## TRANSMITTA L o f OMAH A LEA D SIT E SOI L REMEDIATIO N FIL E FOLDE R SAE)# : __££Di^i_

_Date : Address : ?.\5 U K J ^ ^ AV P Remediatio n Contractor : A^-Tft.J<i^^ 4 "H^U/K^VT"'*
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### ,±-r\r . . Year : —^-po ^ SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S
^ Vide o ofpropert y (DVD ) [?

f Executiv e Summar y S' EPA-provide dpropert y sketc h 

### \2 SignedAcces s Agreemen t fo r

subject propert y B SignedAcces s Agreement(s ) fo r

adjacen t propert y 0 Restoratio n Agreemen t B

l Settlemen t documents (i.e. , fo r

damage o r t o replac e plants , etc. ) 0 Confinnatio n data H Photograph s B As-built sketch & Satisfector y restoratio n signedby Propert y Owne r H Propert y close-out chec k

lis t signedb y EP A D Descriptio n of area s no t meeting RO D cleanu p criteri a I B Utilit y clearance s 

### WPropert y informatio n fromDougla s Count y Assessor' s Offic e D D D SigiStu ^ Dat e 4031074 7 

# HHimi i Superfun dPROPERT Y SUMMAR Y Date : 01/23/200 9 Omah aLea dSit e Remedia l Actio n Contrac t #EP-R7-07-06/000 4 Monti i of : Dec/Ja n Propert y Address : 315 6 N 4 7 AV E 

### 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 Othe r Relevan t Information : NON E CONFIRMATIO N SAMPLIN G DATA/RESULTS : B l = 32 9 PP M @ 12' ; B 2 = 7 1 PP M @ SCRAPE ; D Z = 94 PP M @ 4" ; F 2 = 2 8 PP M @ 10" ; EA = 17 9 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 requiredfo r crossing odie r propertie s 3 ) Pre-Excavation digita l vide o clip/photograph s 4 ) Post-Excavation digita l vide o clip/photograph s 5 ) Documentation - CompletedClose-ou t Checklis t 6 ) As-Built sketc h ­ i ) Shal l include final lea dlevel s v ) Legen d 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 to b e includedin th e individua l propert y file, i f available , or obtainedinclude : i ) Pre-excavation agreemen t detail s (i f an y ar e mad e wit h th e propert y owner ) ii ) Propert y Statu s For msignedb y propert y owne r ui ) 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 satisfactoiy restoratio n v ) Description o f area s no t meeting InterimRO D cleanu p criteria .

TECHNOLOGIES , INC .Fin d Record Clea n U p Query Lea d Remainin g Quer yI Propert yDamag e Quer y Backfill :

Sampl e Area : 8504 8 ­ 315 6 N 4 7 A V Owner : Resident : Contract : n Owne rOccupie d Residen t Name : Contractor : Owne rName : 

# r |PRUDENT2008_S LOW E MATTHE W Propert yAddress : Group : Owne rAddressl : |315 6 N 4 7 A V Owne rAddressZ : Zi p Code : [6810 4 Assessment : 315 6 N 4 7 AV E Residen t Phon e Qualifyin g Grou p City : State : Zi p Code : 

# I INORT H OMAH A [N E |6810 4 Assessmen t XR F Date : Owne rPhone : Alternat e Phone : 

# I (402 ) 321-575 4 j(402 ) 850-421 2 /tosessmen t MaxXR F Value : 101 2TECHNOLOGIES , IN C Property* : %^0^• ^ Date/Time : Quad s Excavated : g) , a:^,/r^ ^ ^ ^ 

# EP A Propert y Clos e Ou t Propert y Address : '^^S i /\ / W ^ ^" ^ Owner' s Name : Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s N o I .I f necessary , wer e the correct quadrant(s ) excavatedan drestored ? / 2 .I f necessary , wer e the correct area s o f dri p zone excavatedan drestored ? / Gradin g So dan dVegetatio n Ye s N o 1 .Doe s th e grading aroun dth e perimete r of th e hous e i n excavatedarea s generall y slop e awa y / fromthe house ? 2 .Ha s sodbee n laidi n all area s tha t wer e excavated ? 

# y 3 .

Doe s th e 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 sodde darea s generall y fir man devenl y graded ? 

# y 5 .Ar e th e joint s betwee n the sodstrip s generall y tight ? (Onl y evaluat e if inspecteda t a3 0 da y tim e period) 

# y 6 .Wa s th e propert y gradedsuc h tha t wate r wil l not pool o n the property ? 

# y 7 .

Wa s damage t o landscaping or plan t material s avoided ? 

# y Gates , Fence s an dRetainin g Wall s Ye s N o 1 . D o gate s ope n an dclos e freely? (If applicable) / 2 . Wer e al l gate s or fence s taken dow n during restoration activitie s reinstalled ? (If applicable) / 3 .

Was damage t o gate s or fence s avoided ? (If applicable) / 4 .

