### PROPERT Y SUMMAR Y IDate : 11/9/200 7 Omah aLea dSit e Remedia l Actio nContrac t #EP-R7-07-0 6 Mont hof : Novembe r Propert y Address : 203 6 Florenc e Blv d AEXECUTIV ESUMMAR Y A. I Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil loccu r i nNovembe r o nan y dea dspot s t o encourag e sprin g growth . A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Information : CONFIRMATIO NSAMPLIN GDATA/RESULTS : 

### B 2 - 26 1 @ 6 " Dl-51@13 " 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 efina l lea dlevel s ii ) Contaminatio nleft behin darea s iii ) Propert y addres s iv ) BVI D numbe r v ) Legen d vi ) Contracto r identificatio n vii ) Dat e 7 ) Othe r item s t o b e include di nth e individua lpropert y file , i f available , o r obtaine dinclude : i ) Pre-excavatio nagreemen t detail s (i f an y ar emad e wit hth e propert y owner ) ii ) Excavatio ndigita lvide o i nMPEG , WM V (Window s Medi aVideo ) o r SW F(Flas hPlayer ) forma t and/o r photograph s iii ) Signe dformverifyin g satisfactory restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

CHNOLOCIES , INC
.Tota l Quadran t Squar e Footag e t o b e Excavate d = 214 7 Properl yClassification : EBL - AG E 3. 8 Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 20 0 

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## Florenc e Boulevard : Nort h Arro w 

### Omah a Lea d Sit e Omaha , Nebraska Scal e 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t PropertyNumbe r OLS-2755 0 PropertyAddres s 203 6 FLORENC E B D F 1 F2 B 1 Pos t Excavatio n Concentration s (ppm ) B 2 PlayAre a DZ
. Easemen t Garde n Othe r Descriptio n o fpost excavatio n areas : F1
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.

## 2755 0 Owne rName : SUSA N M BOILESE N Omah a Lea d Sit e B D 

## sit e Sketc h Address : 203 6 FLORENC E Phone : H : W : Lea d Sampl e Sampl e Numbe r Concentratio n Collecte d RYASCPXA-2755 0 F 1 

## D i /

1 1 t—i/ RYBSCPXA-2755 0 F 2 1 ( £ l DD m |y i 

## D RYCSCPXA-2755 0 B 1 ^> i i Do m [v i 

## D RYDSCPXA-2755 0 |^ § RDZSCPXA-2755 0 |f p 

## D La b RYDSCPLA-2755 0 Do m P I 

## D Resul t 67 2 pp m Do m n 

## D

.... . Numbe ro fSample s — M 

# Tj Exterio rPain t Nort h Arro w n Goo d Efpoo r Q ] Not pain t Sample s Collecte d Firm : V= rb » AV

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# &EP A EP APropert y Clos e Ou t For m Property# : _ PropertyAddress : Date/Time : _ H / ? /O 7 

### Owner' s Name : Quad s Excavated : pg - Contracto rGrou p Excavatio n Genera l Ye s N o 

### 1 .I f necessary , were th e correc t quadrant(s ) 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 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 awa y 

### S fro mth e house ? 2 .Ha s so dbee nlai di nal l area s tha t wer e excavated ? 

### </ 3 .Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) c / 

### 4 .Ar e sodde darea s generall y fir man devenl y graded ? 

## ^ 5 .Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 

## i / 6 .

Wa s th e property grade dsuc htha t wate r wil lno 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 d Retainin g Wall s 

### Ye s 

### N o 

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

### t / 2 .Wer e al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

### I / 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 d Gutter 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 t o th e foundatio navoided ? £ / 

