## TRANSMITTALo f

OMAHALEA D SIT E SOILREMEDIATIO NFIL EFOLDE R
SAID# : 

# y^i- ^ Date : ^ 

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# Uoi i (^ W^ f Remediatio nContractor : Coasta l Environmenta ) Grou p Year : 2010ARR A
SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S 

# 7 Vide o ofpropert y (DVD ) ^ / 

### Executiv e Summar y EPA-provide dproperty sketc h 

# 7 Signe dAcces s Agreemen t fo r subjec t property Signe dAcces s Agreement(s ) fo r adjacent property Restoratio nAgreement Settlemen t document s (i.e. , fo r damag e or t

o replac e plants , etc. ) Confirmatio n dat a 

# 7 Photograph s 

# 7 As-buil t sketc h 

# 7 Satisfactory restoratio nsigne db y Property Owner 

# 7 Property close-ou t chec k lis t signe db y EP A Descriptio no f area s not meetin g RO D cleanu p criteri a Utilit y clearance s 

# y Propertvi«^fmatio nfromDougla s County Assessor' s Office D I J 

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### )ate 3023733 9 

# •I M Superfun d

## Propert yAcces s Checklis t Propert y ID : ^^^^ ^ D WOR K STARTE D ON :

_ / /_ Propert y Address : nWORKCOMPELTE D ON : / / 3kW ^ , VJ__5 J ^v , Owner : Renter : gt - 0^\nl^y ^ 

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### Dougla s County Accoun t In|^natio n Pag e 1 of 2

n|^n a % Dougla s County , Nebrask a Propert yRecor d - R203055000 0 Prin t Repor t Vie wInteractiv e GI S IMa 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 CITYO F OMAH A c/ 0 CITYFINANC E 181 9 FARNA M S T OMAH AN E 68183-000 0 Propert yInformatio n Ke yNumber : 305 5 OOO O 2 0 Accoun t Type : E xGovernmen t Parce l Numlier : 203055000 0 Parce l Address : 260 5 N 1 8 S T OMAH AN E 68110-000 0 Lega l Description : PRUYNE S SU B DI V LO T2 5 LO T8 BLOC K0 33. 3 X 10 5 Valu e Informatio n Lan d Improvemen t Tota l 201 0 $0.0 0 $0.0 0 $0.0 0 200 9 $0.0 0 $0.0 0 $0.0 0 200 8 $0.0 0 $0.0 0 $0.0 0 200 7 $0.0 0 $0.0 0 $0.0 0 200 6 $0.0 0 $0.0 0 $0.0 0 200 5 $0.0 0 $0.0 0 $0.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0. 0 0. 0 0. 0 0. 0 0. 0



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### • YOURTICKE T NUMBERI S 2621253
. Origina l Cal l Date : 10/19/1 0 Time : 6:0 1 pm Op : ELI2LABETH1879 0 Wor k t o Begi n Date : 10/22/1 0 Time : 7:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 260 5 Street : N18T H S T Twp : 15 NRng : 13 E Sect-Qtr : 10-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D REMEDIATION Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AND T O TH E PEDESTAL Remarks : FA X AL L CLEAR S TO : (877)662-421 1 : UNSUR E I P CORNE R LOT . CompcUi y: COASTAL ENVIRONMENTAL SERVIC E Contac t Name : ELIZABET H Phone : (877)662 -421 0 Wor k Bein g Don e For : COASTAL Dept h o f Excavation : 4 F T Come r Lot : N Involve s Tunnelin g o r Horizonta l Borin g : N Front : Y Explosives : N Rear : CXCAT V Mtroo i OMAHACO F 0PPDGPR 5 QLNNEI C

Servic e Are a Contac t Plion e Numbe r Utilit y Typ e
CXCAT V CO X COMMUNICATIONS , INC HEIDI 

### Day : 402934046 9 Alt : 402934046 9 Emeig : 402932975 7
MUDO l METROPOLITA NUTILITIE S DISTRICT SANDY 

### Day : 402504782 3 Alt : Emerg : 402504797 0
OMAHACOFCITY OFOMAHA-TRAFFICSEWERRICH/TRAFFIC 

### Day : 402444719 7 Alt : 402444516 1 

### Emerg : 402444516 0
0PPDGPR 5 OMAH APUBLIC POWE RDISTRICT EL M LOCATING 

### Day : 406728934 3 Alt : 406207149 4 

### Emerg : 888728934 3 QLNNEI C QWES T LOCA LNETWOR K 

### Day : 406728934 3 EL M LOCATIN GAlt : 406207149 4 Emerg : 888728934 3
http://www,dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT.
. . 10/19/201 0OLS# : 2923 1 

