### PROPERT Y SUMMARY | Date ; 09/25/200 7 | Omah aLea dSit e Remedia l Actio nContrac t #EP-R7-07-0 6 | Mont hof : Septembe r | Propert y Address : 1622 N 2 9 S t A . EXECUTIV ESUMMARY A. I Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i nOctober/Novembe r o nan y dea dspot s t o encourag e sprin g growt h A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Informatio n CONFIRMATIO N SAMPLIN GDATA/RESULTS : B l - 18 1 @ 10 " 

### 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 nlef t behin darea s vi ) Contracto r identificatio n iii ) Propert y addres s vii ) Dat e iv ) BV1 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 . 4028503 9 

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### Omah a Lea d Sit e Owne rName : JOH N TMCPHATTE R J R [] Goo d 

### Sit e Sketc h Address : 1622 N 2 9 S T Q Poo r Phone : H : LSI-S&3 I W : Q No t pain t Lea d 

### Sample s Collecte d Sampl e Numbe r Sampl e A R Concentratio n Collected LA B 

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### aLea d Sit e Owne rName : JOH N TMCPHATTE RJR Omah < Q Goo d 

### Sit e Sketc h Address : 1 62 2 N 29 ST



### Phone : *• LS I -&&•* ! W: Q Not pain t 

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### Sit e Remedia l environrr'ents i samplin g . A^*; — — ACliut i 

### Pruden t Technologies , Int. (Prudent) i s unde r contrac t wit htli t IT . S . Environmenta l PI-J^I-UUI IA (EPA ) t o cleanu p lead-contaminate dsoil s a t anumbe r c f propertie s locate di nOjna. u 

### «« , N?V-:"^ " includui g tli e propeft y locate dat \( ^ Q.*2
- K \ permissio nt o allo w Prudent t o perfor masoil cleanu p at thi s property t o remov e leaH-r*)«f-wi««a*-o.- j -.-.-,< ; B y signing thi s form , th e propert y owne r giant s peruiiSiiOi i t o Pruden t t u peifoiii i dCuvn.* ^ iddL^ u ^ lu . cleanup includin g soil sampling , removal o f lead-contaminate dsoil , an drestoratipr ! n^th p r « f» T 

### er<r-;" i property . Afte r obtainin g th e owner' s signatur e o nuii s form , Piuilen t Tet'miolugjti , IUL . \>il l -*iu.a: i ^ property owne r (an dresidents ) withi nth e nex t fe w week s t o coordinat e performanc e th e wor k I f

yo u hav e an y question s abou t th e soil cleanup planne dfo r you r property , pleas e lUma u Tioue^L ^ Administrativ e Cler k

fo r m e Omah aLea dSite cleanup , Ms . Cyndi e Hind s at (40!l) ^04-100^ . Ge* 1 

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### Question s abou t th e Ouiali aLea dSite cleanu p ca nb e directe dt o th e EP APubli c Informal)o nCenL&i s ci . (402 ) 731-304 5 (sout hOmah aoffice ) o r (402 ) 991-95pjriort h Omah aoffice) . PropeiL y Acces s Giacte d Pi'Opeil j C-ni.it: i


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< S_&7 i . ) '.""?.:' : _(___ , AG E O F HOME? : _ _ YEARS . HO W L?r." TIT V Y~ " ' . "' TVTM- ? __ _ YSARS . HA S TH E EXTERJO R BEE N PAINTE D O R CCVERS C Wir : m.'J ? "''."": ' "•:<"• • Y" 7 "
n NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : ? NUMBE R O F CHILDRE N UNDE R 7 YEAR S OiPV'H ^ r " ; " vwTH E Y^»I 5 POR5HOURSO R MOR E PERWEEK : COMHENT S O R SPECW. L INSTRUCTIONS : (I.E . BOGS . ENTR YGATES , ET C } 

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# SEP A EP A Propert y Clos e Ou t Propert y # : Date/Time : Quad s Excavated : g £ ^/art/ - Propert y Address : l£2 2 Owner' s Name : J c h * Contracto r Grou p Pruden t Technologie s Eicavatio n Genera l Ye s N o \. I f necessary , wer e th e correc t quadrants ) excavate dan drestored ? 

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I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? 

### i / Gradin g So dan dVegetatio n 

### Ye s 

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## 1 . Doe s th e gradin g aroun dth e perimete r o f th e hous e i nexcavate darea s generall y slop e awa y fro mth e house ? 

### S 2 . Ha s so dbee nlai di nal l area s tha t wer e 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 time period ) 

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

### S 5 . Ar e 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 ) 

### i / 

### 6 . Wa s th e property grade dsuc htha t 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 openan dclos e freely ? (I f applicable ) 

### * / 2 .

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

### i / 3 .Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 

### i / 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 ? 

### S 2 .

Wa s damag e to th e foundatio navoided ? 

