### TRANSMITTA Lo f OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SA1D# : "^{ylO- } Date : Address : 7.<"7: ^ Z^cryo Z^-J- i Remediatio nContractor : _Envrionmenta l Restoration , LLC

_Year : 200 9 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S ;Z ^ Vide o o f property (DVD ) _a^for e DAfte r JS-Basement • y 0 Executiv e Summar y (Fina l Report ) jy ^ EPA-provide dproperty sketc h jy ^ Signe dAcces s Agreement for subjec t property D Signe dAcces s Agreement(s ) fo r adjacent property y ^ Restoratio nAgreement D Settlement document s (i.e. , for damag e or t o replac e plants , etc. ) yy Confinnatio ndat a X] ^ Photograph s [Z I Befor e DCrew Photos ^ Durin g Excavatio n[? f So d X30-da y So dD . . ZAs-buil t sketc h p f Completio nAgreement signe dby Property Owner y f Propert y close-ou t check lis t signe db y EP A D Descriptio nofarea s not meetin g RO D cleanup criteri a
• ^fj^l" ^Utilit y clearance s JZPropert y informatio nfromDougla s Count y Assessor' s Offic e

- 0 Propert y acces s checklis t J S Contac t Lo g 3026045 1 D Superfun d 

### Environmental Restoratio nSignatureDat e i EPACO Rsienature / Dat e

### Omah a Lea d Site—EP-R7-09-G 5 Environmenta l Restoration , LL C vrtvw.crllc.co m •^^ . v*-
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## r:xECUTiv R .SUMMARY : 

## 3670 1 - 2572 Fort S T N o Issue s o r Concern s Q ] lssuc:s/C()iiccnKS )e(;ii l l-.xplnnation : 

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# -EP A EP APropert y Clos e Ou t For m Omah aLea dSit e OU#2 Propert y # : 

# bt^io l Propert y Address : ^5"J?S„-Efi;i.__'?t : Date/Time : Owner' s Name : -t^-^le ^ r>n\-tAI . Quad s Excavated : ffi l f3 i j') 2 Contracto r Grou p : Environmenta l Restoratio n(ER ) Excavatiort Genera l Ye s N o I . Ifnecessary , were the correc t quadrant(s ) excavate dandrestored ? / 2 . Ifnecessary , were the correc t area s ofdri p zon e excavate dandrestored ? 

# 3 y Gradin g So dan dVegetatio n Ye s N o 1 . Doe s th e gradin g aroun dth e perimeter ofth e hous e i nexcavate darea s generall y slop e awa y fromth e 

## y house ? 2 . Ha s so dbeenlai di nall area s tha t wer e excavated ? 

## y 3 . Doe s th e so dappear t

o b e generall y healthy andgrowing ? (Only evaluate ifinspecte da t 30-da y time period) . 4 . Are sodde darea s generall y fir mandevenly graded ? / 5 . Are thejoint s betweenthe sodstrip s generally tight ? (Only evaluate ifinspecte da t 30-da y time period) . 6 . Wa s the property grade dsuchtha t water will not poo l onthe property ? » / 7 . Wa s damag e to landscapin g or plant material s avoided ? 

## y Gates , Fence s an dRetainin g Wall s Ye s N o D o gate s openandclos e freely? (if applicable ) 2 . Were all gate s or fence s takendowndurin g restoratio nactivitie s le-installed ? (ifapplicahle ) 

### T ^ 3 . Wa s damag e to gate s o r fence s avoided ? (ifapplicahle ) 4 . Wa s damag e to retainin g wall s avoided ? (ifapplicahle ) Foundation , Sidin g an dGutter s Ye s N o 1 . Wa s damag e to sidin g or trimavoided ? 

