### PROPERT Y SUMMAR Y Date : 10/18/2007 Omah aLea dSite Remedia l Actio nContrac t #EP-R7-07-0 6 Mont hof : Octobe r Propert y Address : 50 5 N4 1 A v A . EXECUTIV ESUMMAR Y 

### A. I Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i nNovembe r o nan 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 : Easemen t 8 9 @ Scrap e Dl-317@13 " F2-39@10 " Bl-43@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 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 , 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 . Superfun d 

### ECHNOLOCIES , INC . 4028438 0

## 2386 7 Exterio rPain t Nort h Arro w 

### Omah e i Lea d Sit e Owne rName : GRE G L SCHANEMA N [ 3 Goo d 

### Sit e Sketc h Address : 50 5 N 4 1 A V Q Poo r 

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remov e lead-contaminate d soi l Pruden t Technologies . Inc . (Prudent ) i s unde r contrac t wif e fe e U . S . Environmental Protectio n Agenc y (EPA ) t o clean u p lead-contaminate dsoil s at anumbe r o f propertie s locate di n Omaha , Nebraska , includin g fe e property locate dat cv^> 3 / / 7 / f-^l/^ ^ . Th e EP A request s you r permissio n t o allo w IVuden t t o perfor masoi l cleanu p at thi s property t o remov e lead-contaminate dsoi l B y signin g fei s form , th e propert y owne r grant s permissio n t o Pruden t t o perfor mactivitie s relate dt o fe e cleanu p includin g soi l sampling , remova l o f lead-contaminate dsoil , an drestoratio n o f fe e reference d property . Afte r obtainin g th e owner' s signatur e o n fei s form , Pruden t Technologies , Inc . will contac t fe e propert y owne r (an dresidents ) withi n th e nex t fe w week s t o coordinat e performanc e fe e wor k I f

yo u hav e an y question s abou t fe e soi l cleanu p planne dfo r you r property , pleas e contac t Prudent' s Administrativ e Cler k

fo r fe e Omah aLea dSit e cleanup , Ms . Cyndi e Hind s a t (402 ) 504-1004 . General question s abou t fe e Omah aLea dSit e cleanu p ca n b e directe dt o fe e EP A Publi c Informatio n Center s at (402 ) 731-304 5 (souf e Omah aoffice ) o r (402 ) 991-958 3 (norf e Omah aoffice) . Propert y Acces s Grante dBy : (P1»B » PrintNoms ) Propert y Owner Signature : b (Signatur* ) PROPERT Y INFORMATIO N (T o b e complete db y resident and/o r propert y owner - pleas e print ) RESIDEN TNAME : V ) ^

__gpwne rQenta r V) ^^g (^\ Q nf/n<3..r> RESIDENTADDRESS : I F RENTAL.PROPERT YOWNE D BY : OWNER' S MAD.MGADDRESS ; OWNER' S TELEPHON E NUMBER-HOWE : i? l ^~ . WORK . _( \ AG E O F HOME? : o / YEARS . HOWLON G HAV E YO U LIVE D HERE ? / Q YEARS . HA S TH E EXTERIO R BEE N PAWTE D O R COV E RE D WITH SDIN G SINC E 1378 7 YE S NUMBE R O F OCCUPANT S UNDER ? YEAR S OLD : J?

_ 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 PLAYM TH E YAR D FO R S HOUR S O R MOR E P E R WEEK : COMM E NT S O R SPECIA L INSTRUCTIONS : (LE . DOGS . E NTRYGATES . ETC. ) AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s t o b e implemente db y EP A under thi s agreemen t ar e pursuant to Sectic n 104 o f CERCLA , 4 2 TJ.S.C . 9604 . EPA' s right o f acces s to the property i s provide dfo r i n Sectio n 104(e ) o f CERCLA , 4 2 U.S . C 9605(e) , whic hprovide s entr y fo r "determinin g th e needfo r response , o r choosing o r takin g any respons e actio n unde r thi s title , o r otherwis e enforcin g th e provision s o f th e tide"1 1 ^ ^ 

# 2386 7 Exterio rPain t 

### ah a Lead Sit e Owne rName : GRE G L SCHA N Goo d 

### Sit e Sketc h Address : 50 5 N 4 1 A V Poo r ot pain t Lea d Sampl e Sample s Collecte d Sampl e Numbe r Concentratio n Collecte d RYASCPXA-2386 7 F 1 I RYBSCPXA-2386 7 F 2 RYCSCPXA-2386 7 B 1 W ^ Sample s Analyze d RYDSCPXA-2386 7 RDZSCPXA-2386 7 XR F Uni t 

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# EP A Propert y Clos e Ou t Property # : Property Address : $0 5 v y//?» i Date/Time : O c f. /<? / 2O O 7 Owner' s Name : £rt' j ScA**" na « Quad s Excavated : g j + p i Contracto r Grou p "Pruden t Technologie s Excavatio n Genera l 

### Ye s 1 . I f necessary , wer e th e correc t quadratics ) 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 perimeter o f th e hous e i n excavate darea s generall y slop e away 

### S fro mth e house ? 

### 2 . Ha s so dbee n lai di nal l area s that wer e excavated ? 

### t / 3 . Doe s the so dappea r t

o b e generall y healthy andgrowing ? (Onl y evaluate if inspecteda t a3 0 

### i / day tim e period ) 

### 4 . Ar e sodde darea s generall y firman 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 propert y grade dsuc hthat wate r wil l no t poo l o nth e property ? * / 

