## TRANSMITTA Lof OMAHA LEAD SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : \D03 ^ Date : Address : ^^Ul p S H S ^ Remediatio nContractor : Envrionmenta l Restoration , LLC

_Year : _2010 _ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S D Vide o o f propert y (DVD ) JS^Before DAfter D Basemen t ^ /l O ln<^^ffA A / "S i Executiv e Simmiary (Fina l Report ) "S , EPA-providedpropert y sketc h "1 3 Signe dAcces s Agreemen t for subjec t property D Signe dAcces s Agreement(s ) for adjacen t property ' ^ Restoratio nAgreemen t

D Settlement document s (i.e. , fo r damag e o r t o replac e plants , etc. ) " ^ Confirmatio ndat ay

D Photograph s ^^Befor e DCre w PhotosS l Durin g Excavatio nNSo d \ 3 30-da y So dD "S ^ As-buil t sketc h ^ Completio nAgreemen t signe db y Propert y Owne r I S Propert y close-ou t chec k lis t signe db y EP A D Descriptio no f area s no t meetin g RO D cleanu p criteri a iS

y Utilit y clearance s 

### • s Propert y informatio nfromDougla s Count y Assessor' s Offic e "B S Propert y acces s checklis t 30237992 

### " ^ Contac t Lo g D : Superfun d 

### Environm^ta l Restoratio nSignatur e Dat e 

### TJat e

# ^EP A EP A Propert y Clos e Ou t Form Omah aLea dSit e Propert y # : 1 b P S ^ Propert y Address : 4gt//z ? % " ^ '^' ^ "^ T Date/Time : Owner' s Name : iV(\AfO, < C-Qkygcix Quad s Excavated : f 3 , fi>X Contracto r Grou p : Environmenta l Restoratio n (ER ) Excavatio nGeneral Ye s No 1 . I f necessary , wer e the correct quadrant(s ) excavatedan drestored ? 

### y 2 . I f necessary , wer e the correct area s ofdri p zon e excavatedan drestored ? V^ ? OjCtifi^ (IACA ^ A/ A Gradin g Sodan dVegetatio n Ye s N o 1 . Doe s th e grading aroun dthe perimete r of the hous e i nexcavatedarea s generall y slop e awa y from the 

### y house ? 2 . Ha s sodbee nlaidi nal l areas tha t wer e excavated ? 

### y 3 . Doe s th e sodappea r t

o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecteda t 30-da y tim e period) . 4 . Ar e sodde darea s generall y fir man devenl y graded ? ^ 5 . Ar e the joint s betwee nthe sodstrip s generall y tight ? (Onl y evaluat e i f inspecteda t 30-da y time period) . ' 6 . Wa s th e propert y gradedsuc htha t wate r wil l not pool o nthe property ? y 7 . Wa s damage to landscaping o r plan t material s avoided ? 

# y 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 ) 

### tf k 2 . Wer e all gate s o r fence s take ndow nduring restorationactivitie s re-installed ? (if applicable ) 

### fi k 3 . Wa s damage to gate s o r fences avoided ? (i f applicable ) y 4 . Wa s damage t o retaining wall s avoided ? (i f applicable ) A/) ^ Foundation , Sidin g an dGutter s Ye s N o 1 . Wa s damage t o siding o r tri mavoided ? y 2 . Wa s damage to the foundatio navoided ? ^T^-T . -' y 3 . Wa s damage t o window s avoided ? M ^ V < ^ rS^ ^ i y 4 . Wa s damage t o window screen s o r door screen s avoided ? fl^VV T) t *('' * " ^ t ^ 5 . Wa s damage t o downspouts o r downspou t extension s avoided ? c lyiJC/f/^- ' 4 - ^ Sidewalk s an dDriveway s (Concrete ) Ye s N o y 1 . Wa s damage t o drivewa y surface s avoided ? ^ 2 . Wa s damage to walkwa y surface s avoided ? U ^ Inspectio nnotes : 