### </ 3 .Wa s damag e to window s avoided ? 

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

### ^ 5 .Wa s damag e to downspout s o r downspou t extension s avoided ? 

### S Sidewalk s an dDriveway s (Concrete ) 

### Ye s 

### N o 1 .Wa s damag e t o driveway surface s avoided ? 

# s 2 .

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

### V

### Owner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g the 30-da y so dwarranty : EP ARepresentativ e /5L . J l Date : t h i lo t

## 2624 7 Exterio rPain t Nort h Arro w Owne rName : JOH N T MCPHATTE R J R Omah a Lea d Sit e [ ] Goo d 

### Sit e Sketc h Address : 1622 N 2 9 S T Phone : H \.c.s i -S& 3 / w : r~ ] Not pain t Sampl e Numbe rLea d Sampl e ^ _ Sample s Collecte d Concentratio n Collecte d rm : f Q A piT/ f M RYASCPXA-2624 7 F 1 3(o l co m fft / (~ l D ; lt e /lU l l 1 h(r > RYBSCPXA-2624 7 F 2 2 /ft PP TM E KD Time : /^.'^?< O RYCSCPXA-2624 7 B 1 /ft | fr\U ~ pp m fi X f~ l Sample s Analyze d RYDSCPXA-2624 7 B 2 2^ 3 pp m fC Kl~ l pp m D D XR F : Unit : ID^ H Book : 1 -S O D 

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# oEP A Propert yCompletio 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 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 : ^ ££( ^ ~ ] Propert y Address : R 

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### ^ f Restoratio n Item 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 . I d o no t agre e restoratio n i s complete d

^Owner' s Signatur e Dat e

### Prin t 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 221284000 0 MCPHATTE R J R JOHN T 1622N29S T OMAH A 6811 1
1171 0 GOLDE N BLV D OMAH A N E 6812 3 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 16-15-1 3
SHINNS2NDAD D U 2 S 3 8 E 9 0 F TL T1 & N 8 E 9 0 F T- 4 6 X 9 0

http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R22 1 284000 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 = 1 8 fee t appraisal , survey , o rfo rzonin g verification . 

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

### Pag e 1 o f 2

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

### YOU RTICKE T NUMBE RI S 1860255 . Origina l Cal l Date : 8/07/0 7 Time : 5:1 8 pmOp : CYNDIE1896 7 Wor k t o Begi n Date : 8/09/0 7 Time : 5:4 5 pm State : NE County : DOUGLAS Place : OMAH A Address : 162 2 Street : N29TH S T Twp : 15 NRng : 13 E Sect-Qtr : 16-NE Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Excavatio n Soi l - Lea d Remediatio n 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 : EPA Dept h o f Excavation : 13 " Corne r Lot : NFront : NRear : N Involve s Tunneling o r Horizonta l Boring : NExplosives : N CXCAT V

LEVEL 3 MUD0 1 OMAHACO F OPPDGPR 5 QLNNE1 C Servic e Are aContac t Phon e Numbe r Utilit y Typ e 

### Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , IN C HEID I Alt : 402934046 9 

### Emerg : 402932975 7 Day : 877366834 4 LEVEL S LEVEL 3 COMMUNICATIONS , LL C N AAlt : 

### Emerg : 877366834 4 Day : 402504782 3 MUDO l METROPOLITA NUTILITIE S DISTRIC T EDWI N A Alt : 

### Emerg : 402504794 6 Day : 402444719 7 OMAHACO FCIT Y O FOMAHA-TRAFFIC.SEWE RRO NAlt : 402444516 1 

### Emerg : 402444516 0 Day : 406728934 3 http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/7/200 7

### Pag e 2 o f 2

OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A 

### Alt : 

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

## N A 

## Day :



## Alt : 406728934 3 Emerg : 888728934 3

http ://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RES U LTS.. . 8/7/200 7Fin d Recor d dea n U p Quer y Lead Remainin g Quer yI Propert yDamag e Quer y

Owne rOccupied Owne rName : 

## IMCPHATTERJRJOHN T Owne rAddressl : Owne rAddressZ : 11171 0 GOLDE N BLV D City : State : Zi p Cod e I OMAH A N E j6812 3 Owne rPhone : Alternat e Phone : 

### (402 ) 651-562 1 Residen t Name : (VACAN TLOT Propert yAddres s 

### (1622N29S T Zi p Code : (6811 1 Residen t Phon e (PRUDENT200 7 Group :
Qualifyin g Grou p |80 0 Assessmen t XR F Date : Assessmen t MaxXR F Valu e