### TRANSMITTA Lo f OMAH A LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R SAID : 2447 1 Date : 12/26/200 8 Address : 82 0 N 4 2 S T Stabilizatio n Contractor : Pruden t Technologie s Year : 200 8 PAIN T STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S [?

f Vide o o f propert y (DVD ) ^ Executiv e Summary 

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SignedAcces s Agreemen t fo r

subject propert y ^ Painting Agreemen t D Settlemen t dociunent s (i.e. , fo r

damag e o r

to replac e plants , etc. ) D Photograph s mSatisfactor y restoratio n signedby Propert y Owne r D Propert y close-out chec k

lis t signedby EP A [FProperty informatio n fromDougla s County Assessor' s Offic e D D D 

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### PROPERT Y SUMMAR Y Date : 12/29/0 8 LB P STABILIZATIO N EP A CONTRA T EP-R7-08-0 7 Mont hof : Decembe r Propert v Address : 82 0 N 42 S T SAID : 2447 1 A . EXECUTIV E SUMMAR Y A. 1 Issue s Encountered : Issue s t o b e resolve di n th e spring . A. 2 Issue s Resolved : NONE . A. 3 Uniqu e Findings : NONE . A. 4Othe r Relevan t Information : Acces s Date : 10/23/0 8 Wor k Began : 11/07/0 8 Closeout Date : 11/16/0 8 Enclosures ; 1 . Pre-Vide o 2 . Post-Vide o 3 . Propert y Statu s For m 4 . Signe dAcces s Agreemen t 5 . Pre-Renovatio n Form 6 . Pain t Matc hFor m 7 . Trackin g Form 8 . Dougla s County Assessor Propert y Informatio n Pag e 9 . EP A Propert y Closeout for m 10 . Propert y Completio n Agreemen t

TECHNOLOGIES . INC .

### KNVIRONMENTAL A CONSTRUCnO N 

### TECBNOLOGIES , INC . 8IRVICI 8 

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t TedmologieB , Inc . (Prudent ) i aunde r contrac t (Contrac t #EP-R7-08-07 ) wit hth e U . S . juneotal Protectio nAgenc y (EPA ) t o stabilir e Lea dBaj ^ Pain t (LBP ) a t anumbe r ofptopertie s locate k i nOmaha , Nebraska , includin g th e propert y locate datfS ^ L\ . 4;^^ , Th e EJP A request s you r pennissio nt o allo w Pruden t t o performLB PStabilizatio na t thi s property . B y siblin g thi s form, th e propert y owne r grant s pennissio nt o Pruden t t o perfon nactivitie s relato dt o LB P StaWliTytf ^ infhTf*^" g *«riyin g pain t an dpantin g o f th e reference dproperty . Further , th e ownerAeoan t vosSt i tiutt the y hanr e receive dth e LB Ppamphle t '*Renovat e Right. " Ifyo u hav e an y question s abou t th e LB Pstabilizatio n planne dfo r you r property , pleas e contac t Prudent* 8 A#il!liff**Tit'Y ^ Cle A fo r th e Lea dBase dPain t Stabilization , Mra . Debora hAkereie-Johnscn . a t

(4t)2 ) 504*1004 . Genera l question s abou t th e Omah aLea dSit e cleanu p ca n b e directe dt o th e EP A Pubj c Infonnatio nCentei s a t (402 ) 731-304 5 (Sout hOmah aofiice ) o r (402 ) 991-958 3 (NorthOmah a office) . 

