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## i j Photograph s m As-buil t sketc h b/^t^^[W> ^ XtKC^?nilPrTVv A\^' ^
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## Signed;/_/<3^// Q By : ^ Restoratio nAgreement Signed ; / /ZH1 ^ By ; Q Topso USamplin g (i f applicable ) / / 

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### HVideo/Plioto s (Before) 

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Omah a Lea d Sit e 

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## Dougla s Count y Accoun t In^jnatio n Page1 of 2 

# ^l^ t % Dougla s County , Nebrask a Propert yRecor d - R180325000 0 Prin t Repor t NE

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f52nd S t - Viewo n Ma p Infomiatio n i s vali d a s o f2009-11-1 9 Treasurer' s Ta xRepor t Ne wFeatur e - > - > ^ Aut o Sale s Searc h Owne r WILSO N JOSEP H P ETA L 311 9 MYRTL E AV E OMAH AN E 68131-000 0 Propert yInformatio n Ke yNumber : 032 5 000 0 1 8 Accoun t Type : Residentia l Parce l Number : 180325000 0 Parce l Address : 311 9 MYRTL E AV OMAH AN E 68131-000 0 Lega l Description : MONTCLAI R AD D LOT11 7 BLOC K0 4 8 X121. 6 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $2,500.0 0 $76,100.0 0 $78,600.0 0 200 8 $2,500.0 0 $76,100.0 0 $78,600.0 0 200 7 $2,500.0 0 $76,100.0 0 $78,600.0 0 

### 200 6 $2,500.0 0 $76,100.0 0 $78,600.0 0 200 5 $2,500.0 0 $76,100.0 0 $78,600.0 0 200 4 $2,500.0 0 $52,100.0 0 $54,600.0 0 Sale s Informatio n Sale s Date : 

### 1995-05-0 3 Dee d Type : Book : 200 6 Page : 66 8 Price : $ 43,500.0 0 Grantor : Grantee : Valld/lnvalld : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 

### 0.1 3 5808. 0 

### 1.0 121. 0 48. 0 N o Improvemen t Informatio n


## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl..

. 11/25/2009

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### 1. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 191 8 0 % 191 8 9 2 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Applianc e Fireplac e Masonr y 1. 0 Basemen t Bsmn t Bloc k 8 f t 1109. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 2. 0 Garag e Detache d 552. 0 Porc h En d Soli d Wal l 136. 0 Porc h Sla b w/Step s 28. 0



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### YOU RTICKE TNUMBE R IS 2475672

. Origina l Cal l Date : 4/26/1 0 Time : 4:4 7 pmOp : ELIZABETH1879 0 Wor k to Begi n Date : 4/28/1 0 Time : 5:1 5 pm State : NE County : DOUGLA S Place : OMAH A Address : 311 9 Street : MYRTL E AVE Twp : 15 NRng : 13 E Sect-Qtr : 16-NW-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e of Work : LEA D REMEDIATIO N Locatio nof Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D TO TH E PEDESTA L Remarks : FAX AL L CLEAR S TO : (877)662-421 1 : UNSUR E IF CORNE R LOT . Compan y: COASTA L ENVIRONMENTA L SERVIC E 

### Contac t Name : ELIZABETH Phone : (877)662-421 0 Wor k Being Don e For : COASTA L Dept h of Excavation : 4 FT Come r Lot : N Front : Y Rear : Involve s Tunnelingor Horizonta l Boring : N Explosives : N CXCAT V LEVEL 3 MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C

Servic e Are a Contac t PlioneNumber Utilit y Typ e Day : 402934046 9 CXCAT V CO XCOMMUNICATIONS , IN C HEIDI Alt : 402934046 9 Emerg : 402932975 7 Day : 877366834 4 LEVEL 3 LEVEL S COMMUNICATIONS , LL C NA Alt : 

### Emerg : 877366834 4 Day : 402504782 3 MUDO l METROPOLITA NUTILITIES DISTRICTSAND Y 

### Alt : Emerg : 402504797 0 Day : 402444719 7 OMAHACO FCIT Y

OFOMAHA-TRAFFICSEWE RRICHA-RAFFI C Alt : 402444516 1 Emerg : 402444516 0

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0PPDGPR 5 OMAH APUBLI C POWE RDISTRIC T Day :

