### PROPERT Y SUMMAR Y Date : 10/10/2007 Omah aLea dSit e Remedia l Actio nContrac t #EP-R7-07-0 6 Mont hof : Octobe r Propert y Address : 221 2 Florenc e Blv d 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 NSAMPLIN GDATA/RESULTS : Bl-389@14 " B2 - 29 3 @ 10 " Easemen t 9 5 @ Scrap e 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 efina llea dlevel s v ) Legen d ii ) Contaminatio nlef t 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 lpropert 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 .

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### a Lea d Sit e Owne rName : R AREAME S Q Goo d Si t 

### e Sketc h Address : 221 2 FLORENC E B D Q Poo r

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# SEP A EP APropert y Clos e Ou t Propert y # : Propert y Address : 22 / 2 Date/Time : Owner' s Name : #&#,„„ „ Quad s Excavated:' « * . 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 ? 

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

### S Gradin g So dan dVegetatio nYe 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 mth e house ? 

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

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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 day tim e period ) 

### S 4 .

Ar e sodde darea s generall y firman devenl y graded ? 

### i/ 5 .Ar e th e joint s betwee nth 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 ? 

### y 7 .

Wa s damag e to landscapin g or plan t material s avoided ? 

### i / 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 ) 

### i / 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 ? 

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

### • / 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 t o drivewa y surface s avoided ? 

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### 2 . Wa s damag et o walkwa y surface s avoided ? i /

## Owner s comments :

Inspectio nnotes :

Removal an drestoratio nactivate s complete includin g th e 30-day so dwarranty : EP ARepresentativ e £c~ , }6L

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Date : /o/,n/ o - ?

## 2795 2 Exterio rPain t Nort h Arro w 

### Omah a Lea d Sit e Owne rName : R AREAME S Q Goo d 

### Sit e Sketc h Address : 221 2 FLORENC E B D Phone : H - 402-341-294 1 W : Q No t pain t Sampl e Numbe rLea d Sampl e _ 

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Owner' s Signatur e Dat e

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

## Douglas 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 113898000 0 REAME S R A 221 2 FLORENC E B D OMAH A 6811 0 222 2 FLORENC E BLV D OMAH A N E 6811 0 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
FRANKLI N SQUAR E 0 4 S16FTLT 3 &N17F T 33X14 0 http-.//douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 13898000 0 Disclaime rMa 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 = 2 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

### Pag e 1 of2

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

### YOU RTICKE T NUMBE RI S 1864714 . Origina l Cal l Date : 8/14/0 7 Time : 9:5 3 am Op : CYNDIE1896 7 Wor k t o Begi n Date : 8/16/0 7 Time : 10:3 0 am State : N E County : DOUGLAS Place : OMAH A Address : 221 2 Street : FLORENC E BLV D 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 Remediatio n - Lea d - Excavatio 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 Work Being Done For : EP A Dept h o f Excavation : 14 " Corne r Lot : N Front : NRear : N Involve s Tunneling o r Horizonta l Boring 

### N Explosives : N CXCAT V MAGELLA N MUD0 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 XCOMMUNICATIONS , IN C 

## HEID I Alt : 402934046 9 Emerg : 402932975 7 Day : 918574709 8 MAGELLA NMAGELLA NMIDSTREA M PARTNER S L PTONY AAlt : 

### Emerg : 918574709 8 Day : 402504782 3 MUDO l METROPOLITA NUTILITIE S DISTRIC TEDWIN AAlt : 

### Emerg : 402504794 6 Day : 402444719 7 OMAHACO FCIT YO FOMAHA-TRAFFIC.SEWE RRO NAlt : 402444516 1 

### Emerg : 402444516 0 

## Day : 406728934 3 http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/14/200 7

### Pag e 2 o f 2

OPPDGPR 5 OMAH APUBLI C POWE RDISTRIC TM A 

### Alt : 

### Emerg : 888728934 3 QLNNE1 C QWES TLOCA LNETWOR K 

## N A Day :



## Alt : 406728934 3 Emerg : 888728934 3

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D Owne rOccupied Owne rName : 

## IREAME S R A Owne rAddressl : Owne rAddressZ : 1222 2 FLORENC E BLV D City : State : Zi p Cod e (OMAH A N E (6811 0 Owne rPhone : Alternat e Phone : 

### (402 ) 341-294 1 Residen t Name : (VACAN TLOT |PRUDENT200 7 Propert yAddress : Group : |221 2 FLORENC E B D Zi p Code : J6811 0 Residen t Phon e Qualifyin g Grou p |80 0 Assessmen t XR F Date : Assessmen t MaxXR F Valu e