# p PROPERT Y SUMMAR Y Date : 11/09/2007 Omah aLea dSite Remedial Actio n Contrac t #EP-R7-07-0 6 Month of : November Propert y Address : 434 0 Parke r S t A . EXECUTIV E SUMMAR Y A. 1Issue s Encountered : None A. 2Issue s Resolved : Re-Seedwill occu r i

n Novembe r o

n an y dea dspot s t o encourag e spring growth . A 3Uniqu e Findings : A. 4othe r Relevan t Information : Ther e wer e some area s no t sodde ddu e t o homeowner request . Area s denie dacces s fo r excavatio n -Bric k slab i n F 2 - teste d46 2 @ Scrape , D l are adu e t o plant s 624 @ scrape , B l bric k walkway Teste da t 10 6 @ scrape . CONFIRMATIO N SAMPLIN G DATA/RESULTS : Fl-77@6 " F2-110@6 " Bl-224@3 " D l -17 7 @ 13 " E l -14 9 @ Scrap e ATTACHMENT S 1 ) Propert y sketch providedb y EP A pursuan t t o contrac t specification s 2 ) SignedAcces s Agreemen t including acces s agreement s require dfo r crossing othe r propertie s 3 ) Pre-Excavatio n digita l vide o clip/photogr^h s 4 ) Post-Excavatio n digita l vide o clip/photograph s 5 ) Documentation - CompletedClose-ou t Checklis t 6 ) As-Built sketch ­ i ) Shall includ e final lea dlevel s v ) Legend ii ) Contamination lef t behindarea s vi ) Contractor identification iii ) Propert y addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e includedi n th e individua l propert y file, if available , or obtainedinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit h th e propert y owner ) ii ) Excavation digita l vide o i n MPEG , WM V (Window s Medi aVideo ) or SW F(Flas h Player ) forma t and/o r photograph s iii ) Signedfor mverifying satisfactor y restoratio n iv ) Descriptio n ofarea s not meeting InterimRO D cleanu p criteria .

4029336 2 TECHNOLOGIES . INC .Omah a Lea d Sit e Date : T-^SZ^ ^ Nort h Arro w — i Name : 

# J L?Vu A thrjg p Sit e Slcetci i Address : Tlme:l5lSQ _ Phone : 5<?ft-.333 n 

# t

Tea m ArVjIrl/fiinPrfii n BVID#3^^^^ S XR F Code /^O^ - Sampl e Numt>er Lea d Concentratio n Confimiatio n Sampl e RVS^CPxA-^fqtfi ; R.VC:f<LPxA-2.6<J4-S ­ 

# 1 pp m pp m pp m pp m pp m pp m ^ ( Ye s n ?=J l Ye s a DXYe s n S \

Ye s a i5>:^Ye s 1= 1 Ye s n 

# ,^W/5 r pp m Yes •



# FMie O

## ^<vr«T^;,^ ^

Agreemn^ o allowacces s t o Omah a Lea d / ^ ^ vth e propei ^ I n orde rto conduc t Sit e Remedia l S \^& ^

» envlronnnenla l samplin g an d t o Aetio n V<4MM»I^^ ' 

## remov e lead-oontaminate d soi l "» « f^O ' 

### nwleD t Tedmobsias . In c (Brudai O i s anla r coafract mit i di e U . S . EnviranmeBtB l Rvtsdii n Asvut v ^PA ) t o dea n 1 9 lead-coatamtnate dsoi h a t amuAe r o f properlie s locate di n OknAa , NAraska , iadndo Q fte praperf y localB dat -^^^v^ ^ pcL«"Vje r .^^^ ^ The EP A raqpusf e you r pcraussio n to allo w Rndcn t to perfor masoi l diaaia p a t thi s propert y to femov e lead-contaminalB dsoi L B y sigiiiag iiii s fbmi , th e properly owne r granf c pennissto n to Bruden t to perfonn adivifie s rdate dto toe deam v ffidadiflg soi l ssioiilkig , fsoov do f lead-cootaoiUBate dsoil , a dreto r atio ao f fiie refaoice d oroperiy . Afki r obtainifl g (h e owner' s signator e o n tois fofm, Ruden t Teclmotogies , Lie . wil l contact toe propert y o^me r

