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### PROPERT Y SUMMAR Y Date : 12/12/2007 Omah aLea dSite Remedial Actio n Contrac t #EP-R7-07-0 6 Month of : December Propert y Address : 222 3 Ogde n S t A . EXECUTIV E SUMMAR Y A. 1 Issue s Encountered : A. 2 Issue s Resolved : A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Information : CONFIRMATIO N SAMPLIN G DATA/RESULTS : Fl-158@6 " B l -10 7 @ 10 " E l -15 9 @ Scrap e D l - 22 8 @ 13 " ATTACHMENT S 1 ) Propert y sketch provide db y EP A pursuan t to 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/photograph s 4 ) Post-Excavatio n digita l video clip/photograph s 5 ) Documentation - CompletedClose-ou t Checklis t 6 ) As-Built sketch
i ) Shall include final lea dlevel s v) Legen d ii ) Contamination lef t behin darea s vi ) Contracto r 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 the individua l propert y file, i f available , or obtainedinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit h the propert y owner ) ii ) Excavation digita l vide o in MPEG , WM V (Window s Medi aVideo ) o r SW F (Flash Player ) forma t and/o r photograph s iii ) Signedfor mverifying satisfactor y restoratio n iv ) Description o f area s not meeting InterimRO D cleanu p criteria .

4029335 8 TECHNOLOGIES , INC . '"TM'' ' Superfun d

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Omah aLea dS 4613 0

## Omah aL
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PiuJfetii . Tacimologiei. , lac . (Ptuwuix j i s ikUiU t coniiac t witi i iii e U . L aueata l Piotectil mAg . <EPA,M D dean'-Tics'!- ^ -,---.-- . ,,.- * *• ^ ^ - ­ . x . . < iududiiigthetMopat y iu . . t^D . TL ^ (P<d?-fl^ w ^ ^ r»«*rmi55io at o allo w Pnidwi t t o pertbrt n i » =r« t rU^^^^^ t ^^-^' r i?rot>i»rt^ ' t o rernmi » IcsHJ-cnrrfan r r1<»9TTiij i iTjr^iidtrj j '•oi l saitipli^ " ••«'t'"n\')» < o f l*^9d-c'jT»ti*ttatiate dsoi ) andrcit^^'''^'^' ' <^ f ri-io •o»orov.r-Qf 4 ptopeit\' . Aftet oltauiui g tl . - sigoaiui e c mthi s fomi , Pnwiiii t Tec k property owne r (an dresidents ) vnthi n th e nex t few week s t o coorctinste petformanc e th e wor k Ifyo u hav e ati y questioa s abou t di e soi l cleaau y piatuie J fo t yout pioperty , pieas e contac t Pnitlajit' „ itratiV e Qerf : for ft" Omah B Lea dSite c! e 'M00 4 .^.>v;iu.uti s abou t th e Ornah aLea dSit acieauui i i:aii^^.-». i t^.u- i L W.1:1 ; j^ ^ .- i j . L^.^. V ^i.uttoatio u o<um^

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PROFERP/ir^rORMATJO N VT

D I ; rciu^IiL^dl y rfcadeBt aaifo i propert y ;,l€asepriiit : r 5 SiDEN T NAM E |l£$f e ^f^ ^ C C IJcM/ ^ 1 7 " --StCEMTASDRESS : 2i^^ 3 -04_AJU^__^„ . (2^>VV^L a t f REHTAt,. PR0PE.1T Y iT.TOf D EY : lO^iix ^ s i "2^ ^ 6 ^Dv\>t-< 3 ' • " U ^ G^I\D

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# SER \ EP A Propert y Clos e Ou t Propert y # : 3 ^ 2? ^ Propert y Address : 2X 1 o^^J^ ^ Date/Time : 'l/So/o y Owner' s Name : iOdi i '^^^/^Jl o Quad s Excavated : f i ^& / -h t> ' Contracto r Grou p Pruden t Technologie s Excavatio n Genera l 1 .

If necessary , wer e th e correct quadrant(s ) excavatedan drestored ? 2 .

