## TRANSMITTA LO FOMAHA LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R SA1D# ; 3P^^\ ^ Date ; -? / ^i^ | rdrr ^ Address : ^ "^nit
- NU- o A V LB P Stabilizatio n Contractor : PRUDEN T TECHNOLOGIES , INC . Year : 200 9 PAIN T STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S Vide o of propert y (DVD) : Pre-Stabilizatio n & Post-Stabilizatio n Video s Executiv e Summary SignedAcces s Agreemen t Form 

# y Advanc e Notic e For m 

# y Pre-Stabilizatio n Vide o Agreement Form 

# y Acces s Trackin g Form ^ Propert y Acces s Assessment Form Neighbo r Acces s Agreement Form Pain t Matc hFor m 

# a / Pre-Stabilizatio n Propert y Safet y Assessment Form M Work-Site Hazard s Analysi s Checklis t M Photographs : Pre-Stabilizatio n Propert v Hazar dAssessment Photograph s Dougla s Count y Assessor Propert y informatio n 

# y Propert y Completio n Agreement FormSignedby Propert y Owne r Propert y Close-Ou t Chec k Lis t SignedB y EPA Pruden t Technologies , Inc . Signatur e Dat e
EP A Signatur e Date "

3005488 2 

# II U Superfun dTBCHNOLQCIBS . IN C 

# Propert y Summar y Date ; 7/23/200 9 | LB P STABILIZATIO N EPA CONTRAC T EP-R7-08-0 7 | Monthof : Jul y Propert y Address ; 430 4 N 40 A V SAI D # ; 3391 9 A . Executiv e Summarv ; a . Issue s Encountered ; NON E b . Issue s Resolved ; NON E c . Uniqu e Findings : NON E d . Othe r Relevan t Information ; i . Acces s Date ; 6/23/2009 ii . Work Began ; 6/30/200 9 iii . Close-Ou t Date ; 7/06/200 9 B . Enclosures ; 1 . Pre-Stabilizatio n Vide o 2 . Post-Stabilizatio n Vide o 3 . Signe dAcces s Agreemen t Form 4 . Advance-Notic e Form 5 . Pre-Stabilizatio n Vide o Agreemen t Form 6 . Acces s Trackin g Form 7 . Propert y Acces s Assessment Form 8 . Neighbo r Acces s Agreemen t Form 9 . Propert y Pain t Matc hForm 10 . Pre-Stabilizatio n Propert y Safet y Assessment For m 11 . Work-Sit e Hazard s Analysi s Checklis t 12 . Pre - Stabilizatio n Propert y Hazar dAssessment Photograph s 13 . Dougla s County Assessor Propert y Informatio n 14 . Signe dPropert y Completio n Agreemen t Form 15 . Propert y Close-Ou t Chec k Lis t Signe dB y EPA

# #83I I f

Pruden t Technologies , Inc . (Prudent ) i s unde r contract (Contract #EP-R7-08-07 ) wit hthe U . S . Environmenta l Protection Agenc y (EPA) t o stabiliz e Lea dBase dPain t (LBP ^ a t anumbe r o

f propertie s locatedi n Omaha, Nebraska , includin g the propert y locate da t ^3/) ^ // > ^ dfifjE, The EP A requests you r permission t o allow Pruden t t

o perfor mLB P Stabilization a t thi s property . By signing thi s form, the propert y owne r grant s permission to Pruden t t

