### PROPERT Y SUMMARY | Date ; 11/12/2007 | Omah aLea dSite Remedia l Actio n Contrac t #EP-R7-07-0 6 | Mont h of : Novembe r | Propert y Address : 211 2 Miam i S t A . EXECUTIV E SUMMAR Y A. 1 Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i n Novembe r o n an 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 G DATA/RESULTS : Bl-200@3 " B2-231@3 " E l - 2 8 @ Scrap e ATTACHMENT S 1 ) Property sketc h provide 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 n digita l vide o clip/photograph s 4 ) Post-Excavatio n digita l vide o clip/photograph s 5 ) Documentatio n - Complete dClose-out Checklis t 6 ) As-Buil t sketc h ­ i ) Shal l includ e fina l lea dlevel s v ) Legen d ii ) Contaminatio n lef t behin darea s vi ) Contracto r identificatio n iii ) Property addres s vii ) Date iv ) BVI D numbe r 7 ) Othe r item s t o b e include di n th e individua l property file , i f available , o r obtaine dinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit h th e propert y owner ) ii ) Excavatio n digita l vide o i n MPEG , WM V (Window s Medi aVideo ) o r SW F(Flas h Player ) forma t and/o r photograph s iii ) Signe dfor mverifyin g satisfactor y restoratio n iv ) Descriptio n o f area s no t meetin g Interi mRO D cleanu p criteria . 4028433 1 Superfun d



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## Omah a Lea d th e prSrert yi n orde rt o conduct 

## Sit e Remedia l environmenta l samplin g an d t o remov e lead-contaminate d soi l Pruden t Technologies , Inc . (Prudent) i s unde r contrac t wiih me U . S . Environmenta l Protectio n Agenc y (EPA) t o dea n u p lead-contaminate dsoil s at, anumbe r o f propertiesjpcate di n Omaha , Nebraska , includin g m e property locate dat CX//Q ? //]/#/»/ ' C^Cf o . Th e EP A request s your permissio n to allo w Pruden t to perfor masoi l cleanu p a t thi s property to remov e lead-contaminate dsoi l B y signin g mi s form , th e propert y owne r grant s permissio n t o Pruden t t o perfor mactivitie s relate dt o m e cleanup includin g soil sampling , remova l o f lead-contaminate dsoil , an drestoratio n o f me reference d property . Afte r obtainin g m e owner' s signatur e o n mi s form , Pruden t Technologies , Inc . will contac t m e property owne r (an dresidents ) withi n th e nex t fe w week s t o coordinate performanc e m e work . I f

yo u hav e an y question s abou t m e soil cleanup plannedfo r you r property , pleas e contac t Prudent' s Administrativ e Cler k

fo r me Omah aLea dSit e cleanup , Ms . Cyndi e Hind s a t (402) 504-1004 . General question s abou t m e Omah aLea dSit e cleanup can b e directe dt o m e EP A Publi c Informatio n Centers\at (402) 731-3045 (sout h Omah aofticje ) or (402 ) 991-958 3 (nor^rOmah aoffice) . Property Acces s Grante dBy : / ^ fOfll^./L L ^ \+ . E- ^ U 1 //!(/ ] Property Owne r Signature : (Sigmturo )
(T o b y residen t and/o r property RESIDEN T NAHE : RESIDEN T AD D

RENTAL . PROPERT Y OWNE D B Y OWN E R- S HAB.M G ADDRESS ; OWMER-STELEPHON E NUE1BER- K AG E O F HOUSE? : YEARS.NfOWLON G HAV E YO U LA/E D HERE ? HA S TH E EXTERIO R BEE N PAWTE D O R COVERE D WIT H SIDIN G SINC E 1978 ? YE S N O NUtflBE R O F OCCUPANT S UND E R 7 YEAR S OLD : NUMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLDE R NUMBE R O F CHILDRE N UNDE R 7 Y E AR S OL D WH O PLAY ft TH E YAR D FO R 5 HOUR S O R BOR E PE R WEEK : COMH E NT S O R SPECIA L INSTRUCTIONS : (LE . DOGS . E NTR Y GATES . ETC. ) 

### AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS ; Th e activitie s to b e implemente db y EP A under thi s agreemen t ar e pursuant t

o Sectio n 104 o f CERCLA , 4 2 U.S.C . 9604 . EPA' s righ t o f acces s t o the propert y i s provide dfor in Sectio n 104(e ) o f CERCLA , 4 2 U.S . C 9605(e) , whic h provide s entr y for "determinin g the needfor response , or choosin g or takin g any respons e actio n unde r thi s title , or otherwis e enforcin g the provision s o f the title "

# EPA Propert y Clos e Out Property# : 2<}?rz . Propert y Add * j ; : Z . //£fltftm i Date/Time : ////^/o- ? Owner' s Name : gnairn 5 A ft,* . Quad s Excavated : s . Contracto r Gro i j Pruden t Technologie s Excavatio n Genera l Ye s N o 1 .I f necessary , were th e correc t quadrant(s ) excavate dan drestored ? 

### , / 2 .I f necessary , wer e th e correc t area s o f dri p zon e excavate dan dres t red ? 

### / Gradin g So dan dVegetatio n 

### Ye s 

### N o 1 .

Doe s th e gradin g aroun dth e perimeter o f th e hous e i n excavate da;a s generall y slop e away fro mth e house ? 

### . / 2 .Ha s so dbee n lai di n al l area s tha t wer e excavated ?



### . / 3 .

Doe s th e so dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte dat a3 0 da

y time period ) 

### , / 4 .Are sodde darea s generall y fir man devenl y graded ? 

### / 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 time period ) 

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

### / 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 .

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

### t / 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 ) 

### S 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 ? 

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

### i / 4 .

Wa s damag e t o windows o r doo r screen s avoided ? 

