## TRANSMITTA L OFOMAH ALEA D SIT E PAIN T STABILIZATIO NFIL EFOLDE R SAID# : ^6' ^ Date : - ^ 

## BJPiJT^' ) Address : ^rgj.- TFftftrikU N -^ Y• LB PStabilizatio nContractor : PRUDEN T TECHNOLOGIES , INC . Year : 200 9 PAIN T STABILIZATIO N PROPERT Y FIL EFOLDE RDOCUMENT S

^ Videoo f propert y (DVD) : Pre-Stabilizatio n& Post-Stabilizatio nVideo s Si Executiv e Summar y ^ Signe dAcces s Agreemen t For m 1*

^ Advanc e Notic e For m 7 Pre-Stabilizatio nVide o Agreemen t For m B Acces s Trackin g For m V Propert y Acces s Assessmen t For m 7 Neighbo r Acces s Agreemen t For m 

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Pain t Matc hForm K

Pre-Stabilizatio nPropert y Safet y Assessmen t Form S^ Work-Site Hazard s Analysi s Checklis t y Photographs : Pre-Stabilizatio nPropert v Hazar dAssessmen t Photograph s y Dougla s Count y Assessor Property informatio n y Property Completio nAgreement FormSigned by Property Owner D Property Close-Out Chec k Lis t Signed By EP A Pniden t 'technologiesTlnc . Si^a t Ignatur e ^P ASignatur e 3005520 3 Superfun cTECHNaLOGIES ^ IN C 

# Propert y Summar y Date : 8ig4/200 9 | LB PSTABILIZATIO NEPA CONTRAC T EP-R7-08-0 7 | Mont hof : Au g Property Address : 421 5 Frankli nSt . SAID # : 26140 A . Executiv e Summarv : a . Issue s Encountered : NON E b . Issue s Resolved : NON E c . Uniqu e Findings : NON E d . Othe r Relevan t Information : i . Acces s Date : 8/13/2009 ii . Work Began : 8/20/2009 iii . Close-Ou t Date : 8/22/2009 B . Enclosures : 1 . Pre-Stabilizatio nVide o 2 . Post-Stabilizatio nVide o 3 . Signe dAcces s Agreemen t Form 4 . Advance-Notic e Form 5 . Pre-Stabilizatio nVide o Agreement Form 6 . Acces s Trackin g Form 7 . Propert y Acces s Assessment Form 8 . Neighbo r Acces s Agreemen t Form 9 . Propert y Pain t Matc hForm 10 . Pre-Stabilizatio nPropert y Safet y Assessment Form 11 . Work-Sit e Hazard s Analysi s Checklis t 12 . Pre - Stabilizatio nPropert y Hazar dAssessment Photograph s 13 . Dougla s County Assessor Propert y Informatio n 14 . Signe dPropert y Completio nAgreemen t Form 15 . Propert y Close-Ou t Chec k Lis t Signe dB y EPAJUL . 14.200 9 7:26 m 8 . SECURIT Y NO.27 0 P. l 1 3 200 9 2 : P R N TTECHNOLOGIE S 40 2 

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### J u l oeP M ':'.•/••:•.'.- . .<»« •

Pruden t Teehnologics , Ine . (Prudent ) i» unde r contrac t (Contnw c * l Lf-Kl-Ot-QT ) wid t tli e U . S . Environmentt l Piotwstio n• Agenc y (EPA ) t o stabiliz e Lea dBase dPai m(LBP ) at anumbe r ofpropertie s locate dinOniaha , Nebraska , includin g th e ', propert y locate dat ^TLS S P'<'<>f>K.L^f ^ S V Th

