### TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R 

# SAID#:^2X£X - Date : /fJ//J ^ Address : j:^/^ ^^^ ^ *^ A ; Remediatio nContractor : _£nvrionmenta l Restoration , LLC

_Year : _2009_ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S !Z ^ Vide o o f property (DVD ) _iaEfefor e DAfte r ^Ss^asemen t D - J3 ^ Executiv e Summar y (Fina l Report ) Sr ^ EPA-provide dpropert y sketc h JS ^ Signe dAcces s Agreement for subjec t property D Signe dAcces s Agreement(s ) for adjacent propert y ^2"" ^ Restoratio nAgreement D Settlement document s (i.e. , for damag e o r t o replac e plants , etc. ) J3- ' Confirmatio ndata ^ Photograph s jS^efor e DCre w Photost>Durin g Excavatio nD So d H^O-daySodD ^ . ^q ^ As-buil t sketc h ^ Completio nAgreement signe db y Property Owne r ja ^ Property close-ou t chec k lis t signe db y EP A D Descriptio no f area s no t meetin g RO D cleanup criteri a H^" Utility clearance s /E TPropert y informatio nfromDougla s Count y Assessor' s Offic e 0 " . Propert y acces s checklis t ^ ._:-._.-. . J3 ^ ContactLo g ,,..,. . iiiii.i^°26053 8

D 

### Superfun d Environmental Restoratio nSignature Dat e EP A CO Rsignature _y ^ Date

### 1 Omah a Lea d Site—EP-R7-09-0 5 a Environmenta l Restoration , LL C V • <( ? www.erllc.co m 

# EXECUTIV ESUMMARY : 41353—243 2 Van e St .

Detai l Explanation :• • ••• • .-"• ^ 

## Contac t Informatio n Lo g SAID # 

# ui-b^ ^ 1 Owner' s Name : -^/(^c M ^cjlO n^tT/ ^ Daytime Phone : ^S\ - T^U l 1 Propert y Address : ^l ^ ^ 3 . Vfan ? ^ . 

### Attemp t t o contac t Date/tim e Nam e 

# i ^ Pi h fi> 

# '' h

• • '

•

## Property Acces s Checkiis t SAID : HlSf^ l PropertyAddre»s:^yy ^ ^^ ^ ^ ^ n D

WOR K

STARTE D WORKCOMPELTE D ON : ON : / / / /



## ' Si*A<f*i.l t Owner ; »M.Ag->Crte* c Address : /j^/fg^ i , 

# S /ft-^C-^ ^ Renter : Phone : Fax : Phone : Fax : ^^^. ^ t ^ (f/-;2.y V ? Cell/Pager : Additional Information : Cell/Pager : 

## 0 ^ Acces s Agreemen t ^\Restoratio nAgreement [• T Vide o Property Befor e 0 ^ Digital Photo s Befor e Signed : 9 l^l<? f Signed : J /^/g> ^ O n: ; ? / ^I0 ± 

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# m : By : 

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• Vide o Property After O n / / By : D £3 ' • Digital Photo s Afte r Property Completio nAgreemen t Final Repor t On Signed:/^^/ ^ Signed : / / _ By : By ; By : 

# t_ XJ i Additional Vide o o r Digita l Photo' s Taken : D Vide o D Digita l Phot o On: Reason : / / 

### By : ' 

### 1 1 D Video Reason : D Digita l Phot o O n: / / By : nVide o Reason : D Vide o Reason : D Digita l Phot o D Digita l Phot o On On: : ­ / / / / By : 

### By : | 

### 1 |

Omah a Lea d Project Wor k Pla n Page l of 1 9

## Consen t fo rAcces s t o Propert ySAiD # ^ly^ 3 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 Environmental Protectio nAgenc y (USEPA ) o r it s authorize drepresentatives , collectivel y th e Grante e t o enter an dperformcertai nenvironmental respons e activitie s upo nth e followin g describe dpremises ;

Owner' s Name : •^^^^l. y -^xMlH^^f/n ^ Daytim e Phone ; ^d A ~ </<C/ ' ^^ 7 Address : ^^J ^ ^^^ ^ 4/ ^ Address : Addresse s of Propertie s Address : covere db y thi s Agreement : Address : Address : PURPOS EO FINVESTIGATIO N 

