## TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : V^i^3 k Date : Address : ^\0 ^ <> I' h ^ T Remediatio nContractor : Envrionmenta l Restoration , LLC

_Year : _201 0 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S 0 Vide o o f propert y (DVD ) JSi^efor e DAfter \ l Basemen t D " ^ Executiv e Summar y (Final Report ) ^ EPA-provide dproperty sketc h ^ Signe dAcces s Agreemen t fo r subjec t propert y D Signe dAcces s Agreement(s ) for adjacent propert y ^ Restoratio nAgreemen t

D Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) aConfirmatio ndat a 0 Photograph s j Q Before DCre w Photo ^ Durin g Excavatio nD So d iZ^O-day So dD ^•f

l As-buil t sketc h "" ^ Completio nAgreemen t signe db y Propert y Owne r ^ Propert y close-ou t chec k lis t signe db y EP A D Descriptio no f area s no t meetin g RO D cleanu p criteri a 

### TS k Utility clearance s
"" ^ Property informatio nfromDougla s County Assessor' s Offic e ^ Property acces s checklis t 3026006 5



### O . Contac t Lo g D Superfun d


### Environmenta l Restoratio nSignatur e Dat e

' Dat e

### Omah a Lea d Site—EP-R7-09-0 5 Environmenta l Restoration , LL C www.crllc.co m '• > y 

## EXECUTIV ESUMiMARY : 18192-210 5 S 3 3 S T

N o Issue s o r Concern s I I Issues/Concern s Detai l Explanation :

# EP A EP A Propert y Clos e Ou t For m 

# n\^' x Propert y #: Date/Time : Quad s Excavated : f^ f . |K3 ^ Omah aLea dSit e OU# 2 PropertyAddress : Owner' s Name : Contracto r Grou p p : ol\D ^ Environmenta l S 1)1 ) "S T Re s

estoratio n (ER ) Excavatio nGenera l Yes No 1. Ifnecessary , wer e the correct quadrant(s ) excavatedan drestored ? J ^ 2. Ifnecessary , wer e th e correct areas ofdrip zone excavatedan drestored ? y Gradin g So dan dVegetatio n Ye s No 1. Doe s the gradin g aroun dth e perimete r ofth e hous e in excavatedarea s generall y slope awa y fro mthe house ? *^ 2. Ha s so dbeenlaid inall area s tha t wer e excavated ? 

### y 3. Doe s th e so dappea r to be generall y health y an dgrowing ? (Onl y evaluat e if

inspected at 30-da y tim e period) . 4. Ar e sodde darea s generall y fir man devenl y graded ? ^ 5. Ar e th e joint s betwee nth e sodstrip s generall y tight ? (Onl y evaluat e if inspected at 30-da y tim e period) . 6. Was th e propert y grade dsuc htha t wate r wil l not pool onthe property ? »• ' 7. Was damag e to landscaping or plan t material s avoided ? ^ Gates . Fence s an dRetainin g Wall s Yes No ].Do gate s ope nan dclos e ireely ? (ifapplicable ) ^ 2. Wer e al l gate sor fences takendow ndurin g restorationactivitie s re-installed ? (ifapplicable ) -^ 3. Was damag e to gate s or fence s avoided ? (ifapplicable ) ^ 4. Was damage to retaining wall s avoided ? (i f applicable ) J ^ Foundation , Sidin g andGutter s Ye s No ]. Was damag e to siding or tri mavoided ? ^ 2. Was damag e to th e foundatio navoided ? / 3. Was damageto window s avoided ? ^ 4. Was damag e to windo w screen s or doo r screen s avoided ? -^ 5. Wa s damageto downspouts or downspou t e.xtensions avoided ? ^ Sidewalk s an dDriveway s (Concrete ) Yes No 1. Wa s damage to drivewa y surface s avoided ? Was damage to walkwa y surface s avoided ? Inspectio nnotes :

Remedia l an drestoratio n activitie s complet e includin g 30-da y so dwarrant}' ; EP A Representative:,^y^^^^_^^2,/C/^,.-Jt-J(ijZ? ^ Date : 

