### TRANSMITTA LO FOMAH A LEA D SIT E PAIN T STABILIZATIO N FIL EFOLDE R SAI D # : 9K\ln i Date : O K \TJI^ J 

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^ Address : Zl-Fi^ n P^Uan< \^ b LB PStabilizatio n Contractor : PRUDEN T TECHNOLOGIES , INC . Year : 200 9 PAIN T STABILIZATIO N PROPERT Y FIL EFOLDE RDOCUMENT S D Videoo f propert y (DVD) : Pre-Stabilizatio n & Post-Stabilizatio n Video s Q Executiv e Summary D SignedAcces s Agreemen t Form D Advanc e Notic e Form D Pre-Stabiiizatio n Video Agreement For m D Acces s Trackin g Form D Property Acces s Assessmen t Form D Neighbo r Acces s Agreement Form D Pain t Matc hForm D Pre-Stabilizatio n Property Safet y Assessmen t Form D Work-Site Hazard s Analysi s Checklis t D Photographs : Pre-Stabilizatio n Propert y Hazar dAssessmen t Photograph s D Dougla s Count y Assessor Propert y informatio n Q Property Completio n Agreement For mSignedb y Propert y Owne r D Property Close-Out Chec k Lis t SignedB y EP A Truden t Technologies , Inc . Signatur e f ' Dat e



# ____„__ _ Wv^ f CP A Signatur e ' ' Da't e 3005433 2 

# iunnni i Superfun dTEOINOLOGIES , IN C 

# Propert y Summar y Date ; 8/-/200 9 | LB PSTABILIZATIO N EPA CONTRAC T EP-R7-08-0 7 | Mont hof : Au g Propert y Address : 453 0 SewardSt . SAI D # : 8147 7
A .Ex|gcutive Summary ; a ^ Issue s Encountered ; NON E b . Issue s Resotyed : NON E 0 , Uniqu e Findings ; NON E d . Othe r Releyan t Information ; i . Acces s Date ; 7/29/2009 u . Wor k Began : 7/31/2009 iii . Close-Ou t Date ; 8/03/2009 B . Enj!|psures ; 1 . |<fre-StabiIization Vide o 2 . ' Fost-Stabilizatio n Vide o 3 . Signe dAcces s Agreemen t Form 4 . Adyance-Notic e Form 5 . Pre-Stabilizatio n Vide o Agreemen t Form 6 . Acces s Tracidn g Form 7 . Propert y Acces s Assessment Form 8 . Neighbo r Acces s Agreemen t Form 9 . I^ropert y Pain t Matc hForm 10 . Fre-Stabilizatio n Propert y Safet y Assessment Form 11 | Work-Site Hazard s Analysi s Checklis t 12 . Pre
- Stabilizatio n Propert y Hazar dAssessment Photograph s 13

^ |i|ougla s County Assessor Propert y Informatio n 14 . Signe dPropert y Completio n Agreement Form 15 , nropcrtj
- Cloa c Ou t Chec k Lis t Signe dB y EPA
­TBCHNOLOCIBS , IN C Pruden t Technologies , Inc . (Prudent ) i s unde r contract (Contract #EP-R7-08-07 ) wit hthe U . S . Environmenta l Protection Agenc y (EPA ) t

o stabilize J^^dBase ^ Pain t (LBP ) atamanbe r of propertie s locatedi n Omaha, Nebraska , includin g the propert y locate da t ^tSu ^KlAjf^fi O ^ Th e EP A requests you r permission to allow Pruden t t o perfor mLB PStabilization a t thi s property . B y signing thi s form, the propert y owne r grant s permission to Pruden t t

o perfor mactivitie s relatedt o LB PStabilization including scraping pain t an d painting of the referencedproperty . Further, the owner/tenan t verifie s tha t the y have receivedth e LB Ppamphle t "Renovat e Right. " By signing thi s documen t I agree to allow a n EP A contracto r to conduc t asoi l cleanu p a t m y propert y followin g completion of lead-basedpain t stabilization , i f the soi l cleanu p ha s not abead y bee n performed . I understan d tiiatthe stabilization contracto r canno t provid e assurance s o f whic hcontracto r wil l b e boun dt o th e soi l cleanup . I furthe r understandtha t the soil cleanu p contracto r wil l mak e al l reasonable efforts t o addres s concern s tha t I , as the propert y owner, ma y have regarding soi l cleanu p a t m y property . 

