### TRANSMITTA Lo f OMAH A LEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID# : 25n3 nDate : Address : 1^0 % <vN«^>g. ^^
- Remediatio nContractor : Environmenta l Restoration , LLC

_Year : _201 0 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S A f Vide o o f property (DVD ) .^efor e DAfter D Basemen t G J S Executiv e Summary (Final Report ) yZ T EPA-providedproperty sketc h J aSigne dAcces s Agreemen t for subjec t property
• Signe dAcces s Agreement(s ) for adjacen t property ^A Restoratio nAgreemen t

D Settlemen t document s (i.e. , for damag e o r t o replac e plants , etc. ) JZ ' Confirmatio ndat a jA Photograph s ^^Befor e DCrev v Photo s piDurin g Excavatio nD So d ^30-da y So d•_ _ As-built sketc h A^ Completio nAgreemen t signe db y Propert y Owne r yZ f 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 yZUtility clearance s Jz A Propert y informatio nfromDougla s County-Assessor' s OfBc e JZ A_ y Propert y acces s checklis t

3026191 6 JZContac t Lo g Superfun d


### Environm e nta l Restoratio nSignatur e Dat e A CO Rsienatur e / Dat e

# EP A EP A Propert y Clos e Ou t For m Omah aLea dSit e Propert y #: Z^iy\ PropertyAddress : 1>\0' ^ nrvcxfi\e . Srt- . Date/Time ; Owner' s Name : Ttrv x i-OooA , Quad s Excavated : t>2 . Contracto r Grou p : Environmenta l Restoratio n(ER ) Excavatio nGenera l Ye s No I. Ifnecessary , were th e correc t quadrant(s ) excavate dan drestored? 

### A 2. Ifnecessary , were th e correc t area s ofdri p zon e excavate dan drestored? 

# UA Gradin g So dan dVegetatio n 

### Ves No house? 2. Ha s so dbee nlai d inal l area s that wer e excavated ? w ­ 3. Doe s th e so dappear to be generall y health y an dgrowing ? (Onl y evaluat e if

inspecte d at 30-da y tim e period) . 4. Ar e sodde darea s generall y fir man devenl y graded ? 

### . ^ 5. Are th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e if

inspecte d at 30-da y tim e period) . 6. Wa s th e property grade dsuc hthat wate r wil l no t poo lonth e property ? 

### >^ 7. Wa s damag eto landscapin gor plan t material s avoided ? «— ' Gates , Fence s an dRetainin g Wali s Ye s No 1. Do gate s ope nan dclos e freely? (ifapplicable ) 2. Were all gate s or fence s take ndow ndurin g restoratio nactivitie s re-installed ? (ifapplicable ) Wa s damag e to gate s or fence s avoided ? (ifapplicable ) 4. Wa s damag e to retainin g wall s avoided ? (ifapplicable ) Foundation , Sidin g an dGutter s Ye s No 1. Wa s damag eto sidin g or tri mavoided ? 2. Wa s damag e to th e foundatio navoided ? 3. Wa s damag e to window s avoided ? 

# \JOL(Uit\\ r

toi ^ 

# m 4. Wa s damag e to windo w screen s or doo r screen s avoided ? 5. Wa s damag e to downspout s or downspou t e.Ktension s avoided ? Sidewalk s an dDriveway s (Coacrete ) s No Ye Ye s I. Wa s damag e to drivewa y surface s avoided ? 2. Wa s damag e to walkway surface s avoided ? i ^ Inspectio nnotes :



### Remedia l an drestoratio nactivitie s complet e includin g 30-da y so dwarranty : EP A Representativ e Date : <^/^/ ^ 

