30261558 

Superfund 

TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID*: yy'i^. ^ Date: f//ff/// 

Address: . f N U / Z I l^'ZT T 

Remediation Contractor: _Coastal Environmental Group_ Year: ZA? i ( 

SOIL REMEDIATION 

PROPERTk' FILE FOLDER DOCUMENTS 

D Video of property (DVD) 

\.Ly Executive Summaiy 

x y EPA-provided property skeich 

y Signed Access Agreement for subject property 

S=— Signed Access Agreemeni(5) for adjacent property 

L(— Restoration Agreement 

'S— Settlement doctunents (i.e., for damage or to replace plants, etc.) 

'•C" Confinnation data 

x y Photographs ho . iS(£^i^J^. ^ p-{C^^J^ ^ SW ) 

"^y y As-built sketch 

^ y Satisfactory restoration signed by Property Owner 

'^y^ Property close-out check list signed by EPA 

-S-- Description of areas not meeting ROD cleanup criteria 

,£ , Utility clearances 

Zy ^ Property information from DougJas Couniy Assessor's Office 

[' 

C . », 

'my­
Property Access Checklist 

Property ID: ;^<^qc^c( D WORK STARTED ON: / / 

PropertyAddress: ^^^ ^ n WORK COMPELTED ON:. / / v^ ^"^ ^ 

Owner: Q^ ^ J ^ Q^ ^ Renter: 

Address: Pbone: 

Fax: 

Cell/Pager: 

Phone: Lvm ­ ^ ^M.-^-^^AR Additional Informadon: 

Fax: 

Cell/Pager: 

n Notification Letter Sent: / / By: 

[ 3 Access Agreeinent Siened: U / ':i. /vv By: 

^ Restoration Agreement Signed: Vo / '3, /w By: 

r~| Topsoil Sampling (if applicable) / / By: 

Q Disposal Sampling (if applicable) / / By: 

Q Garden Sampling (if applicable) / / By: 

P Utility Clearance CaUed: / / By: 

^ Video/Photos (Before) On: l o / IC / U By: 

n Video/Photos (During) On: / / By: 

n Video/Photos (After) On: / / By: 

D Video/Photos (30-Day) On: / / By: 

H Property Completion Agreement Signed: <\ /v« /\v By: 

n Final Report Issued: / / By: 

Air Monitoring (as applicable) 

O Community O Crew On: / / By: 1 

Results: 

• Conununity Q Crew On: / / By: 1 

Results: 

[H Community • Crew On: / / By: 1 

Results: 

Omaha Lead Site 
« 6 6 t, t, t i i h t i t t. t

1 I 1 

1 1. 1 

i 1 

M l 

,....' I 

I .1 
•.^uugias v.,uujiy ntcouji i JlllunildllUIl http://douglasne.nMMing-online.com/DouglasCoNe/static/accountinf .rra^i 

Douglas County, Nebraska Propert y Record - R1911550000 

Print Report 

View Interactive GIS Mlao Information is valid as of 2011-5-16 Treasurer's Tax Reoort 

New Feature •• - i ^ Subdivision Sales Search 

Owner 

CITY OF OMAHA 

C/O PLANNING DEPARTMENT 

1819 FARNAM ST #1111 

OMAHA NE 68183-0000 

Propert y Informatio n 

Key Number: 1155 0000 19 

Account Type: Ex Government 

Parcel Number: 1911550000 

Parcel Address: 1144 N17ST 

OMAHA NE 68102-0000 

Legal Description: OMAHA BLDG & SAVINGS ASSN ADD LOT 30 BLOCK 0 25 X 140 

Value Informatio n 

Land Improvement Total 

2011 $0.00 $0.00 $0.00 

2010 $0.00 $0.00 $0.00 

2009 $0.00 $0.00 $0.00 

2008 $0.00 $0.00 $0.00 

2007 $0.00 $0.00 $0.00 

2006 $0.00 $0.00 $0.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.08 3500.0 0.0 140.0 25.0 Yes 

lof2 5/31/2011 1:38 PM 
IVs-Built Drawing ^ OLS#:25499 

DATE EXCAVATED: 8/11/11 

DATE USEPA SIGNED OFF : 9/22/11 

COASTA AREA SODDEN :2080 

Environmenta

L Omaha Lead Superfund Site 

l Group , Inc . 

e^^A^A) 

Omah Exlenor Paint North Arrow a Lead Site 

Site Q Good Sketch • Poor 

Sampling Address: /7^/* A A / ^ 7 t ^ (3 1 I^^Not paint 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm: |t_Xu£ . P S JJK. 