# 7/^ ^ 

# j^^" ) Dat e I f yo u have an y question s abou t the LB Pstabilization plannedfo r you r property , pleas e contact Prudent' s Custome r Relations/Office Manage r fo r the Lea dBase dPain t Stabilization , Mrs . Shanno n Holt , a t (402 ) 504-100 4 o r (402)812-0223 . Genera l question s abou t the Omah aLea dSit e cleanu p ca n be directedto the EP A Public Informatio n Centers a t (402 ) 731
­ 3045 (Sout hOmah aoffice ) o r (402) 991-958 3 (Nort hOmah aoffice) . Propert y Acces s GrantedBy :

r . (Pleas e Print,>tene ) Propert y Owne r Signature : (Signature) 

# ;/^ ^

/j^go ? (Date)

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , T X 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax:(816)363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7IN C PROPERT YINFORMATIO N (T o be complete dbyresiden t and/o rpropert yowne r— please print ) ^ ^ RESIDEN T NAME : Chr-ts^ft^^ OoQ ^ Owne r/Rente r/ 

# Ly RESIDEN TADDRES S SS : ^ ~ / / ^ /- \

IF RENTAL , PROPERT Y OWNE D BY : ^ .
OWNER' S MAILIN G ADDRESS ; ^
OWNER' S TELEPHON E NUMBE R - HOME : {'idiX. \ QJ ^ -^X^ l WORK : (Vg^ J ^£' J - X ^i~ ^ NUMBE R OF OCCUPANT S UNDE R 7 YEAR S OLD : O NUMBE R OF OCCUPANT S 7 YEAR S OL D AN D OLDER : 

## 3 NUMBE R OF CHILDRE N UNDE R 7 YEAR S OL D WHO M PLA Y IN TH E YAR D FO R 5 HOUR S OR MOR E PE R WEEK : 

## £L COMMENT S OR SPECIA L INSTRUCTIONS : (I.E . DOGS , ENTR YGATES , ETC. )

AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s to be implemente d by EP A unde r thi s agreemen t ar e pursuan t to Sectio n 104 of CERCLA, 42 U.S.C . 9604 . EPA' s right of

acces s to th e property is provide dfor in Sectio n 104(e ) of CERCLA , 42 U.S . C 9605(e) , whic hprovide s entry for "determinin g th e nee dfo r response , or choosin gor takin g any respons e actio n unde r thi s title , or otherwis e enforcin g th e provision s of th e title. "

8080 Ward Parkway , Suit e 40 5 2505 N. 24' " Street , Suit e 308 4242 Medica l Drive , Suit e 425 0 Kansas City , MO 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-3703 Fax : (816) 363-3707 Phone : (402)504-100 4 Fax : (402)504-100 5 Phone : (210)822-958 8 Fax : (210 ) 579-657 7TECHNaUX;iES»INC . 

# Advance dnotic e needed . After signin g th e acces s you allo w Pruden t t o begi n Lea dBase d Pain t Stabilization . Al l Plants , weed s an dan y vehicle s o r item s on ope n porc h(enclose dporche s wil l NO T b e stabilized ) mus t b e remove dprio r t o stabilization . Al l Pet s mus t b e ou t of yar ddurin g stabilization . Ho w muc hnotic e d o you nee dt o hav e abov e mentione dtask s completed ? I f yo u ar e alandlor dyo u wil l nee dt o contac t th e tenan t a s Pruden t Technologie s wil l onl y infor myou . D o you hav e an y pet s tha t resid e i n yard ? JV Q 

# Notic e needed : 

# 9^ 1 M^ ' Numbe r t o cal l t o giv e notice : Who mw e ar e givin g notic e to : Home Owner' s Signatur e

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7TECHNOLOGIBS> ] 

## PRE-STABILIZATIO N VIDE O FOR M I UNDERSTAN D THA T PRUDENT TECHNOLOGIE S WIL L BECOMIN G OUT TO SHOO T A PRE-STABILIZATIO N VIDE OAT MY PROPERTY . TH EVIDE O IS JUS T A TOO LUSED TO DOCUMENT TH ECURREN T PROPERT Y STATUS/CONDITION . A POS T VIDE O WIL LALS OBE SHO T PRIO R TO COMPLETIO N OFSTABILIZATION . 

