## TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID#: TVJTI/Z S Date : 

# 3//7/f e Address : 

# Jis7: 3 3/7)7)Jc?S + Remediatio nContractor : Coasta l Environmenta l Grou p Year : 200 7 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o o f propert y (DVD ) Executiv e Summary EPA-provide dpropert y sketc h Signe dAcces s Agreemen t for subjec t property Signe dAcces s Agreement(s ) for adjacen t propert y Restoratio nAgreemen t Settlement docviment s (i.e. , for damag e o r t o replac e plants , etc. ) 

# 4 Confirmatio ndat a Photograph s 

# 4 As-buil t sketc h 

# 7 Satisfactory restoratio nsigne db y Property Owne r 

# 7 Property close-ou t chec k lis t signe db y EP A Descriptio no f area s not meetin g RO D cleanu p criteri a D 

### Utilit y clearance s D 

### Property informatio nfromDougla s County Assessor' s Offic e D D D , 

## a 

# 4 ^ 4031777 4 Superfun d

## Fina l Repor t Propert y Chec k Lis t (pieas c plac e n^id i eac hnie ) Q ^ 9i^7: > Har dCopy , nformatio o ^5^<^ , /3|^c/c/c ^ 1 . Propert y Chec k I.i.s l ^ 2 . Sit e Wori<ing Drawin g Map

. 1 HP A original s Map 4 . Dougla s Count y Assessor' s Map 5 . Propert y Contac I Shee t Ajireenieii t 1 . Aeees s Agrceinen l 2 . Resloratio nAgreemen t Miscellaneou s Document s 1 . Fina l Map ft-oi nth e Fiel d 2 . Chang e Order s

. 1 XR FDat a 4 . An y email s o r P O correspondence s Propert y Completio n 1 . Executiv e Summar y 2 . A S BUIL T

, v Propeit y Completio nAgieemen t 4 . An y buyou t int o o r reimbursemen t int o 5 . Chec k o r mone y orde r copie s 6 . F.P A Propett y Ck)s e Ou t For m 7 . Attaehe dBegi nVide o I^Jectroni c Documentatio n I)rawiii<», s 1 . liP A origina l 2 . Workin g Drawin g

. 1 A S Built.vs o 4 . A S Built.jp g Photo s 1 Begi nPhotOv S 2 During/F'lxcavatio nPhoto s -^ So dPhoto s '1 .10-Da y So dPhoto s Scanne dDocument s Final Document s ' ' Fxeculiv e Summar y Video s ' Begi nVide o 2 

### My Movi e« •


## Propert yAcces s Checklis t 

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# 1 fe^QO^Q ^ . • D WOUKSTAUTli D WOK K COMPELTE D ON : ON : I / / I ; / i


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nNotificatio nLette r 1 ^ Acces. s A<i;reenien t jytj Restoratio nA{>;ieenien t nTo|)soi l Sam|)liiit ; (if a|)plical)le ) I I Dis|)osal Saniplinj i (i f applieahle ) C

U Garde nSamplin< 4 (if applieahle ) Utilitv Clearanc e M Video/Photo s (Before ) U Video/Photo s (Durinji ) nVideo/Photo s (After ) nVideo/Photo s (30-Dav ) I I Pro|)eit. v Completio nA<ireenient nFina l Repor t Sent : Signed : | 0 / ^ / 0 7 Signed : 10/4/^ 7 Bv : 

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## 2726 3 Owne rName : NEA L L REYNOLD S Address : 250 8 BLOND O ST Phone : H : Sampl e Numbe r RYASCPXA-2726 3 F 1 RYBSCPXA-2726 3 F 2 RYCSCPXA-2726 3 B l RYDSCPXA-2726 3 8 2 RDZSCPXA-2726 3 D Z RGZSCPXA-2726 3 G Z RPZSCPXA-2726 3 P Z W: Lea d Concentratio n 

