### PROPERT Y SUMMAR Y | Date : 10/10/200 7 | Omah aLea dSite Remedia l Actio nContrac t #EP-R7-07-0 6 | Mont hof : Octobe r | Propert y Address : 1803 Pinkne y S 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 NSAMPLIN GDATA/RESULTS : F l - 9 4 @ 6 " 

### Easemen t 3 5 @ Scrap e 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 nleft 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 property ' 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 .

HNOLOCIES , INC .

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### iah a Lea d Sit e Owne rName : SECON D BAPTIS TCHURC H Q Goo d 

### Sit e Sketc h Address : 1803 PINKNE YST Q Poo r

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### Sit e Sketc h Address : 180 3 PINKNE YS T Q Poo r

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## Agreemntt o a!low¥ccessl o ^11(3 - J Omah a Lea d th e pr^rty i n orde rt o conduct Sit e Remedia l environmenta l samplin g an d t o Actio n remov e lead-contaminate d soi l Pruden t Technologies , Inc . (Prudenf ) i s under contrac t wit hdi e U . S . Environmental Protectio n Agenc y (EPA) to clea n up lead - contaminate dsoil s at amunber^o/ propertie s locate di nOmaha , Nebraska , includin g fe e property locate da t jxfl_ 3 /-y/)/4/ffit. / *jr * Th e EP A request s you r permissio n to allo w Pruden t to perfor masoil cleanup a t mi ^ property to remov e lead - contaminate dsoil . B y signin g mi s form , th e property owne r grant s permissio n t o Pruden t t o perfor mactivitie s relate dt o m e cleanup includin g soi l sampling , removal o f lead-contaminate dsoil , an drestoratio n o f m e reference d property . Afte r obtainin g th 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 soi l cleanup planne dfo 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 at (402 ) 504-1004 . Genera l question s abou t m e Omah aLea dSit e cleanup canb e directe dt o m e EP A Publi c Informatio n Center s at (402) 731-3045 (sout hOmah aoffice ) o r (402 ) 991-95^ 3 (norf c Omajra>#ice) . Property Acces s Grante dBy : Property Owner Signature d
PROPERT YINFORMATIO N (T o b e complete db j resident and/o r property owner ­ pleas e print ) R E SE E N TNAME . QDwne rQente r R E SID E N TA D DRESS : I F RENTAL.PROPERT YOWNE D BY : OWN E R- S MAILIN G ADDRESS ; OWNER' S TELEPHON E NUMBER-HONE : i AG E O F HOME? : HA S TH E EXTERIO R BEE N PA W RE D WIT H SIDM G SMC E 1978 ? NUMBE R O F OCCUPANTS UNDER 7 YEAR S OLD : NUMBE R O F OCCUPANTS 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 PLAYM TH E YAR D FO R S HOUR S O R MOR E P E R WEEK : 

### COMMENT S O R SPECIA L INSTRUCTIONS : (IE . DOGS.ENTR YGATES . AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s to b e implemente db y EP Aunder thi s agreemen t ar e pursuant t

o Sectio n 104 o f CERCLA , 4 2 U.S.C . 9604 . IPA' s righ t o f acces s t o the propert y i s provide dfor i nSectio n104<e ) o f CERCLA , 4 2 U.S . C °605(e) , whic hprovide s entr y for "determinin g the needfor response , or choosing or takin g any respons e actio nunde r thi s title , or otherwis e enforcin g the provision s o f the title "r'f^ft. ) iKxVOilt C t) l 

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### iah a Lea d Site Owne rName : SECON D BAPTIS TCHURC H Q Good 

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# EP A Propert y Clos e Ou t Propert y # : 3 Propert y Address : 180 3 P,«X/vf j Date/Time : Owner' s Name : $ £<:0! , o ^ f/} f ~ 6W C Quad s Excavated : , Contracto r Grou p Pruden t Technologie s F J Excavatio nGenera 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 ? 

### (S 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 nexcavate darea s generall y slop e awa y fro mth e house ? 

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

### ^ 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 

### i / da y tim e period ) 

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

### u / 5 . Are th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte dat a3 0 day tim e period ) 

### ^ 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 ? 

### • / Gates , Fence s an dRetainin g Wall s Ye s N o 1 .D o gate s ope nan dclos e freely ? (I f applicable ) 

### « / 2 .

Wer e al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

### / 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 ) 

### , / 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 ? i/ 2 .Wa s damag e t o th e foundatio navoided ? 

# s 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 ? 

# « / 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 ? c / 

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

# 1 • Owner s comments :

Inspectio nnotes :

Removal an drestoratio nactivate s complete includin g th e 30-day so dwarranty EPARepresentativ e Qr, ^ .x^ ^ Date : / 