### y 2 . Wa s damag e t o th e foundationavoided ? 

## y 3 . Wa s damag e to window s avoided ? 

## f 4 . Wa s damag e to windo w screen s o r doo r screen s avoided ? y 5 . Wa s damag e to downspout s or downspout extension s avoided ? i / Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 . Wa s damag e to drivewa y surface s avoided ? 2 . Wa s damag e to walkwa y surface s avoided ? Inspectio nnotes : 

### r«^ue,sic< L-^iuJc -\\ y u>{/irif 3 e'K
- ^oi i " iGwoe,eT > Remedia l an drestoratio nactivitie s complet e includin g 30-day so dwarranty : EP ARepresentativ e 

# 33umi,.yMM6<Js^cr ^ Date : 

## 3IZL{I O

### Contac t Informatio n Lo g SAID # 3(^?<3 Z I Owner' s Name : ^5^?/- ^ _g^/ ^ U | Daytim e Phone : Q ^ y ^ LJ^ ^ l , \ Propert y Address : d^S^X f^-r Z,iy A 

### Attemp t t o contac t Date/tim e Nam e ^ZWCKif ^ '^• ^

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## Propett yAcces s Checklis t SAID: Z)^~]^ i D WOR K STARTE D ON ; / / nWORKCOMPELTE D ON : / / PrcpertyAddress : 2Z ^ 1 0 /^^ ^ ( ^

^ |V LAcces s Agreemen t ^ Restoratio nAgreemen t L 3 Vide o Propert y Befor e L 3 Digita l Photo s Befor e \I Vide o Propert y Afte r Signe d 

## •-ALZZLi ^ Signed : / / I ) f I 

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### By : 1 1 nVide o Reason : D Digital Phot o O n: / / By : j

Omah a Lea d Projec t Wor k Pla n Pag e 1 o f 1 9

### I 

## Consen t fo rAcces s t o Propert ySA1D # ?ZJlO J RIGH T O FENTR Y TO PREMISE S 

### Granto r (th e propert y owner) , consent s t o an dauthorize s th e Unite dState s Enviromnental Protectio nAgenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grante e t o ente r an dperfon ncertai nenvironmenta l respons e activitie s upo nth e followin g describe dpremises. : I Owner' s Name : 0:^1^/ C (Z'r ^ I f V | Daytim e Phone : HS'']-^S~~yO! > Address : 2^-]: ^ 

# Z-^rZS3 : 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 remedial activitie s i s t o remov e al l soil s at th e propert y whic har e contaminate dwit hhazardou s substances , inparticula r lea da t concentration s greater than.o r equa l t o 40 0 part s pe r millio n(ppm) . REMEDIA LACTION S 

### Th e environmenta l respons e action s to b e perfomie donsai dproperty ma y include th e following activities : a .Takin g photograph s and/o r vide o o f th e property before , during , an dafte r rernedia l activities ; b .Locatin g equipmen t an dmachiner y on-site i npreparatio nfo r an dinthe cours e ofth e environmental response ; c .Plarmin g an dimplementin g th e removal actio no no r nea r Grantor' s property . d .

Obtainin g sample s fromGrantor' s property ; .AGREEMEN T NO T T O INTERFERE 

### Th e Granto r agree s not to interfere or tampe r wit hany o f lh e activitie s o r wor k

done , or the equipmen t use dto performth e activities , or t o undertake any action s regardin g th e us e o f said propert y whic hwoul dten dt o endange r th e healtho r welfare ofth e Grantee s or the environment , o r

t o allo w other s to us e th e property insuc h v \I gran t acces s t o m y propertie sQ I do not gran t acces s t o m y propertie s
i . •-yf •' J 

# Z ZZ3Z<- 3 y>^^^A3t i Z - jZ-y3 ^ Signatur e Date Signatur e Date

### Additiona l Comment s / Instructions :

•Chec k thi s bo xi fowne rdoe s no t wan t E.R . t o ente rth e resident s t o documen t interio r foundatio n wall s an d possibi e preexistin g damage . B ycheckin g thi s boxE.R . i s no t responsibl e fo ran ydamag e don e t o th e interio ro fhouse , includin g foundatio n cracks o rfissures .

F l I agre e [ H I d o no t agre e 

## D I agre e I I'l l d o not agre e 

# i Z ' . / 

### • ' Z Owner' s Signature / / 

# -I k

^""^^Daf ^ / Dat e Oontractor YSignbtu ^ 7

## Restoratio n Agreemen t Th e purpos e o f thi s agreement i s t o provid e amutual agreement 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 owner an dth e Unite dState s Environmental Protectio nAgenc y (EPA) .



