## TRANSMITTA Lo f

OMAHALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R 

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### Vide o o f propert y (DVD ) Executiv e Summary EPA-provide dpropert y sketc h Signe dAcces s Agreemen t for subjec t propert y D 

### Signe dAcces s Agreement(s ) for adjacent propert y 

# 7 Restoratio nAgreemen t Settlement 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 no t meetin g RO D cleanu p criteri a D 

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Omah a Lea d Sit eTota l Quadran t Squar e Footag e t o b e Excavate d = 144 2 Propert yClassification : 80 0 Tota l DjjjZon e Linea rFootag e t o b e Excavate d = 9 0

Desaiptio n ofpos t excavatio n areas : F1 , fron t yar d left-han d quadrant ; F2 , fron t yar d right-han d quadrant ; Bl , backyar d left-han d quadrant ; B2 , backyar d nght-han d quadrant ; DZ , dri p zon e ( 1 - 3 foo t are a ofsoi l around th e foundatio n ofth e house) .

## 4902 8 Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName : JO E DELO AS R Address : 473 6 S 1 9 S T

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### Dougla s County Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d Informatio n i s vali d a s o f 2007-7-1 9 Value s no t finalize d unti l afte rBoar d o f Equalizatio n ­ R172863000 0 Prin t Repor t Vie wo n Ma p Owne r DELO AS R JO E 473 6 S 1 9 S T OMAH AN E 68107-000 0 Propert yInformatio n Ke yNumber : 286 3 000 0 1 7 Accoun t Type : Residentia l Parce l Number : 172863000 0 Parce l Address : Lega l Description : 473 6 S 1 9 S T OMAH AN E 68107-000 0 MCGAVOC K& OKEEFE S LO T9 BLOC K3 N 3 5 F T3 5 X 13 0 Valu e Informatio n 200 7 200 6 200 5 200 4 200 3 200 2 Lan d $5,600.0 0 $5,600.0 0 $5,600.0 0 $5,600.0 0 $5,600.0 0

$0.0 0 Improvemen t $41,600.0 0 $31,400.0 0 $31,400.0 0 $31,400.0 0 $26,800.0 0 $0.0 0 Tota l $47,200.0 0 $37,000.0 0 $37,000.0 0 $37,000.0 0 $32,400.0 0 $0.0 0 Sale s Informatio n Dat e Typ e Boo k Pag e Pric e Lan d Informatio n Acre s 0. 1 S F 4725. 0 F F 35. 0 Unit s 1. 0 Dept h 135. 0 Widt h 35. 0 Vacan t N o Lan d Attribute s Attribut e Attribut e Descriptio n Improvement Informatio n Buildin g 1



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R172. . . 8/4/200 7

### Dougla s County Pag e 2 of 2

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"L.it^fii.Fj-.. : RarK h BASEMEN TPE R APPRAISE R 43 2 S O F T Clic k t o Enlarg e Imag e Clic k t o Enlarg e Imag e Squar e Footage : 891. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Fai r Uni t Type : Condition : Fai r Cond o Squar e Footage : 0. 0 Buil t As : Ranct i Rooms : 5. 0

HVAC : Centra l Ai rt o Ai r Units : 1. 0 Exterior : Fram e Viny l Baths : 1. 0 Interior : Drywal i Bedrooms : 2. 0 Roo fCover : Compositio n Shingl e Stories : 1. 0

Roo fType : Gabl e Foundation : Bloc k Floorcover : Allowanc e 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 0 % 192 0 8 7 Detai l Typ e Detai l Descriptio n Unit s Ad d O n Fenc e Chai n Lin k 1. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 432. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Garag e Detache d 216. 0 Porc h En d Scree n 70. 0 Porc h Sla b Roo fCei l 115. 0 Use r Partia l Basemen t 432. 0



