TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: TApg O Date: 

Address: ZlO l Sl . XU"^ "Ss^. 

Remediation Contractor: Environmental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

j A Video of property (DVD) O^efore DAfter D Basement D •___ 

A A Executive Summary (Final Report) 

// A EPA-ptovided property sketch 

JZ Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

J Z Restoration Agreement 

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

j A Confirmation data 

j / Photographs f/Before DCrewPhotosC/During Excavation D Sod 

^so-day Sod D 

As-built sketch 

/ Q Completion Agreement signed by Property Owner 

Z Property close-out check list signed by EPA 

D Description ofareas not meeting ROD cleanup criteria 

Z ^ Utility clearances 

A ^ Property information from Douglas County Assessor's. Office 

JZ Property access checklist^(^^«>4x Pvv»( ^<i»i^3

Z ^ V^ca j /n F

Envirori environmenta r l Restoration Signature

 30261914 

 ^"P^^"'^'^ 

 Date 

12" I r-l/ 

Date 
EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #: l^O^ O PropertyAddress: HO l *^ IC^'SrV. 

Date/Time: Owner's Name: rfVOjrAou W>jr\r> 

Quads Excavated: "feT. Contractor Group : Environmental Restoration (ER) 

Excavation Genera] ylD.rzLrJ[ ^ Yes No 

/ y 1. Ifnecessary, were the correct quadrant(s) excavated and restored? 

2. Ifnecessary, were the corrisct areas ofdrip zone excavated and restored? MQ t>; ^ AfA 

Grading Sod and Vegetation Yes No 

^ house? 

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

3. Does the sod appear to be generally heahhy and growing? (Only evaluate if inspected at 30-day time 

period). 

4. Are sodded areas generally firm and evenly graded? t ^

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at 30-day time period). 

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

7, Was damage to landscaping or plant materials avoided? t - ^ 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close freely? (ifapplicable) Ul 

2. Were all gates or fences taken down during restoration aaivities re-installed? (ifapplicable) >t/A 

Was damage to gates or fences avoided?' (ifapplicable) 

4. Was damage to retaining walls avoided? (ifapplicable) /JA 

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? 

2. Was damage to the foundation avoided? 

3. Was damage to windows avoided? \/^C^iv4 (o ^ 4 ^ 

4. Was damage to window screens or door screens avoided? 

5. Was damage to downspouts or downspout e.xtensions avoided? 

Sidewalks and Driveways (Coacrete) Yes N.o 

Was damage to driveway surfaces avoided? f)ii 

2. Was damage to walkwav surfaces avoided? JJAL 

Remedial and restoration activities complete including 30-day sod warrant)-': 

EPA Representative; ^/^^_ Date: S^/<//2J0^ ^ A^^. Jh^s^ 
\ Omaha Lead Site—EP-R7-09-05 

l-^^^^ r f Environmental Restoration, LLC 

\ / '••t»«o-i«^' A www.erllccom 

EXECUTIVE SUMMARY: 

29090 2707 N 26 ST 

No Issues or Concerns Q Issues/Concerns 

Detail Rxnlflnntion­
Page 1 of 1 

"> 

[ Create Another Ticket ^ [ Back to Irth Internet ] Send Email 

• YOUR TICKE T NUMBER IS 2707703. 

Original Call Date: 

Work to Begin Date: 

4/08/11

4/12/11

 Time:

 Time:

 6:54 am 

 7:15 am op: TIM24186 

State: NE 

Address: 2707 

County: DOUGLAS 

Street: N 26TH ST 

Place: OMAHA 

Twp: 15N Rng: 13E 

Twp: Rng: 

Legal Given: C 

Sect-Qtr: 09-SE 

Sect-Qtr: 

Type of Work: Lead Soil Removal 

Location of Work: LOCATE ENTIRE PROPERTY 

Remarks: FAX ALL CLEARS TO: (402)451-1069 

: SAID # 29090 

Company : 

Contact Name: 

