TRANSMITTA L of OMAH A LEAD SITE 

SOIL REMEDIATIO N FILE FOLDER 

SAID#: ^^S O Date: . 

Address: \\j,\J^^A V^- " ^ 'frf . 

Remediation Contractor: Envrionmental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

er Video ofproperty (DVD) j S Before DAfter D Basement D 

"B- Executive Summary (Final Report) 

H EPA-provided property sketch 

Q Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

LS Restoration Agreement 

D Settlement documents (i.e., for damage or to replace plants, etc.) 

" ^ Confirmation data 

S^ Photographs ^^Before DCrew Photos IS. During Excavation D Sod 

gJO-daySodP 

'^H L As-built sketch 

^ Completion Agreement signed by Property Owner 

^ Property close-out check list signed by EPA 

D Description ofareas not meeting ROD cleanup criteria 

' ^ Utility clearances 

"H Property information from Douglas County Assessor's Office 

Hs Property access checklist ­

30260311 "Ig Contact Log i 

D . . Superfund 

Environmental Res'toration Signature Date 

' Date 
Omaha Lead Site—EP-R7-09-05 

Environmental Restoration, LLC 

www.crllc.com 

EXECUTIVE SUMMARY: 

82430 - 1616 VaN 29 ST 

X No Issues or Concerns Q ] Issues/Concerns 

Detail Explanation: 
EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #: ^2^'h O Property Address: KflK^ M ^^ 6-r 

Date/Time: Owner's Name: c, ^ ^ C)rrot.V^Q^ 

Quads Excavated: ^ \ Contractor Group : Environmental Restoration (ER) 

Excavation General V(\cj\Nrr Lor Yes No 

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

2. If necessary, were the correct areas ofdrip zone excavated and restored? UK 

Grading Sod and Vegetation Yes No 

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

house?. A 

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

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

period). 

4. Are sodded areas generally firm and evenly graded? *^ 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at 30-day time period). 

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

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

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 re-installed? (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 No 

1. Was dama°e to sidina or trim avoided? 

2. Was damage to the foundation avoided? IS: 

3. Was damage to windows avoided? Al /\cA^^ ik. 4. Was damage to window screens or door screens avoided? 

5. Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? >^|tKCAK' \ \Ar\ 2. Was damage to walkway surfaces avoided? 

Inspection notes: 

Remedial and restoration activities complete including 30-day sod warranty: 

EPA Representative: ,.-^^^>£g ^ yy(/f^.r..J^A ^ ^^ _ Date: 113010 
Ada m Detrich 

From: Johnson.James@epamail.epa.gov 

Sent: Wednesday, July 14, 2010 12:01 PM 

To: Adam Detricin 

Subject: Re: QA properties results for 7/14/2010. 

Adam, here are the result s fo r today' s properties . 

1615 K N 29th ST = Fl = 235 +/- 28 

5124 Charles ST = F2 = 21 +/- 11 

lie s N 49th ST = Bl = 295 +/- 29 

Dames A. Dohnson, MPH 

On-Scene Coordinator 

USEPA / R7/ SUPR / ERNB 

991 N. Sth stree t 

KCK, KS 66101 

913.551.7958 offic e 

913.551.9058 fax 

816.516,4954 cel l 

johnson. jamesfSepa. gov 

'Today i s a good day t o live " 

I > 

I From: | 

I ......_ > 

> 

I Adam Detrich <a.detrich@erllc.com> 

I 

> .. . 

I — — — — > 

I To : I 

I > 

> _-

I Dames Dohnson/R7/USEPA/US@EPA 

I 

> — 

I > 

I Date: | 

I > 

> ^ • 

107/14/2010 07:52 AM 

I 

> 

I 

1 
Page 1 of2 

"> 

[ Create Another Ticket ] [ Back to Irth Internet ] Send Email ] 

YOUR TICKET NUMBER IS 2540261. 

Original Call Date: 7/09/10 Time: 1:24 pra Op: TRACY2418 6 


Work to Begin Date: 7/13/10 Time: 2:00 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1615 Street: N 29TH ST 


Twp: 15N Rng: 13E Sect-Qtr: 16-NE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Excavating the entire property 


Location of Work: LOCATE ENTIRE PROPERTY @ 1515 1/2 N 29TH ST 


Remarks: FAX ALL CLEARS TO: {402)451-1069 


PROPERTY IS ACTUALLY 1615 1/2 N 29TH ST 


SAID #32430 


Company : 

Contact Name: 

Alt. Contact: 

ENVIRONMENTAL RESTORATION 

TRACY BRISTOW Phone: 

Phone: 

(402)451-1314 

(314)504-4874 

Work Being Done For: EPA 

Depth of Excavation: 12 Corner Lot: 

