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

# /S2j[,>e > Date : 

# /x/l3l2^0 7 Address : 

# 2£>2 D 3 32 , Remediatio nContractor : Coasta l Environmenta l Group _ Year : 2007 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o o f propert y (DVD) W• 

## Executiv e Summar y 

# 0

^ EPA-providedpropert y sketch.. . SignedAcces s Agreemen t fo r

subject propert y Si^e dAcces s Agreement(s ) fo r

adjacen t propert y Restoratio nAgreemen t Settlement documents (i.e. , fo r

damag e or to replac e plants , etc. ) Confirmationdata Photograph s Pfcji WCX^JLx ) duriAg l ^ P^) ' ^<^^M ^ As-built sketch . . . ^ 0 ^ 

## Satisfactor y restoratio nsignedb y Propert y Owne r Propert y close-out check lis t signedby EP A9 / 2s l / cX) 0 7 O i • 

## Descriptio nof area s not meetin g ROD cleanu p criteri a Utilit y clearance s Propert y information fi-omDougla s Count y Assessor' s Office D •' • 

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## Fina l Repor t Propert y Chec k Lis t (piease plac e wit heac hfile) Har dCop y Informatio n 1 . Propert y Chec k Lis t '2 . Sit e Workin g Drawin g Ma p • • " . •

3 . EP Aoriginal s Ma p i­ ^4 . Dougla s Count y Assessor' s Ma p • ~; '3 . Propert y Contac t Shee t * : Agreemen t LAcces s Agreemen t . • ' , 2 . Restoratio nAgreemen t ' '', ( IVIiscellaneou s Document s • ? LFina l Ma p fromth e Fiel d' i^ : = 2 . Chang e Order s ; :' v " . 3 . XRFDat a' " ^ • I 4 . An y email s o r P C correspondence s '• . - ' ' Propert y Completio n 1 . Executiv e Summar y 2 . A S BUIL T „ I vz i 3 . Propert y Completio nAgreemen t r , £2 3 4 . An y buyou t inf o o r reimbursemen t info/^/r i j j I 5 . Chec k o r mone y orde r copie s f ^ If Y . JS3 ^ & . EP APropert y Clos e Ou t Fon n: Q ^ 7 . Attache dBegi nVide o . ; , Electroni c Documentatio n Drawing s jm1 . EP Aorigina l ' Q 2 . Workin g Drawin g i Q 3 . A S Built.vs o ? Q 4 . A S Built.jp g . '• Photo s ' r nI Begi nPhoto s ' , ' •

,— 1 2 During/Excavatio nPhoto s y 3 So dPhoto s • . • : " • jd l 4 . 30-Da y So dPhoto s Scanne dDocument s ril ] ' Fina l Document s , {•^— I 2 . Executiv e Summar y ' Video s 1 ^ ' Begi nVide o r- 1 2. . M y Movi e '

## Propert yAcces s Checklis t P.ope.-t y ID : /5^P^ ^ Property Address : ^^p. ^ S ? ^ jf^i ^ n n

WOR K STARTED WORK COMPELTE D ON : ON : / / /_ / Owner : 

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Notificatio nLette r Acces s .A<ireenien t Restoratio nA<ireement Topsoi l .Samplinj i (i f appli c ible ) Disposa l Samplinj ; (i f applicable ) Garde nSamplin< ; (i f appli c able ) L'tilit x Clearanc e \'idco/Photo s (Before ) Video/Photo s (During ) Sent : / Sianed : 7 " /T " ft:^ Sis:ned:3^/t3 ^ ( ^ / / / / / 

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Omah a Lea d Sit e

# ^\ K Acce^t>oe-r o %^ ^ Bva^€ 5 A ^ 1^X14^(0 0 Ab , k m ^ ^ Tota l CIHFan t Squar e Footag e t o b e Excavate d = 230 6 (!|Ba n 'V*T ' PropertyClassification : 80 0 italraip 2 /f'' ^ TotalCTi Zon e Linea rFootag e t o b e Excavate d = 6 6

Descnptto n o fpos t excavatio n areas : F1 . front yar d left-han d quadrant . F2 , front yar d right-han d quadrant ; B1 , ba<*yard left-han d quadrant ; B2 . backyar d right-hand quadrant ; DZ . dri p zon e (1- 3 foot are a o fsoi l aroun d th e foundatio n o fth e house) .Name : Oc-^ , <r , C- a J J y Omah a Lea d Sit e Date : '^-"l"-^ 3 Nortt i Arro w— i Address : 'Z'^^O^ . J - ^X-<( / Sit e Sketc h Time : Phone : t^fc ^ - C ? '-it - 7 ^ W

