### TRANSMil'TA Lo f OMAH A LEA D SIT E ^ _SOI LREMEDIATIO NFIL EFOLDE R SAI D # : ^-^m ^ Date : Address : 'SHV l '^
- "^ ^ "^- T Remediatio n Contractor : _Envrionmenta l Restoration , LLC _ Year : 201 0 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S N;] ^ Vide o o f property (DVD ) _J2Before DAfte r c/Basemen t D j aExecutiv e Summary (Final Report ) jZ

f EPA-provide dpropert y sketc h z f

Signe dAcces s Agreemen t for subjec t propert y D Signe dAcces s Agreement(s ) fo r adjacen t propeit y jz

T Restoratio n Agreemen t D Settlemen t document s (i.e. , fo r damag e o r t o replac e plants , etc. ) ^ Confirmatio n dat a ^^

B Photograph s JZBefor e DCre w Photo s nDurin g Excavatic nD So d ^30-day So dD y As-buil t sketc h p ^ Completio n Agreemen t signe db y Propeity Ov.Tae r o

/ Property close-ou t chec k lis t signe dby EP A D Descriptio n o f area s not meetin g RO D cleanu p criteri a jy Utilit} ' clearance s 0 " Property informatio n fromDougla s County A-Ssessor' s Offic e f ^ Property acces s checklis t Z l Contac t Lo g D Environmental Restoratio nSignatur e Date " Date

# EPA EP A Propert y Clos e Ou t For m Omah aLea dSite OU#2 Propert y # : jTVM ^ Propert y Address : 5H3> 1 -J* ^. b 6 T Date/Time : Owner' s Name : Vou C "boA- ^ '^v<-^(Ni>^ ^ Quad s Excavated : fe \ Contracto r Grou p : Environmenta l Restoratio n (ER ) Excavatio n General Ye s N o 1 . Ifnecessary , wer e the correct quadrant(s ) excavatedan drestored ? ^ 2 . Ifnecessary , wer e the correct area s ofdri p zon e excavatedan drestored ? 

### y Gradin g Sodan dVegetatio n --. — Ye s N o 1 . Doe s the grading aroun dthe perimete r ofth e hous e i n excavatedarea s generally slop e awa y fromthe

. / house ? 2 . Has so dbee n laidi n all area s tha t wer e excavated ? y 3 . Doe s the 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 soddedarea s generall y fir mandevenl y graded ? 

# y 5 . Ar e thejoint s betwee n the sodstrip s generall y tight ? (Onl y evaluat e i f inspecteda t 30-da y tim e period) . 6 . Wa s th e propert y gradedsuc htha t wate r wil l no t pool o n th e 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 n an dclos e freely? (if applicable ) y 2 . ^yer e all gate s o r fence s take n dow n during restoration activitie s re-installed ? (if applicable ) y 3 . Wa s damage to gate s o r fence s avoided ? (if applicable) y 4 . Was damage t o retaining wall s avoided ? (if applicable) Foundation , Siding an dGutter s Ye s N o 1 . Was damage to siding or trimavoided ? ^ 2 . Wa s damage t o the foundatio n avoided ? y 3 . Wa s damage to window s avoided ? y 4 . Wa s damage t o window screen s or door screen s avoided ? y 5 . Wa s damage t o downspouts o r downspou t extension s avoided ? y Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 . Wa s damage to drivewa y surface s avoided ? 

# /J ^ 2 . Wa s damage t o walkwa y surface s avoided ? 

### y y Inspectio n notes :


### Remedial an drestoratio n activitie s complete includin g 30rday so dwarranty : L i A Representative : .w^^ v 1/.(^/..^.^/J./AI/:^ X 

