### PROPERT Y SUMMAR Y Date : 07/19/200 7 | Omah aLea dSite Remedia l Actio nContrac t #EP-R7-07-0 6 Mont hof : Jul y Propert y Address ; 1542 N1 7 S t A . EXECUTIV ESUMMAR Y A. I Issue s Encountered : Non e A. 2 Issue s Resolved : A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Information : CONFIRMATIO NSAMPLIN GDATA/RESULTS : 

### Dz-88 @ 10 " B l 34 3 @ 8 " B2-316@8 " ATTACHMENT S 1 ) Property sketc hprovide db y EP Apursuan 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 nlef t behin darea s vi ) Contracto r identificatio n iii ) Propert y addres s vii ) Date 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 propert y owner ) ii ) Excavatio ndigita l vide o i nMPEG , WM V (Window s Medi aVideo ) o r SW F(Flas hPlayer ) forma t and/o r 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 .

Superfun d 

### TECHNOLOGIES , INC . 4028504 4Footag e t o b e Excavate d = 375 0 Propert yClassification : 80 0 Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 12 6

Legen d Nort h Arro w 

### Omah a Lea d Sit e Concret e Omaha , Nebraska 

# Z 3 Excavate d Are a Propert y Numbe r Existin g Structure Scal e OLS-520 1 Fence 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t Propert y Addres s 1542 N 1 7 S T Peimanen t Landscapin g Quadran t Boundar y Stree t Boundar y 

# HG L i l orjic , Iti r F 1 F 2 Pos t Excavatio n Concentration s (ppm )

B 2 PlayAre a D Z Easemen t 

## O Tree/Shru b B 1 Garde n Othe r Descriptio n o f post excavatio n areas : F1 . fron t yar d left-han d quadrant . F2 , fron t yar d right-han d quadrant : 81 . backyar d left-han d quadran t 62 , backyar d right-han d quadrant , DZ . dri p zon e (1- 3 foo l are a o fsoi l aroun d th e foundatio n o f th e house) .

# 3O/ 0

0/0 7Tota l Quadil w Squar e Footag e t o b e Excavate d = 375 0 adwm S Properl yClassification : 80 0 Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 12 6

Legen d Nort h Arro w 

### Omah a Lea d Sit e Concret e Omaha , Nebraska Excavate d Are a Propert y Numbe r Existin g Structur e Scal e OLS - 520 1 Fenc e 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t Propert y Addres s 154 2 N 1 7 S T Permanen t Landscapin g Quadran t Boundar y Stree t Boundar y 

# HG L Hyiiro(.ieoLo(jii : Inc . F 1 F 2 Pos t Excavatio n Concentration s (ppm ) B 2 PlayAre a D Z Easemen t 

# o Tree/Shru b B 1 Garde n Othe r Descriptio n o f post excavatio n areas : H . fron t yar d left-han d quadran t F2 , fron t yar d right-han d quadrant : B1 . backyar d left-han d quadrant : B2 . backyar d right-han d quadrant ; DZ . dri p zon e (1- 3 foo l are a o f soi l aroun d th e foundatio n o f th e house) .Name : _ Address : Phone : Omah a Lea d Sit e Sit e Sketc h Dat e Tea m BVID # XRFCod e Sampl e Numbe r Lea d Concentratio n Confirmatio n Sampl e 

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- ° "-•• • '-•-• vl ^ A^r.:ir.s-ctr5Tr-- 0''.'ievv : t'" r ± ; 'Jtnsh j LSJ- Jbit e cleanup , Ms . Cyndi e Hind ^ a t (402 ) 504-100*? . Gatier:- ! question s abou t tli e OiuahaLea dSit t cleanup ca nb e ciuecttc i tu ili aEP A Publi c ? (routJ i Omah aoffice ) •-•?• (-402 ) ?*?T-? e 9' 3 (tiorhC-y.eh g c-fftc?' ?

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## IFCENTAL , rsoPE.^r r QWKE D EY . OWNER' S TELEPHON E NUMBE R -HOME : f ?/ ^

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# EP A Propert y Clos e Ou t For m Propert y # : Propert y Address : Date/Time : ^ Owner' s Name : Quad s Excavated : R L Contracto rGrou p SO P7 Excavatio nGenera l Ye s N o 1 .If necessary , wer e the correc t quadrant(s ) excavate dandrestored ? 

