TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: S?^J3V Date: /-^J/lfO f 

Address: P^^lf f JA^^^ ^ M y ^ 

Remediation Contractor: jEnvrionmcntal Restoration, LLC_ Year: _2009_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

^ Video ofproperty (DVD) ..Before DAfler D Basement D 

-sG Executive Summary (Final Report) 

J ^ EPA-provided property sketch 

0 ^ Signed Access Agreement for subject property 

• Signed Access Agreement(s) for adjacent property 

Jtf' Restoration Agreement 

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

0 ^ Confirmation data 

e^ Photographs _B^efore DCrew Photos (figuring Excavation D Sod 

G^O-daySodD_ . 

\sy As-built sketch 

*H^ Completion Agreement signed by Property Owner 

2i Property close-out check list signed by EPA 

• Description ofareas not meeting ROD cleanup criteria 

J0^ . Utility clearances 

^ Property infonnation from Douglas Covmty Assessor's Office 

J2/^ . Property access checklist 

J2!^ Contact Log ^„„ 

^ 30260522 .Hi 

Superfund 

Enviromnental Restoration Signature ~ Date 

•^ l-^^fjlo 

)R signature Date 
& Omaha Lead Site—EP-R7-09-05 

^^^^ ^ ° Environmental Restoration, LLC 

\^^~ ^ www.erllc.com 

EXECUTIVE SUMMARY: 

30334—2215 Wirt St. 

^ No Issues or Concerns []] Issues/Concerns 

Detail Explanation: 
Contact Information Log 

SA\D#^d^3£. 

Owner's Name: gqCj^^ j

Property Address: 2216 '

 H-UiiC.ku/oL Daytime Phone: 

 k), ^ S^ . 

Attempt to contact 

5jy\e^ 

Date/time 

10 -^ - D^ 

lo^^'O^ lo'm 

Name 

ftb 

% 
Property Access Checklist 

SAID: 0^0332 . 

Property Address: ;^ Q jc ^ {C)X<" " ^ 

n

r

 WORK STARTED

 WORK COiMPELTED

 ON:

 ON;

 /

 /

 / 

/ 

««'"«••=<.«(fJLA \;1:<A(4 '

Phone: L^^g^ ­ UtS" 1 '

Fax: 

Cell/Pager: 

 ^irMjrcJ ^ 

S -7€" ^ 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

Attempts to Contact: 

ON: / / 

Action: Result: By: 

ON: / / 

ON: / / 

ON: / / 

ON: / / 

ON: / / 

13> Access Agreement Signed: (6 / ^ iif\ By: Ao 

1^ Restoration Agreement Signed:/^ / ^ 1*^^ By: Ah 

^S - Video Property Before On : )Ol l / ^ By: 4A 

• ^

D

 Digital Photos Before 

 Video Property After 

On

On

 -.jn.l^lO' ) 

: / / 

By=

By: 

M 1 

1 

D Digital Photos After On : / / By: 1 
B l Property Completion Agreement Signed:/^/^/ ^ By: -f i , 

n Final Report Signed: / / By: 

Additional Video or Digital Photo's Taken: 

n Video D Digital Photo On :

Reason:

 / / By: 1 

| 

n Video

Reason: 

D Digital Photo On : / / By: 

D Video

Reason:

D Video

Reason:

 D Digital Photo 

n Digital Photo 

On

On

 :

 :

 /

 /

 / 

/ 

By: 

| 

1 

1 
Consent for Access to Property SAID# 2i033^ 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner), 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: 

Owner's Name: 5A6/'-{ J feg^/'-^ f I^/VJ V Daytime Phone: ^5-/ - S1^6' 

Address: g^^^ ^ {^l ^ ^ 

Address: 

Addresses of Properties 

Address: covered by this 

Agreement: 

Address: 

Address: 

PURPOSE OF INVESTIGATION 

The purpose of tiie 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 enviromnental 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 of tlie 

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 tlie activities or work done, or the 

equipment used to perform the activities, or to undertake any actions regarding the use of said 

property which would tend to endanger tlie health or welfare ofthe Grantees or the enviromnent, 

or to allow others to use the property' m such 

v^ . grant access to my properties

 LJ I do not grant access to my properties 

/^A.v4jtf./s.t^u,^;^. ^^/^AJ? 

