SAID#: 32756

TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

 DATE: 1/15 

ADDRESS: 2448 MAN PERSON ST 

REIVIEDIATION CONTRAaOR: PRUDENT TECHNOLOGIES. INC. YEAR: 201^ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Cl PRE AND POST VIDEO OF PORPERTY (DVD) 

13 EXECUTIVE SUMMARY 

m EPA-PROVIDED PROPERTY SKETCH 

• SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

\ ^ RESTORATION AGREEMENT 

D SETTLEMENT DOCUMENTS (I.E., FOR DAMAGE OR TO REPLACE PLANTS, ETC.) 

0 CONFIRMATION DATA 

m PHOTOGRAPHS 

m AS-BUILT SKETCH 

d SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

rf PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

n DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

i UTILITY CLEARANCES 

d PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

D 

D 

D 

Qc^-^y il^ln 

SIGNATURE ­ DATE 

30217587 

Superfund 
PROPERTY SUMMARY 

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

Property Address; 2448 MANDERSON ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

B2 = 175 PPM @ 4"; EA =77 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 Checldist 

6) As-Built sketch ­

i) Shall include fmal 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, ifavailable, or obtained include: 

i) Pre-excavation agreement details (ifany 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 ofareas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC. 
Find Record Remediation Query I Lead Remaining Query I Property Damage Query 

Backfill: 

Sample Area: 32756 ­ 2448 MANDERSON ST 

Owner: User Provided Owner Information Resident: 

n Owner Occupied 

Owner Name: 

INEIGHBORHOOD ACT & FACT COM IN 

Owner Addressi: 

|C/0 JOHN A BUTLER 

Owner Address2: 

|2576 EVANS ST 

City: 

JOMAHA 

Owner Phone 

1 

State: Zip Code: 

|NE |68111-

Alternate Phone: 

1 

Owner Name: 

1 

Owner Address: 

1 

City: 

1 

Owner Phone: 

1 "

State: Zip Code: 

1 1 

Alternate Phone: 

1 

Resident Name: 

I 

Property Address: 

|2448 MANDERSON ST 

Zip Code: 

|68111-

Resident Phone 

I 

Contract: Assessment: 

Contractor: JPRUDENT2010_S Qualifying Gi^up |46o 

Contract Option JOPTION 2 Assessment Max XRF Value | ~ 484.59 
;•:

 |.: 

...', .CAi.:..^vcJi..y:^.Xr i/r.^-;;^,. 

TECHNOLOGIES. INC. vlnui-.U 

EPA Property Close Oul 

Property #: ^'Z7f ^ Property Address: ^^^^T^ AW.'l^r^ ^ 

Date/Time: Owner's Name: ^\W iAiA\K 3> 

Quads Excavated: <^-^ Contractor Group: Pnndent Technologies, Unc, 

Excavation General Yes No 

I.

 if necessarv. were the correcl quadrant(s) excavated and restored? A 

2. If necessars'. were the correct areas of drip zone excavated and restored? / 

Grading Sod and Vegetation

 Yes No 

1. Does the grading around tlie perimeter of the house in excavated areas generally slope away / from the liouse? 

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 y day (ime period) 

4. Are sodded areas generally firm and e\'enly graded? y 

5. Are Uie joints between die sod suips generally tight? (Only evaluate if inspected at a 30 day 

time period) / 

6. Was the property' graded such tliat water will not pool on the property? X 

7. Was damage to landscapmg or plant materials avoided'' / 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open ^md close freely? (Ifapplicable) y 

2. Were all gales or fences taken down diuing restoration activities reinstalled? (If apphcable) ^ 

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

y 

4. Was damage to retaining walls avoided? (Ifapplicable) 

y 

Foundation, Siding and Gutters Yes No 

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

2. Was damage to the fomidation avoided? y 

y^ • ^ 

3. Was damage to windows avoided? 

^ 4.

 Was damage to windows or door screens avoided? y 

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

Sidewalks and Driveways (Concrete) Yes No 

W;is cifiniage lo drivewav surfeces avoided? ~ y 

Was damage to walkway surfaces avoided'? 

-yr 
Owners comments: 

Inspection notes: 

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

EPA Representative "'^^* 7 Date: n\\H\ic 
M CHNOLOUIES, INC. 

AS - BUILT DRAWING 

OLS # 32756 

Date Excavated: 10/27/2010 

USEPA OMAHA LEAD SUPERFUND SITE Signed-Off Date: 

32756 

Omaha Exterior Painl Lead Site Owner Name: NEIGHBORHOOD ACTION & 

Site Sketch 

• Good 

Address: 2448 MANDERSON S,T • Poor 

Phone: »f57 - ^<?f I W- ^ [ 3 Not paint 

Lead Sampte Samples Collected Sample Number LAB Concentration Collected Firm: _£M__^ ^ / '^ ^ - h RYASCPXA-32756 Fl 232 ppm D Date: »?-/" j 

RYBSCPXA-32756 F2 J2 ^ ppm D Time: _AC>~^ _ 

RYCSCPXA-32756 B1 3AL ppm n Samples Analyzed RYDSCPXA-32756 B2 y g g ppm ET D 

WDZSCPXA 38766 D2 ­ ppm D n XRF Unit: /03 7 Book; iZ± 

nogscPXA aa?66—6£- ppm D D Date: 

.RPgSCPXA 32766 P^ 

ppm D D Time: A/t\ 

Staff: Number of Samples = •^ J.A. 

Oniatu Lead Site EA = 77 PPM @ SCRAPE (-1") 461J0 

CONTRAa #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
SEFW 

Property Compietion 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 ofthe 

subject property, and that no items are in question, now, or at any time in the fiiture, excluding any 

remaining warranty (30 days total) except those items listed below, ifany. 

