### PROPERT Y SUMMARY | Date : 11/27/2007 | Omah aLea dSit e Remedia l Actio nContrac t #EP-R7-07-0 6 | Mont hof : Novembe r | Propert y Address ; 422 2 Patric k A v 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 : B l - 7 9 @ 6 " B 2 - 9 4 @ 8 " 

### E l - 8 0 @ 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 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 ) Property addres s vii ) Date iv ) BVI D numbe r 7 ) Othe r item s t o b e include di nth e individua l property 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 property 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 n o f area s no t meetin g Interi mRO D cleanu p criteria .

TECHNOLOGIES , INC .

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### nah a Lea d S Own6 rName : JAME S R MAL Y [] Goo d 

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remov e lead-contaminate d soi l Pruden t Technologies , Inc . (Prudent) i s unde r contrac t wit h th e U . S . Environmenta l Protectio n Agenc y (EPA) to clea n up lead-contaminate dsoil s a t anumbe r o f propertie s locate di n Omaha , Nebraska , includin g th e propert y locate da t . Th e EP A request s your permissio n to allo w Pruden t to perfor masoil cleanup a t thi s property to remov e lead-contaminate dsoi l B y signing mi s form , th e propert y owner grant s permissio n to Prudent to perfor mactivitie s relate dto me cleanu p iuduuio g Sui l SSuipuflg , leuiGVa i O f icdd-COutauiiuate d5uil , Su df £iuiduu u O f ui e f efef HiCe d property . Afte r obtainin g th e owner' s signatur e o n thi s form , Prudent Technologies , Inc . will contac t th e property owne r (an dresidents ) withi n th e nex t fe w week s t o coordinate performanc e th e work . I f

yo u hav e an y question s abou t th e soil cleanup planne dfo r you r property , pleas e contac t Prudenfs Administrativ e Cler k

for me Omah aLea dSit e cleanup , Ms . Cyndi e Hind s a t (402) 504-1004 . Genera l question s abou t th e Omah aLeadSit e cleanup can b e directe dt o th e EP A Publi c Informatio n Center s at (402) 731-3045 (sout h Omah aoffice ) or (402 ) 991-958 3 (nort h Omah aoffice) . ^ - Property Acces s Grante dBy : *--- > 4s » PnntNun* ) 

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# ^ Property Owne r Signature : (Date ) PROPERT Y INFORMATIO N (T o b e completedb y residen t and/o r propert y owne r - plea s prmt ) RESDENTNAME : r\l/jL—~

_ ; QJwne rQente r RESIDENTAOORESS : I F RENTAL.PROPERT YOWNE D BY : OWNER' S MAILIN G ADDRESS : OWNER' S TELEPHON E NUMBER-HOME : jj~^ \

J "$X • 3V\>° 1 WORK : J L AG E O F HOME? : /%t""YEARS . HOWLON G HAV E YO U LWE D HERE ? HAS TH E EXTERIO R BEE N PANTE D O R COVERE D WTT H SIDIN G SMC E 1378 ? NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : ^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 PLAY H TH E YAR D FO R S HOUR S O R MOR E PE R WEEK : COMMENT S O R SPECIA L INSTRUCTIONS : (LE . DOGS . E NTR YGATES . ETC } AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s to b e implemente db y EPA under thi s agreemen t ar e pursuant t

o Section 104 o f CERCLA , 4 2 U.S . C . 9604 . EPA'srigtt o f acces s t o the propert y i s provide dfor in Section 104(e ) o f CERCLA , 4 2 U.S . C °605(e) , whic hprovide s entr y for "determinin g the needfor response , or choosing or takin g any respons e actio n unde r thi s title , or otherwis e enforcin g the provision s o f the titla "

# £EP A EP A Propert y Clos e Ou t Propert y # : Propert y Address : Date/Time : ///»»/ » Owner' s Name : Quad s Excavated : Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s N o 1 .I f necessary, wer e th e correc t quadrant(s ) excavate dan drestored ? 