# y y Omah a Lea d Sit e Sit e Sketc h

pp m pp m pp m pp m pp m pp m pp m 

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## D D D D 

# n n 

# • L Exterio rPain t Nort h Arro w • Goo d • Poo r P~| No t pain t Sample s Collecte d Firm : Date : Time : 

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### XR F Unit : J)\ \ Book : M 4 ; Date :

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# "^5^1/ ^ \ Time : ^ Staff : ^ 

# ENTERE D SE P 2 0 200 4



# ^.^^ m B.I.QKi.P Q OmahaLea dSite 4613 0

# 2726 3 Omah a Lea d Sit e Owne rName : NEA L L REYNOLD S 

### Sit e Sketc h Address : 250 8 BLOND O ST Phone : H : W . Sampl e Numbe r Lea d Concentratio n Sampl e Collecte d LA B RYASCPXA-2726 3 F l 

### 7^ \ % pp m 

## D RYBSCPXA-2726 3 F 2 C^[jl % pp m 

## D RYCSCPXA-2726 3 B 1 ? > Li)Q ^

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# n RYDSCPXA-2726 3 8 2 

### C\C \ I n pp m 

# n RDZSCPXA-2726 3 D Z pp m 

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# n RGZSCPXA-2726 3 G Z pp m 

## D D RPZSCPXA-2726 3 P Z pp m 

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## Firm : f [X/CN I 

## | (^ T Date : O g | O[A ^ Tim e 

# Q\Q i Sample s Analyze d XR F Uni t

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## ^TAII.€^V- ( Tim e 

# £v ^ Staff : ^ 

# ENTEEE D SE P 2 0 21)0 4

Omah aLea dSil e 461.3 0

### Dougla s County Accoun t Informatio n Pag e 1 o f 1 nfor n Dougla s County , Nebrask a Propert yRecor d - R194450000 0 Prin t Repor t Informatio n i s vali d a s o f 2007-8-2 4 Vie wo n Ma p Value s no t finalize d unti l afte rBoar d o f Equalizatio n

—Treasurer' s Ta xRepor t Owne r REYNOLD S NEA L L 

## •i/y/^ zy 3721 1 MILLFORDC T

- ^ ^ ^ ^ ^ ^ ^ 

# ''^y)73^y'y^y ^ PALMDAL E C A93550-000 0 Propert yInformatio n Ke yNumber : 445 0 000 0 1 9 Accoun t Type : Residentia l Parce l Number : 194450000 0 Parce l Address : 250 8 BLOND O S T OMAH AN E 68111-000 0 Lega l Description : PARKER S AD D LO T2 BLOC K2 W 3 1 F T3 1 X 6 3 Valu e Informatio n Lan d Improvemen t Tota l 200 7 $200.0 0 $0.0 0 $200.0 0 200 6 $200.0 0 $0.0 0 $200.0 0 200 5 $200.0 0 $0.0 0 $200.0 0 200 4 $0.0 0 $0.0 0 $0.0 0 200 3 $200.0 0 $0.0 0 $200.0 0 200 2 $0.0 0 $0.0 0 $0.0 0 Sale s Informatio n Lan d Informatio n Acre s S F F F Unit s Dept h Widt h Vacan t 0.0 4 1953. 0 31. 0 0. 0 63. 0 31. 0 Ye s Lan d Attribute s Attribut e Attribut e Descriptio n Improvemen t Informatio n



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R19. . . 9/27/200 7

### Dougla s Count yN E GI S Ma p

y LEGEN D Mino rStreet s Ou t Majo rStree u 

### y Mj(ofai«M i Interstate s 

### X IntantAte s Parcel s 

# n parcel Z 

# • Hydr o 

## DrtvenbylVd^GUi D Disclaimer : Thi s ma p i s no t guarantee d t o be accurate , correct , current , o r complet e an d conclusion s draw n are th e responsibilityo f th e user . 