# Uh4e r a^ dn&iuk ^ Sd d
Remedia l an drestoratio n activitie s complet e includin g 30-da y so dwarranty : EPARepresentative:^^:^^4^^_^^-^r, ^ ^TLS ^ Date : lojj^jl nA-^^U ^ 

### i ^& r^ Omah a Lea d Site—EP-R7-09-0 5 S ^oK < \y^^ f V Environmenta l Restoration , LL C www.erHc.co m 

# EXECUTIV ESUMMARY : 10035-454 6 S 3 8 S T No Issue s o r Concern s [ ^ Issues/Concern s Detai l Explanation :

### Pag e 1 of 2

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

### YOU RTICKE T NUMBE RI S 2582253 . Origina l Cal l Date : Wor k t o Begi n Date : 9/01/1 0 9/03/1 0 Time : Time : 2:5 3 p m 3:3 0 p m Op : TRACY2418 6 State : N E Address : 454 6 County : Street : DOUGLA S S 38T HS T Place : OMAH A Twp : 14 NRng : 13 E Twp : Rng : Lega l Given : C Sect-Qtr : 05-NE-S E Sect-Qtr : Typ e o f Work : Excavatin g th e entir e property y Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : ( 4 02)451-106 9 : SAI D #1003 5 Compan y ENVIRONMENTA L RESTORATIO N Contac t Nam e TRAC Y BRISTO W Phone : (402)451-131 4 Alt . Contac t Phone : (314)504-487 4 Wor k Bein g Don e For : EP A Dept h o f Excavation : 12 " Corne r Lot : NFront : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V METR O MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F QWESTN E Servic e Are a Contac t Phon e Numbe r Utility Typ e CXCAT V CO X COMMUNICATIONS , IN C HEID I 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 METR O METR O COMM . COLLEG E CHRI S 

### Day : 402457230 7 Alt : 402672703 3 Emerg : 402457231 3 MUD0 2 METROPOLITA NUTILITIE S DISTRIC T SAND Y 

### Day : 402504782 3 Alt : Emerg : 402504797 0 OMAHACO FCIT Y O FOMAHA-TRAFFICSEWE RRICH/TRAFFI C Day : 402444719 7 Alt : 402444516 1 

### Emerg : 402444516 0 http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 9/ 1 /201 0

### Pag e 2 of 2
0PPDGPR 6 OMAH A PUBLI C POWE RDISTRIC T EL M LOCATIN G Day :

Alt : 406728934 3 406207149 4 Emerg : 888728934 3 QLNNEI FQWES T LOCA LNETWOR K Day : 406728934 3

EL M LOCATIN GAlt : 406207149 4 Emerg : 888728934 3 QWESTN EQWES T LON GDISTANC E Day : 800283423 7

Alt : Emerg : 800283423 7

http://www.dhon.org/irthintemet/DHOlSfNoticeCreation/MessageText.asp?ret=<RESULTS. . . 9/1/201 0I 

## Cootac t SBifosi-oafcQ'r j Lo g DaytiEt e Phone : ^02, ^ 73 A - * A 5^V? >

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### Go-nsesi t fo rAccss? ^ t o Props6 % SAJPt^ /Qo 3 5 R;oT-i T O FENTR Y T O PR^EMISE S 

### Granto r (th e property owner) ; consent s to an dauthorize s tli e Unite dState s Environmenta l • Protectio aAgenc y (USEPA ) o r U s authorize drepresentatives , collectivel y th e Grante e t o ente r

. . an dperform , certai nenvlronmenla l respons e activitie s upo nth e followin g describe dpremises ; Owner' s Name : fVi^ol^^j . ^^UOLJ A | PaytimePhoiite : 733*/3fl 3 | Address : 

