### TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO N FIL EFOLDE R SAI D # : Z"1H\<S Date : H-2.C-9-\ l Address : ZZCX P

### K A. ZU ^ S V . Remediation Contractor : Environmenta l Restoration , LLC

_Year : _201 0 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S y f Video o f propert y (DVD ) ^^efor e DAfte r

D Basemen t D j A Executiv e Summar y (Fina l Report ) >

Q EPA-provide dpropert y sketc h 

### j A SignedAcces s Agreemen t fo r

subject propert y D SignedAcces s Agreement(s ) fo r

adjacen t propert y y Q Restoratio n Agreemen t D Settlemen t document s (i.e. , fo r

damag e o r

t

o replac e plants , etc. ) Confirmationdata A

^ Photograph s JZBefor e DCrewPhotoSyZfUxuingExcavation D Sod ]/30-da y SodD . 

# X As-built sketch 

# / C

j£ Completion Agreemen t signedb y Propert y Owne r Propert y close-out check lis t signedby EP A D Descriptiono f area s not meeting RO D cleanu p criteri a jA Utilit y clearance s ^ Propert y infomiation fro mDougla s Count y Assessor' s Office ^ Propert y acces s checklis t 6frbp*Hj ^ Ptn& l |2.Y«^ ) 3026192 3 J/ f Contact Log 

## j / \Jiicary i /a ^ Superfun d

Environmenta l Restoratio nSignatur e Dat e iPACO Rsignatur e / Dat e

# EP A EP A Propert y Clos e Ou t For m Omah aLea dSit e Propert y # ; irV\\ % PropertyAddress : ZZ-QC o U - ZL^^S^^ . Date/Time : Owner'sName : fAo^Cc o "XAdu^cftAt^gjs ^ Quad s Excavated : "^ v VYbZ . Contracto r Grou p : Environmenta l Restoratio n (ER ) Excavatio n General Ye s N o 1 . Ifnecessary , wer e th e correc t quadrant(s ) excavatedatr drestored ? 

# z 2 . Ifnecessary , wer e th e correct area s ofdri p zon e excavatedan drestored ? 

## jJL Gradin g So dan dVegetatio n Ye s No \ Z house ? 2 . Ha s so dbee nlaidi n all area s tha t wer e excavated ? u ^ 3 . Doe s th e sodappea r t

o be generall y health y andgrowing ? (Onl y evaluat e ifinspecte da t 30-da y tim e period) . 4 . Ar e sodde darea s generall y firman devenl y graded ? l^
­ 5 . Ar e th e joint s betwee nthe sodstrip s generall y tight ? (Onl y evaluat e ifinspecte da t 30-da y tim e period) . 6 . Wa s th e propert y gradedsuc htha t wate r wil l not pool o n th e property ? i ^ 7 . Wa s damag e to landscaping o r plant, material s avoided ? l^ ^ Gates , Fence s an dRetainin g Wall s Ye s No 1 . Do gate s ope nan dclos e fi-eely? (ifapplicable ) 2 . Wer e al l gate s or fence s takendow nduring restoratio n activitie s re-installed ? (ifapplicable ) 3 . Wa s damage to gate s o r fence s avoided ? (ifapplicable ) 4 . Wa s damag e t o retauiing wall s avoided ? (ifapplicable ) Foundation , Sidin g an dGutter s Ye s N o 1 . Wa s damage to siding o r tri mavoided ? 2 . Wa s damag e t

o th e foundation avoided ? ^C/?A V ^ Ci . 3 . Wa s damag e t

o window s avoided ? 

# H t 4 . Wa s damag e to window screen s o r doo r screen s avoided ? 5 . Wa s damage t o downspouts o r downspou t extension s avoided ? Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 . Was damage to drivewa y surface s avoided ? 2 . Wa s damage to walkwa y surface s avoided ? Inspectio nnotes :

Remedia l an drestoratio n activitie s complet e includin g 30-da y so dwarranty : 

# ^Jr/^j^/u^ . Ju ^ 

# V/V/ / EP A Representativ e Date :

### / ^^® 7 \ Omah a Lea d Site~^P-R7-09-0 5 1^^^ ^

I Environmenta t Restoration , LL C \ A ^ www.erilc.co m 

# EXECUTIV ESUMMARY : 2791 8 220 6 N 2 6 S T



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

### fag e 1 ot 1

" > [ Creat e Anothe rTicke t ] [ Bac k t o Irt h Interne t ]