# OWNERSNAME : Q^^^ J (^ ^^^ ^ PROPERT Y ADDRES S 

# '' H^3 o <^tvua4 BVID/SAID : 

# ?7y7 7 HOMEOWNER S SIGNATURE : PRUDENT REPRESENTATIV ESIGNATURE : AN Y CONDITION S NEED TOBEAWAR E OFBEFORESHOOTIN G VIDEO : (I.E . PETS , NOTIC ENEEDED) : 

# fJ6Al£ ^

808 0 War d Parkway , Suit e 40 5 250 5 N. 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , MO 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7TECHNCHJOGIES , IN C 

## ACCES S INFORMATIO N TRACKIN GSHEE T BVID : ^V7 7 PROPERTY ADDRESS : H^^ O ^eiOk m ^ T 

# Vm U fUsi 6 Propert y Owne dBy : (If ne w propert y owner )

Owners Phone No's : Home : Work : Cell : Fax : Acces s Contractor : AS WPD A MES P EOther (Prudent) DATE TIM E ACCESSO R CONRACTI)ETAI L 

# r-jaf'/) ^ ji'i^o m t 

# m 7 

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# ^ V / 4 Wg< r Comments :

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7TECHNOLOGIBS b IN C 

# Acces s Assessment Form : (Mus t b e complete dfo r every property . Informatio n mus t b e obtaine dfro mapropert y wal k thru , no t given b y owner )
I s th e propert y stucc o o r asbestos ?
I f

yes , i s an y o f th e stucc o o r asbesto s damage do r cracked ?
I f

yes , sto p a s w e can' t stabiliz e thi s property . I t require s specia l preparatio n techniques . I t wil l b e returne dt o EP A an dthe y wil l assig n a t alate r date . Doe s thi s propert y requir e lot s o f scrapping ?
Doe s thi s propert y requir e alif t o r scaffoldin g t o reac huppe r levels ?
Doe s thi s propert y hav e lot s o f plant s o r item s i n area s wher e paintin g i s required ? 

# /r < Doe s thi s propert y hav e an y significan t structura l damage ? 

# UON O I f

yes , EXPLAIN ?

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7TBCHNOLOCIES , IN C 

## Doe s thi s propert y hav e agarage ? 

# fe
I f

yes , describ e locatio n o f garage . Doe s thi s propert y hav e aluminu msiding ?
I f

yes , i s i t origina l factor y finis ho r ha s i t bee n painte dover ?
Doe s thi s propert y hav e an y othe r typ e o f structura l components ? (I.e . roo f shingle s a s siding) ?
I f

yes , EXPLAIN ?
I s thi s propert y vacan t o r <^cupie ( Ar e ther e an y pet s a t thi s property ?

# f U ^ Ar e ther e an y lo w hangin g powe r lines ?

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7TECHNOLOGIBS , IN C 

## NEIGHBORHOO D PROPERT Y ACCES S FOR M I S THER EA NEIGHBORIN GPROPERT Y THA T NEED S T O B EACCESSED ALONG WIT H ASSIGNED PROPERT Y T O COMPLET ESTABILIZATIO N PROCESS ? 

# N O I FI T IS , GE T ACCES S FRO M AL LREQUIRE D NEIGHBORHOO D PROPERTIES .

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone:(816)363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7TECHNOLOGIES , IN C 

## PAIN T MATCHIN GFORM : 1 . T O B EFILLE D OUT ONLY I FMATCHIN GCOLO R PROPERT Y ADDRESS : /^^^ Q ^ehfti ^ ^ 

# BVID : ?//7 7 I UNDERSTAN D SHERWIN WILLIAM S WIL LMATC H M Y CURRENT COLORS .



## 2 . T O B EFILLE D OUT ONLY I FCHANGIN GCOLO R PROPERT Y ADDRESS : BVID : AREA : 

## COLOR : EXPALNATION :



## AREA : COLOR : EXPANATION :

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , T X 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7-naCHNOLOGIES , IN C 

