## TRANSMITTALof OMAHALEAD SIT E SOI LREMEDIATIO NFIL EFOLDE R SAID#: 337^ 0 Date : /0-lZ~(^ ^ Address : HlNR ) '^^^ ^ /1U £• Remediatio nContractor : Coasta l Environmenta l Group _ Year : 200 8 SOI LREMEDIATIO N PROPERT Y FIL EFOLDE RDOCUMENT S Vide o ofpropert y (DVD ) ^y ^ Executiv e Summary

S"* ^ EPA-provide dproperty sketc h Signe dAcces s Agreemen t fo r subjec t property Signe dAcces s Agreement(s ) for adjacent property A^/'' " Restoratio nAgreement Settlemen t document s (i.e. , for damag e o r t o replace'pranTs , etc. ) ^^IH ' -S ^Confirmatio ndat a / 

### Photograph s s^^'D)LCjud(m.Bi\ ^ Q.jJlIu^fAvbCX ^ 5^J ^ 3>0'A&M ^ \,<>^\zbA . As-buil t sketc h Satisfactory restoratio nsigne db y Property Owner ^ ^ Property close-ou t chec k lis t signe db y EPA D

"7 Descriptio nofarea s no t meetin g RO D cleanu p criteri a .^3* ^ Utility clearance s ^^yProperty informatio nfromDougla s Count y Assessor' s Offic e M\fp^a.$.i4jr;^eCdS $ CJ^XXJfX^S ^ 40316444 

# i l Superfun d 

# II 1 Signatur e Dat e 

# yz^ M

## Propert yAcces s Checklis t Propert y ID : 3 3 t^t ^ nWOR K STARTED ON : _/ / 

### D WORKCOMPELTE D ON : / / 

### Property Address : Ll j U k l 'T/T ' Renter : Owner:^\^^^e. S AfY l H Address : Phone : Fa.\ : Cell/Pager : 

### Phone : ^^( ^ - ?fi\Dl _ Additional Infonnation : Fax : 

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• NotificationLette r Sent : / / 

### Bv : 

# w Acces s Agreement Signed : ^/24/£i ^ By : 

### Q^Restoratio nAgreement Signed : S I 2& I O t By : 

### I I Topsoil Samplin g (i f applicable ) / / 

### By : O Disposa l Samplin g (i f applicable ) / / 

### Bv : nGarde nSamplin g (i f applicable ) / / 

### By : Called : d^ I 3 I C ^ 

# F^ Utilit v Clearanc e 

# iy : a c i/. r t. i?p m;7ni|dlng. 0'^Video/Photo s (Before ) On : (^ / 5/6 ^ 

## «y-pr>^M M D Video/Photo s (During ) On : By : nVideo/Photo s (After) On : / / 

### By : nVideo/Photo s (30-Day ) On : / / 

### By : CD Property Completio nAgreement Signed : / / _ By : 

### nFinji J Report Issued : / / 

### By : Ai r Monitorin g (a s applicable ) nCommunit y Q Cre w f On : / / Results : Q Communit y CH Cre w On : / / Bv : Results : 

# II

## CONTAC T FORM Propert y I D # 

# 137 ^ Propert y Address : 

# Lji w M . a<-" ^ ht . Initia l Contact : Date:S/<9Q/gccifTime : 

# Action: maAe dt o P o Secon dContact : Date : Time : Action : Fina l Contact : Date : Time : Action ; Fina l Action : Transmi t t o EP A D Othe r Action : D