RYASCPXA- SS'iS S F1 2.0 1 ppm D Date nlZ-HllC 

RYBSCPXA-25-'4iS9 F2 ppm D Time y.nr^T W 

RYCSCPXA- Z5-i^3 3 Bl 3-7 fl ppm D Samples Analyzed RYDSCPXA-e^-y3 3 B2 "1 l y ppm D 

nozecpxA- BZ ppm n D XRF Unit: lOffdoto Book: 2 1 ^ 

nCZECPXA -ez ppm n D Date: II -2. q IO 

RPZ6CPXA -PZ ppm n D Time: Jua_ 

Numbe Staff: JlSWL r of Samples = U 

Legend: Fl = Front Left, F2 = Front Right, B1 = Back Left. 82 = Back Right DZ = Drip Zone. GZ = Ganjen, PZ = Play 

All quadrants are as viewed from trie street, facing property ALL£. V 

Kc-.IKixHI Vttuc i li.-Mas--riK 

CONCRETE DRIP ZONE EXCAVATED QUADRANTS EXCAVATED 

AREA REPLACED WITH AREA LEFT BARE AREA REPLACED WITH SOD ROCK/MULCH 

CONTRACT #: EP-R7-09-06 COASTAL ENVIRONMENTAL GROUP, INC. 
^Az ^ Ol;(/vt6- % e^H-z^pi . 

Omah Exterior Paint North Arrow a Lead Site • Good Site Sketch • Poor 

Sampling Address: //^ ^ 7 / 17^ ^ (3 f g^Not paint 

Lead Sample Samples Collected Sample Number LAB Concentration Collected Firm; hyLL& . PR <ft 

RYASCPXA-f'iJ-VSSFI 2.0 1 ppm \y D Date: nlZHllO 

RYBSCPXA-a^''^ 3 9 F2 ppm .391. n Time: l:t:>c>rK 

RYCSCPXA- Z5^^33 Bl ^im ppm n

. Samples Analyzed RYDSCPXA-(f5"V33 B2 2A5L ppm . D 

B£ ppm n D XRF Unit: \Ofk^>l£> Book: 27 ^ 

RGZCCPXA -GZ ppm D D Date: M-Zq - IO 

^^zscpyu^ -F»Z ppm D D Time: 

.An. Staff: Number of Samples = n^ \y\ 

Legend: Fl = Front Left, F2 = Front Right, Bl = Bacl< Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing properly ^ p g \ l 

Rcv:OngBL Crcaled: lti-M.iyOS (14<3I4I 0123 
Omaha Lead Site "xterlor Paint North Arrow 

Site Sketch • Good 

• Poor 

Sampling Address: ( / *P7­ 7 / 1 7 (3 f l^f Not paint 

Sample Number 

RYASCPXA- e^^ S Fl 

RYBSCPXA-25-^S9 F2 

Lead 

Concentration 

201 

.39J_ 

ppm 

ppm 

Sample 

Collected 

[ y 

\y 

LAB 

n 

D 

Samples Collected 

Firm: hyLL& . T>R ^ ^ 

Date: \\\V^\\Q 

Time: i:t:>r>PK 

RYCSCPXA- Z5-^3 3 Bl 

RYDSC PXA-iSfl-y33 B2 

3-7g ppm 

_lI51_PP m 

n 

D Samples Analyzed 

RDZSCPXA B2 ppm n n XRF Unit: yCXkolo Book: 73 £ 

RGZSCPXA -GZ ppm D n Date: 1 1 2.q-I O 

RPZSCPXA -PZ ppm D D Time: An. Number of Samples = i L| ,_QJ 

Staff: iJSWL 

Legend: F1 = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property ^ p g\ l 

jEiir^r; ;2ijEX> 

NOV 2 420)0 

.H>i 

201 .' .3^J 

H .fl ­

3 

25' 

WAl-K. 

w. n ^ T . 

Rev3«lSBL Created: 16-May-OR 
Omah lerior Paint North Arrow a Lead Site • Good Site Sketch • Poor 

Sampling Address: //6 ^ / / 17 ^ (3/­ 0f Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB Samples Collected 

RYASCPXA- eff^ 3 F1 

RYBSCPXA-25"'^S9 F2 

2m. .^ai 

ppm 

ppm 

D 

D 

Date: ]S\V\\\Q 

Time: |:pQf H 

RYCSCPXA- aff*^33 61 

RYDSCPXA-e5'V3-9 B2 

RDZCCPXA BE 

nczscpxA -GZ 

RPZSCPXA -PZ 

.312. 