### PRE-STABILIZATIO N PROPERT Y SAFET Y ASSESSMEN T FOR M PROPERT Y ADDRES S 

# : ^'Sd b ^Bu m 

# 5 ^ BVID/SAID : "^j U "^ 1 PRUDENT ASSESSMENT REPERSENTATIV E

******I FSAFET Y RIS K PROPERT Y MUS T B E TURNE D OVE RT O KATH Y ROTHE RBEFOR E I T CA N B E ASSIGNE D T O A CREW/SUB . REPERSENTATIV EREMARKS/FINDINGS : (POWER-LINEPROXIMIT Y T O PROPERTY , SCAFFOLDING / LADDERS / LIFT S NEEDED , UNSAF EAREAS , UNSAF ENEIGHBORHOOD...ETC. ) 

# ( P
REQUIRE S K.ROTHE RAPPROVAL YES/N O SUBMITTED T O K.ROTHE RON :

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 30 8 424 2 Medica l Drive , Suit e 425 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , T X 7822 9 Phone:(816)363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7TECHNOLOGIES . IN C 

## Checklis t fo r th e Worksit e Hazar dAnalysi s Addres s 

# : 462> 6 JJQA^C ^ M - Crew : Date : Ite m OK ? Hazar d Correctiv e Actio n Overhea dLine s In-transi t Vehicl e Clearanc e V Level s aroun dhig hwire s 

# t^^-^ L Vehicl e Clearanc e aroun d hig hwire s whe n workin g Phon e line s Cabl e line s Ga s Lin e Wate r Lin e Sewe r Lin e Septi c Tan k Propane/Butan e Acces s to/o n Propert y VY\aXV \^4-^e© ^ 0]J ^ Neighbo r Acces s Require d 

## \ T , LP'^^ r Hig hTraffi c Are a t v o Garag e I A ^ AAJJ ) ^L^ ^



### O^y^-*- ^ Structure s OfroC^- g 

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## ; \ 3 "v\ A ^^"^ ^ Foundatio n 

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## _^M ^ Retainin g Wall s Fence s Tree s Foliag e 

### 7 ^ Genera l Conditio n o f yar d 

# ^^(^riti ^ c^AM^^iT^^g? ^ Damage dAreas : sin k '^/)C^rrf^dAae ^ "j^^^- ^ holes/rotte dwoo d • ^ ^ Sprinkle r Syste m Pet s Insect s 

### ^PAQAjCU^t7<li5Uje^ ^ — L»-W>^(yJH ^ <^(eu\£-^JL.~ ^ 

## fc:i*h^ Weathe r Condition s 

### ^Xc^r ^ -S&JH' ^ Unsaf e drivin g condition s / ^ Unsaf e neighborhoo d Cre w Foreman / Sub-Contracto r "et y Office r 

# mi[\/U
­ 808 0 \Afar dParkwa^/S u !40 5 250 5 N . 24* " Street , Suit e 30 8 ffedlcal Drive , Suit e 425 0 Kansa s City , M O M l 1 ^ Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax:(210)579-657 7

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# Curren t Sampl e Pre-Renovatio n For m Effectiv e unti l Apri l 2010 . Confirmatio n of Receip t of Lea d Pamphle t ^ 1 hav e receive d a copy of th e pamphlet , Renovate Right : Importan t Lea d Hazar d Informatio n fo rFamilies , Chil d Car e Provider s an d School s informin g me of th e potentia l ris k of th e lead hazar d exposur e fro m renovatio n activit yto be performe din mydwellin g unit . I receive d thi s pamphlet befor e th e wor k began . 7/^ ^

