### TRANSMITTA Lo f OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAI D # : 

# 47;id 3 Date : 

# 3//6/a s Address : .^^/ / 2 ^^3/ " Remediatio nContractor : Coasta l Environmenta l Group _ Year : 200 7 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S 

# i Vide o o f propert y (DVD ) Executiv e Siraimary EPA-providedpropert y sketc h Signe dAcces s Agreemen t for subjec t property D 

### Signe dAcces s Agreement(s ) for adjacent propert y Restoratio nAgreemen t 

# i Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) Confirmatio ndat a Photograph s As-buil t sketc h 

# 4 Satisfactory restoratio nsigne db y Property Owne r / 

### Property close-ou t chec k lis t signe db y EP A D 

### Descriptio nofarea s not meetin g RO D cleanu p criteri a D 

### Utility clearance s D 

### Property informatio nfromDougla s County Assessor' s Offic e D D . D

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## 4720 8 Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName : ANTONI O G ESQUIVE L 

### • Goo d Sit e Sketc h Address : 561 1 8 2 4 S T 

### • Poo r Phone : H: / W: Q-"^ro t pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Concentratio n Collecte d Firm : RYASCPXA-4720 8 F l 

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### Dougla s County Pag e 1 o f 1 Dougla s County , Nebrask a Propert yRecor d - R202595000 0 Informatio n i s vali d a s o f2007-7-1 9 Prin t Repor t Value s no t finalize d unti l afte rBoar d o fEqualizatio n Vie wo n Ma p Owne r ESQUIVE L ANTONI O G ETA L 

# i^ y.v> ^

!.^r^ / 484 7 S 10 7 S T OMAH AN E 68127-000 0 Propert yInformatio n \ Ke yNumber : 259 5 000 0 2 0 Accoun t Type : Industria l 

# dif d L s r-^" ^ Parce l Number : 202595000 0 

## ^ 0 IT- ^ I.O-2 , Parce l Address : 561 1 S 2 4 S T 

# 'f'y> o OMAH AN E 68107-000 0 Lega l Description : POTTE R & COBB S 2N D AD D LO T2 2 BLOC K3 S 1 / 2 2 5 X 13 0 Valu e Informatio n 200 7 200 6 200 5 200 4 200 3 200 2 Lan d $8,100.0 0 $8,100.0 0 $500.0 0 $500.0 0 $500.0 0

$0.0 0 Improvemen t $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Tota l $8,100.0 0 $8,100.0 0 $500.0 0 $500.0 0 $500.0 0

$0.0 0 Sale s Informatio n Dat e 1999-10-1 1 1997-08-2 5 1997-08-0 2 Typ e D M D M

D Boo k 213 7 206 9 206 7 Pag e 58 1 40 8 29 7 Pric e $107,000.0 0 $82,000.0 0

$800.0 0 Lan d Informatio n Acre s 

### 0.0 7 

### 1 S F 3250. 0 F F 25. 0 Unit s 0. 0 Dept h 130. 0 Widt h 25. 0 Vacan t Ye s Lan d Attribute s Attribut e Attribut e Descriptio n Improvement Informatio n



### http://douglasne.mapping-online.cx)m/DouglasCoNe/static/accountinfo.jsp?accountno=R202.. . 8/4/200 7P«ree ) I D 202595000 0 Parce l Cit yOmah a Parce l Zi p 6HI07-000 0 Owne r Nam e Ksquive l Antoni o GEla l Owne r Addres s Owne r Addres s 2 484 7 S 10 7 S t Owne rCit y' Omah a

Owne r Stat e N e Owne r Zi p 6HI27-000 0 Additio nPolle r A('ohh s 2n dAd d Acre s 0.0 7

## CONTAC T FOR M Property ID # Propert y Address : Initia l Contact : Secon dContact : Fina l Contact : Fina l Action :

Comment : Owne r Commen t (s) : Sit e Coordinato r Commen t (s) : 

# 4720 & ^<^il 3 24^1- . Date : of-oy-o?Time : 0;^-^ ' Action : /t.«//-.' ^ Ac ^ Date : ^^-i/-oi Time : ^-"^ ^ Action : ^ w ?iu, o Date : Time : Action : Transmi t t o EP AD Othe r Action : D



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### Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc . ^ ^ www.coastalhazmat.co m COASTA L fNYIRONMENTA L CROUP , IN C 