### t / 5 .

Wa s damag e t o downspout s o r downspou t extension s avoided ? 

### i / Sidewalks an dDriveway s (Concrete ) 

### Ye s 

### N o 1 .

Wa s damag e t o driveway surface s avoided ? 

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

### t /

### Owner s comments :

Inspectio n notes :

Removal an drestoratio n activate s complete includin g th e 30-day so dwarranty : EPA Representativ e Q*J,& * Date :



## _^ _Name : £ > Date : 5-M-& / Nort h Arro w Address?M 2 Time : 7-'s ? Phone : 

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## Dougla s County-Omaha , N E

Parce l I D Owne r Nam e Propert y Addres s Cit y Zi p Owne r Address Owne r Addres s 2 Owne rCit y Owne r Stat e Owne rZi p 092106000 0 GREATE R S T PAU L MINISTRIE S IN C 2 1 1 2 MIAM I S T OMAHA 6811 0

212 3 MIAM I ST OMAHA N E 6811 0 Sec-Twn Rn g Owne r Addres s Additio n Bloc k Lot Lega l 1 Lega l 2 Legal 3 Lega l 4 Assesso r Websit e Lin k 10-15-1 3

DENISE S AD D 5 * E44F T 44X12 2

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R092 1 06000 0 Disclaime rMa p an d parce l data ar e believed t o b e accurate , bu t accurac yi s no t Ma p Scal e guaranteed . Thi s i s not a lega l documen t an d shoul d not b e substitute d fo ra titl e search , 1 inc h = 3 7 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

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Creat e Anothe rTicke t Bac k t o Irt h Interne t 

### Sen dEmai l YOU RTICKE T NUMBE RI S 1862616 . Origina l Cal l Date : 8/10/0 7 Time : 9:2 0 a m Op : CYNDIE1896 7 Wor k t o Begi n Date : 8/14/0 7 Time : 9:4 5 a m State : N E County : DOUGLAS Place : OMAH A Address : 211 2 Street : MIAM I S T Twp : 15 NRng : 13 E Sect-Qtr : 10-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Soi l Excavatio n - Lead Remediatio n Locatio n o f Work : LOCAT E ENTIR E PROPERTY Remarks : FA X 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 : EPA Dept h o f Excavation : 14Z " Corne r Lot : N Front : NRear : N Involve s Tunnelin g o r Horizonta l Boring : N Explosives : N CXCAT V MAGELLA NMUD0 1 OMAHACO F OPPDGPR 5 QLNNE1 C Servic e Are a Contac t Phon e Numbe r Utilit y Typ e 

### Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C 

### HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 918574709 8 MAGELLA N MAGELLA N MIDSTREA M PARTNER S L P TONYA Alt : 

### Emerg : 918574709 8 Day : 402504782 3 MUD0 1 METROPOLITA N UTILITIE S DISTRIC T EDWIN A Alt : 

### Emerg : 402504794 6 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE RRO N Alt : 402444516 1 

### Emerg : 402444516 0 Day : 406728934 3 http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/10/200 7

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OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A 

### Alt : Emerg : 888728934 3 QLNNE1 C QWES T LOCA L NETWORK 

### N A 

## Day : 

## Alt : 406728934 3 Emerg : 888728934 3

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/10/200 7Fin d Recor d Sampl e Area : 2935 2 - 211 2 MIAM I ST Owner :

. C D Owne rOccupie d \ - Owne rName : 

## | [GREATE R ST PAU L MINISTRIE S IN C i » Owne rAddressl : 

### r v t M i t ' Owne rAddress2 : J212 3 MIAM I ST City : State : Zi p Code : 

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== > Owne rPhone : Alternat e Phone : {(402 ) 571-237 1 j(402 ) 341-223 1



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Resident : Residen t Name : 

## IVACAN TLO T Propert yAddress : J211 2 MIAM I S T Zi p Code : J6811 0 Resident Phon e 

### J Propert yDamag e Quer y ] Clos e

Contract : Contractor : JPRUDENT200 7 Group : 

# f' " Assessment : Qualifyin g Grou p |80 0 Assessmen t XR F Date : 

### j Assessmen t MaxXR F Value : ] 911.59

## Property Completio 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 property owner' s signatur e indicate s tha t th e propert y owne r i s satisfie dwith th e restoratio n o f th e subjec t property , an dthat n o item s are i n question , now , o r at an y tim e i n th e future , excludin g an y remainin g warranty (3 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert y ID : 29S ^ t Propert y Address : ^ /; 

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

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Owner' s Signatur e Dat eENVIRONMENTA L & CONSTRUCTIO N TECHNOLOGIES , INC . SOLUTION S 

# Propert y Contac t Attempt s Propert y ID : Propert y Address : Owne r Name ; C \ 

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# Belo w pleas e fin dalistin g o f unsuccessfu l attempt s t o reac h th e abov e propert y owner .

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### Signature Date Pruden t Technologies , Inc . XL , 

### Acknowledgemen t Signature Date EP A

808 0 War d Parkway , Suit e 40 5 250 5 N . 24 TM Street , Suit e 30 8 891 8 Tesor o Drive , Suit e 10 9 Kansa s City , M O 6411 4 Omaha , Nebraska Sa n Antonio , T X 7821 7 Phone:(816)363-370 3 Phone : (402)504-100 4 (210 ) 822-958 8 Fax : (816 ) 363-370 7 Fax:(402 ) 504-100 5 Fax : (210 ) 579-657 7