### PROPERT Y SUMMARY | Date ; 10/29/200 7 | Omah aLea dSit e Remedial Actio n Contrac t #EP-R7-07-0 6 | Monthof : October | Propert y Address ; 61 6 N 4 2 S t A . EXECUTIV E SUMMAR Y 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 dea dspot s t o encourag e sprin g growth . A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Informatio n CONFIRMATIO N SAMPLIN GDATA/RESULTS : D l - 8 9 @ 13 " B 2 

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### E l - 5 6 @ 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 ndigita 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 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 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 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 n o f area s no t meetin g Interi mRO D cleanu p criteria.. - ~ ~ " " 4028437 6 

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_ C^15C3SE R O F OCCUPAD3T E 7 YEAR S OL D AM O CLDE R O F CHILDRE N UMDE R 7 YEAR S OL O WM O PLA Y D 3 TO E YAR D FO R 5 NOU3 S G R COK E PE R WEEK : COC3KEMT S O R SPECIA L INSTRUCTIONS : (I.E . DOGS . EMTO V GATES . ETC. } AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e acuitie s t o b e irr^Ienele db y EP A unds r thi s qq**f%fgv\f%rv t «»- n -wiwfttnwi * *r * C*-n->i«r v 1 ^V 1 « f ^*TT D r^ T A / I " ) T T C r * 0/5^^ 1 TTT l A ' i - «-;/-A- > « f nri-fv r4-j- * tVirt w»«-4-o » m-H T ti d£p i cnllcii L 0 1 c pu i audiu . L U ijctuwi i i v- r \_« i ^^JJ(A\.^^J^n7 T ^ w.ij.-^ . y\j\j~r . jUiSm . AiJ£4iLw i auuci i L Wui c p i \JJJE I L V i i preside dfc r i n Sa±i mlO-^c ) o f CERCLA , 4 2 U.S . C 9605(8) , whic hprovide s entr y fo r "deierminin g th e nee dfo r response , ca r choosin g or takin g ai\ y respcns e adic:- ; unde 1 thi s iitle , cr tfherrci^ e er.fcrdri g fo aprorisicn s o f the title. "

# &EP A EP A Propert y Clos e Ou t Propert y # : Propert y Address : £/£w y^^ g S + KC(Lf _ Date/Time : /0/29/7 7 Owner' s Name : rtftftj&M ) Quad s Excavated : 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 ? 

### J 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 ? 

### i / 2 .Ha s so dbee n lai dh i al l area s that wer e excavated ? 

### « / 3 .

Doe s the so dappea r to b e generally healthy an dgrowing ? (Onl y evaluate i f inspecte da t a3 0 da y tim e period ) 

### I / 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 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 n th e property ? t / 7 .Wa s damag e t o landscapin g o r plan t material s avoided ? I / 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 ) 

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

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

### t / 4 .Wa s damag e to 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 ? 

### * / 

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

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

### { /

### Owner s comments :

Inspectio n notes :

Removal an drestoratio n activate s complete includin g th e 30-day so dwarranty : EP A Representativ e £L~,& ^ Date : 

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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 Addres s Owne r Addres s 2 Owne rCit y Owne r Stat e Owne rZi p 201696000 0 BOP P MAR Y C 616N42S T OMAH A 6813 1
61 6 N 4 2 S T OMAH A N E 6813 1 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 20-15-1 3 POPPLETO N PAR K 5 7 S 2 0 F T L T 6 & N 2 0 F T 40X12 8
http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R20 1 696000 0 Disclaime rMa p an d parce l dat a are believe d t o b e accurate , bu t accuracyi 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 7 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 8/1/200 7

# &EPA PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio no 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 hth e restoratio no f th e subjec t property , an dtha t n o item s ar e i nquestion , now , o r a t an y tim 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 f any . Propert y ID : 

### I 5 f Propert y Address : Owner : 

## -A - 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 :



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

Owner' s Signatur e Dat e 

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### Pag e 1 of 2

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



### • YOU RTICKET NUMBE RI S 1874908 . Origina l Cal l Date : 8/27/0 7 Time : 4:0 8 p mOp : CYNDIE1896 7 Wor k t o Begi n Date : 8/29/0 7 Time : 4:4 5 p m State : N E County : DOUGLAS Place : OMAH A Address : 61 6 Street : N42N D S T Twp : 15 NRng : 13 E Sect-Qtr : 17-SE-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Lead Remediatio n - Soi l Excavatio n Location o f Work : LOCAT E ENTIRE 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 Work Bein g Don e For : EP A Dept h o f Excavation : 14 " Corne r Lot : NFront : NRear : N Involve s Tunnelin g o r Horizonta l Boring : NExplosives : N ATTNEBR 1 CXCAT V

MCLEODNE MUD0 1 OMAHACO F OPPDGPR 5 QLNNE1 C Servic e Are a Contac t Phon e Numbe r Utilit y Typ e 

### Day : 8002413624 9 ATTNEBR 1 AT& T 

## Alt : Emerg : 8002413624 9 Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C 

### HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 800289190 1 MCLEODN EMCLEODUS A 

## N A

## Alt : Emerg : 800289190 1 Day : 402504782 3 MUDO l METROPOLITA N UTILITIE S DISTRIC T EDWIN A Alt : 

### Emerg : 402504794 6 Day : 402444719 7 http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/27/200 7

### Pag e 2 of2

OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE RRO N 

## Alt : Emerg : 402444516 1 402444516 0 OPPDGPR 5 OMAH A PUBLI C POWERDISTRIC T N A 

### Day : 406728934 3 

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

### N A 

### Day : 406728934 3 

## Alt : Emerg : 888728934 3

http://www.dhon.org/irtWntemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/27/200 7Fin d Recor d Clea n U p Quer y Lead Remainin g Quer y Propert yDamag e Quer y

E H Owne rOccupie d Owne rName : JBOP P MAR YC Owne rAddress l Owne rAddress Z J61 6 N 4 2 S T City : State : Zi p Cod e OMAH A N E 16813 1 Owne rPhon e Alternat e Phone : Residen t Name : JBOP P MAR YC JPRUDENT200 7 Propert yAddres s Group : J61 6 N 4 2 S T Zi p Code : J6813 1 Residen t Phon e Qualifyin g Grou p |80 0 Assessmen t XR F Date : Assessmen t MaxXR F Valu e