### PROPERT Y SUMMAR Y | Date : 11/13/200 7 | Omah aLea dSite Remedia l Actio nContrac t #EP-R7-07-0 6 | Mont hof : Novembe r | Propert y Address : 350 6 Layfayett e A v A . EXECUTIV ESUMMAR Y 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 - 15 1 @ 6 " F 2 - 10 5 @ 6 " Dl-61@13 " El-14 1 @ Scrap e ATTACHMENT S 1 ) Propert y sketc hprovide db y EP Apursuan 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 sketc h­ i ) Shal l includ e fina l lea dlevel s v ) Legen d ii ) Contaminatio nleft behin darea s vi ) Contracto r identificatio n iii ) Propertyaddres s vii ) Dat e iv ) BVI 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 satisfactor y restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

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## 2523 2 Exterio rPain t Nort h Arro w Owne rName : LUL AM MINO R Omah a Lea d Sit e E j Goo d * ^ 5it e 5ketc n Address : 350 6 LAFAYETT E A V 

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## 1 Phone : H : W : [~ ] Not pain t Sampl e Numbe rLea d Sampl e ,. _ Sample s Collecte d Concentratio n Collecte d Firm : FO/ 4 c\(a/C ^ l ] RYASCPXA-2523 2 F 1 ^ ( p [ pp m p | Q Date : <? - . 1*?-^ ^ RYBSCPXA-2523 2 F 2 ^, 0 | po m p f Q Time - |4 ' l-« r RYCSCPXA-2523 2 B 1 I I Q co m fv f D • Sample s Analyze d RYDSCPXA-2523 2 B 2 I M O po m R f l 

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### Omah a Lea d ? ,$£ & V th e propert yi n orde rt o conduc t Sit e Remedia l * '<]¥$''* ' » environmenta l samplin g an d t o Actio n •^••'•''•/•S-/.<----/ •remov e lead-contaminate d soi l Prudent Technologies , Lie . (Prudent) i s under contrac t withth e U . S . Environmental Protectio nAgenc y (EPA) t o clea n u p lead-contaminate dsoil s a t anumbe r o f propertie s locate di nOmaha , Nebraska , includin g th e property locate da t /^t^To C \

_ciL^ . f fcJ-tf^£K^ffli e EP A request s you r permissio n t o allo w Pruden t t o perfor masoil cleanu p atmi s ^Joperty t o remov e lead-contaminate dsoi l B y signin g tin s form , th e propert y owne r grant s permissio nt o Pruden t t o perfor mactivitie s relate dt o th e cleanu p includin g soi l sampling , remova l o f lead-contaminate dsoil , an drestoratio no f th e reference d property . Afte r obtainin g th e owner' s signatur e o nthi s form , Pruden t Technologies , Inc . wil l contac t th e property owne r (an dresidents ) withi n th e nex t fe w week s t o coordinat e performanc e th e wor k I f

yo u hav e an y question s abou t th e soi l cleanu p planne dfo r you r property , pleas e contac t Prudent' s Administrativ e Cler k

fo r th e Omah aLea dSite cleanup , Ms . Cyndi e Hinds at (402 ) 504-1004 . Genera l question s abou t iiie Omah aLea dSit e cleanu p can b e directe dt o th e EP A Publi c Informatio nCenter s at (402 ) 731-304 5 (sout hOmah aoffice ) o r (402 ) 991-95S 3 (nort hOmah aoffice) . Property Acces s Grante dBy : \ ) U . rFl»as « Prin t Nam« ) 

### Property Owne r Signature : //V y J & C 

### /7) , YVU^UTl ( O tf-3-J - 0 7 (Signalur* ! 

### PROPERTYINFORMATIO N (T o b e complete db y resident and/o r propert y owne r - pleas e print ) RESIDEN TNAME : /_• > U (_/> ^

l^ A V\ I A O f __ _QDwna r RESIDEN TADDRESS : "T 2 ? ^ y Q ^ I ^- A I p . ,J U C Qj ? G A^ ^

QP^ d » M^- ^? l ?! > / I F REMTAL . PROPERT, ' OWNE D BY : - _________________ _ OWNER' S MAILIN G ADDRESS ; OWNER' S TELEPHON E NUMBE R - HOME : f^tt& l f>S<-f ~ \ T 7 "g > WORK : J \ AG E O F HOME? : *^0 YEARS . HO W LON G HAV E YO U LIVE D HERE ? " 3 "3 > YEARS . HA S TH E EXTERIO R BEE N PAINTE D O R COVERE D WJT H SBIN G SINC E 1978 ? V^YE S N O NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : g ) MUHBE R O F OCCUPANTS 7 YEAR S OL D AN D OLDE R NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA YI N TH E YAR D FO R 5 HOUR S O R MOR E PE R WEEK : _ COHKEMT S O R SPECIA L INSTRUCTIONS : (I.E . DOGS . ENTR YGATES . ETC. ) AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS . Th ? activitie s t o b e implementedb y EP A unde r thi s agreement are pursuan t t o Sectio n104o f CER.CL>^ 42U.S.C . 9(504 . EPA'srieti t o f accesstoth e praserty i s provide drc r I nSectio nIC^fe] ; ofCERCLA , 4 2 U.S . C 9003(5) , wiilc hprovides"entry rar'dstermSnlngthenw dfo r responie , o r choosin g c r takiri g an y respons e actio nunde r thi s title , o r otherwis e enforcin g th e provision s o f th e ritla '