D BP Arequest s you r permHsio nt o allo w Pruden t t o perfomi LB PStabilizatio nat dii s property . B y signin g ttit aform , th ; propert y ownar grant s permissia nt o Pruden t t o performactivities relate dT O LB PStabilizatio nincludin g scrapin g pain t an di paintin g ofth e reference dpropeity . Fuller , th e owner/tenan t verifie s that the y hav e receive dth e LB Ppamphle t "Renovat e Right. " ; B y signin g thi s docimieTi t 1 agre e t o allo w a nEP Acootracto r t o conduer asoi l cleanu p at m y propert y followin g cotnpletioi^o f lead-base dpain t stabilization , i f th e soi l oleanu p ha s no t already beenperfonned . I understan ddia t th e stabilizatio ncontracto r canno t provid e assurance s o f whic hcontracto r wil l b e boun dt o th e soi l cleanup . 1 ftinhe r undcntan dthat th e soi l cleanu p I eontrado r wil l malce al l reasonabl e effon s t o addres s concem s that 1 , a s th e property owner , tnay hav e regardin g soi l ! cleanu p a t tn y property . Yes . I hav e rea dan dunderstan dth e paragrap habove . ^ 

# ^ ^ (MXT -

Signatur e o f Property Owne r Date Ifyo u hav e an y question s abou t th e LB Fstabilizatio nplanne dfb r you r property , pleas e contac t Pnidem' s Custome r \ R£latiQH8/Offic aManage r fo r th e Lea dBate dPain t Stabilintion . Mr* . Shanna nH9^ ^ a t (402 ) 504-100 4 o r MOimil-MM . General question s tibou t th e Omah aLea dSit e cleanu p canb e directe dt o th e EPAPubli c Informatio o Center s a i (402 ) 73 1 304 5 (Sout hOmah aoffice ) o r (402 ) 991-958 3 (NorthOmah o ofnce) . PropcrQ ' Acces s Graite d By : (Pleas e Pri mName ) Property Owne r Sigpiature : 

## JiA^j ^ (dytjCZT ^ (Signature ) (Date )

108 0 War dParKway , Suit e 40 5 350 6 N . 24* * Street , Sult a30 S «24 2 MMllcfl l Drive , StrilO 425 0 UitSB S City , M O 6411 4 Omahii . Mebnsh a6B11 0 Sa nAntenio , T X 7S22 9 >hon«:<81B)»«3-070 3 Phono : (402 ) 604-1004 Phone : (210 ) e32-»68 B 'su r (810 ) 363-370 7 Fax : (402)504-100 3 Fax ; (310 ) 679467 7JUL.14.200 9 7:26P M SPIF^ & SECURIT Y NO.27 0 P. 2 J u l 1 3 200 9 2 : 06P n P R N TTECHNOLOGIE S 4029M100 b p. 3 

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MK3PERTVINF0PMAT10 N (T » b e complete d b yre«ided t and/o rpropert yowne r- pleai e prlat ) % RESIDEN TNAME : iCCLrtry (fl.r4 ^

^^Z > Rante r f , RESIDEN TADDRESS : ^ ^ A / rf l . , I 

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I F RENTAL , PROPERT YOWNE D BY :

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OWNER' S MAiLIN O ADDRESS ;

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OWNER' S TELEPHON E NUMBi R • H^ : ^t^jJU k ^T.S''^ ^

I WORK : _ 1 > . 1 ^

NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : U NUMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLDER : ANUMBER O F CHILDRE N UNDE R 7 YEAR S OL D WHO M PLA YI N TH E YAR D FO R S HOUR S O R MOR E PE R WEEK :

fCOMMENT S O R SPECIA L INSTRUCTIONS : (IE . DOGS . ENTR YGATES . ETC. ) 

# • f ^ 1 AUTHORIT YFO R ENVIRONMENTA L RESPONS E ACTIONS ; Tb e activitie i t o b e implemente d b yEP Aunde rthi i a£reenicn t ir e • pursuan t t o Sectio n 104 o fCBRCLA , 4 2 L'.S.C . 9604 . EPA' s righ t ofacces s t o th e propert yi s provide d fo ri n Seciio n 104(e ) o fCERCL/A , 4 2 U.S . C 9603(e) k whic h provide s eno yfo r"detemWnin B th e nee d (b rresponse , o rchoosin g e rtslcin g an yrespons e •ctia n unde rthi s title j o r otherwis e enlbrcin g dt e provision s o fdi e tide. " \

