## TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : )^3fe 7 Date : )ojilln & Address : } n9 Sf<au.i^; 3 CJ^C U 

## RemediationContractor : &.2P^ 4 7 1 CL ^ J^cpe.. . ,^'^'^ y ^^^'
- '^'^"' ^ SOILREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S a ' Video o f

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Executive Summar y [E TEPA-providedpropert y sketch [ ? SignedAcces s Agreemen t fo r

subject propert y D SignedAcces s Agreement(s ) fo r

adjacen t propert y M RestorationAgreemen t D Settlemen t documents (i.e. , fo r

damage o r

to replac e plants , etc. ) 0 ' Confirmationdata 0

^ Photograph s y As-built sketch y Satisfactor y restoratio nsignedby Propert y Owne r y Propert y close-ou t chec k

lis t signedby EP A D Descriptionof area s not meeting RO D cleanu p criteri a y Utilit y clearance s 0 Propert y informationfromDougla s Count y Assessor' s Office D D • 

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## Signatur^ ^ Dat e 4031131 3 I ;:iii i iiji i IIII I mi l mi l IIII I III I II I 

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### PROPERT Y SUMMAR Y Date : 10/17/200 8 Omah aLea dSit e Remedia l Actio nContrac t #EP-R7-07-06/000 4 Mont hof : Sept/Oc t Propert y Address : 10 9 STANFOR D C R A . EXECUTIV ESUMMAR Y A. 1 Issue s Encountered : NON E A. 2 Issue s Resolved : NON E A 3 Uniqu e Findings : NON E A. 4 Othe r Relevan t Information : NON E CONFIRMATIO NSAMPLIN GDATA/RESULTS : Fl=8 8 PP M @ 7" ; DZ=14 4 PP M @ 11" ; N O EASEMEN T ATTACHMENT S 1 ) Property sketc hprovide db y EP A pursuan t t o contrac t specification s 2 ) Signe dAcces s Agreemen t includin g acces s agreement s require dfor crossin g othe r propertie s 3 ) Pre-Excavatio ndigita l vide o clip/photograph s 4 ) Post-Excavatio ndigital vide o clip/photograph s 5 ) Documentatio n- Complete dClose-ou t Checklis t 6 ) As-Built sketch
i ) Shal l includ e final leadlevel s v ) Legen d ii ) Contaminatio nlef t behin darea s vi ) Contracto r identificatio n iii ) Property addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e include dinth e individual property file, if available , o r obtaine dinclude : i ) Pre-excavatio nagreemen t detail s (i f any ar e mad e wit hth e property owner ) ii ) Property Statu s Formsigne db y property owne r iii ) Excavatio ndigita l vide o inMPEG , WM V (Window s Medi aVideo ) o r SWF(Flas hPlayer ) format and/o r photograph s iv ) Signe dfor mverifyin g satisfactory restoratio n v ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

TECHNOLOGIES , INC .Fin d Record Clea n U p Quer y Lea d Remainin g Quer y1 PropertyDamag e Quer y Clos e 

### Backfill :

Sampl e Area : 1636 7 - 10 9 STANFOR D C R Owner : Resident :

• Owne rOccupie d Residen t Name : Owne rName : FERRAGU n DONNA |FERRAGLrnDONNA J Propert yAddress : Owne rAddressl : 1109 STANFOR D CR Zi p Code : Owne rAddressZ : | j6810 8 1109 STANFOR D CI R Residen t Phon e City : State : Zi p Code : 1 OMAH A JN E |6810 8 Owne rPhone : Alternat e Phone : 

# 1 Contract : Contractor : Group : Assessment : Qualifyin g Grou p I PRIORIT Y Assessmen t XR F Date: Assessmen t Ma xXR F Value : I 700.8 8

# SERV EP APropert y Clos e Ou t Property # : 163 & Date/Time : Quad s Excavated : 1 F - ) j •^• ^ Property Address : / ^ ^ ^t ^ ^-^^^^'^L G Owner' s Name : JC-^rtP , fTLR£firqK)t \ Contracto r Grou p Pruden t Technologie s Excavatio nGenera l Ye s N o 1 .If 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? \ y Gradin g So dan dVegetatio n Ye s N o 1 .Doe s th e gradin g aroun dth e perimete r o f th e hous e inexcavate darea s generall y slop e away fromth e house ? 