# —

## PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio no f remova l activitie s perf o me do nth e belo w liste dproperty . Th e propert y owner' s signatur e indicate s tha t th e property owne r i r ; aisfie 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 a i ' i::-i e i nth e future , excludin g an y remainin g warrant y (3 0 day s total ) excep t thos e item s liste dbelow , i ar / . Property ID : ^ ) Propert y Address : /jf o 3 Phone : Restoratio n Herns i n Question :

item : Item : — 

### Item : Item : Item : Item : Require d correction s to complet e th e property :

I agre e restoratio n i s completed , excep t a s note d above . L i I d o not agre e restoratio n i s complete d

Owner' s S/tnatur e Dat e

## .,1727 Exterio rPain t Nort h Arro w 

### CHURC H Omah a Lea d 

### Site Owne rName : SECON D BAPTIS T Q Goo d 

### Sit e Sket c 

## h Address : 180 3 PINKNE YST Q Poo r Phone : H : 402-451-106 0 W : 402-451-776 8 Q No t pain t 

# ^ Lea d Sampl e .. p Sample s Collecte d Sampl e Numbe r Concentratio n Collecte d Firm : FbA Mj ~ /^w J RYASCPXA-3172 7 F 1 0 < ? I pp m [* f 

## D Date : & ' I ( , < " RYBSCPXA-3172 7 F 2 / t o * t pp m p j 

## D Time : / r"3 S RYCSCPXA-3172 7 B 1 3 1 \ pp m p f Sample s Analyze d RYDSCPXA-3172 7 B 2 •5 o £ Pp m Fv^ i 

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

## 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 152921000 0 SECON D BAPTIS T CHURC H 1803PINKNE Y S T OMAH A 6811 0
P O BO X 111264 OMAH A N E 6811 0 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lot Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Website Lin k 10-15-1 3

KOUNTZ E PLAC E 3 5 1 W40N80F T 40X8 0
http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 5292 1 000 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 = 2 5 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

### 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 1846654 . Origina l Cal l Date : Wor k t o Begi n Date : 7/20/0 7 7/24/0 7 Time : Time : 1:4 8 p m 2:1 5 p m Op : CYNDIE1896 7 State : N E Address : 180 3 County : DOUGLA S Street : PINKNE Y S T Place : OMAH A Twp : 15 NRng : 13 E Twp : Rng : Lega l Given : C Sect-Qtr : 10-N W Sect-Qtr : Typ e o f Work : Soi l Excavatio n - Lea d Locatio n o f Work : LOCAT E ENTIR E PROPERT Y 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 : EP A Dept h o f Excavation : 13 " Ma x Corne r Lot : Involve s Tunnelin g o r Horizonta l Borin g : CXCAT V MAGELLA NMUD0 1 OMAHACO F NFront : NRear : NExplosives : N

OPPDGPR 5 QLNNE1 C Servic e Are a Contac t Phon e Numbe rUtilit yTyp e CXCAT V CO X COMMUNICATIONS , IN C 

### HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 MAGELLA NMAGELLA NMIDSTREA M PARTNER S L PTONY A 

### Day : 918574709 8 Alt : 

### Emerg : 918574709 8 MUDO l METROPOLITA NUTILITIE S DISTRIC T EDWIN A 

### Day : 402504782 3 Alt : 

### Emerg : 402504794 6 OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE R 

### RON Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 http://ww\v.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 7/20/200 7

### Pag e 2 o f 2

OPPDGPR 5 OMAH APUBLI C POWE RDISTRIC T M A 

### Alt : 

### Emerg : 888728934 3 QLNNE1 C QWES T LOCA LNETWOR K 

### Day : 406728934 3 

## Alt : Emerg : 888728934 3

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 7/20/200 7Fin d Recor d Clea n U p Quer yLead Remainin g Quer yPropert yDamag e Quer yClos e 

### .ampl e Area : 3172 7 - 180 3 PINKNE Y ST Owner : Resident : Contract : 1 : | G Owne rOccupie d Residen t Name : Contractor : | Owne rName : , VACAN TLOT|pRUDENT2007/ ­ ! j SECON D BAPTIS T CHURC H PropertyAddress : Group : ' 1 ; Owne rAddressl : j 1803 PINKNE YS T 

# » Zi p Code : 6811 0 town*,* . Owne rAddress2 : |P O BO X 11126 4 I Residen t Phon e j Qualifyin g Grou p City : State : Zi p Code : . J80 0 JOMAH AJN E J6811 0 i ;Assessmen t XR F Date : Owne rPhone : ^ ^

Alternat e Phone : i 1 1(402)451-1060^ ^

((402)451-776 8 : , Assessmen t Ma xXR F Val u 891.3 9 \3kj5

_CM_A-A-A_- C