# yb/- /

## J Omah a Lea d Site—EP-R7-09-0 5 ' --,,„-" - * Environmenta l Restoration . LL C % , ^

www.crilc.co m -I . MO^** ^ 

# EXECUTIV ESUMMARY : 2973 7 310 8 MAPL E S T



# No Issue s o r Concern s Q ] Issues/Concern s Detai l Fxninnntion
­

### Pag e 1 of 1
"> [ Creat e Anothe rTicke t "] [ Bac k to Irt h Inteme t ] ( Sen d Emai l ]
YOU RTICKE T NUMBE R IS 2684477 . Origina l Cal l Dat e 3/15/1 1 Time : 8:0 8 am Op : ADAM2418 6 Wor k to Begi n Date : 3/17/1 1 1 Time : 8:4 5 am State : NE County : DOUGLA S Place : OMAH A Address : 310 8 Street : MAPL EST Twp : 15 NRng : 13 E Sect-Qtr : 09-NW-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e of Work : lead soi l remova l Locatio n of Work : LOCAT E ENTIR E PROPERTY Remarks : FA X AL L CLEAR S TO : (402)451-106 9 : 2973 7 Compan y ENVIRONMENTAL RESTORATION Contac t Nam e ADA M Phone : (402)451-131 4 Alt . Contac t Phone : (636)288-961 6 Wor k Being Don e For : ep a Dept h of Excavation : 24i n Corne r Lot : NFront : NRear : N Involve s Tunnelin g or Horizonta l Boring : NExplosives : N CXCAT V

MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C Servic e Are a Contac t Phon e Numbe r Utilit y Typ e CXCAT V CO X COMMLINICATIONS , IN C HEIDI Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 MUDO l METROPOLITA NUTILITIES DISTRICT SAND Y MU D Day : 402504782 3 Alt : Emerg : 402504797 0 OMAHACO FCIT Y

OFOMAHA-TRAFFICSEWE R RICH/TRAFFI C Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 OPPDGPR 5 OMAH A PUBLI C POWE RDISTRICT EL M LOCATIN G Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3 QLNNE ! C QWES T LOCA LNETWOR K EL M LOCATIN G Day : 406728934 3 Alt : 406207149 4 Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS. . . 3/15/201 1-^^i^^-'iS^^ "



## Contac t Informatio n Lo g 

## SAID#o?77J 7
owner' s Name:-77^ ^ ,^^ ^ Daytim e Phone : ^bZ'/^j,/^-/^7 ^ PropertyAddress : 3/0 ^

Al^fi/ c 

# •
Attemp t t o contac t Date/tim e Nam e

• (\CC<^S. i -{VA M Mv(ro f ("Si/-f f 

## i^ o l-p<^-l l [lO't^i^ ) 

# ( 3

f ! 0 - ^'i(c>^/ / t?/ttA ^ 

# Pn^i i [\'25pro ] •— N -?- ^ 

## 2-2F'/ /

Cf'^f^ ) (p »

... . ... _

- • • • - • - • - • - ­ 1

# Propert y Acces s Checklis t SAID : ^77J 7 nWORK STARTE D ON : / / PropertyAddress : "^(o ? /n«<f/ < 5^ ^ D WORK COMPELTED ON : / / Owner : -JT^ ^ y^^^J , Renter : Address : ^^^7 7 3 ^^:^ ^ J^ii . Phone : Fax : Cell/Pager : Phone : C^OZ'(p(e, 0 ­ iZl ^ Additiona l Information : Fax : Cell/Pager : B^cces s Agreemen t Signed : 3 / / l^ f 

## By : ACj ) H^Restoratio nAgreemen t Signed : 3 / /

/ / / 

## By : ( 0 B'vide o Propert y Befor e O n:'2i_ll_ l ' / 

## By = M v O^gita l Photo s Befor e O n•.' h1 I 1 It By : ( ^ 0 Vide o Propert y Afte r O n: / / By : D Digita l Photo s Afte r O n: / / By : K [ Propert y Completio nAgreemen t Signed : V 1 t^f l / ( 

## By:^ 0 D FinalRepor t Signed : / / By : Additiona l Vide o o r Digita l Photo' s Taken : D Vide o nDigita l Phot o O n: / / 

