## TRANSMITTA L o f OMAH A LEA D SIT E SOI L REMEDIATIO N FIL E FOLDE R SAID# : ^jD^^ O ^ ^ Date : Address : fo&?y K i o i | t4 — Remediatio n Contractor : l^^oJrTctkM^f ^ .^^?>nc, . Year : -^Qi?
- SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S I2

f ^ l! f a D B ^ B ^ Q^ B ^ y ^ Q

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## \ y D D D Vide 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 Sigjie 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. ) Confinnatio n dat a Photograph s , As-buil t sketc h Satisfector 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 o f area s no t meetin g RO D cleanu p criteri a Utilit y dearasLce s 

## Propert y informatio n fromDougla s Count y Assessor' s Offic e

Signature / 17^^ ^ D S >ati c 4031071 9 Superfun d

### PROPERT Y SUMMAR Y Date : 01/23/200 9 Omah aLea dSite Remedial Actio n Contrac t #EP-R7-07-06/0004 Mond i of : Dec/Jan Propert y Address ; 680 8 N 2 4 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 Oflier Relevan t Information : NON E CONFIRMATIO N SAMPLIN G DATA/RESULTS : B l = 19 6 PP M @ 6" ; D Z = 324 PP M @ 6" ; E A = 244 PP M @ SCRAPE ATTACHMENT S 1 ) Propert y sketch providedby EP A pursuan t to contract specification s 2 ) SignedAcces s Agreemen t including acces s agreement s require dfo r crossing othe r propertie s 3 ) Pre-Excavatio n digita l vide o clip/photograph s 4 ) Post-Excavatio n digita l vide o cUp/photogr^h s 5 ) Documentation - CompletedClose-ou t Checklis t 6 ) As-Buil t sketch
i ) Shall include finalleadlevel s v ) Legend ii ) Contamination lef t behindarea s vi ) Contracto r identification iii ) Propert y addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e includedin th e individua l propert y file, i f 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 msignedb y propert y owne r iii ) Excavation digita l vide o i n MPEG , WM V (Window s Medi aVideo ) o r SW F(Flas h Player) forma t and/o r photograph s iv ) Signedfor mverifying satisfactor y restoratio n v ) Description o f area s no t meeting InterimRO D cleanu p criteria .

ECHNOLOGIES , INC .Rn d Record Backfill :

Sampl e Area : 4045 2 - 680 8 N 2 4 S T Owner : n Owne rOccupie d Owne rName : [DOUGLAS VICKI E L Owne rAddressl : 

# I Owne rAddressZ : )6808J J 2 4 ST City : State : Zi p Code : jOMAHA^

__ ;.|N E J |6811 2 _ Owne rPhone : Alternat e Phone : 1(402)455-973 9 ] [ Clea n U p Query Lea d Remainin g Queryi

Resident : Residen t Name : [DOUGLAS VICKI E L Propert yAddress : [680 8 N 24 ^ Zi p Code : |6811 2 i Residen t Phon e 

# 1 Propert yDamag e Query

i i Contract : Contractor : |PRUDENT2008^S _ Group : Assessment : Qualifyin g Grou p ; |80 0 ^

Assessmen t XR F Date : 

# L-,^ , -^ i /Assessmen t MaxXR F Value : I 843. 2TECHNOLOGIES . IN C 

# EP A Propert y Clos e Ou t Propert y # ; Propert y Address : 6So 8 N ^M^"* " Date/Time : Owner' s Name : Quad s Excavate d V Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s No 1 .If necessary , wer e th e correct quadrant(s ) excavatedan drestored ? / 2 .If necessary , wer e the correc t area s of dri p zone excavatedan drestored ? / Gradin g Sodan dVegetatio n Ye s No 1 .

Doe s the grading aroun dthe perimete r oflh e hous e i n excavatedarea s generall y slop e awa y fromthe house ? / 2 .

Has sodbee n lai di n all area s tha t wer e excavated ? / 3 .

Doe s the sodappea r t o 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 fir man 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 th e propert y gradedsuc h tha t wate r will no t poo l o n the property ? / 7 .