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## Consen t fo rAcces s To Property 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 : D sT ) / f

Owner' s Name : / « .^ ^

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## Daytim ePhone : (^Z ^ S^Zi^O i

Addres s o fPropert y 

# 3([ ^ i\ALi^n^/^^ j covere d b ythi s Agreement :
PURPOS E O F RESPONS E ACTIVITIE S 

## Th e EP Ai s requestin g acces s t o collec tsoi l sample s an d remov e soi l tha tcontain s elevate d concentration s o flea d an d ma ypos e a healt h hazard

. Th e area(s ) wil i 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 t>ein 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 ti 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 vtnitte n documentatio n fro m EP Atha tth e propert y ha s bee n remediated

.
ENVIRONMENTA LRESPONS 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 tt 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 tunti l th e wor k ha s bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f2

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### cRemov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; e 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 ; cWate 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 b yhealt 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

. c

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 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 wothers 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 contact Coasta l Environmenta l Group , a t (402 ) 991-119 9

gran t access t o m ypropertie s D i d o not gran t acces s t o m ypropertie s

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Pag e 2 o f2COA S T AL 

## Restoratio n Agreemen t Thepurpos eofthi s agreemen t i s to provideamutua l agreemen t a s to condition s ofth epropert y prior to remediationactivities

. Thi s will als o servea s documentationfo r thepurpos e of assuring tha t restoration activitie s ar ecompletedto thesatisfactionof thepropert y owne r an dtheUnitedState s Environmenta l ProtectionAgency (EPA)

.

Propert y ID : ^^50 1 ( Propert y Address ; 3((< ^ P^UV^Tij ^ /^ V Owner : Phone : 

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

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## Ite m Pre-existing propert y area , tha t wil l b eexcavated , tha t i s coveredwit hgrass . Numbe r of tree s > 2 inc h trun k

diamete r Numbe r of tree s < = 2 inc h trun k

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COA S T AL O •O U P , INC

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AddKiona l Comment s / Instructions : Th e cit yo fOmah a ordinance s ma yprohib Kyo 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 underiyin 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 wKhstandin g an yremova i o rreplacemen t o fsoi l b yth e EP A 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 cKyo fOmaha' s Plannin g Departmen t a t (402 ) 444-5150

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

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pp m Erro r M o < LO D ; 7.52 7 Z r 367.14 3 ± 13.88 8 S r 165.19 9 ± 8.50 4 U < LO D I 13.63 8 R b 59.03 3 ± 5.94 7 T h < LO D : 11.62 2 P b 188.75 5 ± 17.86 4 S e < LO D I 5.56 1 A s 44.96 5 ± 16.58 7 H g < LO D : 12.36 9 Z n 180.76 4 ± 22.40 2 W < LO D : 84.66 7 C u 43.81 5 ± 20.55 7 N l < LO D 67.39 2 C o < LO D ; 165.58 7 F e 16536.81 3 ± 359.27 8 M n 403.38 7 ± 85.36 3 Supervise d By :

