### PROPERT Y SUMMARY | Date : 08/23/200 7 | Omah aLea dSite Remedia l Actio n Contrac t #EP-R7-07-0 6 | Mont hof : Augus t | Propert y Address : 4124 N 2 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 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 Information : CONFIRMATIO N SAMPLIN G DATA/RESULTS : E l - 13 4 @ Scrap e Fl-133@6 " F2
- 17 4 @ 10 " Dl-314@10 " ATTACHMENT S 1) Property sketc hprovide dby EPA pursuan t to 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 ) Property addres s vii ) Date iv ) BVI 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 satisfactory restoratio n iv ) Descriptio n o f area s no t meetin g Interi mRO D cleanu p criteria .

„ 4028435 5 Super-fun d



### TECHNOLOGIES , INC ,- - Tota l QuadranTCquare Footag e t o b e Excavate d = 43 4 Propert yClassification : 80 0 Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 14 4 I 1 i \ '. i 

## 1 Alle y { i ; i j ! i 

## j t i I ^ •V ~ ; j 1 . H . - . . ' i ! ; '-'" > ^V ^ :^.>;^..i-| ^ * : -'•'? • 

### *^:: ­ i 

### ^.; : 

### 1: . 

## _ -'p : fe^ i ." V '. ? i

. !
4 1 1 ~ 1 i ( 1 j I i 4 /

f\ S S r? S^ S j I Z T / \ 

### / 4 C D -i 

### i / t~ ~ 

### / / I I-4 H 'T ' / i 0 i / ' | ( 1 

## > i / / / U 

### z —

1 15 - 2 8 >p m ( /

^ -1 1 —\ / I / / 1 . i

! 

# H /

_

/ — 

# - h ^ ^ . ;

' / H /

_ y/ 

# y s f ( f ^
<

^ !S / 

# /* 

# ^ / / j£ S 4 , / / 

# 'A & /

/ /2 3 8sq.fl ' 7 ,*,. ; ' ' /,pp m • ^ 

## / 

# i jl p 

# V \ ffi, </ !r*^ 7 

## /

. . • ': T : X-"V' : L * •*••'• ' V-i' f 

### •'f; > >yi f x ! " . >> . 

# '^-.i^ ; :'"; • 

# y L^ji"'-' ^ • i V :^ ' 

## ;

/ \ 

# I °* > 

# ^ N 

## drt h -2 8 S t 

## rei t 

# i Legen d Nort h Arro w 

### Omah a Lead Site 'oncret e Lii-'-'a.-.: ! * - Omaha , Nebraska 

## IZZ 

## E jccavate d Are a ^^- z PropertyNumbe r listin g Structure OLS - 3383 0 Scal e enc e Propert yAddres s 1 1nch = 2 0 fee t o r1 gri d = 5 x5 f t 412 4 N 2 8 S T [*£>$ ) F 'ermanen t Landscapin g CQuadran t Boundar y Pos t Excavatio n C o icentratio n s (ppm ) F 1 a Stree t Boundar y 5 \S5 / ? ^ H% 3 

# L B2 PlayAr e \ -JSJii. ^

— HydroGeoLo i ic . In c F2 D 2 Easem e i t 

# O i "ree/Shru b Xr W B 1 Garde n Oth e s r Descriptio n of pos t excavatio n areas : F1 . fron t yar d left-han d quadrant : F 2 fron t yar d right-han d quadrant : 61 , backyard left-han d quadrant ; B2 . backyar d right-han d quadrant : DZ , dri p zon e (1- 3 foo t are a o f soi l aroun d th e foundatio n o f th e house) .

# ~Tota l Quadrant-Squar e Footag e t o b e Excavate d = 43 4 £fgpert yClassification : 80 0 Tota l Dri o Zon e Linea rFootaa e to b e Excavate d = 144 I 1 i ! : j 1 I i i 1 ! 

## A l 

## le y ! i I { 

# ! i 

# ! • f 

## i ; 

## i j 

## i i i ' l ' i 

# '- • :; i i KH-'T:" : F:T

i vi :^ i : « P 

### %M 

# h $fe $ | | 

# m %*fe 

# M B j iUi i ! 

# m ifJaM-.": ­ ft : ' i S = * ^g f i $ & >*:!&* * 

# P Pii

s i K^ V : ^ fit Ii£i^S£ : 'P "' i : 

# s i i < j i i

. 