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

### 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 d Driveway s (Concrete ) 

### Ye s 

### N o 

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

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

### t /

## Owner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-day so dwarranty : EP ARepresentativ e 0^,^ . Date :

## 2755 0 Exterio rPain t Nort h Arro w rGoo d Not pain t

Sample s Collecte d Firm : p : b » f t Q a Date : e> n - 

### - o Time : l Sample s Analyze d XR F Unit : 81 0 Book :

Date : Time : Staff : Owne rName : SUSA N MBOILESE N Address : 203 6 FLORENC E B D Phone : H : Sampl e Numbe r RYASCPXA-2755 0 RYBSCPXA-2755 0 RYCSCPXA-2755 0 RYDSCPXA-2755 0 RDZSCPXA-2755 0 La b RYDSCPLA-2755 0 Resul t 67 2 pp m W : Lea d Concentratio n 

## 3 Omah a Lea d Sit e Sit e Sketc h Sampl e LA B Collecte d

Numbe ro fSample s = j

Omah aLeadSite 4613 0

## 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 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 . Propert y") : ^ 1 S S O Propert yAddress : Q Q '2( r\ ^

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## \f\

. Bo i L_ cSC-^ O Phone : ( '^ O ^ 3HM-8^) U 

### Restoratio n Item s i n Question :

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

LJ I d o no t agre e restoratio n i s complete d

//*-? ­

Owner' s Signatur e Dat e

### 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 113906000 0 BOILESE N SUSA N M 203 6 FLORENC E B D OMAH A 6811 0
203 6 FLORENC E BLV D OMAH A N E 6811 0 Sec-Twn-Rn g Additio n Block 

### Lot Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Websit e Lin k 10-15-1 3 FRANKLI N SQUAR E 0 9 S35F T 35X14 0

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 1 3906000 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 = 2 8 fee t appraisal , survey , o rfo rzonin g verification
.


### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData-Douglas%20Co .. . 10/25/200 7ENVIRONMENTAL * CONSTRUCTIO N 

### TECHNOLOGIES , INC . SERVICE S 

## MA PERRO RREPOR T FORM Propert y Address : 

# Fl o 

# r g we e BVI D Number : Descriptio no f th e Ma p Error :

Dat e o f th e Repor t t o EPA : Metho do f Reportin g (Circl e one) : Phon e Cal l E-mai l -^leTwithEP A Othe r Metho d Descriptio no nho w th e erro r wa s resolved : 

# £o f 

# Q V-(o r

Signatur e o f th e Reportin g Staf f Membe r

808 0 War d Parkway , Suit e 40 5 250 5 N
. 24 t h Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 64 1 1 4 Omaha , Nebrask a 6811 0 Sa n Antonio , T X 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402 ) 504-100 5 Fax : (210)579-657 7

### Propert y Detai l Informatio n Pag e 1 o f 3

Prin t thi s pag e Owne rInformation : Owne rName : BOILESE N SUSA N M Mailin g Address : 203 6 FLORENC E BLV D OMAHA , N E 68110-000 0 Propert yinformation : Ke yNumber : 390 6 000 0 1 1 Accoun t Type : Residentia l Parce l Number : 113906000 0 Parce l Address : 203 6 FLORENC E B D OMAHA , 68110-000 0 Previou s Assesse d Value : $1160 0

Curren t Assesse d Value : $1160 0 Ta xLevyInformation : CIT YCOUNT YBUILDIN G DOUGLA S COUNTY OMAH APUBLI C SCHOO L DISTRIC T EDUCATIONA L SERVIC E UNI T01 9 METROPOLITA N COMMUNITYCOLLEG E CITYO F OMAH A PAPI O NATURA L RESOURC E DISTRIC T OMAH ATRANSI TAUTHORIT Y

Tota l Levy Vie wDougla s Count yTreasurer' s Ta xHistoryInformatio n Las t Updated : 3/23/200 7

« Perfor m a Ne wValuatio n Searc h

.0109 6 .2614 4 1.1993 0 .0150 0 .06740 .43387 .0384 4 .0487 1 .0000 0 .0000 0 2.0751 2

http://webarc.co.douglas.ne.us/dcassessor/details.asp?Name=&Address=2036+florence+bd .. . 4/23/200 7

## Property Detai l Informatio n Pag e 2 o f 3 Parce l Characteristics : Lega l Description : FRANKLI N SQUAR E LO T9 BLOC K0 S 3 5 FT3 5 X 14 0 Parce l Size : Acres : 0.1 1 Sq
. Ft. : 490 0 Pleas e Note : Th e legal descriptio n above i s a courtesyprovide d fo rassessmen t purposes an d i s no t intended fo r us e i n legal instruments
. 