Wa s damage t o landscaping o r plan t material s avoided ? / Gates , Fence s an dRetainin g WaUs Ye s No 1 .D o gate s ope n an dclos e freely? (I f applicable ) / 2 .

Wer e all gate s o r fence s taken dow n durin g restoration activitie s reinstalled ? (If applicable) / 3 . Was damage t o gate s or fence s avoided ? (If applicable ) / 4 . Was damage to retaining wall s avoided ? (If applicable ) / Foundation , Sidin g an dGutter s Ye s N o I .Wa s damage t o the siding or tri mavoided ? / 2 .

Wa s damage t o the foimdatio n avoided ? / 3 .

Wa s damage t o window s avoided ? 1 / 4 .

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

### Owner s comments :

Inspectio n notes :

Remova l andrestoratio n activate s complet e including th e 30-da y sodwarranty : EP A Representativ e JH^^. ^ 

### Date : //JQ/O I

# SER^ Propert yCompletio n Agreemen t Thi s agreemen t documents th e completion of 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 satisfiedwit h th e restoratio n ofth e subject property , an dtha t n o item s ar e i n question , now , o r a

t an y time in th e futm-e , excludin g an y remainin g warrant y (3 0 day s total ) except thos e item s liste dbelow , if any . Propert y ID : Propert y Address ; (^<go ^ >^- ) ^MW^.V Owner : y/V^t^r e } , T ^ r.^S ^ Phone : ^ ^ 0 2 " M^* ; - ^n^ ^ Restoratio n Item s i n Question :

Item : 

### Item : Item : Item : 

# t item :

Item :

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



## i^ - 7,^1- 0 Dat ePruden t Technologies , Inc . (Prudent ) i s unde r contrac t with th e U . S . Environmenta l Protectio n Agenc y (EPA ) t o clea n u p lead
contaminate dsoil s a t anumbe r ofpropertie s locate di n Omaha , Nebraska , includin g th e property locate da t

. Th e EP A request s you r permissio n t o allo w Ptuden t t o performasoi l cleanu p a t thi s propert y t o remove lead-contaminate dsoil . B y signin g thi s form , th e propert y owne r grant s permissio n t o Pruden t t o perform activitie s relatedt o th e cleanu p includin g soi l sampling , remova l oflead-contaminate dsoil , an drestoratio n ofth e referencedproperty . I f

yo u hav e an y question s abou t th e soi l cleanu p planne dfo r you r property , pleas e contac t Prudent' s .Administrativt : Clerk for th e oinah aLea dSit e cleanup , Ms . Madhurim aDuni-a t (402 ) 733-1188:733-1455 . Genera l question s abou t th e Omah aLea dSit e cleanu p can b e directe dt o th e EP A Publi c Informatio n Center s a t (402 ) 731-304 5 (Sout h Omah aoffice ) o r (402 ) 991-958 3 (North Omah aoffice) . Property Acces s Grante d 

## Bv:Vl/LKi f L . Q o Property Owne r Signature : 

## Q-\A-o 3 (Date ) )PERT Y INFORMATIO N (T o b e complet e liden t and/o r property owne r —

pleas e print ) RESIDEN T NAME : 1)OMIA 5 (^y^ ^ Rente r RESIDEN T ADDRESS :

I F RENTAL , PROPERT Y OWNE D BY : \Af-fJte - \ ,T ^ n"^>~ojr\OLy \ OVVNER' S MAILIN G ADDRESS ; . . a A A >
OWNER' S TELEPHON E NUMBER-HOME : t ) WORK :
AG E O F HOME? : \/r P ^ YEARS . HO W LON G HAV E YO U LIVE D HERE ? ^ I YEARS . HA S TH E EXTERIO R BEE N PAINTE D O R COVERE D WIT H SIDIN G SINC E 1978 ? X YE S N O NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : vS ) NUMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLDE R NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA Y I N TH E YAR D FO R 5 HOUR S O R MOR E PE R WEEK : COMMENT S O R SPECIA L INSTRUCTIONS : (I.E . DOGS , ENTR Y GATES . ETC. ) . .

