### PROPERT Y SUMMAR Y Date : 11/29/200 7 Omah aLea dSite Remedia l Actio nContrac t #EP-R7-07-0 6 Mont hof : Novembe r Propert y Address ; 260 7 Brown e S t A . EXECUTIV ESUMMAR Y A. IIssue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i nNovembe r o nan y dea dspot s t o encourag e sprin g growth . A. 3 Uniqu e Findings : A. 4Othe r Relevan t Information : Ma p erro r o n th e separatio n betwee n Y A an dY B Als o Concret e pa d inY B CONFIRMATIO N SAMPLIN GDATA/RESULTS : F1-(YC ) 8 5 @ 6 " B l - 

### (YD ) 6 1 @ 5 " B 2 - 

### (YA ) 2 5 @ 5 " D l - 44 4 @ 13 " 

### E l - 6 9 @ Scrap e ATTACHMENT S 1 ) Propert y 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 dfo r crossin g othe r propertie s 3 ) Pre-Excavatio ndigita l vide o clip/photograph s 4 ) Post-Excavatio ndigita l vide o clip/photograph s 5 ) Documentatio n - Complete dClose-ou t Checklis t 6 ) As-Buil t sketc h­ i ) Shal l includ e fina l lea dlevel s v ) Legen d ii ) Contaminatio nleft 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 di nth e individua l propert y file , i f available , o r obtaine dinclude : i ) Pre-excavatio nagreemen t detail s (i f an y ar e mad e wit hth e property owner ) ii ) Excavatio ndigita l vide o i nMPEG , WM V (Window s Medi aVideo ) o r SW F(Flas hPlayer ) forma t and/or photograph s iii ) Signe dfor mverifyin g satisfactor y restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

TECHNOLOGIES , INC
. 4028618 6 

# 11 1 11 1 11 1 Superfun d

# ' V' " J •-?.*<. '

# 71 0 Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName : f j Goo d 

### Sit e Sketc h Address : 260 7 BROWN E S T W : Q f j Poo r No t pain t Sampl e Numbe r Lea d Concentratio n Sampl e Collecte d LA B Firm : Sample s Collecte d Sverdru p RYASCPXA-71 0 Y A 452. 8 pp m 

# a Date : RYBSCPXA-71 0 Y B 288. 2 pp m Time : RYCSCPXA-71 0 RYDSCPXA-71 0 Y C Y D 841. 6 529. 2 pp m pp m Sample s Analyze d RDZSCPXA-71 0 D Z 1409. 6 pp m 

# a XR F Unit : Book : RGZSCPXA-71 0 G Z pp m D 

# a Date : 10/21/199 9 RPZSCPXA-71 0 P Z Pp m D 

# a Time : 05:0 0 Numbe ro f Sample s = 5 : Staff : Legend : Y A= Yar d (NE) , Y B = Yar d (SE) , Y C = Yar d (SW) , Y D = Yar d (NW) , D Z = Dri p Zone , G Z = Garden , P Z = Play

Re v 4 046141.012 3

## Soi l Analysi s Project

Address : Sampl e No D A D B D C ,D1>:;:;Q B 

### 2 . 

### QC DupK«it» » Sa^T** * Coflcrtgil ; 

## Recor dNumber

## Agreemen t t o allo wacces s t o /^

__!_..

_I _._. ! XJUIctrii d Utfd U i f 

## th e propertyi n orde rt o conduct Sit e Remedia l r' * 

### fo S 

## environmenta l samplin g an d t o remov e lead-contaminate d soi l Actio n Prudent Technologies , Inc . (Prudent ) i s under contrac t wit hth e U . S . Environmenta l Protectio nAgenc y (EPA) to clea n up lead-contaminate dsoil s a t anumber o f propertie s locate di nOmaha , Nebraska , includin g th e property locate dat ^(pC * 1 _rz^rooaoe . lE>t ~ . Th e EP A request s your permissio n to allo w Prudent to performasoi l cleanu p a t mi s propert y to remov e lead-contaminate dsoil . B y signing thi s form , th e propert y owner grant s permissio n to Pruden t to performactivitie s relate dto th e cleanup includin g soil sampling , removal o f lead-contaminate dsoil , an drestoratio no f th e reference d property . Afte r obtainin g th e owner' s signature o nthi s form , Prudent Technologies , Lie . will contac t th e property owne r (an dresidents ) withi n th e next fe w week s to coordinate performanc e in e wor k I f

