## TRANSMITTA Lof OMAHA LEAD SIT E SOI LREMEDIATIO N FIL E FOLDE R SAID# : -g'n^Pl I Date : Address : ^^\[ P ^K^^JMZ
. '^^ T 

## Remediation Contractor : Envrionmenta l Restoration , LLC
_ Year : 201 0 SOI LREMEDIATIO N PROPERT Y FIL E FOLDE RDOCUMENT S Video of propert y (DVD ) ^SBefore DAfte r

'X Basemen t H l^ dflAiiV^j^^te^ .^ 

# X Executive Summar y (Fina l Report ) * EPA-providedpropert y sketch Signe dAcces s Agreemen t fo r

subject propert y D 

## SignedAcces s Agreement(s ) fo r

adjacen t propert y ^ ^ 

## Restoration Agreemen t D 

## Settlemen t document s (i.e. , fo r

damag e o r

to replac e plants , etc. ) Confirmation data Photograph s 'I^^^SJBefor e DCre w Photo s D During Excavation ^ Sod D 30-da y So dD As-built sketch Completion Agreemen t signedb y Propert y Owne r Propert y close-out chec k

lis t signedby EP A Description o f area s not meeting RO D cleanu p criteri a D 

## Utilit y clearance s Propert y information fromDougla s Coimt y Assessor' s Office Propert y acces s checklis t Contact Log

Environmenta l Restoratio n Signatur e Dat e

D

## Omah a Lea d Site—EP-R7-09-0 5 Environmenta l Restoration , LL C www.er1lc.con i 

# EXECUTIV E SUMMARY : 5799 1 - 451 6 BURDETT E S T 

# N o Issue s o r Concern s [ ^ Issues/Concern s Detai l Explanation :

# -EP A EP A Propert y Clos e Ou t For m Omah aLeadSite Propert y #:_5llVU ^ Propert y Address : ^^iL g GHJC^-4^' ^ 

## Date/Time : Owner' s Name : ^YVx^ k

Rc<.^l ^ Quad s Excavated : 'f i .fX Contracto r Grou p : Environmenta l Restoratio n (ER ) Excavatio n Genera l Ye s No 1
. Ifnecessary , wer e the correct quadrant(s ) excavatedan drestored ? y ^ 

### 2
. Ifnecessary , wer e the correct area s ofdri p zon e excavatedan drestored ? 1 / 

### Gradin g Sodan dVegetatio n Ye s No 1
. Doe s th e grading aroun dthe perimete r of the hous e i n excavatedarea s generall y slop e awa y fromthe • ^ house ? 2
. Has sodbee n laidi n al l 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 30-<la y tim e period)
. 4
. Ar e sodde dareas generall y firman devenl y graded ? y 5
. Ar e the Joints betwee n the sodstrip s generall y tight ? (Onl y evaluat e if inspecteda t 30-da y tim e period)
. 6 . Wa s th e propert y gradedsuc htha t wate r wil l no t pool o n the property ? y 7
. Wa s damag e to landscaping or plan t material s avoided ? • - Gates , Fence s an dRetainin g Wall s Ye s N o 1
. Do gate s ope n an dclos e freely? (if applicable ) 2
. Wer e al l gate s o r fence s take n dow n durin g restoration activitie s re-installed ? (if applicable) 

# ii ^ 3
. Wa s damag e to gate s or fence s avoided ? (i f applicable ) 4
. Wa s damag e to retaining wall s avoided ? (i f applicable) Foundation , Sidin g an dGutter s Ye s N o 1
. Wa s damag e to siding or tri mavoided ? ^ y 2
. Wa s damag e to the foundatio n avoided ? y 3
. Wa s damage to window s avoided ? y 4
. Wa s damage to windo w screen s o r doo r screen s avoided ? y 5
. Wa s damage t o downspouts or downspou t extension s avoided ? y Sidewalk s an dDriveway s (Concrete ) Ye s N o 1
. Wa s damage t o drivewa y surface s avoided ? 2
. Wa s damage to walkwa y surface s avoided ? Inspectio n notes :



