TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: \D03 ^ Date: 

Address: ^^Ul p S H S ^ 

Remediation Contractor: Envrionmental Restoration, LLC_ Year: _2010_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

D Video of property (DVD) JS^Before DAfter D Basement ^ /lO ln<^^ffAA / 

"Si Executive Simmiary (Final Report) 

"S, EPA-provided property sketch 

"13 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.) 

" ^ Confirmation data y 

D Photographs ^^Before DCrew PhotosSl During Excavation N Sod 

\ 3 30-day Sod D 

"S ^ As-built sketch 

^ Completion Agreement signed by Property Owner 

IS Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

iSy Utility clearances 

• s Property information from Douglas County Assessor's Office 

"BS Property access checklist 

30237992 

"^ Contact Log 

D : Superfund 

Environm^tal Restoration Signature Date 

TJate 
^EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #: 1 b P S ^ Property Address: 4gt//z ? % " ^ '^' ^ "^T 

Date/Time: Owner's Name: iV(\AfO,< C-QkygcixQuads Excavated: f 3, fi>X Contractor Group : Environmental Restoration (ER) 

Excavation General Yes No 

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

2. If necessary, were the correct areas ofdrip zone excavated and restored? V^ ? OjCtifi^ (IACA^ A/A 

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter of the house in excavated areas generally slope awayfrom the y 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 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? y 

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

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and closefreely? (if applicable) tfk 

2. Were all gates or fences taken down during restoration activities re-installed? (if applicable) fik 

3. Was damage to gates or fences avoided? (if applicable) y 

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

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? y 

2. Was damage to the foundation avoided? ^T^-T. -' y 

3. Was damage to windows avoided? M ^ V <^ rS^ ^ i y 

4. Was damage to window screens or door screens avoided? fl^VV T) t *(''* "^ t ^ 

5. Was damage to downspouts or downspout extensions avoided? c lyiJC/f/^-' 4 - ^ 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? y ^ 

2. Was damage to walkway surfaces avoided? U ^ 

Inspection notes: 

Uh4er a^d n&iuk^ Sdd 

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

EPARepresentative:^^:^^4^^_^^-^r, ^ ^TLS ^ Date: lojj^jln 
A-^^U ^ 

i ^&r ^ Omaha Lead Site—EP-R7-09-05 

S ^oK <

\y^^f

 V Environmental Restoration, LLC 

 www.erHc.com 

EXECUTIVE SUMMARY: 

10035-4546 S 38 ST 

No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 
Page 1 of2 

"> 

[ Create Another Ticket j Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 2582253. 

Original Call Date: 

Work to Begin Date: 

9/01/10 

9/03/10 

Time:

Time:

 2:53 pm 

 3:30 pm 

Op: TRACY24186 

State: NE 

Address: 4546 

County: 

Street: 

DOUGLAS 

S 38TH ST 

Place: OMAHA 

Twp: 14N Rng: 13E

Twp: Rng:

Legal Given: C 

 Sect-Qtr: 05-NE-SE 

 Sect-Qtr: 

Type of Work: Excavating the entire propertyy 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (4 02)451-1069 


: SAID #10035 


Company ENVIRONMENTAL RESTORATION 


Contact Name TRACY BRISTOW Phone: (402)451-1314 


Alt. Contact Phone: (314)504-4874 


Work Being Done For: EPA 


Depth of Excavation: 12" Corner Lot: N Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV METRO MUD02 OMAHACOF 0PPDGPR6 QLNNEIF QWESTNE 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

METRO METRO COMM. COLLEGE CHRIS 

Day: 4024572307 

Alt: 4026727033 

Emerg: 4024572313 

MUD02 METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/1 /2010 
Page 2 of2 

0PPDGPR6 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day:

 Alt:

 4067289343 

 4062071494 

Emerg: 8887289343 

QLNNEIF QWEST LOCAL NETWORK

Day: 4067289343 

 ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

QWESTNE QWEST LONG DISTANCE

Day: 8002834237 

 Alt: 

Emerg: 8002834237 

http://www.dhon.org/irthintemet/DHOlSfNoticeCreation/MessageText.asp?ret=<RESULTS... 9/1/2010 
 I 

Cootact SBifosi-oafcQ'rj Log 

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Propeaty Acca-ss CheGklost 

1 SAIIS:... /003 S 

Property Address: ^^^^^ ^_^j p ^ ^ n WOREC COMPELTED ON; 