Comment : Owne r Commen t (s) : Sit e 1 Coordinato r 1 Commen t (s) : 1o o c <a

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### Dougl^^ftun i nty Accoun t InfjgMjatio n Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d - R143370000 0 Prin t Repor t Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t of1 4 4 St - NfleWJ)! ! Ma p Informatio n I s vali d a s o f 2008-4-1 7 Treasurer' s Ta xRepor t Ne wFeatur e ->-•- •Aut o Sale s Searc h Owne r JONE S JOA N M POBO X 150 8 MOREN O VALLE YC A92556-000 0 Propert yInformatio n Ke yNumber : 337 0 000 0 1 4 Accoun t Type : Residentia l Parce l Number : 143370000 0 Parce l Address : 4114N25A V OMAH AN E 68111-000 0 Lega l Description : KENDALL S AD D LO T3 BLOC K6 S 1 0 F TL T2 & N 3 5 F T4 5 X 13 2 Valu e Informatio n 200 7 200 6 200 5 200 4 200 3 200 2 Lan d $500.0 0 $500.0 0 $500.0 0 $500.0 0 $500.0 0

$0.0 0 Improvemen t $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Tota l $500.0 0 $500.0 0 $500.0 0 $500.0 0 $500.0 0

$0.0 0 Sale s Informatio n Sale s Date : 2006-01-3 0 Dee d Type : Price : W D $1,150.0 0 Book : 200 6 Page : 01554 3 Grantor : Redwoo d Rea l Estat e Developmen t Grantee : Joa n M Jone s Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 2005-09-1 6 Dee d Type : SH D BooAr : 200 5 Page : 15577 0 Price : $500.0 0 Grantor : LAN D REUTILIZATIO N COMMISSIO N 

### http://douglasne.mapping-onIine.com/DouglasCoNe/static/accountinfo.jsp?accountno=R143. . . 5/8/200 8&fin £ 

### Dou^^^Kiti 

### nty Accoun t In&gpatio n Pag e 2 o f 2

Grantee : Valid/Invalid : Exclusio n Reason : Sale s Date : Dee d Type : Price : Grantor : Grantee : Valid/Invalid : Exclusio n Reason : Lan d Informatio n Acre s S F 0.1 3 REDWO O REA L ESTAT E DEVELOPMEN TLL C Invali d Sal e b yGov t Agenc y 2003-08-1 3 SH D Book : 200 5 Page : 15576 9 $0.0 0 DOUGLA S COUNT YSHERIF F LAN D REUTILIZATIO N COMMISSIO N Invali d Sal e b yGov t Agenc y
Unit s Dept h Widt h Vacan t 5940. 0 0. 0 132. 0 45. 0 Ye s



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E i 411 4 County : DOUGLA S Street : K 25T H AV E Place : OMAHA Rng : 13 E Rng : Lven : C Sect-Qtr : 04-S E Sect-Qtr : Work : DIGGIN G FO R LEA D REMEADITIO N -. o f Work : LOCAT E ENTIR E PROPERT Y 3 NOT E THI S I S EMPT Y LO T 

### t : COASTA L ENVIRONMENTA L SERVIC E Name : ELIZABET H Phone : (877)662-421 1 itact : MARCO S O R RO NBROWK JLn g Don e For : EP A I: Excavation : 4F T Corne r Lot : N Front : Y Rear : 3Tunnelin g o r Horizonta l Borin g : N Explosives : N MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C

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# I LA B Concentratio n Collecte d Firm : FPP t F/g>-^ W RYASCPXA-3378 0 Fl L2_a PP" i 

### D Date : IO - \0-D 7 RYBSCPXA-3378 0 F2 3<j l "7 pp m 

# n Time : 3> H O prY ^ RYCSCPXA-3378 0 B1 2 3 / pp m 

# n Sample s Analyze d RYDSCPXA-3378 0 B2 T9 PPf " 

# n RDZ3CPXA-3378 0 TW " pp m 

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### 1 Dat e Excavate d :6/6/0 8 

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

# , t / / 

# F J <jt4^a - ^ 3378 0 Omah a Lea d Sit e Exteno rPain t Nort h Amwi r 

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### / Z R pp m 

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### Firm : FP> AF&'^ W RYASCPXA-3378 0 F l 

### /2ft pp m 

## D Date : 1 0 ' I D ~D 7 RYBSCPXA-3378 0 F 2 

### 36 1 7 pp m 

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# n Date : IQ-Z^
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### Omah a Lea d Sit e • Goo d 

### Sit e Sketc h • Poo r Samplin g Address : 411 4 N 2 5 A V l^Nc Apain t Sampl e Numbe r Lea d Concentratio n Sampl e Collecte d LA B 

## Firm : Sample s Collecte d 

## FPAF&'^W RYASCPXA-3378 0 F 1 

### (2ft pp m 

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### 36 1 

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<;< * COASTA L E N VtR O NMENTA L " i PRO-^^* ^ CROUP . INC . 