& JeamCrcc.-) ^ d< e (^£^-^J y BVID #\S'0^^- S XR F Cod e 

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• Sampl e Numbe r Lea d Concentratio n Confirmatio n Sampl e 

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### Owne r CADD YGRE G T ETA L 282 0 S 3 2 AV E OMAH AN E 68105-000 0 

### Propert yInformatio n Ke yNumber : Accoun t Type : Parce l Number : Parce l Address : Lega l Description : 10 0 FEE T buffe r o f

parcel(s) : 140955000 0

095 5 000 0 1 4 Residentia l 140955000 0 282 0 S 3 2 A V OMAH AN E 68105-000 0 ILE R AD D LO T5 BLOC K3 5 0 X 114. 5

## Property I D # Property Address : Initial Contact : Secon dContact : Final Contact : Fina l Action :

Comment : Owne r Commen t (s) : Site Coordinato r Commen t (s) : CONTAC T FORM 

# JS^ ^

r??^ ^ S 3p-/gvs ^ Date : Time : Action : Date : Time : Action : Date : Time : Action : Transmi t to EP AD Othe r Action : D*

COASTA L ENVINONMENTA L CROUP , INC . 

## 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 : 

# Cl^e ; L^^ M Daytim e Phone :

Addres s o fPropert y covere d b ythi s Agreement : 

# P' ^ S o 

# B^.^ L

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 ma ypos 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 

### B ysignin 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 f2- o \ ~l " o * COASTA L * > - -*-^ ^ ENVIRONMENTA L ^" i PBO-t*-* ^ G R 0 U F , 

### •Remov e obstruction s includin g boats , trailers , vehicles , playscape Items , woo d piles , do g houses , etc ; •Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t maywis h t o save ; •Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessarysubsequen t t o a n initia l waterin g perio d b yEPA ; •Abid e byhealt h an d safet yguidanc e provide d byEPA ; •I fth e propert yi s rented , assis t EP AI n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e work . •Allo wvideotapin g and/o rphotographin g o fth e property . AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo fth e wor k activities , o rwit h an y o fth e wor k done , o rwit h th e equipment 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 propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yI n suc h a manner . Should you hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (877 ) 234-6270 .

0lg i ran t access t o m ypropertie sD I d o not gran t access t o m ypropertie s



# , n h Signatur eDat e
G I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required .

Pag e 2 o f2COASTA L 

## Restoratio n Agreemen t Th e purpos e of thi s agreement is to provid e amutual agreement as to condition s of th e property prio r to remediatio nactivities . Thi s wil l als o serv e as documentatio nfor th e purpos e of assurin g tha t restoratio n activitie s are complete d to th e satisfactio n of th e property owne r an dth e Unite dState s Environmental Protectio nAgenc y (EPA) .

Propert yID : /ST.^ ^ Propert yAddress : ^Z^Z O S 3 Z ^U( T Owner : ^^^ ^

^dbC f Phone : 

# /^?,^'/^^ 0 Gf: r z^ f Onth e attache ddiagram(s ) indicate area(s ) to excavate dan ddept hof excavation , locatio n of al l known utilities , subsurfac e features , surfac e structure s an dlandscapin g features , acces s location(s ) tobe used by contractor , andthe directio nof North . Indicat e distances , depths , material t> pes . etc . Indicate digital photo s by referencin g th e photo-lo g number wit h

anarro w indicatin g directio n of view . 

### Item s To Be Remove d ByOwne rBefor e Star t OfRemediation : (Us e additiona l sheet s as necessary ) Th e removal , storage , disposal , and/o rretur n ofthes e item s is th e Owner' s responsibility . Item : 

# n. ZA^^T SVItem :

-. ^ Item Item : : ^- . Item : Item : Item : Item : Item :

^ - Pag e 1 of .COASTA L •NVIMONMENTA L C « O U P . IM 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 : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : 

# ^^TIA/ J 

# pMyor 5 4/iy A

Pag e 2 o f 

# S'^^ft^ ^

t oi COASTA 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 : 

# ^=o h Item : 

# ^oi u Item : item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :



### Pag e 3 o , ^COASTA L INVinONMfNTA L C n o u p . IM C 

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

## Ite m

Pre-existin g property area , that wil l b e excavated , that i s covere dwithgrass .

Numbe r o f tree s > 2 inch trun k diamete r

Numbe r o f tree s < = 2 inc h trunk diamete r

Numbe r o f Sprinkle r Zones , Contro l Valves , Timers . Heads , etc . .Anachasketc hot " ih e sprinkle r la v out .
Numbe r o f an dsiz e o f eac hgarden/ flower be d area . .Anachasketc hof relati\ e size s an dlocations . 

