CONTRACT # EP-R7-06-04

 

ASW Associates Inc. 

Omaha Lead Site Remediation, Omaha, NE

 

EPA 

ASW Associates Inc Certification for Property Closeout 

BVID 21842 Property Address 906 S 38th Street 

Field Work Started 27-Oct-06 Field Work Completed SO-Nov-06 

Summary: 

The excavation was performed in compliance with the work plans and specifications. 

The B1 quadrant was excavated to a depth of 12 inch. 

The B2 quadrant was excavated to a depth of 6 inch. 

The drip zone was excavated to a depth of 12 inch. 

Verification samples confirmed that the cleanup standards were met.

 

Verification samples were taken from bottom of excavation.

 

The site was backfilled with materials which meets contract specifications. 

The backfill was compacted to acceptable standards. 

Sod placements and site restorations were conducted in compliance with work plans and 

specifications. 

Analytical data provided is post excavation at the bottom of the excavation for confirmation

 

purposes. 

40261780 

Comments: SUPERFUND RECORDS 

None. 

Jan Prawdzik ASW Project Manager 

Name Title Date Signature 
CONTRACT # EP-R7-06-04

 

ASW Associates Inc. 

Omaha Lead Site Remediation, Omaha, NE 

Analytical Result Summary 

OLS ID: 21842 

Property Address: 906 S 38th Street 

Sample ID 

XRF Results 

Avg. 

(ppm) 

Lab Results 

(ppm) 

2I842-DE-B2-06 3 16 ±49.6 NA 

21842-DE-DZ-12 131.3±38.6 NA 

21842-DE-B1-12 224 ±68.7 NA 

Jan Prawdzik ASW Project Manager 

Name Title bate Sicfrfature 

Sample Designation 

OLSIO-DE-Location-dd 

OLSID is a particular residential property ID from which the sample is collected. 

DE = During and Post Excavation 

Location of the sample as follows:

 

Fl = Front Yard (I" Quadrant) 

Bl =Back Yard (1M Quadrant) 

F2 = Front Yard (2nd Quadrant) 

B2 = Front Yard (2nd Quadrant) 

DZ = Drip Zone 

PZ = Play Zone 

GA = Garden 

EA = Easement 

dd describes the depth from which the sample was collected. 

NA = Not Applicable 
&EPA

 

Remediation/Excavation Contract (ASW) 

EPA Property Close Out Form 

Propert $ t y #: £ Property Address: 1 0 (> 

Date/Time: Owner's Name: A? r c 

Quads Excavated: w Contractor Group 

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? s 

Grading Sod and Vegetation Ves No 

1 . Does the grading around the perimeter of the house in excavated areas generally slope away 

from the house? i/ 

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

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? «/ 

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? / 

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

Gates, Fences and Retaining Walls Yes No 

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

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

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

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? S 

2. Was damage to the foundation avoided? s 

3. Was damage to windows avoided? i/ 

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

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

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? / 

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 .^L, -£4^-. Date: 

s 
 i 

Contract No: EP - R7 - 06 - 04 •*•*'••) Propert

Omah

y

a

 Closeou

 Lead Superfun

t Agreemen

d Site 

t ®

OLSID Property Address /"*i / CT "? O^ ~\* { J i" r~) __j ._._j y\ v <• / 

Property Owner / Is the Resident the Owner jS Yes D No 

^>ftC,tA.S 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) or its authorized representatives, (or its contractors), to enter 

and conduct environmental restoration services for the Omaha Lead Site. 

Your cooperation in giving EPA/ASW permission to access your property during the removal/restoration 

phase is sincerely appreciated. This document certifies that all work performed at this property was 

completed in accordance with the contact specifications and EPA requirements. 

If you have questions or need additional information please contact the EPA Public Information Centers at 

(402) 731-3045 or (402) 991-9583 or the EPA Office of External Programs at 1-800-223-0425. 

Additional Comments by EPA and/or ASW: 

CONTRACTOR CERTIFICATION 

Jan Prawdzik ASW Project Manager 

Name Title Date Signature 

Property Owner Section 

This agreement documents the completion of remedial/restoration efforts at the property to my satisfaction 

{S I agree that restoration is completed at my property 

D I Do Not Agree: Comments: 

^y 

l/S&^fj^'^ss^^ \(L{ n /#6 

Property Owner's Signature \ I Date 

J£AAM .^MWL^V, til/) (9 / /)/, 

j EPA Representative Signature 1 1 Date 
List of existing Conditions pg. _ of 

Property Address: <;, >/-

Owner: _ Date: OLS1D # : 

Description: 

Owner Signature: ASW Associates Inc. 

Print & Sign 
21842

 

Owne Omaha Lead Site r Name: JAN ERIC PUSCH 

Site Sketch Address: 906 S 38 ST 

w Phone: H:

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

RYASCPXA-21842 F1 V^pDDm D 

RYBSCPXA-21842 F2 ooVfl ."A pprn D 

RYCSCPXA-21842 B1 A j I PPm 

RYDSCPXA-21842 B2 /j 01 PPm 

RDZSCPXA-21842 DZ \ O 5s

) X PPm D 

ppm D D - PPm D D 

Number of Samples 1 -1 ^ i J 1 0 

Exterior Paint North Arrow 

Q^ood 

fj Poor ' iP 

fj Not paint 

Samples Collected 

Firm: WES'-/} './/./tf .A. 

Date: ///3-5/cxV 

Time: 1.63 

Samples Analyzed 

XRF Unit: ^ \ \ Book: \\) O 

Date: \ O . ^ . A \_l 

Time: IT l^-\ ' 

Staff: C 2jhOi 

It 

Omaha Lead Site 46130