### The,purpos e o f th e remedial activitie s i s t o remov e al l soil s at th e property whic har e contaminate dwit hhazardou s substances , i np£irticula r lea dat concentration s greater thano r equa l t o 40 0 part s pe r millio n(ppm) . REMEDIA LACTION S Th e environmenta l respons e action s t o b e performe do nsai dpropert y may 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 dafte r remedial activities ; b .Locatin g equipmen t an dmachiner y on-sit e i npreparatio nfor an di nth e cours e o f fli e environmental response ; c .Plannin g an dimplementin g th e remova l actio no no 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 or tampe r withany o f th e acti\'itie s o r wor k

done , o r th e equipmen t use dt o perfon nth e activities , o r t o undertak e any action s regardin g th e tis e o f sai d property whic hwoul dten dto endanger the healtho r welfare ofth e Grantee s o r th e environment , o r

t o allo w other s t o us e th e propert y insuch 

# 1 ^ ; gran t acces s t o m y propertie s Q I do no t gran t acces s to m y propertie s Signatur e Dat e Signatur e Dat e

### Additiona l Comment s / Instructions :



# -Vo^k< , cUi"^* ^ -^^u, . p ^ U ^ a-fr^ r

n Chec k thi s bo xI f owne rdoe s no t wan t E.R . t o ente rth e resident s t o document interio r foundatio n wail s an d possibl e preexistin g damage . B ychecl^in g thi s bo xE.R . i s not responsibl e fo ranydamag e don e t o th e interio ro fhouse , includin g foundatio n crack s o rfissures .

iSqlagre e [U I d o no t agre e Q I agre e A [ H I d o no t agre e

Owner' s Signatur e Date

## Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s to provide amutua l agreemen t a s t o condition s o f propert y prior t o contracto r activities . Thi s wil l als o serv e a s documentatio nfo r th e purpos e of assurin g tha t restoratio n activitie s are completedt o the satisfactiono f the propert y owne r an dth e UnitedState s Environmenta l Prptectio nAgency (EPA) . 1 SAID : 

# ^/^i5 ^ Propert y Address : 

# aV.^ a\/an & 

# v-. 1 Owner : Phone : - O nth e attache ddiagram(s ) indicat e area(s ) t o b e excavatedan ddept ho f excavation , locatio nof all know n utilities , subsurfac e features , surface structure s an dlandscapin g features , acces s location(s ) t o b e use dby contractor , andth e directiono f North . Indicat e distances , depths , materia l types , etc . Indicat e digita l photo s b y referencing th e photo-lo g numbe r wit ha narrow indicating directiono f view . Item s t o b e remove d b yContracto ran d no t replaced :

Item : Item : 

# 0 6 W I/ \

p/^ u /)c< Ai wh^ck\j^(c l Item : 

# o ' 

# 4 v ^ ' 

# ^, ^

. 

# a-fj-f r^ W Item : Item : 1 Item : 

# 1 •*«'"=

Pag e 1 o f 2Additiona l Comment s / Instructions :



## r^^cU -T O 4 \oL O A\xX^. y -Q-cy^ h^bus ^

P\I agre e C I I d o no t agre e I agre e dI d o no t agre e

Owner' s Signature Dat e Contractor' s Signature 

### Daf e / Attachment s

Pag e 2 o f 2I 

# Property Completio n Agreemen t Thi s agreemen t document s th e completio n o f remedial activitie s performe do n my property . M y signatur e wil l designat e tha t I a msatisfie dwit hth e restoratio n o f my properly , an dtha t n o item s are 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 : /ij3S 3 Propert y Address : ^Jp \^»1<

_^h Owner: . y.Va<.y ^ cl-vV^^g'gfA.e< - Phone ; .{qc ^ 'i^S ( 

## day/ 7 Restoratio n item s i n Questio n Item : item : Item : Item : Kem : Item : Additiona l Comments : , . .A , ///7y//w/l / 

## I ) 9> i u;. ; 4; / o>- f .v ^ -id ^ (e-^-^ - '-^^^^^' ^ '^' ^ ^" ^ - ^ ^'' ^

iHTagre e restoratio n i s completed , excep t a s note d I T I agre e \ 1 restoratio n i s completed , excep t a s note d I I d o no t agre e restoratio n i s complete d LJ I d o no t agre e restoratio n i s complete d 