## Sale s Information : Clic k Her e Fo rSale s Dat a Buildin g Characteristics : Buildin g Number : 0 1 Buildin g Size : 1043 sq.ft
. Yea rBuilt : 190 0 Condition : Fai r Quality : Fai r Exterior : Fram e Sidin g Units : 1 Bedrooms : 2 Baths : 1. 5 Garage : Garag e Size : 

## PropertyPhotos/Sketches :

Clic k Here T o Enlarg e Imag e Clic k Here T o Enlarg e Imag e 

## Vie wParce l Ma p Th e Dougla s CountyAssessor' 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=&Address=2036+florence+bd .. . 4/23/200 7

### Sampl e Area : 2755 0 - 203 6 FLORENC E B D

- f.c-b T Owner : Resident : 

### pp , Contract :

_

J Owne rOccupie d Owne rName : BOILESE N SUSA N M Owne rAddressl : Residen t Name : 

## IBOILESE N SUSA N M PropertyAddress : |203 6 FLORENC E B D Contractor : JPRUDENT200 7 Group :
Owne rAddress2 : 203 6 FLORENC E BLV D City : OMAH A Owne rPhone : State : Zi p Code : |N E |6811 0 Alternat e Phone : Zi p Code : [6811 0 Residen t Phon e Assessment : Qualifyin g Grou p 

## |EB L

## - AG E 

## 4 Assessmen t XR F Date : (402 ) 344-881 6 ! Assessmen t Ma xXR F Value : I I 741.0 7

## Property Phot o Displa y Pag e 1 o f 1

Clos e Windo w



## http://webarc.co.douglas.ne.us/dcassessor/photodisplay.asp?PARCELNB= l 13906000 0 5/20/2007STATU S 4 Contract 6 Constructio n 4 Contract 3 Bi d Stag e 4 Contract 4 Contract 6 Constructio n jLCanslojctio n

