## TRANSMITTA Lo f OMAH A LEA D SIT E PAIN T STABILIZATIO NFIL EFOLDE R SAID : 4703 6 Date : 12/26/200 8 Address : 3418UST . Stabilizatio nContractor : Pruden t Technologie s Year : 200 8 PAIN T STABILIZATIO N PROPERT Y FIL EFOLDE RDOCUMENT S ^ Video of propert y (DVD ) mExecutive Summar y aSignedAcces s Agreemen t fo r

subject propert y mPainting Agreemen t D Settlemen t documents (i.e. , fo r

damage o r

to replac e plants , etc. ) D Photograph s [ FSatisfactor y restoratio nsignedby Propert y Owne r D Propert y close-ou t chec k

lis t signedb y EP A WPropert y infonnatio nfromDougla s Coimt y Assessor' s Offic e D D D 

## Ignature ^ Dat e

4031049 7 

# IIIIIHiill i Superfun d• PROPERT Y SUMMAR Y Date : 12/27/0 8 LB PSTABILIZATIO NEP A CONTRA T EP-R7-08-0 7 Mont hof : Decembe r Propert y Address : 341 8 U ST . SAD) ; 4703 6 A . EXECUTIV ESUMMAR Y A. 1 Issue s Encountered : A. 2 Issue s Resolved : A. 3 Uniqu e Findings : NONE . A. 4Othe r Relevan t Information : Acces s Date : 11/01/0 8 Wor k Began : 11/04/0 8 Closeou t Date : 11/10/0 8 Enclosures ; 1 . Pre-Vide o 2 . Post-Vide o 3 . Propert y Statu s For m 4 . Signe dAcces s Agreemen t 5 . Pre-Renovatio nFor m 6 . Pain t Matc hFor m 7 . Trackin g For m 8 . Dougla s Count y Assesso r Propert y Informatio nPag e 9 . EP A Propert y Closeou t for m 10 . Propert y Completio nAgreemen t

TECHNOLOGIES , INC .ENVIRONMENTA L« CONSTRUCTIO N 

## TECHNOLOGIES , INC . SERVICE S 

# Property Statu s For m Address:d^l' ^ ^.:^ . Date : //-A^ f OI O -WW3 W o> r 

## Plume : BVTO : AnD>>l p Plan t & Pennaneii t I^and^scapin p JnRftmni nI nPlac e Iliein# Descriptio nan dLocatio D OaMa p

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## Propert y Owne r Pruden t Emplo ; Signature :

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Pniden t Technologies , Inc . (Prudent ) i s unde r contrac t (Contrac t #EP-R7-08-07 ) wit hth e U . S . Emrironmeotal Protectio nAgenc y (EPA ) t o stabiliz e Lea dBase^ai m(LBP ) a^Jiumbe r o f propertie a locate di nOmaha , Nebraska , includin g th e propert y locate da t OMr\o U CB r » Th e EP Arequest s you r permissio nt o allo w Pruden t t o perfon nLB PStabilizatio na t thi s property . B y signin g tfiis form, th e propert y owne r grant s permissio nt o Pruden t t o perfor mactivitie s rolatodt o LB P Stabilizatio nincludin g scrapua g pam t an dpaintin g ofth e reference dproperty . Further , th e owner/tenan t verifie s tha t fliey hov e receive ddi e LB Ppamphle t "Renovat e Right. " I f

yo u hav e an y question s abou t th e LB Pstabilizatio nplanne dfo r you r property , pleas e contac t Prudert* s /irfn^ii|f<rtn^fiv e Cler k for th e Lea dBase dPain t Stabilization , Mrs . Debora hAkerele-Johnson . a t

(402 ) S04'1004 . Genera l question s abou t th e Omah aLea dSit e cleanu p ca nb e directe dt o th e EP A PubU c Infomiatio nCentei s a t (402 ) 731-304 5 (Sout hOmah aoffice ) o r (402 ) 991-958 3 (NorthOmah a office) . Piopnt f AoocNOiMo dBy i 

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F RENTAL , PROPERTYOWNE D BY : ^ 

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AUTHORn YPOi t ENVIRONMBNTA LRBSPONS B ACtlONS ; Ii waotlvlde e t o be implememe d h yEP Aunde rt M O

fCEKOJ ^ 4 3 U.S. C 9604 . BPA' I rigm o f aooei i 1 0 th e propen yb piovlde d fb rID Sectio n 104(e ) o fCERCLA , 4 2 U.S . C 9605(^^ ^ Ib r •'detinnlnln i tb e need ftr roepooM , o rcboo fiB g ortaUi van yiMpow e let fo n lade rIlii l titie^ o rcA^ ^

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### 42A 2 UMllea l Drtva . Suit a 426 0

# Curren t Sampl e Pre-Renovatio n Fon n enecav s una i Ap m 2010 . Conllrmatlo n o t Receip t o t Lea d Pamphle t ^hBMxeGsMiiaoop fdlVmpB^%ltls^ , Renovat e FVghvkriportan t Lea d ttezar d irfontttlOa n tor FarrSlea , Cht d Ca m Pmvkle m an d School a \irikxrTii\ Q me d th e pctetida l il8 k o fth e lee d Iiazar d estpoaur e fror n rerMvatlo n activit yt o b e periCnne d i n rn ydweHri g unK . I leceive d thi s pamphle t betor a th e vvor1 < began . 

