0

TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: 29233 DATE: 1/15 

ADDRESS: 1618 OHIO ST 

REMEDIATION CONTRAaOR: PRUDENTTECHNOLOGIES. INC. YEAR: 201(> 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

d PRE AND POST VIDEO OF PORPERTV (DVD) 

• EXECUTIVE SUMMARY 

Q EPA-PROVIDED PROPERTY SKETCH 

d SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

d RESTORATION AGREEMENT 

D SETTLEMENT DOCUMENTS (I.E., FOR DAMAGE OR TO REPLACE PLANTS, ETC.) 

d CONFIRMATION DATA 

d PHOTOGRAPHS 

Q AS-BUILT SKETCH 

d SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

 PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

d UTILITY CLEARANCES 

ra PROPERTY INFORMATION FROM DOUGLAS COUNTS ASSESSOR'S OFFICE 

D 

D 

D 

^ ^ 3\\*b^ 

SIGNATURE DATE 

30218387 

Superfund 
PROPERTY SUMMARY 

Date: /15/2010 Oinaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l Month of: 

Property Address; 1618 OHIO ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

F2 = 184 PPM @ 2"; NO EASEMENT 

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-Built sketch ­

i) Shall include final 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 ofareas not meeting Interim ROD cleanup criteria. 

TECHNOLOCIES, INC. 
Find Record 

Backfill: 

Sample Area: 29233 -161 8 OHIO ST 

Owner: 

• Owner Occupied 

Owner Name: 

AUSTON ARCHIE L 

Owner Addressl: 

Owner Address2: 

fl620 OHIO ST 

City: State: Zip Code: 

lOMAHA JNE J681lbOwner Phone Alternate Phone: 

j 

Contract: 

Contractor: JPRUDENT2010_S 

Contract Option foPTION 2 

Remediation Query Lead Remaining Query Property Damage Query 

User Provided Owner Information 

Owner Name: 

Owner Address: 

J 

City: State: Zip Code: 

Owner Phone: Altemate Phone: • 

Assessment: 

Qualifying Group j400 

Assessment Max XRF Value f 473.27 

Resident: 

Resident Name: 

Property Address: 

11618 OHIO ST 

Zip Code: 

jeslio" 

Resident Phone 

I 
TECHNOLOGIES, INC. 

EPA Property Close Out 

Vropcrty n-.TJliyy? Property Atldress: (u? I ^Okhs ^ . 

Date/Time: Owner's Name: 4<cW^ e A lA.'^Oyq 

Quads Excavated: P'Z^ Contractor Group; Prudent Technologies, tnc 

Excavation Genera) 

Yes No 

I. If necessary, were the correcl quadrant(s) excavated and restored? / 

2. If necessary, weire 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? / 

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

day lime period) y 

4. Are sodded areas generally finn and evenly graded? y 

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

time penod) y 

6. Was the property graded such tltat water will not pool on tlie property? y 

7. Was dainage lo landscaping or plant materials avoided? y 

Gates, Fences and Retaining Walls Yes No 

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

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

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

/ 

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

^ 

Foundation, Siding and Gutters Yes No 

1 Was damage to the sidmg or trim avoided? / 

2. Was damage lo the foundation avoided? X 

3. Was dajnage lo windows avoided? 

y 

4. Was damage to windows or door screens avoided? 

X 

5. Was damage lo downspouts or downspout extensions avoided? 

y 

Sidewalks and Driveways (Concrete) Yes No 

I. Was damage to diivewav surfaces avoided? y^ 

2. Was damage to walkway surfaces avoided? 
Owners comments: 

Inspectaon motes: 

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

EPA Representative dc<m ^^suj ^Date: ii)3hc? 
IRI l 

CHNOLOGIES. INC 

AS - BUILT DRAWING 

OLS # 29233 

Date Excavated: I0/2.S/20I0 

I'SEPA Signed-Off Date: 

OMAHA LEAD SUPERFUND SITE 

Omaha Lead Site Owner Name: ARCHIE L AUSTON 

Address: 161BOHIOST

Phone: H;

Sample Number 

RYASCPXA 29233 

RYBSCPXA-29233 

RYCSCPXA-29233 

RYDSCPXA-29233 

RDZSCPXA-8e333

RCZ0CrXA-a!)233

• RPZSCP,Y.A 20233

Fl 

F2 

Bl 

82 

 B2­

 GZ 

 9 t 

EKTBKBI 

JUL 282118^

y - : 

-^^-^^ c ^ 

Site Sketch _ 

 W: 

Lead 

Concentration 

•0 <-i 1 i. 4 ppm 

H i O ppm 

\ 'XK C ppm 

ppm 

ppm 

, ppm 

Sample 

Collected 

0 

B 

Ef 

0 " 

D 

D 

D 

Number of Samples = '4 

^IIS'fu/A^ 

^ 

y 

'pAs ^ > V 

^ 

• ^•^ • 

>L 

>:. 

^y n ' c^. i y y 

OHiO i f 

LAB 

D 

n 

n 

D 

D 

D 

D 

29233 

Exterior Paint North Arrow 

• Good 

• Poor 

• Not painl 1^ 

Samples Collected 

Firm; fJ)A^ S)C'LtL 

Date: «^-I-Q7-0M ^ 

Time: / Z "- ^5"p. i^ 

Samples Analyzed 

XRF Unit: T' ^;Al \ Book: 

Date: ?, .q. C ^ 

Time: 

Ss1 

Staff: ^ M L 

% ^ . (^y 

184 PPM a 2' i'^r=C. E 

^•(•-^T^ ) 

M 

S'ia^^l'K. 

Omaha Lead Site NO E.4SEMENT 

CONTRACT tt: EP-S7-10-05 PRUDENTTECHNOLOGIES, INC. 

46130 
«EF^ 

Property Completion Agreement 

This agreement documents 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 in question, now, or at any time in the future, excluding any 

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

Property ID: 2 ^ 2-^' ^ 

Property Address: | ^ j 9 ^ ^ ^ <^p^ 

Owner: haJU^e. /Vuy^h7v^^ 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

item: 

item: 

Required corrections to complete tlie property: 

)I O I agree restoration is completed. 

I__l I do not agree restoration is completed at (noted deficiencies above) 

Owner's Signature Date 1 
Prudent Tficlinologi^s, !nc (l-'rudeiit) is under contract with the IJ. S. Environment.il .Protection Agencv (EFA) lo clean up loAclcontaitiinated soils at ;i number of properties located in Omaha, Nebra.$ka, including the property located at 

The KPA request:; your permis.sion to allow Prudent to pertorm a soil cleanup al tJii.'; 

properly lo remove lead-contaminated soil. By signing this .ibrm, the property owner grants permission lo Prudent to perfonn 

aaivities related lo the cleanup including soil sampling, removal of lead-contaminated soil, and restoration ofthe referenced property 

Ifyou have any questions about the soil cleanup planned for your properly, please contact Prudent south office for the Omaha Lead 

Site cleauup-at (^02) 733-11S8. General questions about the Omaha Lead Site cleanup can be directed to the EPA Public Information 

Centers at (402) 731 -3045 (South Oinaha office) or (402) ^91-9583 (North (^maha offtce1_ 

Properly Acce.ss darned lHy v /_ / 

• r 

Property Owner Signature; X 

PROPERTY IWFORIVIATIOW 

/"^ •CToo hhee eomplete eompletedd bbyy residen residentt and/o and/orr propert pi y owner - please prints

RESIDE MT NAME Owner Renter 

RESIDENT ADDRESS 

UIU^_-6-LL D Sfc OVSAJUQ. LM 6?yii^ 

iF RENTAL. PROPERTY OWNED BY: 

-(W^'^^v^ 

OWNERS MAILING ADDRESfV

;sg o g^ o^^^-^ju fOfi ^^]ih 

OWNER'S TELEPHONE NUMBER - HOME: _L WORK: 

(W 3^ - ^^ ^ ^ 

AGE OF HOME?: YEARS. HOW LONG HAVE YOU LIVED HERE? YEARS, 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? YES NO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: 

COMMENTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS, ENTRY GATES, ETC.) 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS^ The activities to be implemented by EPA under this agreement 

are pursuant io Section 104 of CERCLA, 42 U S.C 9604. EP.A's right of access to the property is provided for in Section 104(e) of 

CERCLA, 42 U.S C 960i^e), which provides entry for "detennining the need for response, or choosing, or tiikiiig any response action 

under tlus title, or otherwise enforcing the provisions ofthe title " 

8080 vrVaret Paikway. Sair<^ • • ''.i?. lyi'r-ijif.nl Orivf;, ;JIJ«R ^'i'.ifi 

Kansas Cirv. MO 64f M 

Phone; f816J 363-3705 f*ii'j!i:.: ('i1l))Cl2'i.t»ft:;i< 

-3.<. (816:- 3S3-.T7!l­
ENVIRONMENTAL & 

CONSTRUCTION 

SERVICES 

8080 Ward Parkway, Suite 405 seoosiost 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Oinaha, Nebraska 68107 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)733-1188 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)733-1883 Fax: (210) 579-6577 
29233 

Owner Name: ARCHIE L AUSTON 

Address: 1618 OHIO ST 

Phone: H: 

Sample Number 

RYASCPXA-29233 

RYBSCPXA.29233 

RYCSCPXA-29233 

RYDSCPXA-29233 

nDZGCPXA 30233­

nOgOCPXA 29233

RPZSCPXA 20333

Fl 

F2 

B1 

B2 

-BZ­

 GZ 

 PS 

ENTERED 

W: 

Omaha Lead Site 

Site Sketch 

Lead 

Concentration 

^3Appm 

H I ^ ppm 

3ia _\I2lippm 

ppm 

ppm 

ppm 

Number of Samples = 1^ 1 

• i . t > t ^ H 

•H 

^c 

<b \ 

->v 

v ^ 

>l 

^V Qil^) 

Exterior Paint North Arrow 

• Good 

• Poor 

• Not paint I

Samples Collected 

f\m:£J)A^J)C/rM. Date: o-i-Qy-QM ^ 

Time: / Z '• ^5^^. M 

Samples Analyzed 

XRF Unit: ol \ Book: b ^ 

Date: ^ •;k. 'Q 4 

Time: ^|f>-^ 

Staff: rm. 

\ 

r^ 

K 

f^ 

(4n^) 

M 

SideiiM/K Zl K i^ ^­

0HiO it^ 

Omaha Lead Site 46130 
N 161

8 iiii.L|f OHIO ST: 33 X 105 

A Printed

: Dec 10.2010 

www.dcgis.org/dogis 
Page 1 of 1 

"> 

Create Another Ticket Back to Irth Internet Send Email 

• YOUR TICKET NUMBER IS 2622426. 

Original Call Date: 10/20/10 Time: 5:24 pm Op: SIVA18967 


Work to Begin Date: 10/22/10 Time: 6:00 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1618 Street: OHIO ST 


Twp: 15N Rng: 13E Sect-Qtr: 10-SE-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: soil lead remediation project 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)733-1883 


: UNSURE CORNERS 


Company : PRUDENT TECHNOLOGIES 


Contact Name: SIVA JAMPAMA Phone: (402)733-1188 


Work Being Done For: EPA 


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


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/20/2010 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

Site Safety Hazard Analysis 

Address: fb /^O^^'O^iCrew: P\^->v^V J^'V^ 

Date: }0^2^<r-lc^ 

Item 

Overhead Lines 

Gas Line 

Water Line 

Sewer Line 

Septic / Leech 

field 

Propane/Butane 

Sidewalk 

Foundation 

Retaining Walls 

Fences 

Trees/ Bushes 

Structures 

Driveway 

Sprinkler Systeni 

Other 

CrewZbreman 

Condition 

ft^-'^ 

(^\J>N^cA^ 

fi^cs.^^ 

r^^^J 

i^lA 

rJ/*^ 

AV/A 

/W/'V 

f^/A 

•^A 

»v/A 

NA 

f^m 

A^/rtEx._ 

Bf. 

Corrective 

Hazards Action 

Site Safety Officer 

y ^ 

8080 Vrard Parkway, Suite 405 2505 N. 24*" Street, Suite 308 4242 Medical Drive, Suite 7250 

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

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
. ^ 

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