### PROPERT Y SUMMAR Y Date : 11/13/2007 Omah aLea dSite Remedia l Actio nContrac t #EP-R7-07-0 6 Mont hof : Novembe r Propert y Address : 2416BinneyS t A . EXECUTIV ESUMMAR Y A. I Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i nNovembe r o nan 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 GDATA/RESULTS : E l - 12 1 @ Scrap e Dl-245@13 " B 2 - 13 5 @ 7 " 

### ATTACHMENT S 1 ) Propert y sketc hprovide db y EP Apursuan 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 ndigita l vide o clip/photograph s 4 ) Post-Excavatio ndigita l vide o clip/photograph s 5 ) Documentatio n- Complete dClose-ou t Checklis t 6 ) As-Buil t sketc h­ i ) Shal l includ e fina l lea dlevel s v ) Legen d ii ) Contaminatio nlef t behin darea s vi ) Contracto r identificatio n iii ) Propert y addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e include di nth e individua l propert y file , i f available , o r obtaine dinclude : i ) Pre-excavatio nagreemen t detail s (i f an y ar e mad e wit hth e propert y owner ) ii ) Excavatio ndigita l vide o i nMPEG , WM V (Window s Medi aVideo ) o r SW F(Flas hPlayer ) forma t and/o r photograph s iii ) Signe dfor mverifyin g satisfactor y restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

TECHNOLOGIES , INC . 4028583 1 

# IIIIIIII I Superfun dd Sit e Exterio rPain t Nort h Arro w 

### Omah a Le a Owne rName : D Goo d 

### Sit e Ske tc h XT N Address : 241 6 BINNE YS T

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### Omah a Le a Owne rName : D Goo d 

### Sit e Ske l tc h /T N Address : 241 6 BINNE YS T D P TM U U - ,

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### ;..?•;•remov e lead-contsruiadle d soi i Pruden t Technologies , Lie . (Prudent ) i s unde r contrac t wit hth e U . S . Environmenta l Protectio nAgenc y (EPA ) t o clea nu p lead-contaminate dsoil s aLa_run:&er o f propertie s locate di nOmaha , Nebraska , includin g th e propert y locate dat QH\ W I D > ^ rv€L-cf S\; , . Th e

### EP A request s you r pmfriiMt mt w ailwv / Pnni«t t it * perfor masoi l cleanu p at tin s property - t o remrr-- - ieatJ-c.jTrtgTninatST i --m \ B y signin g thi s form , th e propert y owne r grant s permissio n t o Ptuden t t o Beifor maciiviiie arelate dt o tli d -1 ^ * 1 I" 'I I ' * A £ * ' « * tieaiiii p iiiCiUtriii g Sui i iSfiipiiflg , JCTriOVa i O i iea>>-COiitafru7TStKij soil , iMIi TI'estOfafJO H o f til e reference d property . Afte r obtainin g th e owner' s signatur e o n thi s form , Pruden t Technologies , Lie . wil l contac t di e property owne r (an dresidents ) withi n th e nex t fe w week s t o coordinat e performanc e th e wor k 

### I f

yo u hav e an y question s abou t th e soi l cleanu p planne dfo r you r property , tilea^ e cc/ii(.d<- i ?ii»JejiJ." s Admimstrativ e Gerk fo r ih e Omah aL*adSite cleanup , Ms . Cyndi e Hind s at (402 ) 504-1004 . Genera ) question s abou t th e Omali aLea dSit e cleanu p ca nb e directe dt o th e EP A Publi c Informatio n Ceutei i <> L (402 ) 731-304 5 (sout hOmah aoffice ) o r (402 ) 991-958 3 (northOmah aoffice) . 

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r / I Property Acces s Grante dBy : A.<3u)Mv\c c *-<>fipf&rtc? ( f?lsa w PrintNam« } 

### Proper^ ' Owner Signature : ,^~> /

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PROPERT\ ' INFORMATIO N (T o b e complete db y residen t and/o r propert y owne r - - pleas e print ) $ ( RESIDEN TNAME : Cuweifitf y [JaCG\A I 

### T RESIDEN TADDRESS : ^ C X I F RENTAL . PROPERTYOWNE D BY : 

### LoMa^c ^ OWNER' S IBAILIN G ADDRESS ; PO.._&? KH O I f j McClfo f fi^ A . I/ J A OWNER' S TELEPHON E NUMBE R -HOSE : j3S3 , £&X-<&tf T WORK : AG E O F HOME? : fl&£ ~ YEARS . HO W LON G HAV E YO U LIVE D MERE ? _/V/>f_