Alt. Contact: 

ENVIRONMENTAL RESTORATION 

TIM SUTTON Phone: (402)451-1314 x2267 

Phone: (402)306-2347 

Work Being Done For: EPA 

Depth of Excavation: 24 in Corner Lot: N Front': N

Involves Tunneling or Horizontal Boring : N Explosives: N 

CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 

 Rear: N 

Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY MUD

Day: 4025047823 

 Alt: 

Emerg: 4025047970 

OMAHACOF CITYOFOMAHA-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 

 Ait: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 4/8/2011 
I'age i 011 

[ Create Another Ticket ] [ Back to Irth Intemet ] j [ Send Email ) 

YOUR TICKET NUMBER IS 2691585. 

Original Call Date: 3/22/11 Time: 9:59 am Op: ADAM2418 6 


Work to Begin Date: 3/24/11 Time: 10:30 am 


state: NE County: DOUGLAS Place: OMAHA 


Address: 2707 Street: N 26TH ST 


Twp: 15N Rng: 13E Sect-Qtr: 09-SE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Lead Soil Removal 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)451-1069 


: SAID # 29090 


Company : ENVIRONMENTAL RESTORATION 


Contact Name: ADAM Phone: (402)451-1314 


Alt. Contact: Phone: (636)288-9616 


Work Being Done For: EPA 


Depth of Excavation: 24 in Corner Lot: N Front: N Rear: N 


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 MUD 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNE IC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 3/22/2011 
t 

Contact Information Log 

SAID Z^C/f6 # 

II Owner^s Name: /yj^lg , JVi MjfluQ | Daytime Phone: ^3 ^ 5^/-Y6^6 ? || 

Property Address: ^" ^ ' / AA'Z^U' ^ ^ 

Attempt to contact Date/time Name 

cef^ /^^(^ ae-' o TA 

'\J ^ 

LA'i-lo IB3D 

lZ-IA,-tO /f'Jftfn3-/-// / 

^Y^sd/'c^c^^O^"^^ '^Z-lf fZf^ 
• • 

SAID: ^%^ 0 

PropertyAddress: ^Q l

Property Final Report 

DZ ^ ^ ' 

n WORK STARTED 

n WORKCOMPELTBD 

ON:

ON:

 / 

/ 

/ 

/ 

Address: ^^.V^ ^ /^. ^ SVO^cJ/^c^^ ^'£1 

Phone: HbZ-5']I ' ^4L>n ^ 

Fax: 

Cell/Pager: 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

Access Agreement 

CS^Kestoration Agreement 

f^^^ideo Property Before 

QKoigital Photos Before 

I I Video Property After 

n Digital Photos After 

^ Property Completion Agreement 

I I Final Report 

S\gntA:'^l 2^ 1 i L 

Signed:"^^ i Z I [ ( 

On ••3.12-ilL 

On :3-l2^lJL 

On / / 

On / / 

Signed: ^ / ^ l^( 

Signed: / / 

By: 

By: 

By: 

By: 

By: 

By: 

By:|e^ 

By: 

N/A 

EXECUTIVE SUMMARY 

Omaha Lead Project Work Plan Pagel of 19 
Consent for Access to Property SNXM^^O^O 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner), consents to and authorizes the United States Environmental 

Protection Agency (USEPA) or its authorized representatives, collectively the Grantee to enter 

and perfonn certain environmental response activities upon the following described premises: 

Owner -5 Name: /^^// j flAj IAJ\//UH/ \ Daytime Phone: fQ^ - ^7/ ' H(a 7 ^ 

Address: 2101 H ZU ^ 

Address: 

Addresses of Properties 

covered by this Address: 

Agreement: Address: 

Address: 

PURPOSE OF INVESTIGATION 

The purpose of the remedial activities is to remove all soils at the property which are 

contaminated with hazardous substances, in particular lead at concentrations greater than or equal 

to 400 parts per million (ppm). 