## SAID : 3^7^ / PrcpertyAddress : ^57: 2 /PJ/ / 6 Z Owner : 

## ^si>j cr'^^k' y 

# ^vt^nt. : ^r^-i-HrriS-^ , O nth e attache ddiagram(s ) indicate area(s ) to b e excavate danddept ho f excavation , locatio nofal l know n utilities , subsurfac e features , surfac e structure s an dlandscapin g features , acces s location(s ) to b e use dby 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 :



### Item : 

# OUnt f

l^il l 113. 6 ^Z . 

# 3y-el(/c:- A 1 

# c^A a/y^ a Item : 

# J Item : 

# kl l 3> h Item : Item : Item : Item :

Pag e 1 o f2

### Additiona l Comment s / Instructions :

ly f I agre e [Z l I do no t agre e D I agre e I d o no t agre e 

# fyy^Jr^yr//-jo-^> y Owner' s Signatur e J ; Date Attachment s

Pag e 2 o f2

## Propert y Completio nAgreemen t Thi s agreemen t document s th e completio no f remedial activitie s perfonnedo nmy property . M y signatur e wil l designate that I a msatisfie dwit hth e restoratio no f m y property , an dthat n o item s are i n question , now , or a

t an y tim e inth e future , excep t thos e item s liste dbelow , if any . SAID : 3[^-lO / PrcpertyAddress : '^j:^^^ . f^r f ^ - I Owner : B.<^/ ^ F^Wljj Z

e'bon e 

### Restoratio nItem s I nQuestion : Item : Item : Item : Item : Item : Item : Additiona l Comments :

I agre e restoratio ni s completed , excep t a s note d II d o no t agre e restoratio ni s complete d o no t agre e restoratio ni s complete d 

## ffll I agre e restoratio ni s completed , excep t a s note d 

## c/a g

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### Owner' s Signature C /

Bat e Contractor' s Signatur e Dat e I

### Dougla s Count y Accoun t Intc^i^Pl i Dougla s County , Nebrask a Propert yRecor d - R220258000 0 ! Prin t Repor t l„f,^,•.«-•; ^ i, . ,,-i- j „ „ „ fonn n n o i NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t of52n d S t - VJe WO n Ma p Informatio n i s vali d a s o f2009-1 1 - 3 | Treasu.r^erlsjfa xReppr t

.. . 1 Ne wFeatur e ->->•- * Aut o Sale s Searc h Owne r FINLE YESSI E M — ETA L 257 2 FOR TS T OMAH AN E 68111-000 0 Propert yInformatio n Ke yNumber : 025 8 OOO O 2 2 Accoun t Type : Residentia l Parce l Number : 220258000 0 Parce l Address : 257 2 FOR TS T OMAH AN E 68111-000 0 Lega l Description : SEYMOUR S AD D LO T1 4 BLOC K1 S 6 F TE 4 1 1/ 3 F TL T1 5 & E 4 1 1/ 3 F TLT S 138.4 1 1/3X11 0 Valu e Informatio n j Lan d \ Improvemen t ] Tota l 200 9 $2,300.0 0 \ $18,300.0 0 $20,600.0 0 200 8 ! ~ $2,300.0 0 $18,300.0 0 i $20,600.0 0 200 7 $2,300.0 0 $19,500.0 0 $21,800.0 0 200 6 ; $2,300.0 0 : $19,500.0 0 $21,800.0 0 200 5 1 $2,300.0 0 $19,500.0 0 ] $21,800.0 0 200 4 1 $2,300.0 0 $12,100.0 0 $14,400.0 0 Sale s Informatio n Sale s Date : 2007-02-0 8 Dee d Type : Q C 1 Book : 1 200 7 i Page : 01544 8 Price : $0.0 0 Grantor : FINLE YESSI E M Grantee : FINLE YESSI E M ETA L Valid/Invalid : Invali d Exclusio n Reason : Famil ySal e Lan d Informatio n Acre s j S F 1 Unit s j Dept h \ Widt h Vacan t 0. 1 i 4 510. 0 i 1. 0 "TlO O '••1 41.0 " "• " •' N o Improvemen t Informatio n