Signature Signature Date 
n Check this box if owner does not want E.R. to enter the residents to document interior 

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

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

I 11 agree n I do not agree n I agree Q i do not agree 

Owner's Signature Date Contractor's Signature Date 
Restoration Agreement 

The purpose of 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 ofthe property owner and the United States Environmental 

Protection Agency (EPA). 

Property Address: ^^] ^ 63.7^6/ ' 

Phone: U^ l - ^IJ^^ ^ [my\L>j ) 

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 aiTOw indicating direction of view. 

Items to be removed by Contractor and not replaced: 

Item: 

St^ eAr.mTdfA afm--. Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 1 of 2 
Additional Comments / Instructions: 

Sod all <.}Layctf-<A ar^ . 

0 1 agree O I do not agree S3 I agree CH I do not agree 

• .yy/)? f]cL ilikd Id- f'Of 

Owner's Signature • 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, if any. 

SAID: 3(t)33t- / 

Property Address: 

Owner: 

Phone: ^ Q^--" 4 fT/ - .r7^< ^ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

IM I agree restoration is completed,jX£.eptas-noted' I agree restoration is completed, except as noted 

n I do not agree restoration is completed L U I do not agree restoration is completed 

22^zlz£l 

Owner's Sj^atur e / Date Contractor's Signature Date 
EPA 

EPA Property Close Out Form 

Omaha Lead Site 0U#2 

Property #: "J^j^-^^ J PropertA'Address: ^Jl/*y\JA(3^f v &m^k^y^' ^ 

Date/Time: Owner's Name: jTi^/^v.^^/ fUr^.^ugy^ C^LA,,4 ^ 

Quads Excavated: /7 ^ y .STj-ifc- Contractor Group : Environmental Restoration (ER) 

Excavation General' Yes No 

1. If necessar>', were the correct quadrant(s) excavated and restored? • 7 ^ 

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

Grading Sod and Vegetation Yes No 

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

house? ^ 

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 30-day time y

period). 

4. Are sodded areas generally firm and evenly graded? y 

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? y 

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

Gates, Fenceis 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) M ^ 

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

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? 

2. Was damage to the foundation avoided? 

3. Was damage to windows avoided? ,1* 

r 4. Was damage to window screens or door screens avoided? 

1 

5. Was damage to downspouts or downspout extensions avoided? 1 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? 

7 ^ 2. Was damage to walkway surfaces avoided? 

Inspection notes: /xe ^ 'SoX -(A rt^+re.^ ojio*^ cUXu^ KJJ< ^ -lU-i^f*^*— *irvVW 0 ^ A 

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

EPA ReprescntativeW^^ ^ J^a*Ce*:>J*t,4^^^ Date : icl^oh 
"••^jSSp"' 

Sacred Heart Parish CliuAn-Omaha, NE i 2207 Wirt Street, OmaJ^ E Page 1 of2 

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jf YEAR orWEE*-' SPiMfJWHEEL '* J/ A 'i^-'^:'"" ' QdKCfS CAS # GROCERIES 

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e Sacred Heart Parish Church . -^.j- y T - ' • • ' ' • • ' ,• (

2207 Wirt Street. iTcwwea . . . :v!i,i;-".' Omaha, NE 68110 

http://sacredheart-oues.org fk i ,,V -.; 

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http://www.superpages.com/bp/Omaha-NE/Sacred-Heart-Parish-Church-L0014338283.htm- 9/3/2009 
Douglas County Account^Bbn; rmation Page 1 of 1 

Douglas County, Nebraska Property Record - R1525460000 

Print Report 

NEW Feature - Parcel Dimensions available H scale 0-50 ft west of 52nd St - Vie W OH Ma p Information is valid as of 2009-8-3 Treasurer's Tax Report 

New Feature -*-*• + Auto Sales Search 

Owner 

SACRED HEART CATHOLIC CHURCH 

C/0 HOTZ-WEAVER 

444 REGENCY PARKWAY DR #310 

OMAHA NE 68110-0000 

Property Information 

Key Number: 2546 0000 15 

Account Type: Residential 

Parcel Number: 1525460000 

Parcel Address: 2215 WIRT ST 

OMAHA NE 68110-0000 

Legal Description: KOUNTZE PLACE LOT 5 BLOCK 7 1/2 VAC ALLEY ADJ & ALL LOT 5 58 X 132 