o perfor mactivitie s relatedto LB P Stabilization indudii g scraping pain t an dpainting ofth e referencedproperty . Further , th e owner/tenan t verifie s tha t the y have received the LB P pamphle t "Renovat e Right. " By signing thi s documen tI agree to allow a n EP A contractor to conduc t a soil cleanu p a t m y propert y following completion o f lead-basedpain t stabilization . I understandtha t the stabilization contracto r cannot provide assurance s tha t th e soi l cleanu p contractor will be boun dto . I furthe r understan dtha t th e soi l cleanu p contractor wil l mak e al l reasonable efforts to addres s concem s tha t I , a s the propert y owner, ma y have regardin g soi l cleanu p a t m y property . Ifyou have an y question s abou t th e LB P stabilization plannedfo r you r property , pleas e contact Prudent' s Custome r Relations/Office Manage r fo r the Lea dBase dPain t Stabilization , Mrs . Shanno n Holt , a t (402 ) 504-100 4 o r (402)812-0223 . Genera l question s abou t the Omah aLea dSit e cleanu p ca n be directedto the EP A Public Informatio n Centers a t (402 ) 731-304 5 (Sout hOmah aoffice) o r (402 ) 991-958 3 (Nort hOmah aoffice) . 

# ;7>/*^e & V ryiac>y^ ^ Propert yAcces s Grante d By : (Pleas e Prin t Name ) Propert y Owne r Sigtiature : (Signature ) (Date ) PROPERT Y INFORMATIO N (T o be complete d b yresiden t and/o rpropert yowne r- pleas e print ) RESIDEN T NAME: ^M/njS. ^ U fftUiJ r/Owner ^ Rente r RESIDEN T ADDRESS : I F RENTAL , PROPERT Y OWNED BY : - ^ ^ ^

» ' 

## S i A TnJc - OWNER' S MAILIN G ADDRESS ; OWNER' S TELEPHON E NUMBER-HOME : ( ) V^ ^ '/•^'^7fORK : ( ) PK ^ NUMBER O F OCCUPANT S UNDE R 7 YEAR S OLD : O NUMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLDER : ^ NUMBER O F CHILDRE N UNDE R 7 YEAR S OL D WHO M PLAY I N TH E YAR D FO R 5 HOUR S O R MOR E PE R WEEK : ^ COMMENT S O R SPECIA L INSTRUCTIONS : (I.E . DOGS , ENTR Y GATES , ETC. )

AUTHORIT Y FO R ENVIRONMENTA L RESPONS E ACTIONS ; Th e activitie s t o b e implemente d byEP Aunde rthi s agreement ar e pursuan t t o Sectio i 10 4 ofCERCLA , 4 2 U.S.C . 9604 . EPA' s righ t ofacces s t o th e propert yi s provide d fo ri n Sectio n 104(e) ofCERCLA , 42 U.S . C 9605(e) , whic h provide s enti y fo r•'determinin g th e nee d fo rresponse , o rchoosin g o rtakin g anyrespons e actio n unde rthi s title , o rotherwis e enforcin g th e provision s ofth e title. "

abs o War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , T X 7822 9 Phone:(816)363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Pa y(filfi l •Kf.-X.Xir a P=v - iAr\t \ enyi.ir^n c" —- •-'- . —

# Advance dnotic e needed . Afte r

signin g th e acces s yo u allo w Prudent t o begi n Lea d Base dPaint Stabilization . Al l Plants , weed s andan y vehicle s o r item s o n open porc h(enclose dporche s wil l NO T b e stabilized ) mus t b e remove dprio r t o stabilization . Al l Pet s mus t b e out o f yarddurin g stabilization . Ho w muc hnotic e do yo u nee dt o hav e abov e mentione dtask s completed ? Ifyo u are alandlor d yo u wil l nee dt o contac t th e tenant a s Prudent Technologie s wil l only infor myou . D o you hav e any pet s tha t

resid e i n yard ? AJ ^ Noticeneeded:^^ ^ ^^ / Number t o cal l t o giv e notice : ^ ^ ' / ) i Whomw e are givin g notic e to : Hom e Owner' s Signature ^^ ^ i^jilUifJirfl^

# i PRE-STABILIZATIO N VIDE O FOR M I UNDERSTAN D THAT PRUDEN T TECHNOLOGIE S WIL L B E COMIN G OU T T O SHOO T APRE-STABILIZATIO N VIDE O AT M Y PROPERTY . TH E VIDE O I S JUS T ATOO L USE D T O DOCUMEN T TH E CURREN T PROPERT Y STATUS/CONDITION . APOS T VIDE O WIL L ALS O B E SHOT PRIO R TO COMPLETIO N O F STABILIZATION . OWNER S 

# '^*'^^- - J^&y^^(5/c^ Ai^O^ C PROPERT Y ADDRESS : 

# 4J^ V 

# r^^ ^ /^l/ t BVID/SAID : '^3^ 1 ^ HOMEOWNER S SIGNATURE : WTU ^ kf '^l^^^O^^''^'^ PRUDEN T REPRESENTATIV E SIGNATURE : AN Y CONDITION S NEE D T O B E AWAR E O F BEFOR E SHOOTIN G VIDEO : (I.E . PETS , NOTIC E NEEDED) : 

# /Ud/r CSGSscssasaESC s 

# ACCES S INFORMATIO N TRACKIN G SHEE T



# , 33f/ ^ 1^^^ . ^3o 4 A . </d ^ Au z BVID : Properl yOwne d 

# By : ^lfirrA^.< > - ^ /^//lAi f f)f\P(l( f

Owner s Phon e No ' 

# ,«. Home . HSf-I^O- ^ Work : Celt : Fax ; Acces s Contractor . AS W FD AME S P E Othe r 

# ^afMht ' (QkctoOtMi ; DAT E TIM E Accesso r COffTAC rDETAI L 

## ^^/^ 4 

# ^'Wfi . 

# m j ^7^ih/i p k l lllf>WtJt k

Comments ;

Ptoas e wrftefoflfflM y

## Acces s Assessmen t Form : (Mus t b e complete dfor every property . Informatio n mus t b e obtaine dfrom aproperty wal k thru , no t give n b y owner ) I s th e propert y stucc o o r asbestos ? Ifyes , i s an y ofth e stucc o o r asbesto s damage do r cracked ? Ifyes , sto p a s w e can' t stabiliz e thi s property . I t require s specia l preparatio n techniques . I t wil l b e retume dt o EP A an dthe y wil l assig n at alate r date . Doe s thi s property requir e lot s o f scrapping^ * 

# /nod^mk j Doe s thi s propert y requir e alif t o r scaffoldin g t o reac huppe r levels ? Doe s thi s propert y hav e lot s o f plant s o r item s i n area s wher e paintin g i s required ? Doe s thi s propert y hav e an y significan t structura l damage ? Ifyes , EXPLAIN ? Doe s thi s propert y hav e agarage ? Ifyes , describ e locatio n o f garag e 

# Coffny ^ if j fy-^(lu&hid^­

## Doe s thi s propert y hav e aluminu msiding ?

I f

yes , i s i t origina l factor y finisho r ha s i t bee n painte dover ?

Doe s thi s propert y hav e any othe r typ e o f structura l components ? (i.e . roo f shingle s a s siding) ?
Ifyes , EXPLAIN ?

I s thi s propert y vacan t o r occupied ? J

Ar e ther e an y pet s at thi s property ? .

Ar e ther e an y lo w hangin g powe r lines ?

## I s ther e aneighborin g propert y tha t need s t o b e accesse dalon g withassigne d propert y t o complet e stabilizatio n process ? I f

so , ge t asigne dacces s fro mal l necessary neighborin g properties .

# '1^60 S ^^' W
TO B E FILLE D OU T ONL Y I FMATCHIN GCOLO R Pain t matching form : Propert y address : ^3^ i J^ ' HP ^ Ao d BVID : OSH i I UNDERSTAN D SHERWI N WILLIAM S WIL LMATCH M Y CURREN T COLORS . Homeowne r

signature : ^^j^^^t ^ f /

jyfotxsi.- ^ 

# /Ifjdc t Cdlo/l ^ O N l^oo^ e ^/^m6{ y

P m f m^^^fk^d s ifioo/A ) &hjiy ^

Pag e I

### u a 

# PRE-STABILIZATION PROPERTY SAFET Y ASSESSMEN T FOR M PROPERTY ADDRESS : ^3d ^ f^ ' ^ ^ ^^ ^ BVID/SAID : 

# -93 ^ i f PRUDEN T REPRESENTATIVE DOINGASSESSMENT : 

# 7 ^ ****I FSAFET Y RIS K PROPERT Y MUS T B E TURNE D OVE R T O KATH Y ROTHE RBEFOR E I T CA N B E ASSIGNED T O A CREW/SUB . REPRESENTATIVE REMARKS/FINDING S (POWER-LIN E PROXIMITY TO HOUSE , SCAFFOLDING/LADDERS/LIF T NEEDED , UNSAF E AREAS , UNSAF E NEIGHBORHOOD...ETC.) : 

# 3K ,

REQUIRE S K.ROTHE RAPPROVA LYES/NO SUBMITTE D TO K.ROTHE RON :

# /V30 ^ r#AO*^AV(L . TBCHNOLOGIBS I 1 

# Checklis t fo r th e Worksit e Hazar dAnalysi s Address : Crew : Ite m Overhea dLine s In-transi t Vehicl e Clearanc e Level s aroun dhig hwire s Vehicl e Clearanc e aroun d hig hwire s whe n workin g Phon e line s Cabl e line s Ga s Lin e Wate r Lin e Sewer Lin e Septi c Tan k Propane/Butan e Acces s to/o n Propert y Neighbo r Acces s Require d Hig hTraffi c Are a Garag e Structure s Drivewa y Sidewalk Foundatio n Retainin g Wall s Fence s Tree s Foliag e Genera l Conditio n of yar d Damage dAreas : sin k holes/rotte dwoo d Sprinkle r Syste m Pet s Insect s Weathe r Condition s Unsaf e drivin g condition s Unsaf e neighborhoo d 

## Cre w Forema n 

# M O 808 0 VVardTarkwa y Kansa s City , M O & Phone : (816 ) 363-37 < Fax : (816 ) 363-370 7 

### Date : OK ? Hazar d * ^ yV\ulhpi s 1,1 ^ m a



# 1 

# 1

\ 

# V k .

250 5 N . 24' " Street , Suit e 30 8

Omaha , Nebrask a 6811 0 Phone : (402)504-100 4

Fax : (402)504-100 5 

### Correctiv e Actio n i w . ,^>9C/>^r ^ . Uftrs r >1«7*t C?**-/-*.^ ^ e /^,>a^^4»/ x i** ^ g«iit.y».^<fr«« r



## Sit e Safet y Office r

424 2 IVIedica l Drive , Suit e 425 0 Sa n Antonio , TX 7822 9 Phone : (210)822-958 8 Fax : (210 ) 579-657 7

### ^?>ot f N A c AV<« :

# TO- 

# Curren t Sampl e Pre-Renovatio n For m Effeo9v8Witt l Apri l 2010 . Confinnatio n of Receip t of l.ea d Pamphle t A i \\merecdNe i a ooip^d(^i)eparnpti^ . Renovat e Rls^lmp(xtan t Lea d Hazar d Informatio n forFmSes , ChS d Car e Provider s arx l School s Infomiin g me of tti e potentia i risk of th e lea d hscan j eoqxsijr e fity n renovation actlvif y performe d in mydvif^in g mi t J receKre d thi s pampNe t t)0fbr e th e wori t t)ega ^ Printe d nam e of recipient Dat e Itur e ofrec^ilert 8eif-Certifieal)Q n Optio n (Ib rtenant-occupie d dwelling a only ) — tfth e lea d pamphle t wa s delivere d bu t a tenan t signatur e wa s no t olstainable , yo u ma ychec k th e appropriat e bo xbelow . Q Refusa l to sign— I certif ytha t i hav e mad e a goo d M h effor t to delive rth e panphlet , /lenovaf e F^g/nt : Importan t Lea d Hazar d Infomiatio n fo rFamOea , ChSdCaraProvlder a an d School , to th e rental dwaiiin g uni t Uste d belo w at th e dat e an d tim e indicate d an d tha t th e occupan t refused to ^ th e confirmatio n of iBOB^st I furthe rcertit ytha t I hav e lef t a cop y ofth e pamphle t at th e uni t wit h theocoupan L Q Unavailabl e fb rsignature— I certif ytha t I hav e mad e a goo d feith effort to delius rth e pampMet , Renovat e Ri£^ t Importan t Laex J Hazan j hfonwSa n fo r Faroes , O M Car e prcvider a anc fSchoofs , tb th e renta l dwellin g uni t liste d belo wan d tha t th e occupan t wa s unavailabl e to sig n th e confimiatio n ofreceipt . I lulhe rcertif ytha t I hav e lef t a cop y of th e pamphle t at th e uni t byslidin g it ! certHyir^ Printe d nam am e o fperso n certifyin gAttempte Attempte d delivery dat e an d tim e 

# 6u^^ ­ lea d pamphle t delivery Signatur e ofpe(8ork»(tiiyin g lea d pamphle t detivei v

UnltAddres s Not e Regardin g Mailin g Option—A s an alternativ e to deliver y in person , yo u ma ymaS th e lea d pamphle t to th e owne rand/o rtenan t Pamphle t mus t be maile d at leas t 7 cteiy s bdbr e renG^nA]o ^

(Documer n \Arit h a certificat e ofmaTin g fro m th e pos t office) .Dougla s Count y Account Infonnatio n iittp://dougiasne.nnK)ing-oniine.conVDouglasCoNe/static/accountinfo. . .vma o Dougla s County , Nebrask a Propert yRecor d - R203450000 0 I Prin t Repor t NE

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t 52n d S t - Vle W O n Ma p Informatio n i s vali d a s of 2009-5-1 2 Treasurer' s TaxRepor t Ne wFeature -»-•- > Aut o Saie s Searc h 

### Owne r IWIOOR E JAME S V 

# s m- 

# 33^ 1 ^ 430 4 N 4 0 AV E OI\/iAIHANE68111-0000 _ Propert yInformatio n Ke yNumber : 345 0 OOO O 2 0 Accoun t Type : Residentia l Parce l Number : 203450000 0 i Parce l Address : 430 4 N 4 0 A V OMAHAN E 68111-000 0 Lega l Description : RADFOR D HEIGHT S REPLA T LO T 1 8 BLOC K0 4 0 X 28 0

' Valu e Informatio n ' Lan d Improvemen t Tota l

200 9 $5,300.0 0 ! $26,700.0 0 j $32,000.0 0 200 8 $5,300.0 0 $26,700.0 0 1 $32,000.0 0 ; 200 7 $5,300.0 0 $26,700.0 0 $32,000.0 0 

### 1 ! 200 6 $5,300.0 0 $26,700.0 0 $32,000.0 0

200 5 $5,300.0 0 $21,500.0 0 1 $26,800.0 0 1 200 4 $5,300.0 0 $19,500.0 0 $24,800.0 0 Lan d Infor mlatio n

, 4cre s S F Unit s Dept h i Widt h j Vacan t 0.2 5 11200. 0 1. 0 280. 0 40. 0 No Improveme i rat Informatio n

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lo f 2 6/8/200 9 11:04 A MDougla s Count y Account Informatio n

Squar e Footage : Perimete r Uni t Type :

Buil t As :

HVAC : Exterior : Interior : Roo f Cover :

Roo f Type : Floorcover :

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' Centra l Ai rt o Ai r Fram e Sidin g Drywal l Compositio n Shingl e Hi p Allowanc e Yea r Percen t

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Units : Baths : Bedrooms : Stories : Foundation : 100.0 % Fai r Averag e

' 0. 0 5. 0 1. 0 1 0 2. 0 1. 0 Bloc k Sprinkle rSquar e Footage : | 0. 0 Adjuste d Yea r Buil t ' „. , ­ , ^ Physica l Ag e 192 5 8 4 Unit s 1. 0 1. 0 936. 0 1. 0 1. 0 208. 0

2 o f 2 6/8/200 9 11:04 A MWliitePages.co m- Onlin e Directory Assis i littp://www.wl]j|Maages.com/searcli/ReverseAddress?street=+4304+. .

2 Result s matchin g "430 4 N 4 0 Ave , Omaha , NE" . Sor t by : - Select Glori a V Moor e SPONSORE D LIN O I HouMhold : Jame s V Moor e '-~''" P Backgroun d mi b fo rGlori a Moore . 430 4 N 40t h Av e Omaha , N E 68111-218 3 phon e numbe runavailabl e LjstirB-DetaiJ s ;,'iB.kci t eas yfc - peopl e t o contac t yo u o n '.'.'hilEPerEa.co m Ad d you rIMIn g Jame s V Moor e S r SPONSORE D UMCS 

## 1 430 4 N 40t h A\ e HouuhoM : Qpri a V Mgpr e ^^^" P Backgroun d Int b fb rJam n Moore . Omaha , N E 68111-218 3 phon e numbe runavailabl e Ljstin Q Detail s SPONSORE D UM( S 1 H m Rttgrt t fg reiQr H Hvi n Nam e Cit y Stat e Ag e Peopl e Repor t Glori a Moor e Omah a N E Vie wDetail s Se e al l Record s fb rGlori a Moore . SDOnsoredb vU S Searc h Vie wMor e Profile s fo rGlori a Moor e Nam e Locatio n Emai l Profil e GLORI A MCXIREOmaha , NEAyailabl e vie w Profil e Sponsore db y Mjl.it e

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Copyilgli t 01096-200 0 WhKepaoes.com . A l right s reserved . Privacj f Policy , Ljga l Notic e an d Terrn s unde rwiiic h thi s servfc a I s provide d t o you . Mcnsof l IMapPoin t Term s o f Us e an d Prt«c yStatement .

lof l 6/8/200 9 11:0 4 A M# TECHNOLOGIES . INC . 

## Pruden t Propert yClose-Ou t For m (Lead-Base d Pain t Stabilization ) SAID : ^^^' ^ 

## ^3o( / ]/ ^ </ Q Av e Propert yAddress : Owner' s Name : V^i^^ ^ l/ > /^^^v g S.N O Performanc e Standards/close-Ou t Criteri a Ye s N O 1 Wa s th e entir e structure(s ) painte d wit h th e exceptio n o f th e stated , exclude d areas ? Thi s woui d includ e paintin g o f othe rassociate d feature s inciudin g fascia , eaves , siding , ai l trim , porches , bo x beams , coiumns , raiis , an d exterio rsurface s o f garages . 2 Wa s al l scrapin g an d othe rpreparatio n wor k complete d satisfactorily ? jy 3 Were al l require d area s o f th e structure(s ) prime d a s neede d an d i^^ ^ painte d wit h tw o to p coats ? 4 Ar e al l o f th e area s wher e contaminate d material s hav e bee n spille d thoroughl yvacuumed / cleaned ? i ^ 5 Di d th e contracto rcollect/vacuu m al l fallin g an d scrape d pain t chip s o n th e entir e property , roadways , alleyways , publi cacces s area s ^ ^ ­ an d als o remov e an yothe rgenerate d debris? 6 I s th e gras s are a tha t surround s th e structure(s ) i n reasonabl ygoo d condition ? 7 Wa s th e pain t product s utilize d equivalen t t o a 3 0 yea r product/quality ? 