### (2JA[0 7 

# /^^^a l Owner' s Signature Date Contractor' s Signature Dat e•*(.••. • 

# EP A EPA Properl y Clos e Ou t For m Omah aLea dSite OU# 2 Pronert>-# : ^AT Q Property'Address : X^^j, 7 0^s4 ^ A(/ . f^Mai ^ 1^ P -.-. « . j^^^ . Owner' s Name ; r^ ^ / . ^ ;> ^ ^ ^ ^ K^. K 7>>y ^ Date/Time : llfX^/f l Quads Excavated ; V^j > /)i^~Jc ^ / ^/^ - Contracto r Grou p ; Environmentamestortjfio n(ER ) Ye s N o Excavatio nGenera l 1 . I f necessary , wer e the correc t quadrant(s ) e.xcavate dan drestored ? 

# i r 2 . If necessar>' , wer e th e conec t areas of dri p zone excavatedan drestored ? 

# y. Gradin g So dan dVegetatio n Ye s N o 1 . Doe s the grading aroundthe perimete r ofth e hous e i nexcavatedarea s generally slop e awa y fro mthe 

### y house ? 2 . Ha s sodbee nlaidi nall area s tha t wer e e.xcavated ? ^ / 3 . Doe s the sodappea r to be generall y health y an dgrowing ? (Onl y evaluat e if inspecteda t 30-da y tim e period) . 4 . Ar e soddedarea s generally fir man devenl y graded ? / 5 . Ar e th e joint s betwee nthe sodstrip s generall y tight ? (Onl y evaluat e i

f inspecteda t 30-da y time period) . 6 . Was th e propert y gradedsuc htha t wate r wil l not pool o nthe property ? 

# y 7 . Wa s damage to landscaping or plan t material s avoided ? ^ / Gates , Fence s an dRetainin g Wall s Yes N o I . Do gate s ope nan dclos e freely? (i f applicable ) y 2 . Wer e all gate s o r fence s take ndow nduring restorationactivitie s re-installed ? (i f applicable ) y 3 . Was damage to gate s o r fence s avoided ? (i f applicable ) 4 . Was damage t o retaining wall s avoided ? (i f applicable ) 

# iFoundation , Sidin g an dGutter s Ye s No 1 . Wa s damage to siding or trimavoided ? • ^ 2 . Wa s damage t o th e foundationavoided ? 

### y 3 . Was damage t o window s avoided ? 

### y 4 . Was damage t o window screen s o r doo r screen s avoided ? • ­ 5 . Wa s damage to downspout s or downspou t extension s avoided ? 

### y Sidewalk s an dDriveway s (Concrete ) Yes No 1 . Wa s damage t o drivewa y surface s avoided ? • ' 2 . Wa s damage t o walkwa y surface s avoided ? t / Inspectio nnotes : 

### Remedial an drestoratio nactivitie s complete includin g 30-da y so dwarranty : EPA Represcnta|i ' Date 

# ; // W ^

### Dougla s Cotmt y Accoim t It^^i ; atio n Pag e 1 of2 Dougla s County , Nebrask a Propert yRecor d - R174820000 0 Prin t Repor t NE W Feature - Pait d Dimension s availabl e @ scal e 0-5 0 f t wes t o f 52n d S t - ViewO n Ma p Informatio n i s vali d a s o f 2009-8- 3 Treasurer' s Ta xRepor t Ne wFeatur e - 4 - » - + Aut o Sale s Searc h Owne r SCHONBERNE R TRAC YD ETA L 243 2 VAN E S T OMAH AN E 68112-000 0 Propert yInformatio n Ke yNumber : 482 0 00001 7 Accoun t Type : Residentia l Parce l Number : 174820000 0 Parce l Address : 243 2 VAN E S T OMAH AN E 68112-000 0 Lega l Description : MINN E LUS ALO T6 BLOC K1 W 1/ 2 L T5 & AL L & AL L VA C REA D S TAD J O N W Valu e Informatio n 200 9 200 8 200 7 200 6 200 5 200 4 Lan d $5,800.0 0 $5,800.0 0 $5,800.0 0 $5,800.0 0 $5,800.0 0 $5,800.0 0 Improvemen t $119,600.0 0 $119,600.0 0 $100,300.0 0 $100,300.0 0 $100,300.0 0 $84,300.0 0 Tota l $125,400.0 0 $125,400.0 0 $106,100.0 0 $106,100.0 0 $106,100.0 0 $90,100.0 0 Sale s Informatio n Sale s Date : 1999-11-0 1 Deecf Type : Price : Grantor : $24,750.0 0 Book : i 213 7 Page : 42 6

