### TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : ^^S O Date : . Address : \\j,\J^^ A V^ - " ^ 'fr f . Remediatio nContractor : Envrionmenta l Restoration , LLC

_Year : _201 0 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S er

Vide o ofpropert y (DVD ) j S Before DAfte r D Basemen t D "B - Executiv e Summar y (Fina l Report ) H EPA-provide dpropert y sketc h Q Signe dAcces s Agreemen t for subjec t property D Signe dAcces s Agreement(s ) for adjacent property L

S Restoratio nAgreemen t D Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) " ^ Confirmatio ndat a S ^ Photograph s ^^Befor e DCre w Photo s IS . Durin g Excavatio nD So d gJO-daySod P '^HLAs-buil t sketc h ^ Completio nAgreemen t signe db y Property Owner ^ Property close-ou t chec k lis t signe db y EPA D Descriptio nofarea s no t meetin g RO D cleanup criteri a ' ^ Utility clearance s

" H Property informatio nfro mDougla s County Assessor' s Offic e H s Property acces s checklis t ­ 3026031 1 

### "I

g Contac t Lo g i D . . Superfun d 

### Environmental Res'toratio nSignatur e Date

' Date

### Omah a Lea d Site—EP-R7-09-0 5 Environmenta l Restoration , LL C www.crllc.co m 

# EXECUTIV ESUMMARY : 8243 0 - 161 6 Va N2 9 S T X 

# N o Issue s o r Concern s Q ] Issues/Concern s Detai l Explanation :

# EPA EP A Propert y Clos e Ou t For m Omah aLea dSit e Propert y # : ^2^'h O Propert y Address : 

# KflK ^ M ^ ^

6- r Date/Time : Owner' s Name : 

# c, ^ ^ C)rrot.V^Q ^ 

### Quad s Excavated : ^\ Contracto r Grou p : Environmenta l Restoratio n(ER ) Excavatio nGenera l 

# V(\cj\NrrLo r Ye s N o 1 . If necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? A 2 . I f necessary , wer e th e correc t area s ofdri p zon e excavate dan drestored ? 

# UK Gradin g So dan dVegetatio n Ye 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 fromth e house? . 

### A 2 . Ha s so dbee nlai di nall area s that wer e excavated ? tA 3 . Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat e if inspecte da t 30-day 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 30-day tim e period) . 6 . Wa s th e propert y grade dsuchthat wate r wil l no t poo l o nth e property ? lA 7 . Wa s damag e t o landscapin g or plan t material s avoided ? A Gates , Fence s an dRetainin g Wall s Ye s N o 1 . D o gate s ope nan dclos e freely ? (i f applicable ) 2 . Wer e al l gate s o r fence s takendow ndurin g restoratio nactivitie s re-installed ? (i f applicable ) 3 . Wa s damag e t o gate s o r fence s avoided ? (i f applicable ) \ 4 . Wa s damag e t o retainin g wall s avoided ? (i f applicable ) Foundation , Sidin g an dGutter s Ye s N o 1 . Wa s dama° e t o sidin aor tri mavoided ? 2 . Wa s damag e t o th e foundatio navoided ? 

# IS : 3 . Wa s damag e t o window s avoided ? 

# Al /\cA^ ^ 

# ik . 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 or downspou t extension s avoided ? Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 . Wa s damag e t o driveway surface s avoided ? 

## >^|tKCAK ' 

# \\Ar \ 2 . Wa s damag e t o walkway surface s avoided ? Inspectio nnotes :



### Remedia l an drestoratio nactivitie s complet e includin g 30-da y so dwarranty : EP A Representative : ,.-^^^>£g ^ yy(/f^.r..J^A ^ ^^ _ 