1 <^

ppm 

 ppm 

ppm 

ppm 

ppm 

n 

D 

n 

n 

D 

D 

D 

D 

Samples Analyzed 

XRF UnH: 

Date: _ 

Time: _ 

\CS^'>lo Book: 

n-2.qi o 

An 

Staff: Number of Samples = I L| rtw 

Legend: Fl = Front Lefi, F2 = Front Right, B1 = Back Left. B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, being property ^CiXJe^ 

EKTZ'UBSt^ 

NOV 2 4 2010 

2 0 1 

.f.i; .f2. 

25' 

WALv:: 

w. n. ^ T . 

Rev2iX>8.BL Created: ld-May-.08 0*5141.01 :a 
Omah North Arrow a Lead Site ^Brt i erior Paint 

Site • Good Sketch • Poor 

Sampling Address: / / *P4- A / 17 ^ (3f­ 0*^Not paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm:|k_Iij & T?ft Uy 

RYASCPXA- e5'*^^F ^ 2.Q1 ppm D Date: nllHlip 

RYBSCPXA-Sf^SS F2 ^*^ > ppm \y D Time: wnrvPK 

RYCSCPXA- Z5-^3 3 B1 iQf l ppm 

n Samples Analyzed RYDSCPXA-e^-y33 B2 1 1 ^ ppm D RDZSCPXA- BZ ppm D XRF Unit: \Ofi^t=lD Book: 

RGZSCPXA- -GZ n

ppm D Date: _ \\-2S\\ 0 

RPZSCPXA- -P i a ppm D Time: _ An. Staff: Number of Samples = nsA/ 

Legend: F1 = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property ^ \ \ g\J 

ar 1 jswy; ;i ^iS'l> 

NOV 2 4 2010 : 

ft 1 ^ . 

r ^8 li s 

^ 1. - \ 

2< >!... . 3Pi\ 

fl .f^.. 

•a25' 

WAl_lt 

w. n ^ T . : 

Rev 1008 BL Crearod: IS-N-layOS 046141.0123 
i yy; CQH t t I 

InTiiErnr-irii i 

< I ; . I . . , 

y 7 

C^oiuS'tiiii ioi I'A-.r.iii-.y: 'i o |-!:)|j>H(ty 

RIGHT OF EKH RY TO PREMISES 

Giantoi (the piopert^' OH'nei) consents to end authorizes the l/niled Slates 

Environmental Protection Agency (EPA) oi its authorized representatives, collectively 

the Grantee, to enter and perform certain enviionrnental response activities upon the 

following described premises: -N^ , ( y) ^ 

9 

Owner's Name Dzylime Phone: 

...OLQi 

Address of Property 

covered by this 

Agreement: 

\y 11 Ma id\-l ?rt 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of lead and may pose a health hazard. The area(s) will be 

excavated to remove contaminated soil. The removed contaminated soil will be 

replaced with clean materials and the area will be restored to its original condition. This 

work is being performed under the Omaha Lead Superfund Site remediation program. 

A representative of Coastal Environmental Group, contracted by USEPA, will contact 

the Grantor in-person to discuss the work to be performed, the Grantor will have an 

opportunity to review and approve the planned soil removal, and restoration work 

before it begins. Once the work is finished, the Grantor will be asked to review the work 

and confirm that it is complete and meets with the Grantor's approval. Upon 

completion, the Grantor will receive written documentation from EPA that the property 

has been remediated. 

ENVIRONMENTAL RESPONSE ACTIONS 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, at all reasonable times 

and with prior notice, for the sole purpose of performing the wor^ This access shall 

remain in effect until the work has been satisfactorily completed. The Grantor also 

agrees to: 

Page l of 2 
l ^^•y/ c C. C A J 1 t 

1 Remove obstructions incluriing bucls^ tiaileis, vehicles, picyscape items, wood 

piles, dog houses, etc: 

Remove flower bulDs oi plants ihai ll'ie Grantoi oi ihe Granloi's tenant may wish 

to save; 

Water and maintain replacement vegetation, including feiiilizer application, as 

necessary' subsequent to an initial watering period by EPA, 

' Abide by health and safety guidance provided by EPA, 

< If the property is rented, assist EPA in obtaining tenant approval (or access to 

the property' to perform the work. 

Allow videotaping and/or photographing of the property. 

AGREEMENT NOT TO INTERFERE 

The Grantor agrees not to interfere or tamper with any of the wor1< activities, oi with any 

of the work done, or with the equipment used on his property, or to undertake any 

actions regarding the use of said property which would tend to endanger the health or 

welfare of the Grantees or the environment, or to allow others lo use the property in 

such a manner. 

