### TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO N FIL E FOLDE R SAID# : :^0^9L M 

### Date : Address : !^3l\ l VV . \i p ^ Remediatio n Contractor : _Envrionmeiita I Restoration , LLC

_Year : _2010 _ SOI LREMEDIATIO N PROPERT Y FIL E FOLDE RDOCUMENT S D Vide o o f property (DVD ) ^Befor e DAfter D Basemen t ^ ^ dJ>iSe.mIiiAj h ^ H Executiv e Summary (Final Report ) ' ^ EPA-provide dproperty sketc h

S Signe dAcces s Agreemen t for subjec t property D Signe dAcces s Agreement(s ) fo r adjacen t property ^ Restoratio n Agreemen t "" ^ Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) i S Confirmatio n dat a D Photograph s _t 5 Before DCre w Photos^Durin g Excavatio n D So d ^ 30-day So dD 

# V As-buil t sketc h "^ Completio n Agreemen t signe db y Propert y Owne r Q Property close-ou t chec k lis t signe db y EP A D Descriptio n o f area s no t meetin g RO D cleanu p criteri a ^ S Utility clearance s " ^ Property informatio n fromDougla s Coimty Assessor' s Offic e ^ ^ Property acces s checklis t „„ „ ^ ^ 3023775 0 

### O

^ Contac t Lo g g Superfun d


### Environmenta l Restoratio n Signatur e Dat e 

# xyc^j>^y: ^

_ &-T-_U EP A CO Rsignatur e ~ Date "

### Omah a Lea d Site—EP-R7-09-0 5 Environmenta l Restoration , LL C www.erllc.eof n 

# EXECUTIV E SUMMARY : 30924-321 1 N16S T 

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

# -EP A EPA Propert y Clos e Ou t For m Omah aLea dSite Propert y #:^JoWi _ Propert y Address : i2\ [ V^ » l U JT T Date/Time : Owner' s Name : '\bP ^ o\W j ^a.v ^ Quad s Excavated : - ^ I Contracto r Grou p : Environmenta l Restoratio n (ER ) Excavatio n Genera l Ye s N o 1 . Ifnecessary , wer e the correct qiiadrant(s ) excavatedan drestored ? ^ 2 . Ifnecessary , wer e the correct area s ofdri p zone excavatedan drestored ? ^0 ^ (Lo4 " CL«A^X - 

### A/ ^ Gradin g So dan dVegetatio n Ye s N o 1 . Doe s th e grading aroun dth e perimete r o f the hous e i n excavatedarea s generall y slop e awa y fromthe \ y house ? 2 . Has so dbee n lai di n al l areas dia t wer e excavated ? ^ y 3 . Doe s th e sodappea r to b e generall y health y an dgrowing ? (Onl y evaluat e if inspecteda t 30-da y tim e period) . 4 . Ar e sodde dareas generall y fir man devenl y graded ? i ^ 5 . Ar e the joint 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 the propert y gradedsuc htha t wate r wi U not pool o n th e property ? * ^ 7 . Wa s damag e to landscaping o r plan t material s avoided ? y ^ Gates , Fence s an dRetainin g Wall s Ye s N o I . Do gate s ope n an dclos e freely? (i f applicable ) i. ^ 2 . Wer e al l gate s o r fence s take n dow n during restoration activitie s re-installed ? (if applicable ) ^ 3 . Wa s damage to gate s o r fence s avoided ? (i f applicable ) - ^ 4 . Wa s damage to retaining wall s avoided ? (if applicable) 

# li k Foundation , Sidin g an dGutter s Ye s N o 1 . Wa s damage to siding o r trimavoided ? y ^ 2 .Wa s damag e to the foundatio n avoided ? _ ^ y u ^ 3 . Wa s damage to window s avoided ?\^ ^ dO ' 

### ' fiui y 4 . Wa s damage to window screen s or doo r screen s avoided ? * ^ L ^ 5 . Wa s damag e to downspouts o r downspou t extension s avoided ? y Sidewalk s an dDriveway s (Concrete ) Yes N o 1 . Wa s damage to drivewa y surface s avoided ? 