# EXECUTIV ESUMMARY : 47208—56 1 I S 2 4 S T X N o Issue s o r Concern s I I Issues/Concern s Detai l Explanation:

# As-Buil t Drawin g COASTA L 

# Omah aLea dSuperfun dSit e
Ibta l quadran l Squar e Foolag e t o b e Enavale d - 2SQ 0 Propat yClassification : 80 0 iSa t Di^ t Za m Unea rF«ilag e to b e ExcayJe d - D

B 1 = 6 0 PP M @ 8 "

F 1 = 5 7 PP M I

^*^ ^ . OLS# : 4720 8 ^ Datetxcavated : 10/13/0 7 t>alt e USEP ASigne d Off : 11/29/0 7 •— •Fenc e y

^ Pemianefi t LandscaFA-i g Ouadia n Boundary Stre d Bcundary ( ^ "nee'Stwi * 0 £ 9 ^ lan * < v a IH C m a (r t M « «fwjM ] « * ICHMa i

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OLS - 4.720 e FV D pert yAddres s

3C1 1 S 2 4 S T Pos t Excavatio n Concentratior s 4ppm ) B 2 PlayAre a D Z EaEeme m Garde n Othe r

Quadrant s Excavate d 

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

### S3 ^ 

# EP A EP APropert y Clos e Ou t For m Propert y # : ^/yj . ^Oy > Date/Time : Contracto r Grou p ^ Quad s Excavated : Excavatio nGenera l I .

If necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 2 .Ifnecessary , wer e th e correc t area s ofdri p zon e excavate dandrestored ? Gradin g So dan dVegetatio n 1 .Doe s the gradin g aroun dth e perimete r ofth e hous e i nexcavate darea s generall y slop e awa y fromthe house ? 2 .Ha s so dbee nlai dinal l area s tha t were excavated ? 13 . Doe s the sodappear t o b e generall y healthy andgrowing ? (Onl y evaluat e if inspecte da t a3 0 da y time period ) 4 .Ar e soddedarea s generall y fir man devenly graded ? 15 . Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Only evaluat e if inspecte da t a3 0 da y tim e period ) 6 .Wa s the propert y grade dsuchtha t water will not poo l o nth e property ? 7 .Wa s damag e t o landscapin g or plan t material s avoided ? Gates , Fence s an dRetainin g Wall s ! . D o gate s ope nandclos e freely? (If applicable ) 2 .Wer e all gate s or fence s take ndowndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 3 . Wa s damag e to gate s or fence s avoided ? (I f applicable ) i 4 . Wasdamag e t o retainin g wall s avoided ? (I f applicable ) Foundation , Sidin g an dGutter s 1 .Wa s damag e to th e sidin g o r tri mavoided ? 2 .Wa s damag e to th e foundatio navoided ? 3 .Wa s damag e to window s avoided ? 4 .Wa s damag e to windows o r doo r screen s avoided ? 5 .Wa s damag e to downspout s o r downspout extension s avoided ? Sidewalk s an dDriveway s (Concrete ) 1 .Wa s damag e to driveway surface s avoided ? 2 .Wa s damag e to walkway surface s avoided ?



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## Propert yCompletio n Agreemen t Thi s agreement document s the completio no f remedial activilie s performe do nm y property . M y signalurc will designate thai 1 a msalisfic dwit hih c rcsloralio no f m y property , andtha t n o item s ar e i n questions , now . or a

t an y lime i nthe future , excep t thos e item s liste dbelow , ifany . Pr o 

### pert y ID : C/y/Q ^ Propert y Address : ^1^,/ / < " ^4/ ^ ' T Owner : /f^rOM/ o it'^<pi//(/f^l ^ Phone : -?'/^ , //y j ( J 

# ""

^ 5/fVi^^ / Restoratio n Item s i n Question :

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

l y ^ y\I iij^i't'c restoiatio ni s completed , excep t a s note d I I d o not agre e r'estoratio ni s complete d

Owncr' s Signatur e / Dat e Contractor' s Signatur e I1 1 

### a 

# I 9 C O 7,5. 6 I ~ , jt L ^ f l , . . —Tota l Qua e ^^ftuar e Footaa e t o b e Excavate d = 290 0 

## •S^^-^ ; Propert yClassification . 80 0 - J QlxAb ^ — C

\ ^* 0 ^ ^ "'"°'^ ' 3:^^n e Linea rFootag e t o b e Excavate d = 0

^'^ ^ 

# Utl'Z^l H 5^/3'^/2 . ^'^ / V/
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(lo'li.'i' l L Legen d Nort h Arro w Omah a Lea d Sit e Concret e Omatia , Nebrask a 

