### PROPERT Y SUMMAR Y Date : 10/05/2007 Omah aLea dSit e Remedia l Actio nContrac t #EP-R7-07-0 6 Mont hof : Octobe r Propert y Address ; 181 2 Lak e S t A . EXECUTIV E SUMMARY 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 : Bl-185@6 " B2-230@6 " Easemen t 9 2 @ Scrap e ATTACHMENT S 1 ) Property 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 ) Property 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 property 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 property owner ) ii ) Excavatio n digita l vide o i n MPEG , WM V (Window s Medi aVideo ) o r SW F(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 .

TECHNOLOGIES , INC ,V

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## 07^1.23 . 20()72;11:51AM)24 5 

## ]OMAH APLANNIN GDEPT,.402-444-614 0 Agre@fhfentt o allowaccesst o Omah a Lead th e propert yi n orde rto conduc t Sit e Remedia l environmenta l samplin g an d to Actio n remov e lead-contaminate d soi l Pruden t Technologies , foe . (fruden Q i s unde r contrac t wiihme U . S . Environmenta l ftottcuo aAgenc y (EPA) to clea n up lead-contaminate dsod s a t anumbe r o f propvtie s locatedi n Omaha , Nebraska , including m aproperl y locatedat \fi\ ^ \^^ \KT o <Xv . Ti « EP A remta b your permission to allo w Unden t to perfor maso J cleanu p a t thi s propert y to remov e lead<cantommatai soil . B y signin g mi s form , me propert y owner grant s permissio n to Ruden t to perfor macovina s relate dto me cleanup includin g soil sampling , removal o f lead-contaminate dsoil , tu t restoratio n o f me reference d property . Afte r obtainin g th e owner' s signatur e o n (hi s form , ftudent Technologies , Inc . will contact me property owne r (en dresidents ) withi n th e nex t fe w week s t o coordinate performanc e m e work . IFyo u hav e any question s abou t me soil cleanup planne dFo r you r property , pleas e contac t Rodent' s AdmmistrBtiv * Cler k

for fli e Chnaat]I.«adSit e cleanup , Ms . Cyndte Hind s a t (402 ) 504-1004 . General question s abou t fe e Omah aLeadSit e cleanup ca n b e directe dto me EPA Publi c Informatio n Cater s a t (402) 731-3045 (sout o Om* aoffite ) o r (402 ) 991-9583 (nor mOmah aoffice) . Propert y Acces s Granted By : Propert y Owne rSignature : 

### PROPERT Y INFORMATIO N 

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### AUTHORIT Y FO RENVIRO NMENTA LRESPONS EACTIONS , Th e activitie s to b e implemeMedfa y EPA unda-thi s agreemeiAflrepur&uanttoSeaicnl04DfC£RCLA,42U.S.C . 9604 . EPA'srigtto f acces s t o thepreparty i s provido dfor in Section )Q4(e ) o f CERCtA , 4 2 U.S . C 9tfOS(e) , whic hpnsrida s enoy for "detwniwn g the needfor e , or cftotein e or ukin e any respons e actionunde r thi s title , or otherwis e en&nan g the provision s o f the tide "

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# EP A Propert y Clos e Ou t Property# : Propert y Address : 

### Date/Time : Qc-f, 5 , loo i Owner' s Name : c Quad s Excavated : Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s N o \. I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

### S 2 .I f necessary , were th e correc t area s o f drip zone excavate dan drestored ? 

### «/ Gradin g So dan dVegetatio n Ye s N o 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 ? 

### S 2 .Ha s so dbee n lai di n al l area s tha t were excavated ? 

### y 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 ) 

### S 4 .

Ar e sodde darea s generally fir man devenly graded ? 

# s 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 tun e period ) 

# s 6 .Wa s th e property grade dsuc hthat water wil l no t poo l o n th 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 n an dclos e freely ? (I f applicable ) 

### t / 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 ) 

### S 3 .

Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 

### « / 4 .Wa s damag e to 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 ? 

### * / 2 .Wa s damag e t o th e foundatio n avoided ? 

### « / 3 .Wa s damag e t o window s avoided ? 

### i / 4 .

Wa s damag e t o window s o r doo r screen s avoided ? 

