boring : Ye s County : DOUGLA S City : OMAH A 

### http://us.f387.mail.yahoo.com/ym/ShowLetter?box=lnbox&MsgId=5508_2558573_290800. . . 5/9/200 7

### Yahoo ! Mai l - trishkasl@yahoo.co mPag e 2 o f 2

Address : 174 3 PAR KAV E Directions : Wher e o n Property : OVERAL L Township : Range : EorW : Section : 1/

4 Section : Township : Range : EorW : Section : 1/

4 Section :



### http://us.D87.mail.yahoo.com/ym/ShowLetter?box=lnbox&Msgld=5508_2558573_290800. . . 5/9/200 7

### Result s 1 - 1 o f 1 B I D Parcel s ALONS O MARI A a 174 J PAR KA V Parce l I D 073434000 0 # Owne rNam e ALONS O MARI A Propert yAddres s 174 3 PAR KA V Oil y OMAi-i A Zi p 6B10 5 Owne rAddres s Owne rAddres s 2 174 3 PAR KAV E Owne rCit y CWAH A Owne rSlat e N E Ow^e rZl! ? 6810 5 Sec-Twn-Rn g 28-15^1 3 Owne rAddres s Additio n BtJR R CA KAD D Bioci< L 0 1 Le t 3 7 4 ,.,.^. 1 t Lega l 2 50X10 0 lega l 3 Lega l 4 j ^ Ol d .ft.sssssc'Sit s Ivaluatio n Information i iNle wAssesso rSit e j Valuatio n Information i

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## Propert y ID #

Initia l Contact : Secon dContact : Fina l Contact : Fina l Action :

Comment : Owne r Commen t (s) : Sit e Coordinato r Commen t (s) : CONTACT FOR M 

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Date : ^f ^ Time : 1^>^ > Action : ^ ^ Date : Time : Action : Date : Time : Action : Transmi t t o EPA D Othe r Action : D

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# o Consen t Fo rAcces s To Propert y RIGH T O FENTR Y T O PREMISE S 

### Granto r (th e property owner ) consent s t o andauthorize s th e Unite dState s Environmenta l Protectio nAgenc y (EPA ) o r it s authorize drepresentatives , collectivel y th e Grantee , to ente r an dperfor mcertai nenvironmenta l respons e activitie s upo nth e followin g describe d premises :

Owner' s Name : Daytim e Phone : 

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### ^02 - ^yS - \^) ^ Address : 3 pv^2 . 

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# 6sibS . Address : Addresse s o f Address : Propertie s covere db y thi s Agreement : Address : Address : 1 

### PijRPos FO FRESPONS E.ACTIVITIE S 

### Th e EP A i s requestin g acces s t o collec t soil sample s an dremov e soil tha t contain s elevate dconcentration s of arseni c and/o r leadan dma y pos e ahealt hhazard . Th e soil wil l b e remove dandth e excavate darea(s ) wil l b e replace dwit hcleanmaterial s and restored . Thi s wor k

i s bein g performe dunde r th e Omah aLeadSit e Superfun dSite remediatio nprogram . A

nEP A representativ e wil l contac t th e Granto r in-perso nt o discus s th e wor k

to b e performed , th e Granto r wil l hav e a nopportunity to revie w andapprov e th e planne dsoil removal , andrestoratio nwor k

before it begin s Onc e th e wor k

i s fmished , th e Granto r wil l b e aske dt o revie w th e wor k

an dconfir mtha t i

t i s complet e an dmeet s wit hth e Grantor' s approval . Uponcompletion , th e Granto r will receiv e writte ndocumentatio n fromEP A that th e property ' ha s bee nremediated . ENVIRONMENTA LRESPONSEACTION S 

### B y signin g thi s Acces s Agreement , th e Granto r i s grantin g th e EPA , it s employees , contractor s an dsubcontractor s th e righ t t o ente r th e property , a t all reasonabl e time s and wit hprio r notice , for th e sol e purpos e o f performin g th e work . Thi s acces s shall remai n ineffect unti l th e wor k

ha s bee nsatisfactoril y complete dTh e Granto r als o agree s to :

«Propert y ID » 