# &EP A EP A Propert y Clos e Ou t Property# : 2*3 3 2 Propert y Address : .W<3 £Lf)ff)yerr f /?o c Date/Time : ////J/0 7 Owner' s Name : /.ui/ 9 /*.v»7 Quad s Excavated : _. „ Contracto r Grou p Pruden t Technologie s Excavatio nGenera l Ye s N o 1 .I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? J 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 Ye s N o 

## 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 ? v/ 2 . Ha s so dbee nlai di nal l area s tha t wer e excavated ? 

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-^ j . Doe s th e so dappea r t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 

# t / da y tim e period ) 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 propert y grade dsuc htha t wate r wil l no t poo l o nth 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 Ye s N o 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 ) ^f 3 .Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) ^f 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) f f 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 ? , / 2 .Wa s damag e t o th e foundatio navoided ? • / 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 ? i / 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 walkwa y surface s avoided ? I /

### Owner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-da y so dwarranty : EP A Representativ e Date :

## 2523 2 ah a Lead Site rio rPaint Owne rName : LUL AM MINO R Goo d 

### Site Sketc h Address : 3506 LAFAYETT E A V Poo r Phone : H : Q No t pain t Lea d Sampl e Samples Collected Sampl e Numbe r Concentratio n Collecte d RYASCPXA-2523 2 RYBSCPXA-2523 2 RYCSCPXA-2523 2 Sample s Analyze d RYDSCPXA-2523 2 RDZSCPXA-2523 2 RPZOOP)(A-EOg32 Numbe rof Samples = .* >

Omah aLea dSit e 4613 0

## 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 (9 0 day s overall , 3 0 day s o nso dgrowthguarantee ) excep t thos e item s liste dbelow , 

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### 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 060790000 0 MINO R LULA M 350 6 LAFAYETT E A V OMAH A 6813 1 350 6 LAFAYETT E AV E OMAH A N E 6813 1 Sec-Twn-Rn g Owne r Addres s Additio n Bloc k Lo t Lega l 1 Lega l 2 Lega l 3 Lega l 4 Assesso r Websit e Lin k 17-15-1 3
BEMI S PAR K 3 1 6 40X162.8 4

http://douglasne.mapping online.com/DouglasCoNe/static/accountinfo.jsp ? accountno=R060790000 0 Disclaimer : Ma p an d parce l dat a ar e believe d t o b e accurate , bu t accurac yi 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 8 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 7Clea n U p Quer y Lea d Remainin g Quer yPropert yDamag e Quer y

D Owne rOccupied Owne rName : 

## (MINO R LUL AM Owne rAddressl : Owne rAddressZ : (350 6 LAFAYETT E AV E City : State : Zi p Cod e (OMAH A N E (6813 1 Owne rPhone : Alternat e Phone : 

### ((402 ) 554-177 3 Residen t Name : (MINO R LUL AM JPRUDENT200 7 Propert yAddress : Group : (350 6 LAFAYETT E A V Zi p Code : (6813 1 Residen t Phon e Qualifyin g Grou p (80 0 Assessmen t XR F Date : Assessmen t MaxXR F Valu e

### 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 1871254 . Origina l Cal l Date : 8/22/0 7 Time : 10:4 6 am Op : CYNDIE1896 7 Wor k t o Begi n Date : 8/24/0 7 Time : 11:1 5 a m State. - NE County : DOUGLAS Place : OMAH A Address : 350 6 Street : LAFAYETT E AVE Twp : 15 NRng : 13 E Sect-Qtr : 16-NW,17-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : soi l excavatio n - lead 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 : EP A Dept h o f Excavation : 14 " Corne r Lot : N Front : NRear : N Involve s Tunneling o r Horizonta l Borin g : N Explosives : N CXCAT V LEVEL 3 MCLEODN E MUDO 1 OMAHACO F OPPDGPR 5 QLNNE1 C 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 S LEVEL S COMMUNICATIONS , LL C 

## N A 

## Day : 877366834 4



## Alt : Emerg : 877366834 4 MCLEODN EMCLEODUS A 

## N A 

## Day : 800289190 1



## Alt : Emerg : 800289190 1 MUDO l METROPOLITA NUTILITIE S DISTRIC T EDWTN A 

## Day : 402504782 3 Alt : 

### Emerg : 402504794 6 Day : 402444719 7 http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/22/200 7

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OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE RRO N 

### Alt : Emerg : 402444516 1 402444516 0 OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A 

### Day : 406728934 3 

### Alt : Emerg : 888728934 3 QLNNE1 C QWES T LOCA LNETWOR K NA 

### Day : 406728934 3 

### Alt : Emerg : 888728934 3

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 8/22/200 7