./r^^o ^ Signatur e

of recipien t Self-Certificatio n Optio n (fo rtenant-occupie d dwelling s only ) — If th e lea d pamphlet wa s delivere d bu t a tenan t signatur e wa s not obtainable , yo u ma ychec k th e appropriat e boxbelow . •Refusa l to sig n —I certif ythat I hav e mad e a goo d fait h effor tto delive rth e pamphlet , Renovate Right : Importan t Lea d Hazar d Informatio n fo rFamilies , Chil d Car e Provider s an d Schools , to th e renta l dwellin g uni t liste d below at th e dat e an d tim e indicate d an d that th e occupan t refuse d to sig n th e confirmatio n of receipt . I furthe rcertif ythat I hav e lef t a copy of th e pamphlet at th e uni t wit h th e occupant . U Unavailabl e fo rsignatur e — I certif ythat I hav e mad e a goo d fait h effor tto delive rth e pamphlet , Renovate Right : Importan t Lea d Hazar d Informatio n fo r Families , Chil d Car e provider s an d Schools , to th e renta l dwellin g uni t liste d belowan d that th e occupan t wa s unavailabl e to sig n th e confirmatio n of receipt , rcertif ythat I hav e lef t a cop y of th e pamphlet at th e uni t byslidin git 1 furthe

furthe rcertit ythat 1 nav e let t und^ftn e door ^ Attempte d deliver y dat e an d tim e lead pamphlet deliver y Signatur e

of perso wcertifyin g lead pamphlet deliver y 

# •

~f53 6 ^wmf S Uni t Addres s Not e Regardin g Mailin g Optio n — As an alternative to deliver y

in person , yo u ma ymai l th e lead pamphletto th e owne rand/o rtenant . Pamphle t mus t be maile d at least 7 day s befor e renovatio n (Documen t wit h a certificat e of mailin g fro m th e pos t office) .

### Dougla s County Accoun t Inf(^|fcatio n Pag e 1 of 2 Dougla s County , Nebrask a Propert yRecor d - R214756000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t o f 52n d S t - VJC W O n Ma p Informatio n i s vali d a s o f 2009-7-2 0 Treasurer' s Ta xRepor t Ne wFeatur e ••-»- • Aut o Sale s Searc h ( \ Owne r PETER S DAVI D C 

## 1! ^ ETA L 

# ScJ ^ ^^'^^' ^ 

# 0^ ' 72 5 N 5 7 S T OMAH AN E 68132-000 0 Propert yInformatio n Ke yNumber : 475 6 000 0 2 1 Accoun t Type : Residentia l Parce l Number : 214756000 0 Parce l Address : 453 0 SEWAR D S T OMAH AN E 68104-000 0 Lega l Description : SAUNDER S & HIMEBAUGH S AD D LO T2 0 BLOC KH 5 0 X 15 0 Valu e Informatio n Lan d Improvemen t Tota l 

### 2009 $6,800.0 0 

### $49,000.0 0 $55,800.0 0 200 8 $6,800.0 0 $49,000.0 0 $55,800.0 0 200 7 $6,800.0 0 $49,000.0 0 $55,800.0 0 200 6 $6,800.0 0 $49,000.0 0 $55,800.0 0 200 5 $6,800.0 0 $32,300.0 0 $39,100.0 0 200 4 $6,800.0 0 $32,300.0 0 $39,100.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 7 7500. 0 1. 0 150. 0 50. 0 

### N o Impro t vemen Informatio n Buildin g 1



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R21. . . 7/28/200 9

### Dougla s Count y Accoun t Infi^^atio n Pag e 2 o f 2 

# f i r tifir " 

# J

CLIC KT O ENLARG E IMAG E Squar e Footage : 1086. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Fai r

Buil t As : 1 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 6. 0 Exterior : Fram e Sidin g Units : 1.0 Interior : Drywal l Baths : 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

Roo f Type : Gabl e Stories : 1. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 192 0 0 % 192 0 8 6 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 f t 992. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 1. 0 Garag e Detache d 216. 0 Porc h Sla b Roo f Cei l 112. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R21. . . 7/28/200 9ENVIRONMENTA L& CONSTRUCTIO N TECHNOLOGIES , EVC . SERVICE S 