Value Information 

Land Improvement Total 

2009 $500.00 , $0.00 $500.00 

2008 $500.00 so.oo $500.00 

2007 $500.00 $0.00 $500.00 

2006 S500.00 $0.00 $500.00 

2005 $500.00 $0.00 $500.00 

2004 $500.00 $0.00 $500.00 

Sales Information 

Sales Date: 2004-09-22 

Deed Type: WD M Book: 2005 Page: 128485 

Price: $0.00 

Grantor: Albert Morehead 

Grantee: Sacred Heart Catholic Church • 

Valid/Invalid: Invalid 

Exclusion Reason: Corrective Deed 

Land Information 

Acres SF Units Depth Width Vacant 

0.17 7656.0 0.0 132.0 58.0 Yes 

http://douglasne.mapping-onhne.com/DouglasCoNe/static/accoimtinfo.jsp?accountno==R152... 9/3/2009 
Ticket Text and Map displa^r,Ticket: # 2402043 Page 1 of2 

# 

Original Call Date: 11/06/09 Time: .2:04 pm Op: flMANDA24186 


Work to Beain Date: 11/10/09 Time: 2:45 pm 


State: NE County: DOUGLAS Place: OMAHA 


AHdrp-as: .?,71F> .Sl-roftt.: WIRT fiT 


Twp: 15N Rng: 13E Sect-Qtr: 09-NE,10-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Lead Remediation 


Location of Work.: LOQATE TQ ALL ALLEYS AND- .STREEiTS 


Remarks: FAX ALL CLEARS TO: (636)630-2566 

Company : ENVIRONMENTAL RESTORATION 

Contact Name: AMANDA WRIGHT 

Alt. Contact: 

Phone: (712)322-4041 

Phone: (303)999-5569 

Work Being Done For: EPA 

Depth of Excavation: 1 Foot Corner Lot: N 

Involves Tunneling or Horizontal Boring : N 

Front: Y

Explosives: N 

 Rear: 

CXCATV MAGELLAN MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Plione Number 

Utility 

Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS 

LP DEBORAH 

Day: 9185747098 

Alt: 

Emerg: 9185747098 

MUDOl MEXROPOLrrAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMA.HA-TRAFFIC,SEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWERDISTRICT NA 

Day: 4067289343 

.Alt: 4.062071494 

Emerg: 8887289343 

QLNNEl C QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 40620714.94 

Emerg: 8887289343 

http://www.dhon.orjg/irthinternet/MessageTexl/MessageTextAndMap.asp?NoticeID=DH... 11/17/2009 
ENVtRONMENTAL AS-BUILT DRAWING 

OMAHA LEAD SUPERFUND S TM 

RESTORATIO N 

30334 

Omah Extenor Paim N9>«>AnoiK a Lead Sit« 

Site Sketch D "^^^ 

SMnp4ing Addr«ss: ?21SWIRTST J 

Sample Lead Sampte Samples Collected Number LAB Concentra!«on Collected Frm FfcTHK DCJL L 

RYASCPXA-30334 Fl n n .pom a" D Oa«e: Aii2»Z£aL 

RYBSCPXA-30M4 F2 -ifl- .PP«i D 

RYCSCPXA-30a34 Bl 2,Ca3 . PCMTl or D 

Samples Analyzed 

RYDSCPXA-30334 B2 So3_ .pp m D 

nogocpxA-303>«—Be _ppm D D XRF Unit: GSM O Book 2da. RGZSCPXA-30334 GZ 3 3 6 .ppm D Date ^-aa-O B 

RPgSCPXA 303»4 P2 .ppm D D Tmne: 

.aa_ Staff: JTEW. Number of Samples = | 1^ | [ Q | 

Legend: Fl " Front Left. F2 = Front Right. Bl = Bach Left. B2 = Back R»g»H DZ = Drip Zone, GZ = Garden. PZ = Ptay 