# • 

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o B e Excavate d Propert yNumbe r OLS-4720 8 Existin g Structur e Scal e Fenc e Propert yAddres s 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t Pernnanen t Landscapin g 561 1 S 2 4 S T Quadran t Boundar y Pos t Excavatio n Concentration s (ppm ) Stree t Boundar y F l . B 2 PlayAre a 4 \ 

# V HG L F 2 D Z Easemen t Tree/Stiru b B l Garde n Othe r Descriptio n o fpos t excavatio n areas : Fl , fron t yar d left-han d quadrant ; F2 , fron t yar d rigfit-fian d quadrant ; Bl , backyar d left-han d quadrant ; B2 , backyar d nght-han d quadrant : DZ , dn p zon e (1- 3 foo l are a o fsoi l aroun d th e foundatio n o fth e house )

## Inspectio nnotes :

Removal an drestoratio nactivate s complet e includin g th e 30-da y so dwarranty : EPARepresentati ve^^^R/^^^;^^ , ^ , JI/:^^y_p M ///^f/4 x

# I q 0 0 7 

# ^ c Y) y ^ n / K-»Tota l Qua e _ar e Footag e tobe Excavate d = 290 0 i c ^ P,'opertyClassification . 80 0 GUAb^b-? : /fe ? '^ C Tota l Dl _^Wn e e Linea rFootag e tooe Excavate d = 0 * 

# A .A

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# ZZ ToBe Excavate d Existin g Structur e Fenc e Permanen t Landscapin g Quadran t Boundar y Stree t Boundar y Tree/Shru b L.i:;f',C'C' l '< '>\i\' 0 Nort h Arro w Omah a Lea d Sit e Omaha , Nebrask a Scal e 1 Inc h = 20 fee t or1 gn d = 5 x5 ft Propert yNumbe r OLS - 4720 8 Propert yAddres s

561 1 S 24 ST 

# 3 O V HG L Fl . F2 Bl Pos t Excavatio n Concentration s (ppm ) 82 Pla yAre a DZ Easemen t Othe r Garde n Descriptio n ofpos t excavatio n areas : Fl , fron t yar d left-han d quadrBnt ; F2 , fron t yar d nght-han d quadrant : Bl . backyar d left-han d quadrant : B2 , backyar d nght-han d quadrant : DZ . dn p zon e (1- 3 foot are a ofsoi l aroun d th e foundatio n ofIh e house )PROPERTYCLEARANC E WORKSHEE T

Dat e Propert yI D V 7 Z0< & 

## lo-is-1^ 1 Propert y Projec t Omah a Lea d -- Fixe d Pric e 

## TU i 

## X. zy^ ^ s^ ^ Addres s Measuremen t XR F I D 0107-5 1 Count/Tim e Fiel d Shot s Sho t # Readin g Sampl e Are a Sho t # Readin g Sampl e Are a

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# ^r Sampl e Are a f \ w-c* Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s L a b Analytica l Readin g Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 H 9 (Bag ) Sieved ) ? 2 -r z ^ 1 3 ^ ? Cr ^ 

# ^ 7 4 i^' t 4'4 ' XR F Correcte d Valu e - > 5 b'f c (us e calibratio n char t o rad d 

## T ( 2 0 % t o value ) Sampl e Are a R l L-f e Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s L a b Analytica l Readin g Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 5- C (Baq ) Sieved ) 7 2 $"t . 

# V 3 G l \, n 

# Uo 4 ^ B '^ b XR F Correcte d Valu e — > 5 b l (us e calibratio n char t o rad d 2 0 % t o value ) 

## 75 ' Sampl e Are a ttt fe-ft Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s L a b Analytica l Readin g Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 t, l (Bag ) Sieved ) • > 2 S i ^ t 3 ic o 4 5 1 

# h 

# n S 5 XR F Correcte d Valu e - > 5 ^/ (us e calibratio n char t o rad d \ D ^ 2 0 % t o value ) Sampl e Are a Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliguo t Composit e Reading s L a b Analytica l Readin q Averag e (Drie d 8 1 Spil t Sen t (Bag ) Numbe r Result s • > 1 (Baq ) Sieved ) 2 3 4 XR F Correcte d Valu e - > 5 (us e calibratio n char t o rad d 2 0 % t o value ) ^^^^ y". y VC'-*."^ ^ l/.9 f /IDDIIIOK/I l SHIFI S I I XR F Technician' s Signitur e mion i

