### # 

## TRANSMITTALof OMAHALEAD SIT E SOI LREMEDIATIO NFIL EFOLDE R

SAID # : 

# 9^ 1 i m Date : ; ^ 

### Address : 1^0 1 ^h" ^ <- ^ Remediatio nContractor : Coasta l Environmenta l Grou p Year : 2010ARR A
SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S
oy Vide o o f property (DVD ) 0"" ^ Executiv e Summary "^y EPA-provide dproperty sketc h \P ^ Signe dAcces s Agreemen t fo r subjec t property ^^f ^Signe dAcces s Agreement(s ) fo r adjacent property ^S

i Restoratio nAgreemen t -^*^~ ~ Settlemen t document s (i.e. , for damag e o r to replac e plants , etc. ) \§ ; Confirmatio ndat a E ^ Photograph s V A6?d3V/\1l0(^ \6c(^Mla ^ \^VZ H "0^ ^ As-buil t sketc h 10" ^ Satisfactory restoratio nsigne db y Property Owne r ^0' " Property close-ou t chec k lis t signe db y EPA -^ ^ Descriptio nofarea s no t meetin g RO D cleanu p criteri a ^Sy Utility clearance s {y ^ Property informatio nfromDougla s County Assessor' s Offic e

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Phone : Fax : Ccll/Pager : Additionsi l (iit'orniation : Ccll/Pager :
D NotificationLette r yl ^ Acces s Agreement * 0 Restoratio nAgreemen t Q Topsoil Samplin g (if applicable ) Q Disposa l Samplin g (if applicable ) O Garde nSamplin g (if applicable ) D Utilit y Clearanc e

• Video/Photo s (Before )

• Video/Photo s (During ) D Video/Photo s (After) D Video/Photo s (30-Day )

• Property Completio nAgreement

• Final Report Sent : / / Signed : 4(1/_L!./J 6 Signed : ail/i2_/J ) / / / / / / Called : / / On : / / On : / / On : / / On : / / Signed : / / Lisued : / / By : By : By : By : By : By : By : By : By : By : By : By : By : Ai r Monitorin g (a s applicabl e CI ! Communit y D Cre w ) Results : On : / / By :

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Omah a Lea d Sit e

### Dougla s County Accoun t In|ttH|atio n Pag e 1 of 2

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Dougla s County , Nebrask a Propert yRecor d - R020997000 0 Prin t Repor t Vie wInteractiv e GI S Ma o Informatio n i s vali d a s o f2010-8-3 0 Treasurer' s Ta xRepor t Ne wFeatur e - ^ - ^ - ^ Subdivisio n Sale s Searc h Owne r THOMPSO N D L
168 2 WHITMOR E S T OMAH AN E 68112-000 0 Propert yInformatio n Ke yNumber : 099 7 OOO O 0 2 Accoun t Type : Residentia l Parce l Number : 020997000 0 Parce l Address : 150 7 OHI O S T OMAH AN E 68110-000 0 Lega l Description : LAND S SEC-TWN-RG E 10-15-1 3 E 4 1 F TSU B 6 L t 8 4 1 X 107.2 5 FT Valu e Informatio n Lan d Improvemen t Tota l 201 0 $400.0 0 $0.0 0 $400.0 0 200 9 $400.0 0 $0.0 0 $400.0 0 200 8 $400.0 0 $0.0 0 $400.0 0 200 7 $400.0 0 $0.0 0 $400.0 0 200 6 $400.0 0 $0.0 0 $400.0 0 200 5 $400.0 0 $0.0 0 $400.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0. 1 4387. 0 0. 0 107. 0 41. 0 Ye s



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## • YOU RTICKE TNUMBE RI S 270007 L Origina l Cal l Date : 3/31/1 1 Time : 1:1 9 pm Op : ALFONSO1879 0 Wor k t o Begi n Date : 4/04/1 1 Time : 1:4 5 pm State : NE County : DOUGLA S Place : OMAHA Address : 150 7 Street : OHI O S T Twp : 15 NRng : 13 E Sect-Qtr : lO^SE-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Lea d Remediatio n Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D T O TH E PEDESTA L Remarks : FA X AL L CLEAR S TO : (402)934-281 1 : PLEAS E INCLUD E AL L EASEMENT S Compan y: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ALFONS O Phone : (402)934-283 7 Wor k Bein g Don e For : Coasta l Dept ho f Excavation : 4f t Corne r Lot : NFront : Y Rear ; Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCATV MCINE B MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C