### S 5 .

Wa s damag e t o 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 to drivewa y surface s avoided ? 

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

### i /

### Owner s comments :

Inspectio n notes :



## Removal an drestoratio nactivate s complete includin g th e 30-day so dwarranty : EPARepresentativ e jQc^> &*- , Date : / 

# ^Name : &<*.rre.'ti ~ fsvrf Address : JfilZ . Latte^^A- . Phone : fa'?t-~T70£ ' Omah a Lead Site Sit e Sketc h Date : Time :/3-/f?- T (2-: ^ Nort h Arro w 

# f Tea m 

### i^ l &U J BVID # XRFCod e /<73 7 Sampl e Numbe r Lea d Concentratio n



### 23 3 Confirmatio n Sampl e

4613 0

## N o , 767 6 P , PLANKIN GDtPT . 402-444-614 0 Sep . 2 1 2007 " 6 : 

# AER A

Thi s agreemen t document s the completion o f remova l activitie s performe do n the belo w liste dproperty . The propert y owner' s signature indicate s that the propert y owne r i s satisfie dwit hthe restoratio n o f the subject property , an dthat n o item s ar e i n question , now , or a

t any tim e i n the future , excluding any remainin g warranty (3 0 day s total ) excep t thos e Hem s listedbelow , if any . Propert y m : Property Add** : Owaer ; 

# 'njio ^ Restoratio n item s I n Question :



### Re m Ra m 

### Item ttsr n Requli'e d correction s t o complet e th e property :

I agre e restoratio n i s competed , excep t as note d above . [~ ] f d o not agre e restoratio n i s completed



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*»-*•"• . Omah aLea dSit e 4613 0

### Print Previe w rag e i 

## Dougla s County-Omaha , N E

Parce l I D 

### 160061000 0 Sec-Twn-Rn g 

### 10-15-1 3 Owne r Name CIT Y O F OMAH A Owne r Addres s CI O JAME S THEL E Propert y Addres s 181 2 LAK E S T Additio n LAK E AD D Cit y OMAH A Bloc k 

### Zi p 

### 6811 0 Lo t Owne r Addres s CI O JAME S THEL E Legal 1 S SO W 42.6 6 F T Owne r Addres s 2 181 9 FARNA M ST#111 1 Lega l 2 42.6 6 X 5 0 Owne rCit y OMAH A Lega l 3 Owne r Stat e 

### N E Lega l 4 Owne rZi p 

### 6818 3 Assesso r Websit e Lin k http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R160061000 0 Disclaime rMa p an d parce l data ar e believe d to b e accurate , bu t accurac yi s no t Ma p Scal e guaranteed . Thi s i s not a lega l documen t an d shoul d not b e substitute d fo ra titl e search , 1 inc h = 1 5 fee t appraisal , survey , o rfo rzonin g verification . *»-<r." V 

### http://www.dogis.org/dogis_alias/dogi^rintPreview.aspx?PrintOptData=Dougla s County-.. . 7/16/200 7

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

## Douglas County-Omaha , N E

Parce l I D 160060000 0 Sec-Twn-Rn g 10-15-1 3 Owne r CIT YO F Owne r CI O FINANC E DEP T Nam e OJ^AHA--c^-- . Addres s Propert y/ 2502N18S T Additio n LAK E AD D Addres s \ . Cit y OMAH A Bloc k 1 

### Zi p 6811 0 

### Lo t 7 Owne r CI O FINANC E Lega l 1 S 4 3 E 10 0 F T Addres s DEP T Owne r 1819FARNA M Lega l 2 <^ " 43/10 0 ) Addres s 2 ST Owne rCit y OMAH A Lega l 3 Owne r N E Lega l 4 Stat e http://douglasne . mapping - Assesso r Owne rZi p 6818 3 online . com/DouglasCoNe/static/accountinfo.jsp ? Website Lin k accountno=R 1 60060000 0 Disclaimer: Ma p an d parce l dat a are believe d t o b e accurate , bu t accuracyi 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-.. . 8/30/200 7

### Print 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 160059000 0 CIT YO F OMAH A 250 8 N 18S T OMAH A 6811 0 C/0 JAME S THEL E 1819FARNA M S T # 1 1 1 1 OMAH A N E 6818 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 Website Lin k 10-15-1 3 C/