### S 2 . I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? 

### S 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 ? 

### / 2 . Ha s so dbee n lai di n al l area s tha t wer e excavated ? 

### / 3 . Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 day tim e period ) 

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

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

### S 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 N o 1 .D o gate s ope n an dclos e freely ? (I f applicable ) 

### S 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 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 ? 

### S 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 ? 

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

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

### S 2 .Wa s damag e t o walkwa y surface s avoided ? 

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### Owner s comments :

Inspectio n notes :

Removal an drestoratio n activate s complete includin g th e 30-da y so dwarranty : EPA Representativ e _&* , jGL ~

_ Date :



### — TMENVIRONMENTA L& CONSTRUCTIO N TECHNOLOGIES , INC . SOLUTION S 

# Propert y Contac t Attempt s Propert y ID : S L ~" \3 ^ o ^ Propert y Address : <-A9<cSi^ ^ ^ci"5T" j ^3 ^ ( l^ V 0 

### Owne r Name : W^C ) Juy
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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 , Nebraska 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

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### D D XR F Unit : /<P3 7 Book : < 720 0 0£ ! 

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## Dougla s County-Omaha , N E

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## 20 3 Exterio rPain t Non n «,,„. , Owne rName : JAME S R MALYOmah a Lea d Sit e D Good A 

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

### YOU RTICKE T NUMBE RI S 1885652 . Origina l Cal l Date : 9/10/0 7 Time : 3:1 2 pm Op : CYNDIE1896 7 Wor k t o Begi n Date : 9/12/0 7 Time : 3:4 5 pm State : NE County : DOUGLAS Place : OMAH A Address : 422 2 Street : PATRIC K AVE Twp : 15 NRng : 13 E Sect-Qtr : 08-SE-SW,17-NE-NW Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Lea d Remediatio n - excavatio n Locatio n o f Work : LOCAT E ENTIR E PROPERTY 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 : 14 " Corne r Lot : N Front : NRear : N Involve s Tunnelin g o r Horizonta l Boring : N Explosives : N CXCAT V MCLEODNE MUD0 1 OMAHACO F OPPDGPR 5 QLNNE1 C Servic e Are a Contac t Phon e Numbe r Utilit y Typ e CXCAT V CO X COMMUNICATIONS , IN C 

### HEID I Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 MCLEODN EMCLEODUS A 

### N A 

### Day : 800289190 1 

### Alt : Emerg : 800289190 1 Day : 402504782 3 MUDO l METROPOLITA N UTILITIE S DISTRIC T EDWIN A Alt : 

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

### Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 hrtp://www.dhon.org/irtruntemet/DHO^moticeCreation/MessageText.asp?ret=<RESULTS.. . 9/10/200 7

### Pag e 2 o f 2

OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A 

### Alt : 

### Emerg : 888728934 3 QLNN E 1 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 .. . 9/10/200 7Fin d Recor d dea n U p Quer y Lead Remainin g Quer yI Propert yDamag e Quer y Clos e

U Owne rOccupie d Owne rName : 

## IMALYJAME S R Owne rAddress l Owne rAddress 2 1450 5 N 15 6 S T 

## IBENNINGTO N Owne rPhone : 

### (402 ) 238-206 5 State : Zi p Cod e N E (6800 7 Alternat e Phone : 

### J(402 ) 708-3309 Resident Name : JVACAN TLOT Propert yAddress : (422 2 PATRIC KAV Zi p Code : J6811 1 Resident Phon e |PRUDENT200 7 Group :
Qualifyin g Grou p |80 0 Assessmen t XR F Date : Assessmen t Ma xXR F Valu eENVIRONMENTA L& CONSTRUCTIO N TECHNOLOGIES , INC . SOLUTION S 

### Augus t 24 , 200 7 Mr . Jame s Mal y 1450 5 N15 6 Stree t BenningtonN E6800 7 RE : 14 0 N 3 7 Street , 422 2 Patric k A v BVID #23242 , 2720 3 Dea r 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 nAgenc 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 n o f you r property a t 14 0 N 3 7 Stree t an d422 2 Patric k Av e yo u wil l hav e achieve dalea dsafe 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 arenta 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 nth e enclose d agreemen t form . I hereb y giv e permissio nt 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 nfo r an d th e excavatio n o f contaminate dsoi l fro mmy property ; (2 ) Backfil l excavate darea s wit h approve dcleansoil ; (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 nstate . Pleas e sig nth e for mwher e indicate dan dretur n i 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 property issues . Also , pleas e remembe r that th e abov e property 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 npropertie s upo ncompletion . 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 N24 th

### St , Suit e 308 , Omaha , N E6811 0 o r 402-504-1004 . Thank yo u agai nfo 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 TeamMembe r Enclosure s 808 0 War d Parkway , Suite 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