PROPERT Y SUMMAR Y Date : 11/21/200 7 Omah aLea dSite Remedia l Actio n Contrac t #EP-R7-07-0 6 Mont hof : Novembe r Propert y Address : 632 1 N 3 2 S t A . EXECUTIV ESUMMAR Y A. I Issue 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. 4 Othe r Relevan t Information : CONFIRMATIO N SAMPLIN GDATA/RESULTS : E l - 119 @ Scrap e Dl-69@10 " 

### F 2 - 5 2 @ 4 " 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 nlef t behin darea s vi ) Contracto r identificatio n iii ) Propert y addres s vii ) Dat e iv ) BV1 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 .

TECHNOLOGIES , INC . 4028624 4 

# Illlll l Superfun dName : / W H>K W Omah a Lead Site Date : Nort h Arro w Address : A.3 KA ? Sit e Sketc h Time : J : Phone : 

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### / C BVID # XR F Cod e Sampl e Numbe r Lead Concentratio n Confirmatio n Sampl e F-" Z pp m Ye s n N o S ? pp m Ye s 5 ? N o D 

### 7 7 T/ l pp m pp m pp m Ye s Ye s Ye s n n d N o N o N o C B 5 ? I S La b RYBSCPLA-3942 4 pp m pp m p r Ye s Q Ye s C H N o N otS J D Resul t 44 8 pp m

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### Sit e Remedia l i \vy 1 ? environmenta l samplin g an d t o Actio n %-vfewWrtfr- ^ remov e lead-contaminate d soi l Prudent Technologies , Inc . (ftudent y i s unde r contrac t wit hth e U . S . Environmental Protectio n Agenc y (EPA) t o dea n u p lead-contaminate dsoil s at anumbe r o f propertie s locate di n Omaha , Nebraska , includin g th e property locate dat &.3t>2 i / J Jg J ^' 7 . Th e EP A request s you r permissio n to allo w Pruden t to performasoil cleanup a t thi s propert y to remov e lead-contaminate dsoil . B y signin g thi s form , th e property owne r grant s permissio n t o Prudent t o perfor mactivitie s relate dt o fh e cleanu p includin g soi l sampling , remova l o f lead-contaminate dsoil , an drestoratio n o f th e reference d property . Afte r obtainin g th e owner' s signatur e o n Shi s form . Pruden t Technologies , Inc . will contac t di e property owne r (an dresidents ) withi n th e nex t fe w week s t o coordinat e performanc e th e work . 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 ftudent' s Administrativ e Cler k

fo r to e Omah aLea dSit e cleanup,Ms . Cyndi e Hind s at(402 ) 504-1004 . Genera l question s abou t di e Omah aLeadSit e cleanup can b e directe dt o th e EP A Publi c Informatio n Center s at (402 ) 731-304 5 (souto Omah aoffice ) o r (402) 991-958 3 (nort hOmah aoffice) . Propert y Acces s Grante dBy : / Wl T V^ ^ I \ov^j^- \ (Pl»i3»PrintKam» ) is i J/7 . . / Property Owner Signature : (Dad ) PROPERT YINFORMATIO N (T o b e complete db \resident and/o r propert y owner - pleas e prmt ) RESIDEN TNAME . (v\c > J\'V\g>» ^ \ - > vy , W N 

# L.J l RESIDEN TADDRESS . I F RENTAL.PROPERT YOWNE D B Y : AJ A OWNER' S MAILIN G ADDRESS ; A / A \ OWNER' S TELEPHON E NUMBE R - HOME : lMO7 1 3 M Z . <-/ * ? ^> C | WORK : j fcZ j 1 £ ? C ^ g C AG E O F HOME? : "^2 - YEARS . HO W LON G HAV E YO U LIVE D HERE ? J^ > YEARS . HA S TH E EXTERtORBEENPAMTEDORCOVEREDWrrHSIDHGSINC E 1378 ? A ^

YE S N O NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD . ^ "UMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLD E R 3 > NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA YI N TH E YAR D FO R S HOUR S O R MOR E PE R WEEK : H ~ COMMENT S O R SPECIA L INSTRUCTIONS : (LE . DOGS.ENTR YGATES.ETC j J ' AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS ; Th e activitie s t o b e implemente db y EP A unde r thi s agreement are pursuant to Sectio n 104 o f CERCLA , 4 2 U.S.C . 96C4 . EPA' s righ t o f acces s to th e property i s provide dfor i nSectio n iC4(e ) o f CStCLA , 4 2 U.S . C P605(e) , whic hprovide s entr y for "determinin g the needfor response , or choosing or takin g any respons e actio nunde r thi s title , or otherwis e enforcin g the provision s o f the title. "

# &EP A EP A Propert y Clos e Ou t Propert y # : J Propert y Address : 632 1 / Y 33~t X Date/Time : $* p / . 3f , So o 7 Owner' s Name : floHhc+ i ^" ^ Quad s Excavated : Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s N o 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 ? • / 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 n excavate darea s generall y slop e awa y fro mth e house ? ,/ 2 .Ha s so dbee n lai di n al l area s tha t wer e excavated ? i / 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 tim e period ) i/ 4 .Ar e sodde darea s generall y firman devenl y graded ? 