• YOU RTICKE T NUMBE RI S 2664772 . Origina l Cal l Date : 1/17/1 1 Time : 7:5 6 a m Op : ADAM2418 6 Wor k t o Begi n Date : 1/20/1 1 Time : 7:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 220 6 Street : N26TH S T Twp : 15 NRng : 13 E Sect-Qtr : 09-S E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : lead soi l remova l Locatio n o f Work : LOCAT E ENTIR E PROPERTY Remarks : FA X AL L CLEAR S TO : (402)451-1 06 9 : 2791 8 Compan y: ENVIRONMENTA L RESTORATION Contac t Name : ADA M Phone : (402)451-131 4 Alt . Contact : Phone : (636)288-961 6 Wor k Being Don e For : ep a Dept h o f Excavation : 2 4 inc h Corne r Lot : NFront : N Rear : Involve s Tunneling o r Horizonta l Borin g : NExplosives : N CXCAT V

MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C Servic e Are a Contac t Phon e Numbe r Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C HEIDI Alt : 402934046 9 Emerg : 402932975 7

. Day : 402504782 3 MUDO l METROPOLITA N UTILITIES DISTRICT SAND Y MU D Alt : Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCITYOFOMAHA-TRAFFICSEWE RRICH/TRAFFI C Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 0PPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T EL M LOCATIN GAlt : 406207149 4 Emerg : 888728934 3 Day : 406728934 3 QLNNEI C QWES T LOCA LNETWOR K EL M LOCATIN GAlt : 406207149 4 Emerg : 888728934 3 ' [ Sen d Emai l ]

Utilit y Typ e

http://www.dhon.org/irtliintemet/DHONNoticeCreation/MessageText.asp?ret=<RESlJLTS. . . 1/17/201 1% ?y.K"V. T 

## Contac t Informatio n Lo g SAID#27?/ 8 Owner' s Name : j^r^obg(^ Q r>^Ov>a4^^•>£: s Daytime Phone : <y^7.-gi/2.-2€)'2 o j Propert y Address : lloj ^ ^ 2C>S + Attemp t t o contact Date/tim e Nam e 

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## Propert y Final Repor t SAID : 279I & n WOR K STARTE D ON : / / PropertyAddress : 2^o( ^ V 26 , 5^
- D WOR K COMPELTE D ON : / / Owner : p.^l^g^j ^ X^^Ci^^sfeJe s Renter : Address : .^^^ ^ ^ ZK ^ 3 + Phone : Fax : Cell/Pager : Phone : VoZ.-SV l - Z g z o Additiona l Information : Fax : Cell/Pager : H Acces s Agreemen t Siened:/T . 12- % i l O By:2.CiA+Lcyt _ E l Restoratio n Agreemen t Siened : ' ^ / ^> - / ^'

^ By:S..feuJt-Uc,A ^ 0 Vide o Propert y Befor e O n:* 2 i n /J O 

### By^r./S'^+^-t ' [x l Digita l Photo s Befor e On -. nir L1 i o By : Z . ig^lfjZ. , r~ l Vide o Propert y Afte r On •.JJ _ By : N/A nDigita l Photo s Afte r O n : / / By : .^Property Completio n Agreemen t Siened:! ? t:?^ / f ( By : ^ ^ n FinalRepor t Siened : / / By : EXECUTIV ESUMMAR Y

Omah a Lead Projec t Wor k Pla n Page l o f 1 9% 

## Consen t for Acces s t o Property SA{P #oll^it 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 Unile dState s Environmenta l Protectio n Agenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grante e t o ente r an dperformcertai n environmenta l respons e activitie s upo nth e foUowin g describe dpremises ;

Owner'sName : fYl O ^ ^ C 0 .^/ ) J/A^C; ^ . Daytim e Phone : ^Z"
- y ^ 2 ^^ 2 2 O Address : 

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- Address : 

