# { PROPERT Y SUMMAR Y Date : 12/12/2007 Omah aLea dSite Remedia l Actio n Contrac t #EP-R7-07-0 6 Montiiof : Decembe r

• . • • 

### Propert y Address : 281 6 HamUto n S t A . EXECUTIV E SUMMAR Y A. 1 Issue s Encoantered : A. 2 Issue s Resolved : A 3 Uniqu e Findings : A 4 Othe r Relevan t Information : Are aaroun dsmal l bus h acces s denie d9 9 @ scrap e CONFIRMATIO N SAMPLIN G DATA/RESULTS : B l - 6 1 @ 6 " E l -18 5 @ Scrap e F2-202@6' ' ATTACHMEN T 1 ) Propert y sketc h provide db y EP A pursuan t t o contrac t specification s 2 ) SignedAcces s Agreemen t including 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 ) EkKumentatio n - CompletedClose-out Checklis t 6 ) As-Built sketch
i ) Shall includ e fina l lea dlevel s v ) Legen d ii ) Contaminatio n lef t behin darea s vi ) Contractor 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 n th e individua l propert y file , if available , or obtaine dinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit h th 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 h Player ) forma t and/o r photograph s iii ) Signedfor mverifying satisfactor y restoration iv ) Descriptio n ofarea s no t meeting InterimRO D cleanu p criteria . 

# 7 v 4029334 9 __ . TECHNOLOGIES , INC . Superfun d

# ii i 2SG3 3 Name : tAoket. n .'X/\dffi^'^'^'1tf i Address : Aa^^/>V*f-«>04/5 / Omah a Lea d Sit e Sit e Sitetc h Date : Time : 9/^s/a r

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: ^ ^ Nort h Arro w j Phone : Tea m /7SK J X * ^^ ^ BV1D # DS'S'J' ^

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### A^HBhtt o allowacces s t o Omah a Lea d i:A> v 

### ttie property in orde rt o conduc t Sit e Remedia l ry t * 

### environmenta l samplin g an d t o Actio n remov e lead-contaminate d sol i Fhiden t Tedmologies , la c (IVudea ^ i s unde r coatrac t vn h di e U . 5 . Envtronmoita l Brotectiof l Agenc y (EPA ) t o dea n i ^ lead-contaminate dsoil s a t anunbe r o f propertiesJocBte di n Otaa^a , Nebraska , includin g di e propert y locate da t '2L^ I f p "ffAM-jCtd^^T^ . Th e EP A request s you r permissio n t o allo w Ruden t t o perfor masoi l cleam ^ at thi s properly to remov e lead-contaminate dsoi l B y signin g fliis fbnu , th e propert y owne r grant s penuissio n to Budentt o perfor mactivitie s relate d to flie cleanu p includin g soi l sanqiling , remova l o f lead-contaminate dsoil , an drestoratio n o f b e reference d property . Afte r obtainin g th e owner' s signatur e o n fiiis fbnu , Ruden t Technobgies , Lie . wil l contac t flie propert y owne r (an dresidents ) withi n th e nex t fe w wed u t o coordinat e performanc e file work . Ifyo u hav e any question s abou t flie soi l cleanu p planne dfo r you r property , pleas e contac t Rudent' s Administrativ e Cleri t for fiie Omah aLea dSit e cleanup , Ms . Cjndi e Bind s a t (402 ) 504-1004 . Genera l question s abou t fiie Om^ aLea dSit e cleam ^ ca n b e directe dto file EP A Fbbli c Informatio n Center s at (402 ) 731-304 5 (soufi i Omah aoffice ) o r (402 ) 991-958 3 (norfi i Gtaiah aoffice) . Propert y Acces s Grants d By : T^fTltirML O M 6 6 ^

S^J- ^ f o fi^ /K ? O^^CoJR/iiglVC ^ ^1»B B PiintNain* ) IVoperty Owne r Signature : 

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o b e coo^lete db j resido t and/o r propert y omie r - pleas e print ) RESBJENTNAHE : /// ^ gSwne rQente r RESDEN T ADDRESS : 