## Remedial an drestoratio n activitie s complet e includin g 30-day so dwarranty : EPA Representative : 

# ^&JA ^ Date : ^ 

# '/ o

### rag e 1 u i 1

" > [ Creat e Anothe rTicke t ] [ Bac k tolrt h Inteme t ] j [ Sen d Emai l



### • YOU RTICKE T NUMBERI S 2551804. 1 Origina l Cal l Date : Wor k t o Begi n Date : 7/24/10 , 7/28/1 ^ Time : Time : 9:0 3 a m 7:1 5 am i Op : TRACY2418 6
State : N E Address : 451 6 Coimty : DOUGLA S Street : BURDETT E S T Place : OMAH A Twp : 15 NRng : 13 E Twp : Rng : Lega l Given : C Sect-Qtr : 08-S W Sect-Qtr : 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 #57991^ ' Compan y: ENVIRONMENTAL RESTORATION Contac t Name : TRAC Y BRISTO W Alt . Contact : Phone : (402)451-131 4 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 Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V

MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C Rear :

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e CXCAT V CO X COMMUNICATIONS , IN C HEIDI 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7
MUDO l METROPOLITA N UTILITIE S DISTRICT SANDY 

### Day : 402504782 3 Alt : Emerg : 402504797 0
OMAHACO FCITY O FOMAHA-TRAFFICSEWE RRICH/TRAFFIC 

### Day : 402444719 7 Alt : 402444516 1 

### Emerg : 402444516 0
0PPDGPR 5 OMAH A PUBLIC POWE RDISTRICT EL M LOCATIN G 

### Day : 406728934 3

Alt : 406207149 4 

### Emerg : 888728934 3 QLNN E 1 C QWES T LOCA LNETWOR K EL M LOCATIN G Day : 406728934 3

Alt : 406207149 4 Emerg : 888728934 3


### http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS.
. . 7/24/201 0#


## Contac t Informatio n Lo g SAID # 6'y^^ f

Owner'sName : /^^f>t l BresItT ^ | Daytime Phone : V^ ) p. > <^^/<;r-f5^V V ^ Propert yAddress : f * i^^l( p 

# EMjrA^ffr L *^/ ~ Attemp t t o contac t Date/tim e Nam e 

# /-vvo y^:^>d^/^ work - ' 

## K-Ly-et^/l i 5 

# 1-36-1 0 ^ ^ 

# i9 b ^»A^t<^o n 

# «r'0-(z ) ^v 5 iw >

># 

### Propert yAcces s Checklis t SAID ; Sy^'^ / D WOR K

STARTE D ON : __/__ / Propert y Address : ^^7 ^ ^rJeJf e S f 

### D WORKCOMPELTE D ON : / / Owne r />y^^| ^



# . Address : /V^^ Rr^f^i- ^ 

# y ^ T/'^/^ S S^
. Renter : j ^ »t ^ 

### Phone : ^<^),S^^>< ) Fax : 

# Phone : y^ ^ -(;;/5r"iV-V ^ Fax : 

### V^>3L-^97-W^ ^ Cell/Pager : Cell/Pager : Additiona l Information :

1 ^ Acces s Agreement Signed : //* > / f O 

### By : r « Q i Restoratio n Agreement Siened : / / 5 / ' 0 By : (t/ a ^ 0 D

Vide o Propert y Befor e Digital Photo s Befor e Vide o Propert y After O n On O n : 1 / U / 1 0 : 1 1 I' t /

t o : / / By : > ^ 

### By

= M ^ By : n Digital Photo s After O n : / / By : [ ^ Propert y Completio n Agreement Signed : ! P 1 ( ^ 1 f ^ 

### By : P P n Fina l Report Siened : / / By : Additiona l Video o r Digital Photo' s Taken : n Vide o D Digital Phot o On : Reason : D Vide o D Digital Phot o O n : Reason : / / / / 

### By : By : 1 

# 1 I

n Vide o Reason : n Digital Phot o O n : / / 

### By : 1 D Vide o Reason : D Digital Phot o On : / / By : {

Omah a Lea d Projec t WoikPla n 

### Page l o f 1 9

### From : 01/05/201 0 15:3 0 #29 3 P.002/00 5 JAK-04-201 0 16:2 9 ES \ ^mE S TA LRESTORATIO N 1 2 32 2 406 1 P.0 3 

# Consen t fo r

Acces s t o Propert y SA\ m'r799 / RIGH T O FEhrmYT O PREMISE S " " - - . 

