### PROPERT Y SUMMAR Y Date : 11/27/2007 Omah aLea dSit e Remedia l Actio n Contrac t #EP-R7-07-0 6 Mont hof : Novembe r Propert y Address : 241 9 Decatu r S t A . EXECUTIV ESUMMAR Y A. I Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i n Novembe r o n an y dea dspot s t o encourag e sprin g growth . A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Information : CONFIRMATIO N SAMPLIN GDATA/RESULTS : El-119 ® Scrap e F1-133@6 " F2-62@6 " 

### B l - 26 9 @ 8 " B 2 - 24 4 @ 8 " 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-E.xcavatio 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 nleft 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 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 , W M V (Window s Medi aVideo ) o r SW F(Ras 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 .

## 2662 1 f Exterio rPain t Nort h Arro w 

### O r nah a Lea d Sit e Owne rName : BERNAR D J MORELL O D Goo d Sit e Sketc h Address : 241 9 DECATU R S T r j Poo r Phone : H : 402-342-282 0 W : [vf'Not pain t 

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## 2662 1 Exterio rPain t Nort h Arro w 

### O niah a Lead Sit e Owne rName : BERNAR D J MORELL O Q Good 

### Site Sketc h Address : 241 9 DECATU R S T Q Poo r

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in orde r to conduc t Sit e Remedia l | v8K ? * environmenta l samplin g an d to Actio n \+to#mr-j > remov e lead-contaminate d soi l Prudent Technologies , Li e (Rudenf ) is under contrac t wif e

me U. S. Environmenta l Protectio n Agenc y (EPA) to dea n

up lead-contaminate dsoil s at anumber of propertie s locate d inOmaha , Nebraska , inrlndin g me propert y located at f 

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- Th e EP A request s your permission to allow Prudent to performasoi l cleanupat the propert yto remov e lead-contaminate dsoi l By signing thi s form , me propert y owner granf c permissio n to Prudent to performactivitie s relate d to me cleanu p mdudio g soi l sampling , removal of lead-coataouaate dsoil , andrestoratio n of (he tefereace d property . Afte r obtainin gme owner' s signatur e

on mi s form , P/udent Technologies , Inc . Wit t contact me propert y owner (an dresidents ) withi nme nex t fe w week s to coordinat e performanc eme work . If

yo u hav e any question s abou t me soi l cleanup planne dfor your property , pleas e contact ftudenf s Administrativ e Cler k

for me Omah aLeadSit e cleanup , Ms . Cyndi e Hind sat (402) 504-1004 . General question s about me Omah aLea dSit e cleanu p ca n

be directed to me EPA Publi c Informatio n Center s at (402) 731-304 5 (souf c Omah aoffice )or (402 ) 991-9583 (nort hOmah aoffice) . r



### - Propert y Acces s Grante dBy : %/2-7/ O 

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### PROPERT Y INFORMATIO N (T o be completed by rcaden t and/o r propert y owne r - pleas e prin ) RESOEaTNAME : //// T _ wne rQente r f - M. ^ l_ l 

## RESDEN TADDRESS : FRENTAL.PROPERT Y OWNE D BY : : // //f I / OWNER' S MALM 6 ADDRESS : tlV/ 3 <*//C/<O/g-f / OWNER' S TELEPHON ENUMBE R- HOME : £ 3 AG E OFHOME? : VS YEARS . HO W LON GHAV EYO U LIVE D HERE ? HA S TH EEXTERIO RBEE NPAMTE O ORCOVERE D WITH SDMGSMC E1378 ? NUMBE ROFOCCUPANT S UNO ER7 YEAR S OLD : _NUMBE ROF OCCUPANT S 7 YEAR S OL D AN D OLO ER_ NUMBEROFCHILDRENUNDER7YEARSOLDWHOPLAYMTHEYARDFORSHOURSORMOREPERWEEK : _/(/ /J\ COMMENT S ORSPECIALHSTRUCTIONS : OE . DOGS . ENTR Y GATES . ET C J A<-^/P v / 

### AUTHORIT Y FO R ENVIRONMENTA LRESPONS E ACTIONS ; The activities , tobe implemented by EPA under thi s agreemen t ar e pursuant to Section10 4 ofCERCLA , 42U.S.C . 9604 . EPA' s righ t of acces s to the propert y

is providedfor inSection 104<e ) ofCERCLA , 42 U.S . C 9605(e) , whichprovide s entr y for "detomining the needta r response , or choosin g

or takin g an y respons e actionunder thi s title , or otherwis e enforcing the provision sof the titla "