# s 5 .Ar e th e joint s betwee n th e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte dat a3 0 day tim e period ) 

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

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

# s Gates , Fence s an dRetainin g Wall s Ye s N o 1 .D o gate s ope n an dclos e freely ? (I f applicable ) </ 2 .

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

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

# </ 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) u ^ 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 t o th e foundatio n avoided ? 

### •/ * 3 .

Wa s damag e t o window s avoided ? 

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

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

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

# s

### Owner s comments :

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### Removal an drestoratio nactivate s complet e includin g th e 30-day so dwarranty : EP A Representativ e JQ ^ J } Date : >///<//Name : /10 A U-K*.* / Tlwi M Omah a Lea d Sit e Date : Nort h Arro w Address : O " i 

### W Site Sketc h Time : J : Phone : •C/Qfl 4 XR F Cod e Sampl e Numbe r Lea d Concentratio n Confirmatio n Sampl e P" Z / r

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## PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio no f remova l activitie s performe do n th e belo w liste dproperty . Th e property owner' s signatur e indicate s tha t th e property owne r i s satisfie dwit hth e restoratio n o f th e subjec t property , an dtha t n o item s ar e i n question , now , o r a t an y tim e i n th e future , excludin g an y remainin g warrant y (3 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert y ID : - 3 <5 \^ 2 _ Propert y Address : Q - , -- . . o / • Owner : Phone : 7 Restoratio n Item s i n Question :

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

# V

I agre e restoratio n i s completed , excep t a s note d above . I d o no t agre e restoratio n i s complete d

Owner' s Signatur e Dat eName : Dae : No . 

### Propert yAddres s Da yCar e 

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### AGREEMEN T AN D RELEAS E FO RRESTORATIO N O FREA LPROPERT Y Thi s Agreemen t an dReleas e (hereinafte r "Agreement" ) i s entere dint o b y an dbetween , Ann e Tin n (hereinafte r "Propert y Owner" ) an dth e Unite dState s Environmenta l Protectio n Agenc y (hereinafte r "EPA") . WHEREAS , th e propert y locate da t 632 1 Nort h32 n d

### Stree t (hereinafte r "th e Property") , mor e specificall y describe dbelow , i s owne db y Ann e Tinn ; WHEREAS , EP A throug hsamplin g an danalysi s ha s discovere dth e Propert y wa s contaminate dwit hlead ; WHEREAS , th e EP A performe daremova l actio nan dremove dth e contaminate dsoil s fro mth e property an dbackfille dth e formerl y contaminate darea s wit hclean fil l the n sodde d and/o r seede dth e described , effecte dproperty ;

WHEREAS , th e Propert y currentl y require s alimite damoun t o f restoratio n wor k t o retur n th e Propert y t o it s origina l conditio n prio r t o initiatio no f EPA' s respons e activities , o r a s nearl y a s possibl e t o it s origina l condition ; NO WTHEREFORE , i n consideratio n o f th e mutua l covenants , promise s an dcondition s an dterm s t o b e kep t an dperforme da s recite dherein , th e partie s heret o agre e a s follows : 1 . Th e rea l Propert y whic hi s th e subjec t o f thi s agreemen t i s owne db y an di s mor e specificall y describe da s follows : BELVEDER E AD D LO T 1 7 BLOC K2 N 97.7 5 F T L T 1 7 97.7 5 X 12 2 

### 2 . Th e EP A wil l complet e th e followin g restoratio n items : Pa y $ 150.0 0 i n lie u o f repairin g so d 3 . Th e Propert y Owne r acknowledge s tha t EP A shal l hav e n o responsibilit y fo r furthe r restoratio n work a t th e Property . 4 . Th e Propert y Owner release s th e Unite dState s an dth e EP A fro man y an dal l claim s arisin g ou t o f o r connecte dwith , directl y o r indirectly , thei r abilit y t o inhabit , occupy , use , transfer , o r

sel l th e real o r persona l propert y a t 632 1 Nort h32 n d

### Stree t an dth e reimbursements , compensation , payments , costs , expenses , an dan y inconvenience s o r damage s relatin g t o th e foregoin g an dth e cleanup , decontamination , disposa l an drestoratio n o f th e Property , includin g an y claim s unde r th e