# ^ As-Buil t Drawin g ^ Dat e Excavated : 11/2/201 0 Dat e USEP ASione d Off : 12/2/201 0 COASTA L 

# Wnah aLea dSuperfun dSit e Are a Sodden : 232 0 s o f t

Name : C i T ' r Omah a Lea d Sit e Address : 2^/-- ; .<7
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### Legen d Concret e Dri p Zon e Excavate d Quadrant s Excavate d Are a replace d wit h So d' ' Are areplace dwit h Rock/Mulc h Are aleft bar e 

### Contrac t # : EP-R7-07-0 5 Coasta l Environmenta l Grou p Inc
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### RiGH i O F ENTR YT O PREMISE S 

### Grgnlo i (th e property ' ownei ) consecit s t csn d aulhoii2.e £ th e Unite d State s Fnviionmenta l Protectio n Agenc y(F-PA) o i it s authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m cerlai n enviiontrienta ! lespons e activities ; upor i th e followin g describe d premises :

ownei' s Wame:.,?^<? - CUka ^ 0>^Ut Daiflim e Phone : Lfi^i^i - L^ j y^j y

Addres s o fPropert y covere d b ythi s 

# o?^or//-^ ^ /(j ^ sA-,c^ 7 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 y 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 , it s employees , contractor s an d subcontractor s th e righ t t o ente rth e property , a t al l leasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o fperformin g th e wor k Thi s acces s shal i remai n i n effec t unti l th e wor k ha s bee n satisfactoril ycomplete d Ih e Granto rals o agree s to :

Pag e 1 o f? f CC C AS I ^ I I^ V p * 0 » • t-. ' • 1;
. I



### < Remov e obstiuciion s includin g boats , tioileis , vc-.hiclGs , pisytcafj e piles , rioo houses , etc : iif-mr , woo d I rfemov e fiov>'e i bulb s o i pieiiii ; tha i th e Granto i o rth e Gicfitoi' s t(-,nc.n l ine yw t o save ; is h Wate ran d msintai n leplscernen t vegetation , includin o ferlili?.e r necessary ' subsequen i t o a n initia l waterin g perio d b yEP/-\ ; sppiicption , a s

' Abid e b yhealt h an d safet yguidanc e provide d b yEPA ; I fth e property ' i s rented , assis t EP Ai n obtainin g tenan t appiova l fo i th e propert yt o perfor m th e work
. acces s t o I Allov\ ' videotapin g and/o rphotographin g ofth e properly
. AGREEMEN TNO TT O 

### iKfTERFER E Th e Granto ragree s no t t o interler e o rtampe rwit h an yo fth e wor k activities , o i wit h an y o fth e wor k done , o rwit h th e equipmen 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 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 (402 ) 991-119 9

" ^ 1 gran t acces s t o m ypropertie s D I d o no t gran t acces s t o m ypropertie s


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## Restoratio n Agreemen t Th e purpos e o f thi s agreement i s to provid e amutual agreement a s to condition s o f th e property prio r to remediation-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 ar e complete dto th e satisfactio nofth e property owne r an dth e Unite dState s Environmenta l Protectio nAgenc y (EPA)
.

Property ID : 

# I PropertyAddress : ^^Q ^ A/o^J ^ /f ^ ^j^rcj

Owner : 

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# V^^ ^ O nth e attache ddiagram(s ) indicate area(s ) to excavate , surfac e structure s andlandscapin g feature s an d acces s location(s ) to b e use db y th e contractors . Indicate distances , depths , material types , etc . Photographicall y andVideographically document th e existin g condition s ofth e property andth e basemen t i

f necessary . 