Property ID: 

Property Address: ^HC/ ^ HO^VK J 0 hj ^ 0'-y-\^ 

Owner! 

' |0 g .i^VV)ir^c: -^^ocj^t^^ ^ A^cJ^^P^ ^ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

I agree restoration is completed.: 

I do not agree restoration is completed at noted deficiencies above 

yyy^i /? ^ J^/y^ o 

T%att. A ' 's Signature Date 
X" 

Pnident 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, the property owner grants permission to Prudent to perform 

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

tf you have any questions about the soil cleanup planned for your property, please contact Prudent South Omaha Office for the Omaha 

Lead Site cleanup,_at (402) 733-1188; 733-1455. General questions about the Omaha Lead Site cleanup can be directed to the EPA 

Public hiformation Centers at (402) 731-3045 (South Omaha office). 

Property Access Granted By: ^ ^Af i l^j UjyAA y 

(Please Print Name) 

Property Owner Signature: SpQ.^^ ^ /• / ^^c/'<^-^< ^ f A<S—^B— / ^ 

I (Signature) / G (Date) 

PROPERTY INFORMATION 

/\ (To be completed by residept and/or property owner ~ please print) 

RESIDENT NAME: Renter 

RESIDENT ADDRESS 

\J\s^ 

6? II IF RENTAL, PROPERTY OWNEDIBY: ii . \ 

OWNER'S MAILING ADDRESS; . a. 

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

t ' 1 ^S\ - /O l 1 , 

AGE OF HOME?: 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 "detennining the need for response, or choosing or taking any response action 

under this title, or otherwise enforcing the provisions ofthe title." 

8080 Ward^Parkway, Suite 405 5600 S. 10*^ Street 4242 Medical Drive, Suite 4250 

KansasCity, MO64114 Omaha, Nebraska 68107 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)733-1455 Phone: (210)822-9588 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

Property Status Form 

Address: ^HH ^ (J^JK^^Jf^U^- ^ '^**'-

Phone: BVID: 

Property Owner 

Signature: /^^Ul ^

8080 Ward Parkway, Suite 405 

KansasCity, MO 64114 

Phone: (816) 363-3703 

Fax: (816) 363-3707 

A id ) 

5600 S 10 St 

Omaha, Nebraska 68107 

Phone: (402)733-1188 

Fax: (402)733-1883 

Medical Drtve, Suite 4250 

San Antonio, TX 78229 

Phone: (210)822-9588 

Fax: (210) 579-6577 
32756 

Omah Exterior Paint North Arrow a Lead Site r Owner Name: NEIGHBORHOOD ACTION & 

Site Sketcii • Good 

Address : 2448 MANDERSON ST • Poor 

Phone: »*^S7-^H i ^­ f • Not paint 

Sampte Number Lead 

Concentration 

Sample 

Collected LAB Sample Cql|i 

Firm:_£M 

i

s Collected 

RYASCPXA-32756 Fl Z2Z. ppm n Date; ^-/- S 

RYBSCPXA-32756

RYCSCPXA-32756

RYDSCPXA-32756

 F2 

Bl 

B2 

MZ ppm 

ppm 

ppm 

D 

D 

D 

Tinrw: _ffiA£;iff_ 

Samples Analyzed 

nozecPXA aa756—D2­ ppm D D XRF Unit: lO'^ l Boole \Z<=i 

''.RGZ6CPXA 08766 62­ ppm D D Date; _ 

RPZeCPXA 32760 PS­ ppm D D Time: _ Am 

Number of Samples = Staff: ly L 

—* -

il9 0 6 '/m 

*77 

V^H, u^ i>&?siWj ^r 

"T". .-rr: l!^r~t­

^ f\ FZi 

23 2 \1Z 

^ wife" 

Mrtwi^^W: ^ 

Otn^ta Lead Site 46130 
^ aft, r ^ ^ , «°. TM • 

it e jaj33 ^m. ^ 

' ^^ ^ 

m 1^' 

1 CtTT ctm» — fflSJ t IPrliilL^fc ££ID 223 223 

A 

2448 manderson 

Printed: Dec 08,2010 lii 

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Page 1 of2 

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Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 2624623. 

Original Call Date: 10/23/10 Time: 11:36 am Op: SIVA18967 


Work to Begin Date: 10/27/10 Time: 7:15 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2448 Street: MANDERSON ST 


Twp: 15N Rng: 13E Sect-Qtr: 03-SW,04-SE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


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 


ALT872 CXCATV MUDOl OMAHACOF OPPDGPRS QLNNEIC 


Service Area Contact Phone Number Utility Type 

Day: 4067289343 


ALT872 WINDSTREAM COMMUNICATION ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

Day: 4029340469 


CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 


Day: 4025047823 


MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 


Day: 4024447197 


OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RICH/TRAFFIC Alt: 4024445161 

Emerg: 4024445160 


Day: 4067289343 


http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/23/2010 
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OPPDGPR5 OMAHA PUBLIC POWER DISTRICT Alt: 4062071494 ELM LOCATING 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK

Day:

 ELM LOCATING Alt:

 4067289343 

 4062071494 

Emerg: 8887289343 

http://www.dlion.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/23/2010 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

Site Safety Hazard Analysis 

Address: ^l^i > ^o^^'^^Se ^ ^ ^ Ex._ 

Crew: P^-v^ W Bf. 

Date: jO^'^^'-l^ 

Item 

Overhead Lines 

Gas Line 

Water Line 

Sewer Line 

Septic / Leech 

field 

Propane/Butane 

Sidewalic 

Foundation 

Retaining Walls 

Fences 

Trees/ Bushes 

Structures 

Driveway 

Sprinkler Systeni 

Other 

Condition 

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Hazards 

Corrective 

Action 

Crew Forema Site Safety OfHcer 

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