1 ••• • 

### _^-" « rn,qnnina-onllne.com/DouglasCoNe/static/accountinfo.jsp?accountno=R22.. . ll/9/2 (

### Dougla s Count y Account Info '

Buildin g 1

!.wi'iniAiii.iiiiJimu , __^. , "CLIC KTOE N LARGEMAG E Squar e Footage : 1482. 0 Perimete r 0. 0 Uni t Type :

Buil t As : 1 1/ 2 Stor yFi n HVAC : Force d Ai r Exterior : Fram e Sidin g Interior : Dryv\/al l Roo fCover : Compositio n Shingl e

Roo fType : Gabl e Floorcover : •Allowanc e Yea rBuil t Yea r Remodele d Percen t Remodele d 191 2 0 % Detai l Typ e Deta/7 Descriptio n Applianc e Allowanc e Basemen t Bsmn t Bloc k 8 f t Fixtur e Additiona l Fixture s Fixtur e Bas e Fixture s Fixtur e Bat h Ful l Porc h Sla b Roo fCeilin g • » I 'iKlfi i -3^ ; 

## ZM 'W^rt f

CLIC KT O ENLARG E IMAG E Percen t Complete : 100.0 % Quality : Fai r Condition : Poo r Cond o Squar e Footage : 0. 0 Rooms : 6. 0

Units : 1. 0 Baths : 1. 0 Bedrooms : 4. 0 Stories : 1. 5 Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Adjuste d Yea r Physica l Ag e Buil t 191 2 9 7 Unit s 1. 0 912. 0 1. 0 1. 0 1. 0 144. 0



### iflnniim-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R22.. . 11/9/2 0

## Consen t fo rAcces s t o Propert ySAID # ZZZlO j RIGH T O FENTR Y T O PREMISE S 

### Granto r (th e propert y owner) , consent s t o an dauthorize s th e Unite dState s Environmenta l Protectio nAgenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grante e t o ente r an dperfor mcertai nenvironmenta l respons e activitie s upo nth e followin g describe dpremises. : Owner' s Name : ^ ^ ^/^ ^ ff' ^ j^y ^ 

### Daytime Phone : Address : ^^l^X 

# Z-c ^ 5 Z 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 a t th e propert y whic har e contaminate dwit hhazardou s substances , i nparticula r lea da t concentration s greate r than.o r equa l t o 40 0 part s pe r millio n(ppm) . REMEDIA L ACTION S 

### Th e environmenta l respons e action s t o b e performe do nsai dpropert y ma y includ e th e followin g activities : a .Takin g photograph s and/o r vide o o f th e propert y before , during , an dafte r remedia l activities ; b .Locatin g equipmen t an dmachiner y on-sit e i npreparatio nfo r 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 fro mGrantor' s property ;

• AGREEMEN T NO T T O INTERFER E 

### Th e Granto r agree s no t t o interfer e o r tampe r wit han y o f th e activitie s o r wor k done , o r th e equipmen t use dt o perfor mth e activities , o r t o undertak e an y action s regardin g th e us e o f sai d propert y whic hwoul dten dt o endange r th e healt ho r welfar e ofth e Grantee s o r th e enviromnent , o r

t o allo w other s t o us e th e propert y i nsuc h p nI gran t acces s t o my propertie s Q I d o no t gran t acces s t o my propertie s

, / C'T^ - 

## jyZ-<-3.^ . ,;.. / y\.-->-i . 

### iA3i i y 

# Z^y3 ^ Signatur e Dat e Signatur e Date

### Additiona l Comment s / Instructions :

•Chec k thi s bo xi fowne rdoe s not wan t E.R . t o ente rth e resident s t o documen t interio r foundatio n wall s an d possibl e preexistin g damage . B ycheckin g thi s bo xE.R . i s no t responsibl e fo ran ydamag e don e t o th e interio ro fhouse , includin g foundatio n crack s o rfissures .

[ 3 I agre e Q I d o no t agre e I 1 1 agre e nI d o no t agre e 

## Zy.. . . 

## _.f
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# i l±:-3)Z--y ^ Owner' s Signatur e / V Date Contractor' s Signatur e 

### Dat e

## Restoratio n Agreemen t Th e purpos e o f thi s agreemen t 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 that 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 Environmental Protectio nAgenc y (EPA) .