Grantee : Valid/Invalid : Exclusio n Reason : Invali d Sal e b yGov t Agenc y Lan d Informatio n Acre s 0.1 8 \ S F 8170. 0 Unit s 1. 0 Dept h 86. 0 Widt h 9 5. 0 Vacan t 

### N o Improvement Informatio n 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R17.. . 8/31/200 9' ;s;»;:'"•^'•'^'5W!^^v'r'^• r- v I I " * "T^-'m ^ " »» ' 

### Dougla s Count y Accoun t li^Pnatio n Pag e 2 of2
Buildin g 1 243 2 Van * St .

" 1

*•«* * ;S«4 : V J ?. « ^ Wt ^ ' ^ TJ. ' r. r^awT i CLIC KT O iNLARG E IMAQ E Squar e Footage : ! 1728. 0 Percen t Complete ; ! 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Averag e

Buil t As : Ranc h Cond o Squar e Footage : 0. 0

HVAC : Centra l Ai rt o Ai r Rooms : 6. 0 Exterior : Fram e Sidin g Units : 1, 0 Interior : Drywal l Baths : I 3. 0 Roo f Cover : i Compositio n Shingl e Bedrooms : j 2. 0 Roo f Type : Gabl e Stories : 1. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 192 0 0 % 192 0 6 8 Deta/ 7 Typ e Detai l Descriptio n Unit s Applianc e i Allowanc e 1. 0 Applianc e Fireplac e Masonry 2. 0 Basemen t Bsmn t Bloc k 8 ft 1728. 0 Basemen t Finishe d 1000. 0 Fixtur e Additiona l Fixture s 1. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 3, 0 Garag e Attache d 200. 0 Porc h Ope n Sla b 322. 0 Porc h Sla b Roo f Cei l 80. 0



### http;//douglasne.mapping-online.com'DouglasCoNe/static/accountinfo.jsp?accountno=R17.. . 8/31/200 9

# r v Dougla s Count yN E GI S Ma p LEGEN D 

# I I \ \ Mino rStreet s M l « J I M ^ aam < Majo rStreet s .' . "­

• , , . • ; - • Interstate s "^ y

^ IntettUttt * [~ | Parcel s 1—

1 Hydr o

. • - * ' ­ 

## Drwenbyl^fjGUlD E Disclaimer : Thi s ma p i s no t guarantee d t o b e accurate , correcl , current , o r complet e an d conclusion s draw n ar e tti e responsibilit yo f th e user .

### Pag e 1 of 2

•" >

[ Creat e Anothe rTicke t ] [ Bac k to Irt h Interne t ] [ Sen d Emai l ] 

### YOURTICKE T NUMBE RIS 2398383 . 

# ^^tS ^ Origina l Cal l Date : 11/02/0 9 Time : 3:2 2 pm Op : AMANDA2418 6 Wor k to Begi n Date : 11/04/0 9 Time : 4:0 0 pm State : NE UGLAS S Place : OMAHA County : DOUGLA Address : 243 2 Street : VAN E ST Twp : 16 NRng : 13 E Sect-Qtr : 27-SW,28-S E Twp : Rng : Sect-Qtr : Lega l Given : C . .. Typ e of Work : Lea d Remediatio n Locatio n of Work : LOCAT E ENTIR E PROPERT Y TO AL L STREET S AN D ALLEY S Remarks : FA X AL L CLEAR S TO : (636)680-256 6 Compan y: ENVIRONMENTAL RESTORATION Contac t Name : AM-ZVND AWRIGH T Alt . Contact : Phone : Phone : (712)322-404 1 (303)999-556 9 Wor k Bein g Don e For : EP A Dept h of Excavation : 1 foo t Corne r Lot ; Involve s Tunnelin g or Horizonta l Borin g : CXCATV MAGELLA NMCINE B MUDO l N N

0[4AHAC0 F Explo Front : Y Rear : Y N OPPDGPR S QLNNEI C sives :

Servic e Are a Contac t Phon e Numbe r Utility Typ e CXCAT V COX COMMUNICATIONS , INC HEID I 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 MAGELLA N MAGELLA NMIDSTREA M PARTNERS LP DEBORA H 