# y ^ ^ F R E NTAL . PROPERT Y OWNE D BY : /// ^ OWN E R- S HALM G ADDRESS : 

# //y/. ^ ^icJ^o/l Y ^ ^ OWNER' S I E LfPHON E NUUBER-HOME : ytJ^ j Zj3^'^^6^ ^

WORK : J L _ AGEOFHOUET : NIftY^M& . HOWLOH G HAV E YO U LIVE D HERE ? A^Sg-YEARS . HA S TH E EXTERU R BEE N PAWTE D O R COVERE D WIT H SIDB46 SMC E t978 7 /U/p T /J/JS y NUMBE R O F OCCUPANT S UNDER ? YEAR S OLD : A^/I^StKO ? OCCUPANT S 7 YEAR S OLD AN D OLDE R fO/J ^ NUBBER0FCHILDRENUNDER7YEARS0LDWH0PLAYWTH E YAR D F0R 5 HOUR S ORIBOREPERWEEK : yA//^H i COMMENT S O R SPECIA L WSTRUCTWMS : (IE . DOGS.ENTR Y GATES.ETC^ \JA-C^A'7^/7 ^ (JL-J^KJ/ ^ AUTHORIT Y PO RENVIRONMENTA L RESPONS E ACTIONS : Th e activitie s t o b e inqjiemente db y EPA unda
- thi s agreemen t ar e pursuan t t o Sedic B 10 4 o f CERCLA , 4 2 U.S.C . 9fiC4 . SPA'sri^o f acces s t c th e piqsert y i s providedfor i n S ection 104<e ) o f CStCLA , 4 2 U . 5 . C y6o5(e) , whid i pnwide s entiy tor " detaminin g th e nee d tor response , c r dunsin g o r takin g an y respcsise adio i unde r thi s title , c r cAhenvis e enfcnnn g th e provision s o f th e titla "^JjLayji ^ i^^^f f 

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# ^ ENTERE D 2SG3 3 Name : HAode-tr i Tyi.^i/c4-.«t^< ; Ontah a Lea d Sit e Date : ^//y/gj - Nort h Arro w Address : A a •^• ^

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Propert y # : ^ SSJ; 3 Date/Time : tl/a.fJo n Quad s Excavated : ^ ^ Excavatio n Genera l 

# EP A Propert y Clos e Ou t Propert y Address : tSI £ Hntnitroti Owner' s Name : Btuntte o MoRei.c o Contracto r Grou p Pruden t Technologie s Ye s No 1 .

If necessary , wer e th e correc t quadrant(s ) excavate dandrestored ? 

# y 2 .

If necessary , wer e th e correc t area s of drip zone excavatedandrestored ? 

### • Gradin g So dan dVegetatio n Ye s No 1 .

Doe s th e grading aroun dth e perimete r of th e hous e in excavate darea s generall y slop e awa y fromth e house ? 

# X 2 .

Ha s so dbeen lai di n al l area s tha t wer e excavated ? 

# X 3 .

Doe s th e so dappea r t o b e generall y health y andgrowing ? (Onl y evaluat e i f inspecteda t a3 0 da

y tim e period) 

# y 4 .

Ar e soddedarea s generall y fir mandevenl y graded ? 

# y 5 .Ar e th e joint s betwee n th e so dstrip s generall y tight ? (Onl y evaluat e i

f inspecteda t a3 0 da y tim e period ) 

# X 6 .

Was th e propert y gradedsuc h tha t wate r will no t poo l o n th e property ? 

### X 7 .

Wa s damag e t o landscaping o r plan t material s avoided ? 

## X Gates , Fence s an dRetainin g Wal b Ye s N o 1 .D o gate s ope n andclos e freely? (If applicable ) 

# y 2 .

Wer e all gate s o r fence s taken dow n durin g restoratio n activitie s reinstalled ? (If applicable ) 

# y 3 .

Wa s damag e t o gate s o r fence s avoided ? (If applicable ) 

# y 4 .

Wa s damage to retaining wall s avoided ? (If applicable ) 

# y Foundation , Sidin g an dGutter s Ye s No 1 . Was damage t o th e siding o r trimavoided ? 

### y 2 .

Wa s damag e to th e foundation avoided ? 

# y 3 .

Was damag e t o window s avoided ? >/ " 4 .Wa s damag e to window s o r doo r screen s avoided ? 

# y 5 .Wa s damag e to downspouts o r downspou t extension s avoided ? 

# y 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 ? Ye s No / 

# V• • 

### Owner s comments :

Inspectio n notes :

Remova l an drestoratio n activate s complet e includin g th e 30-da y so dwarranty : EP A Representativ e Pu n JSSHIS ^ 

### Date : n/zt/o 7

# %IBV ^ Propert y Completio n Agreemen t Thi s agreemen t document s th e completio n o f remova l activitie s performedon th e belo w liste dproperty . The propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfiedwit h th e restoratio n o f th e subjec t property , andtha t n o item s ar e i n question , now , or a

t an y time i n th e fiiture , excludin g an y remainin g warrant y (3 0 day s total ) excep t thos e item s liste dbelow , if any . Propert y D) : 255-5- 5 Propert y Address : ^y/ g ^^ ^ lt.Tcr > O^^*- ' Bc^n^^o^ , o e eio i 

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### "/o^-si^-ssa o Restoratio n item s i n Question :

Hem : 

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

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



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### Owner' s Signatur e Dat e• • ENVIRONMENTA L & CONSTRUCTIO N TECHNOLOGIES , INC . SOLUTION S 