### i 

### r o I 7 

### & / ^

/

SO^LCZ L ¥ ^ < 

### o " /

' / 

### - i 7 | CO / 

### li 1- ^ i ~ " / 1 C D / j ^ i < D / / | 

# i r" -- D L / . 

# i f 52 8 pp m " 1 / s 

# • . . -1. . I / f j f 

# ; '

1 i> 

# i

1 1

- - - , — i 

# / i S

' J rS S ::>4 / / '!Z^' / o ' // , 

### /; t 

# /s ' r7 / /••/s i S A J < X 

# / 4 r * >

^F< - & ' 

# v< P I 

# \ .W

# *• * /23 8 s q ft ' '. £ 19 1 pp r nj^ s < / r 7 / K> ;

4 < « 

### , | s 

# / y \ <- & -::_>>: > fSv.I c **:'= ? ^v i 

### £# 3 :-:s'r f p . ; , - •-• Jy£*y J|? S /P ? - W ••if"' * *•;*;>•« 4 $ .£ * 

# m Sifc i 

# N ! ^ ^ 

## |f i 

# ^ N



## firt h ? f •S i res t 

# ^ Nort h Arro w 

### Omah a Lead Site $K$j \ Concret e Omaha , Nebrask a t^y ^

Excavate d Are a ^^* z Propert yNumbe r ! I Existin g Structur e OLS- 3383 0 Scal e • — « — » Fenc e Propert yAddres s 1 1nc h = 2 0 fee t o r1 gri d = 5x 5 ft 412 4 N 2 8 S T bQt yPermanen t Landscapin g

——— Quadran t Boundar y o^"S . Pos t Excavatio n Con o antratio n s (ppm ) Stree t Boundar y 

# H G L F 1 B 2 Pla yAre a HydroGeoLo g ic , In c 

# 1^ 1 T 

# 1 F 2 DZ Easeme r t O Tree/Shru b 

# V« x B 1 Garde n Oth e r Descriptio n o f pent excavatio n areas : F1 . front yar d ten-han d quadrant ; F2 , front yar d rtgM-han d quadrant 81 , backyan t left-han d quadrant ; Si . backyan l right-han d quadrant ; OZ , dri p zon e (1- 3 foo t are a o f sod aroun d th e foundatio n o f th e house) .

## J383 0 Owne rName : EDWAR D PAT E A d d ress : 41_24_N_28_S T Phone : H : 402-453-689 9 Sampl e Numbe r RYASCPXA-3383 0 F 1 RYBSCPXA-3383 0 F 2 RYCSCPXA-3383 0 B 1 RYDSCPXA-3383 0 B 2 RDZSCPXA-3383 0 DZ . 

# ENTERE D Omah a Lea d Sit e Sit e Sketc h W : Lea d Concentratio n Sampl e Collecte d LA B \ pp m D pp m pp m D _2 i PP m PP m pp m Numbe ro f Sample s = !


# H3 "

\A >

• \ Exterio rPain t Nort h Arro w Goo d Not pain t

Sample s Collecte d Firm : Date : Time : Sample s Analyze d XRFUnit : ^ \ \

Book : ] $ Date : 

# ,-M-f t Time : Staff :



### *< •

Omah aLea dSit e 4613 0tV 

### v•••• •'°-/ ^

Agree m JPt o allo w acces s to 

## Omah a Lea d // jj$ & \ th e propert y

in orde r to conduc t Sit e Remedia l \ v ???*/' ; 

## ;- environmenta l samplin g an d to Actio n Vvfovfctaf r^ remove lead-contaminate d soi l Prudent Technologies , Lie . (Prudent ) is under contrac t wit h the U. S. Environmenta l Protectio n Agenc y (EPA) to dean up lead-contaminate dsou s at anumber ofprppertieslocflte d in Omaha , Nebraska , including th e propert y locate d at "M- | 3i \ UV c-£ L S^ ~ . . Ih e EPA request s your permissio n to allo w Prudent to performasoi l cleanupat mi s propert y

to remov e lead-contaminate dsoil , By signing thi s form , th e propert y owne r grant s permissio n to Prudent to performactivitie s relate d to th e cleanup including soi l sampling , remova l of lead-contaminate dsoil , an drestoratio n of the reference d property . Afte r obtaining the owner' s signatur e

on thi s form , Prudent Technologies , Inc . will contac t the propert y owne r (andresidents ) withi n the next fe w weeks to coordinat e performanc e the work . If

yo u hav e any question s abou t th e soi l cleanup planne dfor your property , pleas e contac t Prudent' s Administrativ e Cler k

for the Omah aLeadSit e cleanup , Ms . Cyndi e Hind sat (402 ) 504-1004 . Genera l question s abou t the Omah aLeadSit e cleanup ca n

be directe d to the EPA Publi c Informatio n Center s at (402 ) 731-304 5 (sout hOmah aoffice )or (402 ) 991-958X(nortf aOmah aoffice) . Propert y Acces s Grante dBv: y 