# dz ) y ,y3J % c>io' "

## CONTAC T FOR M Propert y I D # Propert y
- 

## Address : Initia l Contact : Date : Time : Action : Secon dContact : Date : Time : Action : Fina l Contact : Date : Time : Action : Fina l Action : Transmi t t o EP A D Othe r Action : D

Comment : Owne r Commen t (s) : 

# ^ if^a^^^7<^ 9f7'C^ ^ dTtry/yyyTn^/yi^/^^y^ " 7Sy<7 / '^^ ' 

## Sit e Coordinato r 

## fJl^A C l!2e^7U>L6^ Commen t (s) : 

# Q>^ 7 73 3 

# 7yz( ^X it O ST., . - * 

### Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc . www . coasta l haz m at . co m COASTA L ENVIRONMENTA L G B 0 L J P . IN C 

# EXECUTIV ESUMMARY : 27263—250 8 BLOND O S T N o Issue s o r Concern s I I Issues/Concern s Detai l Explanation:

# As-Buil t Drawin g COASTA L 

# Oinah aLea dSuperfun dSit e

2726 3 Ejdj&fiL. M Pi'Airi i t>.i|V i Afiuw v 

# ri Omah a Lea d Sit e

Owne rName : NtA. L L HtYNULD S C Goo d Sit e Sketc h Arfdrcss : ^ 0 BLOND O S T • r-oo r • Mil l IIMIII I Sairpl e Numbe r Leut ! Sampl e CurioerKriMio n LA B 

## F,r . ^ CN|G j RYASCPX A777fi l F l 

# a Dale : RY3SCPXA-272C. ? F 2 

# n Time : RVC5CPXA-7776 3 R 1 •SL f ^ IL . PP< " 

# a 

# a- 5 

# s Sflmplft s Ari.-jlyj'tH j RYDSCFXA-2726 3 B 2 C ^

C"i | ' l p pp m 

# n Kn7SCPX A/TJtii i D Z pp m 

# a n XR F Uni t %\ \ Boofci H '- | RGZSCO)CA-2726 3 « / pp m 

# a RPZSCPXA-2??e 3 P Z pp m 

# • n Staff : i.

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t Q . Nurribs' - o f Sampfa a = ^ 

# ENTERE D Littl e tree s presen t i n B 1 an d SE P 2 fl i m B2 . Bi g tre e Is presen t i n Fl . 

# j

Utnah a LLS C Sil c Jdl.U J OLS# : 2726 3 Dat e Excavated : 10/28/0 7 Dat e USEP ASigne d Off : 12/5/0 7 Legen d Are ano t Excavate d Dripzon e Excavate d Quadrant s Excavate d Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc .

# I»EPA « EP A Propert y Clos e Ou t For m Propert y tt : 0.7^^ ^ Propert y Address : Z l '^A g ifilcVU^C ) ^-f , Date/Time : Owner' s Name : l\J(^r ^ I /^<"\ / f^ ~ acto r Grou p Cj^rT^^a i ' 1 Quad s Excavated : Contractor ' Excavatio aGenera l Ye s N o 1 .If necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

## y 2 .I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? 

### /i/ A Gradin s So dan dVesetatio n Ye s N o 1 . Doe s th e gradin g aroun dth e perimete r ofth e house i nexcavate darea s generall y slop e awa y 

### y fromth e house ? * y 2 . Ha s so dbeenlai dinal l area s tha t were excavated ? 3 . Doe s th e sodappea r t o b e generall y healthy andgrowing ? (Onl y evaluat e if inspecte da t a3 0 ly da y tim e period ) 4 . Ar e sodde darea s generall y fir man devenly graded ? ty 5 . Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e if inspecte da t a3 0 da y ^ tim e period ) 6 . Wa s the propert y grade dsuc htha t water will no t poo l onth e property ? ^

, ^ 7 . Wa s damag e t o landscapin g or plant material s avoided ? Gates , Fence s an dRetainin s Wail s Ye s N o 1 .D o gate s ope nandclos e freely? (If applicable ) 

## A/ A 2 .Wer e al l gate s o r fence s take ndowndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

## i u ^ 3 ,

Wa s damag e to gate s o r fence s avoided ? (I f applicable ) 

## ^ A 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) A) A FouDdation , Sidin nan dGutter s Ye s No I .Wa s damag e t o th e sidin g o r tri mavoided ? ^ 2 .Wa s damag e to th e foundatio navoided ? 

