TRANSMITTA L of OMAH A LEAD SITE 

SOIL REMEDIATIO N FILE FOLDER 

SAID#: 34^D ^ Date: 

Address: ^A^'hO M < ^ 5 r 

Remediation Contractor: Envrionmenta l Restoration, LLC Year: _2010 

SOIL REMEDIATIO N 

PROPERT Y FILE FOLDER DOCUMENT S 

D Video of property (DVD) _ CSefore DAfter D Basement ^ A6i^:55e/^t/^0 ^ 

" S ^ Executive Summary (Final Report) 

~~^ EPA-provided property sketch 

I5 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.) 

"SL Confirmation data 

D Photographs N g Before DCrew Photos N During Excavatipn-^irSod 

D 30-day Sod D Ft) PJrKrj- ua^ i ^ 

&J As-built sketch 

^I>- Completion Agreement signed by Property Owner 

[> Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

^ Utility clearances 

D Property information from Douglas County Assessor's Office 

^ Property access checklist 30237983 

B^ Contact Log 

„„ lililill 

r-i I Superfund 

leintal "Restoration Signature Date 

EPA COR signature ~ ^ Date 
-EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #: n\'\cf) Property Address: M^j) 0 t^ 1^ 5 T 

Date/Time: Owner's Name: ^ErrjUy i0^r>.-^<:.\nfU" 

Quads Excavated: ^O i Contractor Group : Environmental Restoration (ER) 

Excavation General VACAil'T ( CfV Yes No 

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

2. If necessary, were the correct areas of drip zone excavated and restored? JV^Q "X)^ ^ ^/A 

Grading Sod and Vegetation Yes No 

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

house? ___^_^ 

2. Has sod been laid in all areas that were excavated? M­ 3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspec ^ at 30-day time 

period). 

4. Are sodded areas generally firm and evenly graded? 1 ^ 

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

6. Was the property graded such that water will not pool on the property? « / 

7. Was damage to landscaping or plant materials avoided? \ ^ 

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. 1 . Was damage to siding or frim avoided? TT UO U€tlllUg, V l.\J JlUlll ^ V/1 LJ 1111 a V\J1U\^U 1 ^ ^ t ^ ^ 

2. Was damage to the foundation avoided? \ bjCJ^^^ LOT 

3. Was damage to windows avoided? M 

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? 

2. Was damage to walkway surfaces avoided? y 

Inspection notes: 

i d hlQ 56 ^ U6s 

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

EPA Representativi k, ^^t^fclA^<^/f:^<V•ASI7^ug^ Date: yi?f//^ 
^'*^^> . 

^ Omaha Lead Site—EP-R7-09-05 

I Environmontal Restoration, LLC 

" ^ www.ertic.com *t»*0 ^ 

EXECUTIVE SUMMARY: 

34909-4530 N 13 ST 

No Issues or Concerns Q Issues/Concerns 

Detail Explanation: 
ENVIRONMENTAL 

RESTORATION 

PROPERTY CHANGE ORDER 

OMAHA LEAD 

Property ID # 3H^01 

Property Address >f^.^0 N 1?.^^ 

Owner Name ET^er^^ \xkXf\<^v 

Date CR|I»S|;)>Q\Q 

Comments 

Property owner requested that ER not sod area that 

was remediated. ER will put back soil to original 

grade, and will no longer be responsible for 

vegetating the area. 

Owner Signature U^I^JL ^ ^^"^iLe^^yi^^^Z^Z^ 

Contractor Signature 
Adam Detrich 

From: Heitman.Jason@epamail.epa.gov 

Sent: Tuesday, September 14, 2010 6:22 PM 

To: Adam Detrich 

Subject: Re: QA properties 

Attachments: ATTOOOOI.png 

Adam, 

Here are the average results from the properties I tested today: 

2102 W St 


Bl: 223 


Fl: 206 


F2: 160 


DZ: 142 


4530 N 13 St 


01: 451 


3075 S 32 St 


B1: 178 


Looks like the quadrant at 4530 N 13 St is still testing above 400 ppm. 

Jason Heitman 

On-Scene Coordinator 

US EPA Region 7 

901 N. 5th Street 

Kansas City, KS 66101 

913-551-7104 

From: Adam Detrich <a.detrich@er1lc.com> 

To. James Johnson/R7/USEPA/US@EPA, Jason Hertman/R7/USEPA/US@EPA, Adam Ruiz/R7/USEPA/US@EPA 

Date: 09/13/2010 05:46 PM 

Subject; QA properties 

Here are our QA properties for tomorrow, Tuesday, 9-12-10 

I wasn't sure who would be here this week. 

