TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAn)#: \IQ\17^ ­ Date: {}l]\^h ^ 

Address: 7?| q ^ . ^^M C4 

RemediatioiiContiactor: ^Hdlfl-lr ^H \ \0 L Year: AOlQ -

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

i Executive Summary 

I^ EP A-provided property sketch 

ffl Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adja^«nt property 

B Restoration Agreement 

0 Setdement documents (i.e., for damage or to replace plants, etc.) 

Confirmation data 

Photographs 

As-built sketch 

SatisfiKtory restoration signed by Property Owner 

A Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

Q Utility dearaaces 

la Property information from Douglas County Assessor's Office 

D 

D 

D 

r\^' ' 

Signature Date 

30054185 ini 

Superfund 
Rnd Record 

Backfill: 

Sample Area: 16172 - 2518 S 34 ST 

Owner: 

D Owner Occupied 

Owner Name: 

|HnT ELIZABETH A 

Owner Addressl: 

Owner AddressZ: 

|2518 S 34 ST 

Qty: State: Zip Code: 

|OMAHA |NE |68105 

Owner Phone: Alternate Phone: 

1 1 

Remediation Query I Lead Remaining Query I

Resident: 

Resident Name: 

HARRIS JRIUCHARD A 

Property Address: 

|2518S34ST 

Zip Code: 

|68105 

Resident Phone 

I 

 Property Damage Query 

Contract: 

Contractor: 

|PRUDEI^T2009_S 

Contract Option 

)OPnON 3 " 

Assessment: 

Qualifying Group 

|400/CHILD 

Assessment Max XRF Value: 

474.25 
PROPERTY SUMMARY 

Date:ft)/15/2010 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l | Month of: dC T 

Property Address: 2518 S 34 ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: AREA NOT EXCAVATED PER P.O. REQUEST; F2/LS (5X10') = 

205 PPM @ SCRAPE 

CONFIRMATION SAMPLING DATA/RESULTS: 

F2 = 92 PPM @ 6"; EA = 51 PPM @ SCRAPE (-1") 

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 CheckUst 

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 of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES. INC. 
TBCHNOLOGDBS, INC. 

EPA Property Close Out 

Property #: lUll ^ Property Address: £^l ^ ^ . ^l^ S h 

Date/Time: IJ^jj fc ^ Owner's Name: ^,o^^ A ^cixf^g: 

Quads Excavated: Contractor Group: Prudent Technologies, Inc., 

Excavation General Yes No 

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

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

Grading Sod and Vegetation 

Yes No 

1. 

Does the grading arouiTd 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? / 

3, Does tlie sod appear to be generally healthy and growing? (OiJy evaluate if inspeaed at a 30 

day time period) / 

4. 

Are sodded areas generally firm and evenly graded? 

v" 

5. 

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

lime period) / 

6. 

Was the property graded such tliat water will not pool on the property? / 

7. 

Was damage to landscaping or plant materials avoided? y 

Gates, Fences and Retaining Walls Yes No 

1. 

Do gates open and close freely? (If applicable) y 

2. 

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

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

y 

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

y 

Foundation, Siding and Gutters 

Yes No 

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

2. 

Was damage to the foundation avoided? y 

.1. 

Was damage to windows avoided? / 

4. 

Was damage to windows or door screens avoided? y 

5. 

Was damage lo downspouts or downspout extensions avoided? ^ y 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage lo driveway surfaces avoided? y 

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

Inspection notes: 

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

EPA Representative BCU^JBL^ _Date: /g/a/o? 
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: 

^57 S" ^•3t* ^TT 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Hem: 

Item: 

Item: 

Item: 

Required connections to complete the property: 

ULI I agree restoration is completed. 

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

Date 

I
Prudent Technologies, Inc. (Prudent) is under contract with the U. S. Environmental Protection Agency (EPA) to clean up leadcontaminated soils at a number of properties located in Omaha, Nebraska, including the property located at 

. The EPA requests your permission to allow Prudent to perform a soil cleanup at this 

property to remove lead-contaminated soil. By signing this form, tlie property owner grants permission to Prudent to perform 

activities related to the cleanup including soil sampling, removal of lead-contaminated soil, and restoration of the referenced property. 

If you have any questions about the soil cleanup planned for your property, please contact Prudent Administrative Clerk for the 

Omaha Lead Site cleanup. Ms. Deborah Johnson -at (402) 733-1188. General questions about the Omaha Lead Site cleanup can be 

directed to the EPA Public Infomwlio^ (f enters at (402) 731-3045 (South Omaha off^ie) or (402) 991-9583 (North Omaha office). 

Property Access Granted B; 

Property Owner Sign IMSipn 

(Date) 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner — please print) 

RESIDENT NAME: ^.Uy.k^^iJ^ IjLLiL Owner Renter 

RESIDENT ADDRESS: 

•:^WKv ^ ^ Qyvutl^ ^ JCde G-^lo -^ 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

OWNER'S TELEPHONE NUMBER - HOME: J _ WORK: 

AGE OF HOME?: 31. 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 to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to the property is provided for in Section 104(e) of 

CERCLA, 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." 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical 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:(816)363-3707 Fax: (402)504-1005 Fax:(210)579-6577 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

Address:

Phone;

Item NO 

On Map 

Item NO 

On Map 

r 

Property Status Form 

 ^15) ^ S ^ M ^-*^ Date: I0//II0') 

 ^^^ ^ O'K- ? L.^ BVID; 

Plants & Permanent Landscaping To Remain In Place 

Description & Location 

COJO ^ 

<5vVe Cp^o^L/X- SojoMS-e^ JUL 

(\o H c e 

Pre-Existing Condition of Stbuctures 

Does your Basement have a history of leaking? Yes No \ ' 

Description & Location % 

ProperW|6wnei Prudent Employee 

Signature: Signature: 
FrHNOT.OGIF.S. INC. 