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# Curreii t Sampl e Pre-Renovatio n Fom n enwivaun M Apri l 8010 . vmiiiiiuuM iOl iivuoi|J C VI ftjoao rwii|Jiiie f O lt«»reeelMdaoopyo(lh9perTf]Net,f]erioi«teR|^:Jn^ ^ WbfWBa|yjlyf»r<lw,OirfOawftro^ ^ thBpott^tf M tic k olth s lea d haggrclwposurofrtjffiwiwvaao o activit y to b9 performa d h mydweln g (jni t I reQe^«d thi s parrniNe t befor e th e w ^

I Oplfc)n(IOft6oanbK)couple d dwelling s only) — Ifth e lea d peni|Me ( wndejKm d t M a ten ^ yo u nMyjohsc k Ih e appropriat e txj Kbeiow . I to Sign— I certli ytha i I hav e mad e a goo d fait h oRdr t to deihn rth e , ftnovato AigM : Ifnpartarr t tsac fHazart fMbmiafl ^ f O m Aoitlar i an d St/xxMs . to th e lenta l dwel ^ dstajon d tkn s indteate d an d tha t th e occupan t reluse d to sig n th e conliimatio n ofreceipt i Mhe roertH ytha t t hav e lef t a cop y ofth e penphle t at th e uni t wit h Ihaoocupan t Q UiUMllaMefer^ ^ dsflw rth s paniphlatt/%n(M!(i 9 AJght rIrqxrtsn t tead/ia^ ^ AnilM ^ CViiarOOTpnovjicferB arx/$c/xx)l!9 , to M m an d that th e oocupa m vva s una>«liabl e to ^ th e confim i I lUftheroerti ytha t j hav e isi t a cop y ofth e pamphle t at th e utf t t ^ unde r rihadoor . 

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# 3 Ad(fee68 m Ragardki o MalDn g Optio n • > As an altemativ e to deBvei y in per ^ Rie| yma l th e lea d pamphle t to th a oime rand/o rtenant . Panvhle t mus t be mal M atlsBs t 7 deys before renovation (pocunie m wit h a oertiflc ^ pOROffloe) .

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# no^/ce .200 6 Dougla s Count y Accoun t Informatio n j Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d - R201661000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e @ scal e 0-S O f t wes t o f 90t h S t - VJeVl f O H IWa p Inforinatio n i s vali d a s o f 2008-9- 4 Treasurer' s Ta xRepor t Ne wFeatur e -*-*- * Aut o Sale s Searc h Owne r WAfr S DAREL L W ETA . 82 0 N 4 2 ST OM4HAN E 68131-000 0 Propert yInformatio n Ke yNumber : 166 1 000 0 2 0 Accoun t Type : Residentia l Parce l Number : 201661000 0 Parce l Address : 82 0 N 4 2 S T OMAH AN E 68131-000 0 Lega l Description : ] POPPLETO N PAR KLOT 1 8 BLOC K2 5 0 X 12 8 Valu e Informatio n i Lan d ; Improvemen t Tota l 200 9 $6,400.0 0 $53,200.0 0 $59,600.0 0 20 0 $6,400.0 0 $51,900.0 0 $58,300.0 0 $51,900.0 0 200 5 $ 6,400.0 0 I _ _^1,900.0 0 $"58,300.0 0 20 0 $ 6,400.0 0 • $39,000.0 0 $ 45,400.0 0 200 3 i $ 6,400.0 0 i $39,000.0 0 $ 45,400.0 0 Lan d Informatio n Acre s • S F ; L/n/t e Dept h Widt h Vacan t 0.1 4 . 6400. 0 '^ - ' I.o " ' 128."o " 50. 0 N o Improvemen t Informatio n Buildin g 1 $ 6,400.0 0 •' $ 58,300.0 0

### Dougla s Count y Accoun t Informatio n Pag e 2 of 2

Tw o Stor y 82 0 N 4 2 S «

(I.T . ^\t% t Ztct M Kt u

CLIC KT O ENLARG E CMAG E CLICKTOENLARG E IMAG E Squar e Footage : 

### 1546. 0 Percen t Complete : 100.0 % 

### Perimeter 0. 0 Quality : Averag e Uni t Type : Condition : ; Fai r

Buil t As : 2 Stor y Cond o Squar e Footage : '. 0. 0 HVAC : Force d Ai r Rooms : 6. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : ; 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : ' 3. 0