AUTHORIT Y FO RENVIRONMENTA L RESPONS E ACTIONS : Th e activitie s t o b e implemente db y EP A unde r this agreemen t ar e pursuan t t o Sectio n 10 4 o f CERCLA , 4 2 U.S.C . 9604 . EPA' s righ t o f

acces s t o th e property i s provide dfo r i n Sectio n 104(e ) o f CERCLA , 4 2 U.S . C 9605(e) , whic h provide s entry fo r "detenninin g th e nee dfor response, o r choosin g o r takin g an y response actio n unde r this title , o r otherwis e enforcin g th e provision s ofth e title. " 808 0 War d Parkway , Suit e 40 5 250 5 N . 24* " Street , Suit e 30 8 424 2 Medica l 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.v^ V '.'A-.X' i 

## Jr-6M^kHA;;LEAi).'isiJT^feR E OLS# : 404S 2 Dat e Excavated : 9/19/200 8 US£P A Sigoed-OtrDate :

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Parce l I D Owne r Nam e Property Addres s City Zi p Owne r Addres s Owne r Addres s 2 Owne r City Owne r Stat e Owne r Zi p 174903000 0 DOUGLAS VICKI E L 680 8 N 2 4 S

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# ^^^i ^ S ^ P.O . Bo x2747 7 Omaha . N E 6812 7 Phone : 402.738.171 8 

# m ^ Fax : 402.614.277 1 wftA/w.cmscustomlav^m.co m 

## Recipien t oftlt e Sarp y Counl y HnuMRusineH H o f fli e Yea r ^war d LANDSCAP E PROPOSA L Name : Vick i Dougla s Addre88:^680 8 Nort h 24t h Stree t City . St^Zipjpmaha.N E 68112- . Email : . ­ Home : (402)455.973 9 Wod c (402)290.172 1 Cel t Fax : Referral : Robi n Bruc k Salesperson : Bobls yByers OI^}aetivtt : Renovat e entir e landscap e b yaddin g multi-«easona i colo ran d textur e throug h th e us e o f ne w plan t materia l tha t compliment s existin g plants . Instal l landscap e pe rdesig n b ycompletin g th e following: CM' s mi l arrang e fo rlocatin g service s t o locat e burie d municipalitie s etc.. . i t i $ th e owrter s responsibilityt o infon m contracto ro f an yprivat e lines . (Do g fences , Outdoo rlighting , etc. ) Determin e shap e o f be d line s Remove an ypre-detenmine d material s (plan t o rother ) fro m existin g landscap e Remove enstii ^ so d fro m determine d plantin g bed s a s necessar y Move an d rese t sprinkle rhead s a s neede d (i f applicable ) Instal l drainag e tile an d connectors t o dow n spout s a s neede d an d dayligh t a t t>e d edg e Instal l (12 ) sola rlandscap e light s i n area s specifie d bycustome r Instal l pave redgin g o n en d i n troubl e are a alon g Nort h skl e instal l approximatel y(1.5 ) yard s o f soi l mi xt o plantin g bed s an d shap e accordingl y Instal l approximatel y(4 ) granit e ix>ulder s witi i a n approximat e tota l weigh t o f 75 0 lbs . Plan t (11 ) shrubs , (52 ) perennial s an d (22 ) ornamenta l grasse s pe rdesig n Plai t mateilatuse d I n constructio n wH l consis t o f th e tbnowtng^izesT ^ -_- Shrub s - two . thre e an d / o rfiv e gallo n Perennial s - on e galto n Ornamenta l grasse s - on e an d / o rtw o gallo n Cu t i n natura l be d lin e t o newl yinstalle d bed s Instal l approximatel y(7.5 ) yard s o f hardwoo d mulc h t o newl yplante d are a Appl ygranula rPre-Emergen t an d Fertilize rt o newl yconsbucte d bed s Wate ri n newl yplante d materia l Eigh t Be d Maintenanc e visit s t o includ e weeding , pruning , plan t replacemen t an d fell o rsprin g be d clea n up . Clea n u p woil c sit e o f an yremainin g o rdiscarde d plan t o rconstructio n materia l etc.. . an d propert ydispos e * Doe s no t includ e an yothe rclea n u p o rremova l o f soil , trash , o rdebri s left o n sit e byotiie rcontractors . Sub-Tota l $5,315.8 1 Sale s Ta x$185.6 7 Tota l $5,501.4 8 