## 2662 1 Exterio rPain t Nort h Arro w 

### O n nah a Lea d Sit e Owne rName : BERNAR D J MORELL O Q Goo d 

### Site Sketc h Address : 241 9 DECATU R ST f j Poo r Phone : H : 402-342-282 0 W : [v^Not pain t Lea d Sample s Collecte d Sampl e Numbe r Sampl e A R Concentratio n Collecte d LA D Firm : F.fcft \ fi s \ Cf O • n C & O t RYASCPXA-2662 1 F 1 f p m $ 3 J l 1 ' P Date : O- 5 - Ji- 5 -O t RYBSCPXA-2662 1 F 2 

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# &EP A EP A Propert y Clos e Ou t Propert y# : Propert y Address : =H j I I /8<?Ox/uA S i Date/Time : I//27/O 7 Owner' s Name : $£"m<A/v 3 A-/Weito Quad s Excavated : ft , %'L , f } i > \~t

- Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s 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 Ye s 

## 1 . Doe s th e gradin g aroun dth e perimete r o f

th e hous e i n excavate darea s generall y slop e awa y fro mth e house ? / 2 . Ha s so dbee n lai di n al 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 da t a3 0 da y tim e period ) 

# s 4 . Ar e sodde darea s generall y firman devenl y graded ? 

# / 5 . Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 

# / 6 . Wa s th e propert y grade dsuc htha t wate r wil l no t poo l o n th e property ? 

# s 7 . Wa s damag e t o landscapin g o r plan t material s avoided ? 

# s Gates , Fence s an dRetainin g Wall s Ye 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 t o gate s o r fence s avoided ? (I f applicable ) 

# s 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) 

# </ Foundation , Sidin g an dGutter s Ye 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 ? 

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

. / 2 . Wa s damag e t o walkwa y surface s avoided ? </ N o

N o

N o

N o

N o

### Owner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-da y so dwarranty : EP A Representativ e fiounj&t* . Date : /ENVIRONMENTA L& CONSTRUCTIO N 

### TECHNOLOGIES , INC . SOLUTION S 

### Augus t 8 , 200 7 Mobec o Industrie s 1141 3 Hickor y S t Omah aN E6811 4 RE : 121 0 N 2 4 St , 241 9 Decatu r St , 261 2 Burdett e St , 372 0 N 3 0 S t BVID #25262,26621,27873,3246 6 Dear Sir : Than k yo u fo r participatin g i nth e soi l clea nu p projec t bein g implemente db y th e U.S . Environmenta l Protectio n Agenc y (EPA ) fo r th e Omah aLea dSite . Thi s clean-u p projec t i s bein g complete da t n o cos t t o th e homeowners . I nallowin g th e remediatio no f you r propertiespo[- 0 at 372 0 N3 9 St , 261 2 Burdette St , 1 2 J O N 2 4 St , 241 9 Decatur S t yo u wil l hav e achieve dalea dsaf e environmen t fro mth e exposur e o f lea di nth e soi l fo r you r famil y o r th e familie s o f you r tenant , i f th e propert y liste dabov e i s a renta l property . W e ar e askin g yo u t o sig n th e enclose ddocumen t statin g that : b y m y signatur e o n th e enclose d agreemen t form . I hereb y giv e permissio n t o employee s and/o r authorize drepresentative s o f Pruden t Technologies , Inc . (Prudent) , contracte db y th e Unite dState s Environmenta l Protectio n Agenc y (EPA ) unde r Contrac t EP-R7-07-06 , t o ente r an dhav e acces s t o m y propert y fo r th e purpos e o f samplin g an dtakin g appropriat e respons e action s whic har e necessary t o implemen t th e clea nu p o f lea dcontaminatio ni nth e soil . Suc haction s wil l include : (1 ) Preparatio n fo r an d th e excavatio no f contaminate dsoi l fro mm y property ; (2 ) Backfil l excavate darea s wit h approve dclea n soil ; (3 ) Restor e gras s an dothe r vegetatio no r structure s a s clos e a s possibl e t o thei r pre-excavatio n state . Pleas e sig nth e for mwher e indicate dan dretur ni nth e pre-addresse dstampe denvelope , keepin g th e pin k cop y fo r you r record s o r pleas e contac t m e a t th e phon e numbe r liste dbelow , an dI wil l b e happ y t o mee t wit hyo u a t you r convenienc e t o discus s an y propert y issues . Also , pleas e remembe r tha t th e abov e propert y wil l b e liste di n th e EPA' s databas e a s wel l a s you r count y assessor' s offic e o f clea n propertie s upo n completion . Shoul dyo u hav e an y questions , pleas e d o no t hesitat e t o contac t ou r offic e a t 250 5 N 24 t h