# u/<:>// dPas e 1 o f 2

" > [ Creat e Anothe rTicke t ^ [ Bac k t o Irt h Interne t ] Send Emai l

• mmmmmmam m mi m 

## YOU R TICKE T NUMBE R I S 2483662 . Origina l Cal l Date : Wor k t o Begi n Date : 5/04/1 0 5/06/1 0 Time:
- 1:3 0 p m Time : 2:0 0 p m Op : TRACY2418 6 State : NE Address : 210 5 County : Street : DOUGLA S S 33RD S T Place : OMAH A
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 Remarks : FA X AL L CLEAR S TO : (402)451-106 9 : SAI D #1819 2 Compan y ENVIRONMENTA L RESTORATIO N Contac t Nam e 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 LEVEL 3 MUD0 2 OI>dAHACO F 0PPDGPR 6 QLNNEI F
Servic e Are a Contac t Phon e Number Utilit y Typ e CXCAT V CO X COMMUNICATIONS , FN C HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7
LEVEL3 LEVEL 3 COMMUNICATIONS , LL C N A Day : 877366834 4 Alt : Emerg : 877366834 4
MUD0 2 METROPOLITA NUTILITIE S DISTRIC T SAND Y 

### Day : 402504782 3 Alt : Emerg : 402504797 0
OMAHACO FCIT Y O F0MAHA-TRAFF1C,SEWE RRJCH/TRAFFI C Day : 402444719 7

Alt : 402444516 1 Emerg : 402444516 0
http:AA\yYffl,ahQQfflg<;jj;t ^ isp?ret=<RESULT.S...-

_5/4/201 0

### Pag e 2 o f

2

OPPDGPR6 OMAH A PUBLI C POWE RDISTRICT EL M LOCATIN G 

### Day : 406728934 3

Alt : 406207149 4 

### Emerg : 888728934 3

-. QLNNEIFQWES T LOCA LNETWOR K •• - i- .- ­ EL M LOCATIN G 'D^-—4067289343 " Alt : 406207149 4 

### Emerg : 888728934 3 ?^i^^i^^v*9« a



### http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS.. . 5/4/201 0

### Contac t Informatio n Lo g BA\D #/ff/99 ~ Daytim e Phone : ^ ^ ^ <g-^ ^ , 77J?7_

_ | PropertyAddress : :ij£>S ' 5 . 3 3 % \ 

### Attemp t to contac t Date/tim e Nam e 

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## Propert y Acces s Checklis t

n WOR K COMPELTE D ON : / /~
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## ink . Address :

Phone : c/^ 2 ­ <K^'7'?7J17 Fax : Cell/Pager : Renter ; Phone : Fax : Cell/Pager : Additiona l Information :

.^^cces s Agreemen t iQ'^estoratlo nAgreemen t

|7 ^ Vide o Propert y Befor e \J ^ Digita l Photo s Befor e nVide o Propert y Afte r D Digita l Photo s Afte r

, D 9 Propert y Completio nAgreemen t

nFina l Repor t Signed : 3 1 ^ I / o Signed : ^ / '/I/ O On : S / i^ / i^ i O n: '-' < 1 ^b / in On : / / On : / / 

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: . / / / / 

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# 1

Omah a Lea d Proje d Wor k Pla n Pag e lof l 9

### Consen t fo rAcces s t o Propert y SAED #/^/ f g ^ 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 Unite dState s Envirorunenta i Protectio nAgenc y (USEPA ) or it s authorize drepresentatives , collectivel y th e Grante e t o ente r an dperfon ncertai nenvironmenta l respons e activitie s upo nth e followin g describe dpremises. : Owner' s Name : >y A /v/i'/i'a^^sg ^ Address : Address : ^C>;<>
- 

### S- 

# s ^ s/ ~

• . I Addresse s o f Propertie s covere db y thi s Address : Agreemeni : Address : ! Address : 

# .^
- 1
PURPOS EO FINVESTIGATIO N 

### Th e purpos e of th e remedia l activitie s i s t o remov e al l soil s at th e propert y whic hare containinate dwit hhazardou s substances , i nparticula r lea dat concentration s greate r than.o r equa l t o 40 0 part s pe r millio n(ppm) . REMEDIA L ACTION S 

### Th e environmenta l respons e action s t o b e performe do nsai dpropert y ma y includ e the followin g activities : a .

Takin g photograph s and/o r vide o o f th e property before , duiing , an dafte r remedia l activities ; b .

Locatin g equipmen t an dmachinery on-sit e i npreparatio nfo r an di nth e cours e o f th e environmenta l response ; c .