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

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 30 6 Mod e SOI L Tim e 2010-05-0 3 10:3 6 Duratio n 30.4 3 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T E A DEPT H 1 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 7.68 5 Z r 366.08 4 ± 13.94 7 S r 167.95 6 ± 8.60 6 U < LO D 13.94 9 R b 61.44 3 ± 6.08 8 T h 13.80 8 ± 8.20 8 P b 204.08 5 ± 18.62 6 S e < LO D 5.73 0 A s < LO D 24.72 8 H g < LO D 11.85 9 Z n 184.11 9 ± 22.53 4 W < LO D 81.26 7 C u 35.22 2 ± 20.06 8 N i < LO D 69.16 6 C o < LO D 164.09 9 F e 16390.88 5 ± 359.24 4 M n 481.02 7 ± 90.02 3 C r < LO D 653.21 2 V < LO D 2138.74 8 T i < LO D 6645.93 8 S c < LO D 655.90 9 C a < LO D 11696.62 0 K < LO D 26206.18 9 S < LO D 601.46 1 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 30 7 Mod e SOI L Tim e 2010-05-0 3 10:3 6 Duratio n 30.1 0 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T E A DEPT H 1 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D ; 7.71 0 Z r 365.99 7 ± 13.95 2 S r 168.52 1 ± 8.62 6 U < LO D : 13.58 3 R b 55.04 5 ± 5.81 2 T h 13.25 9 ± 8.00 3 P b 187.31 3 ± 17.97 5 S e < LO D 6.03 4 A s 36.45 5 ± 16.37 3 H g < LO D 11.10 7 Z n 185.24 8 ± 22.40 1 W < LO D 73.67 4 C u 34.10 1 ± 20.00 5 N i < LO D 72.61 6 C o 193.25 8 ± 113.42 0 F e 16295.80 6 ± 358.30 3 M n 384.88 9 ± 84.81 5 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 30 4 Mod e SOI L Tim e 2010-05-0 3 10:3 4 Duratio n 90.3 5 Sequenc e Fina l Flag s AVERAG E ^--Avg-nf'-wrtrw n . ADDRES S 311 9 Myrtl e av e QUADRAN T D Z DEPT H 1 0 TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.03 1 Z r 419.91 5 ± 15.36 8 S r 183.19 8 ± 9.30 2 U < LO D 14.72 6 R b 63.54 1 ± 6.41 4 T h 14.96 8 

### ± 7.84 8 t^t3:3 M ^54;895= 7 S e < LO D 5.59 7 A s < LO D 19.37 3 H g < LO D 12.32 7 Z n 98.29 5 18.34 3 W < LO D 87.20 6 C u < LO D 30.36 3 N i < LO D 74.93 7 C o < LO D 181.98 2 F e 18380.99 8 394.33 9 M n 231.9 0 75.94 1 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 30 1 Mod e SOI L Tim e 2010-05-0 3 10:3 2 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T D Z DEPT H 1 0 TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 7.98 3 Z r 427.53 9 i 15.40 8 S r 172.17 8 ± 9.01 0 U < LO D 14.95 1 R b 71.39 5 ± 6.71 0 T h 15.79 4 ± 7.91 9 P b 111.04 4 i 14.76 7 S e < LO D 5.79 6 A s < LO D 19.44 0 H g < LO D 11.87 5 Z n 101.87 0 ± 18.44 4 W < LO D 84.64 3 C u < LO D 30.69 7 N i < LO D 76.60 6 C o < LO D 183.44 5 F e 18434.58 6 ± 393.73 9 M n 211.20 6 ± 74.42 9 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 30 2 Mod e SOI L Tim e 2010-05-0 3 10:3 3 Duratio n 30.1 2 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T D Z DEPT H 1 0 TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m M o < LO D Z r 420.08 4 S r 183.45 0 U < LO D R b 59.34 0 T h 16.12 8 P b 120.43 1 S e < LO D A s < LO D H g < LO D Z n 107.76 3 W < LO D C u < LO D N i < LO D C o < LO D F e 18486.38 9 M n 269.17 0 Supervise d By : Erro r 8.02 2 ± 15.38 5 ± 9.32 0 14.62 1 ± 6.25 2 i 8.00 3 ± 15.33 4 5.81 6 19.92 5 12.35 9 ± 18.91 0 84.31 0 29.83 2 73.06 3 181.06 7 ± 395.77 3 ± 78.66 6

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 30 3 Mod e SOI L Tim e 2010-05-0 3 10:3 4 Duratio n 30.1 2 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T D Z DEPT H 1 0 TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.08 8 Z r 412.12 0 ± 15.31 1 S r 193.96 5 ± 9.57 7 U < LO D 14.60 5 R b 59.88 8 ± 6.28 0 T h 12.98 1 ± 7.62 3 P b 108.67 9 ± 14.58 3 S e < LO D 5.18 0 A s < LO D 18.75 6 H g < LO D 12.74 6 Z n 85.25 3 ± 17.67 6 W < LO D 92.66 4 C u < LO D 30.56 1 N i < LO D 75.14 1 C o < LO D 181.43 4 F e 18222.02 1 ± 393.50 6 M n 215.32 8 i 74.72 8 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 29 6 Mod e SOI L Tim e 2010-05-0 3 10:2 9 Duratio n 90.3 4 Sequenc e Fina l Flag s AVERAG E ADDRES S QUADRAN T DEPT H TYP E INSPECTO R

pp m Erro r M o < LO D Z r 445.48 0 S r 182.35 7 U < LO D R b 71.43 1 T h < LO D <eb z d^t ?