# -JW : Date : S/^ l 1 0

### f^^ \ Omah a Lea d Site—EP-R7-09-0 5 * ^y^^ L * Environmenta l Restoration , LL C S^y^j f www.crllcco m 

# EXECUTIV ESUMMARY : 47449-543 7 S 2 0 S T



# No Issue s o r Concern s Q ] Issues/Concern s Detai l Explanation :

### Pag e 1 of 2

" > [ Create Anothe rTicke t ] [ Bac k t o Irt h Intemet ] Sen d Emai l 

### YOURTICKE T NUMBERI S 2459721 . Origina l Cal l Date : 4/10/1 0 Wor k t o Begi n Date : 4/14/1 0 Time : Time : 1:3 4 p m 7:1 5 a m Op : TRACY2418 6 State : N E Address : 543 7 County : DOUGLA S Street : S 20TH S T Place : OMAH A Twp : Twp : 14NRng : 13 E Rng : Sect-Qtr : 10-N W Sect-Qtr : Lega l Given : C Typ e o f Work : Excavating th e entir e propert y Locatio n o f Work : LOCAT E ENTIR E PROPERTY Remarks : FA X AL L CLEAR S TO : (402)451-106 9 : SAI D #4744 9 Compan y: ENVIRONMENTA L RESTORATIO N Contac t Name : TRACY BRISTOW Phone : (402)451-131 4 Alt . Contact : Phone : (314)504-487 4 Wor k Being Don e For : EPA Dept h o f Excavation : 1 2 Corne r Lot : N Front : Y Rear : Involve s Tunneling o r Horizonta l Boring : N Explosives : N ALT87 2 ATTNEBR l CXCAT V

LEVEL 3 MUD0 2 OMAHACO F 0PPDGPR 6 PAETE C QLNNEI F

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e ALT87 2 WINDSTREA M COMMUNICATIO N EL M LOCATIN G 

### Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3
ATTNEBR l ATT/ T 

### Day : Alt : 8002413624 9 Emerg : 8002413624 9 CXCAT V CO X COMMUNICATIONS , IN C ^^j^ j 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 

### Day : 877366834 4 LEVEL 3 COMMUNICATIONS , LEVEL 3 N A LL C 

### Alt : http://www.dhon.ore/irthmtemet/DHONNoticeCreation/MessageText.asD?ret=<RESULTS.. . 4/10/201 0Page 2 of 2

MUD02
OMAHACO F

0PPDGPR 6

PAETE C QLNNEIF METROPOLITA N UTILITIES DISTRIC T CIT Y O FOMAHA
TRAFFIC.SEWE R OMAH A PUBLI C POWE R DISTRICT
PAETE C COMMUNICATION S QWES T LOCA LNETWOR K SAND Y
RICH/TRAFFI C

EL M LOCATIN G
NO NEE D T O CAL LOU T EMERGENC Y
EL M LOCATIN G Emerg : 877366834 4 Day : 402504782 3 Alt : Emerg : 402504797 0 Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3 Day : 800289190 1 Alt : Emerg : 800289190 1 Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3

http://wvm.dhon.org/irthintemet/DHONNoticeCreation/MessaeeText.asD?ret=<RESlJLTS.. . 4/10/201 0raji^^vA ; 

## Contac t Informatio n Lo g sAiDj^Y^yy ^ i^td ^ Daytim e ¥hone:^ ^ .Ir-^ ? ^ / V ^ j Propert y Address : ^ Lf ^ *^L ^ 

## Attemp t t

o contac t Date/time Nam e 

## brg/^^z- r /^r.,^ai . jr^y^ K ^ft/f^^^ y 

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## Propert y Acces s Checklis t 1 SAID : ^-IJ^L J ^ Propert y ASdrcss : 

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WORKStARTF.b i WOR K COMPELTE D ON ; ON ; Owner:.'
- Addre : •Ml . • • Renter : Phone : Fax : CeSl/Pager : Additiona l Infonnation :

K ] n D n D I S Acces s Agreement Restoratio n Agreement Vide o Propert y Befor e Digita l Photo s Befor e Vide o Propert y Afte r Digita l Photo s After Propert y Completio n Agreement Signedy>^/^2^// g Signed:^/^// ^ O n O a On / / O

n . / / Signed : 5 F { U O By ; Sy
By : By : ^ >/ ^ ^

Additiona l Vide o o r Digital Photo' s Taken ; n Vide o n Digita l Photo ! O n i Reason : n Vide o D Digita l Photo Reason : n Vide o n Digital Photo O n O n : .
: / / / / / By : 3y : ^ — •
Reason :