Ml 4u«dnMs tt» tA «Kn*d tnjm (H SIKMI ' 1: r,- ;jT;.(:wr. ALLEY 

LJEGEHO 

„ .1 I J 

Quadrant excavated Df lp Zone Excavated Contairrtnatton LeW Behind iiiU 

Contract #r EP-R7-09-05 Environmental Restoration LLC 

.1111 
F* 30334 

Omaha Lead Site Ejtteriof Pamt north fijTo*^ 

Site Sketch Q Good 

SamoHnq Address: 2215 WiRT ST • Nic* paint 

Sam( ^ Number Lead 

ConcentraJion 

Sarnf^ 

CdlecJed l AB Samples Coiiected 

RYASCPXA-30334 Fl tl o D Date; B/.'-s/oaJ 

RYBSCPXA-30334 F2 ppm D 

IRYCSCPXA-30334

RYDSCPXA-30334

 Bl 

 B2 

2 ^ 

50 ^ 

ppm 

ppm 

n 

a Samples Analyzed 

nDZGCPXA-30334 B2­ ppm D D XRF Unit: CaSTH^ Book 

RGZSCPXA-30334 GZ ^3 e Pftfn GT D 

nPZSGPKA3033a P * Pf»n D -S. Time: 223. 

Staff: msuo Number of Sampfes =) gT 

Legend: F1 = Front Left. F2 = Fror« Right. Bl = Back Left, 82 = Back Right D2 = Drip Zone. GZ = Garden, PZ • Piay 

M Quadratics are as ii-i«v««i frotp t t s^ect. faong property AL LEY 

&i 2^3 T S>1 60PI 

Mm r 9 

356 }^y/ 

^^4­

> 

• 1 ­

2215 WiKT Sr. 

n0 53 

F^ PI I. 

.WA\.< ^ 

WticT ST . ^lll»l (K-jitrd i;<vviBr.ti« o*iTn| rt| r" 
-<j y lii n 30334 

Omah Extenof Paint IMorEh Arrow a Lead Site • Good Site Sketch 

QKPocr 

Sampling Address: 22tSWiRTST Q NWpasnt i 

Sarrf ^ Numt)ef Lead 

Concentration 

Sampie 

Coilecsed LAB Samples COiiected 

RYASCPXA-30334 Fl 1 "1 r> ppn D Date: Bh^foa 

RYBSCPXA-30334

RYCSCPXA-30334

RYDSCPXA.:M)33 4

 F2 

 81 

 B 2 

Z6>3 POTT! 

n 

D 

a 

TTne: iLSQ^Atl. 

Samples .Analyzed 

nDZSCPXj'V-30334 B5­ ~ PPJ^ D D XRF Unit GS*f ^ Book: Zf B 

RGZSCPX A 30334 G2 3 3 Q M?m D Date: ^ -0 3 o S 

RPZSGPXA'30334 «& " ppm D a Time: rf>7 

Staff: in;S\^ Nombef of Sampfes = j g " j { Q 

Legend: Fl = Front L^L F2 = Frtjn: Right Bl= Back Left. 82 - Back Righs 32 = Dr;p Zone. GZ = Garden. P2 = Play 

AH quadrarvjs are as .leawC frrwr-1^ street, faarna property ALLE Y 
ENVIRONMENTAL 

RESTORATION 

SAID #_%b^2ij£_ 

PROPERTY ADDRESS 

QUADRENT OR SAMPLE AREA 

F1 

F2 

81 

.82 

02 

PZ 

GZ 

EZ1 

EZ2 

OTHER 

XRF DATA ENTRY LOG 

DATE \\ \\\o\QPl 

TIME 

AVERAGE OF RESULTS 

Sll^iSl ^.n-f^o 

w-^^-^i ^a^-^a^ 

h^p'^k 

"^/^d e^S 

S~^>^-P^ ^ec 

SAMPLER NAME AJgtm W^^cli 
I hcrmo Fisher Scientific Thermo 900 Middlesex I urnpikc 

BillcriLM, MA 01821 

SCIENTIFI C 

Kcatiiti}; No I imc A\KR\<;E AODRKHS sA\u'irAREAi«reRvr<m i>i:i»JH 824 2009-11-16 17:01 Avg of 821-823 2215 win st EZ A0AM stir^ice final clearance 184,99 ± 21.28 

823 2009-11-16 17 01 221^ will SI CZ ADAM suifiice final clearance 30334 188.31 ± 22.25 