# YSY<4 > 

# s . y^tks-4 ^ Address : A'idi-es££ 3 o f Proper-ie s Addresij.: - . . . covere db y tki s AgreesBent : . , Address :

• -Aiidi'sss : PURPOS EO F

### iNVEsiiGAtio N Th e purpos e o f th e remsdia l activ^Lie s i s t o remcv e al l .£oil: 3 at th e piroperQ ' v/hic har s contaiiiiaate dv/it hhazardou s siibstsmces , in f articula r le;s. dat ccncentratiou s gr&ater -han.o r eq^j.? ! t o 4G 0 part s pennUiion . (ppm) . PJiMLDIA LACTiC-N S Th s e^nvironmeiiitiil iSSpOi^s a'ictioii s C o L e psMfoi'ds dO D sai dj^^rop^ii y ;na y iiich;!.'i ; th e K;iIovvirr. o activities : a . Takin g photograph s anc/oi : vid'j o o f th e i^ropiriT / befcr? , d^iring , "iri^ i anj i ir^msdi' d ac>:i7ities ; b - Locatin g equipmen t Jin d:::rj;ivhi:\<ri y Oii~Eit= r i npisperatlc nfb r j^ii ni nth e 'X>vt£ * o f the • eivvircnmeiita l rescorise ; c . Flannin g an dimplemeiitin g ih e iSriiova i actio n<K IO< : ne^ r Orjiiitcr'; ; pLCp?v(y . d . Gbtsinin^saiiijiskslhimGrS'itorspropoAty ; Arj REEMEN T NO T TOI V JTERFEil E Th e Graiitc r agree s no t tdinlerfsi e o r tsmpe r Tvit h?tn y o f th e acdvitis s c r v/ork done , ci : & ? equipraeri t use dt o perfon ntli e activities , o r t o undertsk e an y action s legardin g th e us e o f sai d propert y whic hwoul dten dto endange r 'iht healt ho r Vv^elfar e o f th aGrantes s o r th s eivvironment , o r

t o allo w oths B l o us e tli e jMopert y i nsiie h 

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D J agree ; [ J I d o u M £grej ; [... j I >:gv£ ( LJI-doKotsgie s 

# cPJioC M ^'?V ^ OvynSET S £Egsa;t;t 2 Cgi::i!;'£Cfer' 5 Szgcoailiiiire ITisfi iTh 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 propeit y prio r t o contracto r activities. . Thi s wil l als o serv e a s documentatio n fo 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) .

SAIB : /Q03 S Propert y Addr^^ss : YSV O 5 - yPt ^ S^-~ ^ 

### Owster : f^^r^ ^ Q^JP^C^C ^ Phone : -733 ' Y*?/- ? O nth e attache ddiagratn(s ) indicat e aiea(s ) t o t e escavs-te dan ddeptho f escavalion , locatio no f aUloiow a utilities , subsurfac e features , sutfac e structure s aii dlandscapin g festiires , acces s location(s ) t o b e use dfay contractor , an dth e directio no f North . Indicat e distances , deptlis , rfialerlal types , etc . Indicat e digital photo s b y referencin g th e photc-Io g nurab'tr witha n arrovv ' indicatin g directio no f visv/ . ZiPAYi ^ t o b airetffiGvs df* y CartkirsctOii'an.iS no t fs-p5s:j;9i! : [fern : 

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# 1 sa l AeSdttiona l Comfnent s / Enstmcticns :

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AUgciimsrit s 

# ^ SrruodU . L-'i-i o EJat e -Oftirsttor- s SigFiiiiiJii' s

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Thi s agreemen t document s th e completio no f remedia l activitie s performe do nm y property . My signatur e wil l designat e tha t I a msatisfie dwit hth e restoratio no f m y propeity , an dtha t n o item s ar e i n question , now , o r a t an y tim e i nth e future , excep t thos e item s liste dbelow , i f any . 

## /0 0 

## 3 S Prapert y Address : ^t/( ^ ^ . 3<^tli l_p /

Restoratio nSteK^ s t nGussfcCJsin" : 

### jfltsm :

EtQiir f 'X-XV: \ bSsm : f:.... .