yo u hav e an y question s abou t th e soi l cleanu p planne dfo r you r property , pleas e contac t Pruden f s Administrativ e Cler k

for th e Omah aLea dSit e cleanup , Ms . Cyndi e Hind s a t (402 ) 504-1004 . Genera l question s abou t th e Omah aLea dSit e cleanu p canb e directe dto th e EPA Publi c Informatio nCenter s at (402 ) 731-3045 (sout hOmah aoffice ) o f (402) 991-958 3 (nort hOmah aoffice) . Propert y Acces s Grante dBv : kj& x O ( \I t Propert y Owner Signature :
PROPERT Y INFORMATIO N 

### (T o b e completedb j resident and/o r property owne r - pleas e print) RESIDEN TNAME : "=4^ 0 e i 0 \ p Y \ $ \ fLAP^& & \\") ° I j J tie r 

### Q*ente r RESIDEN TADDRESS : A 0 * 7 ff t 

### Ki d I F RENTAL
. PROPERTYOWNE D BY : OWNER' S HAILW G ADDRESS ; .2
. OWNER' S TELEPHON E NUMBE R -HOME : " £ WORK : AG E O F HOME? : YEARS
. HO W LON G HAV E YO U tWE O HERE ? YEARS
. HAS TH E EXTERIO R BEE H PAINTE D O R COVERE D WIT H SIDIN G SINC E 1378 ? YE S N O NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : f ) NUMBE R O F OCCUPANTS ? YEAR S OL D AN D OLDE R • n^j^i
—_^_^^
_ NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA YM TH E YAR D FO R S HOUR S O R BOR E PE R WEEK
. C / COMMENT S O R SPECIA L INSTRUCTIONS : (I.E
. DOGS
. ENTR YGATES
. ETC. ) 

### AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s t o b e implemente db y EP Aunder thi s nw£mnA/ty% * /tv- n vhinmtnvn f * « C^S-tinv s 1 A/ 1 n f fW O < T A A T T T C /" " OXA/ 1 TTT l A ' ^ ^ «V% + «* " «r-.r-iii-i
- *•/ * *Vj- i ««vnvtnr+T T i w ** & ccmciit 0 1 t r pu i auniJi . LWijcuaui i i v- r kJ i v_-ALas.wj-*r^ j -r^ u.k?.x^ . ?uvr . AJX*J-Wai igiu . U LQ%.\.CJ ALWui c y i uy ai~ y i s 

### provide dfa r i nSectio n104(e ) o f CERCLA , 4 2 U.S . C 9o~05(e) , whic hprovide s entr y fa r "determinin g th e nee dfa r response , or choosing or takin g any respons e actio nunde r thi s title , or otherwis e enforcin g th e provision s o f th e title. "

# &EP A EP A Propert y Clos e Ou t Propert y # : 7/ 0 Propert y Address : 2-40 7 DateATime : Owner'sName : T?r«* v Quad s Excavated : P , 

### > . , f t 

### J Contracto r Grou p Pruden t Technologie s Excavatio n Genera l 

### Ye s 1 .

I f necessary , wer e th e correc t quadrants ) excavate dan drestored ? 

### »/ 2 .

I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? 

### i / Gradin g So dan dVegetatio n 

### Ye s 1 . Doe s th e gradin g aroun dth e perimete r o f th e hous e i nexcavate darea s generall y slop e awa y fro mth e house ? 

### t / 2 .Ha s so dbee n lai di nal l area s that wer e excavated ? 

# s 3 .

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

# s 4 .Are sodde darea s generall y firman devenl y graded ? 

# / 5 .

Are th e joint s betweenth e so dstrip s generall y tight ? (Only evaluat e i f inspecte da t a3 0 da y tim e period ) 

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

# s 7 .Wa s damag e t o landscapin g o r plan t material s avoided ? 

# </ Gates , Fence s an dRetainin g Wall s 

### Ye s 1 .

D o gate s ope n an dclos e freely ? (I f applicable ) 

### S 2 .

Wer e al l gate s o r fence s take n dow n durin g restoratio n activitie s reinstalled ? O f applicable ) 

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

### S 4 .Wa s damag e to retainin g wall s avoided ? (I f applicable ) 

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

### i / 2 .Wa s damag e t o th e foundatio n avoided ? 

# s 3 .Wa s damag e t o window s avoided ? 

### S 4 .

Wa s damag e t o windows o r doo r screen s avoided ? iS 5 .