### By : 1 Reason : nVide o nDigita l Phot o O n: / / By : Reason : D Vide o nDigita l Phot o O n: / / By : Reason : nVide o nDigita l Phot o O n: / / By : Reason : |

Omah a Lea d Project Wor k Pla n 

### Page l o f 1 9 

# i

### Mar . 01.201 1 10:5 2 A M Stah^tidg e Winer y91896821 ^ PAGE . 3 / 5


## Consen t fo r Acces s t o Propert y SAID#Dl7 3 7 Rici H r O

H EN^i'it Y 'I O PREMISE S 

### Granto r (th e property owner) , consent s t o an dauthorize s th e Unite dState s Hnvironmental Protectio nAgenc y (USFPA ) o r it s autliorize drepresentatives , collectivel y th e Grante e t o ente r an dperformcertai nenvironmenta l respons e activitie s upo nth e following describe dpremises : I Owner'sName : TTn. ^ U«-^Og ^ | Daytim e Phone ; */02-'(eO> 0 " (ffZZ ^ \ Ad drevs : 

## J'o: y Ai^pltL . iY . Address : Addresiiie s u f Pnipcrtic s Address : covere db y thi s Agreement : Address : Addres.s : PURPOS EO FINVHSIIC A IIO N 

### Tli c purpos e of th e remedial activitie s i s to remov e al l soil s at th e property whic har e contaminate dwit hhazardou s substances , i nparticular leadat concentration s greate r tha no r equal t o 40 0 part s permiliio n(ppm) . REMEDIA LACTION S Th e environmcntai respons e action s t o h e performe donsai dproperty ma y includ e tli e followin g activities : a .iakiii g photograph s and/o r vide o o f th e property before , during , andafte r remedia l activities ; b .Locatin g equipmen t an dmachinery on-sit e inpreparatio nfo r an di nth e cours e ofth e environmental respon.se ; c .Plannin g an dimplementin g th e remova l actio no no r near Grantor' s property . d .Obtainin g sample s fromGrantor' s property ; AGREEMEN T NOT T O INTERFRR R 

### Th e Granto r agree s not t o interfere o r tampe r withany o f th e activitie s or wor k

done , o r th e equipmen t use dt o perfor mth e activities , or t o undertake an y iiction s regardin g th e us e o f sai d propeit y whic hwoul dten dto endange r th e healtho r welfare o f th e Grantee s o r th e environment , o r

to allo w other s to us e th e property i nsuc h 5t

^ I gran t acces s X nm y propertie s C H I d o no t gran t acces s ( o m y propertie s

.ii<lr*.t% . 

### .^r v ^~t'- t i Signatur e Dat e Si{;natiir eDat eOwner' s Jsignatu r e Contractor' s Signatur e

### Mar.01.201 1 10:5 3 A M St : idg e Winer y 9189682 : PAGE . 4 /



## Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o provid e amutual agreement a s t o condition s o f property prio r t o contracto r activities . Thi s wil l als o .serve a s documentatio nfor th e purpos e o f assurin g tha t restoratio n activitie s ar e complete dt o th e satisfactio nofth e property owne r an dth e Unite dState s environmenta l Protectio nAgenc y (HPA) .

SAID : 

# P17J 7 PropertyAddress : J/^ P//\<^pl c s ^ Owner : TifMK . \^^ooi A Phone : 

# VO2.'/^/^0
- /oZi s Ontii e attaclie ddiagram(s ) indicate area(s ) t o l « excavate dan ddeptho f excavaiion , locatio no f all know n utilities, subsurfac e features , suifac e structure s an dlandscapin g features , acces s locatJon(s ) to b e use db y contractor , an dthe directio no f North . Indicate distances , depths , niaterial types , etc . Indicate digital photo s b y referencin g the photo-lo g number wit ha nai-ro w indicatin g directio no f view . Item s t o b e remove d b yContracto ran d no t replaced :

Item : 