)8 0 War d Pstihway , Suit e 40 S 260 8 N . SV " Gh«et , Suit e 30 8 424 2 Mffdlee i orl^ . Suit e 426 0 ahsa s City , M O 6411 4 Omaha . Nebrask o 6811 0 Sa nAmonio . TX7a22 » bono . (816 ) 363-370 9 Phone : (402 ) S04-100 4 Phone : (210)022.9fi0 8 8ii-(81C ) 363-370 7 Tax : (402 t S04-100 6 Fax : (210 ) S7»-6ii7 7SPir£I & SECURIT Y NO.27 0 P. 3 J u l 13 200 9 2i06P M PRIHN TTECHNOLOGIE S 402 ! 100 5 JUL.14.200 9 7:26P M r£i Y Y # ' 

# Advance dnotic e needed . After signin g th e acces s yo u allo w Pniden t to begi nLea dBase d Pain t Stabilization . Al l Plants , weed s an dan y vehicle s or itein s on openporc h(enclose dporche s wil l NO T be stabilized ) mus tbe remove dprio rto stabilization . All Pet s mus t be on t of yar ddurin g stabilization . Ho w muc hnotic edo you nee d to hav e abov e mentione dtask s completed ? Ifyo u ar e alandlor dyo u wil l nee d to contac t th e tenan t as Pruden t Technologie s wil l onl y informyou . )(

Do yo u hav e an y pet s tha t resid einyard ? Af n y^ Notic e needed : <\ ^ kdAr S )< Numbe rto ca U to giv e notice : /-<?(?^^5^2.J ^ J 33 /

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^ Who m we ar e givin g notic e to : ^ ^ ^ T\/ljLr

^ Hom e Owner^ s Signatur e 

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608 0 Wkr d Perkwey , Suit e 40 B 2505N. 24" * Stmt . Suit e 308 4242 NIedlea l Drive , SuH « 425 0 Kansa n City .MO 6411 4 OnrahB , NebresK e U11 0 Se n Antonio ,TX 7822 0 Phono : (016 ) 363-370 9 Phone : 4402 ) 404-100 4 Phone : (210 ) 822-S6B 8 Fa):(B16)a«»-370 7 Fo r(402)504-100 5 F«X ! (210 ) 679^67 7 iJUL.14.200 9 7:26fl M ^Ufij ' & SECURIT Y NO.27 0 P. 4 SPF A J u l 1 3 200 9 2:0GP n P R 402 ! a 00 5 TTECHNnUOQIE S

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## PRE-STABILIZATIO NVIDE O FOR M I UNDERSTAN D THA T PRUDEN T TECHNOLOGIE S WIL LB ECOMIN G Ot T T O SHOO T APRE-STABILIZATIO NVIDE O A T M Y PROPERTY . TH EVIDE O I S JUS T ATOO LUSED T O DOCUMEN T TH ECURREN T PROPERT Y STATUS/CONPrriON . APOS T VIDE O WIL LALS O B E SHO T PRIO RT O COMPLETIO NO FSTABILIZATION .



# ^ OWNERSNAME : /(^^^ ^ (kr-K ^ Ax^ 5 VfAr»v;Ur> s t PROPERT Y ADDRESS : BVID/SAID : 'X(o\S\ ^ 

# AHOMEOWNER S SIGNATURE : JULAJL ^ 

# /(UytJly ^ PRUDENT REPRESENTATIV ESIGNATURE : 

# 0 ^ AN Y CONDITION S NEE D T O B EAWAR EO FBEFOR ESHOOTIN G VIDEO : (I.E . PETS , NOTIC ENEEDED) : 

# M

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### I OOO O War d PerVwejr , Suit s 40 5 2S0 6 N . 24 " Siroe t Svlt e M O 424 2 Madlea l Drive , Sul b 425 0 ' Kensa s City , m o 4411 4 Oniaha , NeOras M 6811 0 Sa n Anlonlo,T X 7822 9 t PHotio : (S16 ; a63-)70 » PhoM : (402 I 504.100 4 Phono : (210 ) 822*9SB 8 ; F»x : (616 ) 36d-470 7 Pax : (402)904.100 5 fa)i:(2lO)579-eS7 7TECHNOLOGIES , INC . 

