### PROPERT Y SUMMAR Y | Date : 10/30/2007 | Omah aLea dSite Remedia l Actio n Contrac t #EP-R7-07-0 6 | Mont hof : Octobe r | Propert y Address : 151 6 N 2 8 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 Informatio n : CONFIRMATIO N SAMPLIN GDATA/RESULTS : Fl-244@6 " E l - 9 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 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 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 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 dformverifyin g satisfactory restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

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### B y s i fiJsi s from , tfii e graperty owiafif f girsaat apezsmssiaff l to I*radleEst to p<sz?w w aciivitia s sralate dto iSi e soi l samplimg , refflsoval oiPiesd-cosstassaafflate dsoil , ssx dresteatSso ao f the refesrence d Aifieir obtaimo g tia e OTOaesr' s sigsaato e o atLi s ftw&ia , Pmdesst TecEsamlogies , Sssc . wll coaiact-tS j owae f (ea d?esideste) TratSfflai t& e aext fe w week s to coordinate pesrforsuaHc e tii e work . I f

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I F REHTOL . PROPERTY OWWE D BY : k DU . OWNER' S C3AILC3 G ADDRESS ; OWMER' S TELEPHON E : f 3 g * : f ) YEARS . HO W L©H G HAV E YO U L8VE O HERE ? YEARS . HA S TH E EXTERKJ R SEEf J PAIMTE O © R COVERE 0 tfJO M SD3D G E3DJC E 1!S78 ? YE S C3 © HUdSE R O F OCCURftMT S UMDE R 7 YEAR S OLD : _MUOBE R © F ©CCUPAMTS 7 YEAR S ©L D AfJ O OLDE R HUQBE R O F CMILDnEfJ UMDE R 7 YEAR S OL D WH O PLA Y C J TH E YAR D FO R 5 HOUR S O KL1©R E PERWEEK : COCK3EMT S O R SPECIA L IMSTRUCTIOMS : (t.E . DOGS . EHTR YGATES . ETC. ) AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s to b e implemente db y EP A under thi s agreemen t ar e pursuant t

c Sectio n 104 o f CERCLA,42U.S.C . 9604 . EPA ' srigtt o f acces s to the propert y i s provide dfcr i n Section 104(e ) o f CERCLA , 4 2 U.S . C 9605(e) , whic hprovide s entr y for "determinin g th e neadfcr respcnse , or choosing or takin g any respons e actio n unde r thi s title , or otherwis e enforcin g th e provision s o f th e title. "• • 

# &EP A EP A Propert y Clos e Ou t Propert y # : Propert y Address : IS' 6 * 3** * Date/Time : Owner' s Name : 0e*** < -loit* 9 Quad s Excavated : c f Contracto r Grou p Pruden t Technologie s Excavatio nGenera l 

### Ye s N o 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 N o 

## 1 . Doe s th e gradin g aroun dth e perimete r o f th e hous e i nexcavate darea s generall y slop e awa y fro mthe house ? 

### / 2 . Ha s so dbee n lai di nal 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 dat a3 0 

### / da y tim e period ) 

### 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 dat a3 0 day tim e period ) 

### • 6 . Wa s th e property grade dsuc htha t wate r wil l no t poo l o nth 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 nan dclos e freely ? (I f applicable )



### . / 2 .Were al l gate s o r fence s take ndow ndurin g restoratio nactivitie 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 ) 

### S 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 ? S 

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

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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 ?

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### Sidewalk s an dDriveway s (Concrete ) 

### Ye s N o 1 .Wa s damag e to driveway surface s avoided ? 

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

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### Owner s comments :

Inspectio n notes :

Remova l an drestoratio n activate s complete includin g th e 30-day so dwarranty : EP A Representativ e _ &**.&+

_ Date : 

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## 2592 3 Exterio rPain t Nort h Arro w 

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## 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 221344000 0 JOHN S BERNIC E 1516N28S T OMAH A 6811 1 311 2 NICHOLA S S T 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 16-15-1 3 SHINNS3RDAD D Y 2 S 4 8 E 8 8 F T 48X8 8
http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R22 1 344000 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 = 1 8 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

## Properl yCompletio n Agreemen t Thi s agreement document s th e completio n o f removal activitie s performe 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 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 n th e future , excludin g an y remainin g warranty (3 0 day s total) excep t thos e item s liste dbelow , i f any . Propert y ID : 2- . S ^ 2 . ^ Propert y Address : I ^ 3 1 4 > h- l 

# x ^ s v Owner : ^>e-rrv " C o ToV \ rDOD£ ! ^J G 2

—* • * 2 U ^ <^ > r ^ ^ g > f ^ 1 Restoratio n Item s i n Question :

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



### LJ I agre e restoratio n i s completed , excep t a s note d above . E H I d o not agre e restoratio n i s complete d

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# / & / Owner' s Signa l ur e 

### Date 

# "

### Pag e 1 o f 2

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

### YOU RTICKE T NUMBE RI S 1864756 . Origina l Cal l Date : 8/14/0 7 Time : 10:0 6 a mOp : CYNDIE1896 7 Wor k t o Begi n Date : 8/16/0 7 Time : 10:3 0 a m State : NE County : DOUGLAS Place : OMAH A Address : 151 6 Street : N28T H S T Twp : 15 NRng : 13 E Sect-Qtr : 16-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Soi l Remediatio n - Lea d - 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 Done For : EPA Dept h o f Excavation : 14 " Corne r Lot : NFront : NRear : N Involve s Tunnelin g o r Horizonta l Boring : NExplosives : N CXCAT V

LEVEL S MUD0 1 OMAHACO F OPPDGPR 5 QLNNE1 C Servic e Are aContac 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 

## Day : 877366834 4 LEVEL S LEVEL 3 COMMUNICATIONS , LL C N A Alt : 

### Emerg : 877366834 4 Day : 402504782 3 MUD0 1 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 http://www.dhon.org/irtrunternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/14/200 7

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OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A 

### Emerg : 888728934 3 QLNNE1 C QWES T LOCA LNETWOR K N A 

## Day : Alt : 

## 406728934 3 Emerg : 888728934 3

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