### PROPERT Y SUMMAR Y Date : 09/27/2007 | Omah aLeadSit e Remedia l Actio n Contrac t #EP-R7-07-0 6 | Mont h of : Septembe r Propert y Address ; 501 1 S 1 8 S t A . EXECUTIV E SUMMAR Y A. I Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i n Octobe 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 G DATA/RESULTS : F 2 - 

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### Easemen t 9 5 @ Scrap e ATTACHMENT S 1 ) Propert y 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 n digita l vide o clip/photograph s 4 ) Post-Excavatio n digita 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 ) Propert y addres s vii ) Dat e iv ) BV1 D numbe r 7 ) Othe r item s t o b e include di n th e individua l propert y file , i f available , o r obtaine dinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit hth e propert y owner ) ii ) Excavatio n digita l vide o i n MPEG , 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 .
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### TECHNOLOGIES , INC .Name : PeA vJ TLi s h/><.* - Omah a Lead Site Address : $61 ) 6 / f t & Sit e Sketc h Phone : (oi l Tea m BVI D # Sampl e Numbe r Lea d Concentratio n pp m pp m pp m pp m 

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th e propeff f i n orde rt o conduc t Site Remedia l : ; V?ff v5 environmenta l samplin g an d to v.,-»9ww»w*/• remov e lead-contaminated soi l Prudent Technologies , Inc . (Prudent ) i s under contract wimm e U . S . Environmenta l Protection Agenc y (EPA) t o dea n u p lead-contaminatedsoils a t anumber o f propertie s locate din Omaha , Nebraska , MtrinAtgu M propert y legateda t £ O I I £I & < S f . Th e EPA request s your permissio n t o allow Prudent t

o perfor masoi l cleanu p a t mi s propert y t o remov e lead-contaminatedsoil . B y signing thi s form , the propert y owne r grant s permissio n t o Prudent t

o peifumi activitie s relatedt o the cleanu p ttiflniin g soi l mnpline , remova l of lead-contaminatedsoil , andrestoration of fee referenced rty . Afte r obtemm g the uwnei s signatur e o n mi s ronn , nuden t Technologies , Inc . will contact me rt

y owne r (andresidents ) withi n me next fe w weeks to coordinat e performanc e me work . If

yo n hav e an y question s about m e soi l cleanu p planne dfor your property , pleas e contact Prudent' s Administrativ e Cler k

fo r fh e Omah aLea dSit e cleanup , Ms . Cyndi e Bind s a t (402 ) 504-1004 . Genera l question s about the Omah aLea dSit e cleanu p ca n b e directe dt o the EP A Publi c Informatio n Centers a t (402 ) 731-304 5 (sout hOmah aoffice ) o r (402 ) 991-958 3 (aort n Omah aoffice ) Propert y Acces s Grante dBy: . Propert y Owne r Signature : \^T ^ \U ^iin€r
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## PROPI5RTYIWFORMATTO N (T o b e completedb y residen t and/or propert y owne r - pleas e print) REStOEHTMA« : 6 '1*6 IFRENTAL . PROPERT Y OWNE D BY : OWNER' S MAILIN GADDRESS ; jQl j O OWNER' S TELEPMOMEHUHBER-HOME : I \WORK : J L AGE O FHOME? : //J U YEARS . HO WLON GHAVE YO U LIVED HERE ? / 7 YEARS . HA S TH E EXTERIO RBEE N PAINTED O RCOVERED WITH SIDINGSINC E 1918 7 YE S X " ° NUMBE RO FOCCUPANT S UNDE R7 YEAR S OLD : 0 NUMBE RO FOCCUPANT S 7 YEAR S OLD AND OLDER] _ NUMBE RO FCHILDRE N UNDE R7 YEAR S OL D WH O PLA Y 0 TH E YARD FO R6 HOUR S O RMOR E PE RWEEK : O ENT S O RS0ECIA L USTRUCTIONS^f . DOGS . ENTR Y GATES . ETC 

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- thi s ^reementarepursuanttoS«lionl04ofCERCLA,42U.S.C . 9604 . EPA ' srigt aof acces s t o the propert y i s P(°\ C provide dfor in Sectio n 104(e ) o f CERCLA , 4 2 U.S . C 9605(6) , whic hi^wide s entr y for "detemining the needfor I response , or choosin g or takin g an y respons e actic n under thi s title , or otherwis e enforcin g the provifitan s o f the -^i -O l tiU9. " '

# EP A Propert y Clos e Ou t For m Property# : Propert y Address : SOI / Date/Time : s , Owner' s Name : Pa t Fif e Quad s Excavated : Contracto rGrou p Excavatio n Genera l 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 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 were excavated ? 3 .Doe s th e so dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte dat a3 0 day 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 h that wate r wil l no t poo l o n th 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 1 .D o gate s ope n an dclos e freely ? (I f applicable ) 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 ) 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) Foundation , Sidin g an dGutter s 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 ? 3 .