## SA^P : 30Zb l Propert y Address : ^^7J 2 IZ)/ ZS ^ Owner : /%-gy ^ /^' ^ I f}/ . 

### Phone : O nth e attache ddiE^ram(s ) indicate area(s ) t o b e excavate danddeptho f excavation , locatio nofal l know n utilities , subsurfac e features , surfac e structure s andlandscapin g features , acces s location(s ) t o b e use db y contractor , an dth e directio no f North . Indicat e distances , depths , materia l types , etc . Indicat e digital photo s b y referencin g th e photo-lo g number witha narro w indicatin g directio no f view . Stem s t o b e remove d b yContracto ran d no t replaced :



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Pag e 1 o f2

### V ^ I agre e dI d o no t agre e • I agre e nI d o no t agre e y 

# Z3^n3y^ iJ\..-iy3~.Zr-ryCz^ r /•/
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### Attachment s

Pag e 2 o f2

### ENVIRONMENTA L AS-BUIL TDRAWIN G

* 9 % wm^m f *% m pp<;Tr>DATir^ w 

### 3670 1 Omah a Lea d Sit e Lxt«rio rP*n 1 r^Q h Ajrow v Sii vSKvtcl i SafTiplir s Ac)drc«« : »7 yFOR TS T Q ] Nott>.iin t .^nmn< ANtimtx^ r Lea d Sampl « LA B Sompo * Co<le<t<M j Concenira'to n CoHecie d 

### F.rm: PE TC-C . p.g . RYASCPXA-36r0 1 F l ZI P pp m 

### D Dat e 7 - M 

### - 0J < RVBSCPX A3070 1 F a 

### -aj L pp m 

### Q ^ Tirit« 5 1 W: D Afc«-\ RYCSCP> A3670 1 B l 

### D Sample s Aruilyze d RYDSCP>A-3*70 1 B 2 2.a' 7 pp m 

### G T 

### D ROZSCPXA-3670 1 0 2 I&5. 5 pp m 

## oa r D XR F Ur n 1 (a5^ 0 Boo k 

## ^/ ? nOgBGPii A387 0 < M pp m 

## u U Dat e 

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### Contract* : EP-R7-09-0 5 Environmenta l Restoratio n LL C

# Illllllillilliiill i 3670 ! Omah a Lea d Sit e Sit e Sketc h Samoiin a Address : 2572 FOR TST Sampl e Numbe r RYASCPXA-3670 1 RYBSCPXA-3670 1 RYCSCPXA-3670 1 RYDSCPXA-3670 1 RDZSCPXA-3670 1 nCZGOPXA . 3670 1 fiPZGCPXA-3670 1 F l F 2 B l 8 2 D Z G ^

P2 ­ ^La b RYBSCPLA-3670 1 'Resul t Lea d Sampl e LA B Concentratio n Collecte d 2 1 0 pp m 

## D H 3 I pp m GUC O pp m 

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### Firm : V t ^. C D-g . Date : 7 - l( - Q g Time : |(?!0r > ^V \ Sample s Analyze d I ^6 S pp m XR F Unit : CnSH O Book : 2/ ? 

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## D Staff : C^iy i Numbe ro fSample s = | ^ \ \ \ | ^3!333} . _= Fron t Right , B l = Bac k Leff , B 2 = Bac k Righ t D Z = Dri p Zone . G Z = Garden , P Z = Pla y Al l quadrani s are as viewe d fro m th e street , facin g propert y



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# Iiillliilllliill i 3670 1 Exterio rPain t North Arro w 

### Omah a Lea d Sit e •Goo d Sit e Sketc h Samplin g Address : 2572 FOR TS T 

# 1 [~ ] No t pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r 

# I LA B Concentratio n Collecte d Firm : 

## p r(3'C . D-B . RYASCPXA-3670 1 F l 2 7 O pp m 

# n Date : 

## 7 - K-O g RYBSCPXA-3670 1 F 2 "4 3 1 pp m Time : \0-C)< \ ^N \ RYCSCPXA-3670 1 B l C>(DC: > pp m 

## D Sample s Analyze d RYDSCPXA-3670 1 B 2 2 e 7 pp m 

# n RDZSCPXA-3670 1 D Z 

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### D XR F Unit : Gi^H O Book : 2/ 5 RGZSCPXA-3670 1 G 2 - pp m 