### ^•^.fNo'CL . 

## TV I .^X^^Ho^cr-ec ^

<^/'<.' \ r t-^f/ n 

### A"<7c J Item : Item : Item : 

### Item : Item : Item :

Pag e 1 o f 2Mar.01.201 1 10:5 3 A M S t idg e Winer y 9189682 ] PAGE . 5 / 5

Additiona l Comment s / Instructions :

[0Ta | C 3 1 d o no t agre e I. y I T agre e 

# M' agre e n I d o no t agre e

..? ! rt-trrA, ?^'t-| < •« . «» • OwnurV s Signatur e Dat e Contractor' s Signatur e Dat e Attachmen t

Pag e 2 o f 2

## Propert yCompletio n Agreemen t Thi s agreemen t documents th e completio no f remedial activitie s performe do nm y property . My signatur e wil l designat e that I a msatisfie dwit hth e restoratio no f m y property , an dthat n o item s ar e i n question , now , o r at any tim e i nth e future , excep t thos e item s liste dbelow , ifany . SAID : 

# .prz- ? 7 Propert y Address : 

# 3/o f r^<K?[< . X f Owner : 

### "TT^Ae v L^Or^C ^ Phone : 

# 4^^
- 

# 'U o • /.z^zs
Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item : Additiona l Comments :

fj

^ i agre e restoratio n i s completed , excep t as note d Jpy l I agre e restoratio n i s completed , excep t a s note d I I 1 d o no t agre e restoratio n i s complete d I I I d o no t agre e restoratio n i s complete d

<7

i mfaiOwner' s Signatur e Dat e Contractor' ^ Signatur e Dat e

### Dougla s Count y Accoun t Infoimatio n Pag e 1 of 2 nna t Dougla s County , Nebrask a Propert yRecor d Informatio n i s vali d a s o f 2010-12- 1 Owne r WOO D TIN AC 84047 3 S 353 0 R D STROU D O K74079-000 0 Propert yInformatio n ­ R191710000 0 Prin t Reoor t Vie wInteractiv e GI S Ma o

Treasurer' s Ta xRepor t Ne wFeatur e ->-•- > Subdivisio n Sale s Searc h

Ke yNumbe r Accoun t Type : Parce l Number : Parce l Address : Lega l Description : Valu e Informatio n 171 0 000 0 1 9 Residentia l 191710000 0 310 8 MAPL E S T OMAH AN E 68111-OOO O OMAH AVIE W LO T2 BLOC K1 1 5 0 X 78.9 9 Lan d Improvemen t Tota l 201 0 $400.0 0 $0.0 0 $400.0 0 200 9 $400.0 0 $0.0 0 $400.0 0 200 8 $400.0 0 $0.0 0 $400.0 0 200 7 $400.0 0 $0.0 0 $400.0 0 200 6 $400.0 0 $0.0 0 $400.0 0 200 5 $400.0 0 $0.0 0 $400.0 0 Lan d Informatio n >*cre s S F Unit s Dept h Widt h Vacan t 0.0 9 3950. 0 0. 0 79. 0 50. 0 Ye s



### httn://dou2la.sne.manning-online.com/Dou2lasCoNe/static/accountinfo.isp?accountno==Rl.. . 12/17/201 0

### Dougla s Count y Accoun t Informatio n Pag e 2 of 2 rma t j j 1 —~rr m 

## ter O a 5 - V T C O c Wir t S t 

## c

f Adfi*>sPa 4 : . . ^Binne yS t 

### s ; 0 "^Wlapie'St,. . Mapl e S l JAstH e S l 

# I ® 2 jnliv d Corb yS t jCotpiM, . 

# rn " "Coiti yS 5 (t c n
3 Wiaro i S I Miam i S t -—""-Z - !3ffr" ' yiam i St . d 

### i i o 

### ... ^

Ohi a S l 

### .2
- L.
- i <Miio8 « FOVtRi O e V , -WMSSJ-'SI.. . Ma p dat a ©C^iiilGoogl e Th e abov e ma p i s powere d byGoogle , an d i s intende d t o provid e a genera l ide a o f a property' s location . I f yo u requir e a mor e exact propertylocation , yo u ma yus e th e Interactiv e GI S Map s tha t ar e maintaine d b you r office .