# ~ w 2 . Wa s damage t o walkwa y surface s avoided ? y " Inspectio n notes :



### Remedial an drestoratio n activitie s complete includin g 30-day so dwarranty : EPA Representativj»r"'7;^ . /fT^ ^ ^ '^A^^ .. . Date : 3/7^^ 0

### Ada m Detric h From : Johnson.James@epamail.epa.go v Sent : Thursday , Augus t 05 , 201 0 3:2 7 P M To : Ada m Detric h Subject : Re : Q C propertie s Adani j her e ar e th e Q Asampl e result s fo rtoday . 321 1 N 1 6 S T F l = 29 4 +/
- 3 3 322 0 N 2 4 ST F l = 30 8 +/ - 34 ; F 2 = 35 5 +/ - 38 ; D Z = 24 6 +/ - 3 2 Jame s A . Johnson , MP H On-Scen e Coordinato r USEP A/ R7 / SUP R / ERN B 99 1 N . St h Stree t KCK , K S 6610 1 913.551.705 8 offic e 913.551.905 8 fa x 816.516.495 4 cel l Johnson . 1ames(Sepa . go v "Toda yi s a goo d da yt o live "

I > I From : | 

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# - I I I Ada mDetric h <a.detrich@erllc.com > > 

# I I > I To : 

## I 

# I — 

# -­ > > 

# I I I Jame s Johnson/R7/USEPA/US@EP A > 

# I I -­ > i Date : | 

# I — 

# > >



# - - I 

# I 108/05/201 0 08:5 9 A M >



# - I 

# I ­ > I Subject ; | 1

### Pag e 1 of 2

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



### • YOU RTICKE T NUMBE R18^2551812 . Origina l Cal l Date : 7/2_4/10_ ^ Time : 9:0 7 a mOp : TRACY2418 6 Wor k t o Begi n Date : ^/28/10 7 Time : ITVlS^aiiy ' State : N E County : DOUGLA S Place : OMAH A Address : 321 1 Street : N16T H S T Twp : 15 NRng : 13 E Sect-Qtr : 10-NE-N W 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 JlemarJcs.:__FAX.,AL L CLEAR S TO : (402)451-106 9 i_.SAID #3092 4 Compan y: ENVIRONMENTA L RESTORATIO N Contac t Name : TRAC Y BRISTO W Phone : (402)451-131 4 Alt . Contact : Phone : (314)504-487 4 Wor k Bein g Don e For : EP A Dept h o f Excavation : 1 2 Corne r Lot : NFront : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V MAGELLANMUDO l OMAHACO F 0PPDGPR 5 QLNNEI C 

### Service Area Contac t 

### Phon e Numbe r Utilit y Typ e CXCAT V CO X COMMUNICATIONS , IN C HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 MAGELLA N ^^GELLA N MIDSTREA M PARTNER S DEBORA H Day : 918574709 8 Alt : Emerg : 918574709 8 MUDO l METROPOLITA N UTILITIE S DISTRIC T SAND Y Day : 402504782 3 Alt : Emerg : 402504797 0 OMAHACO FCIT Y O FOMAHA-TRAFFIC.SEWE R RICHATIAFFI C Day : 402444719 7

Alt : 402444516 1 Emerg : 402444516 0 http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 7/24/201 0

### Pag e 2 of 2 Day : 406728934 3 0PPDGPR5 OMAH A PUBLI C POWE RDISTRICT LOCATIN G^^ ' 406207149 4 

### Emerg : 888728934 3 QLNNEIC QWES T LOCA LNETWOR K P I M

LOCATIN G 

### Day : 406728934 3

^^^ ' 406207149 4 

### Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS.. . 7/24/201 01 

## Contac t Informatio n Lo g SAID#3o^^ ^
Owner' s Name:^^{-^-f^v y •X~^.^' T Propert y Address : 3;>( | /^ , /(^"t b j f 

### Attemp t t o contac t Date/tim e Nam e AcC^i J ^rf*. s JiJA* V 

## ^-9-( o V:' 9 n ^ 

# 1'iO^l O II3 ^ 

# 4 5 ^<!»*V\^l^+ « •' ^ /^(7-/ 0 ff;-j^ ^ i ?

-k

## Propert y Acces s Checklis t
n WORKStARTED. , . U WORKCOMPELTE D ON:__/__/

_ j Prnn^rt y Address : -351 ) K
- |(#1!^3 ^

Owner : j^protk Y P^A-j
- Renter : P>i y (yjjxA ^ Address : ^^ ^ - 7 ' M- ^ ^^^S-j
- Phone : Fax : Cell/Pager ; g ^^
- /^/S ^ 