# Date : 11301 0Ada m Detric h From : Johnson.James@epamail.epa.go v Sent : Wednesday , Jul y14 , 201 0 12:0 1 P M To : Ada m Detrici n Subject : Re : Q Apropertie s result s fo r7/14/2010 . Adam , her e ar e th e result s fo rtoday' s properties . 161 5 KN 29t h S T= F l = 23 5 +/ - 2 8 512 4 Charle s S T= F2 = 2 1 +/ - 1 1 lie s N 49t h ST= B l = 29 5 +/ - 2 9 Dames A . Dohnson , MP H On-Scen e Coordinato r USEP A/ R7 / SUP R / ERNB 99 1 N . St h stree t KCK , K S 6610 1 913.551.795 8 offic e 913.551.905 8 fa x 816.516,495 4 cel l johnson . jamesfSepa . go v 'Toda yi s a goo d da yt o live " I > I From : | 

### I ......_ > > I Ada m Detric h <a.detrich@erllc.com > 

### I > .. . 

### I — — ——> I To : I I > > _ - I Dames Dohnson/R7/USEPA/US@EP A 

### I > — 

### I > I Date : | 

### I >

> ^ • 107/14/201 0 07:5 2 A M 

### I > 

## I 1

### Pag e 1 of 2

" > [ Creat e Anothe rTicke t ] [ Bac k t o Irt h Interne t ] Sen d Emai l ] 

### YOU RTICKE T NUMBE RI S 2540261 . Origina l Cal l Date : 7/09/1 0 Time : 1:2 4 pr a Op : TRACY241 8 6 Wor k t o Begi n Date : 7/13/1 0 Time : 2:0 0 p m State : N E County : DOUGLA S Place : OMAH A Address : 161 5 Street : N29T H S T Twp : 15 NRng : 13 E Sect-Qtr : 16-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Excavatin g th e entir e propert y Locatio n o f Work : LOCAT E ENTIR E PROPERT Y @ 151 5 1/ 2 N29T H S T Remarks : FAX AL L CLEAR S TO : {402)451-106 9 PROPERT Y I S ACTUALL Y 161 5 1/ 2 N29T H S T SAI D #3243 0 Compan y: Contac t Name : Alt . Contact : ENVIRONMENTA L RESTORATIO N TRAC Y BRISTO W Phone : Phone : (402)451-131 4 (314)504-487 4 Wor k Bein g Don e For : EP A Dept h o f Excavation : 1 2 Corne r Lot : Involve s Tunnelin g o r Horizonta l Borin g : CXCAT V LEVEL 3 MUDO l OMAHACO F NFront : Y NExplosives : N

0PPDGPR 5 QLNNEI C Rear ;

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e 

### Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , FN C HEID I 

### Alt : 402934046 9 Emerg : 402932975 7 Day : 877366834 4 LEVEL 3 LEVEL 3 COMMUNICATIONS , LL C N A 

### Alt : Emerg : 877366834 4 Day : 402504782 3 MUDO l METROPOLITA NUTILITIE S DISTRIC T SAND Y 

### Alt : Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFICSEWE RRICH/TRAFFI C 

### Alt : 402444516 1

I-'-H-*^ - //t¥j-i-iMi r HV\ /M ^ r\TC r 

### 'irti^intPmet/nHONNoticeCreation/MessageText.asp?ret=<RESULTS.. . 7/9/201 0

### Douglas County 

### NE 

## GIs Map LEGEND Minor Streets 

# I Major Streets

Disclaimer: This map is not guaranteed to be accurate, correct, current, or complete and conclusions drawn are the responsibility of the user.

### Pag e 2 of 2 Emerg : 402444516 0 OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T Day : 406728934 3

EL M LOCATrN GAh : 406207149 4 Emerg : 888728934 3 QLNNEI C QWES T LOCA LNETWOR K Day : 406728934 3

EL M LOCATIN GAlt : 406207149 4 Emerg : 888728934 3

httD://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 7/9/201 0

## Contac t Informatio n Lo g SAID # ?Ai9 0 

# g,/ /



# U h^ ^

Attemp t t o contac t Date/tim e Nam e Pt^/lA ^ ^^A/€c£ . 