## tl L 3 .Wa s damag e to window s avoided ? 

## P k 4 .Wa s damag e t o window s or doo r screen s avoided ? 

## 7A r 5 .Wa s damag e t o downspout s o r downspou t extension s avoided ? 

### kJD r Sidewaiit s an dDriveway s (Concrete ) Ye s No 1 .Wa s damag e t o drivewa y surface s avoided ? 

### iJl ^ 2 .Wa s damag e t o walkway surface s avoided ? A / ^ 

# s/7zc^> ^ 7-7^ 7

## Owner s comments :

Inspectio nnotes : 771/s/o y ^ £Py ^ y^specyfro n prio r 4t p H O Zf^-^f 7

Remova l an drestorationactivate s complet e including th e 30-da y sodwarranty : EP A Representati y^-:::^^^^::^,^L,^c^^fcW ^ Date :

# ^' m Propert yCompletio n Agreemen t riii s agreemen t document s the completiono f remedia l activitie s performedo nm y property . M y signature wil l designate tha t I a msatisfie dwit hthe restoratio no f m y property , andtha t no item s ar e i nquestions , now , o r a

t any tim e i nth e future , except thos e item s liste dbelow , ifany . Pn>pmyID^^'^^^ 3 Propert y Address : ;^^^Q^ ^ 9^\nnd ng y Owner : l^^^^ yP PjJ . V^ Q (C J <; ; 

# ^"»"--f/.(.i) T7T^-;;)i^ q Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item : Additiona l Comments :


# L

I I I afjre e rtsloratio n i s completed , excep t a s note d I I I d o no t aj>re e restoratio n i s complete d 

# ,^^ . /^//-ny , £ > C^ f

H:^ y CjKl B hI ' ^ I - 0 V Owner' s Dat e 0>ntra(3^' s Signature Dat e

# ^^^7"^" ^ f^ii^-l^ ^ ./967o5 y^77i^^j^y'' ' 7?^^>^c^ 272 6 

# ^%^^L\y4 y Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName : NEA L L REYNOLD S 

### Sit e Sl<etc h • Good Address : 250 8 BLOND O ST • Poo r Phone :H: W: \~ ] No t pain t Sampl e Numbe r Lea d Concentratio n Sampl e Collecte d LA B RYASCPXA-2726 3F1 

## D RYBSCPXA-2726 3 F2 y^ \ % pp m 

## D RYCSCPXA-2726 3 RYDSCPXA-2726 3 Bl B2 

### ?S Lo M m C\C ^ \ p

pp ppm 

# uy D D RDZSCPXA-2726 3 DZ pp m 

## D D RGZSCPXA-2726 3 GZ pp m 

## D 

# n RPZSCPXA-2726 3 PZ pp m 

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# ^TAU.^ 4 Time : _ Staff : 

# E-NTEEED SE P2 0 t m

B.I.OKi-DQ.^ . OmahaLea dSit e 4613 0

# m PROPERT YCLEARANC E WORKSHEE T

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## 2 7 Z6 ^ ] 0- 7 

### 8-^ 1 Propert y Projec t Omah a Lea d - - Fixe d Pric e Addres s 

## Zfo & H<^cL s r Measuremen t XR

FI D 0107-S I Count/Tim e Fiel d Shot s Readin g Sampl e Are a Shot * Readin g Sampl e Are a Sho t # 

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## 2 Z M

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## 6 1 H'i P I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin q Averag e (Drie d & Spil t Sen t Numbe r Result s 1 (Baq ) Sieved ) (Bag ) 