## Quantity 

# Z57 ^ 7 ^

pii^ti/e e

^

# 0 Unit Condition/Type/Specie s

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Each '

Each

Each

Each Square Feet

Pag e 4 o f±j _COASTA L (MVIROMMIMTA L e no u p IMC . 

## Ite m Agree dupo nvalu e o f Dian t material s no t t o b e replace db v contractor . Not e thi s \alu e wil l b e use dt o issu e aplan t vouche r t o th e propert y owner . Agree dupo nlis t o f plan t material s tha t will b e replace dby contractor . B e very specifi c an ddetailed . Includ e asketc ho f were eac hplan t v\il l be place d b \th e comracior . Agree dupo nare ao f propert y t o b e replace d withgras s sod . Includ e asketc ho x th e .irea(s ) t o b e leplaoe dV'.ii h gras s sod . Are ao f Cit> ' o r Count y property t o b e landscape d pe r thei r requirements . Includ e asketc hoi th e are ai s I

Easemen t Area , to b e excavate d 

## ^<^€i^tf/V t Quantit y 

# O f Uni t

$ 

## Condition/Type/Specie s

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# 237 * Each

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Pag e 5 of . ^COASTA L

Additiona l Comment s / Instructions :

•Chec k th e bo xi fOwne 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 fhouse , includin g foundatio n crack s o rfissures .



# ST^ g re e ! I I d o no t agre e

^ Pag e 6 o f

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• f r . Tota l C ^Kv (I t Square Footag e to b e Excavate d = 230 6 Tota l uri p Zon e Linea rFootag e t o be Excavate d = 6 6



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# o Excavate d Are a Existin g Structur e Fenc e Permanen t Landscapin g Quadran t Boundar y Stree t Boundar y Tree/Shru b HScal e 1 Inct i = 2 0 fee t o r1 gri d = 5 x5 f t ^.vf

l sr„. . Jl^ir C I —HvtlrnlV-nLogi . \ n F 1 . F 2 B 1 Propert yNumbe r OLS-1526 8 Propert yAddres s 282 0 S 3 2 AV E Pos t Excavatio n Concentration s (ppm ) B2 Pla yAre a DZ Easemen t Garde n Othe r Descriptio n ofpos t excavatio n areas ; F1 , fron t yar d lelt-tian d quadrant ; F2 , fron t yar d hghit-lian d quadrant : B1 , bad<yar d left-han d quadrant ; B2 , backyard right-tiand quadrant ; DZ , dri p zon e (1- 3 foot are a o fsoi l aroun d tti e foundatio n o fth e house) .

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# RESTORATIO NCHANG EORDE R OMAH ALEA D Propert y I D U_^7 ^ Propert y Addres s 2^2 ^ 3 3^«gv\ / Owne r Nam e (^ijjg ^ LuJ^y j
Comment s

Owne r Signatur e Contracto r Signatur e

### Pag e 1 o f 1

tsimmon s @lkgs
. he.ne t From : To : Sent : Subject : "Lehma n Carlton " <ctl@ctlehnnan.net > "tsimmons@lkgs.he.net " <tsimmons(gcoastalhazmat.com? '

Saturday , Jul y21 , 200 7 7:4 1 A M Fwd : 282 2 S 32 A v 

### Begi nfoPA'arde dmessage : From : Bahnke.Donald@epamail.epa.go v Date : Jul y20 , 200 7 4:50:5 8 P M CD T To : ctl@ctlehman.ne t Cc : France-lsetts.Pauletta@epamail.epa.go v Subject : 282 2 S 3 2 A v 

### Carlto n I checke di nth e databas e fo r any previou s cleanu p a t thi s address . Thi s property i s belo w ou r 40 0 pp mscreenin g leve l an ddoe s no t nee d cleanup . DonBahnk e U S EPARegio n7 Superfun dDivisioxji : •^ 90 1 N5t hStree t f Kansa s City , K S 0610 1 913-551-774 7 , 's-ii ? 'SS
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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 ENVIRONMENTA L CROUP , INC . 

# EXECUTIV ESUMMARY : N D 

# 15268—282 0 SOUT H 32' " AV E 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 d ^ €

Tota l Quadran t Squar e Footag e t o t>e Excavate d = 230 6

• fola l Drt p Zon e Linea rFootao e t o b e Excavate d = 6 6 PrvB^rt YCi9?ateti9ni.fiOff . OLS# : 1526 8 ' Dat e Excavated : 8/7/0 7 Dat e USEP ASigne d Off : 8/29/0 7 

# O

Bus h - Leav e pe r Owner' s Reques t

Larg e Tre e -

Leav e pe r Owner' s Reques t 

# O Vr- O F 1 = 2 2 PP M 

# : i
f-i- . ^-' ^
Lagen d Generat e l^y i ExcavatK l AT M H Existin g Stiuct m » » * Fww e ^2 3 Ptnnanen i Landscapin g

———Quadran t Boundar y ^^^—Stree t Boundar y \J > Tiee/Shm b 

# OAOOQi^^ ^ "Sout h 3 2 Avenu e Nort h Arro w

Scal e 1 Inc h • 2 0 fee t o r1 gri d = 5 K5 S

^<^" % F 1 . 