### Pae e 1 of 2

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•Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; •Remov e flowe r bulb s o r plant s that th e Granto r o r th e Grantor' s tenan t ma y wis h t o save ; •Wate r an dmaintai nreplacemen t vegetation , includin g fertilize r application , a s necessary subsequen t t o a ninitial watering perio db y EPA ; •Abid e b y healthan dsafet y guidanc e provide db y EPA ; •Ifth e property i s rented , assis t EP A inobtainin g tenan t approval for acces s t o th e property t o performth e wor k

i f EP A i s unabl e t o obtai nsuc haccess ; and •Allo w videotapin g and/o r photograph y o f th e property includin g exterio r an d interio r area s ofbuildings . AGREEMEN T NO T T o INTERFER E 

### Th e Granto r agree s not t o interfer e o r tampe r wit hany ofth e activitie s o r wor k

done , or th e equipmen t use dt o performth e activities , or t o undertak e any action s regardin g th e us e o f sai dproperty whic hwoul dten dt o endange r th e healtho r welfare ofth e Grantee s o r

th e environment , o r t o allo w other s t o us e th e property insuc hamanner . Shoul dyo u hav e any question s abou t thi s program , pleas e contac t

0I gran t acces s t o m y propertie s C H I d o no t gran t acces s t o my propertie s 

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77nr:>c' ^ Sig^tur e Dat e Signatur e Dat e [~1 1 woul dlik e t o b e presen t durin g any samplin g tha t i s required . Pag e 2 of 2 «Property_ID »

# • m Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s l o pro \id e amutua l agreemen t a s t o condition s o f propcr U prio r l o remediatio naclivilies . Thi s will als o sen e as decontaminatio nfo r ih e purpos e o f assurin g thai restoratio n acli \itie s are complete dl o the satisfaclio no f th e property owne r an dth e Unite dState s En \ironmenlal Protectio nAgenc y (EPA) .

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_T — Propert y Address : VIM" ^ QY^^WA . 

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## 1"M' > O nth e allache ddiagram(s ) indicate arca(s ) t o c\ca \alc dan ddept ho f e\ca \ation . locatio no f al l kno\vn ulililies . subsurfac e features , surfac e structure s andlandscapin g features , acces s locaiion(s ) to b e usedb \ contraclor . andthe directio nof Nonh . Indicat e distances , depths , materia l t

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y referencin g th e pholo-lo g number wit ha narrow indicatin g directio no f \icw . 

### Item s T o B e Remove d B yOwne rBefor e Star t O f Remediation : (Us e addrtiona l sheet s a s necessary ) Item : 

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Pag e 2 of . 

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Pre-e.xistin g property are a that i s covere dwit hgrass .

Numbe r o f tree s > 2 inch trunk diamete r

Numbe r o f tree s < = 2 inch trunk diamete r

Numbe r o f Sprinkle r Zones , Contro l Valves , 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 area . Attac hasketc ho f relativ e size s an dlocations . 

### Landscap e Inventor y (Us e additiona l sheet s a s necessary ) 

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# (Tr v Eac h Includ e a sketc h o f wer e eac h plan t wil l b e place d b yth e contractor . Agree d upo n are a o f propert yt o b e replace d wit h gras s sod . 

# %V^ c S F Includ e a sketc h o f th e area(s ) t o b e replace d wit h gras s sod . 

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# 7 ^ S F Includ e a sketc h o f th e are a (s )



### Pag e 5o f O '

### • Chec k th e boxi f Owne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage . B ycheckin g thi s bo xCE G i s no t responsibl e fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n crack s o rfissures .



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XR F Technician' s Signitur e

Confidentia l 5/2/0 7 Pag e 2 o f 2XR F DAIL YCALIBRATIO N WORKSHEE T 

## Dat e 05-1^-0 ^ Projec t XR F I D Measuremen t Count/Tim e

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Confidenc e Interva l a; .9 5 -- > V.A . = VA 1 Metho d Detectio n Limi t LVALUE ' Averag e Confidenc e Interva l cVALU E I\ _• ^ ^"ij-Rot* ^ 

### Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc . www.coastalhazmat.co m COASTA L ENVIRONKENTA L CROUP , IN C 

# EXECUTIV ESUMMARY : 18722—174 3 Par k Av e

X 

### N o issue s o r concem s Issue s o r concem s



# Detai l Explanation :

# A As-Buil t Drawin g COASTA L 

# Omah aLea dSuperfun dSft e Tota l Quadran t Squar e Footag e t o b e Excavate d = 137 6 Propert yClassificatio n 80 0 Tota l Dn p Zon e Linea rFootag e t o b e Excavate d - 1 4