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



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## Ite m Pre-existin g propert y area , tha t wil l b e e.xcavated , tha t i s covere dwit hgrass . Numbe r o f tree s > 2 inc h trun k diamete r Numbe r o f tree s < = 2 inc h trun k diamete r Numbe r o f Sprinkle r Zones , Contro l Valves , Timers , Heads , etc . .Attac hnsketc ho i th e .sprinkle r ki>OLit
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Additiona l Comment s / Instructions : Th e cit yo fOmah a ordinance s ma yprohibi t yo u fro m usin g dir t o rgrave l area s o n you rpropert y a s driveway s o rvehicl e parkin g areas . Th e Environmenta l Protectio n Agenc y(EPA ) ma yb e removin g an d replacin g soi l underlyin g a grave l o rdir t are a o n you rpropert ytha t yo u ma yb e usin g a s a drivewa yo rvehicl e parkin g area . I fthi s i s th e case , yo u shoul d understan d tha t thi s removin g an d replacin g o fsoi l doe s no t mea n tha t an yillega l drivewa yo rparkin g are a O n you r propert yi s mad e legal
. T o th e contrary , yo u ma yb e cite d b yth e cit yi fyo u us e a grave l o rdir t are a a s a drivewa yo rparkin g area , no t withstandin g an yremova l o rreplacemen t o fsoi l b yth e EPA
. I fyo u hav e an yquestio n abou t legalit yo fa certai n drivewa yo rparkin g area , yo u ma ycontac t th e cit yo fOmaha' s Plannin g Departmen t a t (402 ) 444-5150
. \y \ Pleas e chec k thi s bo xi fyo u understan d th e informatio n outline d above
.

ra^heck 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
.

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

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Supervise d B y 

## Certificat e o fVerificatio n

13 6 SOI L 2011-01-1 2 17:5 4 91.4 6 Fina l Avg of 133-13 5 260 5 N1 8 S T E A 4 " C.PADILL A CONFIRMATIO N CLEA R

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

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pp m P b 305.22 1 Supervise d By : 

## Certificat e o fVerificatio n

13 3 SOI L 2011-01-1 2 17:5 3 30.5 1 Final 2923 1 260 5 N 1 8 S T EA 4 " C.PADILL A CONFIRMATIO N CLEA R

d b Erro r ± 23.11 4

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

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pp m P b 339.48 8 Supervise d By : 

## Certificat e o fVerificatio n

13 4 SOI L 2011-01-1 2 17:5 4 30.6 3 Fina l 2923 1 260 5 N 1 8 S T E A 4 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r 23.92 3

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

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pp m P b 321.93 1 Supervise d By : 

## Certificat e o fVerificatio n

13 5 SOI L 2011-01-1 2 17:5 4 30.3 2 Fina l 2923 1 260 5 N 1 8 S T E A 4 " C.PADILL A CONFIRMATIO N CLEA R

Erro r ± 26.34 4

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d B y 

## Certificat e o f Verificatio n

14 0 SOI L 2011-01-1 2 17:5 7 90.6 8 Fina l Avg of 137-13 9 260 5 N1 8 S T F l 4 " C.PADILL A CONFIRMATIO N CLEA R

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

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pp m P b 188.01 3 Supervise d By : 

## Certificat e o fVerificatio n

13 7 SOI L 2011-01-1 2 17:5 6 30.1 9 Fina l 2923 1 260 5 N 1 8 S T F l 4 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r ± 21.28 6

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

XL3t-3902 2 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 P b 219.17 8 Supervise d By : 

## Certificat e o fVerificatio n

13 8 SOI L 2011-01-1 2 17:5 6 30.2 2 Fina l 2923 1 260 5 N 1 8 S T F l 4 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r ± 22.72 8

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRESS QUADRANT DEPH T XR F TEC H MIS C NOTE

pp m Pb 226.08 9 Supervise d By : 

## Certificat e o fVerificatio n

13 9 SOIL 2011-01-1 2 17:5 7 30.2 7 Fina l 2923 1 260 5 N 1 8 S T F l 4 " C.PADILL A CONFIRMATIO N CLEA R
Erro r ± 22.45 8

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

Supervise d By : 

## Certificat e o fVerificatio n

14 4 SOI L 2011-01-1 2 18:0 0 1478.8 4 Fina l Av g o f111-14 3 260 5 N 1 8 S T B l 6 " C.PADILL A CONFIRMATIO N CLEA R

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

XL3t-3902 2 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 P b 286.27 2 Supervise d By : 

## Certificat e o fVerificatio n

14 1 SOI L 2011-01-1 2 17:5 8 30.2 0 Fina l 2923 1 260 5 N 1 8 S T B l 6 ° C.PADILL A CONFIRMATIO N CLEA R

± Erro r ± 25.28 2

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

XL3t-3902 2 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 P b 256.50 3 Supervise d By : 

## Certificat e o fVerificatio n

14 2 SOI L 2011-01-1 2 17:5 9 30.2 9 Fina l 2923 1 260 5 N 1 8 S T B l 6 " C.PADILL A CONFIRMATIO N CLEA R

± Erro r 24.20 4

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

XL3t-3902 2 Readin g N o Mod e Tim e Duratio n Sequence Flag s BVI D ADDRES S QUADRANT DEPH T XR F TEC H MIS C NOTE

pp m Pb 260.47 9 Supervise d By : 