### Day : 918574709 8 Alt : Emerg : 918574709 8 MCINE B MCI NO CALLPE R MEM O 

### Day : 800289342 7 Alt : Emerg : 800289342 7 MUDO l METROPOLITA NUTILITIE S DISTRIC T SAND Y 

### Day : 402504782 3 Alt : Emerg : 402504797 0 http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 11/2/200 9

### Pag e 2 of 2

OMAHACOFCITY O FOMAHA-TRAFFIC.SEWE RRICH/TRAFFI C 

### Day : ,402444719 7 Alt : 402444516 1 Emerg : 402444516 0 OPPDGPR S OMAH A PUBLI C POWERDISTRIC T NA 

### Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3 QLNN EI C QWES T LOCA LNETWORK NA 

### Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS.. . 11/2/200 9

# Consen t for Acces s t o Propert y SA1D #^l3^ 3 RIGH T O FENTR Y T O PREMISE S 

## Grantor (th e propert y owner) , consents t o andauthorize s the Unite dState s Environmenta l Protectio nAgency (USEPA) o r

it s authorizedrepresentatives , collectively the Grantee t o ente r an dperfor mcertai nenvironmenta l respons e activitie s uponth e followin g describedpremises ; Owner' s Name : • ^ , raC j ^5^^bi/y)ij r | Daytim e Phone : V< ^ - </^ 7 ^ ^</ 7 

# *dd,», : 5(^3 ^ Y^ ^ ct _ Address : Addresse s of Propertie s Address : covere dby thi s Agreement : Address : Address : PURPOS EOFINVESTIGATION 

## The purpos e o f the remedia l activitie s i s t o remove all soil s a t th e propert y whichar e contaminatedwit hhazardou s substances , inparticula r

lea da t concentration s greate r

than.or equa l t o 400 part s pe r

millio n(ppm) . REMEDIA L ACTION S 

## The environmenta l respons e action s t o be performedonsaidpropert y ma y include th e followin g activities : a .Taking photograph s and/o r

video o f th e propert y before , during , an dafte r

remedia l activities ; b.Locating equipmen t andmachiner y on-sit e i npreparationfo r

andinth e cours e ofth e enviromnenta l response ; c .Planning andimplementing th e remova l actiononor nea r

Grantor' s property . d .Obtaining sample s fro mGrantor' s property ; .AGREEMEN T NO T T O INTERFER E 

## Th e Grantor agree s no t t

o interfer e o r

tampe r

wit han y o f th e activitie s o r wor k

done , or the equipmen t usedto perfor mth e activities , or t o undertak e an y action s regarding the us e o f sai d propert y whichwouldtendto endange r

th e healt ho r

welfar e ofth e Grantee s or th e enviromnent , or t o allo w other s t o us e th e propert y i nsuc h [3 l gran t acces s to m y propertie sD 1 d o not grant acces s i o m y propertie s



# • Try%^^..Xz..< ^ 9-2-J )

Signatur e Date Signatur e Dat e

### Additiona l Comment s / Instructions :



# -V-c^k c cicp n-S^^vNC^. (p > lo^c i CL-f>^ r

• Chec k thi s bo x i f owne r doe s not want E.R . t o ente r th e resident s t o documen t interior foundatio nwall s an dpossibl e preexistin g damage . B y checkin g thi s bo x E.R . i s no t responsibl e fo

r an y damag e don e t o th e interio r o

f house , including foundatio ncrack s o r fissures .

^Cj l agre e [Z l I do no t agre e Q I agre e O I d o no t agre e 

# 9'2- ^ Owner' s Signatur e Dat e Contractor' s Signatur e Dat e

# Restoratio nAgreemen 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 o f property prio r t o contracto r activities . Thi s wil l als 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 dState s Environmental Protectio nAgenc y (EPA) .

