### PROPERT Y SUMMAR Y IDate ; 09/28/200 7 | Omah aLea dSit e Remedia l Actio nContrac t #EP-R7-07-0 6 | Mont hof : Septembe r | Property Address : 310 9 Frankli nS t AEXECUTIV ESUMMAR Y A. I Issue s Encountered : A. 2 Issue s Resolved : Re-See dwil loccu 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 : Fl-117@6 " F2-36@6 " Easemen t - 6 0 @ 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 linclud efina llea dlevel s v ) Legen d ii ) Contaminatio nleft 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 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 . 4028623 8 

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# 2620 8 Exterio rPain t Nort h Arro w 

### Omah a Lead Site Owne rName : GERAL D M ZENO N D Goo d 

### Sit e Sketc h I Address : 3109 FRANKLI N ST

Fron t Right , B 1 = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y Phone : H : W : Q P° o r Q ' No t pain t 1 Sampl e Numbe rLea d Concentratio n / ??? TI 1 le Collecte d J LA B Firm : Sample s Collecte d fr^P , \(LsVC M RYASCPXA-2620 8 F 1 fiQ^ I pp m ly t P Date : p4 ­ - 2.^ , -0 6 RYBSCPXA-2620 8 F 2 " i ^ ? , pp m \$f 

# o r Time : IC > ' •2 e AO O RYCSCPXA-2620 8 RYDSCPXA-2620 8B 1 B 2 £Hp , 2, f 3 

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# n XRFUnit : 907 . Book : Dat o C : /T v/^/» , |j & npTpppY A ^ft^nf t .«.D 7 Lab RYBSCPLA-2620 8 Resul t 77 5 nn m Numbe r , . , DD" i G o fSamples = j ATj 

# cij n Time . Staff : AM MS W Al l quadrants are at viewe d fro m th e street , facin g propert y 

# ENTER E 0-2700 6 Z6 3 

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## 2620 8 Sit e Exterio rPain t Nort h Arro w 

### Omah a Lea d Owne rName : GJRAL D M ZENO N h Q Goo d 

### Sit e Skew ; Address : 310 9 FRANKLI N s r Q Poo r Phone : H W : [2TNot pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Concentratio n Collecte d Firm : Fftf t \ d s V C. M RYASCPXA-2620 8 F 1 Ao Q co m D Date : C4 - - 2.C , - 0 6 RYBSCPXA-2620 8 F 2 " 1 S 1 ppr n & Time : l D ' . 2 o < 3- n o RYCSCPXA-2620 8 B 1 2 . HP , Dp m D Sample s Analyze d RYDSCPXA-2620 8 B 2 2. 5 3 pp m D nDZSGPX A2620 8 B Z pp m YR F 1 Init - G/~l~ ) Q^y.L - n a D D uuuix . M C J Hr^7SCPX A"^P^O S C" 7 pp m D D Date ' 5 O H O/^ > nrgSCPXA-2620 8 P 2 pp m 

# n D Tim e A M La b RYBSCPLA-2620 8 Staff : M < , ^i J Numbe ro fSample s = ; AT Resul t 77 5 nn m Fron t Right , B 1 = Bac k Left , 8 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y Al l quadrant s ar e a s viewe d fro m th e street , facin g property 

# ENTER E = • WA V07 » 2J5 3 

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## . . Agreemen t t o allo wacces s t o Omah a Lea d ? ' $'f y Vth e propertyi n orde rt o conduc t 

## Sit e Remedia l * -TM* ^ •• > _,,—-^. , «„...„.„* - St M Uglil y itII U 

## Actio n \- f 

## *f}ti*ftrf^ > remov e lead-contaminate d soi l Prudent Technologies , Inc . (Prudent ) i s under contrac t withth e U . S . Environmenta l Protectio nAgenc y (EPA) t o clea nu p lead-contaminate dsoil s at anumbe r o f propertie s locate di nOmaha , Nebraska , includin g th e property locate da t 3t oc 

### l T'T^rxV^ U ^ £I - Th e EP A request s you r permissio nt o allo w Prudent t o performasoi l cleanu p at thi s property t o remov e lead-contaminate dsot ! B y signin g thi s form , th e property owne r grant s permissio nt o Piudent t o perfor mactivitie s relate dt o th e cleanu p includin g soi l sampling , removal o f lead-contaminate dsoil , an drestoratio no f th e reference d property . Afte r obtainin g th e owner' s signatur e o nthi s form , Pruden t Technologies , Inc . wil l contac t th e property owner (an dresidents ) withi nth e nex t fe w week s t o coordinat e performanc e m e work . I f

yo u hav e an y question s abou t th e soi l cleanu p planne dfo r you r property , pleas e contac t Prudent' 5 Administrativ e Cler k

fo r m e Omah aLea dSite cleanup , Ms . Cyndi e Hind s at (402 ) 504-1004 . Genera l question s abou t m e Omah aLea dSite cleanu p ca nb e directe dt o th e EP APubli c Informatio nCenter s a t (402 ) 731-304 5 (sout hOmah aoffice/* * (402) 991-958 3 {nort hOmah aoffice) . Property Acces s Grante d Property Owne r Signature : *J/s&1('j(/ J 7 

### PROPERTYINFORMATIO N (T o b e complete db y resident and/o r propert y owner - pleas e print ) R E SI D EH TNAME : \ J C^C-O^^rL O ^~ [gSfcr.s r[Bante r RESIDEN TADDRESS : "^> \ O Q r^TTCi ^ \£_ [ ^ C...V - £ ) W \ ALfl l \$ < I F RENTAL . PROPERTYOWNE D BY : Cjejf<x | OWNER' S MAILIN G ADDRESS ; ^*>\b'2 > M.i'rUolgg . _ _^

_

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U C ^ OWNER' S TELEPHON E NUMBE R -HOME . f^JOT l 3 M l - 3 " ^ 3 OtfyORK : J

_\_

___ AG E O F HOME? : _ ] YEARS . HO WLON G HAV E YO U LWE D HERE ? YEARS . HA S TH E EXTERIO R BEE N PAINTE D O R COVERE D WIT H SIDIN G SINC E 1378 ? YE S N O NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : 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 PLA YI N TH E YAR D FO R 5 HOUR S O R MOR E PE R WEEK : _ COMMENT S O R SPECIA L INSTRUCTIONS : (IE - DOGS , ENTR YGATES . ETC. ) AUTHORIT YFO RENVIRONMENTA LRESPONS EACTIONS . Th e activitie s t o b e implemente db y EP Aunde r thi s n/-n-svw^nv% * f^-r- . mn-f-,tnv. + * « C r t ^+ i *w . 1 Av i rt f ^'"C'T D i T A /1OTTCP * HlCf'V I TTT I A > r*- i «V. t rt^ " nfl - f f r» ^ *U ^ nv-rw vor** » i r o£ 4 cminriu . 0 1 C pu i iuaiu . n_',jck-uv-a i i v r >j i \--iia.\.^-a-j-i , - r *- • u.u>.-w- . ?\_'\.'T . u.r-j-1 . ^II^ILU Ia*.\-rai L\J ui c y i uyi ni_y i a prcvide dfo r i nSectio n104(e ) o f CERCLA , 4 2 U.S . C 9-505(e) , whic hprovide s entrj ' fo r Jdeterminin g th e nee dfa; ­ reipojise , o r choosin g o r takin g any respons e actio nunds r tJii s title , o r cthiarft'ia eenforcir^ th e provision i c f th e title. "

# EP APropert y Clos e Ou t Propert y # : Propert y Address : Date/Time : Se . p f- Owner' s Name : Qeanu ) Quad s Excavated : /? * ^ Contracto r Grou p Pruden t Technologie s Excavatio nGenera l Ye s N o 1 .I f necessary , wer e th e correc t quadrants ) excavate dan drestored ? 

# y 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 perimeter o f th e hous e i nexcavate darea s generall y slop e away fro mth e house ? 

# y 2 . Ha s so dbee nlai di nal l area s that were excavated ? 

# s 3 . Doe s th e so dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte dat a3 0 day tim e period ) 

# </ 4 . Are sodde darea s generall y firman devenl y graded ? 

# s 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 ) 

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

# / 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 ) 

### J 2 .Were al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) 

### / 3 .Wa s damag e to 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 ) 

# y 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 ? 

### S 2 .Wa s damag e to th e foundatio navoided ? 

### </ 3 .Wa s damag e t o windows avoided ? 

### / 4 .Wa s damag e to window s o r doo r screen s avoided ? 

### J 5 .

Wa s damag e to downspout s o r downspou t extension s avoided ? 

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

### i / 2 .Wa s damag e t o walkway surface s avoided ? 

# /

### Owner s comments :

Inspectio nnotes :

c^it/e/i - yfltuc L <7



### Removal an drestoratio nactivate s complet e includin g the 30-da y so dwarranty : EP ARepresentativ e ^a^.-^L^ Date :

## PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio no f remova l activitie s performe do nth e belo w liste dproperty . Th e propert y 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: Property Address : '^ y \O < \ Owner : Phone : 4o2 _ Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item : Require d correction s t o complet e th e property :



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

Dat e

## 2620 8 Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName : GERALD . M ZENp N ____._ . [3 Goo d 

### Sit e Sketc h Address : 3109 FRANKLI N S T Q Poo r Phone : H W : Q " No t pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r LA B Concentratio n Collecte d Firm . Fftf t \(Ls V C, ^ f f ' d /~l^ i • M . RYASCPXA-2620 8 I - -'r ^ ^J^ f • f Pp m D Date : OA - - 2_ £ - 0 ( , RYBSCPXA-2620 8 

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### D D Time : La b RYBSCPLA-2620 8 Resul t 775 nn m Numbe ro fSample s = j A " \ \ \ Staff : M-s W Fron t Right . B 1 = Bac k Left , 6 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y Al l quadrants are a s viewe d fro m th e street , facin g propert y

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

## Dougla s County-Omaha , N E

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

### Prin t Previe w Pag e 1 o f 1 

## Dougla s County-Omaha , N E

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### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 9/4/200 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 1866781 . Origina l Cal l Date : 8/16/0 7 Time : 9:3 4 am Op : CYNDIE1896 7 Wor k t o Begi n Date : 8/20/0 7 Time : 10:0 0 am State : N E County : DOUGLAS Place : OMAH A Address : 310 9 Street : FRANKLI NS T Twp : 15 NRng : 13 E Sect-Qtr : 16-N W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : soi l excavatio n - Lea d Remediatio 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 Done For : EP A 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 MCLEODNE MUD0 1 OMAHACO F OPPDGPR 5 QLNNE1 C Servic e Are a Contac t Phon e Numbe r Utilit y Typ e CXCAT V CO XCOMMUNICATIONS , IN C 

### HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 LEVEL S LEVEL S COMMUNICATIONS , LL C 

### N A 

### Day : 877366834 4 

### Alt : Emerg : 877366834 4 MCLEODN EMCLEODUS A 

### N A 

### Day : 800289190 1 

### Alt : Emerg : 800289190 1 Day : 402504782 3 MUDO l METROPOLITA NUTILITIE S DISTRIC T EDWTN AAlt : 

### Emerg : 402504794 6 Day : 402444719 7 http://vvww.dhon.org/irtrdntemet/DHONNoticeCreatiori/MessageText.asp?ret=<RESULTS .. . 8/16/200 7

### Pag e 2 o f 2

OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE RRO N 

## Alt : Emerg : 402444516 1 402444516 0 OPPDGPR 5 OMAH APUBLI C POWE RDISTRIC TN A 

### Day : 406728934 3 

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

### N A 

### Day : 406728934 3 

## Alt : Emerg : 888728934 3

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## 2620 8 Exterio rPain t Nort h Arro w 

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