### Consen t Fo rAcces s T o Propert y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propertyowner ) 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 : CSoouf \ C S Ot^ S Daytim e PhoneZ/^.-5^^ ^ 59^ ^ 

# HII U Kl . %^ ^ ^v i 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 flea 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 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 EPAtha t th e propert yha s bee n remediated . ENVIRONMENTA L RESPONS E ACTION S 

### Bysignin 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 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 t unti l th e wor k ha s bee n satisfactoril ycompleted . Th e Granto rals o agree s to :

Page i of 2"lPROl^ " 

### - *

COASTA L ENVIRONMENTA L GROUP , 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 ma ywis h t o save ; •Wate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessar ysubsequen 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 . •Allo wvideotapin g and/o rphotographin g ofth e property . AGREEMEN TNO TT O INTERFER E --. . 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yofth 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 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 (877 ) 234-6270 .

H I gran t acces s t o m ypropertie sD I d o no t gran t acces s t o m ypropertie s

Signatur^ ^ D^te Signatur eDate
QI woul d lik e t o b e presen t durin g an ysamplin g tha t i s required .

Pag e 2 o f2COASTA L 

## Restoratio n Agreemen t Th e purpos e ofthi s agreement i s t o provid e amutual agreemen t a s t o condition s ofth e propert y prio r t o remediatio nactivities . Thi s wii l als o serv e a s documentatio nfo r th e purpos e o f assurin g tha t resloratio n activitie s are complete dt o th e satisfactio nofth e property owne r an dth e Unite dState s Environmenta l Protectio nAgenc y (EPA) .

Propert yID : Oy^^^ Q 

### Propert y Address : 4 | (L { 1\ | "jl^" ^ Y\V ^ Owner : ^^^^ ^ ^on P( ; Phone : 

# mlMI^m ^
O nth e attache ddiagram(s ) indicate area(s ) to e.vcavate dan ddept ho f excavation , locatio nof all know n utilities, subsurfac e features , surfac e structure s an dlandscapin g features , acces s location(s ) to be use dby contractor , an dthe directio no f North . Indicate distances , depths , material t>pes , etc . Indicate digita l photo s b y referencin g the photo-lo g numbe r wit ha narro w indicatin g directio no f view . Item s T o B e Remove d B yOwne rBefor e Star t O fRemediation : (Us e additiona l sheet s a s necessary ) Th e removal , storage , disposal , and/o rretur n o fthes e item s i s th e Ow/ne rs responsibility . Item : 

# Kkn L Item : Item : Item : Item : Item : Item : Item : Pag e 1 of .COASTA L 

### Item s T o B e Remove d B yContracto rDurin g Remediatio n An d No t Replace d (Us e additiona l sheet s a s necessary ) Item : 

# hi oKje . Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :

Pag e 2 of .COASTA L (NVIMOMMtMTAl . CROUP . IN C 

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# h]onJ L Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item : Item :

PageSof .COASTA L 

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

## Ite m

Pre-existin g property area , that wil l b e excavated , that i s coveredwit hgrass .

Numbe r o f tree s > 2 inch trunl v diamete r

Numbe r of tree s < = 2 inc h trunk diamete r

Numbe r o f Sprinl^le r Zones , Contro l Valves . Timers . Heads , etc . Anac h;i ikeicl i o f lii e sprinkle r !a.\out .
Numbe r o f an dsiz e o f eac hgarden/ flower be d area . .-\lUicl i ;• ; skeici i ol ' rc:aii\> : ^ir'e s an dlocations . 

