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PROPERTY SUMMARY 

Date: 11/09/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: November 

Property Address: 4340 Parker St 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A3 Unique Findings: 

A.4 other Relevant Information: There were some areas not sodded due to homeowner request. 

Areas denied access for excavation - Brick slab in F2 - tested 462 @ Scrape, Dl area due to plants 624 @ 

scrape, Bl brick walkway Tested at 106 @ scrape. 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl-77@6 " F2-110@6" 

Bl-224@3 " 

Dl -177 @ 13" 

El -149 @ Scrape 

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/photogr^hs 

4) Post-Excavation digital video clip/photographs 

5) Documentation - Completed Close-out Checklist 

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) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iii) Signed form verifying satisfactory restoration 

iv) Description ofareas not meeting Interim ROD cleanup criteria. 

40293362 

TECHNOLOGIES. INC. 



Omaha Lead Site Date: T-^SZ^ ^ Name: North Arrow —i 

AddressJ L?VuA thrjgp Site Slcetcii : Tlme:l5lSQ _ 

Phone: 5<?ft-.333n t 

Team ArVjIrl/fiinPrfii n BVID#3^^^^ S XRF Code /^O^ -

Sample Numt>er Lead Concentration Confimiation Sample 

RVS^CPxA-^fqtfi ; 

R.VC:f<LPxA-2.6<J4-S­ 1 ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

^ ( Yes n 

?=Jl Yes a 

DXYes n 

S\ Yes a 

i5>:^Yes 1=1 

Yes n 

,^W/5r 

ppm Yes • 

FMieO 
^<vr«T^;,^^ Agreemn^o allowaccess to 

Omaha Lead / ^ ^ v the propei^ In order to conduct 

Site Remedial S \^& ^ » envlronnnenlal sampling and to 

Aetion V<4MM»I^^ ' remove lead-oontaminated soil "»« f^O ' 

nwleDt Tedmobsias. Inc (BrudaiO is anlar coafract miti die U. S. EnviranmeBtBl Rvtsdiin Asvutv 

^PA) to dean 19 lead-coatamtnated soih at a muAer of properlies located in OknAa, NAraska, 

iadndoQ fte praperfy localBd at -^^^v^^ pcL«"Vjer .^^^^ The EPA raqpusfe your 

pcraussion to allow Rndcntto perform a soil diaaiap at this property to femove lead-contaminalBd soiL 

By sigiiiag iiiis fbmi, the properly owner granfc pennisston to Brudentto perfonn adivifies rdated to toe 

deamvffidadiflg soil ssioiilkig, fsoovd of lead-cootaoiUBated soil, a d retor atioa offiie refaoiced 

oroperiy. Afkir obtainiflg (he owner's signatore ontoisfofm, Rudent Teclmotogies, Lie. will contact toe 

property o^mer (and resident) witiiintfie next few weeks to coordinate perfiimunce toe work. 

If yoD have any qustoms Aouttoe soil deaaop planned fbr yonr property, please conlad Rudenf s 

Adminisfraiive Clcik fbr toe QmdiaLeBd Site deanup, Ms. Cyndie Bunds at (402) 504-1004. (jeneral 

qiieslions abouttoe Omaha Lead Site deanup can be directedtotoe EPA Riblic Infeimalion Centers at 

(402) 731-3045 (souto Omaha ofRce) or (402) 991-9583 (norto Omaha offici). 

Roperty Access Granted By: V Macevi'cg - Js w 

Roperty Owner Signatore: V ^l^aouiocji. lnuj i-e-O l 

(^iffmfm) ( \ I (Dab) 

PROPERTY INFORMATION 

(TobecionpMedlvreiUatf oidAr prepcrty oirav-pkaaprtoO 

RESDENTIIAIIE: MQuvtr^- ZT ^ [gp^ner Qenler 

RESDHITAOORESS: 4- 3 4 o y^r\c£ ^ ^ V QMaVvA tOe- dKWX 

W RENIAL.PROPERIY OWNED BY: 

OWMCR^MAUIGADDRESS: ^A^ D *Fo- r i<j ^ S. ^ Q V\ a W V^e. Qi^W \ 

OmiER^ TELEPHONE NUMBER - HOME: <Atf?A S A ^ - 32.3OW0RIC: i I 

AGE OF HOME?: lOft YEARS. HOWLONG NAVE YOU LftfED HERE? 0.7 . YEARS. 