### N l ? 2 

### /t/ 7 lO h 3 

## lo i 2 < 

# t V 4 l</ 3 /. O XR F Correcte d Valu e —> 5 

## ^ 3 (us e calibratio n char t o rad d 20 % t o ualue ) 

# w Sampl e Are a 

## / ^ p ^-(./ " Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin g Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 

### O y (Bag ) Sieved ) 2 

## 49 - 

## i\i ^ 3 / e P % ^ j 4 1 

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## 1 XR F Corrected'valu e - > 5 (us e calibratio n char t o rad d 20 % t o ualue ) 

# y Ip d Sampl e Are a Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin q Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 (Baq ) Sieved ) 7 2 3 4 XR F Correcte d Valu e - > 5 (us e calibratio n char t o rad d 20 % t o ualue) Sampl e Are a Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin q Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 (Bag ) Sieved ) • > 2 3 4 • XR F Correcte d Valu e —> 5 (us e calibratio n chart o rad d 20 % t o ualue ) Sampl e Are a Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin q Averag e (Drie d & Spil t Sen t (Bag ) 1 Numbe r Result s (Baq ) Sieved ) ? 2 3 4 XR F Correcte d Valu e —> 5 (us e calibratio n chart o rad d 20 % t o ualue ) iis i AUD I I IIIHA I imii i i i XR F Technician' s Siqnitur e H f f II I I I 

# .^^zy^^ y- » " ^
COASTA L ENVIRONHENTA L "tPBOt* " CROUP . INC . 

## Consen t Fo rAcces s T o Propert y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propert yowner) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA ) o rit s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises : 

# 7[/eyz ^ Owner' s Nam e Daytim e Phone : ^ ^ "7^^ ^ ^7^/ 7 

# Ee//!yz^yM 5

Addres s o f Propert y 

# -ZSoBSooy^b o 57 ^ covere d b ythi s Agreement : PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l tha t contain s elevate d concentration s o f lea d an d ma ypos e a healt h hazard . Th e area(s ) wil l b e excavate d t o remov e contaminate d soil . Th e remove d contaminate d soi l wil l b e replace d wit h clea n material s an d th e are a wil l b e restore d t o it s origina l condition . Thi s wor k i s bein g performe d unde rth e Omah a Lea d Superfun d Sit e remediatio n program . Arepresentativ e o f Coasta l Environmenta l Group , contracte d b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i t begins . Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confir m tha t i t i s complet e an d meet s wit h th e Grantor' s approval . Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Atha t th e propert y ha s bee n remediated . ENVIRONMENTA L RESPONS E ACTION S 

### B ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e righ t t o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o f performin g th e work . Thi s acces s shal l remai n i n effec t unti l th e wor k ha s bee n satisfactoril ycompleted . Th e Granto rals o agree s to : Pag e 1 o f 2%7"'T> ^ COASTA L ENVIRONMENTA L C R 0 U r, IN C



### •Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; •Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis h t o save ; •Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessar ysubsequen t t o a n initia l waterin g perio d b yEPA ; •Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; •I f th e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e work . •Allo wvideotapin g and/o rphotographin g o f th e property . AGREEMEN TNO TT O INTERFERE 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yofth e wor k activities , o rwit h an y o f th e wor k done , o rwit h th e equipmen t use d o n his property , o rt o undertak e an y action s regardin g th e us e o f sai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o f th e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d you hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (712 ) 352-018 8

I2 f I gran t access t o m ypropertie sD I d o not gran t access t o m ypropertie s 

# iO-i-79 n Signature y, Dat e Signatur eDat e 

# p'/ > ^fZTy^ r 7/'fi> 'S7srtf7 ^ r ^ ^ . ,. _ ./?^ . ^ ^ . 

# T7^Y^^r7ey .V^^? ) ss^ ' y9y7 O I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required .COASTA L < | 

## Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o provid e amutual agreemen t a s to condition s ofth e propert y prio r t o remediatio nactivities . Thi s wil l als o serv e a s documentatio nfo r th e purpos e o f assurin g tha t restoratio n activitie s ar e complete dto th e satisfactio nofth e propert y owne r andth e Unite dState s Environmental Protectio nAgenc y (EPA) .