### Phone : j^/.yS3Z > Additional Information : Cell/Pager : Ip 3 Acces s Agreement Signed : «^ / ^ / /^ g By-iS/ ; 

# S : Restoratio n Agreement Signed ; ^ / f / / ^ By : le, ^ Vide o Property Befor e O n : 1 / '^ 1 /- o 

## ^y - 

## M Digita l Photo s Befor e O n : ^ 7 iM f !' > 

## ^ yA ­ n Vide o Property Afte r O n / / By : n Digita l Photo s Afte r O n / / By : ( 3 Propert y Completio n Agreemen t Signed : ^ / 17 1 fO By:</ ^ n Fina l Report Signed : / / By : Additiona l Video o r Digita l Photo' s Take n n Vide o D Digita l Photo I O n : /

Omah aLea dProject Wor k

Pla n Pag e I of 19

## Consen t to r Acces s t o Propert y SAlDuJ^^'^ y RIGH T O FENTR Y T O PREMISE S 

### Granto r (Lh e propert y owner) , consent s to an davjthorize s ihe Unite dState s Erivironmenta i Piuleciio n Agenc y (USEPA ) o r

it s authorizedrepresentatives , collectively th e Grante e to enter an dperfor mcertai n envirorunenta l respons e activitie s upo n th e following describe dpremises. : Owner' s Name :

### • UOro44sj> J -^A h Daytim e Phone : 3^/ / •'ySJ~ t

Addresse s of Propertie s covere db y thi s Address : Address : Address : 

## 3:? u M . ic^ikjf . 

# q Agreement : Address : Address : 

# J PURPOS E O FINVESTIGATIO N 

### Th e purpos e o f

th e remedial activitie s i s to remov e all soil s a t th e propert y whichar e contaminate dwit hhazardou s substances , i n particula r

lea da t concentration s greater than.or equa l t o 40 0 part s pe r

millio n (ppm) . REMEDIAL ACTION S Th e environmenta l respons e action s t o b e performedo n sai dpropert y ma y includ e th e following activities : a .Takin g photograph s and/o r

vide o of th e propert y before , during , andafte r

remedia l activities ; b .Locating equipment an dmachiner y cn-site i n preparatio n fo r

andin th e cours e of the environmenta l response ; c .Planning andimplementing th e remova l actio n o n or nea r

Grantor' s property . d .Obtaining sample s fromGrantor' s property ; AGREEMEN T NO T 

### T o INTERFER E 

### Th e Granto r agree s no t t o interfer e or tampe r

wit han y o f th e activitie s or wor k

done , or th e equipment use dt o perfor mth e activities , o r

to imdertak e any action s regarding th e us e o f said propert y whic hwoul dten dto endange r

th e healt hor welfare o f th e Grantee s o r

th e environment , or

t o allo w other s to us e th e propert y in such I gran t acces s t o m y propertie s n I d o no t gran t acces s t o m y propertie s 

# 2^/i ^ ^natur e Date Signatur e Dat eAdditiona l Comment s / Instructions :



### .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 foijn^atio n wall s an d possibl e preexistin g damage . B ycheckin g thi s bo xE.R . i s not responsibl e fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n crack s o rfissures .

Q I d o no t agre e C D I agre e n I d o no t agre e 

# 2-1^-// ) Iwner' s Signatur e Bat e CoatrECtor' s Signatur e Date

## Restoratio n Agreemen t Th e purpos e of lIiI s agreemen t i s to provid e armituai_agree.rnen t as-tc ccridition s o f propert y p-ibr t o contracto r aetlvilies: ' Tni s wil l als o serv e a s documentatio n for th e purpos e o f assurin g tha t restoratio n activitie s ar e completedt o th e satisfaction o f th e propert y owne r an dth e Unite dState s Environmenta l Protectio n Agenc y (EPA) . 

# 3^:^ 9 Propert y Addres s 

## 3^i { 

## H- / 6 ti l 

## J A . Owner : Phone : 

# 39 r O n th e attache ddiagram(s ) indicat e area(s ) to b e excavatedanddept hc f excavation , location o f al l know n utilities , subsurface features , surfac e structure s andlandscaping 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 n arro w indicating directio n of view . Etem s t o b e remove db y Contracto r an dno t replaced : j Item : 

# 2^U< ^ Ai l U->/f A ^fcc / 1 Item :

Kem : Item :

Pag e 1 o f 2Additiona l Comment s / Instructions :

n I d o no t agre e Q I agre e O I d o no t agre e 

# 2-^-/ ^ Owner' s Signatur e Date Contractor' s Signatur e Dat e 

### Attachment s

Pag e 2 o f 2I 

## Propert yCompletio n Agreemen t Tlii s agreemen t dociimeht s th'e " corifipletibli of remedia l activitie s performe d on my property . My signatur e wil l designate tha t I

amsatisfie dwithth e restoratio n of my property , an dtha t no item s ar e in question , now , or at

an y tim ein th e future , excep t thos e item s liste dbelow , if any . 