0 JAME S THEL E LAK E AD D 1 6 N12W42.66FTLT7 & N19E100FTLT7 & S21_F J ^ x^-< A X ^ ^ \ 12)Xtt2.66-19) x100-2 1 f c 142. 9 ) 

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### * ' ^ ^ ' http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 60059000 0 Disclaimer : Ma p an d parce l dat a are believe d t o b e accurate , bu t accuracyi 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 = 5 1 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 8/30/200 7

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

## Dougla s County-Om^hB , 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 160061000 0 CIT YO F OMAH A 18 1 2 LAKES ! OMAH A 6811 0 C/0 JAME S THEL E 1819FARNA M S T # 1 1 1 1 OMAH A N E 6818 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 Website Lin k 10-15-1 3 C/O JAME S THEL E LAK E AD D 1 7 S 5 0 W 42.6 6 F T 42^6 6 X 5cT)

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 6006 1 000 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 = 3 2 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 8/30/200 7Fin d Recor d dea n U p Quer yI Lea d Remainin g Quer y3 Propert yDamag e Quer y1 Clos e 1 

### ampl e Area : 2866 3 - 181 2 LAK E S T Owner : Resident : Contract : d Owne rOccupied Residen t Name : Contractor : Owne rName : JVACAN T LO T JPRUDENT2007 

### IOT YO F OMAH A Propert yAddress : Group : Owne rAddressl : |181 2 LAK E S T 

# !

f t f-^ . J —m II — ]C/0 JAME S THEL E Zi p Code : Assessment : Owne rAddress2 : J6811 0 J1819FARNAMST # 111 1 Residen t Phon e Qualifyin g Grou p City : State : Zi p Code : |80 0 

### i 

### IOMAH AJN E Jesis s Assessmen t XR F Date : 1 j ' • " " ' Owne rPhone : Alternat e Phone : 

# j ! Assessmen t Ma xXR F Value : j 892.4 7 ; 1

### Pag e 1 of 2

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

### YOU RTICKE T NUMBE RI S 1848754 . Origina l Cal l Date : 7/24/0 7 Time : 9:5 7 a m Op : CYNDIE1896 7 Wor k t o Begi n Date : 7/26/0 7 Time : 10:3 0 a m State : N E County : DOUGLA S Place : OMAH A Address : 181 2 Street : LAK E S T Twp : 15 NRng : 13 E Sect-Qtr : 10-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Soi l Excavatio n - lea d 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 " Ma x Corne r Lot : NFront : NRear : Involve s Tunnelin g o r Horizonta l Borin g : NExplosives : N CXCAT V

MAGELLA NMUD0 1 OMAHACO F OPPDGPR 5 QLNNE1 C Servic e Are a Contac t Phon e Numbe r Utility Typ e CXCAT V CO X COMMUNICATIONS , IN C 

### HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 MAGELLA NMAGELLA NMIDSTREAM PARTNER S L PTONY A Day : 918574709 8 Alt : 

### Emerg : 918574709 8 MUD0 1 METROPOLITAN UTILITIE S DISTRIC T E D WI N A Day : 402504782 3 Alt : 

### Emerg : 402504794 6 OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE R 

### RO N Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 http://www.dhon.org/irtWntemet/DH O 7/24/200 7

### Pag e 2 of 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=<RESULTS.. . 7/24/200 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 160061000 0 CIT Y O F OMAH A 181 2 LAK E ST OMAH A 6811 0 C/

O JAME S THEL E 181 9 FARNA M ST#111 1 OMAH A N E 6818 3 Sec-Twn-Rn g Owne r Address Additio n Bloc k Lo t Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Website Lin k 10-15-1 3 C/

O JAME S THEL E LAK E AD D 1 7 S SO W 42.6 6 F T 42.6 6 X 5 0

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 6006 1 000 0 Disclaimer. Ma p an d parce l data ar e believed to b e accurate , bu t accurac yi s no t Ma p Scal e guaranteed . Thi s i s not a lega l documen t an d shoul d not b e substitute d fo ra titl e search , 1 inc h = 1 5 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 7/16/200 7