PROPERTY SUMMARY

 

| Date; 10/26/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: October 

| Property Address; 3224 N 39 St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl - 87 @ 6" 

B2 -180 @ 8" 

El - 106 @ 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-Built sketch ­

i) Shall include final lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BV1D 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) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iii) Signed form verifying satisfactory restoration

 

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

•111 

Superfund 

TECHNOLOGIES, INC, 

40284323 
Name:

Address:

Phone: 

 Cb.vvieA 

 32/2.4 

Omaha Lead Site

Site Sketch

 Date: 

 Time: 

North Arrow 

Team A*f lb\\ 

Sample Number 

BVID# 

Lead Concentration 

\' q \v PPm 

) y*n(V) PPm 

To PPm 

ppm 

ppm 

ppm 

ppm 

XRFCode fl 1 \ 

Confirmation Sample 

^Yes d 

feYes a 

No 

No 

Bj Yes D 

g^Yes a 

Yes D 

Yes d 

Yes Q 

No 

No 

No d 

No D 

No D 

_l 

± 

r 

ENTERED 

JUN Q 9 21(04 

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Omaha Lead Site 46130 


Address: 32/7,4 t^J 2^S^ Site Sketch Time: j : *,*z 

Phone: 

-^ 

Team W&> A*f /BU BVID# ^O^ll XRF Code 0 I \ 

Sample Number Lead Concentrati on Confirmation Sample 

1 pm ^Yes D No '5x 61 D*5rV T\~ ^>f"\ \ \ \ Q \ 2 pm feYes O No ^O- R vr.c^c -P)C A — ^DUXX \ VoO p 

3 pm Bj Yes D No t$C^ K Y^^C^kA - ^noA \ d i-^ •„ ,' p a 4 T" pm g^Yes No tZT 

5 pm Yes a No a 

6 pm Yes n No CD 

7 Ppm Yes O No a 

i^.NT ER1 ID 

JUN 092 1 04 m f %7'ft 1 

A h nfn/Mr' 1 

III 1 »/> \m 

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Omaha Lead Site 46130 
^v;-- ??,V(i_ Agreeme^o Allow Access To 

Lead ^ / $g|8. >, Property To Conduct Easement 

ite K©m©d§n8 * \$j?f'S ? Sampling and Cleanup 

Under Confract EP-R7-Q7-05, &e U. S. Eavkommflafoi Protection Agency (EPA) has Contracted Pirudent 

Technologies, Inc. (Pirudent), to cleanup lead coffitaxmnsition on various residential properties including 

yoiH property. You can help TO$H iMs sdavjfiy fay giwsig pejmissioa to conduct essemeoi sampEng sod 

comfcct cleamip on you? property. If you siga tMs fofm, FkudeM will return in a few weeks and perfosm 

ihe wofk. We will coordiiaaie ssmpEuig sad desougi witSi you pxiof to commeficemesiL 

If you have assy qisesisoas about tSie proposed work, please coisiaci: Dsa Gasrvey, EPA's Broject Officer tor 

our Omaha Lead Site Contract Mr. Garvey can jje reached at (402) 731-07^. 

Property Access Graaled By:V /J Af A^ / ^" A. fj 0 X. 

' UaE»PriHtNaHC. 

Roperfy Owaer Signatee: ' 3 €- Q 

(Bigrmturj) (Dni») 

PROPERTY OWFOIRMATDOKI 

C^HET -

RESIDENT CdAClE: V CLC-^e»^J iQ'V W>*^L (U<Xr<x0 Qjwner Denier 

RESIDENT ADDRESS: ^ 2- ^-H N 

IF REBT&L. PROPERTY OWMED BY: 

OW/WER'SMAILMG ADDRESS; llIl^CX>~iJ eA \-\O\ 

"1 b S WORK: J 

AGE OF HOME?: f^\r YEARS. HOW LONG HAVE YO LIVED HERE? 3 S YEARS. 