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# A// ^

### Dougla s County Accoun t Informatio n Pag e 1 of 3 rmant Dougla s County , Nebrask a Propert yRecor d - R073124000 0 Prin t Repor t Vie winteractiv e Gi S IWa p Infomnatio n i s vali d a s o f 2010-5-2 8 Treasurer' s Ta xRepor t Ne wFeatur e -•-•- • Subdivisio n Sale s Searc h Owne r CAVAD AANDRE S ETA L 442 4 S 2 6 S T OMAH AN E 68107-000 0 Propert yInformatio n Ke yNumber : 312 4 000 0 0 7 Accoun t Type : Multipl e Re s Parce l Number : 073124000 0 Parce l Address : 454 6 S 3 8 S T OMAH AN E 68107-000 0 Lega l Description : BURLINGTO N CENTE R LO T1 9 BLOC K1 LT S 1 8 & 1 9 8 0 X 12 0 Valu e Informatio n Lan d Improvemen t Tota l 201 0 $8,000.0 0 $37,300.0 0 $45,300.0 0 200 9 $8,000.0 0 $40,700.0 0 $48,700.0 0 200 8 $8,000.0 0 $40,700.0 0 $48,700.0 0 200 7 $8,000.0 0 $43,700.0 0 $51,700.0 0 200 6 $8,000.0 0 $43,700.0 0 $51,700.0 0 200 5 $8,000.0 0 $37,600.0 0 $45,600.0 0 1 Sale s Informatio n Sale s Date : 2003-12-0 4 Dee d Type : W D Book : 200 3 Page : 23962 8 Price : $ 38,000.0 0 Grantor : HOMEBUYER S IN C Grantee : ADRE S CAVAD AETA L Validflnvalid : Vali d Exclusio n Reason : 

### Sho wAl l Transaction s

Lan d Informatio n Acre s S F Unit s Oeptf i Widt h Vacan t 0.2 2 9600. 0 1. 0 120. 0 80. 0 N o 

### http://douglasne.mapping-oiiline.com/DouglasCoNe/static/accountiiifo.jsp?accountno=R073. . . 6/7/201 0

### Dougla s County Accoun t Informatio n Pag e 2 o f 3 rmat K Improvement Informatio n Buildin g 1 1 1/ 2 Stor yUnfi n 454 6 S 3 8 St

.'it.bi)f t !?

* !3 ) >1 1

CUC KTO ENLARG E IMAG E Squar e Footage : i 1023. 0 Percen t Complete : 

### 100.0% Perimete r 0. 0 Quality : Fai r Uni t Type : En d Condition : Fai r

Buil t As : 1 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 7. 0 Fram e Sidin g Units : 2. 0 

### Exterior : interior : Drywal l Baths : 2. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 5. 0



### Roo f Type : Gabl e Stories : 1. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinlde rSquar e Footage : ' 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 190 5 0 % 

### 190 5 10 5 Detai l Typ e Detai l Descriptio n Unit s 

### Ad dO n Fram e Utility 21. 0 

### Ad dO n Unfinishe d Atti cW/floo r 882. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 ft 1023. 0 Basemen t Minima l Finis h 850. 0 Basemen t Outsid e Entranc e 1. 0 Fixtur e Bas e Fixture s 

### 1. 0 Fixtur e Bat h Ful l 2. 0 Porc h En d Soli d Wal l 124. 0 Porc h Sla b Roo f Ceilin g 132. 0 Porc h 

### Woo dDec k 64. 0 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R073. . . 6/7/201 0

### ENVIRONMENTA L AS-BUILTDRAWIN G 'Of^MH ALEA D SUPERFUN D SIT E RESTORATIO N

Owne rName : ANDRE S CAVAD A 

# r Address : 454 6 S 3 8 S T Phone : H : 402-733-481 3 Sannpl e Numbe r RYASCPXA-1003 5 F l RYBSCPXA-1003 5 F 2 RYCSCPXA-1003 5 B l RYDSCPXA-1003 5 8 2 RDZSCPXA-1003 5 D Z «egSCPXA-l003 5 S H RPZCCP)( A1003 G PZ Omah a Lea d Sit e Sit e Sketc h W : Lea d Sampl e LA B Concentratio n Collecte d 

# g^M ^ pp m D " 1 1 p Q pp m D 0 ' D 

## nci.^pp' ^ D 

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## n n D Numbe ro f Sample s = O 

