### PROPERT Y SUMMARY Date : 11/7/200 7 Omah aLeadSit e Remedia l Actio n Contrac t #EP-R7-07-0 6 Mont h of : Novembe r Property Address ; 2504 Blond o S t A . EXECUTIV E SUMMARY A. I Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i n Novembe r o n an y deadspot s t o encourag e sprin g growth . A 3 Uniqu e Findings : A. 4 Othe r Relevan t Informatio n CONFIRMATIO N SAMPLIN G DATA/RESULTS : 

### B l - 7 4 @ 13 " B 2 - 39 1 @ 13 " E l - 16 5 @ scrap e ATTACHMENT S 1 ) Property sketc hprovide 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-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 n lef t behin darea s vi ) Contracto r identificatio n iii ) Property addres s vii ) Dat e 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 hth 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 hPlayer ) forma t and/o r photograph s iii ) Signe dfor mverifyin g satisfactory restoratio n iv) Descriptio n of area s not meetin g Interi mROD cleanu p criteria . 4028434 2 

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### a Lead Site Exterio rPaint Nort h Arro w rOwne rName : NEAL L REYNOLDS D Good Sif c 

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## Agreenw R t o allo wa cces s t o th e propertyi n orde rt o conduc t 83em@diia 8 * venvironmenta l Dimplin g an d t o remov e lead-contaminate d soi l Pnideat f Technologies , lac . (Prudent) i s under contrac t wit hthe U . S . Environmental Protectio n Agenc y (EPA) to des aup lead-contaminate dsoil s a t anumbe r o f propertie s locate di n Omaha , Nebraska , includin g fo e property locate da t '-< < 

### So M f^>\t>r\^ o ^V ^ . Th e EP A request s your permissio n to allo w Prudent to perfor masoil cleanup a t mi s properl y to remov e lead-contaminate dsoi l B y signin g &i s form , th e propert y owne r grant s permissio n t o Pruden t t o perfor mactivitie s relate dt o di e cleanup includin g soi l sampling , remova l o f lead-contaminate dsoil , an drestoratio n o f (h e reference d property . Afte r obtainin g me owner' s signature o n mi s form , ftudent Technologies , Inc . will contac t me property owne r (sa dresidents ) with mm e nes t fe w week s t o coordinate performanc e th e work . I f

yo u hav e an y question s abou t m e soil cleanup planne dfo r you r property , pleas e > Administrativ e Cler k

fo r me Omah aLea dSit e deenup , Ms . Cyndi e Bind s a t (402) 504-1004 . Genera l question s abou t me Omah aLeadSit e deanu p can b e directe dto me EP A Publi c Informatio n Center s a t (402) 731-3045 (sout hOm& aoffice ) or (402 ) 991-958 3 (nor * Omah aoffice) . Property Acces s Grante dBv : / C v > 

### Property Owner Signature :
PROPERT Y INFORMATIO N (T o b e complete db y residen t and/o r property owne r - pleas e print ) RESIDEN TNAME : ^ ^

Vt i h QJane rQente r RESIDEN T ADDRESS : Iftf - ( * \ y n f n ^ V I F RENTAL.PROPERT Y OWNE D BY : OWNER' S HALIN G ADDRESS ; ^ ^ M OWNER' S TELEPHON E NUMBE R -HOME : j O S ^ - T* ) WORK : J__ J

_ AG E O F HOE3E7 : (_) YEARS
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_NUMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLDE R NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLAY M TH E YAR D FO R S HOUR S O R MOR E PE R WEEK : COE3Q E NT S O R SPECIA L INSTRUCTIONS : (LE
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### AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s to b e implemente db y EPA under thi s agreemen t ar e pursuant t

o S ection 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 dfa r i n Section 104(e ) o f CERCLA , 4 2 U.S . C 9605(e) , whic hprovide s entr y for "detenninin g the needfor response , or choosin g or takin g any respons e actio n unde r thi s title , or otherwis e snortin g the provision s o f the titla "

# &EP A EP A Propert y Clos e Ou t Property* : 47 3 f 7 Propert y Address : Date/Time : Owner' s Name : Ooiit t O/)u u Quad s Excavated : ff j +Q ± Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s N o 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 dan dVegetatio n Ye s N o 

## 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 n al l area s tha t wer e excavated ? 

### »/ 3 . Doe s the sodappear to be generall y health y andgrowing ? (Onl y evaluat e if inspecte dat a30 da y tim e period ) 

### t / 4 . Ar e sodde darea s generall y firman 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 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 n th e property ? 

### S 

### 1 . Wa s damag e t o landscapin g o r plan t material s avoided ? 

### , / 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 ) 

### 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 ) i / 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable )

. / 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 ? 

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

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

### / 4 .

Wa s 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 ) Ye s N o 1 .Wa s damag e t o drivewa y surface s avoided ? 

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

### O

### Owner s comments :

Inspectio n notes :

Remova l an drestoratio n activate s complet e includin g th e 30-day so dwarranty : EP A Representativ e fi^Jl ^ Date : ca^ ^

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# ENTERED 2726 7 

# & • Omah a Lea d Site Owne rName : NEAL L REYNOLD S 

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Omah aLeadSit e 4613 0

# &EP A PropertyCompletio 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 property owne r i s satisfie dwit hth e restoratio no 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 remainin g warrant y (9 0 day s overall , 3 0 day s o n so dgrowthguarantee ) excep t thos e item s liste dbelow , 

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### SI - Og~I 3 Restoratio n Item s i n Question :

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

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

## Dougla s County-Omaha , N E

Disclaimer
. Ma p an d parce l data ar e believe d to b e accurate , bu t accurac yi 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 = 2 0 fee t appraisal , survey , o rfo rzonin g verification
. 

