TRANSMITTA L of OMAH A LEA D SITE 

SOIL REMEDIATIO N FILE FOLDER 

SAID#: ^O^ l Date: 9>4/^7 

Address: /3IB S 3d) fi^jj^ 

Remediation Contractor: Coastal Environmental Group_ Year: _2007_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

^ Video of property (DVD) 

53^ Executive Summary 

\ y EPA-provided property sketch 

M Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

M Restoration Agreement 

D Settlement documents (i.e., for damage or to replace plants, etc.) 

^ Confinnation data 

B^ Photographs 

M As-built sketch 

M Satisfactory restoration signed by Property Owner 

B^ Property close-out check list signed by EPA 

vf' Descriptionof areas not meeting ROD cleanup criteria 

D Utility clearances 

D Property information fi'om Douglas County Assessor's Office 

D 

D . • . • 

D . • " • • • • ' 

^.^i^^ '^Ml 

40317872 rill 

Superfund 
m 

Property Access Checklist 

PropertylD: ,'^$-1 1 D WORK STARTED ON: / / 

D WORKCOMPELTED ON: / / Property Address: /3/ ^ S. 3 0 f\\l-t -

Owner: ^ ^ tfO/ ^ tJi D W I t 2. R'^"*'^'­= fLo5ina 

Address: ^3/ g S,0^}/\^ ^ Phone: ^^/^.^/^ ^ 

Fax: 

Cell/Pager: 

Phone: (j^Q-QWX Additional Information: 

Fax: 

Cell/Pager: 

nn Notification Letter Sent: / / Bv: 

0 ^ Access Agreement Signed: 4 1 d'^l 0 ^ ^r-Marcos M 

B^Kestoration Agreement Signed: V 1 ^6'1 O l By= Marco5 M 

cn Topsoil Sampling (if applicable) 1 1 By: 

n Disposal Sampling (if applicable) 1 1 By: 

f~l Garden Sampling (if applicable) 1 1 By: 

M Utility Clearance CMed: Pl l ^10 2 ^y-^^rpfshkcL irn^iRs] 

O^Video/Photos (Before) On:^ l 9^10 1 ^y-/ZicKr. ^ Video/Photos (During) On:^/^/ on By: £ia p 

D^Video/Photos (After) On:_g:/^/ C>-1 ^y- fcicH 

n Video/Photos (30-Dav) On: / / By: 

\ 2 Property Completion Agreement Signed: ^ I [ 1 O'l ^y liitlA 

r~1 Final Report Issued: / / Bvi 

Air IVIonitoring (as applicable) 

1 1 Community CH Crew On: / / 1 

Results: 

O Community • Crew On: / / By : II 

Results: 

n Community CH Crew On: / / By: 

Results: 

Omaha Lead Site 
Excavated = 3173 

Property Classification: 800 OUJfIt: Sandta <csimdt^s:^§t^zrsiT.Z Footaqe to be Excavated = 55 

Description of post excavation areas: Fl, front yard left-hand quadrant: F2, front yard nght-hand quadrant: Bl, backyard left-hand quadrant: B2, backyard right-hand quadrant: 

DZ, dnp zone (1-3 foot area of soil around the foundation of the house). 
Print Preview Page I of I 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Pmperty 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

Sec-TwnRng 

1237480000 

ESTRADA 

SANDRA 

1318S30AV 

OMAHA 

68105 

1318 S 30 AVE 

OMAHA 

NE 

68105 

28-15-13 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Old Assessor 

Site 

New 

Assessor 

Site 

HANSCOM PLACE 

10 

5 

E 142 FT LOT 5 

50X142 

http://webarc.co.douglas.ne.us/dcassessor/details.asp? 