## Quantit y 

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Pag e 4 o fCOASTA L 

## Ite m Agree dupo nvalu e of plan t material s no t t o b e replace db v contractor . Not e thi s valu e will b e use dt o issu e aplan t \ouche r t o th e propert y owner . Agree dupo nlis t of plant material s tha t wil l b e replace db y contractor . B e very specifi c anddetailed . Includ e asketc hof wer e eac hplant will b e place d b \ih e contracior . Agree dupo nare aof property ' to b e replace d wit hgras s sod . 'lU'lude askeic h^) \ih c areais ) l o b e icplacc d'.vill i Liras s >od.

• Are ao f Cit > o r Count} ' propert y to b e landscape d pe r thei r requirements . IncUid e a-l-.ou- hv.; ' ;|-:c aie aIS !

Easemen t .\rea . t o b e excavate d 

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Additiona l Comment s / Instructions : 

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GChec k th e bo x i f Owne r doe s rx> t wan t CE Gt o docuoien t interio r foundatio nwall s an dpossibl e pre-existin g damage . B y checkin g thi s bo x CE Gi s rK) t responsibl e for an y damag e don e t o th e interio r o

f house , indudin g foundatio ncrack s o r fissures. 

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# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL t 1464 4 Readin g N o 4 1 Mod e SOI L Tim e 2008-06-0 6 10:0 4 Duratio n 30.7 6 Sequenc e Fina l Flag s SAMPL E 411 4 N 2 5 AV LOCATIO N easemen t INSPECTO R detric h CO R 1 CO R 2 MIS C NOT E
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# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , M A0182 1 

## Certificat e o fVerificatio n XL t 1464 4 Readin g N o 4 2 Mod e SOI L Tim e 2008-06-0 6 10:0 5 Duratio n 30.7 7 Sequenc e Fina l Flag s SAMPL E 411 4 N 2 5 A V LOCATIO N easemen t INSPECTO R detric h CO R 1 CO R 2 MIS C NOT E
Erro r pp m ± P b ± 15.80 6 101.92 5 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL t 1464 4 Readin g N o 4 3 Mod e SOI L Tim e 2008-06-0 6 10:0 5 Duratio n 30.2 5 Sequenc e Fina l Flag s SAMPL E 411 4 N 2 5 AV LOCATIO N easemen t INSPECTO R detric h CO R 1 CO R 2 MIS C NOT E
pp m ±Erro r P b 105.90 8 ±16.31 6 Supervise d By : 

# f WVQ V %:^ i Y\ .

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

## Certificat e o f Verificatio n XL t 1464 4 Readin g N o 6 6 Mod e SOI L Tim e 2008-06-0 9 13:1 4 Duratio n 35.1 5 Sequenc e Fina l Flag s SAMPL E 3378 0 411 4 n 2 5 a v LOCATIO N f 2 INSPECTO R detric h CO R 1 CO R 2 MIS C NOT E
pp m ± Erro r P b 79.65 2 ± 13.87 5 Supervise d By :

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

## Certificat e o f Verificatio n XL t 1464 4 Readin g N o 6 7 Mod e SOI L Tim e 2008-06-0 9 13:1 5 Duratio n 30.2 1 Sequenc e Fina l Flag s SAMPL E 3378 0 411 4 n 2 5 a v LOCATIO N f 2 INSPECTO R detric h CO R 1 CO R 2 MIS C NOT E
pp m ± Erro r P b ± 14.68 2 73.90 3 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o f Verificatio n XL t 1464 4 Readin g N o 6 8 Mod e SOI L Tim e 2008-06-0 9 13:1 5 Duratio n 30.1 5 Sequenc e Fina l Flag s SAMPL E 3378 0 411 4 n 2 5 a v LOCATIO N f 2 INSPECTO R detric h CO R 1 CO R 2 MIS C NOT E
pp m ± Erro r P b 60.97 0 ± 13.89 1 Supervise d By :

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

## Certificat e o fVerificatio n XL t 1464 4 Readin g N o 6 9 Mod e SOI L Tim e 2008-06-0 9 13:1 6 Duratio n 30.2 2 Sequenc e Fina l Flag s SAMPL E 3378 0 411 4 n 2 5 a v LOCATIO N f 2 INSPECTO R detric h CO R 1 CO R 2 MIS C NOT E
pp m ±Erro r P b ±13.78 0 63.58 3 Supervise d By :



# • WU-t1 . JIJ^ .

### /r^JL \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 I J^^^^ l Coasta l Environmenta l Grou p Inc . V^^^j ? www.coastalhazmat.co m

^•'••no^ ^ COASTA L E NVIRONMENTA L cR o u r , INC . 

