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OMAHA LEAD SITE SOI LREMEDIATIO NFIL EFOLDE R SAI D #: S^^icf b Date : :X^^\cP \ Address : 11 ^ . ^ 5l R5 V Remediatio nContractor : Coasta l Environmenta l Grou p Year : 200 8 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o o f property (DVD ) 

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y EPA-provide dpropert y slcetc h Signe dAcces s Agreemen t for subjec t property Signe dAcces s Agreement(s ) fo r adjacent property \ ^ 

### Restoratio nAgreemen t Settlemen t document s (i.e. , fo r damag e or to replac e plants , etc. ) 5 ^ Confirmatio ndat a 

# Photograph s pre-i2^<^<eA<y nSa(au)ah6 ^ S ^ ^ As-buil t sketc h Satisfactory restoratio nsigne db y Property Owne r Property close-ou t chec k lis t signe db y EPA 

# m Descriptio no f area s no t meetin g RO D cleanu p criteri a Utility clearance s Property informatio nfro mDougla s County Assessor' s Offic e IrO^rki'drXJTS ^ CMMISJ ' 

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Restoratio nAgreement Topsoil Samplin g (if applicable ) Disposa l Samplin g (if applicable ) Garde nSamplin g (if applicable ) Utilit y Clearanc e Video/Photo s (Before) Video/Photo s (During ) Video/Photo s (After) Video/Photo s (30-Day ) Property Completio nAgreement Fina l Report Sent : / / Signed : l£)./:2^/ ^ Signed : 10./2^/i: ^ / / / / / / 

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Omah a Lea d Sit e

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Creat e Anothe rTicke t Back t o Irt h Internet Sen d Emai l I.,. .

• YOU RTICKE T NUMBE RI S 2146757 . Origina l Cal l Date : 10/02/0 8 Time : 9:1 8 p m Op : ELIZABETH1879 0 Wor k t o Begi n Date : 10/07/0 8 Time : 7:1 5 a m State : N E County : DOUGLA S Place : OMAH A Address : 113 9 Street : S 28T H S T Twp : 15 NRng : 13 E Sect-Qtr : 21-SE,28-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : lea d remidiatio n Locatio n o f Work : LOCAT E ENTIR E PROPERT Y STARTIN G A T TH E HOUS E AL L TH E WA Y : T O TH E STREET . Remarks : FAX AL L CLEAR S TO : (877)662-421 1 Compan y: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ELIZABET H Phone : (877)662-421 0 Wor k Bein g Don e For : coasta l Dept h o f Excavation : 4f t Corne r Lot : NFront : Y Rear : Y Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V LEVEL 3 MCLEODN E MUDO l MUD0 2 OMAHACO F 0PPDGPR 5 0PPDGPR 6 QLNNEI C QLNNEI F QWEST 2
Servic e Are a Contac t Phon e Number Utilit y Typ e CXCAT V CO X COMMUNICATIONS , IN C HEIDI Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 LEVEL 3 LEVEL S COMMUNICATIONS , j^ ^ Day : Alt : 877366834 4 Emerg : 877366834 4
MCLEODN EMCLEODUS A NO NEE D T O CAL LOU T EMERGENC Y Day : 800289190 1 Alt : Emerg : 800289190 1
MUDO l METROPOLITA N UTILITIES DISTRIC T SAIvTO Y Day : 402504782 3 Alt : Emerg : 402504794 6 http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 10/2/200 8' '
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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 : 888728934 3 Emerg : 406728934 3 Day : 406728934 3 Alt : Emerg : 888728934 3 Day : 406728934 3 Alt : Emerg : 888728934 3 Day : 800283423 7 Alt : 303992192 6 Emerg : 800283423 7