### i / 2 .I f necessary , wer e th e correc t area s o f dri 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 o f th e hous e i nexcavate darea s generall y slop e away fro mth e house ? 

### / 2 .Ha s so dbee nlai di nal l area s tha t wer e excavated ? 

### S 3 .

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

### i / 4 .Are sodde darea s generall y firman devenl y graded ? t / 5 .Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte dat a3 0 day tim e period ) 

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

### , / 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 N o I .

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

### i / 2 .

Wer e al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

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

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

### </ 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 ? 

### ( / 2 .Wa s damag e to the foundatio navoided ? 

### ^ 3 .

Wa s damag e to window s avoided ? { 

### / 4 .Wa s damag e t o window s o r door screen s avoided ? 

### , / 5 .

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

### ,/ Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 .Wa s damag e t o drivewa y surface s avoided ? 

### t / 2 . Wa s damag e t o walkwa y surface s avoided ? 

# •s

### Owner s comments :

Inspectio nnotes :



## Removal an drestoratio nactivate s complete includin g th e 30-day so dwarranty : EP ARepresentativ e £L»*CL j _ _

Date : 7 /><*/<>' )Tota l QuadraTTTSquar e Footag e t o b e Excavate d = 375 0 Propert yClassification : 80 0 Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 12 6 d^mS i

Legen d 77

^ Concret e Excavate d Are a Existin g Structur e Fence Permanen t Landscapin g Quadran t Boundar y Street Boundar y 

# O Tree/Shru b Nort h Arro w 

### Omah a Lea d Sit e Omaha , Nebrask a Scal e 1 Inc h = 2 0 fee t o r1 gri d = 5 x! i ft PropertyNumbe r OLS - 520 1 PropertyAddres s

1542 N 1 7 S T Hyi.lioGfOl.ogii. . II K F t F 2 B 1 Pos t Excavatio n Concentration s (ppm ) B 2 li b Pla yArea D Z S $ Easemen t LI . ' AGarde n _Othe r Descriptio n o f pos t excavatio n areas : F1 . fron t yar d left-han d quadrant ; F2 , fron t yar d right-han d quadrant : B1 , backyar d left-han d quadrant ; 62 . backyar d nght-han d quadrant ; DZ . dri p zon e (1- 3 foo l are a o f soi l aroun d th e foundatio n o f th e house )

### I OLOGIES , INC . 

# SEP A PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio no 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 dtha t n o item s ar e i nquestion , now , o r a t an y tim e i nth e future , excludin g an y remainin g so dwarrant y (9 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert y ID : Propert y Address : Phone : Restoratio n Kern s i n Question :

Item : Item : Item : Item : Item : 

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



### I I agre e restoratio n i s completed , excep t a s note d above . L

J I d o not agre e restoratio n i s complete d

Owner'^Signatur e DateFin d Recor d K 1 \

^ / 1 \ J /" ^

Clea n U p Quer yLead Remainin g Quer y Propert yDamag e Quer yClos e \

^^ f 

### ampl e Area : 520 1 - 154 2 N 1 7 ST

V . 

### Owner : . pv^^~~ ~ "" " Resident : Contract : D Owne rOccupie d Owne rName : MATTE S TB-5TF_PHFM . n Owne rAddressl : ^> ? ~\ ^ l - - , "T • ' P 

### Residen t Name : Propert yAddress : 154 2 N 1 7 ST Contractor : JPRUDENT200 7 Group : Owne rAddressZ : 1542 N 1 7 ST City : 

## [OMAH A Owne rPhone : State : Zi p Code : 

## |N E |68ii o Alternat e Phone : Zi p Code : [6811 0 Residen t Phon e Assessment : Qualifyin g Grou p |80 0 Assessmen t XK F Date : 

### 1 Assessmen t MaxXR F Val i 918. 4



# - , °

### Propert y Detai l Informatio n Pag e 1 o f3

-"i ! IT T 

# (Dougfa s Count y Assessor

Pjin t thi s pag e 

### Owne rInformation : Owne rName : MATTE S J R STEPHE N D Mailin g Address : 154 2 N 1 7 S T OMAHA , N E 68110-000 0 

### Propert yInformation : Ke yNumber : 147200020 2 Accoun t Type : Residentia l Parce l Number : 021472000 2 Parce l Address : 154 2 N 1 7 S T OMAHA , 68110-000 0 Previou s Assesse d Value : $1290 0