## ACCES S INFORMATIO N TRACKIN GSHEE T BVID : aG\^ 0 PROPERT Y ADDRESS : Ma\ c r . . . Propert y Owne dBy : (I f new propert y owner )

Owner s Phon e No's : Home : Work : Cell : Fax : - 

## Acces s Contractor : AS WPD AME S P EOthe r (Prudent ) DATE TIM E ACCESSO R CONRAC T DETAI L ^IhPf ^ ^anle^ f Wi/feJ/Pfeft u fvtii-lUr ^



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Comments :

808 0 War d Parkway , Suit e 40 5 250 5 N . 24 " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 8411 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 7TECHNOLOGIES , INC . 

# Acces s Assessment Form : (Mus t b e complete dfo r every property . Informatio nmus t b e obtaine dfro mapropert y wal k thru , no t given b y owner ) I s th e propert y stucc o o r asbestos ? I f

yes , i s an y ofth e stucc o o r asbesto s damage do r cracked ? I f

yes , sto p a s w e can' t stabiliz e thi s property . I t require s specia l preparatio n techniques . I t wil l b e returne dt o EP A an dthe y wil l assig na t alate r date . Doe s thi s propert y requir e lot s o f scrapping ? Doe s thi s propert y requir e alif t o r scaffoldin g t o reac huppe r levels ? Doe s thi s propert y hav e lot s o f plant s o r item s i narea s wher e paintin g i s required ? Doe s thi s propert y hav e an y significan t structura l damage ? I f

yes , EXPLAIN ?

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 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 7TECHNOLOGIES . INC . 

## Doe s thi s propert y hav e agarage ? I f

yes , describ e locatio no f garage . Doe s thi s propert y hav e aluminu msiding ? I f

yes , i s i t origina l factor y finis ho r ha s i t bee npainte dover ? Doe s thi s propert y hav e an y othe r typ e o f structura l components ? (I.e . roo f shingle s a s siding) ? » jy \ I f

yes , EXPLAIN ? I s thi s propert y vacan t o r occupied ? Ar e ther e an y pet s a t thi s property ? 

# M 3 Ar e ther e an y lo w hangin g powe r lines ?

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 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 7JUL.14.200 9 7:27A M & SECURITY _NO.27 0 P. S J u l 1 3 200 S 2:07P M P R ^ TTECHNOLOGIE S 402 ! klOO S p . 6 t



## PAIN T MATCHIN GFORM : T O B EFILLE D OUT ONL Y I FMATCHIN GCOLO R PROPERT Y ADDRESS : <^aN 5 VfanV^Vi o s V 

## BVID: SlG\Oi O I UNDERSTAN D SHERWI NWILLIAM S WIL LMATC H MY CURREN T COLORS . AHJomoowno rsicnatarc : 

## IJUZZ^ —

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### i 808 0 War d Parlcway . Suit e 40 8 2S09 M . 24 * Stnsat , SoMe 30 0 424 2 MMiiea(Oriv«,Bui'l e 429 0 > Kar^e t city , M O 8411 4 Omaha , Nabraak a 8811 0 SanAntOhle.TX7e22 S ! Phana : (816 ) Ma-sro s Phone : (402)604-100 4 Phon K(210)e22«e s i Fax : (818 ) 363.870 7 Fte : (402)604.100 9 Fan : (210 ) S70-6ST 7 :TECHNOLOGIES . 1 

## NEIGHBORHOO D PROPERT Y ACCES S FOR M I S THER EANEIGHBORIN GPROPERT Y THA T NEED S T O B EACCESSED ALON G WIT H ASSIGNED PROPERT Y T O COMPLET ESTABILIZATIO NPROCESS ? 