Should you have any quesiions about this program, please contact Coastal 

Environmental Group, at (402) 991-1199 

^ I grant zccess to my properties Q I dc not grant access to my properties 

..ycL..:zy/. Date Signature Date 

O I would like to be present during any sempling Ihsl is required. 

Page 2 of 2 
COASTA L 

••Our , I »• c 

Restoration Agreemeni 

The purpose of this agreement is to provide a mutual agreement as to condiiions of ihe propeny prior to 

remedialion acliviiies. This will also ser\'e as documentation for the purpose of assuring that restoration 

activities are completed lo the salisfaction ofthe property owner and the United States Environmental 

Protection Agency (EPA). 

Property ID: OS^^ Q 

Property' Address 

Owner: Ucko^ /z CAmayo\ 

Phone: 

On the attached diagram(s) indicate area(s) to excavate, surface structures and landscaping features and 

access location(s) to be used by the contractors. Indicate distances, depths, material types, etc. 

Pholographjcaliy and Videographically documenl the existing conditions ofthe properly and the basemenl if 

necessar>'. 

Items to be Removed by the Owner before Start of Remediation: 

The removal, storage, disposal, and/or retum of these items is tht Owricr's responsibility. 

Item 

NJQKlb" 

Item: 

Item: 

-7* Item: 

Page 1 of 
Items to Be Removed By Contractor During Remediation and Replaced 

Item 

Landscape Inventory 

Quantity Unit Condition/Type/Specie: 

Pre-exisiing property area, 

thai will be excavaied, thai 

is covered wilh grass. 

<^A Quadranis 

Number of trees > 2 inch 

trunk diameter 

Each 

Number of trees <= 2 inch 

trunk diameter 

Each 

Number of Sprinkler 

Zones, Control Valves, 

Timers, Heads, etc. 

Attach a sketch of the 

SprinkJer layout. 

Each 

Number of and size of 

each garden/ flower bed 

area. 

Attach a sketch of relative 

sizes and locations. 

Each 

Square Feet 

Agreed upon value ofplani 

materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Easement Area, to be 

excavated Each 

Page 2 of 
U O A s 1 A 1. 

Additional Comments / Instructions: 

The city of Omaha ordinances may prohibit you from using dirt or gravel areas on your property 

as driveways or vehicle parking areas. The Environmental Protection Agency (EPA) may be 

removing and replacing soil underlying a gravel or dirt area on your property that you may be 

using oS s driveway or vehicle parking area. If this is the case, you should understand that this 

removing and replacing of soil does not mean that any illegal driveway or parking area on your 

property is made legal. To the contrary, you may be cited by the city if you use a gravel or dirt area 

as a driveway or parking area, not withstanding any removal or replacement of soil by the EPA. 

If you have any question about legality of a certain driveway or parking area, you may contact 

the city of Omahc's Planning Department at (402) 444-5150. 

Please check this box if you understand the information outlined above. 

vsoChec k the box if Owner does nol want CEG lo documenl interior foundalion walls and possible 

'pre-existing damage. By checking this box CEG is not responsible for any damage done to the 

interior of house, including foundation cracks or fissures. 

Q I do not agree 

Date 

Page 3 of. 

I 
BV1D# 2'5V9'f 

XRF PROPERTY SAMPLE SHEET 

Date 9-70-7 7 Address /////» / 17 ^ y 

Project Omaha Lead ARRA Sample time sm/pm 

XRF ID# 3 9<f^ ^ sample length 30 sec 

Shol# Reading Sample area Shot# Reading Sample area 

/ (00 ± n B:^ 

ak±JZL Depth Depth 

zLi t y 10" 

Average Rl i 1^ Average 

Shot# Reading Sample area Shot# Reading Sample area 

Depth Depth 

Average Average 

Shot# Reading Sample area 

Depth 

Shot# Reading Sample area 

Depth 

Average Average 

Shot# Reading 

RETEST AREAS 

Sample area 

Depth 

Shot* Reading Sample area 

Depth 

Average 

Signature_ 

Pnnl

_v Qu.

 tlr,.; U

 P- ^ 

 P-^ A' 

Average 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

AVERAGE 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 91.515 

Supervised By: 

Certificate of Verification 

4 

Soil 

2011-08-16 16:25 

90.52 

ppm 

2 

Final 

Avg of 1-3 

1144 n 17 st 

B2 

10" 

KING 

confirmation 

confirmation 

Error 

16.770 

.^o- y 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 100.588 

Supervised By: 

1 

Soil 

2011-08­

30.20 

ppm 

2 

Final 

Certificate of Verification 

16 16:23 

25499 

1144 n 17 st 

82 

10" 

KING 

confirmation 

confirmation 

± Error 

± 17.377 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 96.781 

Supervised By: 