### >\\U . tvv^Jl- e C X Sjui ^ ^-^V U ^'^2_ o <xvi^t>v ^09/17/200 8 10:3 8 hA A4U2///oio o r us \Cji y 1 £JI\ L I \J . LJAJ U CM' S Custo m Law n & Landscap e Guarante e CM' S Custo m Law n & Landscap e guarantee s trees , shrub s an d perennial s installe d fo ron e (1 ) year , fro m th e dat e o f irtstal l an d wil l replac e nurser ystoc k on e (1 ) tim e wit h sam e siz e an d variety , providin g deat h occur s withi n on e year . Th e consume rshal l provid e reasonabl e an d prope rcare . "Exclude s tropical , annuals , damag e b ya n ac t o f Go d an d vandalism , o ran yanima l damage . **Thi s guarante e i s voi d i f term s o rpayment s ar e no t fulfilled . A n initia l dow n paymen t o f 50 % i s du e upo n aoceptanc e o f proposal . 1 agre e t o pa yprogres s payment s equa l t o th e percen t o f complete d constructto n i f m yprojec t las t mor e tha n five days . Contracto rma ywithdra wproposa l i f no t accepte d withi n 3 0 days . 

# [ rj< / diertinaal s Owne ri s responsibl e fo rdeari yan d accuratel ymarkin g propert ylines . Contracto rwil l arrang e fo rlocatin g sennce s t o kxat e an ypubli cburie d cabl e and/o rmunicipalities ; i t i s th e owner' s responsibilit y t o mak e contracto rawar e o f an yprivat e line s o n propert yt>efor e contrac t i s executed . I f privat e line s ar e damaged , I t i s th e owner s responsibilit yt o arrang e fo rrepau ran d paymen t fo rrepai ro f privat e lines . Privat e line s include , bu t ar e no t limite d to , burie d drai n til e outioo rlighting , burie d ga s line s an d poo l lines . Privat e line s ar e no t locate d b yOne-Call . A publk ; utilit ylin e tha t i s damage d beyo r woridn g conditio n b yth e contracto rwil l b e repaire d a t th e contractor' s expense , unles s tha t lin e i s burie d les s tha n 4 " o rimproperi ykxated . Th e cos t o f damag e fo ran yimproperi ykxate d line s o rline s tha t ar e burie d les s tha n 4 ' wil l b e a t th e expens e o f th e pubfi cciuiityorowfier . "^ ' 

# "^ G c(i<n t Mtbl s An yalteratio n o rdeviatio n fro m atiov e specification s invohrin g extr a cost s wil l becom e a n extr a charg e ove r an d abov e th e contrac t price . Thes e alteration s an d deviation s viril l b e bille d a t 60.0 0 pe rhou rpe rperso n plu s materials , equipment , disposa l fse s an d applicabl e taxes . Shoul d th e contrac t b e terminate d fo ran yreaso n whatsoeve rbefor e completio n o f th e wort ca s specifie d herein , th e owne r(s ) agre e t o pa yi n ful l fo ral l labo ran d material s furnishe d u p t o th e dat e o f suc h terminatio n a t th e rat e an d pric e herei n abov e specified . An ytool s o r equipmen t an d unuse d material s lef t o n th e premise s b yth e contracto rshall , unde ran ycondittons , remai n th e propert yo f th e contractor . Al l tools , equipmen t an d material s delivere d fo rthi s jo b b yth e contracto rshal l b e y \ store d b yth e owne ran d n o rental o rstorag e charg e shal l b e mad e o rassesse d b yth e owner . | '^ ^