### Pag e 1 of 2

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

### YOU RTICKE T NUMBE RI S 1912773 . Origina l Cal l Date : 10/12/0 7 Time : 1:3 5 p m Op : LORI1879 0 Wor k t o Begi n Date : 10/16/0 7 Time : 2:0 0 p m State : N E County : DOUGLA S Place : OMAH A Address : 561 1 Street : S 24T H S T Twp : 14 NRng : 13 E Sect-Qtr : 09-NE,10-NW Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D EXCAVATIO N Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : UNSUR E I F CORNER : EXTENDIN G WOR K Compan y COASTA L ENVIRONMENTA L SERVIC E Contac t Nam e LOR I Phone : (712)352-018 8 Alt . Contac t NON E Wor k Bein g Don e For : EP A Dept h o f Excavation : 3F T Corne r Lot : NFront : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V DIGITE L LEVEL 3 MC I MCLEODN E METR O MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F QWEST 2 SPRINTN E

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e CXCAT V CO X COMMUNICATIONS , INC HEID I 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 DIGITE LLIGHTCORE N A 

### Day : Alt : 866562434 9 800850904 8 Emerg : 866562434 9 LEVEL 3 LEVEL 3 COMMUNICATIONS , LL C NA 

### Day : 877366834 4 Alt : 

### Emerg : 877366834 4 MC I MC I N O CALLPERMEMO 

### Day : 800289342 7 Alt : 

### Emerg : 800289342 7 http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT. . . 10/12/200 7

### Pag e 2 of 2

MCLEODN E

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### Day : Alt : Emer g Day : Alt : Emerg - Day : Alt : Emerg : Day : Alt : Emerg : Day : Alt : Emerg : Day : Alt : Emerg : Day : Alt : Emerg : Day : Alt : Emerg : 800289190 1 800289190 1 402457230 7 402457231 3 402504782 3 402504794 6 402444719 7 402444516 1 402444516 0 406728934 3 888728934 3 406728934 3 888728934 3 800283423 7 303992192 6 800283423 7 800521057 9 800521057 9

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT. . . 10/12/200 7

# q 0 0 73. 0 quar e Footag e t o b e Excavate d = 290 0 _ , ^ ^ < - / * / K-r ^ l°t3 ' uuaiT ^ jquar e r-ooiag e l o ut t cxcavtiiK u - i3u u Propert yClassification : 80 0 J j 0?U.Ab2 > — O A g i^C : Tota l Dl'. - --on e Linea rFootag e t o b e Excavate d = 0

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o B e Excavate d Existin g Structur e Scal e Fenc e 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 ft Permanen t Landscapin g IVx i Quadran t Boundar y Stree t Boundar y 

# V HG L 

# o Tree/Shru b Omah a Lea d Sit e Omaha , Nebrask a Propert yNunnbe r OLS - 4720 8 Propert yAddres s 561 1 S 2 4 S T Pos t Excavatio n Concentration s (ppm ) B 2 Pla yAre a D Z Easemen t Garde n Othe r Descriptio n o f pos t excavatio n areas : Fl , fron t yar d left-han d quadrant ; F2 , fron t yar d rigfit-fian d quadrant ; 81 , backyar d left-han d quadrant ; B2 . backyar d right-han d quadrant : DZ . dri p zon e (1- 3 foo t are a o f soi l aroun d th e foundatio n o f th e house) .,^^'°J''^e , COASTA L ENVI R ONM t NTA L C R 0 U f, IN C 

### 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 : Daytim e Phone : 

### /tn-fo^. o GCs^<. f ir e / Addres s o fPropert y covere d b ythi s 

# y^/ / S- ZY ^ J \ 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 flea d an d maypos 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 fCoasta 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 subcontractor s 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 fperformin 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 f2p*COASTA L i* "fNVIHOHMENTA I " i PRO-(«- * CROUP . IN C 

### •Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; •Remov e flowe rbulb s orplant s tha t th e Granto r orth e Grantor' s tenan t ma ywis h to save ; •Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , as necessarysubsequen t toan initia l waterin g perio d byEPA ; • Abid e byhealt h an d safet yguidanc e provide d byEPA ; • Ifth e propert y is rented , assis t EP A in obtainin g tenan t approva l fo racces s to th e propert y to perfor m th e work . • Allo wvideotapin g and/o rphotographin g ofth e property . AGREEMEN TNO T TO INTERFER E 

### Th e Granto ragree s no t to interfer eortampe rwit h an yofth e wor k activities , orwit h an y ofth e wor k done , orwit h th e equipmen t use d on hi s property , orto undertak e an y action s regardin g th e us e ofsai d propert ywhic h woul d ten d to endange rth e healt h or welfar e ofth e Grantee sorth e environment , orto allo wother s to us e th e propert y in suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coastal Environmenta l Group , at (877 ) 234-6270 .