# Propert y Contac t Attempt s Propert y ID : ^ S 5 3 3 Propert y Address : ^<R\C . <Wni.r.Jjr»a>^ . ^ . Owne r Name : <gk , ^^^y a>J: ^ —-yrvAJv o yLs— OwnerPhone : ^oa i - 3*^31-0.^5^ 0 

# Belo w pleas e find alistin g o f unsuccessfu l attempt s t o reac h th e abov e propert y owner . Dat e Tim e Initial s Resul t 

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# 7 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 , Nebrasl o 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

### Prin t Previe w Pag e 1 of 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 221373000 0 MOBEC O INDUSTRIE S 281 6 HAMILTO N S T OMAH A 6813 1 1141 3 HICKOR Y R D OMAH A N E 6814 4 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lo t Lega l 1 Lega l 2 Legal 3 Lega l 4 Assesso r Websit e Lin k 16-15-1 3
SHINNS3RDAD D Z E55W175FTSW1/ 4 55X13 5
http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R221373000 0 Disclaimer . Ma p an d parce l dat a ar e believe d t o b e accurate , bu t accuracy i 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 = 4 0 fee t appraisal , survey , o rfo rzonin g verification .

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### http://A\ww.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 8/1/200 7

### Prin t Preview Pag e 1 of 1 

# • t e 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 221373000 0 MOBEC O INDUSTRIE S 281 6 HAMILTO N S T OMAH A 6813 1 1141 3 HICKOR Y R D OMAH A N E 6814 4 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lo t Lega l 1 Lega l 2 Legal 3 Lega l 4 Assesso r Websit e Lin k 16-15-1 3
SHINNS3RDAD D Z E55W175FTSW1/ 4 55X13 5

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R221373000 0 Disclaime rMa p an d parce l dat a ar e believe d t o b e accurate , bu t accuracy i 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 = 4 0 fee t appraisal , survey , o rfo rzonin g verification . 

### lli§l4iflfii2^2lilitPieview.aspx?PrintOptData=Dougla s County-.. . 8/1/200 7• • ENVIRONMENTA L & CONSTRUCTIO N TECHNOLOGIES , INC . SOLUTION S 

### Augus t 24,200 7 MOBEC O Industrie s 1141 3 Hickor y S t Omaha , N E 6814 4 RE : 281 6 Hamilto n S t BVID #2553 3 Dea r Sir : Than k

yo u fo r participatin g in the soil clea n u p project bein g implementedby th e U.S . Environmenta l Protectio n Agency (EPA) fo r di e OmahaLea dSite . Thi s clean-u p project i s bein g complete da t n o cos t t o th e homeowners . I n allowin g th e remediatio n o f you r propert y a t 281 6 Hamilto n Street

_you wil l hav e achieve da lea dsaf e environmen t fromth e exposur e of lea di n th e soi l fo r your femily or th e familie s of your tenant , i f th e propert y liste dabov e i s arenta l property . W e ar e askin g you t o sig n th e enclose ddocumen t stating that : b y m y signatur e on th e enclose d agreemen t form . I hereb y giv e permissio n t o employee s and/o r authorize drepresentative s o f Pruden t Technologies , Inc . (Prudent) , contracte db y the UnitedState s Environmenta l Protectio n Agency (EPA ) unde r Contract EP-R7-07-06 , t o ente r an d hav 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 which ar e necessar y t o implemen t th e clea n u p of lea d contaminatio n i n th e soil . Suc h action s wil l include : (1 ) Preparatio n fo r an d th e excavatio n o f contaminate dsoil fromm y property ; (2 ) Backfil l excavatedarea s wit h approvedclea n soil ; (3 ) Restor e gras s an dothe r vegetatio n or structure s a s clos e a s possibl e t o their pre-excavatio n state . Pleas e sign th e for mwher e indicate dan dretumi n th e pre-addresse dstampedenvelope , keepin g th e pin k

copy fo r you r record s o r pleas e contac t m e a t th e phone numbe r listedbelow , an dI wil l b e happy to mee t wit h yo u a t you r convenienc e t o discus s an y propert y issues . Also , pleas e remembe r tha t th e above propert y wil l b e liste di n th e EPA' s databas e a s well a s you r count y assessor' s office o f clea n propertie s upon completion . Shouldyou hav e an y questions , pleas e do no t hesitat e to contac t ou r office a t 250 5 N 24 * St , Suit e 308 , Omaha , N E 6811 0 o r 402-504-1004 . Than k

yo u again fo r your prompt attentio n in thi s matter . Sincerely , Cyndi e Hmd s Pruden t Technologies , Inc . OmahaLea dSit e Administrativ e Cler k

Tea mMembe r Enclosure s 808 0 War d Parkway , Suit e 40 5 250 5 N . 24 TM Street , Suit e 21 9 891 8 Tesor o Drive , Suit e 10 9 Kansa s City , iM O 6411 4 Omaha , Nebrask a Sa n Antonio , T X 7821 7 PItone : (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