## D D Date ; 1-ZH-O ^ RPZGCPXA-3670 1 P? - • " pp m 

## D D Time : 

# D /^rv ^ Staff : La b RYBSCP17V-3670 1 

## msu ) Numbe ro f Sample s • a : Resul t 397pp m i-wuw . .« . _= Fron t Right , B 1 = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z Pla y Al l quadrant s ar e a

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Indci . . •Kciidin ^ )N o lim e SAI D ADDItpS S SAMI'I. K AKK AOI'KUAIO U o m I I N O 1 i; S A \ I'.RAG K I' h 1 160 9 2009-12-0 7 13:1 8 3670 1 257 2 For t S l E Z AD.A. M surfac e final clearanc e 302.5 8 =c 26.9 7 2 161 0 2009-12-0 7 13:1 9 3670 1 257 2 Fo n S t E Z .ADA M surfac e lina ! clearanc e 299.5 1 i 26.8 2 3 161 1 2009-12-0 7 13:1 9 3670 1 257 2 Fo n S I E Z ADA M surfac e iina l clearanc e 296.0 3 ± 26.6 5

• i 161 2 2009-12-0 7 13:1 9 257 2 Fo n S i F,Z ADA M surfac e final clearanc e A '(:on609-16 1 •299..''- 3 ± 26.8 1 5 161. 1 2009-12-0 7 13:2 3 3670 1 257 2 Fo n S i B l ADA M 11 ) final clearanc e 61.3 S .. . 14.6 9 6 161 4 2009-12-0 7 13:24 3670 1 257 2 For t St B l ADA M 1 0 fina l clearanc e 58.3 1 ± 14.43 7 I6l.' i 2009-12-0 7 13:2 5 3670 1 257 2 Fo n S l B l ADA M 1 0 final clearanc e 62.9 3 ± 14.9 7 8 161 6 2009-12-0 7 13:2 5 257 2 Fo n S t B l ADA M 1 0 final clearanc e A •goflbl3-16 1 60.8 7 ± 14.7 0 9 162 7 2009-12-0 7 13:.1 4 3670 1 2572 Fo n S t D Z ADA M 1 3 final cleanmc e 96.7 3 I 1 6 S 9 1 0 162S 2009-12-0 7 13:35 3670 1 2572 For t S

t D Z ADA M 1 3 final clearanc e 96.4 8 ± 16.65 1 1 162 9 2009-12-0 7 13:35 3670 1 257 2 Fo n S t D Z ADA M 1 3 final clearanc e 92.4 3 ± 14.7 8 i : 163 0 2009-12-0 7 13:35 257 2 Fo n S t D Z ADA M 1 3 final clearanc e A • g o f1627-16 2 95.2 1 ± 16.1 0 1. 1 205 3 2010-03-0 9 17:4 6 3670 1 257 2 fo n s t F 2 ADA M 3 final clearanc e 146.9 5 ± 2 0 4 5 1 4 205 4 2010-03-0 9 17:4 7 3670 1 257 2 fons t F 2 ADA M 3 final clearanc e 155.0 8 ± 20.8 9 1 5 205 5 2010-03-0 9 17:4 7 3670 1 257 2 fon s t F 2 ADA M 3 final cieaninc c 14 5 6 8 ± 20.4 2 1 6 205 6 2010-03-0 9 17:4 7 257 2 fo n S I F 2 ADA M 3 final clearanc e A •gof2053-:0 5 149.2 4 ± 20.5 9

Ptlji t I o fI 0.3/09/1 0 17:50:2 9'eadingN o Tim e SAI D ADDRES S SAMPL E AREA OPERATO R DEPTH NOTE S 