Wa s damag e t o window s avoided ? 4 .Wa s damag e t o windows o r door 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 ) 1 .Wa s damag e t o drivewa y surface s avoided ? 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 complet e includin g th e 30-day so dwarranty : EPA Representativ e Q^ , .jj ^ Date :„ Tota l Quad ; uar e Footag e t o b e Excavate d = 92 3 Tota l Dr i Linea rFootag e t o b e Excavate d = 0 PropertyClassification : 120 0

Concret e Excavate d Are a Existin g Structure Fenc e Permanen t Landscapin g Quadran t Boundar y Stree t Boundar y Tree/Shru b 

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Sout h 1 8 Stree t Nort h Arro w 

### Omah a Lea d Sit e Omaha , Nebrask a Propert y Numbe r OLS-4850 9 Scal e Property Addres s 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t 5011S18S T Pos t Excavatio n Concentration s (ppm ) 

# HG L F 1 B 2 RayAre a F 2 °\ ^

D Z Easemen t ° l ^ B 1 Garde n Othe r Descripto ro f pos t excavatio n areas ' F1 , fron t yard lad-han d quadrant : F2 . fron t ya m right-nan d quadrant , 6 1 backyard left-han d quadrant : B2 . backyar d right-han d quadrant : DZ , dri p zon e (1-3foo t are a of so l aroun d th e foundatio n of th e house) .(OLOGIES , INC . 

# SEP A Propert yCompletio n Agreemen t Thi s agreemen t document s th e completio n o f remova l 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 propert y 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 n question , now . o r a t an y tim e i n th e future , excludin g an y remainin g so dwarrant y (9 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert y ID : t j ^-C" ^ < ^ Propert y Address : < ^ / i ST
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# ^ ST . Owner : ' ii/_ ^ F ,- \^ ^ ^ Phone : AV l Restoratio n Item s i n Question :

Item : Item : Item : Item : 

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



### I I I agre e restoratio n i s completed , excep t a s note d above . I I I d o no t agre e restoratio n i s complete d 

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# <>EP A Propert yCompletio n Agreemen t Thi s agreemen t document s th e completio n o f remova l 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 propert y 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 n question , now , o r a t an y tim 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 f any . Propert yID : /L | < g < ^

Q 0 [ G C^ - V Propert yAddress : == 5 o \ \ \ *£ . <~\ 

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## ^n^f c- qntf- D Restoratio n Item s i n Question :

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### L H I agre e restoratio n i s completed , excep t a s note d above . L H I d o no t agre e restoratio n i s complete d

Oder' s Signatur e• • • Tota l Quadr^M)uar e Footag e to

be Excavate d = 92 3 Propert yClassification : 120 0 Tota l DripiiBf e Linea rFootag e to

be Excavate d = 0 /\

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### Legend 

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# Co-*** ' Excavate d Are a Extstin g Structur e Fenc e Permanent Landscapin g Quadran t Boundar y Street Boundar y Tree/Shru b Nort h Arro w Scal e 1 Inc h = 20 fee tor1 gri d = 5x5t t F1 . F2 B1 

# £ V vHG L Omah a Lea d Sit e Omaha . Nebrask a Propert yNumbe r OLS-4850 9 Propert yAddres s 501 1 S 18 ST Pos t Excavatio n Concentration s (ppm ) B2 Pla yAre a DZ Easement Garde n Othe r Dascripflo n of pos t mcavadcn areas : F1 . frcnt yar d left-han d quadrant ; F2 . (rant yar d rtght-han d quadran t B1 , backyar d ten-fun d quadrant ; B2 , backyan ) hgnMwn d quadrant DZ , drt> zen e (1- 3 toot are a ot

ed aroun d th e foundato n of th e house) .