### y 2 .Ha s so dbee nlai dinal l area s that wer e excavated ? y 3 .

Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 day tim e period ) 

## y 4 .

Are sodde darea s generall y fir man devenl y graded ? 

### y 5 .Are th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte dat a3 0 da y 

### • tim e period ) 6 . Wa s th e property grade dsuc htha t wate r wil l no t poo l o nth e property ? 

### y 7 . Wa s damag e t o landscapin g or plan t material s avoided ? * / Gates , Fence s an dRetainin g Wall s Ye s N o 1 .D o gate s ope nan dclos e freely? (I f applicable ) 

### y 2 .Were al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

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

### y 4 . Wa s damag e t o retainin g wall s avoided ? (I f applicable ) 

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

### y 2 .Wa s damag e t o th e foundatio navoided ? y 3 .Wa s damag e t o windows avoided ? 4 y 4 .

Wa s damag e t o window s o r doo r screen s avoided ? t y 5 . Wa s damag e t o downspout s or downspou t extension s avoided ? ty Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 . Wa s damag e to driveway surface s avoided ? y 2 . Wa s damag e t o walkway surface s avoided ? 

## y

### Ovrner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-day so dwarranty : EP A Representativ e Date : 9/js/o » 

# A aa . " ^

# oEFV V Propert yCompletio n Agreemen t Thi s agreemen t document s th e completio no f removal activitie s performe do nth e belo w liste dproperty . Th e property owner' s signatur e indicate s that th e property owne r i s satisfie dwithth e restoratio no f th e subjec t property , an dtha t n o item s ar e inquestion , now , o r at an y tim e inth e future , excludin g an y remainin g warranty (3 0 day s total ) excep t thos e item s liste dbelow , i f any . 1 Propert y ID : 1 Propert y Address : \^[ ) (A 

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### Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item : Require d correction s t o complet e th e property :

I I I agre e restoratio n i s completed , excep t a s note d above . I I I d o no t agre e restoratio n i s complete d 

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Piud»n l T»clinolo^»s , Inc . (Piudai Q isunds r contrac t wif e th * U . S . EnTiiommsntj l Prot»etio nAgaoc y (EPA ) t o clisni ^ Usd
contiiBuul»dEoil Ei t anuaib» i o f ptoptitift s locate di nOmaha , N»biadca , indudizi g th « piopttt y locsts da t \0 ^ S-fcL-A/Ac ^ f ^ Q>prThtEPAnqutstcyourpHsiaiottt o alloirPmd*nttopctfo ma»i l cUaai^atfti i piop»ilytoi»»i-- ^ -: i V . : -^toU . B y BgangftiEfon& , th«prop»%ownwgrantspenniaaontoPiud*nttcpMfo m acti^«Eielat» dto th « cUma p mcIudii Q soi l sampling , rsmotra i o f l«ad-contamindL» dsoil , an ditstoiatio no f th » r»f*renc»dpiop«ity . I f

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# Joj-O^oS ­ Prop»it j O wns r Si^ulurt : (Pal* ) PROPERTY MFORMATIO N ^ aV e ron^bto j t r rcnlcn l asi/vrpn f eit f nrw r - pbaa t l(jiat ) RESIDENTHAME : t\nrvrv ^ f ^

^C^(2F\{l^T I Rente r RESIDEN TADDRESS : 

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Aa r I F RENTAL . PROPERT YOWNE D BY : OWNER' S HAILM G ADDRESS ; 

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Sjq^^nJ I Cl L O^wa^si vk3= £ -C-Slt > 5 OWNER-STELEPHON E NUMBER-HOME : (Hti l "lofc, ' *7^g 7 WORK : 

### J 1 AG E O F HOME? : | Ot > f YEARS . HO W LON G HAV E YO U LIVE D HERE ? \ c2 - YEARS . HA S TH E EXTERIO R BEE N PAINTE D O R COVERE D WTI H SIDiN G SINC E 1378 ? ^y§« — N C Aslyto^J^ ^ "SrUjte ^ NUMBER O F OCCUPANT S UNDE R 7 YEAR S OLD : * ] NUMBE R O F 0CCUPANTS 7 YEAR S OL O AN D OLDE R NUMBE R O P CHILDRE N UNDE R 7 YEAR S OL D WH O PLA YH TH E YAR D FO R 5 HOUR S O R MOR E PE R WEEK : COMMENT S o n SPECIA L IMSmUCTIONS : (I.E . DOGS . ENTR YGATES . ETC. )