## t i I FI T IS , GE T ACCES S FRO M ALLREQUIRE D NEIGHBORHOO D PROPERTIES . 

## Mt >

808 0 War d Parkway , Suit e 40 5 250 5 N . 24* ^ Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 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

### sf^'^" ^ TECHNOLOGIES , IN C 

## PRE-STABILIZATIO NPROPERT Y SAFET Y ASSESSMENT FOR M PROPERT Y ADDRESS : 

# Mai s Pv^tAi ^ <;.] ' . BVID/SAID : ' ^ h\ ^ ^ PRUDENT ASSESSMENT REPERSENTATIVE : 

# f^fix l ;Q-A> ^ t^-^^- ^ ******IFSAFET Y RIS K PROPERT Y MUS T B ETURNED OVE RT O KATH Y ROTHE RBEFOR EI T CA NB EASSIGNED T O ACREW/SUB . REPERSENTATIV EREMARKS/FINDINGS : (POWER-LIN EPROXIMIT Y T O PROPERTY , SCAFFOLDING / LADDERS / LIFT S NEEDED , UNSAF EAREAS , UNSAF ENEIGHBORHOOD...ETC. )

REQUIRE S K.ROTHE RAPPROVAL YES/N O SUBMITTED T O K.ROTHE RON :

j 808 0 War d Parkway , Suit e 40 5 250 5 N . 24* " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 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 7TECHNOLOGIES . 1 

## Checklis t fo r th e Worksit e Hazar dAnalysi s Addres s Crew : Date : Ite m nOK ? Hazar d Correctiv e Actio n Overhea dLine s 

# r^r ^ 

# fee LcruM- ^ In-transi t Vehicl e Clearanc e Level s aroun dhig hwire s Vehicl e Clearanc e aroun d hig hwire s whe nworkin g Phon e line s Cabl e line s Ga s Lin e Wate r Lin e Sewe r Lin e Septi c Tan k Propane/Butan e Acces s to/o nPropert y 

## 6^ - Neighbo r Acces s Require d Hig hTraffi c Are a Garag e 

## IZ)£( J j-Unib o A^ik i \,)^^ - r^4 , ty-T/ ^ -d- ^ Structure s 

# _m ^ Drivewa y fi{ / -poAl ^ ( ^ Sidewal k 

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# 2ILZff i Sr^flT^^^ ^ Foundatio n Retainin g Wall s Fence s 

# ^cu E Tree s Foliag e 

# E^E^i^^^ ^ Genera l Conditio no f yar d -^c Aij^r^Yt ^ '^^ S Damage dAreas : sin k holes/rotte dwoo d Sprinkle r Syste m Pet s Insect s Weathe r Condition s Unsaf e drivin g condition s Unsaf e neighborhoo d ^ »ub-Contracto r Ute Safet y Oflice r 

# y y 808 0 War d Parkway , Suite V 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 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)822-968 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax:(210)579-657 7 

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### 100 5 f.v2 . 

# Curren t Sampl e Pre-Renovatio n For m Effecttv e unti l Apri l 2010 . Confirmatio n o fReceip t o t Lea d Pamphle t / y&k l hav e receive d a cop yofth o pamphlet , Renovate fiight : Importan t Lea d Hazar d InformaUo n fo rFamilies , Chil d Car e Provider s an d School s infornnin g m e of lh e potentia l ris k o

fth e lead hazar d expostr a fro m renovatio n activif / t o b e perfomrie d i n mydwellin g unit . I rescelve d thi s pamphlet Oefor e th e wor k began . 

### ^-'^'^^ f Printe^pam e ofrecipient Date 

## y^/c/. ^ Signatur e ofrecipien t Self-Certificatio n Optio n (fo rtenant-occupie d dwelling s only ) • — I fth e lea d pamphlet vva s delivere d t>u t a tenan t signatur e wae not obtainable , yo u ma ychecl < th e aporopriat e boxbelow . Q Refusa l t o sig n —I certif ythat I hav e n?ad e a goo d talt h eltcr t t o delive rth e pamphlel , /7enova? e Righ t Importan t Lea d Hazar d informatio n fo rFamilies , Chii d Car e Provider s an d Schools , t o th a renta l dwellin g uni t liste d belowa t th e dat e an d tim e indicate d an d that th e occupan t refuse d t o sig n th e confirmatio n o

freceipt , i furthe rcertif ytha t I hav e lef t a copyo f th e pamphlet a t th e uni t wit h th e occupant . Q Unavailabl e fo rsignatur e —I certil ythat I hav e mad e a goo d fait h eftor t t o delive rth e pamphlet , Renovate Rght : Importan t Lea d Hazar d Informatio n lo r Families , Chil d Car e provider s an d Schools , t o th e renta l dwellin g uni t Iste d belowan d that th s occujMin t wa s unavailabl e t o sig n th e confirmatio n o f receipt , I furthe rcertif ythat I hav e lef t a copyo f th e pamphlet at t'^ e uni t byslidin g i t un(de rth e doo r 