### AVERAGE . r0i 0 ^P b Pb Erro r 160 9 12/7/200 9 13:1 8 3670 1 257 2 For t S t E Z ADA M surfac e fina l clearanc e 302.5 8 26.9 7 161 0 12/7/200 9 13:1 9 3670 1 257 2 For t S t E Z ADA M surfac e fina l clearanc e 299.5 1 26.8 2 1611 12/7/200 9 13:1 9 3670 1 257 2 For t S t E Z ADA M surfac e fina l clearanc e 296.0 3 26.6 6 161 2 12/7/200 9 13:1 9 257 2 For t S t E Z ADA M surfac e fina l clearanc e Avg o f1609-161 1 299.3 8 26.8 1 161 3 12/7/200 9 13:2 3 3670 1 257 2 For t S t B l ADA M 1 0 fina l clearanc e 61.3 8 14.6 9 161 4 12/7/200 9 13:2 4 3670 1 257 2 For t S t B l ADA M 1 0 fina l clearanc e 58.3 1 14.4 3 161 5 12/7/200 9 13:2 5 3670 1 257 2 For t S t B l ADA M 1 0 fina l clearanc e 62.9 3 14.9 7 161 6 12/7/200 9 13:2 5 257 2 For t S t B l ADA M 1 0 fina l clearanc e Avg o f1613-161 5 60.8 7 14. 7 162 7 12/7/200 9 13:3 4 3670 1 257 2 For t S t D Z ADA M 1 3 fina l clearanc e 96.7 3 16.8 9 162 8 12/7/200 9 13:3 5 3670 1 257 2 For t S t D Z ADA M 1 3 fina l clearanc e 96.4 8 16.6 5 • 162 9 12/7/200 9 13:3 5 3670 1 257 2 For t S t D Z ADA M 1 3 fina l clearanc e 92.4 3 14.7 8 163 0 12/7/200 9 13:3 5 257 2 For t S t D Z ADA M 1 3 fina l clearanc e Av g o f1627-162 9 95.2 1 16. 1 205 3 3/9/201 0 17:4 6 3670 1 257 2 for t st F 2 ADA M 3 fina l clearanc e 146.9 5 20.4 5 205 4 3/9/201 0 17:4 7 3670 1 257 2 for t st F 2 ADA M 3 fina l clearanc e 155.0 8 20.8 9 205 5 3/9/201 0 17:4 7 3670 1 257 2 for t s t F 2 ADA M 3 fina l clearanc e 145.6 8 20.4 2 205 6 3/9/201 0 17:4 7 257 2 for t st F 2 ADA M 3 fina l clearanc e Avg o f2053-205 5 149.2 4 20.5 9Readin g N o rim e Duratio n AVERAG E ADDRES S f f?«r * SAMPL E AREA OPERATO R DEPT H NOTE S SAI D P b Pb Erro r 145 5 12/5/200 9 18:0 8 30.5 8 2S1 1 for t st D Z MICHAE L 1 3 fiel d clearanc e 145 4 12/5/200 9 18:0 7 30.2 4 257 2 for t st D Z MICHAE L 1 3 fiel d clearanc e 145 3 12/5/200 9 18:0 7 30.5 6 2572 for t st D Z MICHAE L 1 3 fiel d clearanc e 1451 12/5/200 9 18:0 4 30.3 1 257 2 for t st B l MICHAE L 1 0 fiel d clearanc e 145 0 12/5/200 9 18:0 4 30.2 1 257 2 for t st B l MICHAE L 1 0 fiel d clearanc e 144 9 12/5/200 9 18:0 3 30.1 8 257 2 for t s t B l MICHAE L 1 0 fiel d clearanc e 141 9 12/5/200 9 13:5 5 2.75 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 141 8 12/5/200 9 13:5 5 2.73 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 141 7 12/5/200 9 13:5 5 5.04 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 141 6 12/5/200 9 13:5 4 3. 4 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 141 5 12/5/200 9 13:5 4 4.0 4 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 141 4 12/5/200 9 13:5 4 6.9 6 2572 for t s t OTHE R MICHAE L N/ A spo t tes t 141 3 12/5/200 9 13:5 3 24.8 7 2572 for t s t OTHE R MICHAE L N/ A spo t tes t 141 2 12/5/200 9 13:5 2 20.4 7 2572 for t st OTHE R MICHAE L N/ A spo t tes t 1411 12/5/200 9 13:5 1 7.37 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 141 0 12/5/200 9 13:5 0 8.83 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 140 9 12/5/200 9 13:4 9 16.5 4 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 140 8 12/5/200 9 13:4 9 7.1 2 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 139 3 12/5/200 9 11:3 9 3.7 2 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 139 2 12/5/200 