Plannin g an dimplementin g th e remova l actio no nc r nea r Grantor' s property . d .Obtainin g sample s fro mGrantor' s property ; AGREEMEN T NO T T O INTERFER E 

### Th e Granto r agree s no t t o interfer e o r tamper wit han y o f th e activitie s o r work done , o r th e equipmen t use dto perfor mth e activities , or t o undertak e an y action s regardin g th e us e o f sai d propert y whic hwoul dten dt o endange r th e healt ho r welfare ofth e Grantee s o r th e environment , o r

t o allo w other s t o us e th e property i nsuc h I graa t acces s t o my propertie s L J I d o no t graia t acces s t o m y propertie s

Signat(y? e / 

### Signatur e Date

### Additiona l Comment s / Instructions : 

# "~ j 

# p

• Chec k thi s bo xi f owne rdoe s not wan t E.R
. t o ente rth e residents t o documen t interio r foundatio n wall s an d possibl e preexistin g damage
. B ycheckin g thi s bo xE.R
. i s no t responsible
. fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n crack s c rfissures
.

nI do EO t agre e ' I agre e r~ l I do EtG t agree . 

# Iy£y L Bat e

## 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 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 nfo r th e purpos e o f assurin g tha t restoratio n activitie s ar e complete dt o th e satisfactio no f th e property owne r an dth e Unite dState s Environmenta l Protectio nAgenc y (EPA) .

SAID : /-p-/^ ^ Propert y Address : ; ? / ^ 5 - g-^ ^^-^-l
- Owner : 

### yT k SL£f
. 

### A Phone : 

### 'y^s-'z^'v^/ ' yy ^ O nth e attache ddiagram(s ) indicat e area(s ) t o b e excavate dan ddeptho f excavation , locatio no f al l know n utilities , subsurfac e features , surfac e structure s an dlandscapin g features , acces s location(s ) t o b e use db y contractor , an dth e directio no f North . Indicat e distances , depths , materia l types , etc . Indicat e digital photo s b y referencin g th e photo-lo g numbe r witha narro w indicatin g directio no f view . Kem s t o b e remove d b yContrscto ran d no t rspfaced ; e/c^c/^-t-g ^ . ^•€^ 5 i O yU ~ ^ifdj i

Sten^ : Item : Stem :

Pasge 1 o f 2

### I ] I do Bo t agre e 1 agre e ] nI do mo t agre e 

# 3'^-/c . r' s Sii^ajure ignatur e Dat e Attachment s

Pag e 2 o f 2" •'—i-—-- ^ 1 -*# - - - Thi s agreemen t docuinent s th e completio no f remedial activitie s performe do nm y property . M y signatur e wil l designate tha t I a msatisfie dwithth e restoratio no f m y property , an dtha t n o item s ar e i n question , now , o r a

t an y tim e i nth e future , excep t thos e item s liste dbelow , ifany . SAID : 

# ^fnJ PropertyAddress : OfO S ^ - 3! ? ^" f Owner : ^J^^^j ^ •f^.«VA.c^ci O 

## IPhone : f ^y . 77^ 7 

# f

Restoratio nItem s inQuestion :

agre e restoratiani s completed , except a s noted rs j ! sgre e restoratio nis completed , excep t as .riote d I1 d o no t agj'eieTestorstioni s coEEtpEets d I I I d o no t agre e restoratio nt s complete d