Wa s damag e t o downspout s o r downspou t extension s avoided ? 

# I / Sidewalk s an dDriveway s (Concrete ) 

### Ye s 1 .Wa s damag e t o drivewa y surface s avoided ? 

### S 2 . Wa s damag e to walkway surface s avoided ? 

### / N o

N o

N o

N o



### N o

### Owner s comments :

Inspectio n notes :

Remova l an drestoratio n activate s complet e includin g th e 30-da y so dwarranty : EP A Representativ e &* » Date :

# J l 3 Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName:
_ Q Goo d 

### Sit e Sketc h Address : 260 7 BROWN E S T Q ] Poo r

Phone : J * 

# t n No t pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Concentratio n Collecte d Firm : Sverdru p RYASCPXA-71 0 YAS h 452. 8 Pp m D Date : RYBSCPXA-71 0 Y B 288. 2 pp m Time : RYCSCPXA-71 0 Y C frf 841. 6 PP m 

# a Sample s Analyze d RYDSCPXA-71 0 Y D ( J 529. 2 pp m RDZSCPXA-71 0 RGZSCPXA-71 0 RPZSCPXA-71 0 D Z l^ ] G Z P Z 1409. 6 pp m pp m pp m D 

# a a a XRFUni t Date : Time : 10/21/199 9 Book : 05:0 0 Staff : Numbe ro f Sample s = Legend : Y A= Yar d (NE) , Y B = Yar d (SE) , Y C = Yar d (SW) , Y D = Yar d (NW) , D Z = Dri p Zone , G Z = Garden , P Z = Pla y '

Re v4 046141.012 3 

### -f l

## PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio n o f remova l activitie s performe do nth e belo w liste dproperty . Th e propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfie dwit hth e restoratio no f th e subjec t property , an dthat n o item s are i n question , now , o r at an y tim e i n th e future , excludin g an y remainin g warrant y (9 0 day s overall , 3 0 day s o nso dgrowt hguarantee ) excep t thos e item s liste dbelow , i f

any . $"*< / Mr f /i/ao/ o 7 Propert y ID : 7 f Q Propert y Address : N£
. Owner :
Restoratio n Item s i n Question :



### Item : / 

## / 

# se e d / A / 

## / &

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



### LJ I d o not agre e restoratio n i s complete d

Owner' s Signatur e Dat e

### Dougla s Count y Pag e 1 o f 2 Dougla s County , Nebrask a Propert yRecor d - R193413000 0 Informatio n i s vali d a s o f 2007-7-1 9 Value s no t finalize d unti l afte rBoar d o f Equalizatio n Print-Repor t Owne r WILLIAM S J R E TRUDOLP H J 260 7 BROWN E S T OMAH AN E 68111-000 0 Propert yInformatio n Ke yNumber : 341300001 9 Accoun t Type : Residentia l Parce l Number: 193413000 0 Parce l Address : Lega l Description : 260 7 BROWN E S T OMAH AN E 68111-000 0 OXFOR D PLAC E LO T2 BLOC K2 5 0 X 122.4 3 Valu e Informatio n 200 7 200 6 200 5 200 4 200 3 200 2 Lan d $2,500.0 0 $2,500.0 0 $2,500.0 0 $2,500.0 0 $2,500.0 0

$0.0 0 Improvemen t $38,800.0 0 $38,800.0 0 $12,000.0 0 $10,900.0 0 $10,900.0 0 $0.0 0 Tota l $41,300.0 0 $41,300.0 0 $14,500.0 0 $13,400.0 0 $13,400.0 0 $0.0 0 Sale s Informatio n Dat e Typ e Boo k Pag e Pric e Lan d Informatio n Acre s 0.1 4 S F 6100. 0 FF 50. 0 Unit s 1. 0 Dept h 122. 0 Widt h 50. 0 Vacan t N o Lan d Attribute s Attribut e Attribut e Descriptio n Improvemen t Informatio n Buildin g 1