HAS THE EXTERIOR BEEM PAIHTED OR COVEROED WITH SJDIMG SITJCE^978? ^VES C30 

HAS THE INTERIOR BEEfJ PAC3TED OR COVERED SINCE 1978? YES HO 

HUHBER OF OCCUPAWTS UMDER S YEARS OLD: HUHBER OF OCCUPAWTSS YEARS OLD AMD OLDER 

MUdBER OF CHILDREfJT UMDER S YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS OR CORE PER WEEK: 

COQDEMTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS. EMTRY GATES. ETC.) 

AUTHORITY FOR ENVIQRHMENTAL RESPONSE ACTIONS 

The activities to be implemestts by EPA under this ag-esment are pursuant to Section 104- of CERCLE. 42 U. S. C. 

9604. EPA' a ri^it of access to the property is provided for in Section 104(e) of CERCLE, 42 U.S. C 9605(e), which 

provides entry for "determining the need for response, or choosing or taking any response action under this title, or 

otherwise enforcing the provisions of the title." 
&EPA 

EPA Property Close Out 

Property #: 3OVf/ Property Address: 322^*1 39 H 

Date/Time: Qc+ Owner's Name: Onmet Hotmts 

Quads Excavated: Contractor Group Prudent Technologies 

Excavation General

 Yes

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

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

^ 

Grading Sod and Vegetation Yes

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? 

S 

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

day time period) S 

4. Are sodded areas generally firm and evenly graded? 

S 

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

time period) S 

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

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

Gates, Fences and Retaining Walls Yes

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

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

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

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

Foundation, Siding and Gutters Yes

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

2. Was damage to the foundation avoided? t/ 

3. Was damage to windows avoided? s 

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

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

Sidewalks and Driveways (Concrete) Yes

1 . Was damage to driveway surfaces avoided? / 

2. Was damage to walkway surfaces avoided? 4/ 

 No 

 No 

 No 

 No 

 No 
Owners comments: 

Inspection notes: 

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

EPA Representative Jd,^, £L* Date: 

"~ 
Omaha Lead Site 46130 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 2519100000 Sec-Twn-Rng 08-15-13 

Owner HOLMES Owner 

Name DANIEL Address 

Property 

Address 

3224 N 39 ST Addition WESTMORELAND 

City OMAHA Block 

Zip 68111 Lot 193 

Owner 

Address Legal 1 1/2 VAC ALLEY ADJ & LT 193 

Owner 

Address 2 3223 N 40 ST Legal 2 40X140.56 

Owner City OMAHA Legal3 

Owner 

State 

NE Legal4 

Owner Zip 68111 /Assessor 

Website Link 

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

accountno=R2519100000 

Disclaimer Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 28 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 7/16/2007 
SERA

 

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: 

Property Address: ^ ^ ^ <-| r\j 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

LJ I agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

Owner's Signature Date 
Find Record 

Sample Area: 30411

Owner: 

D Owner Occupied 

Owner Name: 

JHOLMES DANIEL 

Owner Addressl: 

ii 

U r Owner Address2: 

J3223 N 40 ST 

City:

IOMAHA

Owner Phone:

|(402) 451-8705

 - 3224 N 39 ST 

 State: Zip Code: 

 |NE Jesni 

 Alternate Phone: 

| 

1 11 Lead Remaining Query

Resident: 

Resident Name: 

IVACANT LOT 

Property Address: 

113224 N 39 ST 

Zip Code: 

J68111 

Resident Phone 

1 

 Property Damage Query

 fl Close 

Contract: 

Contractor: 

JPRUDENT2007 

Group: 

! 

Assessment: 

Qualifying Group 

jsoo 

Assessment XRF Date: 

» 

Assessment Max XRF Value: 

| 902.81 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

MAP ERROR REPORT FORM 

Property Address: 

BVTO: 3^2 4V/ 

Description of the Map Error: I///L& 

•7® a 

Date of the Report to EPA:, 

Method of Reporting (circle one): Phone call E-mail 

Other Method 

Description on how the error was resolved: 

Signature of the Reporting Staff Member 

8080 Ward Parkway, Suite 405 2505 N.24th

 Street. Suits 308 4242 Madlcal Drive, Suite 4250 

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

Phone: (816) 363.3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (4021504-1005 Fax: (210) 579-6677