9 11:3 9 6.7 2 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 139 1 12/5/200 9 11:3 8 11.7 6 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 139 0 12/5/200 9 11:3 8 7.78 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 138 9 12/5/200 9 11:3 7 4.0 4 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 138 8 12/5/200 9 11:3 7 4.4 2 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 138 7 12/5/200 9 11:3 7 3.7 8 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 138 6 12/5/200 9 11:3 7 6.0 4 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 138 5 12/5/200 9 11:3 7 7.1 2 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 138 4 12/5/200 9 11:3 6 5.6 9 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 138 3 12/5/200 9 11:3 6 3.34 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 138 2 12/5/200 9 11:3 6 4.0 6 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 1381 12/5/200 9 11:3 5 3.7 4 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 138 0 12/5/200 9 11:3 5 4.3 7 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 137 9 12/5/200 9 11:3 5 4.3 7 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 137 8 12/5/200 9 11:3 4 3.6 9 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 137 7 12/5/200 9 11:3 4 3. 7 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 137 6 12/5/200 9 11:3 4 5.0 9 257 2 for t s t OTHE R MICHAE L N/ A spo t tes t 137 5 12/5/200 9 11:3 3 5.35 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 137 4 12/5/200 9 11:3 2 13.8 4 257 2 for t st OTHE R MICHAE L N/ A spo t tes t 3670 1 122.0 3 14.3 9 3670 1 99. 7 15.2 1 3670 1 100.8 2 13.0 8 3670 1 145.5 7 17.5 7 3670 1 111.9 9 15.6 1 3670 1 91.6 7 14.8 5 3670 1 <LO D 16. 9 3670 1 <LO D 176.9 9 3670 1 <LO D 120.3 9 3670 1 <LO D 152.8 7 3670 1 <LO D 135.5 5 3670 1 198.0 5 79.1 2 3670 1 336.0 3 32.4 8 3670 1 371.1 8 38.9 1 3670 1 131.4 3 61.6 2 3670 1 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### • YOU RTICKE T NUMBE RI S 2412626 . Origina l Cal l Date : 11/24/0 9 Wor k t o Begi n Date : 11/30/0 9 Time : 12:5 3 pm Time : 1:3 0 pm Op : .zi.DAM 2 418 6 State : N E Address : J7 2 County : DOUGLA S Street : FORT S T Place : OMAHA Twp : 15 N Twp : 16 NRng : 13 E Rng : 13 E Sect-Qtr : 04-N E Sect-Qtr : 33-S E Lega l Given : C Typ e o f Work : Lea d excavatio n Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)451-088 0 Compan y: ENVIRONMENTA L RESTORATIO N Contac t Name : ADA M Phone : (402) 4 51-131 4 Alt . Contact : Phone : (636)288-961 6 Wor k Bein g Don e For : EP A Dept h o f E.vcavation : 2 4 Corne r Lot : NFront : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCATV MAGELL.A NMETR O MUDO l OMAHACO F OPPDGPR S QLNNEI C
Servic e Are a Contac t Phon e Numbe r Utilit y Typ e CXCAT V cox COMMUNICATIONS , IM C HEIDI 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 K,*/-c.iAx i MAGELLAN MAGELLA NMIDSTREA M PARTNER S r^cor^oAL , DEBORA H 

### Day : 918574709 8 Alt : Emerg : 918574709 8 METR O METR O COMM . COLLEG E CHRI S 

### Day : 402457230 7 Alt : 402672703 3 Emerg : 402457231 3
MUDOl METROPOLITANUTILITIE S DISTRIC T SANDY 

### Day : 402504782 3 Alt : 

### Emerg : 402504797 0 http:/Av'ww.dhon.org/irthinternet/DHON>JoticeCreation/MessageText.asp?ret=<RESULT.. . 11/24/200 9