AS - BUILT DRAWING 

f)l SH:16I72 

t)atc ^Al•a^atl•d: U(/JO/20n9 

I M;P \ Siciifil OtTDiiti: OMAHA LEAD SUPERFUND SITE 

6172 

\m. \ \o T iA( .\\ .\rj;i); 

l'2/I..S(5'.\l(r)-2(15 PPM 

(I S{'RVPF.(-1"1 

Omaha Lead Site 46130 

CONTRACT »: EP - R7-07-06 T0#1 PRUDENT TECHNOLOGIES, INC. 
Fxn7KnT;nniFs. INC 

AS - BUILT DRAWING 

DiKf l'ACii\aU(i: 10/.5(l.20ns> 

t M;!' \ SijiiH-d Offline : OMAHA LEAD SUPERFUND SITE 

6172 

Omaha Lead Site Exterior Paint North Arrow 

Owner Name: RiCHARD A HARRIS JR 

Site Sketch Address: 2518 S 34 ST • Poor Phone: H: (402)707-2944 W^^ [402} 707-2944 Q Not paint 

Sample Number 

RYASCPXA-16172 

RYBSCPXA-16172 

RYCSCPXA-16172 

RYDSCPXA-16172 

RDZSCPXA-16172 

F1 

F2 

Bl 

B2 

DZ 

Lead 

Concentration 

/4'4 ^ ppm 

I ^ f ppm 

Sample 

Collected 

w 

D 

LAB 

D 

n 

n 

D 

D 

n 

Samples Collected 

Firm ' h t -

Date: e ' -^ S 'o ~\ 

Time: 

LLB^ 

-IS 

Samples Analyzed 

XRF Unit: ^Jf " Book: ^T ' 

Date: ^//^/^' ^ 

Time: /^-^ ^ 

Staff: p'1^^ ^ 

ARI A \<) r l',\( A\ Alll) : 

l-2/l,S(5'\l(r)-2((?Pl>M 

// SC RM'l i t"> 

Omaha Lead Sile 46130 

CONTRACT #: EP - R7-07-06 T0#1 PRUDENT TECHNOLOGIES, INC. 
Er'->* - .f/^-yr^f^ 

151SS -4 ST 

March 2007 DOUGLAS COUNTY ASSESSO 
Print Preview Page 1 of2 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Pnsperty 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 

Owner 

City 

Owner 

State 

Owner 

Zip 

1002340000 

HITT 

ELIZABETH 

A 

2518S34 

ST 

OMAHA 

68105 

2518 S34 

ST 

OMAHA 

NE 

68105 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Acres 

Treasurer 

Website 

Link 

Assessor 

Website 

Link 

DWIGHT & LYMANS ADD 

6 

5 

52X132 

0.16 

http://webapps.dotcomm.org:8080/TreasTax/faces/pages/taxinfo.jsp? 

parc=1002340000 

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

accountno=R1002340000 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 9/17/2009 

2 
Page 1 of2 

"> 

YOUR TICKET NUMBER IS 2388971. 

Original Call Date: 10/19/09 

Work to Begin Date: 10/21/09 

Time: 

Time: 

10:43 am 

11:15 am 

Op: SIVA18967 

State: NE 

Address: 2518 

UGLAS Place: OMAHA 

Twp: 15N Rng: 13E 

Twp: Rng: 

Legal Given: C 

Sect-Qtr: 28-SW,33-NW 

Sect-Qtr: 

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 LEVEL3 MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVEL3 LEVELS COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUD02 METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 
Page 2 of 2 

0PPDGPR6 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

QLNNEIF QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 
Address: rQS/^

Crew: 

Date: /C:!>-^3'0'T 

Item 

Overhead Lines 

Gas Line 

Water Line 

Sewer Line 

Septic / Leech 

field 

Propane/Butane 

Sidewalk 

Foundation 

Retaining Walls 

Fences 

Trees/ Bushes 

Structures 

Driveway 

Sprinkler System 

Other 

Crew' EtJreman 

ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

(D 

Site Safety Hazard Analysis 

S 3 ^ S t 

Ex.. 

Bf. 

Corrective 

Condition Hazards Action 

^<. ^ 

^wy'/^/^ ? 

«•»*••/ lexjf^ ^ 

I I 

A^ir./orl 

^ ^ 

^ y t 

^. ^ C/S C /9/i,^^^^^, ^ 

/ f 

f-cu^ 

-(-Cf^ 

•f-Cff^ 

y4hiyJ> 

n 

/2-_ US ^ /P(^^.tJ^. ^ 

y'C^ ^ 

Site Safety Officer 

8080 Ward Parkway. Suite 405 2505 N. 24"^ Street, Suite 308 4242 Mer/ical 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: /R1fi^ 36^-1707 Fa v Mft9» sn/l.-inni! 

A