# l y 8 Ar e al l item s suc h a s polyethylen e sheeting , ladders , pain t brushes , ^ _ ^ - ­ cones , barrie rtap e et cproperl yremoved ? 9 I s ther e an yevidenc e o f propert ydamag e tha t wa s don e b yth e contractor ? An ypropert ydamag e need s t o b e complete d prio rt o th e EP AClose-Out . 1 0 Ar e ther e an ypropert yitem s tha t wer e temporaril yre-locate d b yth e contracto rtha t nee d t o b e move d back ? 1 1 Ar e ther e an y(known ) lingerin g issue s wit h th e propert yowner(s ) ; tha t hav e bee n lef t unresolved ? 1 2 Othe rConsiderations ? Propert yOwne rDiscussions ? Additiona l C - Wor k tha t i s Require d 

### Pruden t Representativ e Signature : 

## Date : \\J p Propert yOwne rSignature :

808 0 War d Parkway , Suit e 40 5 KansasCity , M O 8411 4 Phone : (816 ) 363-370 3 Fax : (816 ) 363-370 7 

# Jl-tnryU ) n r<s-ye-i^-_ ^

250 5 N . 24' " Street , Suit e 30 8

Omaha , Nebrasic a 6811 0 Phone : (402)504-100 4

Fax : (402)504-100 5 424 2 IVIedica l Drive , Suit e 425 0 Sa n Antonio , T X 7822 9 Phone : (210)822-958 8 Fax : (210 ) 579-657 7TECHNOLOGIES , 1 

## EP AClose-Ou t For m (Lead-Base d Pain t Stabilization ) BVID:^3ai_ 2 Propert yAddress : l^'^ O L j "^ /-( O f]M(2_ . Owner' s Name : KJCky^P . < ? t'V7<T»or/ o S.N OPerformanc e Standards/close-Ou t Criteri a Ye s N O 1 Wa s th e entir e structure(s ) painte d wit h th e exceptio n o f th e stated , exclude d areas ? Thi s woul d includ e paintin g o f othe rassociate d feature s includin g fascia , eaves , siding , al l trim , porches , bo x 

# y beams , columns , rails , an d exterio rsurface s o f garages . Wa s al l scrapin g an d othe rpreparatio n wor k complete d 

### i X satisfactorily ? Were al l require d area s o f th e structure(s ) prime d a s neede d an d 

## x y painte d wit h tw o to p coats ? Ar e al l o f th e area s wher e contaminate d material s hav e bee n spille d l y thoroughl yvacuumed / cleaned ? Di d th e contracto rcollect/vacuu m al l failin g an d scrape d pain t chip s o n th e entir e property , roadways , alleyways , publi cacces s area s 

### i X an d als o remov e an yothe rgenerate d debris ? I s th e gras s are a tha t surround s th e structure(s ) i n reasonabl ygoo d 

### y condition ? Wa s th e pain t product s utilize d equivalen t t o a 3 0 yea r 

### ^ y product/quality ? Ar e al l item s suc h a s polyethylen e sheeting , ladders , pain t brushes , u ^ cones , barrie rtap e et cproperl yremoved ? I s ther e an yevidenc e o f propert ydamag e tha t wa s don e b yth e contractor ? An ypropert ydamag e need s t o b e complete d prio rt o th e EP AClose-Out . 1 0 Ar e ther e an ypropert yitem s tha t wer e temporaril yre-locate d b yth e contracto rtha t nee d t o b e move d back ? 1 1 Ar e ther e an y(known ) lingerin g issue s wit h th e propert yowner(s ) tha t hav e bee n lef t unresolved ? 1 2 Othe rConsiderations ? Propert yOwne rDiscussions ? Additiona l Wor k tha t i s Require d ofV " IcOe r-fni* ^ ooo-f ^ 

### 7/<-p.^.Vc < <^J r^cOL^ L cJtJ r,r p u).f| - cf j \ y ^ , W - s^ C -5- ^ 0 ^

\>c ^ ^ - i^ H 't^^'= ^ YO.CCU,' . 

### EPACOR / Representativ e Signattrfe " Dat e 

# = Vi^ M