(an dresident ) witiiin tfie nex t fe w weeks to coordinat e perfiimunc e toe work . I f

yo D hav e an y qustom s Aou t toe soi l deaao p planne dfb r yonr property , pleas e conla dRuden f s Adminisfraiiv e Clcik fb r toe QmdiaLeB dSit e deanup , Ms . Cyndi e Bund s a t (402 ) 504-1004 . (jenera l qiieslion s about toe Omah aLea dSit e deanu p ca n b e directe d to toe EP A Ribli c Infeimalio n Center s at (402 ) 731-304 5 (souto OmahaofRce ) or (402 ) 991-958 3 (norto Omahaoffici) . Ropert y Acces s GrantedBy : V Macevi'cg

- Js w Ropert y Owne r Signatore : V 

# ^l^aouiocji . lnu j i-e-O l (^iffmfm ) ( \I (Dab ) 

## PROPERT Y INFORMATIO N (TobecionpMedlvreiUat f oidA r prepcrt y oirav-pkaaprto O RESDENTIIAIIE : MQuvtr^

- ZT ^ [gp^ne r Qenle r RESDHITAOORESS : 4- 3 4 o y^r\c£ ^ ^ V QMaVv A tOe

- dKW X WRENIAL.PROPERI Y OWNE D BY : OWMCR^MAUIGADDRESS : ^A^ D *Fo- r i<j ^ S. ^ Q V \aW V^e . Qi^ W \ OmiER ^ TELEPHON E NUMBE R- HOME : <Atf? A S A ^ - 32.3OW0RIC : i I AG E O FHOME? : lOft YEARS . HOWLON G NAV E YO U LftfE D HERE ? 0.7 . YEARS . NA S TH E EXT E RIORBEEN PAHTE O O RCOV E R E D lOT H SDM 6 SMC E 1878 7 VC 8 N C 'S'^ O C O Z 7 NUMBE RO FOCCUPAin S UN0ER 7 YEAR S OLD : _0

_NUHBERO FOCCUPANT S 7 YEAR S OL D AN D OLDE Rl__ NWnnB RO FCHILDRE N UNDE R7 YEAR S OL D WH O PLA Y M TH E YAR D FO RS HOUR S mMOR E PE RWEEK : __( ^ COMMENT S O RSPECIAL MSTRUCnONS : (IE . DOGS . ENTR Y GATES . ETC ^ HvO^g r A-g-QjU.a ^ \-c A | ^ 

### AUTHORIT Y FO RENVIRONMENTA L RESPONS E ACTIONS ; Th e activitie s t o b e inplementfldt v EP A indo-thi s agreemen t ar e pursuan t t o Sectio n 10 4 o f CSRCLA , 4 2 US. C 9604 . EPA' s ri ^ o f acces s t o thepnyeii y i s provide d tor i n Sectio n 104<e ) o f CERCLA , 4 2 U.S . C MOS(e X whic h pranda s en& y fir'detennining toe nee d& r jBspaae , o r choosin g cr takin g an ^ response actio n ladertoi s tide , o r otoerwisemfivdn g th e pravisia u o f th

^ titla "

# &EP A EP A Propert y Clos e Ou t Propert y # : Z6?^ s Propert y Address : 93y o A/f^ot . Date/Time : ///9/0 7 Owner' s Name : /%«^/«y ^ Quad s Excavated : c. . Contracto r Grou p Prudei RTechnologie s Excavatio n Genera l Ye s N o 1 . I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

### y 2 . If necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? 

### y Gradin g So dan dVegetatio nYe s N o 1 .Doe s th e gradin g aroun dth e perimete r o f th e house i n excavate darea s generall y slop e awa y y fromth e house ? 2 . Ha s so dbee n lai di n al l area s tha t wer e excavated ? 

# y 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 y day tim e period ) 4 . Ar e sodde darea s generall y fin n an devenl y graded ? y 5 . Ar e th e joint s betwee n th e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 day y tim e period ) 6 . Wa s th e propert y grade dsuc h tha t wate r will no t poo l o n th e property ? y 7 . Wa s damag e t o landscapin g o r plan t material s avoided ? y Gates , Fence s an dRetainin g Wall sYe s N o 1 . D o gate s ope n an dclos e freely? (I f applicable ) 

### y 2 . Were al l gate s o r fence s take n dow n durin g restoratio n activities reinstalled ? (I f applicable ) y 3 . Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) y 4 . Wa s damag e t o retainin g wall s avoided ? (I f applicable ) 