## iZ^iu ^ 

# I-ZI-f b l^-20 f

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## Propert yAcces s Checklis t

Owner : jj,^^ ^ (^- P ] oh^/VNcl* ^ Renter : 1 / Phone : 

# ^'''•" " B.i ( b-k^s h ' Fax : Cell/Pager : 

### Phone : C/^f/
- Y^/^ T Additiona l Information : Fax : Cell/Pager : Acces s Agreement 

### Signed : 2- / // /

i O 

## W R Restoratio nAgreemen t Signed : 2- / / / /

/g > 0 Vide o Propert y Befor e O n X 7^ 7 / / » 

### 2 3 Digital Photo s Before O n: S / * T / { 4 

### nVide o Propert y After On / / 

### nDigital Photo s After On Hs^Propert y Completio nAgreement Signed : 7 /^// O r~ l Fina l Report Signed : / /

Omah a Lead Projec t Wor k Pla n 

### Page l o f 1 9

## Consen t fo rAcces s t o Propert y SABD # ^^V3 0 RIGH T O FENTR Y T O PREMISE S 

### Granto r (th e property ovmer) , consent s t o an dauthorize s th e Unite dState s Environmenta l Protectio nAgenc y (USEPA ) or it s authorize drepresentatives , collectivel y th e Grante e t o enter an dperfor mcertai nenvironmenta l respons e activitie s upo nth e followin g describe dpremises. : Daytim e Phone : W'T ^ ^ Z / ^ Address : ,| ^ ( ^ |/ ^ ^ ^ ^ S f Address : Addresse s o f Propertie s covere db y thi s Address : Agreement : Address : Address : PURPOS EO FINVESTIGATIO N 

### Th e purpos e o f th e remedia l activitie s i s t o remov e al l soil s at th e propert y whic hare contaminate dwithhazardou s substances , i nparticular lea dat concentration s greate r than,o 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 performe do nsai dproperty may includ e th e followin g activities : a .Takin g photograph s and/o r vide o o f th e property before , during , an dafter remedial activities ; b .Locatin g equipmen t an dmachinery on-sit e i npreparatio nfor an di nth e cours e ofth e environmenta l response ; c .Plannin g an dimplementin g th e remova l actio no no r nea r Grantor' s property . d .Obtainin g sample s fromGrantor' s property ; AGREEMEN T NO TT o INTERFER E Th e Granto r agree s no t t o interfere o r tampe r wit han y o f th e activitie s o r work done , o r th e equipmen t use dt o perfor mth e activities , o r t o undert^ e any action s regardin g th e us e o f sai d propert y whic hwoul dten dt o endanger th e healt ho r welfar e o f th e Grantee s o r th e environment , o r

t o allow-other s t o us e th e property i nsuc h I gran t acces s to my propertie s nI do not gran t acces s t o my propertie s

Signature " I] 7 • Dat e Signatur e 1

### ^ ^

Chec k thi s bo xi f owne rdoe s no t wan t E.R . t o ente rth e resident s t o documen t interio r ^fobindatio n wall s an d possibl e preexistin g damage . Bycheckin g thi s boxE.R . i s no t responsibl e

fo ran ydamag e don e t o th e interio f o f house , includin g foundatio n crack s o rfissures .

Q I d o no t agre e nI agre e r~ l I d o no t agre e 

# -^^^4^. . ^/^? l ^£tS££fL.2-A7lVP^^^ . Owner' s Sigi^jfiiir e ( Date Contractor' s Signature Dat e

# Restoratio n Agreemen t Th e purpos e p f thi s agreement i s t o provid e amutua l agreemen t a s t o condition s o f propert y prio r t o contracto r activities . Thi s wil l als o serv e a s documentatio nfo r th e purpos e o f assurin g tha t restoratio n activitie s ar e complete dt o th e satisfactio no f th e propert y owne r an dth e Unite dState s Environmenta l Protectio nAgenc y (EPA) .