PARC ELN B= 1237480000 

http://webarc.co.douglas.ne.us:8080/RealWare1/details.do? 

id=R1237480000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 171 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 4/25/2007 
Property ID # 

Property 

Address: 

Initial Contact:

Second Contact:

Final Contact:

Final Action:

Comment: 

Owner 

Comment (s): 

Site 

Coordinator 

Comment (s): 

CONTACT FORM 

^\^^ / ^j \\^,,-rtii % \7 1315 S. 30f^^,. . ^ ,^,^^(^^^ 

 Date: [{A Time: ^^'-"l Action: ^OH^lPi/li!? fiffbutryn^Hf 

 Date: Time: Action: 

 Date: Time: Action: 

 Transmit to EPA D Other Action: D 
Derecho o Concentimiento para el Acesso a la Propiedad 

DERECHO PARA ENTRAR A LA PROPIEDAD 

Otorgante (dueno(a) de propiedad) le da consentimiento y autoriza a la Agencia para la 

Proteccion del Medio Ambiente de Los Estado Unidos (EPA) o a su representantes 

autorizados, en conjunto el Cesionario, a entrar y a llevar a cabo algunas actividades 

ambientales en la propiedad descrita a continuacion: 

" ^ ^ Duefio de la Propiedad: H.rU. ^ ^^SL . Numero Telefonico: Ao2.­ Co<SO - 6332 -

Direccion: . ^ 

S 3D^^ ^ AvA£ Om,^Ua Me &i 

Direccion de la(s) 

Direccl6n: | 

Propiedad(es) Direccion: 

Cubieta(s) por este 

Acuerdo: Direccion: 1 

Direccion: 

PROPCSITO DE ACTIVIDADES AMBIENTALES 

El EPA solicita el acesso a su propiedad para collectar muestras de tierra y para 

remover tierra que tiene alta concentraciones de plomo que podria ser peligroso para 

su salud. EI(Las) area(s) de tierra contaminada seran excavadas para su remocion. La 

tierra sera reemplazada con tierra limpias y el(las) area(s) sera(n) restaurado(s) a su 

condicion original. Este trabajo sera realizado bajo el programa de remediacion "Omaha 

Lead Superfund Site" 

Un representante de "Coastal Environmental Group", contratado por el "USEPA" 

contactara al Otorgante en persona para discutir el trabajo por realizarse. El otorgante 

tendra la oportunidad de revisar y aprobar el plan de remocion de tierra y el plan de 

restauracion antes de que el trabajo empiece. Habiendose cumplido el trabajo, el se le 

pedira al otorgante que revise el trabajo y que de fe de que el trabajo ha sido efectuado 

en su totalidad y de acuerdo a sus condiciones. En cuanto se termine el trabajo, el 

"USEPA" le enviara documentacion por escrito al otorgante dando constancia de que la 

remocion en su propiedad ha sido efectuada. 

ACCIONES DE LA RESPONDENCIA AMBIENTAL. 

Al firmar este Acuerdo de Acceso, el Otorgante le concede el derecho a la EPA, sus 

empleados, contratistas y subcontratistas el ingreso a su propiedad, en horas razonable 

y con previo aviso. Este derecho esta limitado exclusivamente para la realizacion de 
C^tD S7-4. 

o 

\ .^o* 

este trabajo. Este derecho exclusivo y limitado de acceso estara en vigencia hasta que 

el trabajo haya culminado satisfactoriamente. El Ortogante tamiben accede a: 

• Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

• Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

• Water and maintain replacement vegetation, including fertilizer 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 for 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 work activities, or 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 to use the property in 

such a manner. 

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

Environmental Group, at (???) ???-????. 

^ I grant access to my properties D I do not grant access to my properties 

Signature Date 

CH I would like to be present during any sampling that is required. 
Restoration Agreement 

El proposito de este acuerdo es para llegar a un entendimiento mutuo sobre las condiciones de su 

propiedad antes de comenzar las actividades de remediacion. Este acuerdo tambien le servira como 

documentacion a la '"USEPA" para poder asegurar que actividades de restauracion se hayan cumplido en 

su totalidad y a la satisfaccion de el(la) dueno(a) de la propiedad. 

ID de Propiedad: HeCt^ r :^ t rr,er>e Z 

Direccion: -^-^^^ ^ ^^ ^ ^_ ^ 0 Vv^ ^ W A K>€ G8\0 S 

Dueiio: 

Numero de Telefono: qcT^ - ^^0 ' b332 _ 

En la(s) diagrama(s) fijado, indica el (los) area(s) a excav ar y la profundidad de excavacion, ubicacion de todo 

las empresas de servicio publico sabido, caracteristicas subterraneo, estructuras de superficie y caracteristicas 

de paisaje, sitos de acceso que estara usado por el contractor, y direccion de norte. Indica distancias. 

proflmdidades, tipos de materials, etc. Indica fotos digitales por referenciendo el numero de photo-log con 

una flecha indicando la direccion de su vista. 