Ow^er: /^^^^ ^ CawaJc i 

Address: ,,a t / ,v / 

PhGiie: ^i^oi) T33-^^,- 5 

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Addttioi^al Saforisiation: 

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^St RestGh'stioa AgreeaneHt 

Scgned: Cc / 7 / ' O 

jC/_/ 7 /VD 

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Ont&ha Lead Psoject Work P!an Page 1 of 19 
Go-nsesit for Accss?^ to Props6% SAJPt^ /Qo 3 5 

R;oT-iT OF ENTR Y TO PR^EMISES 

Grantor (the property owner); consents to and authorizes tlie United States Environmental 

•Protectioa Agency (USEPA) or Us authorized representatives, collectively the Grantee to enter 

.. and perform, certain envlronmenlal response activities upon the following described premises; 

Owner's Name: fVi^ol^^j. ^^UOLJ A | PaytimePhoiite: 733*/3fl 3 | 

Address: YSY<4> s. y^tks-4^

Address: 

A'idi-es££3 of Proper-ies 

Addresij.:- . . . covered by tkis 

AgreesBent: . , Address: • 

-Aiidi'sss: 

PURPOSE OF iNVEsiiGAtioN 

The purpose of the remsdial activ^Lies is to remcve all .£oil:3 at the piroperQ' v/hich ars 

contaiiiiaated v/ith hazardous siibstsmces, inf articular le;s.d at ccncentratious gr&ater -han.or eq^j.?! 

to 4G0 parts pennUiion. (ppm). 

PJiMLDIAL ACTiC-NS 

Ths e^nvironmeiiitiil iSSpOi^sa 'ictioiis Co Le psMfoi'dsd OD said j^^rop^iiy ;nay iiich;!.'i; the K;iIovvirr.o 

activities: 

a. Taking photographs anc/oi: vid'jo of the i^ropiriT/ befcr?, d^iring, "iri^i anji ir^msdi'd 

ac>:i7ities; 

b- Locating equipment Jind :::rj;ivhi:\<riy Oii~Eit=r in pisperatlcn fbr j^iin in the 'X>vt£* of the 

• eivvircnmeiital rescorise; 

c. Flanning and implemeiiting ihe iSriiovai action <KI O<: ne^r Orjiiitcr';; pLCp?v(y. 

d. Gbtsinin^saiiijiskslhimGrS'itorspropoAty; 

ArjR EEMENT NOT TOIV JTERFEilE 

The Graiitcr agrees not tdinlerfsie or tsmper Tvith ?tny of the acdvitiss cr v/ork done, ci: &? 

equipraerit used to perfonn tlie activities, or to undertske any actions legarding the use of said 

property which would tend to endanger 'iht health or Vv^elfare of tha Grantess or ths eivvironment, 

or to allow othsB lo use tlie jMoperty in siieh 

Q/^J&L C^cf^ta.^^ ^-^9'Cc:> 

sigrtSEtirci Bate Stgaatere Bate 

 1 
•".f,rJt 

n^cSditEonal CQmm&ri!is / tnstmictions: 

= 0 Check this box if owner doss not want E.R. to sntsr the resld'snts lO dccun^ent iiiteiicr 

.fcundaticn wsii* ^-nd possible prs?xisting dsmsrge. By checking !:hi3 box E.R. is nol • s&pot-isitis 

D J agree; [J I do uM £grej; [...j I >:gv£( LJI-doKotsgies 

cPJioCM ^'?V ^ 

OvynSETS £Egsa;t;t2 Cgi::i!;'£Cfer'5 Szgcoailiiiire ITisfii 
The purpose of this agreement is to provide a mutual agreement as to conditions of propeity 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). 

SAIB: /Q03 S 

Property Addr^^ss: YSV O 5 - yPt ^ S^-~^ 

Owster: f^^r^ ^ Q^JP^C^C^ 

Phone: -733 ' Y*?/-? 

On the attached diagratn(s) indicate aiea(s) to t e escavs-ted and depth of escavalion, location of aUloiowa 

utilities, subsurface features, sutface structures aiid landscaping festiires, access location(s) to be used fay 

contractor, and the direction of North. Indicate distances, deptlis, rfialerlal types, etc. Indicate digital photos 

by referencing the photc-Iog nurab'tr with an arrovv' indicating direction of visv/. 