SAID : 

# "€2773 0 Propert y Address : 

## ^ F ­ 

# Vcf^A-: ^ M 2?'7 ^ Owner : 

# /l.- ^ e -f ^ \77>u^c ^ ^<2 ^ 

# B.( | Lu^A^h Phone : 

# vw - 

# Hz^ r O nth e attache ddiagram(s ) indicat e area(s ) t o b e excavate dan ddeptho f excavation , locatio no f al l know n utilities , subsurfac e 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 . Indicat e digita l photo s b y referencin g th e photo-lo g numbe r wit ha narro w indicatin g directio no f view . Item s t o b e remove d b yContracto ran d no t replaced :

Ite r 

# Mko f Coll ar^i^ j lOiU . 5D^ IS ^ <A>J ^ Ite m item : Item : Item : Item : Item :

Pag e 1 o f 2

### Additiona l Comment s / Instructions :

- ^ I agre e • I d o no t agre e 7 ] I agre e ^ I d o no t agre e
^-/r-Aci/^ o 

### Owner' s Signa t f Date Contractor' s Signatur e Dat e Attachment s

Pag e 2 o f 2

## Propert yCompletio n Agreemen t Thi s agreemen t document s th e completiono f remedial activitie s performe do nmy property . M y signatur e wil l designate tha t I amsatisfie dwit hth e restoratio no f m y property , an dtha t n o item s are i n question , now , o r at any tim e i nth e future , excep t thos e item s liste dbelow , ifany . 

## SAID : tT^'i'B O Propert y Address : j { a1 5 *7 z A I '2,^'^ ^ Owner : 

## Ct ^ ^ 0>r<^cAi ^ Rc K UAj^ h Phone : C^cfC/ ^ H^^f ^ 

### Restoratio nItem s inQuestion :

Item : item : Item : Item : Item : Item :

T ^ I agree restoratio nis completed , except a s note d^ ^ I agre e restoratio ni s completed , excep t as noted I I I do no t agre e restoratio ni s complete d| | I d o not agre e restoratio ni s completed

Owner' s l^ignatfere Dat e f ] Contractor' s Signatur e Dat e

### Dougla s County Accoun t Informatio n Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d - R221281000 D Prin t Repor t NE W Featur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t o f 52n d S t - ViewO n ft/lap informatio n i s vali d a s o f 2009-11- 3 Treasurer' s Ta xRepor t Ne wFeatur e ->->- > Aut o Sale s Searc h Owne r CIT YO F OMAH A C/

O CIT YFINANC E 181 9 FARNA M S T OMAH AN E 68183-000 0 PropertyInformatio n Ke yNumber : 128 1 OOO O 2 2 Accoun t Type : E xGovernmen t Parce l Number : 

### 221281000 0 Parce l Address : 161 5 1/ 2 N 2 9 S T OMAH AN E 68111-000 0 Lega l Description : SHINN S 2N D AD D LO T6 BLOC KTN 1 1/ 2 S 3 8 1/ 2 FT Valu e Informatio n Lan d Improvemen t Tota l 

### 200 9 $0.0 0 $0.0 0 $0.0 0 200 8 $0.0 0 $0.0 0 $0.0 0 200 7 $0.0 0 $0.0 0 $0.0 0 200 6 $100.0 0 $0.0 0 $100.0 0 200 5 $100.0 0 $0.0 0 

### $100.0 0 200 4 $100.0 0 $0.0 0 $100.0 0 Sale s Informatio n Sale s Date : 2007-04-2 0 Dee d Type : SW D 

### Boofc ; 1 200 7 Page : 07877 6 Price : $50.0 0 Grantor : Lan d Reutilizatio n Commissio n Grantee ; Cit yo f Omah a Valid/Invalid : 

### Invali d Exclusio n Reason : LR C Sal e Sale s Date : 

### 2005-02-1 8 Dee d Type : SH D Book : 200 7 Page : 07877 5 Price : $0.0 0 Grantor : Dougla s Count ySheriff

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### http://douglasne.maDDina-online.com/Dnnalq<:rnNrp/ctntiV/c. r

# 1 Dougla s County Account Informatio n Pag e 2 of 2 Grantee : Lan d Reutilizatio n Commissio n Valid/Invalid : Invali d Exclusio n Reason : LR C Purchas e Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0. 0 12. 0 0. 0 6. 0 2. 0 Ye s

—X> ^ 11/1 1 /TAA H 

### http://douglasne.rnapping-online.com/Dou2lasCoNe/statir./flf^r.niintinfr . ;cr.9or>r-r.Tir.fr,^=T >

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