S e < LO D A s 31.48 6 H g < LO D Z n 118.54 8 W < LO D C u 38.14 9 N i < LO D C o < LO D F e 18385.20 5 M n 271.72 9 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 29 3 Mod e SOI L Tim e 2010-05-0 3 10:2 7 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T B l DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D : 7.83 7 Z r 441.40 5 ± 15.35 6 S r 180.26 3 ± 9.05 5 U < LO D 14161 2 R b 70.44 6 ± 6.55 1 T h < LO D 10.43 3 P b 123.75 9 ± 15.14 7 S e < LO D 5.77 3 A s 34.66 4 ± 14.18 7 H g < LO D 12.17 0 Z n 113.74 2 ± 18.97 3 W < LO D 84.16 3 C u 33.53 1 ± 20.46 5 N i < LO D 72.00 6 C o < LO D 179.22 0 F e 18461.19 7 ± 387.48 1 M n 253.31 8 ± 76.24 4 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 29 4 Mod e SOI L Tim e 2010-05-0 3 10:2 8 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T B l DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D : 7.80 4 Z r 441.34 8 ± 15.35 0 S r 179.25 3 ± 9.02 7 U < LO D I 15.58 2 R b 75.87 4 ± 6.83 0 T h 11.29 1 ± 7.46 1 P b 116.99 6 ± 14.80 2 S e < LO D 5.34 8 A s 25.83 9 ± 13.55 5 H g < LO D 11.58 5 Z n 125.98 0 ± 19.48 4 W < LO D 76.43 4 C u 57.78 7 ± 22.30 4 N i 90.85 8 ± 51.39 5 C o < LO D : 179.63 3 Fe 18352.16 4 ± 385.92 7 M n 247.82 2 ± 75.82 9 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 29 5 Mod e SOI L Tim e 2010-05-0 3 10:2 9 Duratio n 30.1 2 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T B l DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 7.92 4 Z r 453.68 7 ± 15.60 3 S r 187.55 4 ± 9.24 0 U < LO D 15.59 4 R b 67.97 4 ± 6.58 8 T h 13.06 2 ± 7.54 9 P b 110.51 5 ± 14.50 4 S e < LO D 5.90 6 A s 33.95 6 ± 13.64 9 H g < LO D 11.91 2 Z n 115.92 2 ± 19.21 8 W < LO D 87.40 2 C u < LO D 29.56 5 N l < LO D 71.06 3 C o < LO D 178.15 0 F e 18342.26 0 ± 387.04 9 M n 314.04 7 ± 81.63 3 Supervise d By :

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

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 29 2 Mode SOI L Tim e 2010-05-0 3 10:2 6 Duratio n 90.3 3 Sequenc e Fina l Flag s AVERAG E i^5$^fi89=2 S ADDRES S 311 9 Myrtl e av e QUADRAN T F2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D ; 8.14 0 Z r 428.55 7 ± 15.46 3 S r 176.18 2 ± 9.13 6 U < LO D : 14.63 9 R b 67.48 0 ± 6.54 5 T h < LO D : 10.92 7 i Ws ' • '10n.94 H ± . - . 1^1-31 -

S e < LO D J 5.35 0 A s 35.59 7 ± 13.52 1 H g < LO D \ 12.77 5 Z n 97.38 4 ± 18.29 3 W < LO D : g6.66 1 C u 40.97 7 ± ^ 21.^ 9 N i < LO D y ^ 7i(B3 4 C o < LO D / y: 190.43 6 F e 19661.709 / ± 

