TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAn)#: ^ / 1i"^ Date: 

Address: /^.^ ^ p,'L^lc.^y^.^ S<fRemediation Contractor: K-\,.p.yh "X^^.^ . y­- ' >"^<^ ­ ^^^'­ 2=^^!-

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

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a

Bl

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B

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la

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D 

 Video of property (DVD) _^_^_ _ 

 Executive Summary 

 EPA-provided property sketch 

 Signed Access Agreement for subject property 

 Signed Access Agreement(s) for adja^«nt property 

 Restoration Agreement 

 Settlement documents (i.e., for damage or to replace plants, etc.) 

 Confinnation data 

 Photographs 

 As-built sketch 

 Satisfactory restoration signed by Property Owner 

 Property close-out check list signed by EPA 

 Description of areas not meeting ROD cleanup criteria 

 Utility clearances 

 Property information firom Douglas Cotmty Assessor's Office 

iMgoa^^ '. ijate 

40310750 

III 

Superfund 
PROPERTY SUMMARY 

Date: 01/23/2009 Omaha Lead Site Remedial Action Contract # EP-R7-07-06/0004 Montli of: Dec/Jan 

Property Address: 1464 PINKNEY ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Odier Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

Bl = 266 PPM @ 8"; EA = 64 PPM @ SCRAPE 

ATTACHMENTS 

1) Property sketch provided by EPA pursuant to contract specifications 

2) Signed Access Agreement including access agreements required for crossing other properties 

3) Pre-Excavation digital video clip/photographs 

4) Post-Excavation digital video clip/photographs 

5) Documentation - Completed Close-out Checklist 

6) As-Btiilt sketch ­

i) Shall includefinal lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVID number 

7) Other items to be included in the individual property file, if available, or obtained include: 

i) Pre-excavation agreement details (if any are made with the property owner) 

ii) Property Status Form signed by property owner 

iii) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iv) Signed form verifying satisfactory restoration 

v) Description of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOCIES, INC. 
m:HNOLOGIES.INC 

EPA Property Close Out 

Property*: BlSf^y Property Address: "iif^lj- P/Vifcv^ ^ 

Date/Time: Owner's Name: 

Quads Excavated: g\ Contractor Group Prudent Technologies 

Excavation General Yes No 

1. If necessary, were the correct quadrant(s) excavated and restored? / 

2. If necessary, were the correct areas of drip zone excavated and restored? / 

Grading Sod and Vegetation 

Yes No 

1. Does the grading around the perimeter of the house in excavated areas generally slope away / from the house? 

2. Has sod been laid in all areas that were excavated? / 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

/ day time period) 

4. Are sodded areas generally firm and evenly graded? / 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) / 

6. Was the property graded such that water will not pool on the property? / 

7. Was damage to landscaping or plant materials avoided? / 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close freely? (If applicable) 

y 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) / 

3. Was damage to gates or fences avoided? (If applicable) 

y 

4. Was damage to retaining walls avoided? (If applicable) 

/ 

Foundation, Siding and Gutters 

Yes No 

1. Was damage to the siding or trim avoided? / 

2. Was damage to the foundation avoided? / 

3. Was damage to windows avoided? / 

4. Was damage to windows or door screens avoided? / 

5. Was damage to downspouts or downspout extensions avoided? / 

Sidewalks and Driveways (Concrete) 

Yes No 

1. Was damage to driveway surfaces avoided? 

y 

2. Was damage to walkway surfaces avoided? 

/ 
Owners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative .Qc^ j>^ Date: f/:io/oj 
Property Completion Agreement 

This agreement dociunents the completion of removal activities performed on the below listed property. 

The property owner's signature indicates that the property owner is satisfied with the restoration of the 

subject property, and that no items are m question, now, or at any time in the future, excluding any 

remainmg warranty (30 days total) except those items listed below, if any. 

Property ID: "Z I <^'7<^ 

Property Address: jH^f^jf^ P>>.^di/^ . Q( -

Owner: If I I »Z l I . v\ _ ,. ^ f

IL^<^y^JiA 6<\i\,s.o^A^ 

Phone: 

Restoration Items in Question: 

item: 

Item: 

Item: 

Kem: 

Item: 

Item: 

Required corrections to complete the property: 

0 1 agree restoration is completed, except as noted above. 