REMEDIAL ACTIONS 

The environmental response actions to be performed on said property may include the following 

activities: 

a. Taking photographs and/or video of the property before, during, and after remedial 

activities; 

b. Locating equipment and machinery on-site in preparation for and in the course of the 

environmental response; 

c. Planning and implementing the removal action on or near Grantor's property. 

d. Obtaining samples from Grantor's property; 

AGREEMENT NOT To INTERFERE 

The Grantor agrees not to interfere or tamper with any of the activities or work done, or the 

equipment used to perform the activities, or to undertake any actions regarding the use of said 

property which would tend to endanger the health or welfare of the Grantees or the enviromnent, 

or to allow others to use the property in such 

<rv I grant access io my properties Q I do not grant access to my properties 

MA.JA^ -^/V// 

Signature /7 Date Signature Date 
n Check this box if owner does not want E.R. to enter the residents to document interior 

foundation walls and possible preexisting damage. By checking this box E.R. is not responsible 

for any damage done to the interior of house, including foundation cracks or fissures. 

^^Q l agree [111 do not agree ^^ I agree CH I do not agree 

Owner's Signature Z* Date Contractor's Signature Date 
Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This will also serve as documentation for the purpose of assuring that restoration 

activities are completed to the satisfaction of the property owner and the United States Environmental 

Protection Agency (EPA). 

SAID: ^?Df ^ 

Property Address: J27 6 7 / ^ Z U ^ 

Owner: AlAlO^le, AlA k/yjU/U 

Phone: HbZ-°>'7l' V^ ^ ^ 

On the attached diagram(s) indicate area(s) to be excavated and depth of excavation, location of all known 

utilities, subsurface features, surface structures and landscaping features, access location(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

items to be removed by Contractor and not replaced: 

II Item: /] 

dWf ^IJ Afga'5 Liifii So^h bod. Item: 

Item: 

Item: 

item: 

item: 

Item: 

Page 1 of 2 
A ^Q'Tagree Q I do not agree [^ I agree Q I do not agree 

^ Owner's Signature 1/ Date Contractor'5 Signature Date 

Attachment 

Page 2 of 2 
• % 

Property Completion Agreement 

This agreement documents the completion of remedial activities performed on my property. My 

signature will designate that I am satisfied with the restoration of my property, and that no items are in 

question, now, or at any time in the future, except those items listed below, ifany. 

SAID: 290W 

PropertyAddress: JA.'TOl fij Z ^ ^ F 

Owner: /^^/ ^ m ^ ^ (U lA 

Phone: 'Aoz-i3'7F ^&>n(^ 

Restoration items in Question: 

item: 

"^^^^^Hd^lC^^^IJ^l^^^ ^-xA 

'^^"^'JZ^ M^/L./U2 ^ 

item: 

Item: 

Additionai Comments: 

^^T l agree restoration is completed, except as noted l/\l I agree restoration is completed, except as noted 

I I I do not agree restoration is completed I 11 do not agree restoration is compieted 

Owner's Signature Date Contractor's Signature Date 
Free People Search | WhitePages Page 1 of 1 

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Find People | Find a Business 

Or search: 

• Last name only 

• I Metro area 

Maria W Wynn I s thi s you? Edit 

m 

6244 Read St 

Omaha, NE 68152-2233 

(402) 571-4676 

Age: 50-54 

u 1- l-l Kenneth N Wray, Household: , ... " Lynn Wray, 

Know me? Ask me to update my listing ,n 

.fleeter st 

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19. Z 

X. 