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 10/2/200 8

### Dougla s County Accoun t Infrnmatio n Pag e 1 of 3 :^ma t Dougla s County , Nebrask a Propert yRecor d - R123483000 2 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e ® scal e 0-5 0 ft wes t of 90tt i S t - ViewO n Ma p Informatio n i s vali d a s of 2008-9- 4 Treasurer' s Ta xRepor t Ne wFeatur e ->-•- •Aut o Sale s Searc h Owne r VASQUE Z ARMAND O 113 9 S 2 8 ST OMAH AN E 68105-000 0 Propert yInformatio n Ke yNumber : 348 3 000 2 1 2 Accoun t Type : Residentia l Parce l Number : 123483000 2 Parce l Address : 113 9 S 2 8 S T OMAH AN E 68105-000 0 Lega l Description : HANSCO M PLAC E LO T1 5 BLOC K1 W 10 0 N 4 0 F TLO T1 4 & S 4 0 W10 0 F T LO T1 5 80X10 0 Valu e Informatio n Lan d Improvemen t Tota l 200 8 $5,400.0 0 $38,500.0 0 $43,900.0 0 200 7 $5,400.0 0 $38,500.0 0 $43,900.0 0 200 6 $5,400.0 0 $37,500.0 0 $42,900.0 0 200 5 $5,400.0 0 $37,500.0 0 $42,900.0 0 200 4 $5,400.0 0 $37,500.0 0 $42,900.0 0 200 3 $5,400.0 0 $37,500.0 0 $42,900.0 0 Sale s Informatio n Sale s Date : 2001-03-1 8 Dee d Type : W D Book : 218 4 Page : 72 3 Price : $60,000.0 0 Grantor : Grantee : Valid/Invalid : Invali d Exclusio n Reason : Multipl e Parce l Sal e . - Sale s Date : 2001-03-1 8 Dee d Type : W D Book : 218 4 Page : 72 5 Price : $900.0 0 G rantor : i 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R12. . . 9/27/200 8',!"' ' • .W'^ ' '^ r:'^W'TTT^' 

### Dougla s County Accoun t Infoimatio n ^jma i 

### Pag e 2 o f 3

Grantee : Valid/Invalid : Invali d Exclusio n Reason : Multipl e Parce l Sal e Sale s Date : 1990-05-1 7 Dee d Type : D Book : 187 4 Page : 33 9 Price : $27,000.0 0 Grantor : Grantee : Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 8 8000. 0 1. 0 100. 0 80. 0 N o Lan d Attribute s Attribut e Attribut e Descriptio n Negativ e Influenc e Traffi c5 Negativ e Influenc e Vie w Improvemen t Informatio n Buildin g 1

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## , Tw o Stor y CLIC KT O ENLARG E IMAG E CLIC KTO ENLARG E IMAG E Squar e Footage : 1132. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Goo d Uni t Type : Condition : Averag e

Buil t As : 2 Stor y Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 6. 0 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R12. . . 9/27/200 8

### Dougla s County Accoun t Informatio n Pag e 3 of 3 orma l

1 '* * i Exterior : Fram e Alum i nu m Units : 1. 0 Interior : Drywal l Baths : 1. 0 Roo fCover : Compositio n Shingl e Bedrooms : 3. 0

Roo fType : Gambre l Stories : 2. 0 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 189 5 0 0 % 189 5 11 3 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 636. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Garag e Detache d 192. 0 Porc h En d Scree n 96. 0 Porc h Sla b Roo f Cei l 20. 0 Use r Constan t Traffi cNois e 1. 0 Use r Face s 1480 1. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R12. . . 9/27/200 8

# As-Buil t Drawin g COASTA L 

# Omah aLea dSuperfun dSit e 2066 5 Exterio rPain t Omah a Lea d Sit e Nort h Arro w Owne rName : ARMAND O VASQUE Z • Goo d Sit e Sketc h Address : 113 9 3 2 8 S T_ • Pog p Phone : H : No t pain t

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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 alef t bar e 

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

### Omah a Lea d Sit e S Q ^ Owne rName : ARMAND O VAS Q 

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## 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 : Daytim e Phone : 9^^ . -—3 ' ? ^ ^ ^ ^ l

Addres s o fPropert y 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 t soi l sample s an d remov e soi l tha t contain s elevate d concentration s o f lea d an d maypos 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 f Coastal 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 subcontractors 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 f performin 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•• ^ ••*'. ' 1 "'-^'' fiia'' ; fC^^'^f ^ V*^**^ * COASTA L ENVIRONHENTA i C fl 0 u f. INC .



### •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 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 b yhealt h an d safet yguidanc e provide d b yEPA ; •I f th 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 f th 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 f th e wor k activities , o rwit h an y o f th 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 f sai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o f th 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 (712 ) 352-018 8 . ' .