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- Addresse s o f Propertie s Address : covere db y thi s 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 property whic har e contaminate dwit hhazardou s substances , i nparticular lea da t concem.ratio.n s greate r tha no r equa l t o 40 0 part s pe r .tniliion (ppm) . REMEDIA LACTION S Th e envircmrsental respons e action s L o b e perfomie do a:;3' dpropen y nay ir!.cn.:d e rh s ixCu./i^i o acti'^^ties : o- Takin g photograph s and'o r vide o of fh e .cvopert y bcfo:e , diuing . --v A -c^.ti: L-crnedif. i • activities ; b . Locatin g equipmen t an dii-?achii:-^? > cn-sit e i ni:r'^p???f"cv j f? r :;r dir ? ih e ^'"'I'rce c'^'-^ e environmenta l response ; '• : Plannin g an dImplementin g ih e ;:p:viOva l d.cxLC' i •;•;' • :; : ••e^ : '^•:i^v:'j \ -i y-';-r:c';'v dObtainin g sample s fro mGrantor' s propert} : AC-REE.MEN T NO T T O INTERFERE 

### Tn e Granto r agree s no t t o interfer e o r tampe r vvii han y o f th e activitie s o r wor k

done , o r th e equipmen t use dto perfon n th e activities , o r t o undertak e an y action s regai-ding tli e us e o f sai d propert y v/hic hv/oul dten dt o endange r th e healthc r welfar e ofth e Grantee s or th e environment , c r

t o ,aHo w other s to us e th e propert y insuc h J graa t acce.s s t. am y prop«n<.e s r ni d o ao i gran t acces s I J m y picpertie s 

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## Restoratjo n .Agreement

Th e purpos e of , 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 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 n ofth e propert y owne r an dth e Unite dState s Environmenta l Protectio nAgenc y (EPA) . 

## jSAID : .^7^/ ^

PropertyAddress : ^;2^C ? 6 ,A J , ^ & ^/ ^ Owner : rf ) O^ FC O " X// D Z/J C Phone : ^ot" 3 <- j 1 ' X'i f Z o On th e attache ddiagram(s ) indicat e area(s ) t o b e excavate danddepthof excavation , locatio n o f al l known utilities , subsurfac e features , surfac e structure s andlandscapin g features , acces s location(s ) t o b e usedb y contractor , an dth e directio n o f North . Indicate distances , depths , material types , etc . Indicat e digital photo s by referencin g th e photo-lo g numbe r wit ha n arro w indicatin g directio n of view . Item s t o b e rsmove d b yContracto ran d no t replaced : 

# ^puc ^ oJ J so/ O j/kcA/o r LD<r______ _ Item : !tS17l L item : itsm : Item : Etent :

Pag e 1 o f 2T?f . ?.g~'? e L ] ? d o fjo v .egi"?.- 2 • ^^-si^re e [_ j i iJ i cv.t . agre e 

# ry\o£>€c o T/^PJAJC^J^^^^^ ^ 

# Tp^g^yj^ ^ , H^5- U Owner' s Sjgnatare Dat e ' CcE?iractor' l Signatur e Dat e 

### .Attachmen t

Pag e 2 cl '• 

## Propert yCompletio n Agreemen t Thi s agreemen t document s th e completio n o f remedial activitie s performe do n m y property . M y signatur e wil l designat e that I a msatisfie dwit hth e restoratio n o f m y property , an dthat n o item s are in question , now , o r at any tim e i nth e future , excep t thos e item s liste dbelow , ifany . SAID : 27'?) ^ Propert y Address : ^7. 0 ( ^ ^ ^.Q , 5 + Owner : f^U,^^ ^ lnDv^.-h^T& ^ Phone : C^Q^J.-J^^i.-I^I Q Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item : Additiona i Comments :

i agre e restoratio ni s completed , excep t a s note d )ZA' agre e restoratio n i s completed , excep t a s note d fri l d o no t ag r j I I d o not agre e restoratio ni s complete d ire e restoratio ni.s complete d