Articulos que Estaram Removido por el Dueno Antes de la Empleza de 

Remediacion: 

(Usa Mas Hojas Si Sea Necessario) 

La removimiento, almacenaje, disposicion, y/o la devolucion de estas articulos es la responsibilidad 

del(la) Dueno(a). 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Pagina 1 of_Lz_ 
Articulos Que Estaran Quitado Por El Contractor Durante De Remediacion Y No 

Reemplazado 

(Usa Mas Hojas Si Sea Necessario) 

Articulo: 

(vjlorie 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Page 2 of-t­
Articulos Que Estaran Removido Por El Contractor Durante De Remediacion Y 

Reemplazado 

(Usa Mas Hojas Si Sea Necessario) 

Articulo: 

Ko^ ^ Oaf^e ^ ^rcr> 4 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Articulo: 

Pagina 3 of. 
Aticulo 

Area de propiedad que esta 

cubierto con pasto 

anteriormente. 

Numero de arboles con un 

tronco > 2 pulgadas en 

diametro 

Numero de arboles con un 

tronco <= 2 pulgadas en 

diametro 

Numero de zonas de 

regadores, Valvulas de 

Control, Reguladores, 

Cabezas, etc. 

Fija un croquis del plan de 

regadores. 

Numbero de y tomaiio de 

cada jardin/flor en la cama 

de flores. 

Fija un croquis del plan de 

tomailos relatives y 

localizacion. 

Inventario de Paisaje 

(Usa Mas Hojas Si Sea Necessario) 

Cantidad Unit Condicion/Tipo/Especia 

^ Pies 

cuadrado 

h3o 

Cada 

1 \y\ a f W +re<- Cada 

MO 

Cada 

/j 

c9 

Cada pie 

' cuadrado 

Page 4 of t 
Aticulo Cantidad Unit Condicion/Tipo/Especia 

El valor conviene en de 

materiales de plantas no 

estar repuesto por 

contractor. 

Nota este valor

usado issuar

comprobante para

al dueno. 

 estara 

 un 

 plantas 

La lista conviene en de 

materiales de plantas que 

estara repuesto por el 

contractor. Est6 muy 

especifico y detallado. Cada 

fV^^ h'rs y m 

Incluye una croquis de la 

posicion de cada planta 

estara puesto por el 

contractor. 

El area conviene en de la 

propiedad estar repuesto 

con pasto. 

Incluye una croquis de la 

posicion del area(s) estar 

repuesto con pasto.. 

SF 

Area de propiedad de 

Ciudad o Condado estar 

arreglado el paisaje para su 

requisites. SF 

Incluye

area(s) 

 una croquis del 

Page 5 of. L 
w^ * 

• Marque la caja si el Dueno no quiere CEG a documentar la paredes de los cimientos interiors o 

possible danos preexistiendo. Por marquiendo esta caja CEG no esta responsible para cualquier 

danos heco a el interior de la casa, incluyendo quebras en el cimiento 

QTstoy de acuerdo [H No estoy de acuerdo lApEstoy/de acuerdo / \Z\ No estoy de acuerdo 
PROPERTY CLEARANCE WORKSHEET !^E-'" 

Date 

Project 

XRF ID 

Shot # 

^ 7 ^ 

384 

^^?­ 4iaO 

^ M 

fi^4 

Aliquot 

1 

2 

3 

^ 

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Aliquot 

1 

2 

3 

4 

5 

Aliquot 

1 

2 

3 

4 

5 

Property ID 

Property 

Address 

Measurement 

Count/Time 

Field Shots 

Shot # 

Composite 

Average 

(Bag) 

l(f)6> 

' 86,

Composite 

Average 

(Bag) 

49 

oq

Composite 

Average 

(Bag) 

26 

i AU 

20Z 1 

(31^ S 3Df^Cj 

Reading Sample Area 

Pass/Fail ? 