AUTHORIT Y F0REN7IRDNMEHIALRSSP0HSEACTI0WS ; Tii*activiti»stob»impl»m9Ht«dbyEPAuiii*rlbdsaHr**m«n t are pursuan t t o Ssctio n10 4 o f CERCLA , 4 2 U S.C . 9604 . EPA' s n ^ of acces s t o th * piop*rtyispTo^dedfoiinS*clio ni04(e ) o f CERCLA , 4 2 U .S . C 9£03(*) , vriiiA i piovidt s entry fo x "dettrmisin g th e nee dfo r lei^onse , o r chooan g o x takin g si y req)ons e actio n unde r thislitl* , or othenris e enforcin g th e piomoon s o f th e title. "

808 0 War d Pamw^ . Suit s 40 5 2S0 S N . 24* * Stree t Suite30 8 424 2 Medica l Drlva . Suit e 42S 0 Omdi n Mflbraskaesil O Sa n Antonio . T X 7822 3 Kansa s Clfy . M O 6411 4 Phons : (4(S)S04-100 4 Pllon« : (210)822-868 8 Phone : (816 ) 363-370 3 FB) C (210)679-e67 7 Fax : ^16 ) 363-370 7 FBJ C (402)604-100 6

## A S - BUILT DRAWINGfi OMAHALEAD SUPERFUND SIT E OLS# : 1636 7 Dat e Excavated : 7/12/200 8 Dat e USEP A Signed-Off :

Owne r Hams : DOno aSetlTBCKj hOi^ah aLea dSit e 

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CONTRAC T# : E P - R7-07-0 6 / 000 4 PRUDEN TTECHNOLOGIES , INC .

# IRUDE K rECHNOLOGIES , INC . 

# Propert y Statu s For m Address : lo^ l S-l-o^vgLj^r ^ O ra °^^^ ' ^^ ^ ^ ^ Oprtr ^ 

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# f6- e Property Owner Pruden t Employe e Signature : Signature : 808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 IVIedica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7

# 1Q5Q 7 Exterio rPain t Nort hArro w 

### r Owner Name : DO/ina^EeCT^C^ h°"l^.^ ^ ^l^' ^ f *® • Goo d 

# Address: JO^^aii^bcdJlIrd e ^'^ ^ ^^^^"" ^ — D ^ n Poo r 

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## Firm : /YES . "9\CJ F RYASCPXA-1 6 5^ 7 F l 70 1 pp m 

# a Date : M ^/^ 3 RYDGCPX AF& ~ "" pp m 

# n Time : |(>:^5 ' RYCSCPXA-/(&34 7 B l 'b o ^ pp m 

## D Sample s Analyze d RYDSCPXA-/t!»3f^7B 2 g^ 3 pp m 

# n RDZSCPXA-li s 36 7 D Z 

## 7^ 7 pp m 

## D XR F Unit : 

### ID?>' 7 Book: // ? RGZSCPXA- 1 &• ? i * 7 G 2 

## Ml_PP m 

# v D Date ; ^'^'O ^ RPZSCPX APS - • " pp m 

## D Time : yyy i 

## D Staff : 

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# AA . Legend : F l = Fron t Left , F 2 = Fron t Right . B l = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y s^l l quadrant s are.a^ viewe d fror n th e street , facin g property

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# I C 3( 2 7 Exterio rPain t Nort h Arro w rOwne rName : niOna^EeJOC^C^ h ^"l^.^ ^ ^^^" ^ 5'* ® •Goo d 

### —Di ^ D Poo r 

## 9hox^e: ^ZQ<^J33^y^j:_MS:yi-SH 2 (5 ^ Not pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r 1 A C Concentratio r Collecte d 

## Firm : PPfS .IfJ^^ F RYASCPXA-1 6 5 ( r7 F l 

## 70 / pp m 

## D Date : m^fl^ b RYDGCPXA - HFB- •— pp m 

## D Time : |(^'^< r RYCSCPXA-/<S»34 7 B l 

## 30 ^ pp m 

## D Sample s Analyze d RYDSCPXA-<to367B 2 

## 2H2 ? pp m 

# m / D RDZSCPXA-»i i •5^ 7 D Z pp m 

# 75 1 D XR F Unit : fP^ l Book ; // ? RGZSCPXA- 1 &•?<' 7 G Z pp m 

# ^ 6 ^ 

# a Date ; g-?-«?S " RPZSCPX AP* - — pp m 

## D D Time : /'n n Staff : 4: A Numlje ro f Sample s = ; , ^ Legend : F l = Fron t Left , F 2 = Fron t Right , 8 1 = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y sAI I quadrant s are. ^ viewe d fro m th e street , facin g property