## Utilit y Servic e Are a Contac t Phon e Numbe r Typ e Day : 402934046 9 CXCATV CO XCOMMUNICATIONS , EN C HEIDI Alt : 402934046 9 Emerg : 402932975 7 Day : 800289342 7 

## N O CAL LPER MCINEB MC I Alt : 

## MEM O Emerg : 800289342 7 Day : 402504782 3 METROPOLITA NUTILITIES MUDO l SAND Y MUD Alt : DISTRIC T Emerg : 402504797 0 Day : 402444719 7 CITY O FOMAHA

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## Consent ; fo fAcces s Y cPro-pert y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propertyowner) 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 :

Addres s o fPropert y covere d b ythi s Agreement :
PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EPAi s requestin g acces s t o collect soi l sample s an d remove 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 its 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 byUSEPA , wil l contact th e Granto rin-perso n t o discus s th e wor k t o b e perfonmed , th e Granto rwil l have a n opportunityt 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 vtnt 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 property ha s bee n remediated

.
ENVIRONMENTA L RESPONS E ACTION S 

### B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , its employees , contractors an d subcontractors th e righ t t o ente rth e property , a t al t 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 effect unti l th e wor k ha s bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Page t o f2

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### tstorTo : INTERFER E 

### Th e Granto ragree s no t t o iriterfereortamperwithan yo fthi s vrork actlVi^ ^ ofth e wor k ddhe , o rwit h th e equiprtieh t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d piropert ywhic h woul d ten d t o endarige rth e bealt h o r welfar e ofth e Grantee s o rth e environment , o rt o allo wptheir s td : us ^ th e prppertyi n •' siie h a-mariner.

. ShpLil d yo u hav e an yquestions ; abou t thi s prpgranrt , plea ^ (xihtact i Coasta l £hvlrdiimenta l drdup , at:(402)i^91>r11? 9 grantacces s t o m yprofi « ; Q ldbn6tgnntaccess;i Q 

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### Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o provid e amutual agreemen t a s t o condition s o f th e property prio r t o remediatio nactivities
. Thi s wil l als o serv e a s documentatio nfor th e purpos e o f assurin g that restoratio n activitie s ar e complete dt o th e satisfactio no f th e property owne r an dth e Unite dState s Environmental Protectio nAgenc y (EPA)
.

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### Item s t o b e Remove d b yth e Owne rbefor e Start o fRemediation : Th e removal , storage , disposal , and/o rretur n o fthes e item s i s th e Owner' s responsibility

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. Agree diq)o nvaltie of plan t material s not to b e replacedbv contractor . Not e thi s valu e will b e usedto issue aplan t voucher to th e property owner . Easemen t Area, t o b e excavate d 

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* Th e bit y ofOmah a ordinance s ma yprbhibl t yo u fro m usin g dir t orgrave l areb s on you rproperty' : as dnvway s orvehicl e parkin g areas.Th e En^ ^ ifemovih g an d replacin g iso| i underiyin g a girave i ordjr t are a bn you rpropert ytha t yo u iinia y be < : usin g as a drivewa y brvehicl e parkin g area . Ifthi s is th e case , yb u shbul d understan d tha t tht e ;:: , removin g an d replacin g ofsoi l doe s no t mea n tha t an yillega l drivewa yorparkin g are a on you r•'•: ' propert y is mad e lega L To th e contrary.yo u ma y be cite d byth e cit y ifyo u us e a graye l ordir t are a as a drjvewa y ofparkin g area i no t withstandin g an yrefhpyai l orreplacernen t ofsoj l byth e EPA ! ' ': Ifyo u hav e an yquestib n abbu t lieg^it y of ia oertalir i drivewa yor.parkin g area , yoiimay ; cbriJtact ; ^; th e cit y ofOnfiaha' s Plannin g Departinen t at (402 ) 444-5150.^ ^ Oplesfi e dhec k thi s bpxvi f .yb u ijri ^

O Chec k th e bo x ifOwne rdoe s ho t wan t CE G tb docurtien t int^iibrfbuhd^tib n Wall s iiiT d possibl e pre'^extistin g darhage

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# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 365.89 1 S r 192.20 8 U < LO D R b 73.85 7 T h < LO D P b 609.90 6 S e < LO D A s < LO D H g < LO D Z n 442.85 1 W •< LO D C u 58.35 7 N i < LO D C o < LO D F e 23541.34 2 M n 632.26 3 Supervise d Bv : 