### Unifor mRelocatio n Assistanc e an dRea l Property Acquisitio n Policie s Act , 4 2 U.S.C. , Sectio n 460 1 et . 

### seq . 5 . Th e Propert y Owne r affirm s tha t sh e i s th e lega l owne r o f th e Propert y a t 632 1 Nort h32n d Street . Thi s agreemen t i s entere dint o an dmad e effectiv e th e da y o f , 2007 . FO RTH EPROPERT Y OWNE R
Dat e FO RTH EUNITE D STATE S ENVIRONMENTA LPROTECTIO N AGENC Y
Dat e Danie l J . Garve y U.S . EP A Regio n VI I

2 Gf 3 2

## 1712 0 PRUDEN T TECHNOLOGIES , IN C FIRS T NATIONA L BAN KO F OLATH E 808 0 WAR D PARKWAY , SUIT E 40 5 83-172/101 0 KANSA S CITY , M O 6411 4 (816)363-370 3



# 12011 * PRUDENTTECHNOLOGIES , INC .

PRUDEN T TECHNOLOGIES , INC . 1712 0 17120Date : Name : No . 

### PropertyAddres s DayCar e 

### A M Landscap e Other s

### Prin t Previe w Pag e 1 ot' l 

### 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 060450000 2 TIM M MATTHE W D 632 1 N 3 2 S T OMAH A 6811 1
632 1 N 3 2 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 33-16-1 3
BELVEDER E AD D 2 1 7 N 97.7 5 F TL T 1 7 97.75X12 2
http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R060450000 2 Disclaime rMa p an d parce l dat a are believe d t o b e accurate , bu t accuracyi s not 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 1 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 7/16/200 7

### Pag e 1 o f 2

Creat e Anothe rTicke t Bac k t o Irt h Interne t Sen d Emai l 

### YOU RTICKE T NUMBE RI S 1846652 . Origina l Cal l Date : 7/20/0 7 Time : 1:4 7 p m Op : CYNDIE1896 7 Wor k t o Begi n Date : 7/24/0 7 T i me : 2:1 5 p m State : N E County : DOUGLA S Address : 632 1 Street : N32N D S T Twp : 16 NRng : 13 E Sect-Qtr : 33-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Soi l Excavatio n - Lea d Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)504-100 5 Compan y: PRUDEN T TECHNOLOGIE S Contac t Name : CYNDI E Wor k Bein g Don e For : EP A Dept h o f Excavation : 13 " Ma x Corne r Lot : Involve s Tunnelin g o r Horizonta l Borin g : CXCAT V METR O MUD0 1 OMAHACO F Servic e Are a CXCAT V CO X COMMUNICATIONS , IN C

METR O METR O COMM . COLLEG E

MUD0 1 METROPOLITA NUTILITIE S DISTRIC T

OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE R Place : OMAH A

Phone : (402)504-100 4 NFronc : NRear : N NExplos i ves : N

OPPDGPR 5 QLNNE1 C SPRNTPC S Contac t Phon e Numbe r Utilit y Typ e 

### Day : 402934046 9 HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 402457230 7 CHRI S Alt : Emerg : 402457231 3 Day : 402504782 3 EDWIN AAlt : 

### Emerg : 402504794 6 Day : 402444719 7 RONAlt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 7/20/200 7

### Pag e 2 o f 2

OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A QLNNE1 C QWES T LOCA LNETWOR K N A

SPRNTPC S SPRIN T SPECTRU M LP 

### Alt : Emerg : 888728934 3 Day : 406728934 3 

### Alt : Emerg : 888728934 3 Day : 402537180 0 Alt : 402537181 0 Emerg : 800877662 7

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 7/20/200 7•• Fin d Recor d 

### Sampl e Area : 3942 4 Owner : C

j Owne rOccupie d Owne rName : TIM M MATTHE W D Owne rAddressl : \ Owne rAddress2 : 632 1 N 3 2 S T City :

, JOMAH A i Owne rPhone : |(402 ) 342-498 4 

### - 632 1 N 3 2 S T

State : Zi p Code : JN E J6811 1 Alternat e Phone :

|(402 ) 457-663 0 Clea n U p Quer y Lead Remainin g Quer y

Resident : Residen t Name : 

### ITIM M MATTHE WD Propert yAddress : 632 1 N 3 2 S T Zi p Code : 6811 1 Residen t Phon e j Propert yDamag e Quer y

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: Clos e

Contract : Contractor : JPRUDENT200 7

Group : | •• ••• -• Assessment : Qualifyin g Grou p 

### |EB L

### - AG E 1. 7 Assessmen t XR F Date :

| Assessmen t Ma xXR F Valu e j 460.6 2 

# /