### St , Suit e 308 , Omaha , N E6811 0 o r 402-504-1004 . Than k yo u agai n fo r you r promp t attentio ni nthi s matter . Sincerely , Cyndi e Hind s Pruden t Technologies , Inc . Omah aLea dSit e Administrativ e Cler k Tea mMembe r Enclosure s 808 0 War d Parkway , Suit e 40 5 250 5 N . 24 TM Street , Suit e 21 9 891 8 Tesor o Drive , Suit e 10 9 Kansa s City , M O 6411 4 Omaha , Nebrask a Sa n Antonio , T X 7821 7 Phone:(816)363-370 3 Phone : (402)504-100 4 (210)822-958 8 Fax : (816 ) 363-370 7 Fax:(402)504-100 5 Fax:(210)579-657 7

## 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 property owner' s signatur e indicate s tha t th e property 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 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 : zgfz i Propert y Address : 3W 1 Occvr* . H*~ r 

### Owner : fanfito t**«.c * Phone : p Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item : Require d correction s to complete th e property :



### LJ I agre e restoratio n i s completed , excep t a s note d above . L

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



## 11/37/0 7 Owner' s Signatur e Dat eENVIRONMENTAL * CONSTRUCTIO N 

### TECHNOLOGIES , INC . SOLUTION S 

# Propert y Contac t Attempt s Propert y ID : Propert y Address ; Owne r Name ; 

# Belo w pleas e fin dalistin g o f unsuccessfu l attempt s t o reac hth e abov e propert y owner . Dat e Tim e Initial s Resul t l o 

### I I / £*& .



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Signatur e Dat e Pruden t Technologies , Inc .

Acknowledgemen t Signatur e Dat e EP A

808 0 War d Parkway , Suit e 40 5 250 5 N . 24 TM Street , Suit e 30 8 891 8 Tesor o Drive , Suit e 10 9 Kansa s City , M O 6411 4 Omaha , Nebrask a Sa n Antonio , T X 7821 7 Phone:(816)363-370 3 Phone : (402)504-100 4 (210)822-958 8 Fax : (816 ) 363-370 7 Fax:(402)504-100 5 Fax : (210)579-657 7

### Pag e 1 of2

Creat e Anothe rTicke t Bac k t o Irt h Interne t 

### Sen d Emai l
YOUR TICKE T NUMBE R I S 1880385 . Origina l Cal l Date : 9/04/0 7 Time : 1:3 4 pm Op : CYNDIE1896 7 Wor k t o Begi n Date : 9/06/0 7 Time : 2:0 0 pm State : N E County : DOUGLAS Place : OMAH A Address : 241 9 Street : DECATU R S T Twp : 15 NRng : 13 E Sect-Qtr : 15-NW,16-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : soi l excavatio n fo r lead 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 : ep a Dept h o f Excavation : 14 " Corne r Lot : N Front : NRear : N Involve s Tunneling o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL S MAGELLA NMUD0 1 OMAHACO F OPPDGPR 5 QLNNE1 C Servic e Are a Contac 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 S COMMUNICATIONS , LL C 

## N A

## Alt : Emerg : 877366834 4 Day : 918574709 8 MAGELLA NMAGELLA NMIDSTREA M PARTNER S L PTONY A Alt : 

### Emerg : 918574709 8 Day : 402504782 3 MUDO l METROPOLITA N UTILITIE S DISTRIC T EDWIN AAlt : 

### Emerg : 402504794 6 

## Day : 402444719 7 http://www.dhon.org/irthinternet/DHONNoticeCreationyMessageText.asp?ret=<RESULTS .. . 9/4/200 7

### Pag e 2 o f

OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE RRO N 

### Alt : Emerg : 402444516 1 402444516 0
OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A 

### Day : 

### Alt : 406728934 3 Emerg : 888728934 3 QLNNE1 C QWES T LOCA LNETWOR K 

### N A 

### Day : 406728934 3 

### Alt : Emerg : 888728934 3

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 9/4/200 7

### 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 194652000 0 MORELL O BERNAR D J 2419DECATU R ST OMAH A 6811 1

1141 3 HICKOR YR D OMAH A N E 6814 4 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

PARKER S AD D 1 2 4 E1/ 2 30X12 8

http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 94652000 0 Disclaimer . Ma p an d parce l dat a are 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 = 3 9 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 8/1/200 7Fin d Recor d Clea n U p Quer y Lead Remainin g Quer y Propert yDamag e Quer y

D Owne rOccupie d Owne rName : j MORELLO BERNAR D J Owne rAddressl : Owne rAddressZ : 11141 3 HICKORYR D City : 

## (OMAH A State : N E Zi p Cod e j6814 4 Owne rPhone : Alternat e Phone : 

### (402 ) 342-282 0 Residen t Name : (VACAN TLOT JPRUDENT2007 Propert yAddress : Group : J241 9 DECATU R ST Zi p Code : 6811 1 Residen t Phon e Qualifyin g Grou p |80 0 Assessmen t XR F Date : Assessmen t MaxXR F Valu e