ZiPAYi^ to ba iretffiGvsd f*y CartkirsctOii'an.iS not fs-p5s:j;9i!: 

[fern: 

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AeSdttional Comfnents / Enstmcticns: 

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AUgciimsrits 

^ SrruodU. L-'i-io 

EJate -Oftirsttor-s SigFiiiiiJii's 

PffiG'S 2 of 2 
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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 propeity, and that no items are in 

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

/00 3 S 

Praperty Address: ^t/( ^ ^ . 3<^tli l _p / 

Restoration SteK^s tn GussfcCJsin": 

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[ J IQ.'^ KOi s:gro-3 rs3;V3r£*i-ca is corapictcd 

^L^VvTiiii-i";? t;t'.S7.1iSf.;;.r5 

Coritrac'srs SBgr^sfesrs A//^ 
Douglas County Account Information 

Page 1 of3 rmant 

Douglas County, Nebraska Property Record - R0731240000 

Print Report 

View interactive GiS IWap Infomnation is valid as of 2010-5-28 Treasurer's Tax Report 

New Feature -•-•- • Subdivision Sales Search 

Owner 

CAVADA ANDRES 

ETAL 

4424 S 26 ST 

OMAHA NE 68107-0000 

Property Informatio n 

Key Number: 3124 0000 07 

Account Type: Multiple Res 

Parcel Number: 0731240000 

Parcel Address: 

4546 S 38 ST 

OMAHA NE 68107-0000 

Legal Description: BURLINGTON CENTER LOT 19 BLOCK 1 LTS 18 & 19 80 X 120 

Value Informatio n 

Land Improvement Total 

2010 $8,000.00 $37,300.00 $45,300.00 

2009 $8,000.00 $40,700.00 $48,700.00 

2008 $8,000.00 $40,700.00 $48,700.00 

2007 $8,000.00 $43,700.00 $51,700.00 

2006 $8,000.00 $43,700.00 $51,700.00 

2005 $8,000.00 $37,600.00 $45,600.00 1 

Sales Informatio n 

Sales Date: 2003-12-04 

Deed Type: WD Book: 2003 Page: 239628 

Price: $38,000.00 

Grantor: HOMEBUYERS INC 

Grantee: ADRES CAVADA ETAL 

Validflnvalid: Valid 

Exclusion Reason: 

Show All Transactions 

Land Informatio n 

Acres SF Units Oeptfi Width Vacant 

0.22 9600.0 1.0 120.0 80.0 No 

http://douglasne.mapping-oiiline.com/DouglasCoNe/static/accountiiifo.jsp?accountno=R073... 6/7/2010 
Douglas County Account Information 

Page 2 of 3 rmatK 

Improvemen t Informatio n 

Building 1 

1 1/2 Story Unfin 4546 S 38 St 

.'it.bi)ft 

!?* !3) >11 

CUCK TO ENLARGE IMAGE 

Square Footage: i 1023.0 

Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: End Condition: Fair 

Built As: 1 1/2 Story Unfin Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 7.0 

Exterior Frame Siding Units: 2.0 : 

interior: Drywall Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: 5.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinlder Square Footage: ' 0.0 

Year Percent Adjusted Year Year Built 

Physical Age Remodeled Remodeled Built 

1905 0% 1905 105 

Detail Type Detail Description Units 

Add On Frame Utility 21.0 

Add On Unfinished Attic W/floor 882.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 1023.0 

Basement Minimal Finish 850.0 

Basement Outside Entrance 1.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

Porch End Solid Wall 124.0 

Porch Slab Roof Ceiling 132.0 

Porch Wood Deck 64.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R073... 6/7/2010 
ENVIRONMENTAL AS-BUILT DRAWING 

'Of^MHA LEAD SUPERFUND SITE 

RESTORATION 

Owner Name: ANDRES CAVADA r Address: 4546 S 38 ST 

Phone: H: 402-733-4813

Sannple Number 

RYASCPXA-10035 Fl 

RYBSCPXA-10035 F2 

RYCSCPXA-10035 Bl 

RYDSCPXA-10035 82 

RDZSCPXA-10035 DZ 

«egSCPXA-l0035 SH 

RPZCCP)(A 1003G PZOmaha Lead Site 

Site Sketch 

 W: 

Lead Sample LAB Concentration Collected 

g^M^ ppm D 

" 1 1 pQ ppm D 

0 ' D 

nci.^pp'^ D

\ \ L-\^C\ ppm a' D

ppm D . ppm n n D Number of Samples = O 

10035 

Exterior Paint 

• Good 

^ [g'Poor 

Q Not paint 

Samples Collected 

Firm ,-ir 

M l 

Date C-^-1 

Time: 

