# 200 6 OMAH ARESIDENTIA LLEA D SIT E Tim e an dMaterial s Contrac t Remediatio nContractor : PR I (Projec t Resource s Inc. ) PROPERT Y INFORMATIO N OL S Identificatio nNo. : 3401 2 Classification : Chil dCar e Owner : Anthon y Tat e Address : 430 1 N . 3 3 St . City/State/Zi p Code : Omaha , N E681 1 1 Prepare dfor :

U.S . Environmenta lProtectio nAgenc y Regio n7 Prepare dby : 

# vHG L

= HydroGeoLogic , In c Exceedin g Expectation s 

## HydroGeoLogic , Inc . 824 5 Niema nRoad , Suit e10 : Lenexa , K S 6621 4 Contrac t No. : EP-S7-05-0 5 4026452 7 Superfun d

## FINA LPROPERT Y REPOR T GENERA L INFORMATIO N OL S Identifications : 34 0 1 2 Owne rName : Anthon yTat e Group : Chil d Car e Phone:(402)932-184 3 Propert yAddress : 430 1 N . 3 3 St . Owne rAddress : 43 0 1 N . 3 3 St . Omaha , N E 6811 ! Omaha , N E 68 1 1 1 Comments : Alternat e Phon e Number(s ) 

### RESTORATIO N TIMELIN E Restoratio n Agreemen tSigne d Date : 10/5/200 6 Excavatio n Bega n Date : 10/ 1 1/200 6 Excavatio n Complete d Date : 10/12/200 6 Propert ySodde d Date : 10/18/200 6 

### EXCAVATIO N SUMMAR Y Quadran t XR F Result s Pre-Excavatio n Post-Excavatio n Laborator y Confirmatio n Sampl e Result s Excavatio n Dept h Barrie r Require d F I - - - - - F2 49 3 38. 1 - 6-1 0 N o B l 1 1 7 - - - - B 2 8 1 - - - - Dri p Zon e 10 9 - - - - Pla yAre a 6 7 - - - - Garde n - - - - - Easemen t - 7 3 - 0 N o

Othe r - - - - - Unexcavate d Area s Remaining : Non e Excavatio n Comments :

Al llaborator y an dXR Fresult s ar ereporte di nmilligram s pe r kilogram .

- No t applicabl e Propert y Notes :

# &EP A EP APropert y Clos e Ou t For m 

# $ / Propert y# : Propert yAddress : -<43iC \ fi , Date/Time : i l / Owner' s Name : Quad s Excavated : Contracto rCrou p Uc->AyC:-<=/Pr ? Excavatio n Genera l Ye s N o 1 . I fnecessary , wer e th e correc t quadrant(s ) excavate d an d restored ? ^ 2 . I fnecessary , wer e th e correc t area s o fdri p zon e excavate d an d restored ? / Gradin g So d an d Vegetatio n Ye s N o 1 . Doe s th e gradin g aroun d th e perimete ro fth e hous e i n excavate d area s generall yslop e awa y i / fro m th e house ? 2 . Ha s so d bee n lai d i n al l area s tha t wer e excavated ? 

# y 3 . Doe s th e so d appea rt o b e generall yhealth yan d growing ? (Onl yevaluat e i finspecte d a t a 3 0 

# s da ytim e period ) 4 . Ar e sodde d area s generall yfir m an d evenl ygraded ? 

# / 5 . Ar e th e joint s betwee n th e so d strip s generall ytight ? (Onl yevaluat e i finspecte d a t a 3 0 da y 

# s tim e period ) 6 . Wa s th e propert ygrade d suc h tha t wate rwil l no t poo l o n th e property ? 

# •' 7 . Wa s damag e t o landscapin g o rplan t material s avoided ? 

# • / Gates , Fence s an d Retainin g Wall s Ye s N o \ . D o gale s ope n an d clos e freely 0 (I fapplicable ) 

### "/A , 2 . Wer e al l gate s o rfence s take n dow n durin g restoratio n activitie s reinstalled 0 

### (Ifapplicable) W /A . 3 . Wa s damag e t o gate s o rfence s avoided ? (I fapplicable ) U / 4 . Wa s damag e t o retainin g wall s avoided ? (I f applicable ) vA / 

### Foundation , Sidin g an d Gutter s Ye s N o 1 . Wa s damag e t o th e sidin g o rtri m avoided ? i / 2 . Wa s damag e t o th e foundatio n avoided ? I / 3 . Wa s damag e t o window s avoided ? ^ 4 . Wa s damag e t o window s o rdoo rscreen s avoided 0 / 5 . Wa s damag e t o downspout s o rdownspou t extension s avoided ? ^ Sidewalk s an d Driveway s (Concrete ) Ye s N o 1 . Wa s damag e t o drivewa ysurface s avoided ? ^ 2 . Wa s damag e t o walkwa ysurface s avoided ? 