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### Signatur e Dat e Signatur e Dat e Q I woul d lik e t o b e presen t durin g an ysamplin g tha t i s required .COASTA L 

## Restoratio n Agreemen t The purpos e of thi s agreement i s to provid e amutua l agreement a s t o condition s o f the propert y prior t

o remediatio nactivities . Thi s will als o serv e a s documentatio nfo r the purpos e o f assurin g tha t re.storation activitie s ar e completedt o the satisfactio no f th e propert y owne r an dthe Unite dState s Environmenta l Protectio nAgenc y (EPA) . Propert y ID : ^ Propert y Address : ^ ^ ])1, ^ f ^ S • . Z^ ^ T~ 

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### Item : item : Pag e l o f( ^C O Ai TAL G R O U • • . IN C 

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

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Pag e 4o f/C O AS - TAL 

## Item Agree dupo nvalu e of Dian t material s no t to b e renlace dbv contractor . Note thi s valu e will b e use dto issu e aplan t vouche r to th e propert y owner . Agree duponlist o f plan t material s tha t will b e replace db y contractor . B e ver y specifi c an ddetailed . Include asketcho f wer e eac hplan t wil l be placed by th e contractor . Agree dupo nare aof propert y t o b e replace d wit hgras s sod . Include asketcho f th e area(s ) to be replace dwit h gras s sod . Are ao f Cit y or Count y propert y to b e landscape d per thei r requirements . Include asketcho f th e are a(s )
I .Easement Area , to b e excavate d 

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

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±Erro r ±18.42 9

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

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e " Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E
pp m P b 239.96 0 Supervise d By : 

## Certificat e o f Verificatio n
115 4 SOI L 2008-10-1 0 08:3 7 30.6 3 Fina l 2066 5 113 9 s 28t h PZ ventr y 1 3 CLEARANC E

± Erro r ± 19.10 3i r w 

# Therm o

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

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTO R DEPT H SAMPL E TYP E NOT E

pp m P b 199.42 0 Supervise d By : 

## Certificat e o f Verificatio n

115 5 SOI L 2008-10-1 0 08:3 8 30.2 4 Fina l 2066 5 113 9 s 28t h PZ ventr y 1 3 CLEARANC E

± Erro r ± 17.39 2

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

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D # ADDRES S QUAD/ZON E INSPECTOR DEPT H SAMPL E TYP E NOT E

pp m P b 201.68 2 Supervise d By : 

## Certificat e o f Verificatio n

115 6 SOI L 2008-10-1 0 08:3 9 30.2 3 Fina l 2066 5 113 9 s 28t h P

Z ventr y 1 3 CLEARANC E

± Erro r ± 17.54 0

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%p„o^> ^ COASTA L tNVIRONNENTA L CROUP , INC . 

# EXECUTIV ESUMMARY ; BVID #2066 5 - (113 9 S 2 8 ST )

^ No Issue s o r Concern s | ^ Issues/Concern s Detai l Explanation : N O ISSUE S PENDING .

# SEPA % 

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### y Gradlo KSo d an d Vetctatio n Ye s N o I Doe s th e gradin g aroun d th e perimete ro f th e hous e i n excavate d area s generall yslop e awa y ^ from th e house ? 2 .Ha s so d bee n lai d i n al l area s tha t wer e excavated ? , y 3 .Doe s th e so d appea rt o b e generall yhealth yan d growing' ' (Onl yevaluat e i f inspecte d at a 3 0 da ytim e period ) ^ 4 Ar e sodde d area s generall ynr m an d evenl ygraded ? ^ 5 Ar e th e joint s betwee n th e so d strip s generall ytight ? (Onl yevaluat e i f inspecte d at a 3 0 da y

- ^ tim e period ) 6 Wa s th e propert ygrade d suc h tha t wate rwil l no t poo l o n th e property' ' 

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Wa s damag e t o landscapin g o rplan t material s avoided' ' 1 Galei , FcDc n an d ReUinin cWall s Ve s N o 1 D o gate s ope n an d clos e freely ? (I f applicable ) c ^ 2 . Wer e al l gate s o rfence s take n dow n durin g rtstoralior i activitie s reinstalled ? (I fapp i icable ) ^ 3 . Wa s dam«g e t o gate s o rfence s avoided ? (Ifapplicable ) 1 ^ 4 . Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) 

# V A Foundation , Sidio Kan d Gutter s Ye s N o 1 .

Wa s damag e t o th e sidin g o rtri m avoided ? 1 ^ 2

Wa s damag e t o th e foundatio n avoided ? • ^ 3

Wa s damag e t o window s avoided' ' y ^ 4

Wa s damag e t o window s o rdoo rscreen s avoided' ' y ^ 5

Wa s damag e t o dowTispoui s o rdownspou t extension s avoided ? ^ Sidewaik i an d Driveway s (Concrete ) Ye s N c Wa s damag e t o drivewa ysurface s avoided' ' 2 .

Wa s damag e t o walkva ysurface s avoided ?

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# J k O • ner s coinmenls :

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