### Date : Jul y28 , 2009 Davi d Peter s 72 5 N 57" ^

Stree t Omaha , N E 6813 2 Re : 453 0 Sewar d St , Omaha , N E Dea rMr . Peters : Pruden t Technologie s (Prudent ) i s EP Acontracto rfo rstabilizin g lea d base d pain t (LBP) . Environmenta l Protectio n Agenc y(EPA ) ha s teste d you rpropert yan d ha s identifie d i t a s containin g LBP . EP Aha s assigne d th e reference d propert yt o Pruden t fo rpain t stabilization . Th e pain t Stabilizatio n activit yinclude s scrapin g th e loos e an d peelin g exterio rpaint , applyin g a coa t o f prime ran d paintin g th e exterio ro f th e house . Th e EP Apay s fo rth e cos t associate d wit h pain t stabilization . Tha t mean s i t i s fre e fo rth e homeowner . W e nee d you rpermissio n t o ge t o n you rproperty . Therefore , pleas e contac t Pruden t a s soo n a s yo u receiv e thi s letter . W e ar e requestin g you rspeed yrespons e becaus e w e hav e a deadlin e t o complet e LB P stabilizatio n o f you rproperty . I f yo u hav e an yquestion s pleas e fee l fre e t o cal l Mr . Chandr a Sheka ra t 402-504-100 4 o rcal l EP APubli cInformatio n Cente ra t 402-991-9583 . Sincerely , Mr . Chandr a Shekar , P.E . Projec t Manage r Cell : 402-504-100 4

808 0 War d Parkway , Suit e 40 5 250 5 N . 24' " Street , Suit e 21 8 424 2 IMedica l Drive , Suit e 725 0 Kansa s City , M O 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone : (816 ) 363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax:(816)363-370 7 Fax : (402)504-100 5 Fax : (210 ) 579-657 7

# i

TECHNOLOGIES , INC . 

## Pruden t Propert yClose-Ou t For m (Lead-Base d Pain t Stabilization ) SAID : g/V7 7 

# l^^^ o Se<^^'^' ^ Propert yAddress : _ Owner' s Name : J>^^> ^ Peter s S.N O Performanc e Standards/close-Ou t Criteri a Ye s N O 1 Wa s th e entir e structure(8 ) painte d wit h th e exceptio n o f th e stated , exclude d areas ? Thi s woul d includ e paintin g o f othe rassociate d feature s includin g fascia , eaves , siding , al l trim , porches , bo x 

# X beams , columns , rails , an d exterio rsurface s o f garages . 2 Wa s al l scrapin g an d othe rpreparatio n wor k complete d satisfactorily ? / 3 Wer e al l require d area s o f th e structure(s ) prime d a s neede d an d painte d wit h tw o to p coats ? / 4 Ar e al l o f th e area s wher e contaminate d material s hav e bee n spille d thoroughl yvacuumed / cleaned ? / 5 Di d th e contracto rcollectAracuu m al l fallin g an d scrape d pain t chip s o n th e entir e property , roadways , alleyways , publi cacces s area s ^ an d als o remov e an yothe rgenerate d debris ? 6 I s th e gras s are a tha t surround s th e structure(s ) i n reasonabl ygoo d condition ? / 7 Wa s th e pain t product s utilize d equivalen t t o a 3 0 yea r product/quality ? / - 8 Ar e al l item s suc h a s polyethylen e sheeting , ladders , pain t brushes , cones , barrie rtap e et cproperl yremoved ? / 9 I s ther e an yevidenc e o f propert ydamag e tha t wa s don e b yth e contractor ? An ypropert ydamag e need s t o b e complete d prio rt o th e EP AClose-Out . 1 ^ 1 0 Ar e ther e an ypropert yitem s tha t wer e temporaril yre-locate d b yth e contracto rtha t nee d t o b e move d back ? / 1 1 Ar e ther e an y(known ) lingerin g issue s wit h th e propert yowner(s ) tha t hav e bee n lef t unresolved ? 

# J 1 2 othe rConsiderations ? Propert yOwne rDiscussions ? Additiona l Wor k tha t i s Require d 

## •J Pruden t Representativ e Signatur e 

# V ^ Date : Propert yOwne rSignatur e Date : 

# ^]3 M 808 0 War d Parkway , Suit e 40 5 250 5 N. 24' " Street , Suite 30 8 4242 NIedica l Drive , Suit e 425 0 Kansa s City , lUlO 6411 4 Omaha , Nebrask a 6811 0 Sa n Antonio , TX 7822 9 Phone:(816)363-370 3 Phone : (402)504-100 4 Phone : (210)822-958 8 Fax : (816 ) 363-370 7 Fax : (402)504-100 5 Fax:(210)579-657 7