# s

### Owner s comments :



## Inspectio nnotes : *—<>C j

/ » / y 

### Remova l an drestoratio nacti/ate s complet^JoKludin g th e 30-da y so dwarranty : EP ARepresentativ e Date : 

## UI ( 

## \/ / 'I 

# V H«5L _ -~ ~ HyclroGooLogic , In c 

## Propert yCompletio n Agreemen t Thi s agreemen t document s th e completio n o fremova l activitie s performe d o n th e belo wliste d property . Th e propert yowner' s signatur e indicate s tha t th e propert yowne ri s satisfie d wit h th e restoratio n o fth e subjec t property , an d tha t n o item s ar e i n question , now , o ra t an ytim e i n th e future , excep t thos e item s liste d below , i fany .

Propert yID : Propert yAddress : Owner : Phone : Restoratio n Item s i n Question :

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

l^

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

Owner' s Siep«Ture Dat e

# Propert y Owne r Satisfactio nSurve y For m Omah aLea dSuperfun dSit e Remediatio nContractor : Propert y Identifie r Number : Propert y Address : i f 3<f- Vst /

3 ? Propert y Owner' s Name : M
- t n (abov e informatio nt o b e fille dou t b y remediatio ncontracto r prio r t o deliver, ' o f for mt o Property Owner ) :| < * * * * * * * # * * =t = * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *' • 1 = # # * * * * * * * * * * * # * * * * # # # * * ***>!:*:(::( : * * =! < 

## Instruction s t o Propert y Owner : Thi s for mi s provide dt o yo u a s amean s o f tryin g t o captur e you r leve l o f satisfactio n wit hth e wor k o f th e above-identifie dremediatio ncontractor , a s applicabl et o th e soi l cleanu p actio na t you r property . Th e U.S . Environmenta l Protectio nAgenc y (EPA ) an dth eU.S . Arm y Corp s o f Engineer s (USAGE ) ar ever y intereste di nyou r opinio nregardin g th ewor k performe d b v ou r contractors . Thi s for mi s intende dt o provid e a neas y mean s fo r yo u t o expres s you r opinio nabou t th ework performe do nyou r property . Pleas e indicat e you r leve l o f satisfactio nwit hth econtractor' s wor k b y selectin g a numerica l ratin g (rangin g fro m1 t o 10 ) usin g th efollowin g ratin g scale , the npleas e sig n& dat e th e for man dretur ni t t o th e USEP Ai nth e attache dself-addresse d& stampe denvelope , (additiona lcomment s ma y als o b eprovide di nth espac e below , a t th eoptio no f th epropert y owner. ) "excellent " "very good " "acceptable " "poor " "ver y poor " Property ' Owner' s Satisfactio nRatin g Regardin g Contractor' s Wor k 1 0 5 9 4 

## 8 \ ^ 3 7 2 

### 6 1 

## Additiona l Comment s fro mPropert y Owne r (optional : continu e o nbac k o f pag e i f needed )

Propert y Owner' s Signature : ^TTJdfiM^ A /u O Date : I ITota l Quadran t Squar e Footag e t o b e Excavate d = 121 1 Propert yClassificatiorv-6S ^ Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 0

- t

Legen d



## O Concret e Excavate d Are a Existin g Structur e Fence Permanen t Landscapin g Quadran t Boundar y Stree t Boundary Tree/Shru b 

## -Norit.h-33-StFpet ­ i i ! Nort h Arro w 

### Omah a Lea d Sit e Omaha , Nebrask a Scal e 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t Propert yNumbe r OLS-3401 2 Propert yAddres s

430 1 N 3 3 S T 

# vHG L

• ^ HydioiiPO l ngic . tr y F 1 . F 2 B 1 Pos t Excavatio n Concentration s

~ B 2 ff / Pla yAre a £ > D Z t & yEasemen t (7 ­ Garde n ^— ^

Othe r (ppm ) i L ~7 ­ "7 f

— Descriptio n o fpos t excavatio n areas : F1 . fron t yar d left-han d quadrani . F 2 fron t yar d nghi-nan d quadran t B1 , backyar d left-han d quadrant , B2 , backyar d nght-han d quadrant : DZ , dri p zon e (1- 3 fo o are a o fsoi l aroun d th e foundatio n o fth e house )