CoJitractcr' s Signatur e I

### Douglas Count v Accoun t Infomiation Pag e 1 o f 3 Dougla s County , Nebrask a Propert yRecor d - R220006000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e @ scal e 0-5 0 f l wes t of 52n d S t - VJe W O n Ma p Informatio n i s vali d as o f 2009-12-3 1 Treasurer' s Ta xRepor t Ne wFeatur e -•->- > Aut o Sale s Searc h Owne r FINNEGA N JOSEP H P ETA L 210 5 S 3 3 S T OMAH AN E 68105-000 0 Propert yInformatio n Ke yNumber : 000 6 000 0 2 2 Accoun t Type : Residentia l Parce l Number : 220006000 0 Parce l Address : 210 5 S 3 3 S T OMAH AN E 68105-000 0 Lega l Description : sCOT T& HILL S SU B DI V LO T7 BLOC K0 5 0 X 10 0 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $ 5,700.0 0 $ 121,900.0 0 $127,600.0 0 200 8 $ 5,700.0 0 $ 121,900.0 0 $127,600.0 0 200 7 _$5,700.0 0 $ 121,900.0 0 $127,600.0 0 200 6 $ 5,700.0 0 $ 90,500.0 0 $ 96,200.0 0 200 5 $ 5,700.0 0 $ 90,500.0 0 $96,200.0 0 200 4 $ 5,700.0 0 $ 90,500.0 0 $96,200.0 0 Sale s Informatio n Sale s Date : 2007-04-2 0 Dee d Type : W D Book : 200 7 Page : 04449 6 Price : $ 159,000.0 0 Grantor : HEADLE YCYNTHI AAETA L Grantee : FINNEGA N JOSEP H P ETA L Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 1991-02-2 3 Dee d Type : Book : 189 3 Page : 53 7 Price : $ 64,500.0 0 Grantor : 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R22.. . 1/18/201 0

### Dougla s County Accoun t Informatio n Pag e 2 o f 3

Grantee : Valid/Invalid : Exclusio n Reason : Vali d
Lan d Informatio n Acre s S F 0.1 1 5000. 0 Improvement Informatio n Buildin g 1 

# J I Unit s 1. 0 Dept h 100. 0



# Wf' y

: • • ,t^m-. * ' ' „ ^ !•!T5!»•v^rJ•^:lW»•^-^-V^;,^•f.^.^J4-l-W: J .*rf CLIC KT O ENLARG E IMAG E | Squar e Footage : 1857. 0 Perimete r 0. 0 Uni t Type :

Buil t As : 2 1/ 2 Stor yUnfi n HVAC : Centra l Ai rt o Ai r Exterior : Fram e Sidin g Interior : Drywal l Roo f Cover : Compositio n Shingl e

Roo f Type : Gabl e Floorcover : Allowanc e Yea r Percen t Yea rBuil t Remodele d Remodele d 191 0 198 4 0 % Detai l Typ e Detai l Descriptio n Ad d O n Fenc e Kro y(Vinyl ) Ad d O n Unfinishe d Atti cW/floo r Applianc e Allowanc e Applianc e Fireplac e Masonr y Widt h Vacan t 50. 0 N o

Otactie d S?$,OSq H
.

\ Flretftee r 7?«. 0 Sq : F t HOBlDSq
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2 1/ 2 STOR YUNFIN
. p.-,Tn f ei-ck - 9 ft 77 6 OS q F' , CLIC KT O ENLARG E IMAG E Percen t Complete : j 100.0 % Quality : Averag e Condition : Averag e Cond o Squar e Footage : 0. 0 Rooms : 7. 0

Units : 1. 0 Baths : 1. 0 Bedrooms : 4. 0 Stories : 2. 5 Foundation : Bloc k Sprinkle rSquar e Footage : 1 0. 0 Adjuste d Yea r Physica l Ag e Buil t 191 0 100 Unit s 1. 0 776. 0 1. 0 1. 0 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.js p ?accountno=R22.. . 1/18/201 0

### Doutjias Count y Accoun t Information Page 3 o f

3
Basemen t Bsmn t Bloc k 8 ft 776. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Garag e Detache d 276. 0 Porc h Sla b Roof Ceilin g 176. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R22.. . 1/18/201 0

### ENVIRONMENTA L AS-BUILTDRAWIN G 

# • b MAH ALEA D SUPERFUN D SITE ' RESTORATIO N 819 2 Omah a Lea d Sit e Exterio rPain t Mort h Arro w Sit e Sketc h [Tf Goo d • Poo r Samplin g Address : 213 5 S 3 3 S T Q No t pain t Sampl e Nunnbei ' RYASCPXA-1319 2 RYBSCPXA-1819 2 RYCSCPXA-1819 2 RYDSCPXA-1819 2 RDZSCPXA-1819 2 F l F 2 B 1 B2 D Z Lea d Conceritratio n 

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lrE<5ENJ 3 Quaarait t cxc^vaic d DfipZoiTii ; Excavate d Conlamiitalio n Lc H Bchiin d 

### Environmenta l Restoratio n LL C Contrac t # : EP-R7-09-0 5

# Iliillliiil l 1819 : ^c y Exterio rPain t Nort h Arrow 

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