### SAID : JSOf^ y Propert y Address : 3,^/ / A^ . JC^-jL . S-l
Owner : l\)^ c 

## ^=^4 - Phone : Jy^/ . ^^^^- Q Restoratio n Item s in Question :



## >O l agre e restoratio n is completed , excep t as note d |> | I agre e restoratio nis completed , excep t as note d II do no t agre e restoratio n is complete d I 11 do no t agre e restoratio n is complete d
Owner' s Signatur Date Dat e iignatur e Contractor' s Signatur e

### Dougla s Coimt y Accoim t Information Pag e 1 of 3 Dougla s County , Nebrask a Propert yRecor d - R224936000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e ( 9 scal e 0-5 0 f t wes t o f 52n d S t - Vie wO H Ma p Infomnatio 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 FAN T DOROTH Y M ETA L 320 7 N 1 6 S T OMAH AN E 68110-000 0 Propert yInformatio n Ke yNumbe r 493 6 000 0 2 2 Accoun t Type : Residentia l Parce l Number : 224936000 0 Parce l Address : 321 1 N16S T OMAH AN E 68110-000 0 Lega l Description : SULPHU R SPRIN G LO T1 1 BLOC K3 52. 8 X 12 4 Valu e Informatio n Lan d /mproi^e/nen t Tota l 200 9 200 8 200 7 200 6 200 5 200 4 $2,600.0 0 $2,600.0 0 $2,600.0 0 $2,600.0 0 $2,600.0 0 $2,600.0 0 $43,100.0 0 $43,100.0 0 $52,200.0 0 $52,200.0 0 $52,200.0 0 $50,900.0 0 $45,700.0 0 $45,700.0 0 $54,800.0 0 $54,800.0 0 $54,800.0 0 $53,500.0 0 Sale s Informatio n Sale s Date : 2006-02-1 6 Dee d Type : W D Book : 200 6 Page : 01846 5 Price : $47,900.0 0 Grantor : Countr yHom e Loan s Grantee : Doroth yM Fan t eta ! Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 2005-11-1 6 Dee d Type : W D Book : 200 5 Page : 14906 5 Price : $50,400.0 0 Granto r CAMILL E R HAW KT R 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accoimtno=R2.. . 12/21/200 9

### Dougla s Coimt y Accoun t Informatio n Pag e 2 of 3
Grantee : COUNTRYWID E HOM E LOAN S IN C Valid/Invalid : Invali d Exclusio n Reason : \ Sal e t o Mortgag e - Ban k Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 5 6572. 0 1. 0 124. 0 53. 0 N o Lan d Attribute s Attribut e Attribut e Descriptio n Negativ e Influenc e Traffi c1 Improvemen t Informatio n Buildin g 1
321i 1 N 1 6

TW O STOR Y ;^|is?^y "

CLIC KTO ENLARG E IMAG E CLICKJLO„ENLARG E IMAG E Squar e Footage : ; 1738. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Goo d

Buil t As : 2 Stor y Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai rt o Ai r Rooms : 6. 0 Exterior : Fram e Viny l Units : 1. 0 Interior : Drywal l Baths : 2. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

Roo f Type : Hi p Stories : 2. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 189 5 199 1 0 % 189 5 11 5 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 

### 1. 0 httn://dou2]asne.maDDina-online.com/DouslasCoNe/static/accountinfo.jsp?accountno=R2.. . 12/21/200 9

### Dougla s Count y Accoun t Information Pag e 3 of3
Basemen t Basemen t Fixtur e Fixtur e Garag e Porc h Use r Bsmn t Bloc k 8 f t Finishe d Bas e Fixture s Bat h Ful l Attache d En d Soli d Wal l ML S UPDAT E 660. 0 550. 0 1. 0 2. 0 484. 0 112. 0 1. 0



### httD://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accoimtno=R2.. . 12/21/200 9

### ENVIRONMENTA L AS-BUILT DRAWIN G % MAH ALEA D SUPERFUN D SIT E RESTORATIO N

Name : ^'^o ^

3<7vg ^ Omah a Lea d Sit e Date : 1-17-0' $ Nort h Arro w Address : 33 ^ ) 1 w > /6^'^A - Sit e Sketcl i Time : ^ ^ 3(!0 " Phone : 3'( S - ?V>' 7 

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Omah aLea dSit e 4613 0 

## \sss m Quadran t excavate d Dri p Zon o Excavate d Contaminatio n Lef t Behin dOmah aLea dSite 4613 0

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