### Orantor (th e propert y owner) , consent s t o an dauthorize s th e UnitedState s Environmenta l Protectio n Agenc y (USEPA) o r it s authorize drepresentatives , co[iectiveI y the Grante e t o ente r an dperfonn certain environmenta l respons e activitie s upo n the following describe dpremises ; Owner' s Name; /H^ f j i Sf^s/^ ^ I P^y^m ^ Phone : y ^ j l ^ ^/^ > L>>V V



# """" ^ V576
. li^A^*
. ^
. 

# 1 Address : Addresse s o f Propertie s covere db y thi s Address : Agreement : Address : Address : PURPOS E O FINVESTIGATIO N 

### Th e puipos e o f th e remedia l activitie s i s t o remov e all soil s a t the propert y whic har e contaminate dwit hhazardou s substances , in particula r lea da t concentration s greate r tha n o r equa l t o 40 0 part s pe r million (ppm)
. REMEDIA LACTTONS 

### The environmenta l respons e action s t o b e performedo n sai dpropert y ma y include the followin g activities ; a .Taking photograph s and/o r video of the propert y before , during , andafte r remedia l activities ; b
.Locating equipmen t an dtnachiner y on-sit e i n preparatio n fo r andi n the cours e o f the environmenta l response ; c .Planning an dimplementing the remova l actio n o n or nea r Grantor' s propeity
. d
.Obtaining sample s fro mGrantor' s property ; AGREEME^ITNO T T O INTERFER E 

### The Grantor agree s no t t o interfer e o r tampe r wit hany o f the activitie s or wor k

done , o r the equipmen t usedt o perfor mthe activities , o r t

o undertak e an y action s regarding th e us e o f sai d propeit y whic hwouldtendto endange r th e healt ho r welfar e o f the Grantee s or the environment , o r

t o a^o w other s t o us e th e propert y i n such 1 1 gran t acces s t o m y propertie s Q I do no t gran t acces s t o m y propertie s

Signatur e Dat e 

### Signatur eFrom : 

### 01/05/^1 0 15:3 1 #29 3 P.003/00 5 JAN-04-201 0 16:3 0 EH \^MENTA LRESTORATIO N 'l 2 32 2 406 1 P.0 4 

# ' 1

Additiona l Comment s / hstnictlons :

D Chec k thi s bo xi f owne rdoe s no t wan t ER
. t o ente rth e resident s t o documen t interio r foundatio n wall s an d possibl e preexistin g damage
. B ycheci<in g thi s bo xE.R
. i s no t responsibl e fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n crack s o rfissures
.



### • I d o no t agre e • I agree • I do no t agree

Contractor' s Signatur e Dat eFrom : 01/05/2111 0 15:3 1 #29 3 P.004/00 5 JAN-04-201 0 16:3 0 

### EH ' IMEKTA L RESTORATIO N rt 2 32 2 406 1 p.0 5 

# 1

Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o provid e amutiial agreenien t a s t o condition s o f propeit y prio r t o contracto r activities
. Thi s wil l als o serv e a s documentatio n fo r th e purpos e o f assurii^ g tha t restoratio n activitie s ar e complete dt o th e satisfactio n o f th e propert y owne r an dth e Unite dState s Environmenta l Protectio n Agenc y (EPA)
. I SAID : Sy^^ /

Propert y Address : y57< ^ ^,r Ji<iW ^ Vc

- Owner : /it^^V , Rr&sI^ M Phone : ^^-j^,^^^^^-^ ^ O n th e attache ddiagrain($ ) indicat e area(s ) t o b e excavate dan ddeptho f excavation , locatio n o 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 n o 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 n arro w indicatin g directio n o f view
.
Item s t o b e remove d b yContfactc ran d no t replaced :

Hem : 

# ^,-( U 

# %-o A item : ^ Item : ftem:
Item : Rem ; ^ Item :

Pag e 1 o f 2

### 01/05/201 0 15:3 2 #29 3 P.005/00 5 From : JAN-04-201 0 16:3 0 EH \VKENTALRESTORATIO N Vt 2 32 2 406 1 P.0 6

Additiona l Comment s / Instnictions :