# EL Propert y Owne r Signature : X
PROPERT Y INFORMATIO N 

### (T obe completed by residen t and/or property owne r - pleas e print) RESIDEN T NAME : V 

### a< - fu.-f - 

## O ne rr~7 1te r 1 RESIDEN T ADDRESS : S&= ? 

### Ul,2, M t\ ] 

# o* ^( - fc K IF RENTAL . PROPERT Y OWNE D BY : C d tO>Cure ! PcL&( ? OWNER' S HAILIN G ADDRESS ; U) }^

_ f\ ] Ilj g Sf r Qy ^ <5>Ux xK> « C f I /' OWNER S TELEPHON E NUMBE R -HOME : i l\t\ h &"^ ~ H ^ £ IwQRK : ( } _ AG E OF HOME? : \ 5t ) YEARS . HO W LON G HAV E YO U LIVE D HERE ? \ 0 YEARS . HAS TH E EXTERIO R BEE N PAINTE D OR COVERE D WITH SIDIN G SINC E 1978 ? YE S NUMBE R OF OCCUPANTS UNDE R 7 YEAR S OLD : T) NUMBE R OF OCCUPANT S 7 YEAR S OL D AN D OLDE R |_ NUMBE R OF CHILDRE N UNDE R 7 YEAR S OL D WH O PLA Y

IN TH E YAR D FO R S HOUR SOR MOR E PE R WEEK : Q o COMMENT SOR SPECIA L INSTRUCTIONS : fl.E . DOGS . ENTR Y GATES . ETC. ) A Ofi JL, ? r*\LJ<*>W V > A 

## v l

l 

## af fd



## An n



## \

\ 

## P $ R 

## C * 09 * s. e o> U« » 

## /«ttVJ AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s tobe implemente d by EPA under thi s agre€mffltarepiffsaartttcS^DTil04csfCERCLA,42U.S.C . 9<504 . EPA ' srigstc f acces sto theprqsst y

is provide dfor in Sectioni04(e)o f CERCLA,42U.5 . C$60S(e),whidi provide s entr y for "determining th e needfor response , or choosin gor takin g an y respons e actio n under thi s title , or otherwis e enforcin g the provision sof the title. "

# SEP A EP A Propert y Clos e Ou t Propert y # : 3383 O Propert y Address : y/ 5 y ^ S9 ^ s ^ ef /
- Date/Time : fiua.S i Owner' s Name : £e>t^nt, 0 & , /< Quad s Excavated : , Contracto r Grou p Pruden t Technologie s Excavatio n Genera l 

### Ye s 

### N o 1 .

I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

### i / 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 

### N o 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 wer e 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 da y tim e period ) 

### i ^ 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 n th e property ? 

### tS 7 . Wa s damag e t o landscapin g o r plan t material s avoided ? 

# tr Gates , Fence s an dRetainin g Wall s 

### Ye s 

### N o 1 .

D o gate s ope n an dclos e freely ? (I f applicable ) 

### t / 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 

### 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 n avoided ? L / 3 .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 ? ^ Sidewalk s an dDriveway s (Concrete ) 

### Ye s 

### N o 1 .

Wa s damag e t o drivewa y surface s avoided ? 

### { / 2 .

Wa s damag e t o walkway surface s avoided ? 

### I /

### Owner s comments :

Inspectio n notes :

Removal an drestoratio n activate s complete includin g th e 30-day so dwarranty : EPA Representativ e ,&,„ . ,>g ^ Date :



## ——Tota l Quad i 

## ^ i^B quar e Footag e t o b e E x Zer o 

## A l e y

^- _ 

# TOME.^ 

# ^ m —•*-i>^^^^ ^

i •;V \ v-yv VK >
' ' '.-. ' K <- ; r-*-' 1

. . I 1 '::.^r< i 

# 7/1 ? 0 ? 

# ^ v V < £*: • 

### '• ; s'. V '"v« : ," i ,'.!* : • ' i ; ; ^ ; v- « 

## y; : 

## ^ a •"

•" 

### N
< «
4 1 1 ( 1 CO / ' X V 

## •7 ^ 

## ^-7 " •? • S 4 03 4 / C D / ? CO / S - jr ­ / / f C D / / 

### / f / s 

### * •- — - 1 7 

### h e s 

# «/ ] 

# ^ f 

# ,/ Y ' t 

### ) / 

# $ 5 / c ' ( 

# a A> \ • \ 

### >

^ ^t : — ! / S J \/ \ ) I f 

### ; 

# f ^ s s \ ) W (C 

### ? G D ' 1 r /* : ; >' ? / s j (

&-2- S 

# a

~ / r xF 1 / 

### X A&- 4 

### A_

. • » 