# yf../,.^y^a:ie ^ ^y/U r signatur e o frecli SeH-Cartiffeatfo n Optio n (fb rtenant-occupie d dwelling s only ) — t fth e ias d pamphle t wa s delivere d btj t a tenan t signatur e wa s no t obtainable , yo u ma ychecl < th e appreprial e bo xbelow . Q Refusa l t o sign— I oertH ytha t I hav e mad e a goo d M h effor t t o delive rlh e pamphlet , Anovaf e ASgfif : Drnportan fItaax i Hazar d htonnaOo n fb r^mSea , Cht d Ca n Proi/lde n an d Schoola , t o th e rerrta l dwellin g uni t liste d belo wa t th e dat e an d tim e Indicate d an d tha t th e occupan t refused t o sig n th e confirmatio n o frece^ I ftalhercertif ytha t I hav e lef t a cop yo fth e pamphle t a t th e uni t wit h theoccupan L Q llnavallidM a fo r^nature--- I certif ytha t I hav e mad e a goo d fait h efTor t t o delfra r(h e paniphlet,/terxTrat e njgftf ; ilrnporiarr t Lae d Hazan d /%rni9S , (>ifc fCar e provMar s an d Scfxx)b , t o th e rental dwellin g unf t belo wan d tha t th e occupan t wa a unavailabl e t o sig n th e confirmatio n o freceipt . I furthe rcertif ytha t I hav e lef t a cop yo f th e pamphle t a t th s uni t b yslidin g I t underHedoor . /y^ r^ Printe d nam e o fperso n certHyin g Attempte d delivery dateandtim e lea d pamphle t delivery Signatur e o fperso n ertif ^

lea d pamphle t deRva y 

# £^Mciha. . /O ^ UnitAMee s Itol e Rogaidiri s Mailin g Optio n •--A s a n alternativ e t o deliveryI n pereon , yo u ma yma l th e toad pemphie t t o th e owne rand/b rtenant . Pamphle t mus t b e maile d a t leas t 7 day s befor e renovation (Documen t wit h a certificat e o fmailin g lifo m th e postolllo ^

# Pain t matchin g fon?f^" * "'**'=' ' %• » By!^-^ ^ Area : ^*^//>^/6ii-/^'^^*^/'^^d'^"^^' ^ , . ; ' ' t color : oJhi'l-i r Explanation : i f^/lonJ '

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# Area : '^''^'^^-^-"^-/^«-J^^^-f-'f - :^^wT Explanation : ' ' ^"""" ^ Area : Color : Explanation : Color : Pag e 1• M M 

# AC(SB8£lUFOt^Hm-ioNTi^AGIQN O SHBE T ffKty)o6a . 

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# smxM mHom K m-^^y f&r / V^^ K £ £ . /yi/cl-eyi y tM B I taasor Conne r OETAI L 

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# I'

### Dougla s Count y Accoun t It^cnatio n Pag e 1 ol 2



## xAgms Dougla s County , Nebrask a Propeit yRecor d - R224817000 0 Prin t Repor t NE W Featur e - Parce l Dimension s avaiiabi e ® scal a 0-5 0 ft wes t of OOt h St - View O n Ma p Inforinatio n is vali d as of 2008-9- 4 Treasurer' s Ta xRepor t Ne wFeatur e '*-*• * Aut o Sale s Searc h Owne r ECKLE YMICHAE L j ~ ETA L TR 150 7 LAWRENC E LN BELLEVU E NE 68005-000 0 Propert yInformatio n Ke yNumber : 481 7 000 0 22 Accoun t Type : [ Residentia l Parce l Number : ; 224817000 0 Parce l Address : 341 8 U ST ; OIVIAHAN E 68107-000 0 Lega l Description : • SULLIVAN S AD D TO SO OIVIAHALOT 21 BLOC K0 40 X 10 0 Valu e Informatio n i Lan d Improvemen t Tota l 200 8 