Legen d OLS# : 1872 2 Nort h Arro w Omah a Lea d Sit e Dat e Excavated:5/18/0 7 Onriaha . Nebrask a Dat e U^PASigne d Off:6/8/0 7 Propert yNumbe r Extsttn g Structur e Scal e OLS-1872 2 Fence Permanen t Landscapm g 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 ft Propert yAddres s 174 3 PAR KAV E 

## O Quadran t Boundar y Stree t Boundar y Troo/Shru b 

# " A vdrrrfjtfULfXJ KI'X . F 1 . F 2 B l Pos t Excavatio n Concentration s (ppm ) B 2 Pla yAre a D 2 Easemen t Garde n Othe r Descriptio n o f pos t excavatio n area s F 1 . fron t yar d lef t l^an d quadrant . F 2 tron t yar d ngh t tiarK I quadran t B 1 t}aciryar d lett-Man d quadrant . B 2 bacKyar d ngti t han d quadran t O Z dn p zon a (1- 3 loo t aie a o f &o* l aroun d tt> a fourxlalia n o f tli a tiousa) . 

### Legen d Are a no t Excavate d Dripzon e Excavate d 

# m Quadrant s Excavate d Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc .

# SEPA Propert yCompletio n Agreemen t Thi s agreemen t documents th e completio no f removal activitie s performe donth e belo w liste dproperty . Th e property owner' s signatur e indicate s that th e property owne r i s satisfie dwit hth e restoratio nofth e subjec t property , an dthat n o item s ar e i nquestion , now , o r a

t any tim e i nth e future , excludin g any remainin g so dwarranty (3 0 day s total ) excep t thos e item s liste dbelow , i f any . PropertylD : ldl90
- Property Address : jlH ^ 7Z7 ^ fW t Owner : MdriaYl ^^0^5 0 Phone : 6/5^/3/ ^ Restoratio n Item s i n Question :

Item : 

### M n J {-T.Tn . < . /•V^ fy^^i-j^^Gv^ ] Item : 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



### 'Zl7l^&4 ^ '(^ ^ Own^f ^ Signature Date I

# SEPA EP A Propert y Clos e Ou t For m Propert y # : _ 

# im^ 9 Propert y Address : /7V 5 QXZIZAH - Date/Time : 

### Owner' s Name : fUYlYZfjy l hlOY^ O Quad s Excavated : Contracto r Grou p Excavatio nGenera l 1 .I f 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 dVecetatio n 1 .Doe s th e gradin g aroun dth e perimete r ofth e house i nexcavate darea s generall y slop e away fromth e house ? 2 .Ha s so dbeenlai di nal l area s tha t wer e excavated ? 3 .Doe s th e so dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e if inspecte da t a3 0 da y tim e period ) 4 .

Ar e sodde darea s generall y fir man devenl y graded ? 5 .Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte dat a3 0 da y tim e period ) 6 .Wa s th e property grade dsuc hthat wate r wil l no t poo l o nth e property ? 7 .Wa s damag e t o landscapin g o r plant material s avoided ? Gates , Fence s an dRetainin g Wall s 1 .D o gate s openan dclos e freely? (Ifapplicable ) ^' ^ 2 .

Wer e al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (Ifapplicable ) 1^'' ' 3 .

Wa s damag e t o gate s o r fence s avoided ? (Ifapplicable ) iJ-^ 4 .

Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) Foundation , Sidin g an dGutter s 1 .Wa s daraag e t o th e sidm g o r tri mavoided ? 2 .Wa s damag e t o th e foundatio navoided ? 3 .

Wa s damag e t o window s avoided ? 4 .

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

Wa s daraag e t o downspout s o r downspou t extension s avoided ? Sidewall u an dDriveway s (Concrete ) 1 .Wa s dam^ e t o drivewa y surface s avoided ? 2 .Wa s daraag e t o walkwa y surface s avoided ? Ye s N o y 

## y Ye s N o

^ y y y ^ ^ ^ Ye s N o



## y Ye s N o y u ^ y y y Ye s N o y 

## y

## Owner s comments :

Inspectio nnotes :

Remova l an drestorationactivates^Qniplet e including the 30-da y so dwarranty : EP A Representative 

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