PROPERTY SUMMARY

 

| Date; 06/21/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: June 

| Property Address; 2066 N 18 St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl-133@7" F2-96@7" 

Bl-372@7" B2-124@7" 

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) 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. 

TECHNOLOGIES, INC. 
6/O7 

•I 

7/26/2007 7/26/2007 
Total Qua^H Square Footage to be Excavated = 9285 

Total OTPZone Linear Footapo to be Excavated = 0 

Legend North Arrow Omaha Lead Site 

Concrete Omaha, Nebraska 

za Excavated Area Property Number 

ExlbUng Stnjcture Scale OLS-50036 

* *

;:'X'X

 * Fence 

 Permanent Landscaping 

20feetor1 grld°Sx5tt Property Address 

2066N18ST 

•TM ^ ~

—^^—

 QuBdjdrit Boundary 

 Street Boundary 

HGL F1. 

F2 

Post Excavation Concentrations (ppm) 

B2 Ptay Area 

DZ Easement 

\>Tree/Shru b B1 Garden Other 

Descriptor) o* postmcavaflon areas R. ftontyardWHiand qiadrart; F2, ftont yart rtgm-tand quadrant; B1. tedcyari totMandquadiant;B2,bacl!yanlrtgh»-hand<)iadnint 

DZ, dflp zone (1-3 toot area oT soil around ft* TounJatton of the hou»X 
50CX3U

 

Owner Name:

Address: 

 u[\ft Omaha Lead 

Site Sketch 

North Arrow 

Phone: H: W: 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm: 

Samples Collected 

RYASCPXA­ F1 ppm D Date: 

RYBSCPXA­ F2 ppm FT D Time: ?•'/? 

RYCSCPXA­ B1 

RYDSCPXA­ B2 ppm Samples Analyzed 

RO^SC^PXA DZ ppm D XRF Unit: ^| Q Book: r? f* ~7 p f* P v A_ T\V^i—N—'WI ^"" f*. 7­ VJiZ^ n jo>. 

-PZ­ ppm D n Time: "3'.2O iv-v 

of Samples = ! 

Omaha Lead Site 46130 
Agreement to allow access to 

Omaha Lead / $£** \ the property in crcSer to conduct 

Site Remedial

Actjon

 \

 ^

 V$KW'/ •;• '/ff^

f

'

fff

 v­

 environmental sampling and to 

 remove lead-contaminated soil ''V ..Y-."'-

Prudent Technologies, Inc. (Prudent) is under contract with the U. S/jEnvironniental Protection Agency 

(EPA) to clean up lead-contarninatecj^oils at a number.of propedj^located in Omaha, Nebraska, 

including the property located at r~^ <& 62 6? /J , I rY *$4 • Tlle

 EPA request your 

permission to allow Prudent to perform a soil cleanup at this property to remove lead-camsmirtateti soil. 

By signing this form, the property owner grants permission to Prudent to perform activities * elated to tht 

cleanup including soil sampling, removal of lead-contaminated soil, and restoration of the referenced 

property. Aftfcf obtaining, the owner's signature on this form. Prudent Technologies. Lie. will contact tlc..e 

proper^' owner (and residents) within the next few weeks to coordinate performance the v-ork. 

If you have any QTiestions about the soil cleanup planned for your property, please contact Pmdeni's 

Aamtnisiranve Clerk for me Omaha Lead Sire cleanup, Ms. Cynaie Hinds at (402) 50s-iOC^ Geneera : l 

questions about the Omaha Lead Site cleanup can be directed to the EPA Public Information. Centers at 'T^I -t -t/\ ji r t t\ /~i 4 iv* \ / ji/v^ •» i*\r\i H r\ £ rv~> / ji -~\ « rv» i /J1--1U4J vsoimi umane ornce; or IMVZ; yyi-yjoj (norm Umaha office;. 

Property Access Granted By. A. 