### y^l.1^ 1 M n 349.206 / 85.99 4 ^ < 7 ^- ^ Supervise d By : y ^ 

# y^ ^ y^^^^ ^

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 28 9 Mod e SOI L Tim e 2010-05-0 3 10:2 5 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T F 2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D ; 8.08 5 Z r 429.00 7 ± 15.44 9 S r 174.70 3 ± 9.09 4 U < LO D : 14.52 4 R b 66.57 5 ± 6.49 7 T h < LO D \ 10.56 3 P b 104.90 0 ± 14.35 0 S e < LO D I 5.48 2 A s 35.00 4 ± 13.66 2 H g < LO D : 12.71 8 Z n 89.24 7 ± 17.72 8 W < LO D ; 86.56 4 C u 34.70 1 ± 21.26 5 N i < LO D : 76.87 7 C o < LO D : 190.82 8 F e 19447.55 1 ± 405.36 9 M n 373.32 3 ± 87.22 0 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 29 0 Mod e SOI L Tim e 2010-05-0 3 10:2 5 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T F 2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.18 7 Z r 425.02 3 ± 15.38 1 S r 174.16 3 ± 9.06 8 U < LO D 14.83 8 R b 68.35 8 ± 6.59 5 T h 10.96 5 ± 7.30 8 P b 94.40 9 ± 13.75 9 S e < LO D 5.81 2 A s 46.16 8 ± 13.66 8 H g < LO D 12.64 4 Z n 82.86 9 ± 17.37 3 W < LO D 90.48 7 C u < LO D 31.25 6 N i < LO D 76.76 1 C o < LO D 188.26 5 F e 19738.53 1 ± 407.96 1 M n 349.54 7 ± 85.80 7 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 29 1 Mod e SOI L Tim e 2010-05-0 3 10:2 6 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T F 2 DEPT H 6 " TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D : 8.14 8 Z r 431.64 3 ± 15.55 8 S r 179.68 1 ± 9.24 6 U < LO D I 14.55 4 R b 67.50 9 ± 6.54 3 T h 11.83 0 ± 7.50 4 P b 103.53 4 ± 14.28 5 S e < LO D : 4.75 4 A s 25.62 0 ± 13.23 4 H g < LO D : 12.96 3 Z n 120.03 6 ± 19.77 8 W < LO D : 82.93 1 C u 59.45 6 ± 22.99 4 N i < LO D J 73.86 3 C o < LO D \ 192.21 5 F e 19799.04 7 ± 410.03 1 M n 324.74 9 ± 84.95 3 Supervise d By :

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

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 28 8 Mod e SOI L Tim e2010-05-0 3 10:2 3 Duratio n 90.3 5 Sequenc e Fina l AVERAG E cr:$5Z|PoP2S5^587——^^^ ADDRES S 311 9 Myrtl e av e QUADRAN TF l DEPT H 4 TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.19 2 Z r 435.08 4 ± 15.72 7 S r 181.75 5 ± 9.35 3 U < LO D 14.62 4 R b 66.60 7 ± 6.55 8 T h 12.70 5 ± 6.98 1 crE b •- = •c^arit5fi=r : ^ J ^y.oy4 — S e < LO D 5.47 7 A s 30.69 4 i 10.22 1 H g < LO D 12.63 8 Z n 61.22 4 ± 15.87 2 W < LO D ^,SQiQ2 S C u < LO D 

### ....--"•'^io B N i < LO D 78:83 0 C o < LO D y ^/l88.65 6 F e 19619.223 / ± y ^

411.09 2 M n 227.84 6 

# -y^'^'^^ ^ ^ ^ 

# ^rii^^"^" ^ Supervise d By : . y

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 28 5 Mod e SOI L Tim e 2010-05-0 3 10:2 2 Duratio n 30.1 1 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T F l DEPT H 4 TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m M o < LO D Z r 428.47 6 S r 178.18 9 U < LO D R b 69.49 9 T h 13.11 1 P b 41.33 2 S e < LO D A s 28.84 4 H g < LO D Z n 55.22 9 W < LO D C u < LO D N i < LO D C o < LO D Fe 19893.95 3 M n 261.12 9 Supervise d By : Erro r 8.31 6 15.61 0

9.26 1 15.14 1 6.71 6 7.07 0 10.19 1

5.75 0 10.29 9 12.37 7 15.31 1 88.36 6 30.67 6 75.44 2 188.70 8 ± 413.76 1 ± 79.84 4