1 agre e 

### D I d o no t agre e Q I agre e Q I d o no t agre e ^



### •* 8 Signatur e / Datt ' Contractor' s Signator cDat e Owne r Attachment s

Pag e 2 o f 2

TOTA LP.0 6

## Consen t fo rAcces s t o Propert y SAID # .<-799 / RIGH T O FENTR Y T O PREMISE S 

### Granto r (th e property owner) , consent s t o an dauthorize s th e Unite dState s Environmenta l Protectio n Agenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grante e t o ente r an dperformcertai n environmenta l respons e activitie s upo n th e followin g describe dpremises^ : I Owner' s Name : />t^ f \i , § f g$/ < ^ Daytim e Phone : ^ O 3
. - (^l<(' ' J'J?V< / 

# ^'"^

­ ^7 6 

# &^A^ ^ ^
. Address : 1 Addresse s o f Propertie s covere db y thi s Address : Agreement : Address : Address : PURPOS EO FINVESTIGATIO N 

### Th e purpos e o f th e remedia l activitie s i s t o remov e al l soil s a t th e propert y whic har e contaminate dwit hhazardou s substances , i n particular 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 n sai dpropert y ma y includ e th e followin g activities : a .Takin g photograph s and/o r vide o o f th e property before , during , an dafter remedia l activities ; b
.

Locatin g equipmen t an dmachinery on-sit e i n preparatio n for an di n th e cours e o f th e environmenta l response ; c .Plannin g an dimplementin g th e remova l actio n o n o r nea r Grantor' s property . d
.Obtainin g sample s fromGrantor' s property ; AGREEMEN T NO T t o INTERFER E 

### Th e Granto r agree s no t t o interfere o r tampe r wit han y o f th e activitie s o r wor k done , o r th e equipmen t use dt o performth e activities , o r t o undertak e an y action s regardin g th e Us e o f sai d property whic hwoul dten dt o endange r th e healt ho r welfare o f th e Grantee s o r th e environment , o r

t o allo w other s t o us e th e property i n suc h
r~ l I gran t acces s t o m y propertie s O I d o no t gran t acces s t o m y propertie s

Signatur e Dat e Signatur e Dat e

### n Chec k thi s bo xI f owne rdoe s no t 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 responsibl e fo ran ydamag e don e t o th e Interio ro f house , includin g foundatio n crack s o rfissures
.

r~ l I agre e Q I d o no t agre e 

### Filagre e n I d o no t agre e

Owner' s Signatur e Date Contractor' s Signatur e Date

## Restoratio n Agreemen t The purpos e of thi s agreemen t i s to provide amutua l agreemen t a s t o condition s o f propert y prio r t o contractor activities
. Thi s will als o serve a s documentation fo r th e purpos e o f assurin g tha t restoratio n activitie s are completedt o th e satisfaction o f th e propert y owne r andth e Unite dState s Environmenta l Protectio n Agenc y (EPA)
. 

## SAID : ^-pf^ / Propert y Address : ^^7 ^ BufJf^H ^ Sf
. Owner : /Ul^^\ ^ Ef&sU ^ Phone : ^ ^ 3 , . /,/ f ^ ^^-^ ^ On th e attacheddiagram(s ) indicat e area(s ) to b e excavatedan ddept ho f excavation , location of all known utilities , subsurface features , surface structure s an dlandscaping features , acces s location(s ) t o b e use db y contractor , an dth e direction of North
. Indicat e distances , depths , materia l types, etc . Indicat e digita l photo s by referencing th e photo-lo g numbe r wit ha n arrow indicating direction of view
.
Item s t o b e remove d b yContracto ran d no t replaced :

Item : A\ ^

UJIT U SO ^ Item : ' Item : item : ftem : item : Item :

Pag e 1 o f 2

### n I agre e C H I d o not agre e O I agre e HH I d o no t agre e

Owner' s Signatur e Dat e Contractor' s Signatur e Dat e Attachment s

Pag e 2 o f 2

## Propert yCompletio n Agreemen t Thi s agreemen t documents th e completion o f remedia l activitie s performedon m y property . M y signatur e wil l designat e tha t I a msatisfiedwit hthe restoratio n of m y property , an dtha t n o item s ar e in question , now , o r a

t an y tim e i n th e future , excep t thos e item s liste dbelow , i f any . SAID : S77J f Propert y Address : ^/(; , "gtfrcU- ^ y4 " 