Property ID : "^/ ^ <^ 3 Property Addrrss^^^^ g 7^^/Ui)(}^7 ^ 

### Owner : /^ ^ /^eLZAZ(7Cd 3 Phone : 

# y<^^ o p.^s^^y^^ y Onth e attache ddiagram(s ) indicate area(s ) to e.xcavate danddept ho f e.xcavation . locationo f al l known utilities , subsurfac e features , surfac e structure s an dlandscapin g features , acces s location(s ) t o be use db y contractor , andthe directio no f North . Indicate distances , depths , materia l t>pes , etc . Indicat e digita l photo s b

y referencin g the photo-lo g number w it ha narro w indicatin g directio no f view . 

### Item s T o B e Remove d B yOwne rBefor e Star t O f Remediation : (Us e additiona l sheet s a s necessary ) 

### Th e removal , storage , disposal , and/o r returno f thes e item s i s th e Owner' s respcnsibilitx- . Item : 

# r 4cM ^ Item : Item : Item : Item : Item : Item : Item : Pag e 1 of . 

## 1COASTA L 

### Item s T o B e Remove d B yContracto rDurin g Remediatio n An d No t Replace d (Us e additiona l sheet s a s necessary ) Item : 

# ^^y t Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :

Pag e 2 of .COASTA L (MWIMONMKMTtW i Item s T o B e Remove d B yContracto rDurin g Remediatio n An d Replace d (Us e additiona l sheet s a s necessary ) Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :

Pag e 3 of .COASTA L 

### Landscap e Inventor y (Us e additiona l sheet s a s necessary ) 

## Ite m

Pre-existin g property area , that wil l b e excavated , tha t i s covere dwit hgrass .

i 1 • Numbe r o f tree s > 2 inch trunk diamete r

Nuinbe r o f tree s <= 2 inch trunk diamete r

Numbe r o f Sprinkle r Zones , Contro l VaK'es . Timers . Heads , etc . .Atiac hasketch : ot ' ;" e sprinkle r kivoui .
Numbe r o f andsiz e o f eac hgarden/ flowe r bed area . .-\ti;K'|i . ; : skeic! ) o i re!ai!\ e 

## Quantit y 

# y 7 7 Uni t Condition/Type/Specie s

Squar e fee t

Each

! Each

Each

Eac h Squar e Feet ^!7e-
- an J kicaiioni .

. . Pag e 4 o fCOASTA L 

## Ite m Agree dupo nvalu e of plan t material s no t t o b e replace db v contractor . Not e thi s \alu e will b e use dt o issu e aplan t \ouche r t o th e propert y owner . Agree dupo nlis t o f plant material s tha t wil l b e replace db y contractor . B e very specifi c anddetailed . Includ e askeic hof wer e eac hplan t will b e place d b \th e coniracior . Agree dupo nare ao f propert> ' t o b e replace d wit hgras s sod . '!ic!i:d e asketc hoi ' ihc ai'ea(s ) l o b e ieplacc c \ \:i

n evas s sod . .Areao f Cit y or Count) ' propert> t o b e landscape d pe r thei r requirements . Ipcl.ki e ; , ^keu'! ; ..i ' :\ y .Ile aIS. !

Easemen t .Area, to b e excavate d 

## Quantit y Uni t Condition/Type/Specie s 

# 7 > $ 

# y Each

S F

0 S F

S F

Pag e 5 ofCOASTA L 

### Additiona l Comment s / Instructions :^_n/ ) i l ^/^>c^./> , >^ ^

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n Chec k th e boxi f Owne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage . Bycheckin g thi s boxCE G i s no t responsibl e fo ran ydamag e done t o th e interio ro f house , includin g foundatio n cracks o rfissures .



### 13 4 agre e n nI d o no t agre e

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## > w ^ 77 9 >^-//v . 

# J''7y7<^- ) Date Contractor' s Signatur e Date Pag e 6 of .