# EXECUTIV ESUMMARY : BVI D #3378 0 - (411 4 N2 5 AVE ) N o Issue s o r Concern s [ ^ Issues/Concern s Detai l Explanation :

### S i ^ 

# EP A• EP APropert y Clos e Ou t For m 

# U K M. , Propert y P^pert y Addre«:-^^^-^^ ^ 

# »:iil M Date/Time : Owne r s Name : /^y , _, _, _ j .

« . ^tt . Quad s Excavated : Contracto r Crou p L^/TVTyT b Ye s No Excavatio nCenera l I .

I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

# y y 2 .If necessary , wer e th e correc t area s ofdri p zon e excavate dan drestored ? Gradin g So dan dVegetatio n Ye s N o 1 .Doe s th e gradin g aroun dth e perimete r ofth e hous e i nexcavate darea s generall y slop e awa y 

### y fromth e house ? 2 .Ha s so dbee nlai dinall area s tha t were excavated ? 3 .Doe s th e sodappea r to b e generall y healthy andgrowing ? (Onl y evaluat e if inspecte da t a3 0 da y time period ) ^__ _ 4 .Ar e soddedarea s generall y firmandevenl y graded ? 5 .

Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e if inspecte da t a3 0 da y tim e period ) ^ _^___ _ ^ 6 .Wa s the propert y grade dsuc htha t water will not poo l o nth e property ? 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 nandclos e freely? (Ifapplicable ) 

# X 2 .Wer e all gate s or fence s take ndowndurin g restoratio nactivitie s reinstalled ? (Ifapplicable ) 

# V 

# k 3 .Wa s damag e t o gate s o r fence s avoided ? (Ifapplicable ) 

# 4 ^

1 ^ 

# t 4 .Wa s damag e t o retainin g wall s avoided ? (Ifapplicable ) 

### \ ^ Foundation , Sidin g an dGutler s Ye s N o / . 1 .Wa s damag e t o th e sidin g o r tri mavoided ? / 2 .Wa s damag e to th e foundatio navoided ? 

# .i^(^f^^^ n< 3 .Wa s damag e to windows avoided ? 

# \p v ^ 4 .Wa s damag e to windows or doo r screen s avoided ? 5 .Wa s damag e to downspout s o r downspou l extension s avoided ? \ Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 .Wa s damag e to driveway surface s avoided ? 2 .Wa s damag e t o walkway surface s avoided ?

## Owner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-da y so dwarranty : EPA Representative^;^;^^^:^:^;^^,.^^—
- Date : //yUy^y "

## Propert yCompletio n Agreemen t Thi s agreemen t document s th e completio no f remedial activitie s performe donm y property . M y signature will designat e tha t 1 a msatisfie dwit hth e restoratio no f m y property , andtha t n o item s are i n questions , now , or a

l an y time i nth e future , excep t thos e item s liste dbelow , ifany . Propert y ID : 

# 3377^ 0 Propert y Address : / ^ ) ( 6 / ^ ^^ ^ f^y C 

## Q^"*"- ' ^€xxf \:5DK^ S Phone : 

### Restoratio nItem s i nQuestion : Item : Item : item : Item : Item : Item : 

### Additional Comments :

I I I iigre e restoratio ni s completed , excep t a s note d I I I d o not agre e restoratio ni s complete d 

## ^ y, ^ 

# ^y-^^- ^ yy ° ^ Contractor' s Signatur e Dat e Owner' s Sigmrfiir c Djrt e *