PROPERTY SUMMARY

 

Date: 10/11/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: October 

Property Address: 2526 Grant 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: 

F2- 127 @ 3" 

B2 - 285 @ 10" 

Dl - 173 @ 10" 

Easement - 64 @ 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) 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. 

40284398 

Superfund 

TECHNOLOGIES, INC. 
645 

h Arrow Owner Name: Omaha Lead Site ^^ 

Address: 2526 GRANT ST Site Sketch D °ood 

Phone: H: w: t ,

Lead Sample AR Samples Collected Sample Number 

Concentration Collected Fjrm: Sverdrup 

RYASCPXA-645 YA 877.6 ppm |7| fl Date" 

RYBSCPXA-645 YB 646.8 DDim p| |~| Timf

 

RYCSCPXA-645 YC 290 4 ppm IN/] PJ

 

r- .-, ,_, samples Analyzed RYDSCPXA-645 YD ppm n n 

RDZSCPXA-645 DZ 1029.6 ppm IT) Fl XRF Unit Ro«k 

RGZSCPXA-645 GZ ppm (~| H Hate' 4/P6/1999 

RPZSCPXA-645 PZ DDm Q Q Time 17-Q.1 

Legend: YA = Yard (NE) ,YB = Yard (SE), YC = Yard (SW), YD = Yard (NW), DZ = Drip Zone, GZ = Garden, PZ = Play 

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Omaha North Arrow Owne 1 «»ari ^ite Exterior Paint r Name: umana i_eaa one ^^ 

Address: 2526 GRANT ST Slte Sketch U 

Phone: H; W n Nat Dainl 

t 1

Sample Number Lead

Concentration

 Sample

 Collected

 ... _

 Firm:

 Samples Collected 

 Sverdrup 

RYASCPXA-645 YA 877.6 ppm 0 Q Oate' 

RYBSCPXA-645 YB 646.8 ppm pi [~] TimeRYCSCPXA-645

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 Samples Analyzed 

RDZSCPXA-645 DZ 1029.6 ppm 0 G XRF Unit Book: 

RGZSCPXA-645 GZ ppm H PI Patp. 4/26/1 9°9 

RPZSCPXA-645 PZ ppm Q Q Time' 17'01 

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Legend: YA = Yard (NE ,YB = Yard (SE), YC = Yard (SW), YD = Yard (NW), DZ = Drip Zone, GZ = Garden, PZ = Play 

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Date: fX-7? Time: .(hrs.) 

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Agjeem^Pto Allow Access To 

Omaha Lead ^ v $%''>, Property ToConduct Easement ^J\.\n-TnJ* ,T

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Site Remedial * \>S£y £ Sampling andCleanup 

Action ^r/svtf^

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Under Contract EP-R7-07-06, me U. S. Environmental Protection Agency (EPA) has Contracted Prudent 

Technologies, Inc. (Prudent), to cleanup lead contamination on various residential properties including 

your property. You can help with this activity by giving permission to conduct easement sampling and 

conduct cleanup on your property. If you sign this form, Prudent will return in a few weeks and perform 

the work We will coordinate sampling and cleanup with you prior to commencement 

If you have any questions about me proposed work, please contact Dan Garvey, EPA's Project Officer for 

our Omaha Lead Site Contract. Mr.. Garvey can be reached at (402) 731-0788. 

Property Access Granted By. 

Property Owner Signature 

fDal») 

PROPERTY INFORMATION 

(To be completedby resident and/or property owner - pleaseprint) 

RESIDENT NAME: -QU Q U C £, 

RESIDENT ADDRESS: .252- C. Cj\ f A V\V- *g> V Q tV\ ^> W K>e A ^ ' / 

IF RENTAL. PROPERTY OWNED BY: 

OWNER'S HAILING ADDRESS; £2. S 2, L C i r a, t,N I >> T~ Q/VV .^ Lr> t^^g_ !p 

OWNER'S TELEPHONE NUMBER-HOME: (;-fp^ 3^A " ^ ^ 3 WORK: f ) 

AGE OF HOHE?: I Q f) YEARS. HOW LONG HAVE YO LIVED HERE? f££) YEARS 

HAS THE EXTERIOR BEEN PAINTED ORCOVERDED WITH SIDING SINCE 1378? ^YES NO 

HAS THE INTERIOR BEEN PAMTED OR COVERED SINCE 18787 V"^ YES NO 

NUMBER OF OCCUPANTS UNDER 6 YEARS OLD: Q NUMBER OF OCCUPANTS 6 YEARS OLD ANDOLDER 

NUMBER OF CHILDRENT UNDER 6 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: 

COMMENTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS. ENTRY GATES. ETC.) L^ Q C\ 

' FOREN\TORMMENTAL RESPONSE ACTIONS 

The activities to be implements by EPA under this agreement are pursuant to Section 104 of CERCLE, 42U.S.C. 