Wa s damag e t o retaining wall s avoided ? (If applicable) / Foundation , Sidin g an dGutter s Ye s N o 1 . Was damag e t o th e siding o r trimavoided ? / 2 . Was damag e t o th e foundatio n avoided ? / 3 . Wa s damag e t o window s avoided ? / 4 .Wa s damage t o window s o r doo r screen s avoided ? 

# y 5 .Was damag e t o downspouts or downspou t extension s avoided ? / Sidewalk s an dDriveway s (Concrete ) Ye s No 1 . Wa s damag e t o drivewa y surface s avoided ? 

# y 2 . Was damage t o walkwa y surface s avoided ? 

# y

### Owner s comments :

Inspectio n notes :

Remova l andrestoratio n activate s complet e including th e 30-da y so dwarranty : EP A Representativ e ^^:)SL ^ Date : //^^Jo ?ENVIRONMENTA L & CONSTRUCTION inCHNOLGGIE S SERVICE S 

## PROPERT Y CONTAC T ATTEMPT S Propert y ID : Propert y Address ; d^SQ > K^ Ml*" ^ Ao*> ^ Owne r Name : ^ Aafi^ U ' "^ ^ , Owne r Phone : y ^ • ) \- <^'i_L ^ Belo w pleas e fin dalistin g o f

unsuccessfu l attempt s t o reac h th e abov e propert y owner . Dat e Tim e Initial s Resul t a|L 3 ijN ! n ) 

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# /k/o ? Acknowledgmen t signatur e Dat e E P A 808 0 Ward Parkway , Suit e 40 5 250S N. 24' " Street , Suite 30 8 4242 Medica l Drive , Suit e 725 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n AntonicT 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 7No v 2 6 200 8 1:41P M Bemj- s Cente r 4023.^.973 1 3 ^ S p . 3

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### A S ^ iBtM;f'ji)RAWlN G OMAHA LEAD SUPERFIIND SITE . OLS# : 8S04 8 nat e Excavated : 12/05/200 8 USEP A Signed-OfTDate : 

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## n RYB8CPXA8504 8 F 2 D RYCaCPXA«S04 a B l D Samples AnalysM t RYOaCPXArS^MB . B 2 D RDZSCFXASSO M D Z l</6 > nwr i D XRFUW : g.5H 0 Bool e 11 1 rtnnwBPir* Mni i 

## o D Die : ^-«-<> 6 

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## a UgeM t Fl « Fnm t Lril . F 2 > FrartRigI C B l - Bac k Left . B 2 I F Bac k ragM O Z * Oi« > 2ione . G Z = Ganion . PZ=P ^ 

# i BNtERiBD i r."(^^:'s-.•^"'J•^i; i

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## o F 2 = 28PP M @10 » 

## 3nar :

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CONTRA a » : E P - R7-07-0 6 / 000 4 PRUDEN TTECHNOLOGIES , INC .No v 2 6 200 8 1:41P M Bemi s Cente r 4023.^979 1 

# 1 p . 2

rNVIAONMfiMTAL « coNsmiticriO K TBCHNOLOGIBB , INC . SCKVICB 8 

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# LJISZ^—2iJ_:L_£2-^ ^ HVID : J>«Bcrl|itlo n A Loesllo B

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### 3« l SOOIVOSZO ^ S3I90-I0MH33J . INBana d UdlQtS I 800 3 9 3 AO M

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### Prin t Preview Pag e 1 of 1 Dougla s County-Omaha , N E 

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V OMAH A 6810 4 315 6 N 4 7 AV E OMAH A N E 6810 4 Sec-Twn Rn g Additio n Bloc k Lo t Lega l 1 Lega l 2 Lega l 3 Lega l 4 Treasure r Websit e Lin k Assesso r Websit e Lin k 08-15-1 3 WAVERL Y PAR K 3 2 40X12 5

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### • YOU RTICKE T NUMBE RI S 2184414 . Origina l Cal l Date : 12/02/0 8 Time : 8:2 4 a m Op : MADHURIMA1896 7 Wor k t o Begi n Date : 12/04/0 8 Time : 9:0 0 a m State : N E County : DOUGLA S Place : OMAH A Address : 315 6 Street : N47TH AVE Twp : 15 NRng : 13 E Sect-Qtr : 08-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : soi l remediatio n wor k fo r soi l Locatio n o f Work : LOCAT E ENTIR E PROPERTY 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 : MADHURIM A Phone : (402)733-118 8 Alt . Contact : Phone : (618)401-222 3 Wor k Being Don e For : ep a Dept h o f Excavation : 6f t Corne r Lot : NFront : Y Rear : Involve s Tunnelin g o r Horizonta l Boring : NExplosives : N CXCAT V

MUDO l OMAHACO F 0PPDGPR 5 QLNNEI 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 : 402504782 3 MUDO l METROPOLITA N UTILITIES DISTRIC T SAND Y Alt : 

### Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE RRO N 

### Alt : 402444516 1 Emerg : 4024445160 Day : 406728934 3 0PPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A 

### Alt : 4062071494 Emerg : 406523771 7 Day : 406728934 3 QLNNEI C QWES T LOCA L NETWOR K

N A 

### Alt : 40620714S> 4 Emerg : 406523771 7 http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 12/2/200 8