Composite Analytical 

Lab Analytical (Dried & Spilt Sent Number Results Sieved) ? 

' ! 

Pass/Fail ? 

Composite Analytical 

Lab Anaiytical (Dried & Spilt Sent Number Results Sieved) 

1 ' 

Pass/Fail ? 

Composite Analytical 

Lab Analytical (Dried & Spilt Sent Number Results Sieved) •> 

Reading 

E4q ^

2J^ 

3 

? 5 ^ 

40_ 

Sample Area 

I n Situ 

Reading 

Sample Area 

I n Situ 

Reading 

^4 (piIp2

\ U ^

42 

Sample Area 

I n Situ 

Reading 

20-^ 

TO 

« 

(^Z 

\rb 

0^)crhlni- Omaha Lead -- Fixed Price 

0\01-5\ 

Sample Area 

f=K-P 

^ 

£ i ^ 

J 2 ^ 

H_ 

EA-PT 

Composite Readings 

(Bag) 

4 7 

qz IB« 

XRF Corrected Value --> 

(use calibration chart or add 

20% to value) 

f7 

Composite Readings 

(Bag) 

-^z ZZ 

 f^Z 1 

XRF Corrected Value - > 

(use calibration chart or add 

20% to value) 

B2 

Composite Readings 

(Bag) 

2Z. 41 

16 

XRF Corrected Value --> 

(use calibration chart or add 

20% to value) 

Sample Area QjiK Pass/Fail ? 

I n Situ Composite Composite Analytical Aliquot Composite Readings Lab Analytical Reading Average (Dried & Spilt Sent Number Results ( Dds ; 1 (Bag) Sieved) 7

Confidential 5/2/07 Page 1 of 2 
2 

14> 

3 

Sli-A 

4 S(\l - ^13 

XRF Corrected Value --> 

5 

(use calibration chart or add 

20% to value) ^33 

1 

Sample Area 

F Pass/Fail ? l 

I n Situ 

Composite Composite Analytical Aliquot Composite Readings 

Lab Analytical Reading 

Average (Dried & Spilt Sent (Bag) 

Number Results 1 

(Bag) Sieved) 7 24 

2 S<b 4 ^ 

3 l ^ -•^^ 

40 4 Z.^ ,^5 

XRF Corrected Value --> 

5 21 

(use calibration chart or add 

2 0% to value) (PO 

ADB : • :criA L 

XRF Technician's Signiture t^\ii\PutP\KS2> 

Confidential 5/2/07 

Page 2 of 2 
XRF DAILY CALIBRATION WORKSHEET 

Date 05-03-0^ 

Project Omaha Lead -- Fixed Price 

XRF ID 0\01-6\ 

Measurement Count/Time 

Calibration Verification Checks 

Reading Blank Low Med 

True Value 0.0 ppnn 18.9 ppm 1162.0 ppm 

120% 22.7 pom 1394.4 ppm 

80% 15.1 Dpm 929.6 ppm 

j \n ^ 

^7.^ 

1 

j 

t 1 

|Precisior, MecS^-e'^e-'s 

Ave-age 

Precision y.eci ;L.-e:T.ent I-.e CK 

Replicate Blank Low "^ec 

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4 mo 

C 7.0 

5 wto 

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S:="Cc'G Devic: c 

^e^z.eS-c-ca-zZ,.,:, ^ 

^€2:-.,eS-.5-:i-c :£.•=;= ' .ess 

High 

5532.0 ppm 

5638.4 ppm 

4425.6 Dpm 

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f^on 

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663D 

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6320 

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Confidence Interval ? .95 --> ='vAL.LE' •VAL. 

Method Detection Limit rVALUE' 

Average Confidence Interval LVALUE 

1 
Page 1 of 3 

tsimmons(glkgs.he.net 

From: "Lehman Carlton" <ctl(gctlehman.net> 

To: <France-lsetts.Pauletta@epamail.epa.gov> 

Cc: "Brown Ron" <r.brown@erllc.com>; <tsimmons@coastalhazmaLcom>; "Marti Cieslik" 

<marticieslik@aewe.com>; "Marcos Mateus" <mmateus{genviroservicesgroup.com> 

Sent: Friday, June 01, 2007 9:14 AM 

Subject: Re: Damage Claim 1318 S 30 AV - BVID 20211 

Pauletta, 

We visited with Mr. Hector Jimenez this moming and obtained final 

sign-off (Completion Agreement) for the work completed at his 

property. He stated he was pleased with the work and had no issues 

or property damage claims. The drive-way was seriously deteriorated 

and cracked before work commenced, which Mr. Jimenez has acknowledged. 