Omah a Lea d Projec t Wor k

Pla n Pag e lo f 1

9

# 1 Consen t to r Acces s t o Propert y SAID #V2£?^ f RIGH T O FENTR Y T O PREMISE S 

### Granto r (iJi e propert y owner) , consent s t o an d-authorisc o ih e Unite dState s Environmenta l ciuleciio n Agenc y (USEPA ) or it s authorize drepresentatives , collectivel y th e Grante e t o ente r an dperfor mcertai n environmenta l respons e activitie s upo nth e followin g describe dpremises ; 

## ?fJp^y ^ Im e Phone ; 

# "^"^^yri^y^o-^ ^ Address : 

### Addresse s o f Propertie s Address : 

### coveredb y thi s Agreement : Address : Address : PURPOS EO FINVESTIGATIO N. . 

### Th e purpos e c f th e remedia l activitie s i s t o remov e al l soil s at th e propert y v/hic har e contaminate dwit hhazardou s substances , i nparticula r 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 enviromnenta l re.^pons e action s t o b e perfomie do nsaid.property may includ e th e followin g activities : a .Takin g photographs , and/or vide o o f th e propeit y 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 o f th e environmenta l response ; c . Plamim g an dimplementin g th e remova l actio no nc r near Grantor' s propeily .

. d . Obtainin g sample s fromGrantor' s property ; AGREEMEN T NOTT O INTERFER E 

### Th e Granto r agree s not t o interfere 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 imdertak e an y action s regardin g th e us e o f sai d

. propert y w;hic hwoul dten dt o endanger th e healtho r welfar e ofth e Grantee s c r th e environment , o r

t o allo w other s t o us e th e propert y i n suc h I gran t acces s t o m y propertie s nI d o no t gran t acces s \ o m y propertie s ^


### Signatur e Dat e. , , r.;-,T...r.r,:-r—W, 4 i-ff S
I Additions I Comment s / instruction s



### C J Chec k thi s bo xi f owne rdoe s no t vjan l E.R . t o ente rth e resident s t o documen t interio r foundatio n wail s sn d possibl e preexistin g damage . B ychecl^in g thi s bo xE.R . i s not responsibl e fo ran ydam.ag e don e t o th a interio ro f house , includin g foundatic n crscks o rfissures .



# f^' . D I d o iio t agre e 

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# Restoratto n Agreemen t Th s purpos e of iiii s agreemen t i s t o provid e amutua l agreement as to ccndition s uf propert y prio r to contracto r aclIvIiics . Tni s will als o serve a s documentatio nfor th e purpos e o f assurin g tha t restoration activitie s ar e completedt o the satisfactio nof th e propert y owne r an dthe Unite dState s Environmenta l Protectio n Agenc y (EPA) . 

# V?VY , ^ 

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n th e attache ddiagram(s ) indicat e area(s ) to b e excavate dan ddept hof excavation , locationof al l know n utilities , subsurfac e features , surfac e structure s an dlandscaping features , acces s location(s ) t o b e use dby . contractor , an dth e directio n o f North . Indicat e 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 narrow indicating directio no f view . . Kent s t o b e remcye db y Contracto r sn dno t replace d Etem : 

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## D l agre e d H I d o no t agre e
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Pag e 2 o f 2

## Propert y Completio nAsreemen t Till s agreement documents th e compietion of remedia l activitie s performe d on my property. . My signatur e wil l designat e tha t I

amsatisfiedwit hth e restoratio n of my property , andthat no items ar e

in question , now , or at an y time in the future , excep t thos e item s listedbelow , if any . SAID : rty : « Propert y Address Address ; ^1/^ 7 < 3 i C3 '^ '^ Owner ; 