# ft '6 '& 

# j ^ lee'i q tt 7 

## 3 6 

# 4 >

—— • \r<2 f ' ( \ 

# w ( 

# / ^ K 

### l 

# \ ^ < (« 

# & R fl > &.•!': ! 

## X // , P 

# 1 **- # 

### ^ 

# / \ ;::;.• ; ir' i >..-l:: : :-; ' '& R 

# ^ v& i $$!*& 

## ~ M

# ^ ® : tS ^ 

## !• * 

## Sp^ i rSf e ^ 

# i^ w ^ v

\( * 

# 4' ^ op t 

# \ ^«* 

# j x / / X 

## ^ N ort h -2 € 

## -S I re e 

## • t Legen d Nort h Arro w 

### Omah a Lead Site c k>ncrete Omaha , Nebraska 

## £ 2 E xcavate d Are a Propert yNumbe r [ | E justin g Structur e OLS - 3383 0 Scal e ence Propert yAddres s 1 Inch = 2 0 fee t o r1 gri d = 5 x5 f t 412 4 N 2 8 S T F 'ermanen t Landscapin g S 3 C iuadrarr t Boundar y Post Excavatio n Con o sntration ! 5 (ppm ) Street Boundar y 

# s^rV ? vHG L F 1 B 2 Pla yAr e a \ -i-^J/ V J f TM HyrlmGpn l ngir , In r F 2 D Z Easeme r t 

# O i free/Shru b ^" w " B 1 Garde n Oth e r Descriptio n o rpos t excavatio n areas : F1 . front yar d ten-Han d quadrant ; F2 , fron t yar d right-han d quadrant ; B1 . backyar d lefUnn d quadrant ; B2 , backyar d right-han d quadrant DZ . dri p zon e (1- 3 foo t are a o f so l aroun d th e foundatio n o f th e house) .

# r N. I 

# W^a c KM dra^P^u I Quadra^p^uare Footag e tobe Excavate d = 43 4 Propert yClassification : 0 Tota l Dri p Zon e Linea rFootag e to

be Excavate d = 14 4 • 80

800 ' '1—



## il Concrete 

### Omah a Lead Site Omaha , Nebrask a 

## 23 Excavate d Are a Propert yNumbe r 

# a Existin g Structur e Scal e OLS - 3383 0

•—•— • [*£xy i Fenc e Permanent Landscapin g 1 Inch =2 0 fee t or1 gri d = 5x5f t Propert y Address 4124N28S T

—Quadran t Boundar y Street Boundar y 

# HGf L HynroGenl.rtgir , In r F1 . F2 Post Excavatio n Concentration s (ppm ) 82 Pla yAre a DZ Easemen t O Tree/Shru b B1 Garde n Othe r Descrtplo nof pos t excavatio n areas : F1 , fron t yar d left-han d quadrant F2 , fron t yar d right-han d quadrant ; B1 . backyar d left-han d quadrant B2 , backyar d right-han d quadran t DZ . dn > zon e (1- 3 toot are a of so t aroun d th e foundatio nof th e house) .

## PropertyCompletio 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 dwithth 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 y ID : 2 » -2g > ^ f t Propert y Address : JL//^}t J t /

s \(TV^

—^.~T ~ N < 

### s-4 6 O/ - 

### Owner : /^ST/ / ;/>irs / ffifr r 

### /~i* > Phone : x ?< % ^ £- / 5?%~ 7 Restoratio n Item s i n Question :

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

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

Owner' s Signatur e Dat e

### Ma p Outpu t Pag e 1 o f 1 ArclM S HTM L Viewe rMa p

Capfli& t (C > Dougt e Oaat a Toctrrtqg yCanraafiof i 2000-2007 . 

### Legen d j"- 1 KJgfcEghte d I I Parce l ^A

/ Stree t

Blac k ari d Wh« e Aerial s



### http://webarc.co.douglas.ne.us/servlet/com.esri.esrimap.Esrimap?ServiceName=TestAerial .. . 5/20/200 7

# or /VYvO- A UJgL o rifef - par v 

# ^ 7-.A/m. ,

### Sampl e Area : 3383 0 - 412 4 N 2 8 S T Owner : D Owne rOccupie d Owne rName : 

## IPAT E EDWAR D Owne rAddres s 1 : Owne rAddressZ : (411 2 N 2 8 S T City : State : Zi p Code : OMAH A|N E |6811 1 Owne rPhone : Alternat e Phone : |(402 ) 453-689 9 | 

### Resident : Residen t Name : PAT E MICHAE L Propert yAddress : 412 4 N 2 8 S T Zi p Code : J6811 1 Residen t Phon e 

### ] 

### Contract : Contractor : JPRUDENT200 7 Group : 

### i Assessment : Qualifyin g Grou p J80 0 Assessmen t XR F Date : 

### 1 Assessmen t Ma xXR F Value : | 890. 7

### Propert y Phot o Displa y Pag e 1 o f 1

Clos e Windo w



### http://webarc.co.douglas.ne.us/dcassessor/photodisplay.asp?PARCELNB=070979000 0 5/20/200 7