## Phone; (J^Kt'S^J Y Restoratio n Item s i n Question : Item : Item : Item : 

### item : Item : Item : Additiona l Comments :

J/^ I agree restoratio n i s completed , excep t a s note d I N [ I agre e restoratio n i s completed , excep t a s noted I 1 1 d o no t agre e restoratio n i s complete d I 1 1 do no t agre e restoratio n i s complete d 

# il[M^ ^ Sfl3|l Q Contractor' s Signatur e Dat e OYner'sSignatur e yDat e

## Dougla s Count y Accoim t Information Pag e I of 3
Dougla s County , Nebrask a Propert yRecor d - R053301000 0 Prin t Repor t NE

W Featur e - Parce l Dhnensions availabl e @ scal e 0-5 0 ft wes t o

f S2n d S t - Vie wO n Ma p infomiatio n i s vali d a s o f 2009-12- 1 Treasurer' s Ta xRepor t Ne wFeatur e ->•*• • Aut o Sale s Searc h Owne r BRESLE Y MAR KE
1446 8 TIBBLE S S T OMAH AN E 68116-000 0 Propert yInformatio n Ke yNumbe r 

### 330 1 000 0 0 5 Accoun t Type : Residentia l Parce l Number : 053301000 0 Parce l Address : 451 6 BURDETT E S T OMAH AN E 68104-000 0 Lega l Description : BAKE R PLAC E LO T 2 2 BLOC K5 4 4 X 12 8 Valu e Informatio n Lan d Improvemen t Tota l 200 9 

### $6,000.0 0 $47,200.0 0 $53,200.0 0 200 8 $6,000.0 0 $55,700.0 0 $61,700.0 0 200 7 $6,000.0 0 $55,700.0 0 $61,700.0 0 200 6 $6,000.0 0 $55,700.0 0 $61,700.0 0 200 5 $6,000.0 0 $53,700.0 0 

### $59,700.0 0 200 4 $6,000.0 0 $53,700.0 0 $59,700.0 0 Sale s Informatio n Sale s Date : 2006-08-1 4 Dee d Type : SW D 

### BooAr; 200 6 Page ­ 09794 1 

### Price : $51,300.0 0 Grantor : Cente xHom e EquityCompan y Grantee : Bresie yMar k E eta l Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 

### 2006-01-0 5 Dee d Type : TR D Book : 

### 200 6 Page : 00291 0 Price : $ 64,000.0 0 Granto r Eri cH Lindquis t


## http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=RO..
. 12/16/200 9

### Dougla s Count y Accoun t Infomiatio n Pag e 2 of 3 nna t
Grantee : Cente xHom e Equitie s Valid/Invalid : Invali d Exclusio n Reason : Sal e t o Mortgag e - Ban k Sale s Date : 1998-04-3 0 Dee d Type : Book : 209 0 Page : 32 1 Price : $55,889.0 0 Grantor : Grantee : Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 1997-06-1 2 Dee d Type : Book : i 208 8 Page : 13 0 Price : $27,574.0 0 Grantor : Grantee : Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 2 5632. 0 

### 1. 0 

### 128. 0 44. 0 N o Improvemen t Informatio n Buildin g 1

,j^ ^ "'i^;f<"* '

.^.Mil.)).{. »
CLIC KT O ENLARG E IMAG E Squar e Footage : \ 844. 0 Percen t Complete : | 100.0 % Perimete ri 0. 0 Quality : Fai r


### httD://doualasne.maoDine-online.com/DouglasCoNe/static/accountinfo.isp?accountno=RO..
. 12/16/200 9

## Dougla s Count y Accoim t Information Pag e 3 of 3

Uni t Type : Condition : Averag e

Buil t As : 1 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai rt o Ai r Rooms : 5. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 2. 0