## ^ 0>^^^]e.e VMV> ^

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# ?->;>-0 9 Printe d nam e ofperso n certifyi.n g Attenriptftd deliver y dat e an d tim e lead pamphlet deliver y Signatur e o fperso n certifyin g lea d pamphlet deliver y

UnltAddres s Not e Regardin g Mailin g Optio n —A e a n altemative t o deliver yi n person , yo u ma ymai l th e lea d pamphlet t o th e owne rand/o rtenant . Pamphle t mus t b e maile d at leas t 7 day s before renovatio n (Documen t wit h a certificat e o f mailin g fro m th e post office) .

### Dougla s Count y Accoun t Info^^tio n Page 1 of3 Dougla s County , Nebrask a Propert yRecor d - R090670000 0 Prin t Repor t NE WFeatur e - Parce l Dimension s availabl e @ scal e 0-5 0 f t wes t of52n d S t - VieWO n Ma p Informatio n i s vali d a s o f2009-6-1 6 Treasurer' s Ta xRepor t Ne wFeatur e ->-»- > Aut o Sale s Searc h Owne r WeCKL E KARE N ^-^ o • 4215FfRANKLINS T OMAH AN E 68111-000 0 Propert yInformatio n Ke yNumber : 067 0 000 0 0 9 Accoun t Type : Residentia l Parce l Number : 090670000 0 Parce l Address : 421 5 FRANKLI N S T OMAH AN E 68111-000 0 Lega l Description : CREIGHTON S 2N D AD D LO T4 BLOC K6 LOT4 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $6,700.0 0 $56,300.0 0 $63,000.0 0 200 8 $6,700.0 0 $56,300.0 0 $63,000.0 0 200 7 $6,700.0 0 $56,300.0 0 $63,000.0 0 200 6 $6,700.0 0 $56,300.0 0 $63,000.0 0 200 5 $6,700.0 0 $39,800.0 0 $46,500.0 0 200 4 $6,700.0 0 $39,800.0 0 $46,500.0 0 Sale s Informatio n SalesDate : 2004-02-2 7 Dee d Type : W D SooAf ; 200 4 Page : 02885 1 Price : $64,400.0 0 Grantor : Edward D Colema n eta l Grantee : Kare n Weckl e Valid/Invalid : Vali d Exclusio n Reason : SalesDate : 1997-08-2 1 Dee d Type : D Book : 206 9 Page : 16 8 Price : $44,000.0 0 Grantor : 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R090.. . 7/6/2009'Ki-v:*'S'!'?vtv-'i.1.Jl!|-M.,' M - •'•:^!>:-^l^j^ , "••i ' Kli^i*'t^j^^i;;4i'i . •;^-..->•>)..:•,,,"' . vT-^IC^-i*.. • fe".^' «•• ' iAv«^' - .vA-''.' ^V'rii?v¥';;•:"•••> • 'i':.'Wt..'^!^.*.- ^ 

### Dougla s County Accoun t Info^^tio n Pag e 2 of 3 Grantee : Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 6 7200. 0 1. 0 150. 0 48, 0 N o Improvement Informatio n Buildin g 1

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ARC H 200 5 - DOUGLA S COUNT YASSESSO R CLIC KT O ENLARG E IMAG E CLIC KT O ENLARG E IMAG E Squar e Footage : 1458. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Fai r

Buil t As : 1 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : 1 Centra l Ai rt o Ai r Rooms : 5. 0 -f Exterior : Fram e Sidin g Units : 1. 0 Intenor : Drywal l Baths : ! 1. 0 Roo f Cover : Compositio n Siiingl e Bedrooms : 2. 0