Propetty Owner Signature: 

PROPERTY INFORMATION 

(To be completed by resident and/or propsrij1 owner -- please pritif) 

RESIDENT NAME: 

RESIDENT ADDRESS: 

IP RENTAL. PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

OWNER'S TELEPHONE NUMBER -HOME: ( ) WORK: J_ 

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

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH S!3l?iC S'.UCE 1573? YES 

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

NUHBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY i)J THE YARD FOR 5 HOURS OR MORE PER WEEK' 

COMMENTS OR SPECIAL INSTRUCTIONS: (I E. DOCS. FNTF.Y GATF.S, FTC.; 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS, Th; activities ^o b? impis-ne^ by EPA - ^ ±i. 

agrssnau are puraiarit to Section 104 of CSRCLA, 42 U. S. C P604. EPA'E nshr of acc«s to tlie properp.'; i 

presided fa" in Stcticn^ lC4(e) of CEECLA, 42U.S. C 9t05:5), v;-hichprc^id^i s-;tiy for"d^ts^:--.::^ 'J-.? .-.;•;: f: 

'isa, or dvoosirig a- taldns ar^' response acliori undsr ti\.i litis. or ott.err.'iie •iri.forci:'^

 fJ« ^roviiia:'^ .;: ii.r 
EPA Property Close Out Form

 

Property #: _ Property Address: laec /v 

Date/Time: Jun, y/i Owner's Name: OmnH* 

Quads Excavated: PL Contractor Group 

Excavation General Yes No 

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

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

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter of the house in excavated areas generally slope away S 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) </ 

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 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 

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

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

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

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? i/ 

3. Was damage to windows avoided? «/ 

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

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

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? i/ 

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

Inspection notes: 

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

EPA Representative Date: 
LC.V- - Total Qua^B Square Footage to be Excavated = 9285 

TQtajWzone Linear Footafle to be Excavated = 0 Property Classification: 800 

u x- X :i 

v ) J 

Legend North Arrow 

Concrete 

Excavated Area 

Existing Structure 

iza 

Scale 

Fence 1 Inch = 20 feet or 1 grid = 5 x 5 ft 

Permanent Landscaping 

— — — Quadrant Boundary 

Street Boundary i 

•

Tree/Shrub 

Omaha Lead Site 

Omaha, Nebraska 

Property Number 

OLS-50036 

Property Address 

2066N18ST 

Post Excavation Cor^pentrations (ppm) 

F1 ±Z2.^p 1" B2 iZ^ffil Play Area 

F2 ^L (S 1v DZ Easement 

B1 "V? •> (a 7" Garden Other 

Description of post excavation areas: F1, front yard left-rand quadrant F2, front yard right-hand quadn 

DZ, dnp zone (1-3 foot area of soil around the foundation of the house). 
uare Footage to be Excavated = 9285 

Linear Footage to be Excavated = 0 

uo i PC 

J o 

end 

Concrete 

Excavated Area 

IMBI Existing Structure 

• * • Fence 

J5&J Rermanent Landscaping 

— — — Quadrant Boundary 

Street Boundary 

\j) Tree/Shrub 

North Arrow 

Scale 

1 Inch = 20 feet or 1 grid = 5 x 5 n 

F1. 

F2 

B1 

fvHJ5L 

Omaha Lead Site 

Omaha, Nebraska 

Property Number 

OLS-50036 

Property Address 

2066N18ST 

Post Excavation Concentrations (ppm) 

B2 Play Area 

DZ Easement 

Garden Other 

Description of post excavation areas: F1, front yard left-hand quadrant; F2, front yard right-hand quadrant; B1, backyard left-hand quadrant; B2, backyard right-hand quadrant 

DZ, drip zone (1-3 foot area of soil around the foundation of the house). 
SEPA

 

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 sod warranty (90 days total) except those items listed below, if any. 

Property ED: 

Property Address: £ n( (

Owner: 

 f\ \ <g 

Phone: ' Q^O ^ ­ H MH­ ^> \ % 0 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

i agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

^ PL,^ 

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

Sample Area: 50036 - 2066 N 18 ST 

Owner: Resident: Contract: 

CH Owner Occupied 

Owner Name: 

ICITY OF OMAHA 

Owner Address 1: 

|C/O JAMES THELE CITY PLANNING 

Owner Address2: 

|1819FARNAMST#1111 

City: State: Zip Code: 

OMAHA |NE |68183 

Owner Phone: Alternate Phone: 

|(402) 441-5150 | 

Resident Name: 

VACANT LOT 

Property Address: 

2066 N 18 ST 

Zip Code: 

Resident Phone 

Contractor: 

PRUDENT2007 

Group: 

Assessment: 

Qualifying Group 

|800 

Assessment XRF Date: 

Assessment Max XRF Value: 

944.78