# y Foundation , Sidin g an dGutter sYe s N o 1 . Wa s damag e t o th e sidin g o r tri mavoided ? 

### y 2 . Wa s damag e t o th e foundatio n avoided ? 

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

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

# y 5 . Wa s damag e t o downspout s o r downspou t extension s avoided ? 

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

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

# J

### Owner s comments :

Inspectio n notes : Thtf^ t^cA c HUc/h t no r soooe o o n Thr s pfi°/ >

. . -fi, , / b ha s ifn^rMrtc^e v P/tutK/h r T

o O c H>/* v



### Remova l andrestoratio n activate s complet e includin g th e 30-da y so dwarranty : EP A Representativ e Ji ^ Xk. ^ Date : ///9/0 7

• —

# &EP ^ Propert yCompletio n Agreemen t Thi s agreemen t document s th e completio n o f remova l activitie s performe do n th 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 h th 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 remamin g warrant y (9 0 day s overall , 3 0 day s o n so dgrowth guarantee ) excep t thos e item s liste dbelow , i f

any . Propert y ID : 

### aG^ H ^ Propert y Address : ^^^^^ ^ fcrVer ^i

Owne r fV>rJWUC g ^ Phone : 

### g o ; ^ g^9 - ^ 

### i>2srn > Restoratio n Item s i n Question :

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

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

c_ 

# 2 k ayUX«J L 

# // - ?- 0 

# 7 Owner' s Signatur e Dat e(yijL.fij\sy>fi ^ 1^ ^ 

## \^0- t M Name : P^iiP i Omah a Lea d Sit e 

## Date : 7-ASz^ ^ Nort h Arro w —i Address : U^t^ A Sit e Sketc h Time : /^.(y ? Phone : M9.-'ii^'\r s 

# t f 9 ^ /?Ol f TP^rr./V/iK/fimn') n BMi D #2lcQ!db L XR F Cod e Sampl e Numbe r Lea d Concentratio n Confirmatio n Sampl e f^.VAScPy A - l•t>^^• g ^ 1 Ye s n ''"-^k l i^^ T pp m Fj i Ye s n DXYe s • 

## \o^)cHif S pVSSCPxA-'2-fq^ g ft\ Ye s a 

# IT i 6:^Ye s a pp m Ye s n g^PS6.PxA-7.4<ltj ^ pp m Ye s •



## E A/f ^ V^Uwi/ ^

£Ky ^ 

# ]\0l ^ ^ ENTERE D ::<TERE D. ,yie w 

### Pag e 1 o f 1 Dougla s County-Omaha , N E

Parce l I D 090603000 0 Sec-Twn-Rn g 17-15-1 3 Owne r JAY Owne r Nam e MAURIC E '. Addres s Propert y Addres s 434 0 PARKE R S T Additm n CREIGHTON S 2N D AD D Cit y 1OMAH A Bloc k 6811 1 Lo t 1 9 Owne r Addres s I Ljega l 1 50X13 0 Owne r434 0 lanai o Addres s 2 PARKE R S T >»yTM ^ Owne rCit yOMAH A Lega l 3 1_ Owne r Stat e N E i Lega l 4 Assesso r' http://douglasne.mapping - Owne rZi p 6811 1 i>i/»ho»z » I i^L . online.com/DouglasCoNe/static/accountinfo.Jsp ? websit e un k accountno=R090603000 0 Disclaime rMa p an d parce l dat a ar e believe d t o b e accurate , bu t accuracyi 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 = 4 0 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPrsview.aspx?PrintOptData=Dougla s County-.. , 7/16/2007r\A ^

"hr^jp ^



# iVolie OFin d Recor d Sampl e Area : 2694 5 - 434 0 PARKE R S T Owner : n Owne rOccupie d Owne rName : jJA Y MAURIC E Owne rAddressl : Owne rAddress2 : |4340rpARKE R S T City : State : Zi p Code : |0MAH A |N E |6811 1 Owne rPhone : Alternat e Phone : [(402 ) 598^3 0 Qea n U p Query Lea d Remainin g Quer yj

Resident : Residen t Name : |JA Y MAURIC E Propert yAddress : f434 0 PARKE R ST Zi

p Code : (6811 1 Residen t Phon e Propert yDamag e Quer y Clos e

Contract : Contractor : |PRUDENT200 7 Group : 

# r Assessment : Qualifyin g Grou p (80 0 Assessmen t XR F Date : Assessmen t Ma xXR F Value :