NAS THE EXTE RIOR BEEN PAHTEO OR COVE RE D lOTH SDM6 SMCE 18787 VC8 N C 'S'^ O C O Z7 

NUMBER OF OCCUPAinS UN0ER7 YEARS OLD: _0 _ NUHBER OF OCCUPANTS 7 YEARS OLD AND OLDER l_ _ 

NWnnBR OF CHILDREN UNDER 7 YEARS OLD WHO PLAY M THE YARD FOR S HOURS m MORE PER WEEK: __( ^ 

COMMENTS OR SPECIAL MSTRUCnONS: (IE. DOGS. ENTRY GATES. ETC^ HvO^g r A-g-QjU.a ^ \-cA | ^ 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS; The activities to be inplementfldtv EPA indo-this 

agreement are pursuant to Section 104 of CSRCLA, 42 US.C 9604. EPA's ri ^ of access to thepnyeiiy is 

providedtor in Section 104<e) of CERCLA, 42 U.S. C MOS(eX which prandas en&yfir'detenniningtoe need &r 

jBspaae, or choosing cr taking an^response action ladertois tide, or otoerwisemfivdng the pravisiau of th^ 

titla" 
&EPA 

EPA Property Close Out 

Property #: Z6?^ s Property Address: 93yo A/f^ot. 

Date/Time: ///9/07 Owner's Name: /%«^/«y^ 

Quads Excavated: c.. Contractor Group PrudeiR Technologies 

Excavation General Yes No 

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

y 

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

Grading Sod and Vegetation Yes No 

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

y from the house? 

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

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

y day time period) 

4. Are sodded areas generally finn and evenly graded? 

y 

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

y 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, 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 applicable) 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 

3. Was damage to windows avoided? y 

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 

1. Was damage to driveway surfaces avoided? 

y 

2. Was damage to walkway surfaces avoided? 

J 
Owners comments: 

Inspection notes: 

Thtf^ t^cAc HUc/ht no r soooeo o n Thrs pfi°/> 

.. -fi,, / b has ifn^rMrtc^ev P/tutK/hr To Oc H>/*v 

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

EPA Representative Ji^ Xk.^ Date: ///9/07 • — 
&EP^ 

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 

remaming warranty (90 days overall, 30 days on sod growth guarantee) except those items listed below, 

if any. 

Property ID: aG^ H ^ 

Property Address: ^^^^^^ fcrVe r ^iOwner fV>rJWUCg ^ 

Phone: g o; ^ g^9 - i>2srn ^ > 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Kem: 

Item: 

Required corrections to complete the property: 

L J I do not agree restoration is completed 

c_ 2k ayUX«JL //- ?-0 7 

Owner's Signature Date 
(yijL.fij\sy>fi^ 1^ ^ \^0-t M 

Name: P^iiP i Omaha Lead Site Date: 7-ASz^^ North Arrow —i 

Address: U^t^ A Site Sketch Time: /^.(y ? 

Phone: M9.-'ii^'\r s t 

f 9 ^ /?Olf TP^rr./V/iK/fimn')n BMiD #2lcQ!dbL XRF Code 

Sample Number Lead Concentration Confirmation Sample 

f^.VAScPyA - l•t>^^•g ^ 1 Yes n 

''"-^k l i^^ T ppm Fj i Yes n 

DXYes • \o^)cHifS 

pVSSCPxA-'2-fq^ g ft\ Yes a ITi 6:^Yes a 

ppm Yes n g^PS6.PxA-7.4<ltj ^ ppm Yes • 

E A /f^ V^Uwi/^ £Ky^ 

]\0l^ 

^ ENTERED ::<TERED 
. ,yiew Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 0906030000 Sec-Twn-Rng 17-15-13 

Owner JAY Owner 

Name MAURICE '. Address 

Property 

Address 

4340 

PARKER ST Additmn CREIGHTONS 2ND ADD 

City 1OMAHA Block 

68111 Lot 19 

Owner 

Address 

I Ljegal 1 50X130 

Owner 4340 lanaio 

Address 2 PARKER ST >»yTM^ 

Owner City OMAHA Legal 3 1_ 

Owner 

State 

NE i Legal 4 

Assessor ' http://douglasne.mapping- Owner Zip 68111 i>i/»ho»z» I i^L. online.com/DouglasCoNe/static/accountinfo.Jsp? 

website unk accountno=R0906030000 

Disclaimer Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 40 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPrsview.aspx?PrintOptData=Douglas County-.., 7/16/2007 
r\A^ "hr^jp^ 

iVolieO 
Find Record 

Sample Area: 26945 - 434 0 PARKER ST 

Owner: 

n Owner Occupied 

Owner Name: 

jJAY MAURICE 

Owner Addressl: 

Owner Address2: 

|4340rpARKER ST 

City: State: Zip Code: 

|0MAHA |NE |68111 

Owner Phone: Alternate Phone: 

[(402) 598^3 0 

Qean Up Query Lead Remaining Query j

Resident: 

Resident Name: 

|JAY MAURICE 

Property Address: 

f4340 PARKER ST 

Zip Code: 

(68111 

Resident Phone 

 Property Damage Query Close 

Contract: 

Contractor: 

|PRUDENT2007 

Group: 

r 

Assessment: 

Qualifying Group 

(800 

Assessment XRF Date: 

Assessment Max XRF Value: