### PROPERT Y SUMMAR Y Date08/01/200 7 | Omah aLea dSit e Remedia l Actio n Contrac t #EP-R7-07-0 6 | Mont h of : Augus t Propert y Address : 242 1 Bauma n A v A . EXECUTIV E SUMMAR Y A. I Issue s Encountered : Non e A. 2 Issue s Resolved : A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Information : CONFIRMATIO N SAMPLIN G DATA/RESULTS : GZ - 12 6 @ 8 " 

### ATTACHMENT S 1 ) Propert y 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 ) 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 propert y 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 P (Flas hPlayer ) forma t and/o r photograph s iii ) Signe dfor mverifyin g satisfactory restoratio n iv ) Descriptio n o f area s no t meetin g Interi mRO D cleanu p criteria . 4028505 3 

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I n orde rto conduc t Sit e Remedia l \ V$$* Y venvironmenta l samplin g an d t o Actio n V^*Ntfv# * , vremove lead-contaminate d soi l Prudent Technologies , Inc . (Prudent ) i s under contrac t wit h the U . S . Environmenta l Protection Agenc y (EPA) to dea n up lead-contaminate dsoil s a t anumber o f propertie s locate di n Omaha , Nebraska , ntonert v locate da t (3C^< 3 \<qCLULrrrvtwr^- > The EPA request s your pennission t o allow Prudent t

o peribt masoi l cleanu p a t mi s propert y t o remov e lead-contaminate dsoil . B y signing thi s form , the propert y owne r grant s pennission to Prudent to performactivitie s relate dto the cleanup jr*4 

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## ^ of lead-contaminatedsoil , andrestoratio n of m e reference d property . Afte r obtaining the owner' s signatur e o n thi s fimn , Prudent Technologies , Inc . will contact the propert y owne r (andresidents ) wimin the next fe w weeks to coordinat e performanc e the wor k If

- you hav e any question s about the soi l cleanup planne dfor your property , pleas e contact Prodent' s Administrativ e Cler k

fo r m e Omah aLea dSit e cleanup , Ms . Cyndi e Hind s a t (402 ) 504-1004 . Genera l question s about the Omah aLeadSit e cleanup ca n b e directe dt o the EP A Publi c Informatio n Center s a t (402 ) 731-304 5 (sout hOmah aoffice ) o r (402 ) 991-9583 (nort hOmah aoffice) . Preoert v Acces s Grante dBv : <J"l»M»PrimNnm« ) 

# ^J^Lt- . . ( L Propert y Owne r Signature : '(P»u ) PROPERT Y INFORMATIO N 

## (T o b e rmnplete db y retidea t aad7o r propoi y owae r - pleas e print) RESIDEN TNAME : Qne rQrte r RESIDENT ADDRESS : I F RENTAL . PROPERT Y OWNE D BY : OWNER' S MAILIN G ADDRESS ; OWNER' S TELEPHON E NUMBE R -HOME : ( \ WORK : i ) AG E O F HOME? : XI ) YEARS . HO W LON G HAV E YO U LWE D HERE ? YEARS . HA S TH E EXTERIO R BEE N PAINTE D O R COVERE D WITH SIDIN G SINC E 1878 7 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 Y I N TH E YAR D FO R S HOUR S O R MOR E PE R WEE K COMMENT S O R SPECIAL INSTRUCTIONS : 0.E . DOGS . ENTR Y GATES . ETC. ) 

## AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS ; The activitie s to b e implemente db y EPA under thi s agreemen t ar e pursuant t

o Section 10 4 of CERCLA , 4 2 U.S.C . 96M EPA' s righ t of acces s t o the propert y i s providedfor in Sectio n 104(e ) o f CERCLA , 4 2 U.S . C 9fi05(e) , whic hprovide s entr y for "determining the needfor response , or choosin g or takin g an y respons e action under thi s title , or otherwis e enforcin g the provision s o f the titla. "

# EP A Propert y Clos e Ou t For m Propert y # : P L Propert y Address : Date/Time : Owner' s Name : Quad s Excavated : fit 

### Contracto rGrou p Eicavatio n Genera l 

### 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 1 . Doe s th e gradin g aroun dth e perimete r o f th e bous e i n excavate darea s generall y slop e away fro mth e house ? 2 .Ha s so dbeen lai di n al l area s that were excavated ? 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 fir man devenl y graded ? 5 .Are 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 property grade dsuc hthat wate r wil l no t poo l o n th e property ? 7 .Wa s damag e to landscapin g o r plan t material s avoided ? Gates , Fence s an dRetainin g Wall s 1 .D o gate s ope n an dclos e freely ? (I f applicable ) 

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

### 1 .Wa s damag e t o drivewa y surface s avoided ? 2 .

Wa s damag e t o walkwa y surface s avoided ? 

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Inspectio n notes :



## Removal an drestoratio n activate s complete includin g th e 30-day so dwarranty : EP A Representativ e ^L ^ >&. , Date : ftlij m pTota l Quadra '^Rt u uare Footag e t o b e Excavate d = 4 0 Propert yClassification : 80 0 loia l Dri p Z Ion s L i inea rFooiag e i o b e txcsvats d = 0



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## Bauma n Avenu e Nort h Arro w N Scal e 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t F1 _ F2 B 1 

### Omah a Lea d Sit e Omaha , Nebrask a Propert yNumbe r OLS - 3986 3 Propert yAddres s 242 1 BAUMA N AV Post Excavatio n Concentration s (ppm ) B 2 Pla yAre a Easemen t Garde n /2.( . Othe r Dascriptra i o f pos t excavatio n areas F1 , fron t yar d left-han d quadran t F2 , fron t yar d right-han d quadrant ; B1 . backyard left-han d quadrant 62 . backyar d right-han d quadrant ; DZ , dri p zon e (1- 3 foo t are a of soi l aroun d th a foundatio n of th e house )IOLOGIES . INC . 

# SEP A Propert yCompletio 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 propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfie dwit hth e restoratio n o 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 so dwarrant y (9 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert y ID : Propert y Address : 2 Y-2 - / Owner : 

### Restoratio n Kern s i n Question :

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

I agre e restoratio n i s completed , excep t a s note d above ,

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

# ^ ^Owner' s Signatur e

### Omah aLeadApplicatio n Pag e 1 of 2

New Searc h 

### Omah a Lea d Applicatio n Logou t Chang e Pi Summar yI Propert yInfo Assessmen t QLeajUJ p Plac e o n Hol d Overvie w Remov e Hol d Soil ! Paint ! Ouot j Soil ] Fain* . I Cal l Trackin g Propert y Google . Map s Douglas Count yInteractive E Image s Sampl e Are a I D Propert y Addres s Sampl e Addres s Zi p Owne rNam e 3986 3 242 1 BAUMA N AV 242 1 BAUMA N A V 5811 2 BUTLER-CO X KATRO N D Propert y Inf o View/Edi t Existin g Propert y Dougla s C O Parce l 175002000 0 Owne rName : BUTLER-CO X KATRO N D Previou s Owne rName : BUTLE R KATRO N D Owne rOccupied : 

# r Address : EB L Address2 : 242 1 BAUMA N AV E Chil d Car e City : OMAH A State : N E Zip : 6811 2 Owne rHom e Phone : Owne rAl t Phone : | Owne rNotes : Propert y Type : RESIDENC E Count yPropert y Type : RESIDENTIA L Residen t Name : (BUTLE R KATRO N D Residen t Phone : ) Property Address : 242 1 BAUMA N A V Addres s Notes :

Unit : Occupanc y Lengt h Years : Exterio rPain t Since 1978 : 

### J Y Interio rPain t Sinc e 1978 : 

### http://r7arcims.r7comp.epa.gov/ols / Access_Info.cf m 5/21/200 7

### Omah aLeadApplicatio n Pag e 2 of 2

Tota l Occupants : Addres s Info Provider : B&v Tota l Childre n Inf o Date : 09/12/200 3 Unde r7 : 