If necessary , wer e th e correct area s of dri p zone excavate dan drestored ? Gradin g So dan dVesetatio n 1 .

Doe s th e grading aroundth e perimete r of the hous e i n excavatedarea s generall y slop e awa y fromthe house ? 2 .

Ha s so dbeen lai di n al l area s tha t wer e excavated ? 3 .

Doe s th e sodappea r to b e generall y health y an dgrowing ? (Onl y evaluat e i

f inspecteda t a3 0 da

y tim e period) 4 .

Ar e soddedarea s generall y fir man devenl y graded ? 5 .Ar e the joint s betwee n th e sodstrip s generall y tight ? (Onl y evaluat e i

f inspecteda t a3 0 da y tim e period) 6 .Wa s the propert y grade dsuc h tha t wate r wil l not poo l o n the property ? 7 .

Wa s damag e to landscaping o r plan t material s avoided ? Gates , Fence s an dRetainin g Wall s 1 .

D o gate s ope n an dclos e freely? (If applicable ) 2 .

Wer e al l gate s o r fence s taken dow n durin g restoratio n activitie s reinstalled ? (If applicable ) 3 .

Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 4 .

Wa s damag e to retainin g wall s avoided ? (I f applicable ) Foundation , Sidin g an dGutter s 1 .

Wa s damag e to th e siding o r trimavoided ? 2 .

Wa s damag e to th e foundatio n avoided ? 3 .

Wa s damag e t o window s avoided ? 4 .

Was 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 ? Sidewalk s an dDriveway s (Concrete ) 1 .Wa s damag e to drivewa y surface s avoided ? 2 .

Wa s damage t o walkwa y surface s avoided ? Ye s No / 

### y Ye s N o / 

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# y y / / Ye s N o / / 

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### Owner s commeinits :

Iiaspectiio mEotes :

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Removal an drestoratio n activate s complet e includin g th e 30-day so dwarranty : EPA Representativ e dt:„rr^.^ . jPc ^ j^ ^ Date : fe/„/^r ,

## Propeot y Compietio o Agreemen t Thi s agreemen t document s th e completion o 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 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 any remainin g warrant y (9 0 day s overall , 3 0 day s on so dgrowt h guarantee ) e.xcep t thos e item s liste dbelow , if

any . Propert y 

## ID : Zh^^i C r Propert y Address : 

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# OGbc y Owner : 

## i^ei l 

# Jone s Phone : Restoratio n Item s i n Question :

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

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

# y y yJfy/ycTT ? Owner' s Signatur e Date 1 r I• #



### AGREEMEN T AN D RELEAS E FO RRESTORATIO N O F REA L PROPERT Y

Thi s Agreemen t an dReleas e (hereinafte r Agreement ) i s entere dint o by an dbetween . Jesse e Jone s (hereinatte r Property Owner ) an dth e Unite dState s Environmenta l Protectio n Agenc y (hereinafte r EPA) . WHEREAS , th e propert> ' locate da t 222 3 Ogde n S t (hereinafte r th e Property) , mor e specitlcall y describe dbelow , i s owne db y .less e .Tones ; WHEREAS . EP A throug h samplin g an danalysi s ha s discovere dth e Property was contaminate dwit h lead ; WHEREAS , th e EPA performe daremova l actio n an dremove dth e contaminate dsoil s fromth e property an dbackfille dth e fonnerl y contaminate darea s with clean fill the n sodde d and/o r seede dth e described , effecte dproperty ;

WHEREAS , th e Property currentl y require s alimite damoun t o f restoratio n wor k

t

o retu mth e Propert> ' t o it s origina l conditio n prio r t o initiatio n o f EPA' s respons e activities , o r a s nearl y a s possibl e t o it s origina l condition ; NO W THEREFORE , in consideratio n o f th e mutual covenants , promise s an dcondition s an dtenn 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 property whic h i s th e subjec t o f thi s agreemen t i s owne db y Jess e Jone s an di s mor e specificall y describe da s follows : NEWTO N AD D BLOC K3 LO T 8 