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

### R19 .. . 8/20/200 7

### Dougla s Count y Pag e 2 o f 2

1 1 C Slo o

:S07 BIQM V SI . fll- mifJtK&r l (U S g j



### CJicJkj o CMck_t_Q_Enlarg e Imag e Squar e Footage : 

### 1280. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Fai r Uni t Type : Condition : Averag e Cond o Squar e Footage : 0. 0 Buil t As : 1 1/ 2 StoryFi n Rooms : 5. 0 HVAC : Force d Ai r Units : 

### 1. 0 Exterior : Fram e Viny l Baths : 

### 1. 0 Interior : Plaste r Bedrooms : 3. 0 Roo f Cover : Compositio n Shingl e Stories : 

### 1. 5

Roo f Type : Gabl e Foundation : Floorcover : Allowanc e 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 

### 192 2 0 % 192 2 8 4 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 

### 1. 0 Basemen t Bsmn t Bloc k 8 f t 848. 0 Fixtur e Bas e Fixture s 

### 1. 0 Fixtur e Bat h Ful l 

### 1. 0 Garag e Detache d 280. 0 Porc h Enc l Scree n 96. 0 Porc h Woo d Dec k 224. 0 Use r Ful l Finishe d Atti c 432. 0 Use r Sourc e # 3. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jspTaccountno^ R19.. . 8/20/200 7

### Print Previe w Pag e 1 o f 1 

## 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 Addres s 2 Owne rCit y Owne r Stat e Owne rZi p 193413000 0 WILLIAM S J R E T RUDOLP H J 260 7 BROWN E ST OMAH A 6811 1
260 7 BROWN E ST OMAH A N E 6811 1 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lo t Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Websit e Lin k 04-15-1 3
OXFOR D PLAC E 2 2 50X122.4 3

http://douglasne
. mapping online
. com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 934 1 3000 0 Disclaimer
. Ma p an d parce l dat a ar e believe d t o b e accurate , bu t accurac yi s no t Ma p Scal e 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 , 1 inc h = 3 7 fee t appraisal , survey , o rfo rzonin g verification
. 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 8/ 1 /200 7Rn d Recor d Clea n U p Quer y Lead Remainin g Quer y Propert yDamag e Quer y

D Owne rOccupie d Owne rName : 

## IWILLJAM S J R E TRUDOLP H j Owne rAddres s 1 : Owne rAddress2 : Residen t Name : Propert yAddress : J260 7 BROWN E S T Zi p Code : J6811 1 Residen t Phon e |PRUDENT200 7 Group :
Qualifyin g Grou p |80 0 Assessmen t XR F Date : Assessmen t Ma xXR F Valu e

# 71 0 1 3
Owne rName : 

### Address : 2607 BROWN E s r

Phone : J * y w Exterio rPaint f j Goo d Q Poo r Q] No t paint Nort h Arro w 

# t Sampl e Numbe r Lead Concentratio n Sampl e Collecte d LA B Firm : Samples Collecte d Sverdru p RYASCPXA-71 0 

# a Date : RYBSCPXA-71 0 RYCSCPXA-71 0 RYDSCPXA-71 0 

# D 0 Time : Samples Analyze d RDZSCPXA-71 0 

# a XRFUni t Book : RGZSCPXA-71 0 

# a Date : 10/21/1999 RPZSCPXA-71 0 Time : 05:0 0 Numbe ro f Sample s = [ 5 j 2 I Staff : Legend : Y A= Yard (NE)
. Y B = Yard (SE) , Y C = Yard (SW)
. Y D = Yard (NW) , D Z = Dri p Zone , G Z = Garden
. P Z = Pla y



### £ A 

## h b

### Prin t Previe w Pag e 1 o f 1 

## 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 Addres s 2 Owne rCit y Owne r Stat e Owne rZi p 193413000 0 WILLIAM S J R E T RUDOLP H J 260 7 BROWN E ST OMAH A 6811 1
260 7 BROWN E S T OMAH A N E 6811 1 Sec-Twn-Rn g Owne r Addres s Additio n Block Lo t Lega l 1 Lega l 2 

### Lega l 3 Lega l 4 Assesso r Website Lin k 04-15-1 3
OXFOR D PLAC E 2 2 50X122.4 3

http://douglasne
. mapping online
. com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 934 1 3000 0 Disclaime rMa p an d parce l dat a are believe d t o b e accurate , bu t accurac yi s no t Ma p Scal e 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 , 1 inc h = 3 7 fee t appraisal , survey , o rfo rzonin g verification
. 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 8/1/200 7