# ^.\ wHG L F 2 B 1 t'~°^'--'-.;'-nlt Bustle s - Remov e pe r Owner' s Reques t i'- ;

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Omah a Lea d Sit e Omaha . Nel>rask a Propert yNumbe r OLS-1526 8 Propert yAddres s 282 0 S 32 AV E Pos t Excavatio n Concentraton s (ppm ) B 2 Pla yAre a D Z Easennen t Garde n Othe r Descriptio n o fpo«t«iicavM)o n arMi t F1 . fron t yar d l*ft.nan d guadranl . F3 . fron t yar d right-han d quadran t B 1 tiackyar d l«ft..run d quadrant . 02 , tuckyar d right-han d quadrant . DZ , dr vzon e (1- 3 tool ari B o l «ir i artxin d ttt a feundation o f lh « tiouia) . 

### Legen d Are ano t Excavate di^^yi Dripzon e Excavate dK?S ^ Quadrant s Excavate d 

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

# Propert yCompletio n Agreemen t Thi s agrccmci UdociiiiiciU s Ih c complclionof remedia l activitie s performedo nm y properly , M y signatur e will designate tha i 1 a msatisfiedwit hthe restoratio no f m y property , an dtha t no item s ar c i n questions , now , o r

a

t an y lim e i nthe future , except thos e item s listedbelow , i f

any . Propert y lU : ^ t ^ "Z^ ^ Propert y Address : 'Z^Z/ ^ S SZ-AJg - Owner ; 

## ^}^e \

<CA:2>P Y Phon e 

# ' - ^S?> ' [Oa G Restoratio n Item s i n Question :

Item : 

# FiS ^ 9(^EuJAUfi , Item : Item : Item : Item : Item :

• • • . . . ••.- • • • " : . . . . • ; • . \ ' 

### Additiona l Comments :

V ^ I sigrc c n restoi-iitio ni. s c«inplcte<l , excep t a. s note d I I <k » no l «prc c i-cstoratio ni s complete d 

# L-VJo:: ^ 

# 1 Owner' s 

### Dat e I

# ^ m 

# EPA EP APropert y Clos e Ou t For m Propert y # : 

# / 5 ; Propert y Address : ^^< ^ ^SZ'^
- Date/Time : Owner' s Name : <^rv ^ ^..tyV/ y 

## ? X ^ 0 1 

# i ^ Quad s Excavated : Contracto r Grou p Excavatio nGenera l Yes_JSo _ 1 .I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

# \ y [ ^ ' 2 .I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? Gradin g So dan dVegetatio n Ye s No 1 .Doe s th e gradin g aroun dth e perimete r o f th e house i nexcavate darea s generall y slop e awa y 

## L- ' fromth e house ? L / ' 2 .Ha s so dbeenlai dinal l area s that were excavated ? 3 .Doe s th e sodappea r t o b e generall y healthy andgrowing ? (Onl y evaluat e if inspecte da t a3 0 da y tim e period ) 4 .Ar e sodde darea s generall y firmandevenl y graded ? 

## U ­ 5 .Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e if inspecte da t a3 0 da y tini e period ) _^____ _ 6 .Wa s th e property grade dsuc htha t water will not poo l onth e property ? 

## L^ ^ 7 .Wa s damag e t o landscapin g o r plant material s avoided ? 

## t/ ' Gates , Fence s an dRetainin g Wall s Ye s No I .D o gate s openan dclos e freely? (I f applicable ) 2 .Wer e all gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

## L^ ­ 3 .Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 

## U^ ' 4 .

Wa s damag e t o retainin g wall s avoided ? (I f applicable ) 

# U^ Foundation , Sidin g an dGutter s Ye s iN o 1 .Wa s damag e t o th e sidin g o r tri mavoided ? 

## L. / 2 .Wa s damag e t o th e foundatio navoided ? 3 .Wa s damag e t o window s avoided ? 

### L / " 4 .

Wa s damag e t o window s o r doo r screen s avoided ? 5 .Wa s damag e to dowTispout s o r downspou t extension s avoided ? L / ^ Sidewalk s an dDriveway s (Concrete ) Ye s No 1 .Wa s damag e t o drivewa y surface s avoided ? 2 .

Wa s damag e t o walkway surface s avoided ?

## Owner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-day so dwarranty : EP ARepresentativ e L_Jn ^ IjaJLJL ^ Date : ^^1/0 1