L J I do not agree restoration is completed 

/-/&- o i 

Owner's Signature Date 
Find Record Clean Up Query Lead Remaining Query I Property Damage Query 

Backfill: 

Sample Area: 31959 - 1464 PINKNEY ST 

Owner: 

D Owner Occupied 

Owner Name: 

[WILSON JERELL 

Owner Addressl: 

I 

Owner Address2: 

|1468 PINKNEY ST 

City: State: Zip Code: 

|OMAHA [N E [68110 

Owner Phone: Alternate Phone: 

I 

Resident: 

Resident Name: 

r 

Property Address: 

(1464 PINKNEY ST 

Zip Code: 

[68110 

Resident Phone 

I 

Contract: 

Contractor: 

Group: 

Assessment: 

Qualifying Group 

[1200 

Assessment XRF Date: 

r~ 

Assessment Max XRF Value: 

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AS - BtJItT ^RAWING . 

OMAHA LfcAP SUPfcRFUNO SITE > 

OLS#: 31959 

Date Excavated: 7/09/2008 

Date USEPA Sigped-Off: 

31959 

Omah Exterior Paint North Arrow Owne a Lead Site r Nama: wiiajN JERELL 

Sit D Good Address e Sketch : 1464 PINKNEY ST • Poor Phone: H W: Q* Not paint I 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm: A w gP.fe 

RYASCPXA-31969 Fl D Oats: IM/oc 

RYBSCPXAr31959 F2 -J.£Le ppm D Time: Z:|« 

RYCSCPXA-31959 Bl 

m g q ppm Samples Analyzed RYDSCPXAr31959 B2 -iJa O ppm 

D

nDZaCPXA-01909 B2­ " • ppm n • XRFUr lit /c>e7 Book: n"^ 

^OZO0PXA-ai9S9 &t - ' - ppm n D Date: ict-n . -e^U 

-RPZOCPX/^31959 P2­ "" ppm n D Time: 7^ \- Lab RYCSCPLA-31969 Staff: /*ku j Number of Samples = i <f Result 156ppm _ / 

L^yeiiu. r i - rimi i LOII, r i =• Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

AD quadrants are a* viswad (ram the street, facing 

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ENTERED: 

%l? 2 8;2008 I.Hfefl. 2,3.0; 

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EA = 64 PPM (ffi SCRAPE 5+ 

CONTRACT #: EP - R7-07-06 / 0004 PRUDENT TECHNOLOGIES, INC. 
^RUDEN^ rECHNOLOGIES, INC. 

Property Status Form 

Address: \^ct ^ 'FTf^\CJ^<Lx^ Sl- ^^^^' c^^"-W - Ae^ S . ^ SJPhone: BVID: ^t>a. - S5"b - 51^ 0 3\<=\ 5<1 

Plants & Permanent Landscaping 

Item# 

On Map Description and Location 

Pre-Existing Condition of Structures 

Does your Basement have a history of leaking? Yes — No 

Item# Description & Location 

On Map 

/ ^ 

Property Owner ^^f^e^^jkO^//^^ Prudent Emplo 

Signature: (T^'^'^ ^ >e«^/ ^ Signature: K .. 8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 

Fax: (816) 363-3707 

Phone: (402)504-1004 

Fax: (402)504-1005 

Phone: (210)822-9588 

Fax:(210)579-6577 
31959 

Exterior Paint North AntMV Owner Name: WILSON JERELL Omaha Lead Site • Good Address: 1464 PINKNEY ST S'*® SKetCh • Poor 

Phone: H: W: ^ Not paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Flmri:/kw. gP.fe 

RYASCPXA-31959 Fl __9_5___ ppm 

D Date: ^/Vf/aj 

RYBSCPXA-31959 F2 3 5 b ppm 

D Time: "Z'lo 

RYCSCPXA-31959 Bl iiLa3_PPm 

\3r Samples Analyzed RYDSCPXA-31959 82 2.?iC> ppm D 

RDZ3CPXA-01909 B2­ • " ppm D D XRF Unitl:: too l Book: i^ 3 

^QZGCPXA-31959 62- I ! ppm D n Date '(iij i 

RPZQCPXA-31959 PZ- ppm • n Time: ?^ 

Lab RYCSCPLA-31959 Numbe Staff: n^s^ r of Samples = 1 M I Result 156 ppm 

Leytsrtu. r i - rtutii ueii, r l = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed firom the street, facing propertv 