9604. EPA1

 s right of access to the property is provided for in Section 104(e) of CERCLE, 42 U.S. C SX$05(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*: Property Address: ^/^6* G/?/?nr -*VDate/Time: lO/n/o 7 Owner's Name: Jojc* &QC/,**, 

Quads Excavated: Contractor Group Trudent Technologies 

Excavation General Yes No 

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

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? y

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) y 

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? */ 

1. Was damage to landscaping or plant materials avoided? i/ 

Gates, Fences and Retaining Walls Yes No 

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

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

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

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

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? y 

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

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

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? 6/ 

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

Inspection notes: 

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

EPA Representative jQc^ >£L * < - * * ­ ^ Date: /o////?-> 
645

 

North Arrow 1 Owner Name: Omaha Lead Site ^or Paint

 

I Address: 2526 GRANT ST Site Sketch ^ 

J 1 | "oor t , I Phone: H: w: 

Lead Sample ^.g Samples Collected Sample Number

 

Concentration Collected pjrm- Sverdrup 

RYASCPXA-645 YA VffS 0^\ Dpm (v) l~l o?t»

 

RYBSCPXA-645 YB fett* |£~| ppm |7| [~l Time 

RYCSCPXA-645 YC 290 4 ppm Ivl Q

 _. samples Anaiyzea RYDSCPXA-645 YD ppm PI PI K 7

 

RDZSCPXA-645 DZ Jfl3S?6 /7}ppm 0 Qj XRF Unit Book:

 

RGZSCPXA-645 GZ ppm [~| H QatP 4/2R/1P99

 

RPZSCPXA-645 PZ ppm n PI jimp 17-Q1 

M.....I.,,. Number or ,,r

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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: 1 A 5" 

Property Address: '^ v- q / •£> 1 CJ '/, 

Owner: '^KL/t o Rp 4 ^ /wv_ 

Phone: ^ Q ; _ ^ (.f /-, - 1^3 

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. 

ITI I do not agree restoration is completed 

Owner's Signature Date / 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

2002120000 

BEACHAM 

JOYCE 

2526 GRANT 

ST 

OMAHA 

68111 

2526 GRANT 

ST 

OMAHA 

NE 

68111 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

09-15-13 

PATRICKS 2ND ADD 

11 

10 

1/2 VAC ALLEY AD J& 

LTS9&10 

96X128 

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

accountno=R20021 20000 

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 = 38 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

2002100000 

DAVIS 

MILDRED 

2319N26ST 

OMAHA 

68111 

2623 IZARD 

CT#D 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

09-15-13 

PATRICKS 2ND ADD 

11 

8 

1/2 VAC ALLEY ADJ 

& ALL LTS 7 & 8 

128X96 

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

accountno=R20021 00000 

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 = 44 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
Find Record Clean Up Query Lead Remaining Query Property Damage Query Close 

.ample Area: 645 - 2526 GRANT ST 

1

1

'•

:

Owner:

 D Owner Occupied

Owner Name: 

 BEACHAM JOYCE

 Owner Addressl:

 .

 i

 [ 

.

 Resident: 

 Resident Name: 

 Property Address: 

 2526 GRANT ST 

1

!

i 

Contract: 

 Contractor: 

PRUDENT2007 

 Group: 

> ' Owner Address2:

2526 GRANT ST

City: 

iOMAHA

Owner Phone:

State: Zip Code: 

 JNE |68111

 Alternate Phone: 

j 

I '• Zip Code: 

 168111 

 Resident Phone 

i 

i Assessment: 

Qualifying Group 

800 

Assessment XRF Date: 

Assessment Max XRF Valu 

877.6