In the future, can the PIC offices ask ifthe property owner has made 

any attempts to contact the Contractor and if not to please ask the 

property owner to call us? All the property owners have our phone 

numbers and contact information at the time they sign the Access & 

Restoration Agreements. 

Property owners, who are owed a replacement voucher for landscape 

materials, will receive it once the work is completed and a meeting 

can be scheduled to obtain a signed Completion Agreement. 

Carlton 

On May 31, 2007, at 3:40 PM, France-Isetts.Pauletta@epamail.epa.gov 

wrote: 

> 

> 

> Forwarded by Pauletta France-lsetts/SUPR/R7/USEPA/US on 

> 05/31/2007 

> 03:40 PM-— 

> 

> "Mary Castaneda" 

> <mcastaneda@airs 

> 

> oilwater.com> To 

> Daniel 

> 05/31/2007 03:22 Garvey/SUPR/R7/USEPA/US@,EPA. 

> PM Pauletta 

6/1/2007 
Page 2 of 3 

> France-lsetts/SUPR/R7/USEPA/ 

> y S@EP 

> A, <r.brown@erllc.com> 

> c 

>c 

> Robert 

> Feild/SUPR/R7/USEPA/US@EPA. 

> <fdillon@airsoilwater.com>, 

> Debbie Kring/0EP/R7/USEPA/ 

> US@EPA, 

> Donald 

> Bahnke/SUPR/R7/USEPA/US@EPA. 

> Vickie Damm/ENSv7R7/USEPA/US@EPA 

> 

> Subject 

> Damage Claim 1318 S 30 AV - BVID 

> 20211 

> 

> 

> 

> 

> 

> 

> 

> 

> 

> 

> 

> 

> 

> 

> Original Message 

> 

> Sent: Thursday, May 31, 2007 3:11 PM 

> To: mcastaneda(g),airsoilwater.com 

> Subject: Call in 1318 S 30 AV - Sample Area 20211 

> Call Date: 31-May-07 

> Caller Name: Francisca Jimenez 

> Phone: (402)680-6332 

> 

> 

> Comments: Current owners are Hector & Francisca Jimenez (previous 

> owner­

> Estrada) Please make a correction in the oracle system, DCA indicates 

> Jimenez as owners....Mary 

> 

> 

> PO is requesting follow-up from contractor for Damage to the cement 

> driveway 

> that was cracked by the bobcat...Also stated they were promised a 

> voucher 

6/1/2007 
Page 3 of 3 

> for the rose garden and small tree that were removed by 

> Coastal...Stated 

> this work was completed over two weeks ago. Please call to discuss 

>this 

> issue per Mrs. Jimenez Mary 

> 

> 

> 

> 

> 

> 

6/1/2007 





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Omaha Lead Site—Fixed Price EP-R7-07-05 

s 

% 

Coastal Environmental Group Inc. 

www. coastal hazm at. com ^ # 

•'t-PKtitt^ COASTA L 

ENVIKONHENTAL 

C R 0 U r . INC . 

EXECUTIVE SUMMARY: 

20211—1318 S. 30 Ave 

I I No Issues or Concerns X Issues/Concerns 

Detail Explanation: 

Property Owner was issued a gift certificate from Indian Creek Nursery in the amount of $ 300.00 for 

15 rose bushes removed during excavation. 
As-Built Drawii^ 

COAST A L Omaha Lead Superfund Site 

Total Quadrant Square Footage to be Excavated = 3173 

Total Drip Zone Linear Footaqe to be Excavated = 55 

Osscf^ibon of pol l excavation ofefln. Fl tront yard left-hand quadrant. P2. front yard riglit hand quadrant. Bl . backyard left-hand quadrant. B2. laacltyard nght-hand quadrant. 