## 1 $3,900.0 0 $39,000.0 0 $42,900.0 0 200 7 f ! 

### $3,900.0 0 $39,000.0 0 $42,900.0 0 200 6 1 

### $3,900.0 0 $39,000.0 0 $42,900.00 " 200 5 

### $3,900.0 0 " $24^00.00 " 

### $'27,96o_o 6 200 4 

### $3,900.0 0 $21,800.0 0 $25,700.0 0 200 3 

### $3,900.0 0 $21,800.0 0 $25,700.0 0 Sale s Informatio n Sale s Date : i 2004-06-0 3 Dee d Type : ' WD M Book : i 200 4 Page : • 07603 5 Price : : $0.0 0 Grantor : ; Michae l Eckle yEta l Grantee : Michae l Eckle yEta l Tr . Validflnvalld : ' invali d Exclusio n Reason : Famil ySal e Lan d Informatio n Acre s • SF •• Unit a j Dept h ; Widti i Vacan t "' r- I "0^ 9 • ~ 4000. 0 

### 1. 0 J 

### 100. 0 40. 0 

### No Improvemen t Informatio n

.'/J - -..> » /r^r.-nr.lncir~*/\XTo/o+n+ir»/'>r»r»r*nn f infr * ipr»'7Qr»/^r\iiri+nr\=:T?0 0 1 n/ 1 nnr\f i

### Dougla s Count y Accoun t In^patio n Pag e 2 o f 2 Buildin g 1 

## ^M ^ 1 1' 2 stoi yUnfi n 341 8 ust

CLIC KT O ENLtlRG E jjVIAG E : Squar e Footage : j 876. 0 Percen t Complete : : 100.0 % Perimete r| 0. 0 Quality : • Averag e Uni t Type : \ Condition : ; Fai r

BuiitAs : i 1 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : ' Centra l Ai rt o Ai r Rooms : . 5. 0 Exterior : i Fram e Aluminu m Units : ' 1. 0 Interior : j Drywal l Baths : : 1. 0 Roo f Cover : i Compositio n Shingl e Bedrooms : 2. 0

Roo f Type : • Gabl e Stories : 1. 0 Floorcover : i Allowanc e Foundation : Bloc k Sprinide rSquar e Footage : 0. 0 Yea r Percen t AdjustadYea r\ p^y,i,„^g , Yea rBuit t Remodele d Remodele d 

### 191 0 0 % 

### 191 0 ; 96""' " Detai l Typ e Detai l Descriptio n 

### Unit a Ad d O n Fenc e Chai n Lin k



### __ ; ji. o Applianc e Allowanc e 

### Fixtur e Bas e Fixture s 

### j 1.0 Fixtur e Bat h Ful l 

### i i.o Porc h Sla b Roo f Cei l 

### ] 48.0 ' Porc h Sla b Roo f Cei l 

### • 9^. 0 Use r Craw l 

### 876, 0

## PriLden t Propeit yClose-Ou t For m (Lead-Base d Pain t Stabilization ) Projiert yAddress ; ^^^ ^

O '>' ^ Owrter'sWame ! f^ C <!A^ou.e : I ^C^vUtej / 

## Peiformanc e Standards/close-Ou t Criteri a YE S 

# 1^

1 .^3 5 th e entir e structure(s ) painte d wit h th e exceptio n o f th e stated , exclude d areas ? Thi s woul d liiclud e paintin g o f othe rassociate d feature s includin g fascia , eaves , siding , al l trim , porches , bo x / t|eams , columns , rails , an d exterio rsurface s o f garages . 2 .Wa s al l scrapin g an d othe rpreparattio n wor k complete d satisfactorily ? 

# y 3 .Vyjier e al l require d area s o f th e structure(s ) prime d a s neede d an d painte d wit h tw o to p coats ? 

# y 4 .

\ft^ s th e pain t product s utilize d equivalen t t o a 3 0 yea rproduct/quality ? 

# J L 5 .A| e al l o f th e area s wher e contaminate d materiai s hav e bee n spille d 

# y tiiibroughl yvacuumed / cleaned ? 6 .Oi b th e contracto rcollect/vacuu m al l failin g an d scrape d pain t chip s o n th e entir e property , • i roadways , alleyways , pubii cacces s area s an d als o remov e an yothe rgenerate d debris ? 

# r r 7 .I s th e gras s are a tha t surround s th e structure(s ) i n reasonabl ygoo d condition ? 

# y 8 .Ari i al l item s suc h a s polyethylen e sheeting , ladders , pain t brushes , cones , barrie rtap e etc . pr<|iperl yremoved ? 9 .

I s tiljer e an yevidenc e o f propert ydamag e tha t wa s don e b yth e contractor ? An ypropert ydamag e 

# X ne^dst o b e complete d prio rt o th e EP AClose-Out . 10 .Arelther e an ypropert yitem s tha t wer e temporatii yre-locate d b yth e contracto r 

# X th ^ nee d t o b e move d back ? 11 . Ar e ther e an y(known ) lingerin g issue s wit h th e propert yowner(s ) tha t hav e bee n lef t unresolved ? /

Oth^rConsideratlons?propert yOwne rDiscusslons?Additiona l Wor k tha t i s Require d



# .-y y OuhJLt ^ Prudeh t Representativ e 

# : (^U-/^- ^ Date l^^x^-a ^ 

# w^< ^^ /