### PROPERT Y SUMMARY Date ; 09/27/200 7 Omah aLea dSite Remedia l Actio nContrac t #EP-R7-07-0 6 | Mont hof : Septembe r Propert y Address ; 180 3 Locus t S t A . EXECUTIV ESUMMARY 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 : Fl-119@6 " F2
- 19 7 @ 8 " B2-386@7 " Easemen t 11 1 @ 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 sketch
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 ) BVE 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 satisfactory restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .



### TECHNOLOGIES , INC , 4028621 6 Superfun d

# 2992 9 Omah a Lea d Sit e Owne rName : EUGEN E PERSON S II I 

### Sit e Sketc h Address : 1803 LOCUSTST

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# £EP A EP A Propert y Clos e Ou t Propert y # : Propert y Address : I&O J Lo CuJ /
- Datemme : 09/47/0 7 Owner' s Name : f«j tv , PIQU* * Quad s Excavated : Contracto r Grou p Pruden t Technologie s Excavatio nGenera l Ye s 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 ? 

### S Gradin g So dan dVegetatio n Ye s 

## 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 tha t wer e excavated ? 

### S 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 da y tim e period ) 

### S 4 . Ar e sodde darea s generall y fir man 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 da t a3 0 da y 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 ? 

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

### , / 2 .Wer e 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 ) 

### / 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) 

### S Foundation , Sidin g an dGutter s Ye s 1 .Wa s damag e t o th e sidin g o r tri mavoided ? 

### t / 2 .

Wa s damag e t o th e foundatio navoided ? 

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

### S 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

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### Owner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-da y so dwarranty : EPARepresentativ e &* > & ^ Date : f A7/ 0 7

# 2992 9 

# ENTER : Owne rName : EUGEN E PERSON S il l Omah a Lea d Sit e 

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## PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio no f remova l activitie s performe do nth e belo w liste dproperty . Th e propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfie dwit hth e restoratio no 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 nth e future , excludin g an y remainin g warrant y (3 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert y ID : ^cj q 2

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### Propert y Address : \< g Q 3 (_C > CuO i \ 

## i> v o^^aVx Afvj ^ (^ g no Owner ? \* \^ \^* x / ) Phone : i^r o ^ l ^f1 

### | —*^> T" ^ *^ > 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 . LJ I d o no t agre e restoratio n i s complete d



## 2-00 ?

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 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 123163000 0 PERSON S II I EUGEN E 180 3 LOCUS T S T OMAH A 6811 0
352 2 N 1 6 S T OMAH A N E 6811 0 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 Websit e Lin k 10-15-1 3
HAMILTO N SQUAR E 1 2 3 6 X 6 7 5/8

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R 1 23 1 63000 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 = 2 0 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 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 1862836 . Origina l Cal l Date : 8/10/0 7 Time : 11:3 7 amOp : CYNDIE1896 7 Wor k t o Begi n Date : 8/14/0 7 Time : 12:0 0 pm State : N E County : DOUGLAS Place : OMAH A Address : 180 3 Street : LOCUS T S T Twp : 15 NRng : 13 E Sect-Qtr : 10-NW-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Soi l Excavatio n - Lea d Remediatio 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 Wor k Bein g Don e For : EPA Dept h o f Excavation : 14Z " Corne r Lot : NFront : NRear : N 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 aContac t Phon e Numbe r Utilit y Typ e 

## Day : 402934046 9 CXCAT V CO X COMMUNICATIONS , 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 T EDWTN AAlt : 

### 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/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/10/200 7

### Pag e 2 o f 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 .. . 8/10/200 7Fin d Recor d dea n U p Quer y Lead Remainin g Quer yI Propert yDamag e Quer y Close

Owne rOccupied Residen t Name : Owne rName : (PRUDENT200 7 [PERSON S II I EUGEN E Propert yAddres s Group : Owne rAddres s 1 : j 180 3 LOCUS TST Zi p Code : Owne rAddress Z (6811 0 352 2 N 1 6 ST Residen t Phon e Qualifyin g Grou p City : State : Zi p Cod e |80 0 |OMAH A N E (6811 0 Assessmen t XR F Date : Owne rPhone : Alternat e Phone : Assessmen t Ma xXR F Valu e