## \ Legen d Nort h Arro w 

### Omah a Lea d Sit e Contou rLin e Omaha , Nebrask a ( 2 foo t interval ) PropertyNumbe r OLS-3401 2 Scal e Propert yAddres s 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t 430 1 N 3 3 S T Pos t Excavatio n Concentration s (pp.m ) 

# I 161 F 1 _- ' B 2 $ 1 Pla yAre a b t 

# \

A f 

# '/ ! 

# - F2 j D Z 1C 1 ] Easemen t7 3 B 1 1 IT - Garde n —Othe r— 

# '\n fvx 

# ^ Descriptio n o fpost excavatio n area s F1 , fron t yar d left-han d quadran t F2 , fron t yar d right-han d quadran t B1 , backyar d left-han d quadran t B2 . backyar d right-han d quadran t D Z dri p zon e ( 1 - 3 foo t a -e a o fsoi l aroun d th e foundatio n o fth e house )

# vHG L Omah aLea dSit e Pos t Excavatio nSamplin g Result s DATE : 1 ^il'lr /

Gf c OLSID : •'34-OI2 . ADDRESS : M-^O J M ^3 > Si 

### XRFID : XR F Confirmatio n Result s XR F Readin g Locatio n # 1 # 2 # 3 Averag e Dept h Comment s F l F2 

### telid 

## # £ ? / / 3TJT/ / 

### 3f./f|V. i ,^'-/6' ' B l B 2 D Z G Z P Z Easemen t 

## i£ \ 

## .Hi ? ^.•gl . ^3 ^Z."lt2 \ 

## 7?t^ | M 10 - r: . Cf e Om > 5^ ^ ^ La b Sample s Locatio n Dat e Sampl e I D Fiel d \R F La b XR F Dept h Comment s F l F2 B l B 2 D Z G Z P Z Easemen t
TESTE D BY : /)fo6 > [/fj ^ Date : (# / f ^ / ^7 ^ REVIEWE D BY : ^fr f ^L ' Date : ' Irf /

/ > /x?7 ^

# 3401 2 Exteno rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName : ANTHONYTAT E 

### Sit e Sketc h Address : 430 1 _N_33S T Poo r 

### Phone : H : 

### w : No t pain t Lea d Sam P | e Sample s Collecte d Sampl e Numbe r Concentratio n Collecte d Firm : FD At)C//)V/3< * RYASGPX A3401 3 E4 - pp m Date : % ' 27' •Q< 4 RYBSCPXA-3401 2 F 2 pp m D Time : / ? 

# ^ a RYCSCPXA-3401 2 B 1 pp m 

# n Sample s Analyze d RYDSCPXA-3401 2 B 2 pp m 

# n RDZSCPXA-3401 2 D Z pp m 

# n XR F Unit : Book : OfV^^f^p V A O y l n 4 O f'lT 7 pp m Date : _ RPZSCPXA-3401 2 P Z pp m 

# & n Time : _ Staff : Numbe ro fSample s = _j— ^ 

# ENTEEE L AU G 3 0 200 5 |fZ=U>"] :



## f i

Omah aLea dSit e 4613 0

### Consen t Fo r Acces 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(USEPA ) o rit s authorize d representatives , collectivel yth e Grante e t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises :



### Owner s Nanie : . Daytim ePhone : Address : ^"50 1 / J 3$ , - 5 f
City , Stat eZip : OrXl^M^ft , l^ & I^ < 

### ~S\\\ Addressie s o f Propertie s covere db y Address : thi s Agreemen t City , Stat e Zip : Address : City , Stat e Zip : Grante e understand s tha t thi s gran t doe s no t limi t EPA' s righ t o facces s unde rth e Comprehensiv e Environmenta l Response , an d Liabilit yAc t (CERCLA) . 4 2 USC . $ 9601-9675 . o ran yothe rlaw . PURPOS E O F ACCES S Th e purpos e o fth e respons e actio n i s t o remov e lea d contaminate d soi l fro m residentia l properties ; includin g da ycar e facilities . Samplin g o fsoi l ma yb e conducted . 

### ENVIRONMENTA LRESPONS EACTION S Th e environmenta l respons e action s t o b e preforme d o n subjec t propert yma yinclud e th e followin g activities : 1 .

Locatin g equipmen t and/o rmachiner yo n subjec t propert yi n preparatio n fo ran d i n th e cours e o fth e respons e activities ; 2 . Obtainin g sample s fro m Grantor' s property ; 3 . Plannin g an d implementin g th e remova l actio n o n o rnea rGrantor' s property . (Thi s ma y includ e th e excavatio n o flea d contaminate d soil , backfillin g wit h clea n soil , an d restorin g th e sit e property .