### 2 . Th e EPA wil l complet e th e followin g restoratio n items : Pa y $10 0 in lie u o f purchasin g any fiarthe r splas h drain s o r sidin g items . 3 . Th e Property Owne r acknowledge s that EPA shal l hav e n o responsibilit> ' for further restoratio n wor k

a

t th e Propert}' . 4 . Th e Propert} ' Owne r release s th e Unite dState s an dth e EPA fro many an dal l claim s arisin g ou t o f o r connecte dwith , directl y or indirectly , thei r ability t o inhabit , occupy , use , transfer , o r

sel l th e rea l o r persona l property a t 222 3 Ogde n S t an dth e reimbursements , compensation , payments , costs , expenses , an dany inconvenience s or 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 any claim s unde r th e• 

### Unifon n Relocatio 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 Property Owne r affirm s tha t he/sh e i s th e legal owne r o f th e property a t 222 3 Ogde n St . Thi s agreemen t i s entere dint o an dmad e effectiv e th e ^ ' da y o f )^€CLMH£^''C ^ 

### 2007 . FO RTH E PROPERT Y OWNE R O 

# yyCf . 'H.yXy j ^ Date / ^ 7 ^ ^ FO RTH E LINITE D STATE S ENVIRONMENTA L PROTECTIO N AGENC Y
Date U.S . EPA Regio n VI I

flay s 2 ocj ) 2PRUDEN T TECHNOLOGIES , 808 0 WAR D PARKWAY , SUIT E 40 5 KANSASCITY , M O 6411 4 (816 ) 363-370 3

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### o YOU RTICKE T NUMBE RI S 1860893 . Origina l Cal l Date : 8/08/0 7 Time : 12:2 4 p m Op : CYNDIE1896 7 Wor k t o Begi n Date : 8/10/0 7 Time : 1:0 0 p m State : N E County : DOUGLA S Place : OMAH A Address : 222 3 Street : OGDE NS T Twp : 16 NRng : 13 E Sect-Qtr : 33-SE,34-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Soi l Excavatio n - Lea d Remediatio n Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FAX AL L CLEAR S TO : (402)504-100 5 Compan y: PRUDEN T TECHNOLOGIE S Contac t Name : CYNDI E Phone : (402)504-100 4 Wor k Bein g Don e For : EP A Dept h o f Excavation : 14 " Corne r Lot : N Front : NRear : N Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V MAGELLA N MC I METR O MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C SPRNTPC S

Servic e Are a Contac t Phon e Numbe r Utilit y Typ e CXCAT V CO X COMMUNICATIONS , IN C HEID I Day : 402934046 9 Ah : 402934046 9 Emerg : 402932975 7 MAGELLA N MAGELLAN MIDSTREA M PARTNER S LP TONY A Day : 918574709 8 Alt : Emerg : 918574709 8 MC I MC I N O CALL PER MEM O Day : 800289342 7 Ah : 

### Emerg : 800289342 7
METR O METR O COMM . COLLEG E CHRI S Day : 402457230 7 Ah : 

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MUDO l METROPOLITA N UTILITIE S DISTRIC T EDWIN A Day : 

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### Ah : 406728934 3 Emerg : 888728934 3 QLNNEI C QWES T LOCA L NETWOR K NA Day : Alt : Emerg : 406728934 3 888728934 3 SPRNTPC S SPRTN T SPECTRU M L P Day : Alt : 402537180 0 402537181 0 Emerg : :800877662 7

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1 Dougla s County-Omaha , N E

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### http://www.dogis.org/dogis_aIias/dogis/printPreview.aspx?PrintOptData=DougIa s County-.. . 8/1/200 7Fin d Recor d 1 Clean U p Quer y 1 Lea d Remainin g Quer y 1 Propert y Damage Quer y 1 Clos e 1 ^

n Owne rOccupie d Owne rName : |JONE S JESS E Owne rAddressl : Owne rAddress2 : |222 3 OGDE N S T City : 1 OMAH A Owne rPhone : |(402 ) 571-250 6 ' '

State : Zi p Code : ' |N E |6811 0 Alternate Phone : 

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## |68ii b Residen t Phon e 

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