Roo f Type : Gabl e Stories : ' 2. 0 Floorcover : ! Allowanc e Foundation : Bloc k Sprinicle rSquar e Footage : . 0. 0 Yea r Percen t Adjuste d Yea r YearBuil t Physica l Ag e Remodele d Remodele d Buil t 

### 1895 0 % 

### 189 5 11 3 Detai l Typ e Detai l Descriptio n Unit e Ap p lanc e Allowanc e 

## "To " Applianc e SecuritySyste m 

### 1. 0 Ba s amen t Bsmn t Bloc k 8 ft 

### 806. 0 Fix t jr e Bas e Fixture s 

### 1. 0 Fix t jr e BathFui i 

### 1. 0 Porc h En d Soli d Wal l 96. 0 Porc h Sla b Roo f Cei l 

### 154. 0 Use r Dr yrot , eave s ba d 

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### Pruden t Propert yClose-Ou t For m (Lead-Base d Pain t Stabilization ) PropertyAririrp^ -

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to - ^^'A^ H Owner' s 

# ^ame^JM££3JII M Performanc e Standards/ciose-Ou t Criteri a YES N O 1 .Wa s th e entire structure(s ) painte d wit h th e exceptio n of th e stated , exclude d areas ? Thi s woul d indu e e paintin g o f othe rassociate d feature s includin g fascia , eaves , siding , al l trim , porches , bo x beams , columns , rails , an d exterio rsurface s o f garages . 

# I 2 .Wa s aj l scrapin g an d othe rpreparattio n wor k complete d satisfactorily ? 3 .

Wer e pl l require d area s o f th e structure(s ) prime d a s neede d an d painte d wit h tw o to p coats ? 4 .Wa s t'^i e pain t product s utilize d equivalen t t o a 30 yea rproduct/quality ? Ar

e al l o f th e area s where contaminate d material s hav e bee n spille d thorojjghl yvacuumed/ cleaned ? 

# 1 6 .Di d th e contracto rcollect/vacuu m al l fallin g an d scraped pain t chips o n th e entir e property , roacways , alleyways , publi cacces s areas an d also remov e anyothe rgenerate d debris ? I s thei|gras s area tha t surround s th e structure(s ) i n reasonabl ygood condition ? 8 .Ar e a l item s such a s polyethylen e sheeting , ladders , pain t brushes , cones , barrie rtap e etc . propel'l yremoved ? 

# X 9.

I s the( e an yevidenc e o f propert ydamag e tha t wa s don e b yth e contractor ? Anypropert ydamag e need i t o b e complete d prio rt o th e EP AClose-Out . 

# y 10 . Ar e tner e an ypropertyitem s tha t wer e temporatil yre-locate d b yth e contracto r tha t ree d t o b e move d back ? 

# y 11 . Aretl - er e any(known ) lingerin g issue s wit h th e pr'opert yowner(s ) tha t hav e bee n lef t unresolved ? Othe r Considerations?propert yOwne rDiscussions?Additiona l Wor k tha t i s Require d 

### Prudenj t Representativ e Signature : Iffi ^ Dat e 'V v 

## Properl y Owne r Signature : 

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# k\.....W^ - Date : 

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# ER A Propert yCompletio n Agreemen t Tl i s agreemen t document s th e completio n of lea dbasedstabilizatio n activitie s performedo n th e below listedproperty . Th e propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfiedwit hthe restoration of the subject property , an dtha t no items ar e i n question , now , o r a

t an y time i n the future , excluding an y remaining warrant y except thos e item s listedbelow , if any . ^AID : py^7 / l[ropert yAddress ; ^^ ^

j/ j • L^NO ^ ^T ~ 

# 9

'wner : 

## Uff ^ I hone : Restoratio n Item s i n Question :

Item : 

# Hdt^ rp&^ei j HeP^fK- s ^ CidiN( \ : <6K,f s 6i j pcic ^ Item : Item : Item : Item :

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

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jSr-pi ? /iSco ^ jUfti S

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



### Owner' s Signatur e Dat e '