### http://douglasne.mapping-online.eom/DouglasCoNe/static/accountinfo.jsp?aeeountno=R172. . . 8/4/200 7# 

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

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

# 4<^C^2 8 473 0 S / ^ 

# _^t . Date:<3f e /2^7Time : ?y ^ Action : <,:^. , ,j ^ 

## Date : Time : Action : 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 ENVIRONMENTA L GROUP , INC . 

# EXECUTIV ESUMMARY : 49028-^73 6 S 1 9 S T X N o Issue s o r Concern s Issues/Concern s Detai l Explanatio n

# 1 ^ As-Buil t Drawin g COASTA L 

# Oinah aLea dSuperfun dSit e CNVIRONMINTA L a KO U P . IM C TtAa i Ouadnsi l Squa e FOolag e t o t>e Enavalei l - 144 2 JRMOr^ZniiLJne s Fodbg e I D b e Excavate d - 9 0 

### Plac e grave l i n B 1 an d aroun d th e backyard . Replac e borde raroun d

D Z an d F 2 an d remov e al l smal l plants . Retainin g wal l alon g F 2

are a an d di g aroun d bushe s B 2 = 5 7 PP M @ 6 "

B 1 =4 5 PP M I

• z 166 8 piin i DZ=447PPM@14 "

EA-E = 5 1 PP M

^ . . ' . i " , J , y^'- - ••.- i < .1 - . y 

### SotJt h 9 Stree t ^k]rthA^m v Omali a Lea d Sit e ^

OLS# : 4902 8 Omana . HetxaEk a TM ^

DateExcavated : 8/27/0 7 Propert yNunibe f Bat e UsipAsigneSbff : MI/Q Z OLS-4902 8 rtopertyAddres s •—•— •Fenc e llrKli-zaileetarlgncl-SxSI t R

^ PamanefT t UndGcapm g 473 6 S 1 9 5 T Quociian l Boundai y Pos t Excavatio n Concentration s (ppm ) Stree t Boundaf y 

# Ai • HGi l F l B Z Ptay/>ve a F 2 D Z EaEemen t ^^

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### Legen d Are ano t Excavate d Dripzon e Excavate d Quadrant s Excavate d 

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

# t P APropert y Clos e Ou t For m Propert y#:_i/f^2 ^ Propert yAddress : ^^Zf^ZZZ^ ^ Datt/Tlmc : Owner' i Name : t-^ ^

/> 6 CC^ i • SJe ' Quad s Excavated : Contracto rGrou p Excavatto nGencn l Ye s N o 1 .Ifnecessary , wer e th e correc t quadrBm(s ) excavate dan drestored ? 

## y 2 .I f ncccssaw , wer e th e correc t area s ofdri p zon e excavate dan drestored ? 1 ^ Gradio K So dan dVctetatio a Ye s N o 1 .Doe s th e gradin g aroun dth e perimeter ofth e hous e i nexcavate darea s generall y slop e away ^ fromth e bouse? 2 .Ha s so dbeenlai di nal l area s tha t wer e excavated ? y 3 .

Doe s th e sodappea r t o b e generall y healthy andg^o^ » ing ? (On K evaluat e i f inspecte da t a3 0 da y tim e period ) 4 ..Aj e sodde darea s generall y fkm i an devenl y graded ? ly 5 .Ar e th e joint s betwee nthe so dstrip s generall y tight ? (Onl y evaloat e i f inspecte da t £3 0 da \ tim e period ) 6 .Wa s th e properry grade dsuc htha t w ater will not poo l o nth e proper n? l y '•^'a s damag e t o landscapin g or pla.i t :^;ateri6l s £ \cide c ? Guicv , Fence s aati ReiainiD t VVaiis Ye s N o 

## 1 1 ':D o gate s 3pena.n dclos e freeh? (I f applicable )



# - - 1 ! 2 .Wer e all gate s o r fence s take ndov/ ndurin g restoratio nacti \i-.ies re;r.£*Jil!ed ? , if applicable ) * ^ 

## i 1 1 3 . Wa s damag e t o gate s or fence s avoided ? M f applicable ) 4 .'A'a s damag e t c retainin g wall s avoided " i,! f applicable ) H^ A 

### i Foundation , Sidia g an dGutter s Ve s N' t 1 1 .Wa s damag e t o th e sidin g or trimavoided ? 2 .Wa s damag i to th e foundatio navoided ? ^ 3 . Wa s damag e t o 1 * indow s avoided' ' 1 ^ : 1 4Wa s damag e t o window s or door screen s avoided ? 1 

## ^1 5 .

Wa s damag e t o dovN-nspout s or downspout extension s avoided ? 1 Sidewall( S an dDrtveway s (Concrete ) >e s N o ! . Wa s damag e t o drivewa y surface s avoided' ' ^h 2 .Wa s damag e t o walkva v surface s avoided ? 