Curren t Assesse d Value : $1290 0 

### Ta xLevyInformation : CITYCOUNTYBUILDIN G DOUGLA S COUNT Y OMAH APUBLI C SCHOO L DISTRIC T EDUCATIONA L SERVIC E UNI T01 9 METROPOLITA N COMMUNITYCOLLEG E CIT YO F OMAH A PAPI O NATURA L RESOURC E DISTRIC T OMAH ATRANSI TAUTHORIT Y

Tota l Lev y Vie wDougla s Count yTreasurer' s Ta xHistoryInformatio n 

### Las t Updated : 3/23/200 7

« Perfor m a Ne wValuation_Searc h

.0109 6 .2614 4 1.1993 0 .0150 0 .0674 0 .4338 7 .0384 4 .0487 1 .0000 0 .0000 0 2.0751 2



### http://webarc.co.douglas.ne.us/dcassessor/details.asp?Name=st&Address=1542+n+17+st &.. . 4/23/200 7

### Property Detai l Informatio n Pag e 2 o f 3 Parce l Characteristics : Lega l Description : LAND S SEC-TWN-RG E 15-15-1 3 N 25. 5 E 14 0 F TTX LT2 4 & S 1/ 2 E 140FTTXLT256 1 X 14 0 Parce l Size : Acres : 0.1 9 Sq . Ft. : 854 0 Pleas e Note : Th e legal descriptio n above i s a courtes yprovide d fo rassessmen t purposes an d i s no t intende d fo r us e i n legal instruments . 

### Sale s Information : N o Sale s Data Availabl e Buildin g Characteristics : Buildin g Number : 0 1 Buildin g Size : 84 0 sq . ft . Yea rBuilt : 190 0 Condition : Fai r Quality : Fai r Exterior : Fram e Sidin g Units : 1 Bedrooms : 2 Baths : 1 Garage : Basemen t Singl e Garag e Size : 1 

### Propert yPhotos/Sketches :

Firs t Floo r 840. 0 s q ft . RAISE D RANC H Bsmnt Bloc k 8 f

t 95 2 0 sq.ft .

1 CA P HSMTGARAG E Clic k Her e T o Enlarg e Imag e Clic k Her e T o Enlarg e Imag e 

## Vie wParce l Ma p Th e Dougla s Count yAssessor' s offic e make s everyeffor t t o produc e an d publis h th e mos t curren t an d accurat e informatio n possible . N o warranties , expresse d o rimplied , ar e provide d fo rth e dat a herein , it s us e o rinterpretation . ©

Copyrigh t 2003 , Dougla s CountyAssessor' s Offic e 

### http://webarc.co.douglas.ne.us/dcassessor/details.asp?Name=st&Address=1542+n+17+st &.. . 4/23/200 7

### Ma p Outpu t Pag e Io f ArclM S HTM L Viewe rMa t

Copyn^ n(C I QouJJ K Q-nrfv j Tectntagr Ccmmmta n2X02X1 7 

# « Legen d Highlighte d Featur e [ | Parce l f. /

Stree t Blac k an d Whit e Aerial s



### http://webarc.co.douglas.ne.us/servlet/com.esri.esrimap.Esrimap?ServiceName=TestAerial .. . 5/20/200 7

### Sampl e Area : 520 1 - 1542 N 1 7 S T Owner : Resident : Contract : C H Owne rOccupie d Owne rName : MATTE S J R STEPHE N D Owne rAddressl : Owne rAddress2 : 1542 N 1 7 ST City : State : 

## IOMAH A|N E Owne rPhone : Alternat e P Zi p Code : 6811 0 none : 1 Residen t Name : Propert yAddress : |154 2 N 1 7 ST Zi p Code : 6811 0 Residen t Phon e Contractor : |PRUDENT200 7 Group : 1 Assessment : Qualifyin g Grou p |80 0 Assessmen t XR F Date : 1 Assessmen t Ma xXR F Value : | 918. 4

### Property Phot o Display Pag e 1 o f 1

Clos e Windo w



### http://webarc.co.douglas.ne.us/dcassessor/photodisplay.asp7 PARCELN B =0214 7 2000 2 5/20/200 7