### httn7/flnnpla';n e mannincr-onlin e cnm/noii£'lasCoNe/.static/accountinfo.isD?accountno=Rl.. . 12/17/201 0

### ENVIRONMENTA L AS-BUILTDRAWIN G OMAH ALEA D SUPERFUN D Sl^ RESTORATIO N 

# Illllllllll i llllil l 2973 7 Exterio rPain t North Arro w Owne rName : riN ASTRON G WOO D Omah a Lea d Sit e • Goo d Address : 310 8 MAPLE S TS** ®

Sketc h 

## k • Poo r Phone : H W : [3^o t pain t Sampl e Sample s Collecte d Sampl e Numbe r Lea d LA B Concentratio n Collecte d Fir m ft W K(V < RYASCPXA-2973 7 F l Z-S H pp m 

# n Dat e 

# ?-n-c v RYBSCPXA-2973 7 F 2 35 1 pp m 

# a Tim e ^:\'b . RYCSCPXA-2973 7 B l 30 1 pp m 

## D Sample s Analyze d RYDSCPXA-2973 7 8 2 S8 6 pp m 

# n RDZOCPXA-2973 7 B ? pp m 

## D XR F Unit : lOCT l Book ; j icF \ HGZ3CPXA-2973 7 S 2 pp m 

## D D Date : P-.-PH-nC o RrZOCrXA-2973 7 P Z pp m 

## D D Time : LQ=L . Staff : M^U r 

# n Numbe ro f Sample s = H Legend : F 1 = 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 Al l quadrant s ar e a s viewe d fro m th e street , facin g propert y SAI D # 2973 7 

# ENTERE D DAT E EXCAVATE D 3-17-1 1 DAT E EP ASIGNE D OF F 4-28-1 1

ARE ASODDE D 100 0 S Q F T

04614101} '

Quadran t aiccavate d Dri o Zon a Excavatft d ContarninaMo n Laf t Bahin d 

### /«»»«^^» « u . C O O T n o n e Cv«l*li»^^MM, % AM*^ l 0^.^t^.....^l^..m ^ 11 ^

# IIIIIIIIIIIII I 2973 7 Exterio rPaint Nort h Arro w 

### Omah a Lea d Sit e Owne rName : TIN ASTRONG WOO D 

### Sit e Sketc h Address : 310 8 MAPL E S T Phone : H : Sannpl e Numbe r RYASCPXA-2973 7 RYBSCPXA-2973 7 RYCSCPXA-2973 7 RYDSCPXA-2973 7 RDZOCPXA-2373 7 RGZ3CPXA-2973 7 RrZOCPX/r2073 7 W : Lead Concentratio n Sampl e Collecte d LA B F l Z 5 H pp m 

## D F 2 35 1 pp m 

## D B l 3c n pp m 

## D B 2 B 2 -G Z -P Z .58 5 pp m pp m pp m pp m 

## D D D 

# n D D D Numbe ro f Sample s = '- \ • Goo d • Poo r Q^o t pain t 

# f Sample s Collecte d Firm : Date : 

# t-n-o o Time : 3 ' > 5 ^iy \ Sample s Analyze d XR F Unit : lOO l Book : fio' ^

Date : R-?H-r)( o Time : Ar- ^ Staff : 

# nsv. r Legend : F 1 = 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 Al l quadrant s are a s viewe d fro m th e street , facin g property 

# ENTERE D dir t

Coicrc f f ' 

## msf f 1 ? &ii 6 

# ^ej\kM . C':^,.. k 

# I .|W; . .-fcio /m/k . § 7 ,zrF ^ 

# ^.31" ^ . ^ 

# f 61



# 310 ^

....Pi... .