### I TER M Thi s acces s agreemen t shal l b eoperabl efo r th eperio do f tim ei t take s t o complet eth eenvironmenta l respons e activities . Upo ncompletio no f th erespons e actions . Al l right s an dprivilege s give nb y th e Granto r shal l ceas e o ntha t date , unles s extende db y subsequen t agreement . hav erea dth eforegoin g documen t an dunderstan dtha t i t

i s a nagreemen t grantin g permissio nt o th e Grante et o ente r th e abov e describe dpremise s fo r th e purpos eo f conductin g environmenta l respons e activities , an d1 agre e t o it s term s an dconditions . AGREEMEN TNO TT O INTERFER E Granto r agree s no t t o interfer ewit han y o f th e activitie s undertake nb y EP Aa t th eProperty , tampe r wit h an y o f EPA' s property , o r tak ean y action s regardin g th e us e o f th e Propert y whic hwil lendange r huma n healt ho r welfar e o r th e environment , o r allo w other s t o us eth e Propert y i nsuc hamanne r durin g th e ter m o f

thi s consent . Granto r agree s t o provid enotic ean dacop y o f thi s agreemen t t o prospectiv epurchasers , lessees , assigns , o r grantee s o f th e propert y o r an y portio no f it . Granto r agree s t o provid e30-da y notic e t o EP Aprio r t o an y transfe r o f ownershi p right s t o th eproperty . SAMPLIN GRESULT S Grante eagree s t o provid eGranto r wit hth eresult s o f an y an dal l samplin g and/o r analysi s resultin g fro m Grantee' s respons e activitie s o nth e property . PRIO RCONDITION S AGREEMEN T Th eGranto r agree s t o th econditio no f th epropert y prio r t o remediatio nan dindicate s o nattachmen t 1 an y item s t o b e remove db y th e Granto r befor eactivitie s commence . RESTORATIO NO FPROPERT Y Th e Grante eagree s tha t sai dpropert y wil lb e restore da s nearl y a s possibl et o it s origina l stat ean d conditio na s foun dimmediatel y precedin g th ebeginnin g o f activitie s authorize db y thi s Agreement , followin g completio no f th e respons e activities .

### Addres s f 0/J I V 5 O J t Propert y # CURREN TCONDITIONS/PROPOSE D REMOVA LACTIVITIE S Th epurpos eo f thi s sectio ni s t o provid eamutua lagreemen t a s t o condition s o f propert y prio r t o contracto r activities . Thi s wil lals o serv ea s documentatio nfo r th epurpos eo f assurin g tha t restoratio n activitie s ar ecomplete dt o th esatisfactio no f th epropert y owne r an dth eUnite dStale s Environmenta l Protectio nAgenc y (EPA) . Item s t o b e remove db y property ' owne r prio r t o th e remova l activities : \ 2 3



### Item s no t t o b e remove db y contracto r durin g remova l activities : i



### ADDITIONA LCOMMENTS :



## ^/€>-£-0 k SignatuB^Grantor's ) Dat eHydroGeoLogic , In c 

# H 

# SER A Propert yLo g Propert y #3401 2 Propert y Addres s 430 1 N3 3 S T Owner' s Nam e TAT EANTHON Y Contac t Nuraber(s ) 402671140 7 Date/Tim e Spok e T o HG L 

### Comment s


## 4 C

Sl y

### OMAH ALEA D SIT E 560 0 S 10 t h 

### Stree t Omaha , N E 6810 7 Ph : 402.731.077 9 Fax : 402.731.074 7 www.hql.co m FA X COVE R SHEE T T O n S ** * I C^-f ^ f* *^ ^ IO«*. - * fc —\ 

### Company : Fa xNumber : 3'^T Phon e Number : Project : ('^^ ^ i 

### ^/> ' *^ ' *^ " p / 

### ^ ^ ^

* Fro m * " ^ f NiWIII p 

### Emai ! Address : @hg!.co m Date : Tota l page s includin g cover : Subiect : Notes/ Comments :



# -

## Propert y Detai l Informatio n Pag e 1 o f 3

• in n 

## m m 

# (Dough s Count y Assesso r Las t Updated : 09/15/200 6

« Perfor m a Ne wValuatio n Searc h 

## Owne rInformation : Owne rName : TAT E ANTHON Y Mailin g Address : 430 1 N 3 3 S T OMAHA , N E 68111-000 0 

## Propert yInformation : Ke yNumber : 2333000 0 1 8 Accoun t Type : Residentia l Parce l Number : 182333000 0 Parce l Address : 430 1 N 3 3 S T OMAHA , 68111-000 0 Previou s Assesse d Value : $29400.0 0