SAID : 

# ^rJ6' ^ Propert y Address : 

# av.3 5 /^/7 € 

# 5^ . Owner : Phone : 

### O nth e attache ddiagram(s ) indicate area(s ) t o b e excavate dan ddept ho f excavation , locatio no 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 no f North . Indicate distances , depths , material types , etc . Indicat e digital photo s b y referencin g th e photo-lo g number wit hanarro w indicatin g directio no f view . Item s t o b e remove db y Contracto r an dno t replaced : Item : 

# n 6 ^ I/v . p/av / /?r ^ I w hack\kx(( i Item : 

# o 4 ^/ ) ^rio e a^J^ r ^ W Item : ' ' Item : Item : Item : Item :

Pag e 1 o f 2

### Additiona l Comment s / Instructions : 

## r^<Uc U -T O 4 |oto AwiSi y•tr*^t ^

/ibos ^

PII agre e [H I d o no t agre e j ^I agre e [ U I d o no t agre e 

# -rtf^HJL^^ ^ ^a-^ ? ' /y££ ^ ^/^/ ^ Owner' s Signatur e Date Contractor' s Signatur e Daf e y ' Attachment s

Pag e 2 o f 2

### ENVIRONMENTA L AS-BUILTDRAWIN G OMAH ALEA D SUPERFUN D SIT E RESTORATIO N 

# ¥/3^ 3 £x1efio rPain i OwnerNanw : Trsc vdc/^O/lbQmer^"^^^ ^ ^^^ ^ ^^^^ ( 3 Goix l Address : e^fs k 1/3/1 3 C?/ . ^" ^ ^^^^^* ^ • Poc x Phone ; H y^r/ - <?< 9 V T' « Q Nc l pain t Sampl e Numbe r Lea d Sampl e Sample s Collecte d LA B Concentratio n Cosiecte d F' TM '';^ ? FB . '' ) RYASCPXA- *i/35 5 F l 

### Q D Dat e vv'/. : •';•' • RYBSCPXA--y/Jt^ J F 2 

### D D Tim e .' -i O RYCSCPXA--y/^^ ^ e i 

### D ' D Sample s Analyse d RYOSCPX A•y/jr5^ 5 8 2 

### D D RDZSCPXA-y/j^ j OZ 

### Q D XRFUm t /C^9?^Boo k iX Z RGZSCPXA- V/J^ J C Z 

### D D Dal e RPZSCPXA-V/J'^- j PZ 

# • TtfTie . staf f Numbe ro f Sampte s = 

# a KL . Legend . F t = Fron t Left , F 2 = Fron t Righs . B l ~ Bac k Lef t B2 = Bjkc k Righ t D Z = Dn p Zone , G Z = Garaen , P Z =• Pta y A l qi.»adraitl: i jirt.^ ia

s gtenKK ! Irc# n Lr. « fcti*«t, fjiCHra ; (xopoft y SAI D #4135 3 DAT E EXCAVATE D 11-06-0 9 DAT E EP ASIGNE D OF F 11-25-0 9

ARE ASODDE D 294 2 S Q FT B2=110PPM@4 '

EZ 1 =7 9 PP M @ 1 "

UGEW D Quadran t excavate d Dri p Zor wEKcavato d Cofrtaminatio n Lef t Behin d 

### Contrac t # : EP-R7^9-0 5 Environmenta l Restoratio n LL C

# ^•155 5 Exterio rPaint Nort h Arro w Owne rName ; TraKl yfSc/lQ/lbemer^^^^ ^ ^®^ ^ ^'* ® -Q " Goo d 

### Address : C^s i 1/3/16-<9£ . Sit e Sketc h • Poo r

Phone : H y^/-5,9V 7 w . Q No t paint Sampl e Numbe r Lea d Sampl e LA B Sample s Collecte d Concentratio n Collecte d Fir m RYASCPXA - H-135 5 F l

. pp m 

# 2 n D Date : Zf/'/i . /i^v , RYBSCPXA--y/3^ ^ F2 pp m 

### D Tim e 

### :zO

_ RYCSCPXA - ^/J^ 3 B 1 

## j 3 a . pp m 

# n Sample s Analyze d RYOSCPXA - ^/JS 3 B 2 pp m RDZSCPXA-.y/^^ j D 2 

### ^ pp m 

### D XR F Unit : RGZSCPXA - Hl3S 3 G Z 

# JBB . pp m C3 ' 

### D Date : _ RPZSCPXA-V/^5 3 P Z 

# 12C L pp m 

### D Time : _ 

# m D Staff : Numbe r of Sample s = / — 

# K U Legend : F l ~ Fron t Left . F2 = Fron t Right , 8 1 = Bac k Left . B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , PZ = Pla y Al l quadrant s ar e a s viewie d from tti e street , facin g propert yXT ' fiT'T^"i? l ' O l " V ^ : ; : • • • i'-ri^ - i-JSi-i^viSi:.- ? • 

### J^ N'10:4'^5 i\o^r)-€ ^

[deck's.' :

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