Owner' s Signatur e H Dat e Contractor' s Signatur e Dat e

### Dougla s County Accoun t Informatio n Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d ­ R200175000 0 Prin t Reoor t Informatio n i s vali d a s o f 2010-8-1 6 Vie wInteractiv e GI S Ma p Treasurer' s Ta xRepor t Ne wFeatur e - > - » - ^ Subdivisio n Sale s Searc h Owne r MOBEC O INDUSTRIE S 1141 3 HICKOR YR D OMAH AN E 68144-000 0 Propert yInformatio n Ke yNumber : 017 5 000 0 2 0 Accoun t Type : Residentia l Parce l Numbe r 200175000 0 Parce l Address : 220 6 N 2 6 S T OMAH AN E 68111-000 0 Lega l Description : PATRICK S 2N D AD D LO T1 7 BLOC K9 4 0 X.I2 0 Valu e Informatio n Lan d Improvemen t Tota l 201 0 $300.0 0 $0.0 0 $300.0 0 200 9 $300.0 0 $0.0 0 $300.0 0 200 8 $300.0 0 $0.0 0 $300.0 0 200 7 $300.0 0 $0.0 0 $300.0 0 200 6 $300.0 0 $0.0 0 $300.0 0 200 5 $300.0 0 $0.0 0 $300.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 1 4800. 0 0. 0 120. 0 40. 0 Ye s



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R20. . . 8/20/201 0

### ENVIRONMENTA L ^ AS-BUILTDRAWIN G #OMAH ALEA D SUPERFUN D SITt ' RESTORATIO N 

## Z19/ 8 Nam e /)/\ D IOSC O JlAniijs^fiA i Address : a^/j * . ^ ^ ^

s ^ Omah a Lea d Sit e Sit e Sketc h Date : Time : fAr/^'S- . Nort h Arro w[ • Phone :

Omah aLea dSit e 4613 0 UBBEM C Quadran t axcavata d Dri p Zon e Excavato d ContawiinaMo n Lef t Behin d r^^^t-^y. * U . C D D TA AA C C>i% B ••i^^* * V«M ^ »«*« « I D^««»*.^^^^*^ % • « I I ^

## Z19/ S Name : /)> % UeC n XAJiJsi-ri& S Address : ,?^<?< : A ^ >t f '' ^ Phone : Omah a Lea d Sit e Sit e Sketc h Date : Time : <^//fA>4 ~ : ? -O" ? Nort hArro w

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SCIENTIFI C

AI)l)l<i:S S SAMI'l. KAltK AOI'KU AI O K, l)i;i ' NOIK S SAID I'l l 1 2011-01-2 6 10:2 5 Av g o f 395-39 7 220 6 n 2 6 s t B l jimm y 1 3 fma l clearanc e 427.1 7 ± 32.9 1 2011-01-2 6 10:2 5 220 6 n 2 6 s t B l jiiiim y 1 3 final clearanc e 2791 8 398.4 6 ± 32.0 9 2011-01-2 6 10:2 5 220 6 n 2 6 st B l jimm y 1 3 , final clearanc e 2791 8 459.0 1 ± 34.0 3 2011-01-2 6 10:2 4 220 6 n 2 6 s t B l jimm y 1 3 final clearanc e 2791 8 424.0 3 ± 32.6 0 2011-01-2 5 18.0 2 Av g o f 372-37 4 220 6 n 2 6 s t E Z jiiiun y surfac e final clearanc e 193.1 2 ± 23.0 3 2011-01-2 5 18:0 2 220 6 n 2 6 st E Z jimm y surfac e final clearanc e 2791 8 197.3 3 ± 23.2 4 2011-01-2 5 18:0 1 220 6 n 2 6 st E Z jimm y surrac e final clearanc e 2791 8 185.9 4 ± 22.6 0 8 2011-01-2 5 18:0 1 220 6 n 2 6 st E Z jimm y surfac e final clearanc e 2791 8 196.0 9 ± 23.2 7 9 2011-01-2 5 17:5 8 Av g o f 368-37 0 220 6 n 2 6 st B 2 jimm y 8 final clearanc e 173.8 9 ± 22.0 4 1 0 2011-01-2 5 17:5 8 220 6 n 2 6 st B 2 jimm y 8 filial clearanc e 2791 8 193.3 8 ± 22.9 4 1 1 2011-01-2 5 17:5 7 220 5 n 2 6 st B 2 jimm y 8 final clearanc e 2791 8 171.5 3 ± 21.8 6 1 2 2011-01-2 5 17:5 7 220 6 n 2 6 s t B 2 jimm y 8 final clearanc e 2791 8 156.7 5 ± 21.3 1

Pag e 1 o f 1 01/26/1 1 12:55:47