Roo f Type : Gabl e Stories : 1. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 192 5 198 9 0 % 192 5 8 5 Detai l Typ e Detai l Descriptio n Unit s Ad d O n Unfinishe d Atti cW/floo r 824. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 ft 824. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Garag e Detache d 216. 0 Porc h Sla b Roo f Ceilin g 100. 0 Porc h Woo d Dec k 144. 0



## httD.7/douelasne.maDDine-online.com/DouglasCoNe/static/accountinfo.isp?accountno=R0..
. 12/16/2009

### ENVIRONMENTA L 

### AS-BUILTDRAWIN G MAH ALEA D SUPERFUN D SIT E 

# t

RESTORATIO N 5799 1 Exterio rPain t Nort h Arrc w Omah a Lea d Sit e • Goo d Sit e Sketc h 

# i Q^Poo r Samolln a Address : 451 6 BURDETT E S T • No t pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r LJ^ B Concentratio n Collecte d 

### Firm : FEINT
. 

### l?fiT \ RYASCPXA-5799 1 F 1 pp m 

# n Date: 10/l/t)f l RYBSCPXA-5799 1 F 2 > ; =? ^ pp m 

# n Time
. IPQ g XI A RYCSCPXA-5799 1 B 1 J5 9 pp m 

# n Sample s Analyze d RYDSCPXA-5799 1 B 2 ^ 3 ppm/ M 

## D RDZSCPXA-5799 1 D Z 

### H2.- I pp m 

## D XR F Unit : gtS'^f O Book ; 2.2. 0 RCZSCPX A6700 1 62 - pp m 

# a n Dat e / O • O ^ RPZ6CPX A6700 1 P S — pp m 

# n n Time : f ^ n- t 

### Staff : nSl O Numbe ro f Sample s = Legend : F l = Fron t Left
. F 2 = Fron t Right , B 1 = Bac k Left
. 3 2 = Bac k Righ t D 2 = Dri p Zone , G Z = Garden , P Z = Pla ; Al l quadrant s ar e a s viewe d fro m th e street , facin g propert y "tr-^ * i -7 ? Tf
. V SAI D # 5799 1 DAT E EXCAVATE D 7-31-1 0 DAT E EP ASIGNE D OF F 8-18-10

ARE ASODDE D 169 0 S Q F T



## B>U^iPEtr ESt,._
_ MI X 1 •ivJItf d 27-.\ug- i

Quadran t oxcavalo d D f I D Zon o Excavate d Contawinatto n Lof t Behin d

## 5799 1 Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e • Goo d 

### Sit e Sketc h Q^Poo r Samplin g Address : 451 6 BURDETT E S T Q No t pain t 

# 1
Sampl e Numbe r Lea d Concentratio n Sampl e Collecte d LA B Sample s Collecte d Firm:?ElNP
. PRT \ RYASCPXA-5799 1 RYBSCPXA-5799 1 F l F 2 pp m pp m 

## D D Date : Time
. 15/i/hf t ll-Q S Ar A RYCSCPXA-5799 1 RYDSCPXA-5799 1 8 1 B 2 

# .33
. pp m PPm M 

## D D Sample s Analyze d RDZSCPXA-5799 1 D Z 

# H2 1 pp m 

## D XR F Unit : G5*ir > 

### Book : Z2S1
. r^CZSGPX A6700 1 62 - pp m 

## D D Dat e 

### JOOP i ^ RPZ6GPXA-67Q0 1 -P i pp m 

## D D Tim e 

## f^P ^ Numbe ro f Sample s = I g [ | Q | Staff : 

# nsi o Legend : F l = Fron t Left , F 2 = Fron t Right , B 1 = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla ^ Al l quadrant s ar e a s viewe d fro m th e street , facing propert y

Rev:iJ.i! l CrealeJ , 27-Aug-l «

# (KVWll)c-^\y UK;-^3L4 ^ 

# Iili l 5799 1 Exterio rPain t 

### Omah a Lea d Sit e Nort h Arro w • Goo d 

### Sit e Sketc h rO«V>C - 

# tU^Ji ^ -^<^\-^](P [ J3^Poo r Samplin g Address : 451 6 BURDETT E S T j~ l No t pain t 

# 1 1

Sct^ f

## ENVIRONMENTA L XR F DAT AENTR Y LO G
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