OZ, drpzone (1-3 fad af«Qi of Mid around the foundation ofthe house) 

Legen d 

Area not Excavated ,/2! Dripzone Excavated Quadrants Excavated 

Contrac t #: EP-R7-07-05 Coasta l Environmenta l Group Inc . 
&ESVf 

Property Completion Agreement 

This agreement documents the completion of removal activities performed on the below listed property. 

The property owner's signature indicates that the property owner is satisfied with the restoration ofthe 

subject property, and that no items are in question, now, or at any time in the future, excluding any 

remaining sod warranty (30 days total) except those items listed below, if any. 

Property ID: ^^ / / 

Property Address: /3/ ^ ^ ^ 3 0 MV^ -

Owner: HZC-fO r J l fTl^nt Z 

Phone: OP)0-(£33 ^ 

Restoration Items in Question: 

Item: 

Item: 

Item: j 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

S < - •X^ . 

Je restoration-is comfffeted, except as noted above. 

 I I do not agree restoration is completed 

oT­ Owner's Signature Date 

I
Omah a Lead Superfund Site 

Miscellaneous Landscaping Replacement Certificate 

Property Owner HICVD^ P. r ^ -LVJkq^X ^ 

Property Address \Z\9. 5 2>a AvL 

Property Identification Number PCSTK Zcn.\^ 

Material Removed Replacement Value 

Flower bed area 

Trees 

Itemized 1 5 OJOS'L 

shrubs/bushes 

Total 

The acceptance of the replacement certificate and the signature below is full 

acknowledgement by the property owner that this is a fair and reasonable compensation 

for plant materials removed during remediation activities, but not planted or installed by 

the govemment or it's contractors. 

The total amount of $ 3o c .cO has been received by the owner in the form of a gift 

certificate, #ZHl-?i , to be ufilized at tL-y\^iAn (_<2^^'Oc_ KWirc^g^ t.e v . 

(^:yf)^ ^ ( ^ ^ ^^ ^ 

Property Owner's Signature Date Contractor's Signature Date 
- -

aEPA • 

EPA Property Close Out Form 

Property #: _ Q-OS^li Propert Propertyy Address Address:

: /3^:65^3Mi^ - Date/Time: Owner's Name: 

Quads Excavated: Contractor Group 

Excavation General 

Yes

I. If necessary, were the correct quadrant(s) excavated and restored? i P 

l ^ 2.

 If necessary, were the correct areas of drip zone excavated and restored? 

Grading Sod and Vecetation Yes 

1. Does the grading around the perimeter ofthe house in excavated areas generally slope away 

from the house? 

2. Has sod been laid in all areas that were excavated? 

v ^ 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 - day time period) 

4. Are sodded areas generally firm and evenly graded? 

^ 

5. Are the Joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day ^ time period) 

6. Was the property graded such that water will not pool on the property? 1 ^ 

^ 7.

 Was damage to landscaping or plant materials avoided? 

Gates, Fences and Retaining Walls Yes 

1. Do gates open and close freely? (Ifapplicable) 0 A2.

 Were all gates or fences taken down during restoration activities reinstalled? (Ifapplicable) 

3. Was damage to gates or fences avoided? (Ifapplicable) 

i X 

4. Wasdamagetoretaining walls avoided? (Ifapplicable) t^x 

Foundation, Siding and Gutters Yes 

1. Was damage to the siding or trim avoided? 

i ^ 

2. Was damage to the foundation avoided? 

^ 

3. Was damage to windows avoided? 

^ 

4. Was damage to windows or door screens avoided? 

c^ 

5. Was daraage to downspouts or downspout extensions avoided? ^ 

Sidewalks and Driveways (Concrete) Yes 

I. Was damage to driveway surfaces avoided? 

t ^ 

2. Was damage to walkway surfaces avoided? ^ 

No 

No 

No 

No 

No 
Owners comments: 

Inspection notes: 

Removal and restorati^g^activates^spmplet^ induding the 30-day sod warranty: 

EPA Representative^^yr^;*^^^^?^^ 7^^^^^^*^b=^^^^ Date: ^ ^A— ^<^^ 7