822 2009-11-16 17 00 2215 Wirt st EZ ADA.M surface final clearance 30334 18012 ± 21.88 

821 2009-11-16 17 00 2215 Wirt st EZ ADAM surface final clearance 30334 186..')3 ± 19.71 

820 2009-11-16 16 •i? ^v(J i>f817-8I9 22l5ftirut 112 ADAM 3 final clcirancc 59,20 ± 14.70 --­- ­1 

819 2009-11 16 16 57 2215 win si B2 ADAN1 3 linal clearance 30334 52,96 ± 14,65 

8IS 2009-11-16 16^7 2215 Hill ^t B2 ADAM 3 final clearance 30334 62.35 *. 13.95 

817 2U09-11-16 16 16 2215 Wirt SI B2 ADAM 3 filial clearance 30334 62.28 ± 15.50 

• • #••:/? ; y . 

• * « * " ^ , "5f, -..: 

„ \, ^-s . i^:_ „•«• ­

' y iS-'S : 

Page 1 of I ll.'17/09 14:54:44 
Reading No 

814 

815 

' ­ 816 

817 

818 

- •'• 819 

821 

822 

823 

( 

Time Type 

11/16/2009 16:54 SOIL 

11/16/2009 16:55 SOIL 

11/16/2009 16:55 SOIL 

11/16/2009 16:56 SOIL 

11/16/2009 16:57 SOIL 

11/16/2009 16:57 SOIL 

11/16/2009 17:00 SOIL 

11/16/2009 17:00 SOIL 

11/16/2009 17:01 SOIL 

Duration Units 

30.22 ppm 

30.26 ppm 

30.22 ppm 

30.23 ppm 

30.57 ppm 

30.13 ppm 

. • 30.65 ppm 

30.19 ppm 

30.31 ppm 

SAID 


30334 


30334 


30334 


30334 


30334 


30334 


30334 


30334 


30334 


ADDRESS 

2215 Wirt st 

2215 Wirt st 

2215wirtst 

2215 Wirt st 

2215 Wirt st 

2215 Wirt st 

2215 Wirt st 

2215 Wirt st 

2215 Wirt st 

SAIVIPLEAREA

B2 

B2 

B2 

B2 

B2 

B2 

EZ 

EZ 

EZ 

 OPERATOR DEPTH NOTES AVERAGE Pb 

ADAM 3 final clearance 47.61 

ADAM 3 final clearance 57.95 

ADAM 3 final clearance 55.7 

ADAM 3 final clearance 62.28 

ADAM 3 final clearance 62.35 

ADAM 3 final clearance 52.96 

ADAM surface final clearance 186.53 

ADAM surface final clearance 180.12 

ADAM surface final clearance 188.31 

•,f- •;-jf. 

Pb Error 

14.17 

15.03 

14.76 

15.5 

13.95 

14.65 

19.71 

21.88 

22.25 

••*^,:-M^' : 
teadingNo Time TVpe 

206 11/16/200911:16 SOIL 

207 11/16/200911:16 SOIL 

208 11/16/2009 11:17 SOIL 

• . ••• 209 11/16/2009 11:18 SOIL 

210 11/16/2009 13:23 SOIL 

211 11/16/2009 13:23 SOIL 

212 11/16/2009 13:24 SOIL 

" • * . . 

I: 

Duration Units 

18.77 ppm 

11.55 ppm 

8.15 ppm 

30.92 ppm 

30.58 ppm 

30.66 ppm 

32.28 ppm 

SAID ADDRESS 

30334 2215 wirt st 

30334 2215 wirt st 

30334 2215 wirt st 

30334 2215 wirt st 

30334 2215 wirt st 

30334 2215 wirt st 

30334 2215 wirt st 

SAMPLE AREA 

B2 

B2 

B2 

B2 

B2 

B2 

B2 

OPERATOR 

RAFA 

RAm 

mm 

Ul^k 

RAFA 

iUM^A 

W#A 

DEPTH NOTES AVERAGE Pb 

6 spot test <LOD 

6 spot test <LOD 

6 spot test 293.41 

6 spot test 237.42 

5 field clearance 182.07 

6 field clearance 342.32 

6 field clearance 304.41 

Pb Error 

15.72 

29.49 

68.51 

20.4 

17.6 

23.15 

22.57 
^4 

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