Re

v 4' 046141.012 3Prin t Previe w http://www.dogis.org/dogis_alias/dogis/printPreview.aspx7PrintOpt. . Dougla s County-Omaha , N E

Parce l I D Owne r Nam e Propert y Addres s Cit y Zi p Owne r Addres s Owne r Address 2 Owne r Cit y Owne r Stat e Owne r Zi p 190592000 0 Sec-Twn-Rn g FERRAGUT I Additto n DONN AJ 10 9 STANFOR D Bloc k C R OMAH A Lo t 6810 8 Legal l Lega l 2 10 9 STANFOR D Lega l 3 CI R OMAH A Lega l 4 Treasure r N E Websit e Un k Assesso r 6810 8 Websit e Un k 27-15-1 3 OKAHOMA- S E ROGERS 0 2 6 N 3 3 S 8 9 1/ 2 E 8 9 1/ 2 W17 9 F T 33X8 9 1/ 2
http://webapps.dotcomm.org:B080/TreasTax/faces/pages/taxinfo.jsp?parc=190592000 0 http;//douglasne.mapping-online.com/DouglasCoNe/slatic/accountinfo.jsp?accountno=R190592000 0 Disclaimer : Ma p an d parce l dat a ar e t)elieve d t o b e accurate , bu t accurac yi s no t guaranteed . Thi s i s no t a lega l documen t an d shoul d no t b e substitute d fo ra titl e search , appraisal , survey , o rfo rzonin g verificatwn . 

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### YOU RTICKE T NUMBE RI S  2077830 . Origina l Cal l Date : 7/09/0 8 Time : 1:0 9 p m Op : RAMITA1896 7 Wor k t o Begi n Date : 7/11/0 8 Time : 1:4 5 p m State : N E County : DOUGLA S Place : OMAH A Address : 10 9 Street : STANFOR D CI R Twp : 15 NRng : 13 E Sect-Qtr : 27-SE,34-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : LEA D Locatio n o f Work : ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)504-100 5 : UNSUR E CORNE R Compan y: PRUDEN T TECHNOLOGIE S Contac t Name : RAMIT A Phone : (402)504-100 4 Alt . Contact : Phone : ( 4 02)452-980 6 Wor k Bein g Don e For : EP A Dept h o f Excavation : 6F T Corne r Lot : NFront : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N ATTNEBR l CXCAT V LEVEL 3 MCINE B MCLEODN E MUD0 2 OMAHACO F 0PPDGPR 6 QLNNEI F QWEST 2 

### Utilit y

Servic e Are a Contac t Phon e Numbe r Typ e Day : 8002413624 9 

### ATTNEBR l ATT/ T Alt : 

### Emerg : 8002413624 9 Day : 402934046 9 

### CO X CXCATV HEID I Alt : 402934046 9 

### COMMUNICATIONS , IN C Emerg : 402932975 7 Day : 877366834 4 

### LEVEL S LEVEL 3 COMMUNICATIONS , N A Alt : 

### LL C Emerg : 877366834 4 Day : 800289342 7 

### N O CALLPE R MCINE B MC I Alt : 

### MEM O Emerg : 800289342 7

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### MCLEODN E

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r^DOT^r-oo/ ; 0PPDGPR 6 QLNNEI F QWEST 2 MCLEODUS A METROPOLITA N UTILITIE S DISTRIC T CIT Y O FOMAHA
TRAFFICSEWE R OMAHA PUBLI C POWE R Djs^c T QWES T LOC/U . NETWOR K QWES T LON G DISTANC E N O NEE D T O CALL OU T EMERGENC Y
EDWIN A

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SAR A Day : 800289190 1 Alt : Emerg : 800289190 1 Day : 402504782 3 Alt : Emerg : 402504794 6 Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 Alt : 888728934 3 Emerg : 406728934 3 Day : 406728934 3 Alt : 

### Emerg : 888728934 3 Day : 800283423 7 Alt : 303992192 6 Emerg : 800283423 7

2 o f 2 7/9/200 8 1:1 5