3 Bi d Stag e 4 Contract 3 Bi d Stag e ^TBRTSTIge 4 Contract 4 Contract 3 Bi d Stag e 3 Bi d Stag e 3 Bi d Stag e 3 Bi d Stag e 3 Bi d Stag e 6 Constructio n 6 Constructio n 6 Constructio n 3 Bi d Stag e 3 Bi d Stag e 3 Bi d Stag e 3 Bi d Stag e 3 Bi d Stag e 3 Bi d Stag e 3 Bi d Stag e 4 Contract 4 Contrac t 3 Bi d Stag e 6 Constructio n 3 Bi d Stag e 3 Bi d Stag e 6 Constructio n 3 Bi d Stag e 3 Bi d Stag e PROJECTAD D 71 1 Pin e Stree t 53 7 Sout h 27t h Street 20 1 5 Miam i S t 241 4 Ohi o St 39 1 9 Florence Blvd
. 4 1 1 3 Sout h 2 3 Stree t 171 0 Sout h 15t h Street 352 6 V Stree t 340 5 Californi a Street 203 6 Florence Blvd
. 401 0 Nort h 28t h Ave , 422 4 Meredit h 532 6 Nort h 2 5 Stree t 61 7 Sout h 3 1 Stree t 421 4 Elliso n Avenu e 473 2 Nort h 37t h Street 434 1 Nort h 3 2 Street 391 0 No
. 2 6 Stree t 333 2 Spauldin g Stree t 285 7 Bristo l Street 200 5 Locus t Stree t 43 1 7 Miam i Stree t 19 1 9 Willi s Avenu e 146 1 1/ 2 Sout h 14th Street 470 9 Meredit h 571 6 Camde n Avenu e 600 4 Nort h 47t h Street 263 0 Drexe l Stree t 271 7 Drexe l S t 288 1 Whitmor e 583 3 Nort h 2 4 Street 34 3 Nort h 3 5 Street 25 1 7 Sout h 25t h Stree t 391 4 Sout h 2 7 Stree t 562 1 Sout h 33r d Avenu e 2102 G Stree t 347 7 Pratt Street 252 8 Hartma n Avenu e FULLNAMEA P Jame s J
. Chalmer s Roge rKarase k Katti e M
. Stanfiel d Carl a J
. McGhe e Velm a R
. Bas s Christia n D
. Gra y Thoma s McNall y Carlo s Martinaz (Deceased ) Mar yLibert y Susa n M
. Bollese n Teres a I Dunca n " Michae l Koyc e Alish a H
. Farme r Davi d Kai n Propertie s LLC Stephani e Le e Michae l Royc e Letish a Pickar d Michae l Royc e Michae l Royc e Cynthi a Davi s Yvett e Davi s Mabl e Frazie r Kath yFishe r Bernar d J
. Hendr y Michae l Royc e Johnni e Wrigh t Sharre n E Bynu m Denise Harri s Kamara Elvir a C
. Gonzale s Nicol e M
. Bentzinge r Terr i L
. Russell-Dosse h Ronal d K
. Pendley Christia n R
. Barb a Roberto A
. Sanchez Dori s L
. Hernandez Pabl o L
. Valade z Michae l S
. Royce Sr
. Bett yCrawford ADDRES S 71 1 PINES T 53 7 S 2 7 S T 201 5 MIAM I S T 24 1 4 OHI O S T 391 9 FLORENC E B D 4113S23S T 1710S15S T 352 6 V S T 340 5 CALIFORNI AS T 203 6 FLORENC E B D 40 1 O N 2 8 A V 422 4 MEREDIT H A V 532 6 N 2 5 S T 61 7 S 3 1 S T 42 1 4 ELLISO N A V 473 2 N 3 7 S T 434 1 N 3 2 S T 39 1 O N 2 6 S T 333 2 SPAULDIN G ST 285 7 BRISTO L S T 200 5 LOCUS TS T 431 7 MIAM I S T 191 9 WILLI S AV 146 1 1/ 2 S 1 4 ST 470 9 MEREDIT H AV 57 1 6 CAMDE N A V 6004 N 4 7 S T 263 0 DREXE L ST 272 7 DREXE L S T 288 1 WHITMOR E S T 5833 N 2 4 S T 34 3 N 3 5 S T 2517S25S T 391 4 S 2 7 S T 562 1 S 3 3 AV 2 1 0 2 GS T 347 7 PRAT TS T 252 8 HARTMA N AV SAMPL E ARE AI D 1562 2265 7 2916 1

544 3359 1 1201 3 19236 4678 7 2404 9 2755 0 3340 2 = T25 4 207 5 247 5 37138 3516 7 3414 2 3318 1 3288 6 3090 8 2987 9 2860 9 28304 9331 1 6859 8 5813 6 5064 9 4435 4 4413 6 4092 0 3847 1 2376 8 16345 1245 7 249 6 251 4 520 5 551 7 HIG H RESUL TCONTRACTO R 925. 6 ASW200 6 2101.6ECC200 5 1000. 9 ECC200 5 917. 6 ECC200 6 129 8 ECC200 6 213 8 ER(ERRS)200 5 1378. 2 PRI(Rapid)200 6 963. 6 PRI(Rapld)200 6 700. 4 PRUDENT200 7 741.07PRUDENT200 7 414.1 3 PRUDENT200 7 

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