_ YEARS . HA S TH E EXTERIO R BEE N PAINTE D O R COVERE D WIT H SIDIN G Sir.'C S 157C ? Vr S N O \J l Uanf\ T HUHBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : NUMBE R O F OCCUPANTS ? YEAR S C : P Ati r0 ' P? R NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA YI N TH E YAR D FOR5HOURr^ R r.'^ T P f V,rr" : COMMENT S O R SPECIA L INSTRUCTIONS : (I.E . DOGS . ENTR YGATES , ETC. ) AUTHORIT Y FO RSr</IROHM£MTA LRESPONS EA^T!:::: ^ Tl-.- ; inivit;?. ^ i i i:-.v'=-^- ^ - v I ? A ---.:- ­ aerternen t are - pursuan t t o Sectica- i 10 4 o f CS5.CL,/- . . 42 . U.S . C . 960 * iiPA ' sngh t o f acces s •totJi e prr^rrf v i "rCv'i 3 ^ "<? " i r • ^ a C^lCl ^ 10*'^" ! 0 " • ^" " '" ^ "* " * . — - ^-. * . ,_- y­ 

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# EP A Propert y Clos e Ou t Propert y # : Propert y Address : 4V/ g Qinn* , Date/Time : Owner' s Name : Lf^, Kf) uc t C«ptun » Quad s Excavated : y n Contracto r Grou p Pruden t Technologie s Excavatio nGenera l Ye s 1 .I f necessary , wer e 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 drestored ? 

### ^ Gradin g So d an d Vegetatio n Ye s 

## 1 . Doe s th e gradin g aroun dth e perimete r o f th e hous e i n excavate darea s generall y slop e awa y fro mth e house ? 

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

# s 3 . Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 

# s day tim e period ) 

### 4 . Ar e sodde darea s generall y fir man devenl y graded ? 

### \S 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 da y tim e period ) 

# s 6 . Wa s th e propert y grade dsuc htha t wate r wil l no t poo l o nth e property ? 

# s 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 1 .D o gate s ope n an dclos e freely ? (I f applicable ) 

### S 2 .

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

# s 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 ) 

# s Foundation , Sidin g an dGutter s Ye s 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 navoided ? 

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

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

### / 

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

N o

N o

N o

N o

### Owner s comments :

Inspectio n notes :

Removal an drestoratio n activate s complet e includin g th e 30-day so dwarranty : EP A Representativ e flt^JVL, * Date :

# cf c A >4 8 Exterio rPaint Nort h Arro w 

### Omah a Lead Sit e Owne rName : F J Goo d 

### Sit e Sketc h Address : 241 6 BINNE YS T Q ] Poo r

Phone : ' [~ | No t paint Sampl e Numbe r 

### Lea d 

### Concentratio n Sampl e Collecte d LA B Firm : Sample s Collecte d Sverdru p RYASCPXA-54 8 

### _pp m 

# a Date : RYBSCPXA-54 8 Y B 

### I Pp m 

### D Time : RYCSCPXA-54 8 RYDSCPXA-54 8 Y C Y D 

### 260. 2 316. 8 

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# a a Sample s Analyze d RDZSCPXA-54 8 

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# a XRFUnit : 

### Book : RGZSCPXA-54 8 G Z 

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# a Date : 5/127199 9 RPZSCPXA-54 8 P Z 

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# a Time : 09:2 4 Staff : Numbe ro f Sample s = I 4 Legend : YA= Yar d (NE) , Y B = Yar d (SE) , Y C = Yar d (SW) , Y D = Yar d (NW) , D Z = Dri p Zone , G Z = Garden , P Z = Play



## BINNE YST . 046I4I.OI2 3PAG E 0 1 11/12/200 7 14:1 2 125326B 0 COPELAND



## Propert y Completio n Agreemen t Thii agreement document s the completiono f removal activitie s performe donthe below liste dproperty . The proint y owner' s signatur e indicttw tha t to propert y owne r i s satisfiedwit hthe restoratio no f the subject property , andtha t B O items ar e inquestion , now , or a

t any tim e inthe futw , occluding any remainin g warranty (9 0 day s overall , 3 0 day * onso dgrowt hguarantee ) except thos e item s Liste dbelow , ifany .