### 1003 5 Exterio rPain t • Goo d ^ [g'Poo r Q No t pain t Sample s Collecte d Fir m ,-i r M l Dat e C-^- 1 Time : Sample s Analyze d XR F Uni t 

### I s \ \ BoalLi; 9 Date : - 7 - L 

## nU-- ' Time : PNO ^ Staff : 

# Cr\ p SAI D #1003 5 DAT E EXCAVATE D 9-15-1 0 DAT E EP ASIGNE D OF F 10-6-1 0

ARE ASODDE D 175 0 S Q F T

OmafiaLea dSit e

Dfl p Zon a Excavato d Cootaminatio n Lef t Bahin d t-xxy j Quadran t eiccavate d ^^^^^ H 

### Contrac t # : EP-R7^9^ 5 Environmenta l Restoratio n LL C

## 1003 5



# N O ^ * , ^

Omah aLea dSit e 4613 0

# il l 1003 5 ( ^ Omah a Lea d Sit e Exterio rPain t Nort h Arro w Owne rName : ANDRE S CAVAD A • Goo d Sit e Sketc h Address : 454 6 S 3 8 S T 

# r ^ > 

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# a ^ f pp m 

## D Dale : RYBSCPXA-1003 5 F 2 1 1 P O pp^ 

## D Time : io ' u o /^— - RYCSCPXA-1003 5 B 1 3 U ' ^ pp m 

# o r D Sample s Analyze d RYDSCPXA-1003 5 8 2 

## 53 3 pp m D RDZSCPXA-1003 5 D Z \ \ ^0 \ pp m XR F Unit : & \ \

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### ENVIRONMENTA L XR F DAT AENTR YLO G 

# c RESTORATIO N SAID # \O0^ S PROPERT YADDRESS ^S»\ b ^ - ^ S s- v QUADREN TO R SAMPLE AREA DEPTH redi g n F 2 ^ 

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AVKR.VG EADDRKS S SAMI'I. K ARKA OPERATO RDKPI H NO'i'K S SAI D 1 2010-09-1 8 08:5 5 Av g of3183-318.'4546s38s t B 2 2 2010-09-1 8 08:5 5 454 6 s 3 8 S t B 2 3 2010-09-1 8 08:5 4 454 6 s 3 8 S t B 2 4 2010-09-1 8 08:5 3 454 6 s 3 8 S t B 2 5 2010-09-1 5 15:4 3 Avg of2935-293-454 6 s 3 8 st E Z 6 2010-09-1 5 15:4 3 454 6 s 3 8 st E Z 7 2010-09-1 5 15:42 454 6 s 3 8 st E Z 8 2010-09-1 5 15:42 454 6 s 3 8 s t E Z 9 2010-09-1 5 15:3 3 Av g o f 2929-29 3 454 6 s 3 8 s t F 2 1 0 2010-09-1 5 15:3 3 454 6 s 3 8 st F 2 1 1 2010-09-1 5 15:3 3 454 6 s 3 8 st F 2 1 2 2010-09-1 5 15:3 2 454 6 s 3 8 st F 2 jimm y 8 final clearanc e 236.3 2 ± 25.9 1 jiata y 8 final clearanc e 1003 5 215.9 9 ± 25.1 2 jinimy 8 final clearanc e 1003 5 229.8 9 ± 25.4 6 iimms r '• ­ f . • • • final clearanc e 1003 5 263.1 0 ± 27.1 5 jimm y surfac e final clearanc e 332.6 8 ± 29.0 2 jmms r surfac e final clearanc e 1003 5 363.7 3 ± 30.1 5 jmim y surfac e final clearanc e 1003 5 311.4 0 ± 28.3 2 jimnq r surfac e final clearanc e 1003 5 322.9 0 ± 28.5 9 jimn ^ 4 final clearanc e 270.3 0 ± 26.8 4 junmsr 4 final clearanc e 1003 5 303.9 4 ± 28.1 8 jimmy 4 final clearanc e 1003 5 2392 9 ± 25.5 5 jimni y 4 . final clearanc e 1003 5 267.6 6 ± 26.7 8

Pag e 1 o f 1 09/20/1 0 15:12:2 9

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