## TRANSMITTA L o f OMAH A LEA D SIT E SOI L REMEDIATIO N FIL E FOLDE R SAI D # : 8 ^ .5" ^ < aDate : *=? / l l 19r>G9 , Address : .^So'P . PfNkrxgv / >S Y Remediatio n Contractor : 'RloDGr^' f l9-y H . TTisir. . Year : ^r\o9 K SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S



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f [ZT y D y D 0 y y 0' y D yVide o o f propert y (DVD ) Executiv e Summar y EPA-provide dpropert y sketc h Signe dAcces s Agreemen t fo r subjec t propert y Signe dAcces s Agreement(s ) fo r adjacen t propert y Restoratio n Agreemen t Settlemen t document s (i.e. , fo r damag e o r t o replac e plants , etc. ) Confirmatio n dat a Photograph s As-buil t sketc h Satisfactor y restoratio n signe db y Propert y Owne r Propert y close-ou t chec k lis t signe db y EP A Descriptio n ofarea s no t meetin g RO D cleanu p criteri a Utilit y clearance s Propert y informatio n fromDougla s Count y Assessor' s Offic e D D 

## "Si^iati ^ Dat e 40311 39 6 

# 1 Superfun d

### PROPERT Y SUMMAR Y Date ; 09/15/200 8 | Omah aLea dSit e Remedial Actio n Contrac t #EP-R7-07-06/0004 | Month of : Aug/Sep t Propert y Address : 320 8 PINKNE Y S T A . EXECUTIV E SUMMAR Y A. 1 Issue s Encountered : NON E A. 2 Issue s Resolved : NON E A. 3 Uniqu e Findings : NON E A. 4 Othe r Relevan t Information : NON E CONFIRMATIO N SAMPLIN G DATA/RESULTS : Bl=27 3 PP M @ 12";B2=7 7 PP M @ 12" ; N O EASEMENT ATTACHMENT S 1 ) Propert y sketch providedb y EP A pursuan t t o contract specification s 2 ) SignedAcces s Agreemen t including acces s agreement s requiredfo r crossing othe r propertie s 3 ) Pre-Excavation digita l vide o clip/photograph s 4 ) Post-Excavation digita l vide o clip/photograph s 5 ) Documentation - CompletedClose-ou t CheckUs t 6 ) As-Built sketch ­ i ) Sha U mclud e fina l lea dlevel s v ) Legend ii ) Contamination lef t behindarea s vi ) Contractor identification iii ) Propert y addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e includedi n th e individua l propert y file, if available , o r obtainedinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit h the propert y owner ) ii ) Propert y Statu s For msignedby propert y owne r iii ) Excavation digita l vide o i n MPEG , WM V (Window s Medi aVideo ) or SW F(Flas h Player) forma t and/o r photograph s iv ) Signedfor mverifying satisfactor y restoration v ) Descriptio n of area s not meeting InterimRO D cleaniq ) criteria .

TECHNOLOCIES , INC ,Fin d Recor d Qea n U p QueryI Lea d Remainin g Quer yI Propert yDamag e Quer yI Clos e 

### Backfill :

Sampl e Area : 8959 8 ­ 320 8 PINKNE Y S T Owner : Resident : Contract : n Owne rOccupie d Owne rName : Residen t Name : Contractor : (REDDE N DARRE L Owne rAddressl : 

# 1 Owne rAddressZ : |251 9 N 2 8 AV E City : |OMAH A Owne rPhone : |(402 ) 455-051 5 State : Zi p Code : |N E |6811 1 Alternat e Phone : 

# 1 Propert yAddress : 320 8 PINKNE Y S T Zi p Code : 

# I Residen t Phon e Group : Assessment : Qualifyin g Grou p 1120 0 Assessmen t XR F Date : 

# I Assessmen t MaxXR F Value : I 137 4

# EP A Propert y Clos e Ou t Propert y # : 'if f S I 9 Propert y Address : 3^) 6 P*^t«« f S ^ Date/Time : 9/nfo g Owner' s Name : £)ifnt)e* t ff*^** ^ Quad s Excavated : K> I , d V Contracto r Grou p Pruden t Technologie s Excavatio n Genera l 1 .I f necessary , wer e th e correc t quadTant(s) excavatedan drestored ? 2 .I f necessary , wer e the correc t area s of dri p zon e excavatedan drestored ? Gradin g Sodan dVegetatio n 1 .