### http://www.dogis.org/dogis_dias/dogis/printPreview.aspx?PrintOptData=DouglasCoiinty-.. . 7/16/2007

### Pri mPrevie w Pag e 1 o f 1 

## Dougla s County-Omaha , N E 

# /7 -

MO B EC O INDUSTRIE S REYNOLD S NEA L L

Parce / / D 194452000 0 Owne r REYNOLD S Nam e NEAL L Propert y 250 4 BLOND O Addres s ST Cit y OMAH A 

### Zi p 6811 1 Owne r Addres s Owne r 3721 1 Addres s 2 MILLFOR D C T Owne rCit y PALMDAL E Owne r C A Stat e Owne rZi p 9355 0 Sec-Twn-Rn g Additio n Block 

### Lo t Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Website Lin k Md^[> F I I r t R p O W A Q n 1 REYNOLD S NEA L

16-15-1 3 PARKER S AD D 2 2 W 3 0 E 5 9 F T 30X6 3

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? \ accountno=R 1 94452000 0 Disclaime rMa p an d parce l dat a are believe d t o b e accurate , bu t accuracyi 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 = 1 7 fee t appraisal , survey , o rfo rzonin g verification
.


### http://www.dogis.org/dogi s alias/dogis/printPreview.aspx?PrintOptData=Douglas%20Cou.. . 9/10/200 7Fin d Recor d dea n U p Quer y Lead Remainin g Quer yI 

### ampl e Area : 2726 7 - 250 4 BLOND O S T Owner : Resident : D Owne rOccupie d Residen t Name : Owne rName : 

### j 

## (REYNOLD S NEA LL Propert yAddress : Owne rAddressl : J250 4 BLOND O S T |C/ O ALBER TWILLI S Zi p Code : Owne rAddressZ : J6811 1 j 372 1 1 MILLFOR D C T Residen t Phon e City : State : Zi p Code : 

### j JPALMDAL E JC AJ9355 0 Owne rPhone : Alternat e Phone : ](402 ) 598-810 8 j Propert yDamag e Quer y

Contract : Contractor : JPRUDENT200 7 Group : 

### j Assessment : Qualifyin g Grou p J80 0 ! Assessmen t XR F Date : 

### 1 Assessmen t MaxXR F Value : ] 873.3 8 i

### Yahoo ! Mai l - chinds_prudent^jahoo.co m^ ^ Pag e 1 o f 1

. MAI L Prin t - Clos e Windo w Classi c Subject : 250 4 Blond o St
. To : Garvey.Daniel@epamail.epa.gov , France-Isetts.Pauletta@epamail.epa.gov , chinds@prudentweb.co m From : Tharp.Norma@epamail.epa.go v Date : Thu , 6 Se p 200 7 12:29:3 1 -050 0 Propert yi s owne d b yBobby^A . Davi s (female) , 494 7 Spaulding St. , Omaha , Ne . 68104 . Telephone : 402-451-0873 . Othe r person s possibl ya t Spaulding address : Terenc e Davi s Herber t Davi s Possibl e automobiles : 200 0 Purple , Chev yCavalier , licens e PMW70 6 200 0 Gree n Quic k Lesabre , licens e DRBA D 199 6 Re d Biri« k Skylark , licens e OZT33 6

Norm a Tharp , Paralega l Specialis t U.S . Environmenta l Protectio n Agenc y 90 1 N . 5t h Stree t Kansa s City , K S 6610 1 913-551-707 6 913-551-907 6 (fax ) tharp.norma@epa.gov



### http://us.f636.mail.yahoo.com/ym/ShowLetter?box=Inbox&MsgId=4662_6989307_37233 _.. . 9/6/200 7

### Pag e 1 of 2

Creat e Anothe rTicke t Bac k t o Irt h Interne t Sen d Emai l 

### YOU RTICKE T NUMBE RI S 1884090 . Origina l Cal l Date : 9/07/0 7 Time : 1:4 0 p m Op : CYNDIE1896 7 Wor k t o Begi n Date : 9/11/0 7 Time : 2:1 5 p m State : N E County : DOUGLAS Place : OMAH A Address : 250 4 Street : BLOND O S T Twp : 15 NRng : 13 E Sect-Qtr : 09-SE,16-NE Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : soi l excavatio n - lead remova l 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 Done For : EPA Dept h o f Excavation : 14 " Corne r Lot : N Front : NRear : N Involve s Tunneling o r Horizonta l Boring : N Explosives : N CXCAT V LEVEL 3 MUD0 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 : 877366834 4 LEVEL S LEVEL S COMMUNICATIONS , LL C 

## N A

## Alt : Emerg : 877366834 4 Day : 402504782 3 MUD0 1 METROPOLITAN 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/irminternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 9/7/200 7

### Pag e 2 of 2

1 'OPPDGPR 5 OMAH A PUBLI C POWERDISTRIC T N A 

### Alt ' Emerg : 888728934 3 QLNNE1 C QWES T LOCA LNETWOR K N A Day : Alt : 406728934 3 

### Emerg : 888728934 3

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 9/7/200 7