j diertlnttia U An yburie d debri s tha t obstruct s th e contractor ^ wori( . whethe rth e debri s need s to b e rennoved o rnot , wil l b e charge d t o th e owne r a t $60.0 0 pe rperso n pe rhou rplu s equipmen t an d disposa l fees . Unsuitabl e sub-grad e materia l wil l b e remove d an d replaced wit h suitabl e sub-grad e materia l an d bille d to th e owne ra t $10 0 pe rcubi cyar d o f materia l remove d an d replaced. Th e owne rmus t provid e a signe d documen t statin g ttia t he/sh e doe s no t wis h to hav e unsuitabl e sut>-grad e replaced . Al l wan:antie s areVoi d i f unsuitabl e sub-grad e materia l i s discovere d an d rra t replaced . InHial s Clien t wil l alk> wCM' s Custo m Law n & Landscap e to plac e yar d sig n o n propert ydurin g constructio n an d fo ra shor t ^..^ ^ perio d afte rcompletkj n o f projec t | y^j ^

J eUentinllial s Contrac t Pric e $ 5.501.4 8 50 % Dow n paymen t •i^'/'l^^ ^ Balanc e Pai di n Ful l a t Completio n $ 2,750.7 4 ACCEPTANC E O F PROPOSA L Th e abov e prices , specification s an d condition s ar e satisfactor yan d ar e hereb yaccepted . Yo u ar e authorize d t o d o th e wori ca s specified , ^a^inen t wil l b e mad e a s outiine d above . Signatur e "^^^^^fBlY l /(^^ ^ Dat e accepte d ^'^^"'O^-A ' Phon e orde rauthorizfe d b v/ H t o Dat e Tim e AM/PM . ( Acknowledqemen t cop ysenM o \ b vDat e FflrOfficaU w tta e vwoa i Sal * 

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" > Creat e Anothe rTicke t Bac k t o Irt h Interne t Sen d Emai l 

### YOU RTICKE T NUMBE RI S 2132434 . Origina l Cal l Date : 9/16/0 8 Time : 11:2 2 a m Op : RAMITA1896 7 Wor k t o Begi n Date : 9/18/0 8 Time : 11:4 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 680 8 Street : N24T H S T Twp : 16 NRng : 13 E Sect-Qtr : 27-SW,28-SE,33-NE,34-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATIO NPROJEC T FO R SOI L Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)733-188 3 : UNSUR E CORNER S Compan y: PRUDEN T TECHNOLOGIE S Contac t Name : RAMIT A Alt . Contact : Phone : Phone : (402)733-145 5 (402)733-118 8 Wor k Bein g Don e For : EP A Dept h o f Excavation : 6 F T Corne r Lo Involve s Tunnelin g o r Horizonta l Borin g CXCAT V MAGELLANMETR O MUDO l SPRNTPC S t: : N N OM

Front : Y Rear : Explosives : N AHACO F 0PPDGPR 5 QLN Y

NEI C

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e 

### Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C 

### HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 918574709 8 MAGELLA N MAGELLA N MIDSTREA M PARTNER S L P TONY A Alt : 

### Emerg : 918574709 8 Day : 402457230 7 METR O METR O COMM . COLLEG E 

### CHRI S Alt : 402672703 3 Emerg : 402457231 3 Day : 402504782 3 MUDO l METROPOLITA N UTILITIE S DISTRIC T SAND Y Alt : 

### Emerg : 402504794 6 http://wvm.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 9/16/200 8

### Pag e 2 of 2

OMAHACO FCIT Y O FOMAHA-TRAFFIC.SEWE R 

### RO N Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 0PPDGPR5 OMAH A PUBLI C POWE RDISTRIC T 

### N A Day : 406728934 3

Alt : 888728934 3 Emerg : 406728934 3 QLNN E 1 C QWES T LOCA L NETWOR K 

### N A Day : 406728934 3

Alt : Emerg : 888728934 3 SPRNTPC S SPRIN T SPECTRU M L P 

### Day : 402537180 0 Alt : 402537181 0 Emerg : 800521057 9

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