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 28 6 Mod e SOI L Tim e 2010-05-0 3 10:2 3 Duratio n 30.1 2 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T F l DEPT H 4 TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D 8.15 9 Z r 445.92 2 ± 15.96 4 S r 184.54 2 ± 9.45 7 U < LO D 14.88 6 R b 62.01 8 ± 6.43 4 T h 14.73 1 ± ­ 7.17 8 P b 36.92 4 ± 9.75 9 S e < LO D : 5.16 6 A s 31.05 1 ± 10.17 8 H g < LO D : 13.10 9 Z n 76.76 9 ± 17.23 2 W < LO D : 92.15 6 C u 34.09 2 ± 21.67 5 N i < LO D : 76.90 5 C o < LO D : 190.54 0 F e 19677.71 7 ± 413.22 7 M n 210.25 6 ± 76.36 0 Supervise d By :

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

## Certificat e o fVerificatio n
XL3t-3208 9 Readin g N o 28 7 Mod e SOI L Tim e 2010-05-0 3 10:2 3 Duratio n 30.1 2 Sequenc e Fina l Flag s BVI D 2501 1 ADDRES S 311 9 Myrtl e av e QUADRAN T F l DEPT H 4 TYP E CONFIRMATIO N INSPECTO R N

. LOPE Z

pp m Erro r M o < LO D : 8.10 2 Z r 430.85 3 ± 15.60 8 S r 182.53 5 ± 9.34 0 U < LO D ; 13.84 5 R b 68.30 4 ± 6.52 3 T h 10.27 5 ± 6.69 4 P b 37.11 7 ± 9.73 2 S e < LO D : 5.51 6 A s 32.18 8 ± 10.18 5 H g < LO D : 12.42 9 Z n 51.67 6 ± 15.07 3 W < LO D : 89.55 1 C u 37.89 1 ± 21.68 6 N i < LO D : 75.14 2 C o < LO D : 186.71 9 F e 19285.99 8 ± 406.28 7 M n 212.15 9 ± 75.33 8 Supervise d By :

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

I Coasta l Environmenta l Grou p Inc

. \^^^j ^

www.coastalhazmatco m ^"iPBOTt ^ COASTA L ENVIIONNENTA l Ciour , IN C 

# EXECUTIV ESUMMARY : BVID #25011-(311 9 MYRTL EAVE )

~x | No Issue s o r Concern s [] ] Issues/Concern s
Detail Explanation

## EP APropert y Clos eOu t For m PropertyU : 7f50 ) 1

. . Dntc/Timc : • Owner' s Naine; , fejQ.^iTl. Ui>)?Xy\— Quad s Excavated : Contracto r Crou p Q?f3T^<Oi ]
Ye s N o Excavatio nGeneral 1

.If necessaiy , wer ethecorrect qtiadrant(s ) excavatedan drestored ? / 2

.i r necessary , wer ethecorreci areas ofdrip zon e excavaledaodrestored ? / Gradin g So dan dVegeUtio n Ye s N o 1

.Doe s the grading aroundiheperimeie r o

f thehous ei nexcavaledarea s generall y slopeawa y / fromth t house ? 2

.Ha s sodbee nlaidi nall area s tha i wer eexcavated ? 

## y ^ 3

.Doe s theso dappea r t

o be generally health y an dgrowing ? (Only evaluat ei

f inspecte da t a3 0 day tim eperiod) 

## y 4

.ARsodde darea s generally firman devenl y graded ? 

## y 5

.

Ar eth ejoint s betweet i th esodstrip s generall y tight ? (Onl y evaluat ei

f inspecteda t a30 da y 

## y timeperiod ) 6
. Wa s tbepropert y gradedsuc htha t wate r wil l no t pool o nthe property' '



### _ / 7
. Was damaget o landscaping o r plan t material s avoided ? 

### /
Gates

. Fence s an d RcUtain g Wall s

• 1

. D o gate s ope n an d clo.s e freely? (I fapplicable ) Ve s 

## y N o

2

. Wer e al l gate s o rfence s take n dow n durin g restotatio n activitie s reinstalled ? (I fapplicable ) / 3

. Wa s danug e t o gate s o rfence s avoided ? (Ifappiicable ) A

. Wa s damag e t o retainin g wall s avoided ? (I fapplicable ) 

# y J Foundation , SidiO Ran dGntler s t
. Wa s danug eto thesiding or nn mavoided ? Yes / N o
2

. Wa s danug eto thefoundatio navoided ? ?