## Certificat e o fVerificatio n

7 7 SOI L 2011-04-0 7 22:1 7 30.1 7 Fina l 2910 4 150 7 OHI O B 2 13 " M

. MATEU S CLEARANC E CLEA R

Erro r : 8.16 1 ± 14.98 6 ±­ 9.81 7

: 16.12 1 ± 7.11 3

• 17.97 5 ± 33.66 9

: 7.07 8 : 44.15 2 I 12.85 8 ± 35.28 2

: 84.42 7 ± 24.47 6

: 81.34 8 I 213.65 9 ± 453.09 7 ± 117.91 7

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTumpik e Billerica , M A0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 376.19 6 S r 184.28 3 U < LO D R b 67.10 5 T h < LO D P b 476.46 7 S e < LO D A s < LO D H g < LO D Z n 456.04 9 W < LO D C u 72.22 4 N i 117.74 1 C o < LO D Fe 21340.43 4 M n 492.82 4 Supervise d By : 

## Certificat e o fVerificatio n

7 8 SOI L 2011-04-0 7 2 2 1 8 30.5 2 Fina l 2910 4 150 7 OHI O B 2 13 " M

. MATEU S CLEARANC E CLEA R

Erro r ; 7.77 3 ± 14.88 8 ± 9.47 6

: 15.08 4 ± 6.67 7

: 15.96 6 ± 29.48 2 J 6.50 5 : 39.08 1 : 13.61 9 ± 35.48 2 \ 96.08 1 ± 25.29 5 ± 55.57 3

; 198.39 3 ± 425.32 7 ± 106.08 9

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 7 5 Mod e SOI L Tim e 2011-04-0 7 22:1 5 Duratio n 90.8 7 Sequenc e Fina l Flag s AVERAG E Av g o f72-7 4 ADDRES S 150 7 OHI O QUADRAN T ,B 1 DEPH T •13 " XR F TEC H M

. MATEU S MIS C CLEARANC E NOT E CLEA R

pp m Erro r M o Z r S r U R b T h P b S e A s H g Z n W C u N l C o F

e M n Supervise d B y

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n

7 2 SOI L 2011-04-0 7 22:1 4 30.5 3 Fina l 2910 4 150 7 OHI O B l 13 " M

. MATEU S CLEARANC E CLEA R

Erro r ; 7.73 7 ± 14.55 5 ± 9.15 3 \ 14.46 8 ± 6.34 6 \ 11.62 9 ± 17.55 8

: 5.43 5 : 23.20 4 : 11.22 4 ± 22.11 8

: 72.64 6 ± 21.41 0 ± 50.54 6

* 177.69 2 ± 379.88 8 ± 102.36 6 XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

M o Z r S r U R b T h P b S e A s H g Z n W C u N i C o F e M n pp m < LO D 385.51 5 182.75 1

< LO D 64.71 7 < LO D 161.25 8

< LO D < LO D < LO D 177.02 4

< LO D 38.07 1 79.12 3 < LO D 18030.44 5

511.54 9 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTumpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n

7 3 SOI L 2011-04-0 7 2 2 1 5 30.1 7 Fina l 2910 4 150 7 OHI O B l 13 " M

. MATEU S CLEARANC E CLEA R

Erro r : 7.64 4 ± 14.07 0 ± 9.16 0

: 14.17 8 ± 6.10 1 \ 12.62 4 ± 19.93 4

; 5.49 6 ; 26.40 1 : 12.45 7 ± 22.33 7

: 88.55 0 ± 22.10 6

; 75.25 1 J 172.91 6 ± 363.41 5 ± 101.64 8 XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

M o Z r S r U R b T h P b S e A s H g Z n W C u N i C o Fe M n pp m < LO D 349.46 4 180.92 8

< LO D 57.84 7 < LO D 214.12 8

< LO D < LO D < LO D 170.86 3

< LO D 43.94 4 < LO D < LO D 16280.92 8

503.78 5 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 MiddlesexTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n

7 4 SOI L 2011-04-0 7 2 2 1 5 30.1 7 Fina l 2910 4 150 7 OHI O B l 13 " M

. MATEU S CLEARANC E CLEA R

Erro r 7.76 1 i : 15.35 8 ± 9.58 9 14.16 6 i 6.33 4 ± 8.27 2 ± 17.52 9 5.81 8 23.53 5 11.55 3 ± 24.41 9 79.86 5 31.43 5 75.74 0 190.65 2 ± 395.59 1 ± 106.12 2 XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XRFTEC H MIS C NOT E