Involves Tunneling or Horizontal Boring : 

CXCATV LEVEL3 MUDOl OMAHACOF 

N Front: Y

N Explosives: N 

0PPDGPR5 QLNNEIC 

 Rear; 

Service Area Contact Phone Number Utility Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, FNC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVEL3 LEVEL3 COMMUNICATIONS, LLC NA Alt: 

Emerg: 8773668344 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 

Day: 4024447197 


OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC Alt: 4024445161 


I-'-H-*^- //t¥j-i-iMir HV \ /M^ r\TCr 'irti^intPmet/nHONNoticeCreation/MessageText.asp?ret=<RESULTS... 7/9/2010 
Douglas County NE GIs Map 

LEGEND 

Minor Streets 

I Major Streets 

Disclaimer: This map is not guaranteed 

to be accurate, correct, current, or complete and conclusions drawn 

are the responsibility of the user. 
Page 2 of2 

Emerg: 4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT

Day: 4067289343 

 ELM LOCATrNG Ah: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK

Day: 4067289343 

 ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

httD://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 7/9/2010 
Contact Information Log 

SAID# ?Ai90 g,// U h^^ 

Attempt to contact Date/time Name 

Pt^/lA^ ^^A/€c£ . iZ^iu ^ I-ZI-fb l^-20f 

... . 

' 
Property Access Checklist 

Owner: jj,^^ ^ (^-P 

] oh^/VNcl*^ Renter: 1 

/ Phone: ^'''•"" B.i( b-k^sh

 ' 

Fax: 

Cell/Pager: 

Phone: C/^f/- Y^/^ T Additional Information: 

Fax: 

Cell/Pager: 

Access Agreement 

Signed: 2-/ // / iO 

W R Restoration Agreement Signed: 2-/ // / /g> 

0 Video Property Before On X 7^7 / /» 

23 Digital Photos Before On : S / *T / {4 

n Video Property After On / / 

n Digital Photos After 

On 

Hs^Property Completion Agreement Signed: 7 /^// O 

r~l Final Report 

Signed: / / 

Omaha Lead Project Work Plan 

Pagel of 19 
Consent for Access to Property SABD# ^^V30 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property ovmer), consents to and authorizes the United States Environmental 

Protection Agency (USEPA) or its authorized representatives, collectively the Grantee to enter 

and perform certain environmental response activities upon the following described premises.: 

Daytime Phone: W'T ^ ^ Z / ^ 

Address: ,| ^ ( ^ |/ ^ ^ ^ ^ S f 

Address: 

Addresses of Properties 

covered by this Address: 

Agreement: Address: 

Address:

PURPOSE OF INVESTIGATION 

The purpose of the remedial activities is to remove all soils at the property which are 

contaminated with hazardous substances, in particular lead at concentrations greater than,or equal 

to 400 parts per million (ppm). 

REMEDIAL ACTIONS 

The environmental response actions to be performed on said property may include the following 

activities: 

a. Taking photographs and/or video of the property before, during, and after remedial 

activities; 

b. Locating equipment and machinery on-site in preparation for and in the course ofthe 

environmental response; 

c. Planning and implementing the removal action on or near Grantor's property. 

d. Obtaining samples from Grantor's property; 

AGREEMENT NOT To INTERFERE 

The Grantor agrees not to interfere or tamper with any of the activities or work done, or the 

equipment used to perform the activities, or to undert^e any actions regarding the use of said 

property which would tend to endanger the health or welfare of the Grantees or the environment, 

or to allow-others to use the property in such 

I grant access to my properties 

n I do not grant access to my properties 

Signature " I] 7 • Date 

Signature 

 1 
^ ^ Check this box if owner does not want E.R. to enter the residents to document interior 

^fobindation walls and possible preexisting damage. By checking this box E.R. is not responsible 

for any damage done to the interiof of house, including foundation cracks or fissures. 

Q I do not agree n I agree r~l I do not agree 

-^^^4^.. ^/^?^£tS££fL.2-A7lVP^^^ l . Owner's Sigi^jfiiire ( Date Contractor's Signature Date 
Restoration Agreement 

The purpose pf this agreement is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This will also serve as documentation for the purpose of assuring that restoration 

activities are completed to the satisfaction of the property owner and the United States Environmental 

Protection Agency (EPA). 