Roo fType : Gabl e Stories : 1. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 192 4 0 % 192 4 8 4 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Applianc e SecuritySyste m 1. 0 Basemen t Bsmn t Bloc k 8 ft 988. 0 Fixtur e Bas e Fixture s Fixtur e Bat h Ful l 1. 0 

### http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R090. . . 7/6/200 9

### Douglas Count y Accoun t Info^^tio n^ ^ Page 3 of 3 Garag e Detache d 352. 0 Porc h Enc I Scree n 96. 0 Porc h Enc I Scree n 36. 0 Porc h Sla b Roo fCei l 24. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R090.. . 7/6/2009ENVIRONMENTA L& CONSTRUCTIO N TECHNOLOGIES , ENC . SERVICE S 

# RD C To : Tyle rCarte r From : Mr . Chandr a Sheka r Fax : 402-354-337 8 Pages : 1 + Phone : 402-354-337 9 Date : 7/13/0 9 Re : 421 5 Frankli n St , Omaha , N E 

### Mr . Carter : Pruden t Technologie s (Prudent ) i s EP Acontracto rfo rstabilizin g lea d base d pain t (LBP) . Th e reference d propert yhas bee n assigne d t o us . Pleas e sig n o n th e acces s agreemen t an d faxi t bac k t o us . I fyo u have an yquestions , pleas e fee l fre e t o cal l m e a t 402-504-1004 . Sincerely ,



# c y - ^ 

### Mr . Chandr a Shekar , P.E . Projec t Manage r 

# C^^T(? ^

-iMS(2 _

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 21 8 424 2 Medica l Drive , Suit e 725 0 Kansa s City , M O 6411 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 7TECLINOLOGIES , INC . 

## Pruden t Propert yClose-Ou t For m (Lead-Base d Pain t Stabilization ) SAID : r^^l^ O Propert yAddress : l7^ ^

/^yaA/l// o /9^^< ^ Owner' s Name : f~J \ iQf \ CCU3Q ^ S.N O Performanc e Standards/close-Ou t Criteri a Ye s N O 1 Wa s 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 includ e paintin g o f othe rassociate d feature s includin g fascia , eaves , siding , ai i trim , porches , bo x beams , columns , rails , an d exterio rsurface s o f garages . / 2 Was al l scrapin g an d othe rpreparatio n worl ( complete d 

# ^! e satisfactorily ? " 3 Wer e al l require d area s o f th e structure(s ) prime d a s neede d an d 

## ^ C painte d wit h tw o to p coats ? i 4 Ar e al l ofth e area s wher e contaminate d material s hav e bee n spille d thoroughl yvacuumed / cleaned ? 

# ^ o 5 Di d th e contracto rcollect/vacuu m al l fallin g an d scrape d pain t chip s o n th e entir e property , roadways , alleyways , publi cacces s area s ^ an d als o remov e an yothe rgenerate d debris? 6 I s th e gras s are a tha t surround s th e structure(s ) i n reasonabl ygoo d condition ? 

# S C 7 Was th e pain t product s utilize d equivalen t t o a 3 0 yea r product/quality ? ^ 8 Ar e al l item s suc h a s polyethylen e sheeting , ladders , pain t brushes , 

# ^ c cones , barrie rtap e et cproperl yremoved ? 9 I s ther e an yevidenc e o f propert ydamag e tha t wa s don e b yth e contractor ? An ypropert ydamag e need s t o b e complete d prio rt o ^ ^ th e EP AClose-Out . 1 0 Ar e ther e an ypropert yitem s tha t wer e temporaril yre-locate d b yth e contracto rtha t nee d t o b e move d back ? 

# 6l c 1 1 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 ? 

# ^ c 1 2 Othe rConsiderations ? Propert yOwne rDiscussions ? Additiona l 

# sc Wor k tha t i s Require d 

### Pruden t Representativ e Signatur e Date : PropertyOwne rSignature : 

# ^,pa . ^ / 250 5 N . 24 " Street , Suit e 30 8 424 2 Medical Drive , Suit e 425 0 I Kansa s City , M O 6411 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 ) 679-657 7