## Certificat e o fVerificatio n

14 3 SOI L 2011-01-1 2 18:0 0 30.6 6 Fina l 2923 1 260 5 N 1 8 S T B l 6 " C.PADILL A CONFIRMATIO N CLEA R
Erro r 21.12 7

## i^JJL \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 o ^^^ ^

° Coasta l Environmenta i Grou p inc
. \y^^ ? www.coastaihazmat.co m ^^tPBoT* ' COASTA L ENVIIONHENTA L e II O U P
. IH C 

# EXECUTIV ESUMMARY : BVID #29231-(260 5 N1 8 ST ) No Issue s o r Concern s Q Issues/Concern s Detail Explanation : -DA NGARVE Y WALKE D TH EPROPERT Y O N12/2/201 0

### # 

## EP APropcrtA ' Clos e Ou t For m ;>P<T ; A / 

### ml , s4to/

- Propfrt) ' tf : 

## .yl^U Propert y Addrtjr
. Dste/rirae : Owner' s Nsrot ' '•

­ -<a/2./i o Quad s F.xcBVHtf d Coniracto r Grou| i CeotrfX '

. Fi^-B t E:itavatlo n (Jenera l I I f ncctssarj' , wer e th c corrtc t quadranl(s ) excavate dan drestored' ' 

# y7-
. 2 I f nctessani' , *er e th e correc l area s of dn p /on e excavate dwidrestored' ' 

# 4 Ciradip RSo dan dVtucUtio n 1

_ 2 Doe s the {radin g aroun dth e pcrimeic r ofth e houv e i nexcavairr i area s generally sK>|> t awa ^ from Ib e house ? Has so dbee nlai dinall area s thai wer e excavated ? 

# A \

'i Doc s the iodappea r to b e generall y health y andgrowing ? (Onl y evaluat e i f insprrifda i a.f O j y day time period )
__• A. Ar t sodde darea s gemerally firmandevenl y graded' ' ! 7

- I * Are th e Joint s berwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f m^pccicr i a

t a3 0 da y > Jjmej>eriod }
_ 

# _y r 6 Wa s the propen y grade dsuc htha i wate r will uoi poo l (i nih t propenv" ^ 

# \ y

... A
. • 1 Wa s damig e t o landscapin g or plan t mairrial s avoided' ' 

### 1 y Catet
. Ftpce s an dRetJipIn g Watl s D o gate s openandclos e freely'' (I f applitablr ) 

# ! y , I 2 Were al l gate s oi fence s lake ndov\T i durin g restoralio nacliviiie s reinstalled'. ' (II apolicahl f i 

# " ' y y

' Wa s demag e to gate s or fence s avoided ? (irapplicablc j 

# I / I 4 Wa.^ dam&g e t o retainin g wall s avoided ? (Ifapplicable ) 

# 1 /i ' Foupdarion , Sidin g an dCutler s _ I Wa s dunag e to th e sidin g o r tri mavoided ? 

### y 

# + i 2 Wa s damag e i nthe foundatio navoided' ' 

# y \ Wa s damag e l c window s avoided' '

^ Wa s damag e to window s o r doo r screen s avoided' ' 

# J / I
. J •^ Wa. ^ damag e to downspout s n r downspou i txiension j avnidci)' ' 

## I / i : ^d^^lkjjn dDriveway s (Concrett ) I : I Wa i damag e lo drivewa y surface s avoided ' > c s ^f • 

### ! / '' ' 2
. Wa s demBg e l o walkwa y surface s avoided' ' 

# 1/1 ' 

# 1

# .c > Propert yCompletio n Agreerrien l
Iht i Httccmen i dllculn(:nl ^ Ih e ctimplcllO n o l tcincdia l aciivme i pt i lonnt d on m yptoperl yM ysignatut e wil l designat e ilia i I a m satisfie d wit h ih e icsloialio n o fm yproperl y»ndiha i n o iir.m! ; ar e m que.«iion s now , o ra i an ytim e m th e tuiuir
. except ihos e item s hile d below , i fan y Propc t ty II) : ^ ^2, % I Owner : C > ^'^^ j Q fQ ^

CJiKc±
_
Restoratio n Ilem s I n Queslion : Item : lt«m : llem :

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I Item : Item ; Hem : 

# ZZ ]
Addiliona l Commenls :

Qjs l ii^rt t rc«loi»lio n l < cvmpltltd , ctctp i t i nni»( 1 [_ J I rid nn t aijrt cirtitir;ili<i n t t toniplclrr i 

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