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

# t 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 041384000 1 TUSHNE R PETE R J 501 1 S18S T OMAH A 6810 7
5018S18S T OMAH A N E 6810 7 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lot Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Websit e Lin k SOUT H OMAH A CITY LOT S 10 6 4 S 27. 7 F T LT 4

http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R04 1 384000 1 Disclaimer : Ma p an d parce l dat a are believe d t o b e accurate , bu t accuracyi s not 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 = 8 0 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 6/21/200 7

### Dougla s Count y Pag e 1 o f 1 

# t Dougla s County , Nebrask a PropertyRecord - R041384000 1 Informatio n i s vali d a s o f 2007-5- 9 Prin t Report Value s no t finalize d unti l afte rBoar d o f Equalizatio n Vie w o n Ma p 

### Owne r TUSHNE R PETE R J 5018S18S T OMAH A N E 68107-000 0 

### Property Informatio n Ke yNumber : j 1384000 1 0 4 Accoun t Type : \ Residentia l Parce l Number : \ 041384000 1 Parce l Address : ; 501 1 S 1 8 S T OMAH A N E 68 1 07-000 0 Lega l Description : \ SOUT H OMAH A CIT Y LOT S LO T 4 BLOC K10 6 S 27. 7 F T L T 4 

### Valu e Informatio n Lan d iImprovemen t ! Tota l



### . . 1 

### . - . 200 7 200 6 200 5 200 4 200 3 200 2 $1,000.0 0 $1,000.0 0 $1,000.0 0 $1,000.0 0 $1,000.0 0

$0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $1,000.0 0 $1,000.0 0 $1,000.0 0 $1,000.0 0 $1,000.0 0

$0.0 0 

### Sale s Informatio n Dat e '. Typ e Boo k Pag e Pric e Lan d Informatio n Acre s 0.0 8 I S F 3640. 0 FF 28. 0 Unit s 0. 0 Dept h 

### 130. 0 Widt h 28. 0 Vacan t Ye s 

### Lan d Attribute s Attribut e Attribut e Descriptio n 

### Improvemen t Informatio n

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R04 .. . 6/22/200 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 1836198 . Origina l Cal l Date : 7/09/0 7 Time : 3:2 1 p m Op : CYNDIE1896 7 Wor k t o Begi n Date : 7/11/0 7 Time : 3:4 5 p m State : N E County : DOUGLA S Place : OMAH A Address : 501. 1 Street : S 18T H S T Twp : 14 NRng : 13 E Sect-Qtr : 03-S W Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Lea d Soi l 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 Wor k Bein g Don e For : EP A Dept h o f Excavation : 13 " Corne r Lot : N Front : NRear : Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL 3 MC I MCLEODN E MUD0 2 OMAHACO F OPPDGPR 6 QLNNE1 F

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
LEVEL 3 LEVEL 3 COMMUNICATIONS , LL C N A 

### Day : 877366834 4 

## Alt : Emerg : 877366834 4 MC I MC I N O CAL L PE R MEM O 

### Day : 800289342 7 

## Alt : Emerg : 800289342 7
MCLEODN E MCLEODUS A N A 

### Day : 800289190 1 

## Alt : Emerg : 800289190 1 http://www.dhon.org/irthinternet7DHONNoticeCreation/MessageTexl.asp?ret-<RESULTS .. . 7/9/200 7

# t Pag e 2 o f 2

METROPOLITA N UTILITIE S 

### MUD0 2 EDWIN A DISTRIC T

OMAHACO FCITYOFOMAHA-TRAFFIC,SEWE RRO N

OPPDGPR 6 OMAH A PUBLI C POWE RDISTRIC T N A
QLNNE1 FQWES T LOCA LNETWOR K N A 

### Day : 402504782 3 Alt : 

### Emerg : 402504794 6 Day : 402444719 7 Alt : 402444516 1 Emerg : 402444516 0 Day : 406728934 3 

### Alt : Emerg : 888728934 3 Day : 406728934 3 

## Alt : Emerg : 888728934 3

http://www.dhon.org/irthinternet/DHOlMNoticeCreation/MessageText.asp?ret=<RESULTS .. . 7/9/200 7! m d Record Clea n U p Quer y Lea d Remainin g Quer yPropert yDamag e Quer yClos e 

### Sampl e Area : 4850 9 - 501 1 S 1 8 S T Owner : Resident : Contract : i_

j Owne rOccupie d Residen t Name : j j Contractor : Owne rName : (VACAN T LO T | • |PRUDENT200 7 

## ITUSHNE R PETE R PropertyAddress : Group : Owne rAddressl : 

### i[501151 8 S T ; Zi p Code : Assessment : Owne rAddress2 : ! (68107 

### i J501 8 S 1 8 ST i Residen t Phon e Qualifyin g Grou p City : State : Zi p Code : 

### | 

### (1200 JOMAH A 

## IN E 

## ^ 6810 7 

## " ; Assessmen t XR F Date : Owne rPhone : Alternat e Phone : I \ i j Assessmen t Ma xXR F Value :