# F Younges t Chil d Chil d Info Date : 2006-11-1 5 (05/18/200 4 DOB : 00:00:00. 0 Younges t Chil d i n 3 7 Addres s Info Provider : B& V Months : Update



### http://r7arcims.r7comp.epa.gov/ols/Access_Info.cf m 5/21/200 7

## Dougla s Count y Pag e 1 o f 2 Dougla s County , Nebrask a Property Record - R175002000 0 Informatio n i s vali d a s o f 2007-5- 9 Prin t Report Value s no t finalize d unti l afte rBoar d o f Equalizatio n Vie w o n Ma p Owne r BUTLER-CO X KATRON D ETA L 242 1 BAUMA N AV E OMAH A N E 68112-000 0 Property Informatio n Ke yNumber : i 500 2 000 0 1 7 Accoun t Type : Residentia l Parce l Number : i 175002000 0 Parce l Address : •242 1 BAUMA N A V ! OMAH A N E 68112-000 0 Lega l Description : MINN E LUS A LO T 2 5 BLOC K8 4 4 X 12 0 Valu e Informatio n Lan d Improvement Tota l 200 7 $5,900.0 0 $ 42,500.0 0 $ 48,400.0 0 200 6 $5,900.0 0 $ 42,500.0 0 $ 48,400.0 0 200 5 $5,900.0 0 $ 42,500.0 0 $ 48,400.0 0 200 4 $5,900.0 0 $ 36,300.0 0 $ 42,200.0 0 200 3 $5,900.0 0 $ 36,300.0 0 $ 42,200.0 0 200 2 $0.0 0 $0.0 0 $0.0 0 Sale s Informatio n Date Typ e Boo k Pag e Pric e 2005-05-1 9 Q C 200 5 ; 05998 1 $0.0 0 1994-07-2 0 D 198 6 : 39 7 $42,500.0 0 Lan d Informatio n Acre s 

### i S F F F I Unit s Widt h Vacan t i 0.1 2 5280. 0 

### ] 

### 44. 0 1. 0 120. 0 ! 44. 0 N o Lan d Attribute s Attribut e Attribut e Descriptio n Improvemen t Informatio n Buildin g 1 

## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R l 1.. . 6/22/200 7

### Dougla s Count y Pag e 2 of 2

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samf Clic k t o Enlarg e Imag e Clic k t o Enlarg e Imag e Squar e Footage : 1474. 0 Percen t Complete : 100.0 %

Perimete r 0. 0 Quality : Averag e Unit Type : Condition : Poo r Cond o Square Footage : 0. 0 Buil t As : 11/ 2 Stor yFi n Rooms : 6. 0 HVAC : Centra l Ai rt o Ai r Units : 

### 1. 0 Exterior : Fram e Sidin g Baths : 

### 1. 0 Interior : Drywal l Bedrooms : 

### 3. 0 Roo f Cover : Compositio n Shingl e Stories : 

### 1 . 5 Roo f Type : Gabl e Foundation : Floor-cover : Allowanc e Sprinkle rSquar e Footage : 0. 0 Yea rBuil t 

### Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physical Ag e 192 3 

### 0 % 

### 192 3 8 1 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 

### 1. 0 Applianc e Fireplac e Masonr y 

### 1. 0 Basemen t Bsmn t Block 8 f t 1188. 0 Fixture Bas e Fixture s 

### 1. 0 Fixture Bat h Ful l 

### 1. 0 Garag e Detache d 

### 324. 0 Porc h Enc l Scree n 126. 0 Porc h Enc l Soli d Wal l 48. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R17 .. . 6/22/200 7

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

## Dougla s County-Omaha , N £

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 

### 175002000 0 BUTLER-CO X KATRO N D 242 1 BAUMA N AV OMAH A 6811 2 242 1 BAUMA N AV E OMAH A N E 6811 2 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lo t Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Websit e Lin k 33-16-1 3 MINN E LUS A 2 5 44X12 0

http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R175002000 0 Disclaimer : Ma p an d parce l dat a ar e believe d t o 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 = 9 9 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 6/21/200 7