SAID: "€27730 

Property Address: Vcf^A-:^ M 2?'7^ ^ F ­

Owner: /l.- ^ e-f^ \77>u^c^ ^<2^ B.(| Lu^A^h 

Phone: vw- Hz^r 

On the attached diagram(s) indicate area(s) to be excavated and depth of excavation, location of all known 

utilities, subsurface features, surface structures and landscaping features, access location(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

Items to be removed by Contractor and not replaced: 

Iter 

Mko f Coll ar^i^j lOiU. 5D^I S^ <A>J^ 

Item 

item: 

Item: 

Item: 

Item: 

Item: 

Page 1 of 2 
Additional Comments / Instructions: 

- ^ I agree • I do not agree 7] I agree ^ I do not agree 

^-/r-Aci/^ o 

Owner's Signat f Date Contractor's Signature Date 

Attachments 

Page 2 of 2 
Property Completion Agreement 

This agreement documents the completion of remedial activities performed on my property. My 

signature will designate that I am satisfied with the restoration of my property, and that no items are in 

question, now, or at any time in the future, except those items listed below, ifany. 

SAID: tT^'i'BO 

Property Address: j {a 1 5 *7z AI '2,^'^ ^ 

Owner: Ct^ ^ 0>r<^cAi^ RcK UAj^ h 

Phone: C^cfC/^ H^^f ^ 

Restoration Items in Question: 

Item: 

item: 

Item: 

Item: 

Item: 

Item: 

T ^ I agree restoration is completed, except as noted ^ ^ I agree restoration is completed, except as noted 

I I I do not agree restoration is completed | | I do not agree restoration is completed 

Owner's l^ignatfere Date f] Contractor's Signature Date 
Douglas County Account Information Page 1 of2 

Douglas County, Nebraska Property Record - R221281000D 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50ft west of 52nd St - Vie w O n ft/lap information is valid as of 2009-11-3 Treasurer's Tax Report 

New Feature ->->-> Auto Sales Search 

Owne r 

CITY OF OMAHA 

C/O CITY FINANCE 

1819 FARNAM ST 

OMAHA NE 68183-0000 

Propert y Informatio n 

Key Number: 1281 OOOO 22 

Account Type: Ex Government 

Parcel Number: 2212810000 

Parcel Address: 1615 1/2 N 29 ST 

OMAHA NE 68111-0000 

Legal Description: SHINNS 2ND ADD LOT 6 BLOCK T N 1 1/2 S 38 1/2 FT 

Value Informatio n 

Land Improvement Total 

2009 $0.00 $0.00 $0.00 

2008 $0.00 $0.00 $0.00 

2007 $0.00 $0.00 $0.00 

2006 $100.00 $0.00 $100.00 

2005 $100.00 $0.00 $100.00 

2004 $100.00 $0.00 $100.00 

Sales Informatio n 

Sales Date: 2007-04-20 

Deed Type: SWD Boofc; 1 2007 Page: 078776 

Price: $50.00 

Grantor: Land Reutilization Commission 

Grantee; City of Omaha 

Valid/Invalid: Invalid 

Exclusion Reason: LRC Sale 

Sales Date: 2005-02-18 

Deed Type: SHD Book: 2007 Page: 078775 

Price: $0.00 

Grantor: Douglas County Sheriff 

http://douglasne.maDDina-online.com/Dnnalq<:rnNrp/ctntiV/c.r • Mltr f l*^-fV* ii-i***?*-! .J. r*'^ 
1 

Douglas County Account Information Page 2 of2 

Grantee: Land Reutilization Commission 

Valid/Invalid: Invalid 

Exclusion Reason: 

LRC Purchase 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.0 12.0 0.0 6.0 2.0 Yes 

—X> ^ 11/11 /TAAH http://douglasne.rnapping-online.com/Dou2lasCoNe/statir./flf^r.niintinfr. ;cr.9or>r-r.Tir.fr,^=T> 
ENVIRONMENTAL AS-BUILT DRAWING ^ 

'OMAHA LEAD SUPERFUND SIT^P 

RESTORATION 

82430 

Omaha Lead Site Exterior Paint 

Site Sketch • Good I US \lz ti 2-1 S,T • Poor Sampling Address: r^ Not paint 

Sample Number 

RYASCPXA-82430 Fl 

Lead 

Concentration 

HH t ppm 

Sample 

Collected 

Ef 

LAB 

n 

Fimi:

Date:

Samples Collected 

rO A f & .,^1) 

'7 - 3> - of i 

R>'D3CPXA-02430

RYCSCPXA-82430

R'i'D3CPXA-0240Q

RDZ5CPXA-a2430

 rs: 

B1 

B2 

&£ 

-

32.2 .