## y

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## Propert yCompletio n Agreemen t Thi s agreement document s th e completio no f remedia l activitie s performe donm y property . My signature will designate tha t I a msatisfie dwit hth e restoratio no f m y property , an dtha t n o item s ar e i nquestions , now , o r a

t any time i nth e fiiture , excep t thos e item s liste dbelow , ifany . Property ID : ^^'j^, ^ Propert y Address : <^~7^ y " ^ y^ P^Y ' Owner : ^ ^ 7P^y<:, y 

### Phone : 

# -733 ' Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item :

v\I agre e restoratio nIs completed , excep t a s note d I I d o no t agre e restoratio ni s complete d


### OWiier' s Signature Dat e ' Contractor' s Iignatur e ' ' D^t e I

### 'V PROPERTYCLEARANC E WORKSHEE T

Dat e Propert y ID 

# mnio i 4yjyyy> f Propert y Projec t Omah a Lea d — Fixe d Pric e Addres s Measuremen t XR

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Sampl e Are a 

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# 57 <9 1 XR F Correcte d Valu e —> (us e calibratio n ctiar t orad d 2 0 % to value ) 

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# I Sampl e Are a j^/-^7^ ~ Pass/Fai l ? I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin q Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s (Baq ) Sieved ) ^ XR F Correcte d Valu e —> (us e calibratio n char t orad d 2 0 % to value ) 

# iS i Sampl e Are a Pass/Fai l ? 

# m-/ ^ I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin q Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 (Baq ) Sieved ) ? 2 

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# IS O 3 

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# y y I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin g c Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s 1 (Bag ) Sieved ) 

# M 52 _ ^ry j 

# m M 3 W XR F Correcte d Valu e —> (us e calibratio n char t orad d 2 0 % to value l 

## ll 

# f i 3 ^ Sampl e Are a Pass/Fai l ? 

# Ol y y I n Sit u Composit e Composit e Analytica l Aliquo t Composit e Reading s La b Analytica l Readin g Averag e (Drie d & Spil t Sen t (Bag ) Numbe r Result s (Bag ) Sieved ) 

# yh XR F Correcte d Valu e —> (us e calibratio n char t orad d 

# 1; s^ ^ 2 0 % to value ) US E /lODinOHA L SHCH S i f XR F Technician' s Signitur e HIFDF D

## Omah a Leac^l ^ Propert y#4902 8 Al l Sample s take n t^ff g Equipmen t #0107-5 1 XR F fo r6 1 nomin'3rsecond s n^^ e 

### Dat e Readin g # Tim e Stanard s Readin g Toleranc e (+/- ) 3/31/200 8 7 6 160 0 Hig h 438 0 +/ - 23 0 7 7 Me d 100 0 +/-8 4 7 8 Low 24. 3 +/-2 9 8 5 163 0 Hig h 505 0 +/-27 0 8 6 Me d 106 0 +/-8 9 8 7 Low37. 7 +/-3 1 

### Dat e Readin g # Sampl e Dept h Readin g Toleranc e (+/- ) 3/31/200 8 7 9 D Z 14 " 476. 0 51. 0 8 0 D Z 14 " 412. 0 47. 0 8 1 D Z 14 " 452. 0 49. 0 AV E 446. 7 49. 0 8 2 EA- E 0-2 " 48. 2 26. 0 8 3 EA- E 0-2 " 30. 3 25. 0 8 4 EA- E 0-2 " 73. 5 31. 0 AV E 50. 7 27. 3.- 2 /< • * ••' t v' ' Tota l Quain t Squar e Footag e t o b e Excavate d = 144 2 Propert yClassification : 800 \. yC:Jtj.>^ts' i Z. f > ui : IZ . Total^J^on e Linea rFoolag e t o b e Excavate d = 9 0