M o Z r S r U R b T h P b S e A s H g Z n W C u N i C o F e M n pp m < LO D 416.75 6 194.15 8

< LO D 62.74 7 14.10 5 153.18 1

< LO D < LO D < LO D 210.10 8

< LO D < LO D < LO D < LO D 18856.84 4

530.25 9 Supervise d By :

## AQ ^

\ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 I ^^^ ^

I Coasta l Environmenta l Grou p Inc

. Vr^^^ * www.c0astalha2mat.co m

^"tPROt*'' ^ COASTA L ENVItOKHIHTA L C •0 U P

. IN C 

# EXECUTIV ESUMMARY : BVID #29104-(150 7 Offl O ST )
No Issue s o r Concern s Q Issues/Concern s Detail Explanation : -DA NGARVE Y WALKE D TH EPROPERT Y O N4/19/201 1

### V 

## Propert yCompletio n Agreemen t
Thi s atjiecmen i documeni s lh e complclio n o l remedia l aciivme s pcrroimtdo n m yproperl y M ysignaiui e wil l designal e iha i i a m salisfie d wit h ih e resloralio n o fm yproperly , and iha i no iiem s are i n questions

. now , o ra l an ylim e m ih e fuluie , excep i thos e uem s lisle d below , ifan y

Propert y ID : 

# ^'^o<^ ^ Propcrf yAddrcirnW T{)}J^ Q h 1 ^
Phone : t[^^ ' '({($; ^ Ifl^r ^ [ Restoratio n Item s i n Question :

^^yS i ' ayt e restoratio n i \ complcird , riccp l i n noier i [ I I rio no l aijrf crrjioralio n i. s compltlc d

Owner' s Sicnatiii e ' Dat e t l acioi' s Signatiiri '

## in
. 

## EPAPropert y Clos e Ou t For m 1y%i ^ p b DV^^/^C M Proptrt y tl : Datt/Tlmt : Quad s Excavated : Contracto r Grou p 

## -nfh ' \ nN o If

necessary , were th e correc t quadrant{5 ) excavate dan drestored ? Excavatio D Genera l 

### y 2
. If necessary , were th e conrc t area s ofdri p zon e excavaie dnadrestored ? 

# y Gradin g So dan dVnteuiio n Vt i IV o IDoe s lhe gradin g aroun dth * perimeter ofth e hous e inexcavate darea s generall y slop e awa y fromth e house ? 

# y 2 Has so dbeenlai dinall area s tha t were excavated ? 

# y 3
. Doe s lhe so dappea r to b e generall y health y andgrowing ? (Onl y evaluate i f inspecte da t a3 0 

# y da y tim e period ) 

# ' y 4
. Ar t sodde darea s generall y /Irman devenl y graded ? 5 Ar e thejoint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t t

3 0 da y tim e period ) 

# r 6
. Wa s th t property grade dsuc htha t water wil l no t poo l onth e property' ' 

# y

— Wa s damtg e l o landscapin g o r plan t material s avoided ? Gates
. Ftncc aaa dReuinlp g Wall s 

# r ID o gate s openan dclos e freely? (Ifapplicable ) 2
. Wer e al l gate s or fence s take ndowndurin g restoratio nactivilie s reinsulled ? (I f applicahl f ] /

. V Wa s damag e t o gate s o r fence s avoided ? (Ifapplicable ; Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) FoundaiioB , SidiBRan dGutler t Ve s .N o IWa s damag e t o th e sidin g o r tri mavoided ? 

# y 

# y 2
. Wa s damag e t o th e foujidatio navoided ? / .'
. Wa s damag e t o window s avoided ? 

## y

^ Wa s damag e t o window s or doo r screen s avoided ? / 5
. Wa s damag e t o downspout s o r downspou l extension s avoided ? 

## y Sidewalk s an dDrrvtway s (Concrete ) Ye s N o 1 Wa s damag e t o drivewa y surface s avoided ? 2
. Wa s damag e t o walkwa y surface s avoided ? 

## ~ y

### OM'per^ comi^^fs :



## Inspectio nnotes :

Removal andre.s i ora l io naclivate s complei e includin g lhe 30-da Y so dwarranry : EP ARcpresenliiiiv e Q^. ^ Dale : 4\rt^'^