Certificate of Verification 

2 

Soil 

2011-08-16 16:24 

30.20 

ppm 

2 

Final 

25499 

1144 n 17 st 

B2 

10" 

KING 

confirmation 

confirmation 

± Error 

± 17.018 
Thermo 

SCIENTIFI C 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

XL3t-39022 

Reading No 

Mode 

Time 

Duration 

Units 

Sigma Value 

Sequence 

Flags 

BVID 

ADDRESS 

QUADRANT 

DEPHT 

XRF TECH 

MISC 

NOTE 

ppm 

Pb 77.177 

Supervised By: 

Certificate of Verification 

3 

Soil 

2011-08-16 16:25 

30.12 

ppm 

2 

Final 

25499 

1144 n 17 st 

B2 

10" 

KING 

confirmation 

confirmation 

± Error 

± 15.914 
X 

,1EU »r< . 

Omaha Lead Site—Fixed Price EP-R7-09-06 

Coastal Environmental Group Inc. 

V • .^* www.coastalhazmat.com 

^-'Lp^o-y COASTA L ENVIRONHENTAL 

GROUP . IN C 

EXECUTIVE SUMMARY: 

BVID #25499-(1144 N 17 ST) 

No Issues or Concerns | ^ Issues/Concerns 

Detail Explanation: 
' « * 

Property Completion Agreement 

This agieemeni documenis the completion of remedial aciivmes perCoimcd nn my property. My signaiuie 

will designate lhat 1 am satisfied with ihe restoralion ofm y properly, and Ihal no items are in questions. 

now. or at any tune in the future, except those items listed below, if any 

PropertylD: '^^^vj^e^o 

Piopcrr^' Address: VV^VJ 

Vi \-> -ftx 

Owner: ^,^ ^ ^ ^ V^lk^Vv 

Phone: v^o^-^^^V ^ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

/ ^ l 1 ayrcc ifstoralio n i< compieled, except as nottri 

[ I I rto not ai;rec restoration is completed 

^ iryjyyo'7 syyy yy Date ontraclor's Sifrnalurt Date 
EFA Property Close Out Form 

IJ<AV K) 11 5T^ Proptrty *l: _ ^T j / / Property Atldrtss: —•-;j; TT-JS——-r 

Dtte/Tlrot: " Owner's Ntnie 

Qiitds Exrcvsird; (3L3-_ Contrtclor Group 

LriCbVBtloD Ves No GencrtI 

1. If necessuy, wert tht correct qiiadrant(s) excavEted end reslored? / 

2. If necessa^, were Ihe corrtci sreas ofdrip zone excavated and reslorfd? y 

Grtdlog Sod tnd Vfnetalloc Y« No 

Docs the {;rBding around the pcrimclcr ofthe house in excBvaieri arcss generally slope away . I 1 

from tbe house? 

2. HKS sod been laid in all areas that -were escavsted? y 

i Does the sod appear to be generally healthy and growing? (Only evaluate if insprrtrd at s 30 

day lime period) y 

L- 'i. Art sodded areas generally firm and evenly graded? y 'i Are thejoints beM'etn the sod strips generally tight? (Only fvaluatt if inspected at J }0 day ! ^ 

lime period) I 

6. Was tht propeny graded such thai waier u-Dl noi pool (in ihc prnperty'' A. y 

7. Was damage lo landscaping or plant msterials avoided? "y. Gates. Fences and Retsinlng Walls 

r -^-•7\- ~ 

Do gates open and close freely? (Ifappiicabie) , r I 

2. Were all gates or fences laJjen dONvn during restoration activities reinstalled? (II applicable) / 

.-. Was damage to gates or fences avoided? (If applicable) y 

4. Was damage to retaining walls avoided? (If applicable) izr:i 

Foundatioa, Sidtag and Gatters V«4 .No 

I. Was dainage lo the siding or trim avoided? / 

2. Was damage to ihe foundation avoided? 

?. Was damage to windows avoided? 7 

4 Was damage to windows or door saeens avoided? / 

Was damage to downspout; ot downspout extensions avoided? ..A 

Sidfvialks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? 7 

h2. Wa.s damage to walkway surfaces avoided? 
0'^'P«^rs cd'mfnerslls: 

?nsp<*ction no<es: 

y ly ,a»«­ tP c<^ t^' 

i^^K iJ 

0' 

^^ t:\^y ifzy 

p" 

^'" ' t Z 

y^ .y .J-"' 

<y^' rs^^lZ 

Reniova) dJid resloration activates complete including the 30-day .sod warrnnry: 

}:.PA Representative 'h^ ^ Dale: /*'*