—

"­

ppm 

ppm 

ppm 

ppm 

D 

n 

n 

D 

D

• 

Time: /0-Z.g 

Samples Analyzed 

XRF Unit: 6^'V O Book: 7r>'P, 

F?QZOCPXA-02430 e £ ~ ppm n a Date •7-/ e -O S 

FirZOGPXA-02430 P*­ ~ ppm n D Time: Arry 

Number of Samples •- [a] Staff msvj 

Legend: Fl = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Rigfit DZ = Drip Zone, GZ • Garden, PZ = Play 

All quadrants are as viewed from tne street, facing property 

r • • • 

SAID #82430 

DATE EXCAVATED 7-13-10 

DATE EPA SIGNED OFF 7-30-10 ......iji..u 

AREA SODDED 1294 SQ FT 32j i 

•••^V A 

./trs/z 

% < ^ 

Fl =127 PPM ©4 " _. _ i 

1 • ^ ^ 

i MHT 

i 9' • •; 

i / ^ / ? 5t. 

044701 01 ZS 

Quadrant excavatfld j Dfip Zone Encavated Contamination Left Behind 

Contract #: EP-RT-M-OS Environmental Restoration LLC 
• • • 

82430 

Omaha Exterior Paint Noftfi Arrow Lead Site 

Q Good Site Sketch msv/i H2.n S»T n Poor 

Sampling Address: i 0 Not paint 

Sample Number Lead Sample Samples Collected 

Concentration Collected LAB Flmi: _fM_M-J ^ 

RYASCPXA-82430 Fl _HHn_ppm I5f D Date: "?-3-Oft 

R'rDOCPXA-0243Q P2 - ppm 

D Time: lO'-tS 

RYCSCPXA-82430 B1 32 Z ppm & D 

Samples Analyzed 

f^YD3CPXA-02430 B£ — ppm D D 

RDZ5CPXA-82430 BZ " ppm D D XRF Unit: (p-CHO Book: 2Q S 

ffQ2OCPXA-02430 8 2 ~ ppm D D Date: 7-/ 6 - O B 

RrZOCrXA-02430 PS- " ppm D D Time: 

f\rn 

Staff: Number of Samples = E rnsvj 

Legend: Fl = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Dnp Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing properly 

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32.-Z 

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82430 

Omaha Exterior Paint Nortti ArrcMi Lead Site 

Q Good Site Sketch 

Q Poor 

Sampling Address: | [ ^ Not paint 

lusi/z Mz-n g,T 

Sample Number 

RYASCPXA-82430 F1 

Lead 

Concentration 

4H T ppm 

Sample 

Collected 

Ef 

LAB 

D 

Fimi:

Date:

Samples Collected 

 rpft F£) .?;D 

1 ­ 3> - of i 

RYD3CPXA-02430 T7. - ppm D Time: /O'- "LS 

RYCSCPXA-82430

i^YDSCPXA-82't30

 B1 

 B2 

322 ­

—

 ppm 

 ppm D 

D 

n Samples Analyzed 

RDZ&CPXA-824-30 ©2 ^ ppm D n XRF Unit: (o€H ^ Book: l£:^ _ 

RQZOCPXA-02430 SZ ~ ppm D D Date: "7-/ 6 ­ O B 

RrZOCrXA-02430 P2­ " ppm D D Time; A m 

Number of Samples • 1 n. Staff: fnS\ ^ 

Legend: Fl = Front Left, F2 = Front Right, 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ • Garden, PZ = Play 

AU quadrants are as viewed fronn ttie street, facing property 

\ '. '. 

->^4Ps;-; Lm 

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Rr.v 2008 Ctc-uctl OS-.Mav-OS 0*1701 
c XRF DATA ENTRY LOG 

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SAID # J< 2.*^,?0 DATE -1 \\? . \ \ o 

PROPERTY ADDRESS TiME 

XRF S/N 

QUADRENT OR SAMPLE AREA 

DEPTH .WERAGE OF RESULTS SHOT#s 

redio 

1 ( 4 . l-JLTt ZJO 

• F2 

n 81 

n S2 

n DZ 

U PZ 

n GZ 

U EZ1 WO e & 

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~ 1 OTHER 

SAMPLER ^^o.C'M^ ^ NAME ^ ^\rri<v\.<-4 'v^o.cQ-y 
Thermo Fisher Scientific Therm 900 Middlesex Turnpike o Billerica, MA 01821 

SCIENTIFI C 

.Mu:.\ oiT.K.vroK 

1 2010-07-13 16:47 Avgi of 4084-40811615.5 n 29 st Fl jiinmy 4 final clearance 127.12 ± 19.55 

2 2010-07-13 16:47 1615.5 n 29 SI Fl jimmy 4 final clearance 82430 132.76 ± 19.73 

3 2010-07-13 16:46 1615.5n29st Fl jimniy 4 final clearance 82430 117.02 ± 19.11 

4 2010-07-13 16:45 1615 .5 n 29 51 Fl jimmy 4 final clearance 82430 131.58 ± 19.81 

Page I of 1 07/14/10 09:12:51 
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