### TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : ^//^ f Date : J^jll/c ^ 

## Address : ^3 /

PdcJ^ C ^ Remediatio nContractor : _Coasta l Environmenta l Group

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### Omah a Lea d Sit e Exterio rPain l North Arro w Owne rName : ROBER TL KARGL E Address : 243 1 PACIFI C S T Phone : H : 402-714-046 6 Sampl e Numbe r RYASCPXA-2118 9 F l -P^DCCrXA-2110 9 F 2 RYCSCPXA-2118 9 B 1 RYDSCPXA-2118 9 B 2 WBZsepy ^ 21180—B Z La b RYDSCPLA-2118 9 Resul t 90 2 pp m 

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### - »
COASTA L ENVIRONMENTA L GROUP . 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 : Owner' s Name : ^^^ 4 YMMU C 

### Daytim e Phone : ^ / ^ / ' ^ I 2 S

Addres s o f Property covere d bythi s 

# z-^Z } T^Pt o 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 yha s bee n remediated . ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractors 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

### - » COASTA L

• V . -^' ^ [NVmONHENTA L C R 0 U r. INC . 

### 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 necessarysubsequen 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 ; Ifth 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 ofth e property . AGREEMEN TNO TT o INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo f th 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 hi s 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 . Should you hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (877 ) 234-6270 .

[3lg r D i d o not gran t access t o m ypropertie s I gran t access t o m ypropertie s Signatur e Dat e Q I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required .

Pag e 2 o f 2COASTA L ENVIRONMENTA L GROUP , 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 :

Owner' s Name : iJ ^

tCjil\Q C Daytim e Phone : 

### \iSi7l7^1 ^ 

## ^^5^ ^ Ti£^iLX ^ -r - -^ ^ T- ^ 2l3/PA64n o Addres s o f Propert y 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 Coastal 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 yha s bee n remediated . ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractors 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

# iM . COASTA L ENVIRONMENTA L GROUP . INC . 

### 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 necessarysubsequen 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 ; Ifth 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 ofth e property . AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo f th e wor k activities , o rwit h an y o f th e wor k done , o rwit h th e equipment use d o n hi s 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 (877 ) 234-6270 .



## Ef l gran t access t o m ypropertie s D I d o not gran t access t o m ypropertie s 

# 0U^J2 . Qinnotiir a^ • 

### Signatur e 

## TBat ^ Signatur e Dat e Q I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required .

Pag e 2 o f 2

# m Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o pro \id e amutual agreemen t a s t o condition s o f property ' prio r t o remediatio nactivities . Thi s wil l als o serv e as decontaminatio nfo r th e purpos e o f assurin g that restoratio n activitie s are 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) .

Property ID : 

# '^^ 7 Property Address : ^^5 / f^c/fY ^ ^T ^ Owner : 

### ^o^^jr r ^^A<j^/j ^ Phone : 

# y/4/- // ^ Onth e attache ddiagram(s ) indicate area(s ) t o excavate danddept ho f excavation , locatio no f all know n utilities , subsurfac e features , surfac e structure s an dlandscapin g features , acces s location(s ) t o b e use dby contractor , andth e directio no f North . Indicate distances , depths , material tvpes , etc . Indicate digital photo s b

y referencin g th e photo-lo g number wit 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 rretur n o f thes e item s I s th e Owner' s responsibility . Item : , . Item : Item : Item : Item : Item : Item : Item :

# •..(0 > Item s T o B e Remove d B yContracto rDurin g Remediatio n An d Ne t Replace d (Us e additiona l sheet s a s necessary ) Item : f ^ 

# ^J ^

'Cfo e Item : Item : Item : Item : 

### Iten :

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Pag e 2 of .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 : 

# 5^ ^ Item : Item : ^ _ Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :

Pag e 3 o f& >

Ite m Landscap e Inventor y (Us e additiona l sheet s a s necessary ) Quantit y Uni t 

## Condition/Type/Specie s
Pre-e\istin g propeny are a llu : i s co\ere dwii hsirass . 

# 5 ( SqLiar e fee t

N,.r:be r ;.' . :rec 5 • :-:- k .:::i:::c:c '

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Nur!iber ct " Sprinkler Zones . Coniro ' \'alves . Tin-.ers . H^aJs . e:j . Anac haskeic hct " ;he sprinkle r layout . 1

NLRibe r o f an dsiz e of eac hgarde nfics^e r be d area . .Attachasketc hcf relativ e size s an dlocations . Each Squar e Fee t

Pag e 4 o f

### Ite m 

### Quantit y Uni t Condition/Type/Specie s Agree dupo nvalu e of plant material s not t o b e replace dbv contractor . Not e thi s valu e will b e use dt o issu e aplant vouche r t o th e propert y owner . Agree dupo nlis t o f plant material s tha t wil l b e replace dby contractor . B e very specifi c an ddetailed . Eac h Includ e asketc ho f were eac hplan t wil l b e place d b v th e contractor . .Agreedupo nare ac f propen y t o b e replace d uit hgras s sod . 