Deboit 

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g «5 %"% ''•e.v. < JZ 

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fo!tf^? i 

OT NBi\-J?«^9A8 Microsoft Corporation ® 2010 NAVTEQ © AND 

Name popularity and name meaning for first name Maria and last name Wynn. 

http://www.whitepages.com/search/FindPerson7firstname begins_with=l&firstname=marl... 8/20/2010 
Douglas County Account Intbrmation Page 1 of2 

Dougias County, Nebraska Property Record - R2015850000 

Print Reoort 

Information is valid as of 2010-8-16 View Interactive GIS Mao 

Treasurer's Tax Reoort 

New Feature ->->- > Subdivision Sales Search 

Owner 

WYNN MARLA M 

6244 READ ST 

OMAHA NE 68152-0000 

Property Informatio n 

Key Number: 1585 0000 20 

Account Type: Residential 

Parcel Number 2015850000 

Parcel Address: 2707 N 26 ST 

OMAHA NE 68111-0000 

Legal Description: POPE PLACE LOT 2 BLOCK 1 S 1/2 20 X 120 

Value Informatio n 

Land Improvement Total 

2010 $200.00 $0.00 $200.00 

2009 $200.00 $0.00 $200.00 

2008 $200.00 $0.00 $200.00 

2007 $200.00 $0.00 $200.00 

2006 $200.00 $0.00 $200.00 

2005 $200.00 $0.00 $200.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.05 2400.0 0.0 120.0 20.0 Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.Jsp?accountno=R20... 8/20/2010 
Douglas County Account Information Page 2 of2 

^?^H;..s, Map data ©2010 Google' 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo,)sp?accountno=R20... 8/20/2010 
ENVIRONMENTAL AS-BUILT DRAWING 

OMAHA LEAD SUPERFUND S ^ 

RESTORATION 

29090 

Omah Exterior Paint North Arrow a Lea d Sit e Owner Name: MARLA M WYNN • Good Sit e Sketc h Address: 2707 N _26^T • Poor 

Phone: H: w. [g^o t paint 

Lead Sample Samples Collected Sample Number Concentration Collected Firm: /V'J'MNJ i^f^ K (V\ — ' 1 

RYASCPXA-29090 F1 Z.1^ ppm D Date: ^ -.^N-QV; 

RYBSCPXA-29090 F2 .5 ^ ppm D Time; ^^, r'^ 

RYCSCPXA-29090 B1 Z6 ^ ppm (zr n Samples Analyzed RYDSCPXA-29090 B2 ppm ET EZ 

RDZOCPXA-20090 -Qi ppm n n XRF Unit: /OO ^ Book: J^* ^ 

•RGZ3GPXA-29090 ppm n n Date: 9,-7: ^ - ^(^ ^ 

„Lab RYDSCPl-A-29090 ppm D n Time Aerx. 

s Result 575 ppm 

Staff: Z7si ^ Number of Samples = '-j 

Legend: F1 = Front Left, F2 Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the sf»et, facing property 

\ ze6 "W^ ENTEllED 1 

AlJG 2 1 2005 

SAID # 29090 5.707 ^ 3Jc 

DATE EXCAVATED 4-18-11 ? 

DATE EPA SIGNED OFF 5-4-11 B2=114PPM@8" 

AREA SODDED 720 SQ FT 

1

r 'yjjy

/ 

—^• ^ : 

. .ui . 1i 

^ 

,.F.l. ! F2 

1 

N a6f sr 046141 

Quadrant aiccav«t«d k 

L£&E!iQ 

t)rlD Zona Excavatod Co«it»m<naMon Li>W Behind 

r*^^i.....^t u. c n DT AA ne C*««a:i^«ka%w%.k>%a«*««l 0^k^4^«»««4a# % • « 11 ^ 
29090 

Omah Exterior Paint North Arrow a Lead Site Owner Name: MARLA M WYNN 

Sit • Good e Sketch Address: 2707 N 26 ST •*« — • Poor 

Phone: H: W: 

0^o t paint 

Lead Sample Samples Coiiected Sample Number LAB Concentration Coiiected Firm: /^\,N } E:(V\^ KO A 

RYASCPXA-29090 F1 ppm 0" n Date: _%'-^\~0' ^ 

RYBSCPXA-29090 F2 5G ppm 0" D Time: a :