# .15 H .ScDAl.^.^f . 

# /.o.Qa . T^/o / BJ>Z^IJ€>O O fmpi 

## i £



# F a 

# .35 ]

Rsv J 

# ^^LhJ h.... . . 

# 2973 7 Exterio rPaint Nort h Arrow 

### Omah a Lea d Sit e Owne rName : TIN ASTRONG WOO D • Goo d 

### Sit e Sketc h Address : 310 8 MAPLJS T • Poo r Phone : H : W ; [34jo t pain t 

# f
Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Concentratio n Collecte d Firm : RYASCPXA-2973 7 F l pp m 

# D Date : t-Jl-Ck ? RYBSCPXA-2973 7 F 2 

## 35 / pp m 

# D Time : 3'> 5 RYCSCPXA-2973 7 B 1 

# .3o l pp m 

# D p m Sample s Analyze d RYDSCPXA-2973 7 B 2 pp m 

# D -5R 5 RDZGCrXA-2973 7 B Z pp m 

# D D XR F Unit : lOO l Book : \i/ ^ RGZSCPXA-2973 7 G Z pp m 

# D D Date : f^-?'i-nC o RrZOCP)(A-2073 7 PZ pp m 

# D D Time : Arv- , Staff : H.-.U f Numbero f Sample s = '- j Legend : F l = Fron t Left , F 2 = Fron t Right , B l = Bac k Left , B 2 = Bac k Righ t DZ = Dri p Zone , G Z = Garden , P Z = Pla y Al l quadrant s are as viewe d fro m th e street , facin g property 

# ENTERE D 

# ^. d p . '.C'/l. 

# c^j. k 

# J • m . .&. £ 'u > /YW-k . S Z ,^/ ^ 

# .m.3if^.^ i d p Yfo ^ 3p n 

# f 53.5 . 6 1 %3 <



# 310 ^ ?^^i £ / 

### .F- i 

# 13. ^ .36 ]

•..»,.-&: W^U K 

### fn^vpL t S { Re

v 4

## NVIRONMENTAL XR F DAT AENTR YLO G 

# G RESTORATBO M
SAI D #Z ^

" 7 S T DAT E 3 \\T\v \ PROPERTYADDRES S TliW E

"S^o S mac>v«

_S. T XR F S/ N 

## ^n?^ o

QUADREN TO R SAMPL E ARE A DEPT H AVERAG E O F RESULT S SHOT# s redig 

# n

p^ n F 2 n B l • 8 2 

# 4 ns i z.'z . ms-'-^J^ f 

# • D Z

n EZ l -Wo€=f c 

## D EZ 2 n OTHE R

SAMPLE R NAM E 

### O •l>a.ro\ev5 sTherm o Fishe r Scientifl c 90 0 MiddlesexTumpik e 

# TheiTBTi o Billerica , M A0182 1

SCIENTIFI C

liule. v I'ini e AVi:u.\(;i' . ADDUKS. S .SAMI - l.KAKI ' AOI'I-RAIO K l)i:i' l I I NOIK S \VU\\i S SAI D |-| > 1 2011-03-1 7 11:2 2 Av g o f 478-48 0 310 8 mapl e st B 2 JIMM Y 4 fina l clearanc e 175.0 5 ±21.6 0 2 2011-03-1 7 11:2 2 310 8 mapl e S l B 2 JIMM Y 4 fina l clearanc e 2973 7 177.0 2 ±21.8 1 3 2011-03-1 7 11:2 1 310 8 mapl e S I B 2 JIMM Y 4 fina l clearanc e 2973 7 183.9 7 ±21.8 1 4 2011-03-1 7 11:2 1 310 8 mapl e st 8 2 JIMM Y 4 fina l clearanc e 2973 7 164.1 5 ±21.1 7

Pag e 1 o f 1 03/22/1 1 10:46:3 2'\r&.^ ' 5»T? Q 

# i ^ t.' ­ 

### .2an31^i3iQSL_jc£ia^3l£._SflcL . ^-L-^ " ,SV^Q V 

### <A'^a^^fe v -Lw aV 2A
­ ^S S ^ 2.Z , m-V : 2 7

.yi y