## fcp/^-v ^ f^i^rj- y [uf\J^uii^fiy^9^ ^ LLr _ Phone : -^((0-(fff Q Restcrstoo n litem s inQuestion :

I agre e restoratio n is completed , except as note d ^^y^rT^onat egree restoration is ccmpleted 1 \I agre e restoratio n is completed , excep t as note d I 11 do aot agre e restoratio n is complete d 

# _Z^ . /Me / Sr 

# ^r/ D Contractor' s Signatur e Bat eDougla s County , Nebrask a Propert yRecor d - R072853000 0 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 - VJe W O n Ma p Infomiatio n i s vali d a s o f 2009-12-1 5 Treasurer' s Ta xRepor t Ne wFeatur e -•->- > Aut o Sale s Searc h 

### Owne r FOU R DUD Z INVESTMENT S LL C 91 5 S 20 5 S T OMAH AN E 68022-000 0 Propert yInformatio n Ke yNumber : 285 3 000 0 0 7 Accoun t Type : Residentia l Parce l Number : 072853000 0 Parce l Address : 543 7 S 2 0 S T OMAH AN E 68107-000 0 Lega l Description : BROW N PAR KLO T1 5 BLOC K1 1 5 0 X 13 0 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $6,400.0 0 $43,000.0 0 $49,400.0 0 200 8 $6,400.0 0 $43,000:0 0 $49,400.0 0 200 7 $6,400.0 0 $40,900.0 0 $47,300.0 0 200 6 $6,400.0 0 $40,900.0 0 $47,300.0 0 200 5 $6,400.0 0 $40,900.0 0 $47,300.0 0 200 4 $6,400.0 0 $22,500.0 0 $28,900.0 0 Sale s Informatio n Sale s Date : 2009-11-1 3 Dee d Type : Q C Book : 200 9 Page : 12383 2 Price : $0.0 0 Grantor : Dudzinsk i Michae l J eta l Grantee : Fou rDud z Investment s LL C Valid/lnvalid : Invali d Exclusio n Reason : Famil ySal e Sale s Date : 2006-10-1 7 Dee d Type : W D Book : 200 5 

### Page : 11965 4 Price : $0.0 0 Grantor : T D Investment s 

### http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=RO. . . 12/22/200 9Grantee : Dudzinsk i Michae l J Valid/lnvalid : Invali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 4 6500. 0 1. 0 130. 0 50. 0 N o Improvemen t Informatio n Buildin g 1

t-s i ? » , 3i J 5it» ? 11/ 2 Stor yUnfi n Ffl«B<K » S43 7 S 2 a 903. 0 S^.F l 'Xi ^

• 4iif CLIC KTO ENLARG E IMAG E Squar e Footage : 903. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Fai r Uni t Type : 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 : 6. 0 Exterior : Fram e Sidin g Units : 1.0 Interior : Drywal l Baths : 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

RoofType : Gabl e Stories : 1.0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yiea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 190 0 0 % 190 0 11 0 Detai l Typ e Detai l Descriptio n Unit s Ad d O n Fenc e Chai n Lin k 1. 0 Ad d O n Fenc e Wrough t Iro n 1. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 ft 760. 0 Fixtur e Additiona l Fixture s 1. 0 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RO. . . 12/22/200 9

. •a..l.'i"i\_ir«uJikSai#':'ii.'.'; .Fixtur e ^ ^ Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Porc h En d Scree n 143. 0 Porc h Sla b w/Step s 24. 0 Porc h Woo d Dec k 48. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=RO.. . 12/22/2009

### ENVIRONMENTA L AS-BUILTDRAWIN G OMAH ALEA D SUPERFUN D SI T 

# 0 RESTORATIO N

\ Name : T O I n Omah a Lea d Sit e Date : /f'-,y,-~ ^ Nort h Arro w - > Acidress : 5^:^ ? - 'XO s t Sit e Sketc h Time : iS-:^* ^ Q7^i % Phone : Tea m jiuyyilyL-i± ^ BviD # !-i7HH 9 XR F Cod e 

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