Curren t Assesse d Value : $51600.0 0 

## Ta xLevyInformation : CITYCOUNT YBUILDIN G DOUGLA S COUNT Y OMAH APUBLI C SCHOO L DISTRIC T EDUCATIONA L SERVIC E UNI T01 9 METROPOLITA N COMMUNITYCOLLEG E CITYO F OMAH A PAPI O NATURA L RESOURC E DISTRIC T OMAH ATRANSI TAUTHORIT Y

Tota l Lev y Vie wDougla s Count yTreasurer' s Ta xHistoryInformatio n .0109 6 .2642 7 1.2184 9 .0150 0 .0674 0 .4338 7 .0390 9 .0489 0 .0000 0 .0000 0 2.0979 8 

## Parce l Characteristics : http://www.dcassessor.org/details.asp?Name=&Address=&Key=2333+0000+l8&Submit .. . 10/10/200 6

### Propert y Detai l Informatio n Pag e 2 o f 3 Lega l Description : MOUN TVERNO N LO T1 4 BLOC K3 47. 5 X 13 8 Parce l Size : Acres : 0.1 5 Sq . Ft. : 662 4 Pleas e Note : Th e lega l descriptio n abov e i s a courtes yprovide d fo rassessmen t purpose s an d i s not intende d fo r use i n lega l instruments . 

### Sale s Information : Clic k Here Fo rSale s Dat a Buildin g Characteristics : Buildin g Number : 0 1 Buildin g Size : 127 6 sq . ft . Yea rBuilt : 194 0 Condition : Averag e Quality : Fai r Exterior : Fram e Sidin g Units : 1 Bedrooms : 3 Baths : 1 Garage : Detache d Garag e Size : 32 0 

### Propert yPhotos/Sketches :

I 1/2 STOR YFK I

iiii«»4.iii»iiniiitiif_v^M»:ii.-tr*-VV»:».t. i 

### Clic k Her e T o Enlarg e Imag e Clic k Her e T o Enlarg e Imag e 

## .Vie wParce l Ma p Th e Dougla s Count yAssessor' s offic e make s everyeffort t o produc e an d publis h th e mos t curren t an d accurat e informatio n possible . N o warranties , expresse d o rimplied , ar e provide d fo rth e dat a herein , it s us e o rinterpretation . ©

Copyrigh t 2003 , Dougla s Count yAssessor' s Offic e Assessor s Hom e Valuatio n Informatio n | Mee t You rAssesso r| Frequentl yAske d Question s 

### http://www.dcasse:5Sor.org/details.asp?Name=&Address=&Key=2333+0000+18&Submit .. . 10/10/200 6

### Propert y Detai l Informatio nPag e 3 o f 3 Ta xInformatio n | Contac t th e Assesso r| Slid e Sho w Calenda rI Website s o fInteres t 

# 4ft

<f t
http://wvvw.dcasse:5Sor.org/details.asp?Name=&Address=&Key=2333+0000+18&Submit .. . 10/10/200 6

### Sketc hDispla y Pag e 1 o f

20.0 1 

### 430 1 

### N 3 3 S T 16.0 ' 

### Detache d 320. 0 sq.ft . 29.0 ' 29.0 ' 

# 1 1/ 2 STOR YFI N Bsmn t Bloc k 8 f t 754. 0 sq.ft . 

# 2 6 o ' Firs t Floo r25. 0 754. 0 sq . ft . 29.0 ' 

# Secon d Floo r 522. 0 sq . ft . 29.0 '

Sketc h b yfpe xIVWlndoui!: TM 

### Clos e Windo w



### http://webarc.co.douglas.ne.us/dcassessor/sketchdispla y .asp?PARCELNB= l82333000 0 3/1/200 7

### Propert y Phot o Displa y Pag e 1 o f 1

UL Y200 5 - DOUGLA S COUNT YASSESSO R Clos e Windo w



### http://webarc.co.ciouglas.ne.us/dcassessor/photodisplay.asp?PARCELNB= l 82333000 0 3/1/200 7

## Ma p Outpu t Pag e 1 o f 1 ArclM S HTM L Viewe rMa i

Legen d I Highkghte d Featur e [ [ Parce l f /

Stm« l Blac k an d Whil e Aenal s



## http://webarc.co.clouglas.ne.us/servlet/com.esri.esrimap.Esrimap?ServiceName=TestAeri .. . 10/10/200 6