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# Owne r Signatur e J ^ ^ ^ ^^/---^^ _^ Contracto r Signature"^ ^ ; r 7 ''--^^^y ^ ^ A.^,^t o au . COASTA L E N V I R 0 N n E N T A L C R C U P 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 Unitec i 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 : 'JQ c7>cl&t^ . ^i ^

. Daytim e Phone : yO Z ~ 7 ^ ^ -7 9 ? ^

Addres s o fPropert y 

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# M - 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 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 

### 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 , at 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 effect unti l th e wor k ha s bee n satisfactoril ycompleted . Th e Granto rals o agree s to :

Pag e 1 o f2sy ^ « j \ '••'* * o * ^ ^ ^ ^ COASTA L

' "SO^* - C . C U F . 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 o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma ywis 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 b yEPA ; •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 . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (877 ) 234-6270 . I gran t access t o m ypropertie s Q I d o not gran t access t o m ypropertie s 

# %.^ 7 ^ y , ^ ^ fjiil,: ^ Signatur e Dat e Signatur eDat e
O 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 o f thi s agreement i s t o provid e amutual agreemen t a s to condition s ofth e property prio r t o remediatio nactivities . Thi s wil l als o serv e a s documentatio nfo r th e purpos e o f assurin g that restoratio n activitie s ar e complete dt o th e satisfactio nofth e propert y owne r andth e Unite dState s Environmental Protectio nAgenc y (EPA) .

Property ID : ^^^ ^ 8 Property Address : i/7-^ y S . / Q ^ ^ S -f - Owner : ^^

_^^,^ ^ ^ ^ Phone : y^ , ^^ , - , . jcj^^ ^ O nth e attache ddiagram(s ) indicate area(s ) to 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 ) to be usedb y contractor , an dthe directio no f North . Indicate distances , depths , materia l types , etc . Indicate digita l photo s b

y referencin g the photo-lo g number wit ha narro w indicatin g directio no f view . Item s T o B e Remove d B yOwne rBefor e Star t O fRemediation : (Us e additiona l sheet s a s necessary ) Th e removal , storage , disposal , and/o rretur n o fthes e item s i s th e Owner' s responsibility . Item : . Item : Item : Item : Item : Item : Item : Item : Pag e 1 of .

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### Ite m Quantit y Uni t Condition/Type/Specie s

Pre-existin g property area , that wil l b e excavated , that Square feet 

# 0 ^ i s coveredwit hgrass . 

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Numbe r o f tree s > 2 inch Each trunk diamete r

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

Numbe r o f Sprinkle r Zones , Contro l Valves , Timers , Heads , etc . Each Attac hasketc ho f th e sprinkle r las out .
Numbe r o f an dsiz e o f eac hgarden/ flower be d area . Each Squar e Feet .Attac hasketc ho f relativ e size s an dlocations .

Pag e 4 of .

### Ite m Quantit y Uni t Condition/Type/Specie s Agree d upo n valu e o fplan t material s not t o b e replace d b ycontractor . Not e thi s valu e wil l b e use d t o issu e a plan t vouche rt o th e propert y owner . Agree d upo n lis t o fplan t material s tha t wil l b e replace d b ycontractor . B e veryspecifi can d detailed . Eac h Includ e a sketc h o fv.ere eac h plan t wil l b e place d b vth e contractor . — .Asiree d upo n are a c f propert yt o be replace d wit h gras s sod . 

# f S ^ S F Includ e a sketc h o fth e 

# H area(s ) t o b e replace d wit h sras s sod . Are a o fCit \ o rCount N propert } t o b e landscape d pe rthei rrequirements . S F Includ e a sketc h o fth e area(s )

Pag e 5 o fAdditiona l Comment s / Instructions : 

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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 f house , includin g foundatio n crack s o rfissures .



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## • yyy^=^ y ^y-J^' ^ . 7 gnatur e Dat e 

# y ^ K y..2 , ^e-'^- ^ yy^& L O'wner' s Signature Dat e Pag e 6 of ictor' s Sisnat u