. Was damag eto window s avoided ? 4 Wa s danug eto window s o r doo r screen s avoided ? S

. Was damag et o downspouts or downspou t extension s avoided ? / / / / 

### 1

Sidewalk s nn dDriveway s (Concrete ) Ye s N o 1

. Wa s danng el o drivewa y surface s avoided ? 2

. Wa s damag et o walkwa y surface s avoided ? 

# y /

## OM'tier s comments :

jln.spectio nnoies :

Remova l an dreslorationactivate s complet eincludin g th e30-da y so dwarranty : EP ARepresentative/9 ^ J3c ^ Date : s/r/i o

### #



## Propert yCompletio n Agreemen t
Dil i agreemen t documenli

. th e complclio n o fremedia l acliviiie s perloime d o n myproperl yM ysignalui e wil l designal e tha t I a m satisfie d wit h lh e resloralio n o fm yproperly , an d lhat n o ilem s ar e i n questions , now , o ra t an ylim e i n th e fuiure , except Ihos e ilem s liste d below , i fan y Piopert yfP : 2f^ \ \ Propert yAddrc.ss:^2, ( I q MuftiP , f\\l ^ 

# ^^""Ah^p ^ \AlilSny i 

# """f^cPg ) 3^.?.
- \^o \ Restoratio n Item s i n Question :

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

u Q I Rgrc crestoralio n rt completed , excep l a s noler i [_ | I rio no l «)>recresiorntio n i s complete d 

# r Vc^U^.^^'^tyry ^ ^)wncr',< : Signatnr e 

## ,r-/ S Date 

## ^ 1 0 3C(hMyn y Cont i arior' s Signatur e 

## ^ ^ Dal e



## -f h

## Propert y Owne r Assessmen t of Performanc e For m America nRecover y an dReinvestmen t Ac t CAR^)p

- ^ p„ Omah aLea dSuperfun dSit e ^ t L# F" 2009/201 0 *^ 

# '^^ ^12 'im Remediatio nContractor : Coasta l Environmenta l Grou p - EP-R7-Q9-0 6 Propert y Identifie r Number ; ^4Y)/, / ^^ERFL/MnHiwio. ^ Propert y Address ; ,^ l i qMv/H ^ hl f ^^^'^^ JDiViSlO N Propert y Owner' s Namc; ' LVY>fiJ)V ) \k \i \'>rY \ Instruction s to th e Propert v Owner : Thi s for mserve s to recordth ePropert y Owner' s assessment of perfonnanc e(Incentive1

- Quality Assuranc eSurveillanc ePlan ) involvin g th eliste dremediationcontractor , as applicable to th eOmah aLea dSite

. Thi s fonndocument s th etimelines sof punchlis t resolution , busines s relations , complaint resolutio nandth eoveral l qualit yof work

. If needbe , thePropert y Owne r ma y utiliz ethi s for m

to recordproblem s and/or issue s no t specifically tie d to anassigne d address , for example , busines s relation s tha t generally don' t follow theguideline s set fort h

inthe Performanc eWor k

Statement

. Th ePropert y Owne r will indicatehis/her assessment of performanc e wit hth econtractor' s wor kby checkin g annmerica l ratin g onth e tabl ebelo w usin g thenumerica l defuiition s firom theratin g scal ebelow , thensig n& dateth e forni

. 9-1 0 "excellent " 7- 8 "ver y good " 5- 6 "acceptable " 3- 4 "poor " 1-

2 "ver y poor " Propert v Owner' s Assessmen t of Performanc eRegardin g th eContractor' s Work 

## 10 _XJ J 5 9 4 8 3 7 2 6 1 Propert Comment s fro m(optional ; continu e onbac k pag e if needed ) Tt

y y

Owne

Owne r r Additiona

Additiona l l Co n 

# ^ aW ^ vy^'\ ^ Propert y Owne r Signature : .^^ ^ Ui / iLJLt-^Y\ Date : S~ - ^-/ ^