Propert y ID ; PmpcrtyAddN. :


### RMtoratfo nHw mInQuwtlon :



## NMH * tern: Rwujlrw l eonveHoi M to eamptato fh aproperty :



## Ido not agree restorationl » oompletB d

Dat e



### SOOTVOSZO * S3I0010MH33 1_ _ i Fin d Recor d 

### Sampl e Area : 54 8 - 241 6 BINNE Y S T Owner :

Owne rOccupie d Owne rName : 

## ICOPELAN D J R LAWRENC E E Owne rAddressl : Owne rAddress2 : |P O BOX 401 1 City : JMCCHOR D AF B State : Zi p Code :



### ~ JW A19843 8 Owne rPhone : Alternat e Phone : Clea n U p Quer y Lea d Remainin g Quer y



### Resident : Residen t Name : 

## IHENDERSO N EDDI E M Propert yAddress : (241 6 BINNE Y S T Zi p Code : J6811 1 Residen t Phon e Propert yDamag e Quer y



### Contract : Contractor : JPRUDENT200 7 Group : 

### Assessment : Qualifyin g Grou p [80 0 Assessmen t XR F Date : I ' ' Assessmen t Ma xXR F Value :ENVIRONMENTA L& CONSTRUCTIO N 

### TECHNOLOGIES , INC . SOLUTION S 

### Jul y 24 , 200 7 Lil y Alexde r 120 5 Devo n Driv e PapillionN E6804 6 RE : 2416BinneyS t BVID #54 8 Dea r Ms . Alexder : Than k yo u fo r participatin g i nth e soi l clea nu p projec t bein g implemente db y th e U.S . Environmenta l Protectio n Agenc y (EPA ) fo r th e Omah aLea dSite . Thi s clean-u p projec t i s bein g complete da t n o cos t t o th e homeowners . I nallowin g th e remediatio no f you r property a t 241 6 Binne y Stree t yo u wil l hav e achieve dalea d saf e environmen t fro mth e exposur e o f lea di nth e soi l fo r you r famil y o r th e familie s o f you r tenant , i f th e propert y liste dabov e i s arenta l property . W e ar e askin g yo u t o sig nth e encloseddocumen t statin g that : b y m y signatur e o n th e enclose d agreemen t form . I hereb y giv e permissio nt o employee s and/o r authorize drepresentative s o f Pruden t Technologies , Inc . (Prudent) , contracte db y th e Unite dState s Environmenta l Protectio n Agenc y (EPA ) unde r Contrac t EP-R7-07-06 , t o ente r an dhav e acces s t o m y property fo r th e purpos e o f samplin g an dtakin g appropriat e respons e action s whic har e necessar y t o implemen t th e clea n u p o f leadcontaminatio ni nth e soil . Suc haction s wil l include : (1 ) Preparatio nfo r an d th e excavatio n o f contaminate dsoi l fro mm y property ; (2 ) Backfil l excavate darea s wit h approve dclea n soil ; (3 ) Restor e gras s an dothe r vegetatio n o r structure s a s clos e a s possibl e t o thei r pre-excavatio n state . Pleas e sig nth e for mwher e indicate dan dretur n i n th e pre-addresse dstampe denvelope , keepin g th e pin k cop y fo r you r record s o r pleas e contac t m e a t th e phon e numbe r liste dbelow , an d1 wil l b e happ y t o mee t wit hyo u a t you r convenienc e t o discus s an y property issues . Also , pleas e remembe r tha t th e abov e property wil l b e liste di n th e EPA' s databas e a s wel l a s you r count y assessor' s offic e o f clea n propertie s upo n completion . Shoul dyo u hav e an y questions , pleas e d o no t hesitat e t o contac t ou r offic e a t 250 5 N 24 th

### St , Suit e 218 , Omaha , N E6811 0 o r 402-504-1004 . Than k yo u agai nfo r you r promp t attentio n i nthi s matter . Sincerely , Cyndi e Hind s Pruden t Technologies , Inc . Omah aLeadSit e Administrativ e Cler k Tea mMembe r Enclosure s 808 0 War d Parkway , Suit e 40 5 250 5 N . 24 TM Street , Suit e 21 9 891 8 Tesor o Drive , Suit e 10 9

### Pag e 1 o f 1 Print Previe w 

## Dougla s County-Omaha , N E

Parce l I D Owne r Nam e Propert y Addres s Cit y Zi p Owne r Addres s Owne r Addres s 2 Owne rCit y Owne r Stat e Owne rZi p 232890000 0 COPELAN D J R LAWRENC E E 241 6 BINNE Y ST OMAH A 6811 1

P O BOX 401 1 MCCHOR D AF B W A 9843 8 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lot Lega l 1 Lega l 2 

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JTROUPSSUBDI V ! ° ; 8 :W10FTLT7& E i 27.6 6 FT 37.66X131.1 7 i : http://douglasne.mapping ­ : oniine.com/DouglasCoNe/static/accountinfo.jsp ? I accountno=R232890000 0 Disclaimer. Ma p an d parce l dat a ar e believe d to b e accurate , bu t accurac yi s not 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/printPreview.aspx?PrintOptData=Dougla s County-.. . 7/16/200 7