EM i gran t acces s to mypropertie sD I do no t gran t acces s to mypropertie s

Signatur e e " I / Dat Dat e e Signatur e Dat e

QI woul d lik e to be presen t durin g an ysamplin g tha t is required .

Pag e 2 of2COASTA L 

### Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o provid e amutua l agreemen t a s t o condition s ofth e propert y prio r t o remediatio nactivities . Thi s wil l ais o serv e a s documentatio nfo r th e purpos e o f assurin g tha t restoratio n activitie s ar e complete dt o th e satisfactio no f th e propert y owne r an dth e Unite dSlate s Environmenta l Protectio nAgenc y (EPA) .

Propert y ID : l/j2^ ^ Propert y Address : ­ 

### !5i>/ / S
- 2 V / S f - Owner : pinior\ic > ^ CS(7cf; y e / Phone : 

# h i
- 3/^-^/ ^ ^ y O nth e attache ddiagram(s ) indicat e area(s ) t o e.xcavate dan ddept ho f e.xcavation . locatio no f al l know n utilities , subsurfac e features , surfac e structure s an dlandscapin g features , acces s location(s ) to b e use db y contractor , an dth e directio no f North . Indicat e distances , depths , materia l types , etc . Indicat e digita l photo s b y referencin g th e photo-lo g numbe r withanarro 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 : 

# iloy]( £ Item : Item : Item : Item : Item : Item : Item : Pag e 1 o fCOASTA L tlNVlHONMEiSITAt . C R O U fIM C 

### Item s T o B e Remove d B yContracto rDurin g Remediatio n An d No t Replace d (Us e additiona l sheet s a s necessary ) Item : 

# nouL - Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :

Pag e 2 o fCOASTA L 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 : ^ . Z Item : 

# J ' C > Item : Item : Item : Item : Item : Item : Item : Item : Item : Item ; Item : Item : Item :

Pag e 3 o f

### Landscap e Inventor y (Us e additiona l sheet s a s necessary ) 

## Ite m

Pre-existin g property area , that will b e excavated , tha t i s covere dwit hgrass .

Numbe r o f tree s > 2 inch trunk diainete r

Numbe r o f tree s < = 2 inch trunk diamete r

Numbe r o f Sprinkle r Zones . Contro l Valves . Timers , Heads , etc . .Attac hasketc ho f the sprinkle r laxoui .
Numbe r o f andsiz e o f eachgarden/ llowe r bed area . .Atiacl i askeic ho f i-elaii\e size s andlocations . 

## Quantit y 

# 2lt> o



# A y



# y

^ 

## Uni t
Square feet

Each

Each

Each

Each Square Feet 

## Condition/Type/Specie s

Pag e 4 o fCOASTA L 

## Ite m Quantit y Uni t Condition/Type/Specie s Agree dupo nvalu e of plan t material s no t t o b e replace db v contractor . Not e thi s valu e will b e use dt o issu e aplan t \ouche r t o th e propert > owner . Agree duponlis t of plant material s tha t will b e replace dby contractor . B e ver y specifi c anddetailed . Includ e asketc hof wer e eachplant will b e place d b \th e coniractoi' . Agree dupo nare aof property t o b e replace d wit hgras s sod . Include a^kelchof ilie area(s ) to h e replace d\\ii h gras s sod . .Are ao f Cit y or Count) ' property to b e landscape d per thei r requirements . Includ e a^keu'li of the nre a(s i

Easemen t .Area, t o b e excavate d 

# y $

Eac h 

### / ^



## 2<iO O S F



## 1 3 S F

S F

Pag e 5of .COASTA L

Additiona l Comment s / Instructions :

• 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 . B ycheckin 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 crack s o rfissures .

I agre e nI d o no t agre e 

# Ai(f,fi o ^J^^'o A0 7- / f ~o i . c^T-yp'-'oy Owner' s Signature / Date ^^y . ^j^^-^ntractor' s Signature Date Pag e 6 of .