### 1 . 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 1 . D o gate s ope nan dclos e freely ? (I f applicable ) 

### </ 2 . Were al l gate s o r fence s take n dow n durin g restoratio n activitie s reinstalled ? (I f applicable ) 

### i s 3 . Wa s damag e t o 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 ) 

### tS Foundation , Sidin g an dGutter s Ye s \. Wa s damag e t o th e sidin g o r tri mavoided ? 

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

### i ^ 3 . Wa s damag e to windows 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 ) 

### 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 n notes :

Remova l an drestoratio n activate s complet e includin g th e 30-day so dwarranty : 

## EPARepresentativ e fy^jL ^

_ Date : /o/'/f/o • ?

— - ;

## PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio n o f remova l activitie s perf c me do n th e belo w liste dproperty . Th e propert y owner' s signatur e indicate s tha t th e property owne r i f > aisfie 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 a i ' 1 ; 

### n e i n th e future , excludin g an y remainin g warrant y (3 0 day s total ) excep t thos e item s liste dbelow , i ar / . Propert y ID : ~ ) 3 * O /
- * J Propert y Address : c

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# fyi/< ^ Owner: ( 

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- ^/<~/ ^ Restoratio n Items i n Question :

Item : Item : Kern : Item : Item : Item : Require d correction s t o complete th e property : UJ 

# +

cf > I agre e restoratio n i s completed , excep t a s note d above . L I I d o not 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 

### 201797000 0 Sec-Twn-Rn g 20-15-1 3 Owne r SCHANEMA N Owne r Nam e GREG L Addres s Propert y Addres s 50 5 N 4 1 A V Additio n POPPLETO N PAR K Cit y OMAH A Bloc k 

### 1 0 

### Zi p 6813 1 Lo t Owne r Addres s Lega l 1 

### 5 1 X 11 0 Owne r Addres s 2 50 5 N 4 1 AV E Lega l 2 Owne rCit y OMAH A Lega l 3 Owne r Stat e N E Lega l 4 Owne rZi p 

### 6813 1 Assesso r Websit e Lin k http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R201797000 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 = 2 2 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 7

# 2386 7 Owne rName : GRE G L SCHANEMA N Address : 50 5 N 4 1 A V

Phone : 

### Omah a Lea d Sit e Sit e Sketc h Exterio rPain t Goo d Poo r

o t pain t Sampl e Numbe r RYASCPXA-2386 7 RYBSCPXA-2386 7 RYCSCPXA-2386 7 RYDSCPXA-2386 7 RDZSCPXA-2386 7 Lea d Concentratio n ex ? y Sampl e Collecte d

La b RYCSCPLA-2386 7 Resul t 44 3p p m Numbe ro f Sample s = | ^

Omah aLeadSit e 4613 0

### 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 201797000 0 SCHANEMA N GREG L 50 5 N 4 1 A V OMAH A 6813 1
50 5 N 4 1 AV E OMAH A N E 6813 1 Sec-Twn-Rn g Owne r Addres s Additio n Block Lo t Lega l 1 

### Lega l 2 Lega l 3 Lega l 4 Assesso r Website Lin k 20-15-1 3 POPPLETO N PAR K 1 0 8 5 1 X11 0

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R20 1 797000 0 Disclaimer . Ma p an d parce l data ar e believed 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 = 2 2 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 yPropert yDamag e Quer y

Owne rOccupie d Residen t Name : Owne rName : 

## ISCHANEMA N GRE G L JPRUDENT200 7 

## ISCHANEMA N GRE G L Propert yAddress : Group : Owne rAddres s 1 : 150 5 N 4 1 AV Zi p Code : Owne rAddress 2 J6813 1 J50 5 N 4 1 AV E Residen t Phon e Qualifyin g Grou p City : State : Zi p Cod e 80 0 (MU

M I OMAH A N E |6813 1 Assessmen t XR F Date : Owne rPhone : Alternat e Phone : Assessmen t MaxXR F Valu e

### Gre g Schanema n 50 5 Nort h 41 s t

### Avenu e Omaha , N E 6813 1 Re : PropertyAddres s

Dea rHomeowner , Cityo f Omah a ordinance s mayprohibi t yo u fro m usin g dir t o rgrave l area s o n you r propertya s driveway s o rvehicl e parkin g areas . Th e E.P.A . mayb e removin g an d replacin g soi l underlyin g a grave l o rdir t are a o n you rpropertytha t yo u mayb e usin g a s a drivewa yo rvehicl e parkin g area . I f thi s i s th e case , yo u shoul d understan d tha t thi s remova l an d replacemen t o f soi l doe s no t mea n tha t an yillega l drivewa yo r parkin g are a o n you rpropertyi s mad e "legal. " T o th e contrary , yo u mayb e cite d b y th e Cityi f yo u us e a grave l o rdir t are a a s a drivewa yo rparkin g area , notwithstandin g an yremova l o rreplacemen t o f soi l b yth e E.P.A . I f yo u hav e an yquestion s abou t legalit yo f a certai n drivewa yo rparkin g area , yo u maycontact th e Cityo f Omah a Plannin g Departmen t at 444-515 0 Sincerely , Da n Garve y Remedia l Projec t Manage r