Samples Analyzed 

XRF Unit Is \\ BoalLi;9 

Date: -7 - L nU--' 

Time: PNO^ 

Staff: 

Cr\p 

SAID #10035 

DATE EXCAVATED 9-15-10 

DATE EPA SIGNED OFF 10-6-10 

AREA SODDED 1750 SQ FT 

Omafia Lead Site 

Dflp Zona Excavatod Cootamination Left Bahind 

t-xxyj 

Quadrant eiccavated ^^^^^ H 

Contract #: EP-R7^9^5 Environmental Restoration LLC 
10035 

NO ^ * , ^ 

Omaha Lead Site 46130 
ill 10035 ( ^ 

Omaha Lead Site Exterior Paint North Arrow Owner Name: ANDRES CAVADA 

Sit • Good e Sketch r Address: 4546 S 38 ST [g-'^ r ^ > 1

Phone: H 402-733-4813 W; f~) Not paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Q c .%.i — A. . Finn 

RYASCPXA-10035 Fl cyOa ^^ M

f ppm D Dale: 

RYBSCPXA-10035 F2 1 1 PO pp^ D Time: io ' u o /^—-

RYCSCPXA-10035 B1 3 U ' ^ ppm or D 

Samples Analyzed 

RYDSCPXA-10035 82 53 3 ppm D 

RDZSCPXA-10035 DZ \ \ ^0 \ ppm XRF Unit: & \ \ Boolk-0. 

ftGgSCPXA-10035 e2 ppm n n 

Date 

•RPZCCDIA 10035 P^ D

ppm n Time P ^ 

Staff: 

Number of Samples = 5 o 

D QCxO 

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Omaha Lead Site 46130 
ENVIRONMENTAL XRF DATA ENTRY LOG 

c 

RESTORATION 

SAID# \O0^ S 

PROPERTY ADDRESS 

^S»\ b ^ - ^ S s- v 

QUADRENT OR SAMPLE AREA 

DEPTH 

redig 

n F2 ^ 

n Bi 

Q B2 f ^ 

n DZ 

• PZ 

n GZ 

n EZ1 ^ 

n EZ2 

n OTHER 

SAMPLER NAME <-S- Oa-c^^-V-g^gv^ 

DATE ^ W^W o 

TIME 

XRF S/N 

AVERAGE OF RESULTS SHOT #s 

2."VO ± z n 2-^^ 2,^-2.^^2. 

ZT^ t 2Xr. •^\5r?,- :^^S<^ 

^.?,?,t ^=\ 2.c^•?,s-z.^'^ 
Thermo Fisher Scientific Tin A 1^11111 ill 900 Middlesex Turnpike 

Billerica, MA 01821 

SCIENTIFI C 

AVKR.VGE ADDRKSS SAMI'I.K ARKA OPERATOR DKPIH NO'i'KS SAID 

1 2010-09-18 08:55 Avg of3183-318.'4546s38st B2 

2 2010-09-18 08:55 4546 s 38 St B2 

3 2010-09-18 08:54 4546 s 38 St B2 

4 2010-09-18 08:53 4546 s 38 St B2 

5 2010-09-15 15:43 Avg of2935-293-4546 s 38 st EZ 

6 2010-09-15 15:43 4546 s 38 st EZ 

7 2010-09-15 15:42 4546 s 38 st EZ 

8 2010-09-15 15:42 4546 s 38 st EZ 

9 2010-09-15 15:33 Avg of 2929-293 4546 s 38 st F2 

10 2010-09-15 15:33 4546 s 38 st F2 

11 2010-09-15 15:33 4546 s 38 st F2 

12 2010-09-15 15:32 4546 s 38 st F2 

jimmy 8 final clearance 236.32 ± 25.91 

jiatay 8 final clearance 10035 215.99 ± 25.12 

jinimy 8 final clearance 10035 229.89 ± 25.46 

iimmsr '•­ f . • •• final clearance 10035 263.10 ± 27.15 

jimmy surface final clearance 332.68 ± 29.02 

jmmsr surface final clearance 10035 363.73 ± 30.15 

jmimy surface final clearance 10035 311.40 ± 28.32 

jimnqr surface final clearance 10035 322.90 ± 28.59 

jimn^ 4 final clearance 270.30 ± 26.84 

junmsr 4 final clearance 10035 303.94 ± 28.18 

jimmy 4 final clearance 10035 23929 ± 25.55 

jimniy 4 . final clearance 10035 267.66 ± 26.78 

Page 1 of 1 09/20/10 15:12:29 
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