 3 5 ^iS2 _ 

RYCSCPXA-29090 Bl ^.ftC. ppm Ef D 

Samples Analyzed 

RYDSCPXA-29090 B2 Hi l ppm Ef 

RDZOCrXA-20Q90 9Z 

ppm D u XRF Unit JOO l . Book: i(o(=\ 

•RGZGCPXA-29090 GZ ppm D D Date: 8 - ?.;3 

.Lab RYDSCPLA-29090 ppm D D Time: AiCQ_ 

2 Result 575ppm Number of S ± Staff: /^•5t ^ 

Legend: F1 = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the stn»et, facing.property 

2BC Mn ENTERED md\'zW>Qf-- .fiL .e>z. AUG 2 1 2008 

9.101 W.3-t?. soft • vr^-fr •W' f^. 

^[..£,..z 

/ 

Ki^ 

— -i

ZJit 

• ^ }6(^ 

B. F2 

N a6? s r 

Rev 4 0461410123 

iSe 

•.;jfc:'A.« 
llllllllllllllllllllill 29090 

Omah Exterior Paint North Arrow Owne a Lead Site r Name: MARUK M WYNN 

Sit • Good e Sl<etch Address: 2707 N 26 ST • Poor ^ * 

Phone: H: W: [g^o t paint 

Sample Number Lead 

Concentration 

Sample 

Coiiected LAB 

Firm:

Samples Coiiected 

 /^\A } E(v\ Kf A 

RYASCPXA-29090

RYBSCPXA-29090

 Fl 

 F2 

-^l-L 

15G 

ppm 

ppm 

E T D 

D 

Date:

Time:

 S-^N-D^ g 

^ ^'Sp/y, 

RYCSCPXA-29090

RYDSCPXA-29090

 B1 

 82 

Z9,G> 

Hl i 

ppm 

ppm 

Ef n Samples Analyzed 

RDZOCPXA-2Q000 DZ ppm D D XRF Unit: IOO I Book; 11 ^ 

.Lab 

2 Result 

RYDSCPLA-29090 

575 ppm 

ppm 

ppm 

Numberof Samples = :

D 

D 

 "^ 

n Date:

Time:

Staff:

 fi - 7 3 

 Pin-i 

 /^Su J 

Legend: Fl = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the stopet, facing property 

ze6 MO ENTERED 

.BL .e>Z 

m 2 1 2005 

3.101 N.s^t?. 

-iZIZ 

F.L'.FZ. 

N 9.6? ST 

Rev 4 046141 0123 
ENVIRONMENTAL XRF DATA ENTRY LOG 

C 

RESTORATION 

SAID # 21CAO DATE 4 \ \ 8 \ \ i 

PROPERTY ADDRE iSS TIME 

ZnO T (sS. TAo ST 

XRF S/N 

QUADRENT OP [SAMPLEAREA 

DEPTH AVERAGE OF RESULTS SHOT#s 

redig 

D Fl 

n F2 

Bl 

82 .j^r V\^^ - \oi 7.0-1^ - 201<P 

DZ 

n PZ 

n GZ 

n EZ1 t^F^-7 : 

n F7? 

n OTHER 

SAMPLER NAME r' s - COLCOA a Ss 
Thermo Fisher Scientific Thermo 900 Middlesex Tumpike 

Billerica, MA 01821 

SCIENTIFI C 

Index • lifii e JAV.I:U..\(;K ,vni)Ui;.ss .S.-ViMI' II:-A Itl'./ \ pi'KK 

1 2011-04-18 15:14 Avg of 2073-207; 2707 n 26 st B2 JIMMY final clearance 114.48 ± 18.77 

2 2011-04-18 15:14 2707 n 26 st B2 JIMMY final clearance 29090 113.20 ± 18.62 

3 2011-04-18 13:14 2707 n 26 sl B2 JIMMY final clearance 29090 116.50 ± 19.04 

4 2011-04-18 15:13 2707 n 26 SI B2 JIMMY final clearance 29090 113.73 ± 18.66 

04/18/11 16:09:44 Page 1 or I 
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