Doe s the grading aroundthe perimete r ofth e hous e i n excavatedarea s generall y slop e awa y fromthe house ? 2 .

Has sodbee n laidi n all area s tha t wer e excavated ? 3 .

Doe s the sodappea r to b e generall y health y an dgrowing ? (Onl y evaluat e if inspecteda t a3 0 da

y tim e period) 4 .

Ar e soddedarea s generall y firman devenl y graded ? 5 .Ar e the joint s betwee n the sodstrip s generall y tight ? (Onl y evaluat e if inspecteda t a3 0 da y tim e period) 6 .Wa s the propert y gradedsuc h tha t wate r wil l not pool o n the property ? 7 .

Wa s damage to landscaping o r plan t material s avoided ? Gates , Fence s an dRetainin g Wall s 1 .

D o gate s ope n andclos e freely? (IfappUcable) 2 .

Wer e all gate s o r fence s taken dow n during restoration activitie s reinstalled ? (If applicable ) 3 .

Wa s damage to gate s o r fence s avoided ? (I f applicable ) 4 .

Was damage to retaining wall s avoided ? (If applicable ) Foundation , Sidin g an dGutter s 1 .

Was damage t o the siding or trimavoided ? 2 .Was damage t o the foundatio n avoided ? 3 .

Was damage to window s avoided ? 4 .Wa s damage to window s or doo r screen s avoided ? 5 .Was damage t o downspouts o r downspou t extension s avoided ? Sidewalk s an dDriveway s (Concrete ) 1 .Was damage to drivewa y surface s avoided ? 2 .Was damage to walkwa y surface s avoided ? Ye s N o / 

## J Ye s N o / ^ / 

## y 

# y y y Ye s N o 

### y y y y Ye s N o 

### y 

## y y 

# y y Ye s N o 

# y y

## Owner s comments :

Inspectio n notes :

Remova l an drestoratio n activate s complet e including the 30-da y sodwarranty : EP A Representativ e £i.^. ^ ,a..y . Date : S/r9/o p 

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## Propert yCompletio n Agreemen t Thi s agreemen t document s th e completion o f remova l activitie s performedo n th e belo w liste dproperty . The propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfie dwit hth e restoration ofth e subject ptoperty , andtha t n o item s are in question , now , o r a

t an y time in th e future , excludin g an y remaining warrant y (3 0 day s total ) excep t dios e item s liste dbelow , i f any . Propert y ID : '^^S^' J Propert y Address ; 

## grv - O^-*'-- ' -t^^^r^ ^ Q , H.ZL I Phone : Restoratio n Hems I n Question : Item : Hem : Item : 

### Item : Kem : item : Require d correction s t o complet e th e property :

I I ! agre e restoratio n i s completed , excep t a s note d above . I I I d o no t agre e restoratio n i s complete d 

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yo u ha n m j qiudtan s abou t th * scil cltan ^ pianu dfot you t piop«ity , pitas * contact Pnidtnt'sAdiBiaiflialiv tCltdc faith * OaiahaL*ad^t o dtanus . M5,ShimionHolt-«tf402!>304-10Q4 . Gtntn l qutdion s abou t 4i * OmahaLta dSit e dtanq t canb * dincU dt o tiuEPAPuUicInfiHmalionCtattnBtCIO:^ 731-304 3 (^ouih Omah aofBc*) 01(402) 991-938 3 ( ^ oit h Omahaoffic*) . Ptopert yAcctssCrarttdBy : [jClfr^U ^ K^cJagK l (Pitas * Pnnt K am* ) Prop*itj i 0 wnt i Si^iatu K 

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[^ V Owne r Rente r RESIDEH T ADDRESS : 

# _at . ^^.^a.^ ^ A^ ^ (1^// ^ ^ I F RENTAL . PROPERTYXWHE D BY : .£x . OWNER' S BBAILW 6 ADDRESS : ^ . OWNER'STELEPHON E HUUBER-HOUE : J )_ WORK : AG E O F H0UE7 : YEARS . HO W LOH G HAV E YO U LIVE D HERE ? YEARS . HA S TH E EXTERIO R BEE H PAINTE D O R COVERE D WIT H SDIN G SINC E 1978 7 YE S H O HUMBE R O F OCCUPANT S UHDE R 7 YEAR S OLD : NUVBE R O F OCCUPANTS ? YEAR S OL D AH O OLDE R NUHBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA Y M TH E YAR D FO R S HOURS O R UOR E PERWEEK : COBHENT S O R SPECIA L IHSTRUCTIOHS : (I.E . DOGS . ENTR Y GATES . ETC. )

AUTHORIT Y FORENTIRQNMENTA L RESPONSE ACTIONS i Th* activiti* s t o b * impltmtitt db y EF Auiil* i thi s a^tmto t art

punuan t t o Stctio n 10 4 o f CERCLA , 4 2 UJSX: . 9604 . EPA'sii^ofacctsEtoth*proptrtyispiovidtdfuiaS*ctioal04(*)o f CERCL A 4 2 H S fT Qff l <(») , nr W fJ i pw m Ja e anti yfar"Jatamiiwiti g th a wa ^ fry TTiyfflBB* . CT ThpOHTI g ff f talOH g m yTtyffllP > actio n und* i thi s titl* , o rothtnris t tnfneiiQtfa t pnniaan s o f th t titlt. "
808 0 Ward Partcvsy . Siill e 405 250 5 N . 24 * Sfrw t Suit e 30 8 424 2 Usdlca i Dilve k Suit e 425 0 RansSBCI^ . BS O 6411 4 Omaha . NBUiaBkaesil O Sa n Antonio , T X 7822 3 Dlinna - (flie t 4C^.4Tf n Ohnna ­ Uf» l cnil.ina 4 Dhnna - /Vin t l»7Jt«ll l • iivitw . | w .W i wu w w . w • atwitv . ^w^ f 4tw ^ i^rw ^ • ••WI.V . ^ .V l Wfcfc vwv w Fax : 916)363-370 7 Fo e (402)604-100 5 FB K (210)578-667 7

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II P REMTAL . PROPERTY^flipjE D BY : ' \ .•^' ' t ? OWHER' S ClAILCfl G ADDRESS : 

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OtRflflER' S TELEPHON E HUE3BE R - H0C3E : , ( A \ WORK :

.- 1 AtS E QF^HOCaE^r A YEARS . HO W LOH G HAV E YO U LIVE D HERE 7 YEARS . 

# y HA^hrH £ ^XTE^'0R'BE9ti l PftUaTIE B O R COVERE D WIT H SDIH 6 9MC E 1978 7 YE S U O MUmB^iUOI F OCCUmHT S UMDE R 7 YEAR S OLD : OUCiBE R O F OCCUPAMT S 7 YEAR S OL D AH D 0LDE R 

# J y~ HUC3BE R O F CHILDRE M UHDE R 7 YEAR S OL D WH O PLA V « TH E YAR D FO R S HOUR S O R G30R E PE R WEEK : CODCKKIT S O R SPECW L IHSTRUCnOMS : (I.E . OOGS . EMTK Y GATES . ETC )

. AUTHORIT Y R)RENnROHMEHTALRESPOH9[iU|TI0HSi^^«lli*E, ^ '- mponaiaftt o Sectio n 10 4 o f CERCLA , 4 2 USJC . 9<04 : ftpk ^ n ^ ^aeeesEt o 0 » pnpat y ispgwiidtdftrittStctio a104(e) o f t CETOIA , 4 2 U5.C9<03(e),glntf aprovide s «pliyf«"d(*waiiBipth * nee dfa r i»yeBS» t 0 1 chooBB g o r takia ^ uadwtfaiEtitlt , oiothttinB e enfoniiQlhepmiaoB E ofth e tiae. " • f^i^' i ' >

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## v^^i-vLg^a^iigej ^ 42A 2 C3<Milce ] Ditvo c Suit e «2S 0 Cta»0Ci^.a O 6411 4 OnU^M L HsSlIBStlflSSII O SO I Antonio . T K7822 9 Dtinno - Mn9\«M.1ltA A Dtinno - n-trntn^jwii n • ••Wtll h ^ W ftWi WW W W l W W f lawtiw . nwfc i ww ^ »ww< v • ..WMW . B k i w j Wfc* . WWWW FflB C (118 ) 363-370 7 Fo e <402)S84-10( a FB C ^11^578-667 7OLS# : 89S9 8 Dat e Excavated : 7/14/200 8 Dat e USEP A Signed-OfT . 

### 8959 8 Omah a Lea d Sit e Extario rPain l Sit a Sketc h [ ] Goo d n Poo r samplin g Addraaa : 320 B PINKNE YS T Q^No t pal m Ssmpl e Numbe r Lea d Sampl e LA B Sample s Collecte d Concentratio n Colle ^ 

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# a D«te . _ULjLfi 2 RYB8CPXA-8059 8 F 2 

# n Time . f<-3 S 4 ^ RYCSCPXA-e959 8 B l ISI H pp ^ 

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# 6 "55 - ENTEREiD PC T0: 9 200 7 

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CONTRAC T # : E P - R7-07-0 6 / 000 4 PRUDEN T TECHNOLOGIES , IN C

# mjDEffl i ECHNOLOGIES , mC . 

# Propert y Statu s For m Address : 3^ ^ g "P u VC^e ^ Sl ^ °'' " G-fl"^^ ^ Phone : / , ^ , , ^ ^ BVID : ' ^ < ^ S ^ o Plant s & Permanen t Landscapin g Item # On Ma p Description andLocatio n

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808 0 War d Parkway , Suit s 40 5 250 5 N . 24* " Street , Suit e 30 8 424 2 lUledlca i Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , T X 7822 9 Phone:(816)363-370 3 Phone : (402)504-100 4 • Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax:(210)579-657 7

### Omah a Lea d Sit e Sit e Sketc h Sampiin q Address : 320 8 PINKNE Y ST Sampl e Numbe r RYASCPXA-8959 8 RYBSCPXA-8959 8 RYCSCPXA-8959 8 RYDSCPXA-8959 8 RDZOOrXA-0050 0 ROZSCPX A8060 8 RPZOOPXA8050 8 Lea d Sampl e LA B Concentratio n Collecte d Fl 

## 13 3 pp m 

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## D Bl 131 ^ pp m 

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Book : l^j ^ Date : l o - , ^ -o ^ 

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YOU R TICKE T NUMBE R I S  2077047 . Origina l Cal l Date : 7/08/0 8 Time : 9:4 4 p m Op : RAMITA1896 7 Wor k t o Begi n Date : 7/11/0 8 Time : 7:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 320 8 Street : PINKNE Y S T Twp : 15 NRng : 13 E Sect-Qtr : 09-NW Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : lea d remidatio n Locatio n o f Work : ENTIR E PROPERT Y LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)504-100 5 : UNSUR E CORNE R Compan y: PRUDEN T TECHNOLOGIE S Contac t Name : RAMIT A Phone : (402)504-100 4 Alt . Contact : Phone : (402)452-980 6 Wor k Bein g Don e For : EP A Dept h o f Excavation : 6f t Corne r Lot : NFront : Y Rear : Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C
Servic e Are a Contac t Phon e Numbe r Utility Typ e Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C HEID I Alt : 402934046 9 Emerg : 402932975 7 MUDO l METROPOLITA N UTILITIES DISTRIC T Day : 402504782 3 EDWIN AAlt : Emerg : 402504794 6 OMAHACO F CIT Y O F OMAHA
TRAFFICSEWE R R O N Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 0PPDGPR 5 OMAH A PUBLI C POWE R DISTRIC T N A Day : 406728934 3 Ait : 888728934 3 Emerg : 406728934 3 Day : 406728934 3 QLNN E 1 C QWES T LOCA L NETWOR K N A

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