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31959 

Omah Exterior Paint North Arrow Owne a Lead Site r Name: WILSON JERELL • Good Site Sketch Address: 1464 PINKNEY ST • Poor 

Phone: H: W: ^ Not paint i 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Fimri: Jk ^ gP.fe 

RYASCPXA-31959 F1 ^ 5 ppm D Date: f/lWaC 

RYBSCPXA-31959 F2 351 P ppm D Time: Z'l^ 

RYCSCPXA-31959 Bl ifLa3_PPm \ar Samples Analyzed RYDSCPXA-31959 B2 2.a<!) ppm D 

RDZ3CPXA-319D9 B2- • ^ ppm n D XRF Unit: loo l . Book: O^ L 

^QZOCPXA'31959 G2- " " ppm D D Date: /Q-// n M i 

RPZGCPXA-31950 PZ- ppm 

D D Time: Ptn I. 

Lab RYCSCPLA-31959 Staff: /^u J Number of Samples = i M Resul / t 156 ppm 

Leyetiu. r i - rtutri Ltsii, r l = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

%j/}^?/y%/ y i i^—HT 

Rev4 . . 046141 012J 
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Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner 

City 

Owner 

State 

Owner 

Zip 

0644170000 

WILSON 

JERELL 

1464 

PINKNEY ST 

OMAHA 

68110 

1468 

PINKNEY ST 

OMAHA 

NE 

68110 

Sec-TwnRng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Treasurer 

Website 

Link 

Assessor 

Website 

Link 

10-15-13 

BLUFF VIEW ADD 

0 

31 

50X134 

http://webapps.dotcomm.org:8080/TreasTax/faces/pages/taxinfo.jsp? 

parc=0644170000 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accou nt no=R0644170000 

"s»»^n 

Map Scale 

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IfbH l^l-^l<rMe^ ^T 
44 4 Pfoknev^S^ 

J­

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/ ?l^J)i^^y s|;9/or 
file:///C:/Users/lord»^B|s%20iiiy%20shepherd/Desktop/STREETS/l. 

.Create AnotlierTicket Backto Irth internet . Send Email 

YOUR TICKET NUMBER IS  2077045. 

Original Call Date: 7/08/08 Time: 9:36 pm Op: RAMITA18 967 


Work to Begin Date: 7/11/08 Time: 7:15 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 14 64 Street: PINKNEY ST 


Twp: 15N Rng: 13E Sect-Qtr: 10-NE-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead remidation 


Location of Work: ENTIRE PROPERTY LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: [402)504-1005 


: UNSURE CORNER 


Company : PRUDENT TECHNOLOGIES 


Contact Name: RAMITA Phone: {402)504-1004 


Alt. Contact: Phone: (402)452-9806 


Work Being Done For: EPA 


Depth of Excavation: 6ft Corner Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MAGELLAN MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Utility Service Area Contact Phone Number Type 

Day: 4029340469 


CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 


Emerg: 4029329757 


Day: 9185747098 


MAGELLAN MIDSTREAM MAGELLAN TONY A Alt: PARTNERS LP 

Emerg: 9185747098 


Day: 4025047823 


METROPOLITAN UTILITIES MUDOl EDWIN A Alt: DISTRICT 

Emerg: 4025047946 


Day: 4024447197 


OMAHACOF CITY OF OMAHA-TRAFFICSEWER RON Alt: 4024445161 


Emerg: 4024445160 


OMAHA PUBLIC POWER Day: 4067289343 0PPDGPR5 NA DISTRICT 

lof2 7/9/2008 1:16 PM 
file:///C:/Users/lord»/i*^%20my%20shepherd/Desktop/STREETS/1. 

. 1 

Alt: 8887289343 


Emerg: 4067289343 


Day: 4067289343 


QLNNEIC QWEST LOCAL NETWORK NA Alt: 


Emerg: 8887289343 

2 of 2 7/9/2008 1:16 PM