# tO>S ^ S F Includ e asketc ho f th e area(s ) t o b e replace d\\ith sras s sod . Are aof Cit\or Count y properr y t o b e landscape d per thei r requirements . S F Includ e asketc hof th e are a(s )

Pag e 5 of .

### Additiona l Comments / Instructions :

I I Chec k th e bo xi 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 bo xCE G i s no t responsibl e fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n cracks o rfissures .



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### /\X|^ \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 I ^^^7 ° Coasta l Environmenta l Grou p Inc . XT^^TP * www.coastalhazmat.co m

%PBoi* ^ COASTA L ENVIRONM ENTA L C R O U f . INC . 

# EXECUTIV ESUMMARY : 21189—243 1 PACIFI C S T No Issue s o r Concern s [ ^ Issues/Concern s Detai l Explanation :

# As-Buil t Drawin g COASTA L 

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### Legen d Oinali a Lea d Sit e Omalia , NeDra&ta Propert yNur*e r

OLS-2118 9 F¥GpeftyAdck«s s 2*3 1 PAaR C ST Ptis t Excavatn n Concentration s (ppm ) F l B 2 PlayAre a F 2 D Z Easenterr t B l Gamef i OSte r

Are ano t Excavate d j Dripzon e Excavate d Quadrant s Excavate d 

### Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc ,

## ^P A Propert y Clos e Ou t F^r a Propert y # ; 

# -.^zm . Propert y Address : ^ Y V T^/f/ C Datc/Tlmc : Owner' s Name : ^e^^i^ f 7^4*:^^t i Quad s Excavated : Contracto r Crou p Eicavatio aGenen l Ye s N o 1 .If necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? l ^ 2 .I f necessify , wer e th e correc t area s of drip zon e excavate dan drestored ? t ^ Gradin g So dan dVcccUtio B Ye s No 1 .Doe s th e padin g aroun dth e perimeter ofth e hous e i ncxca \ate darea s generall y slop e away fromth e house? • " 2 .Ha s so dbeenlai di nal l area s tha t wer e excavated ? i / 3 .Doe s th e sodappea r t o b e generall y healthy andgro w ing ? (Onl v evaluat e i f inspecte da t a3 0 da y tim e period ) 4 .

.\r e sodde darea s gcnerall v fir man devenl y graded ? ^ / 5 .Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y e v aloat e i f inspecte da t 12-0 da y tim e period ) 1 ^ 6 .Wa s th e property grade dsuc htha t w ater v

» ill no t poo l onth e propeT ) ?

" .

Wa s damag e t o landscapin g or pta.n t -aterial s a \oided' ? t ^ Gmc v Fence s ao c ReUiniD f naii s \e s N o '. . D o gate s openan dclos e freely':' ('.f applicable ) ^ 2 .Wer e all gate s or fence s take ndow ndurin g restoratio nactiv itie s reinsialled ? ^ I f applicable ) ^ / 3 .Wa s damag e t o gate s or fence s avoided ? 'Ifapplicable ) t ^ 1 i -. .Wa s damag e t c retainin g » • all s avoided ? (Ifapplicable ) 1 i ^ Foundation , Sidio f an dGutter s Ve s Nc 1 . Wa s damag e t c th e sidin g or trimavoided ? L ^ 

## 1 2 .wi s damag i t o th e foundatio navoided ? t^ ' 3 .Wa s damag e t o v^ indow s avoided' ' 

# A 1 4 Aa s damag e t o window s o r door screen s avoided ?t^ ^ 1 5 , Wa s damag e t o downspout s or downspout extension s Evoided ? 4 ^ i Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 .Wa s damag e t o drivcv^a y surface s avoided' ^ iJA ; 2 .Wa s daraag e t o waDcv.a y surface s avoided ? j^J/^

### Ic?pect!c nEcte s (jJcU-c ^ i^liras^Jo r Sd< L^ -^^ 4 acces s -j^rui^^ L AG^^U^/A, J



### Remc\a l an drestoratio nacti\ate s comr'et e includine th e 30-da\ ' so d'>^•arran ^ EP. A Representati v Dat e ^ - t ^ -( 0 7

### Propert yCompletio n Agreemen t Thi s agreement document s th e completio n of remedia l activitie s performe d on my property . My signatur e wil l designate tha t 1 amsatisfie dwit hth e restoratio n of my property , an dtha t no item s ar e in questions , now , or at an y time in th e future , excep t thos e item s liste dbelow , if any . Propert y ID : 

# 7///- ^ Property Addresi : 2^^ / ^C/F/ 2 

### Owner : /^py^f^ r 7^4/e^6 e Phone : 7/ ^ tJ^9 ^ Restoratio n Item s in Question :

Item : Item : Item : Item : Item : Item :



### [Zfi^ . [ agre e restoratio n is completed , excep tas note d I I do no t agre e restoratio n is complete d 

## Mt?(u^7 0 C7^^^^^ ^ '=}'^-0 7 ^^^> ^ ^/~^.:^S> ^ T7<7O ^ Dat Dat e Contractor' s Signature 'Daf e Ovvner' s Signatur e / (y t I