2102 W St 

4530 N 13 St 

3075 S 32 St 
Contact Information Log 

SAID# nt^f 

Owner's Name:£^,'yuy^^^/^^•y^^; ^ /yv^^/'^ y Daytime Phone^^^-;;^^ ^ ^ \-// ^ M \ 

Property Address: (J ^ "^ p u , ^n>'-

Attempt to contact Date/time Name 

fei^rfv I.V?^ l-2g-h,H!^^ 5/

ks: ^ ? 

f-l-ZD 

' 

• 
Property Access Checklist 

SAID: • WOiRk STARTRn. . 

j Property .Address: Ly^^^gl ^ / ^ 7 7 D WORK COMPELTED ON: / / 

Owner:^^^V^^^^ ^ ^ ^U 7 y Renter: 

Address: Phone: 

Fax: 

Cell/Pager: 

Phone:6y^ X ^A ? V'^^ ^ Additional Information: 

Fax: 

Ceil/Pager: 

E T Access Agreement Signed: ^/^/2 ^ By= :5/ 7 

5 3 Restoration Agreement Signed: ^/^// ^ By: ,5/ 7 

C^* Video Property Before On : ^ 1 / ^ 1 / o By= ^ 

tZi Digital Photos Before On : ~7 / ////( P By- d 

r~l Video Property After On : / / By: 

D Digital Pliotos After On : / / By: 

S L Property Completion Agreement Signed: ^ 1 (7 / l o By:!^! ^ 

• Final Report Signed: / / By: 

Additional Video or Digital Photo's Taken: 

n Video D Digital Photo On : _/ _ / By: 

Reason: 

n Video D Digital Photo On : _/ _ / By: 

Reason: 

n Video D Digital Photo On : _/ _ / By: 

Reason: 1 

1 D Video D Digital Photo On : _ _/ _ / By : . • 1 

1 Reason: 

Omaha Lead Project Work Plan Page I of 19 
t 

# 

Consent for Access to Property SAID# 3 Yy<*:7<^ 

RIGHT OF ENTRY TO PREMISES _ _.:_ - - „_^i-_—-—----—--

Grantor"" (the properly' bvk^rj,_consents„to-and-authorizes"ihe~UnitecI'~States Environmental 

-FiolectiorTAge'ncy (USEPA) or its authorized representatives, collectively the Grantee to enter 

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

Owner's Name:/^^/^^C^^ ^ ^M^/gV l DaytimePhone: d/ ^ ;^ ^ 

Address: ^^^ ^ ^ ^- J 

> ^ 

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 perfomied 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 the 

environmental response; 

c. Planning and implementing the removal action on ornear 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 activrties 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 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 Q I do not grant access to my properties 

Xit^^^/'^i^t^c^^ lU^U? 

Signature // . Yizik / Signature Date 
• • 

• 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 interior of house, including foundation cracks or fissures. 

^lagre e • I do not agree : Q i ,„,, , r-.^^ 

ujia^ree U I do not agree 

iAJ^<\^^if/7.^K^/^^£^ //^jf^/^ 

owner's Signature y ; Dat^ ' 

^ Contractor's Signature Date 
• # 

Restoration Agreement 

The purpose of iliis agreernerit is to provide a niutual.aeTgf'fnent.as-tb-condiLions~of'prc)p"ertv^ioFto~ 

-contractor-aclivilies7~TKis^ill"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:Ly5^^ ^ 

I Property AdJress: t y ^ " ^ ^ ^ / 3 •^ ^~~ 

Phone Phone:^^ : 11 . '^ /^ * ' I . >X ^7 i / 2 f/^ t/^;7y 

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, hidicate 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: 

Item: 

'Y-e.PI/'A^Pcl \JL J r'S.->d 

Item: 

Item: 

• • - • • ' • • • • • . 

Item: 

: • . . . • ' ' ' • • • • • ' • • 

Item : • . • ' 

Item: ; . 

Item: 

Page 1 of 2 
• • 

Additional Comments / Instructions: 

^ I ag ree LJ I do not agree Di agree L J I do not agree 

U^^.,^'.,^, ,/,^i,^ 

Owner's Signature/^ Date Contractor's Signature Date 

Attaciirnents 

Page 2 of 2 
• # 

Property Completion Agreement 

~Tiiis"'agreeifieiit"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 -3Vf^f 

Property Address: u ^ '^ y^ dy ' f ' 7 J * t " 

Owner; t^e^ifffuf^WLft ^ ^^f ji y 

Ph """•^/<^\2 7 ? 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

[XJ I agree restoration is completed, except as noted I \ I agree restoration is completed, except as noted 

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

ici^t*^ 

*(Xvner's Signature Date Contractor's Signature Date 
Douglas County Account Information Page 1 ot 1 nauo 

Douglas County, Nebraska Property Record - R2119900002 

Print Report 

NEW Feature - Parcel Dimensions available &. scale 0-50 ft west of 52nd St - Vie W O n Ma p Information is valid as of 2009-12-1 Treasurer's Tax Report 

New Feature ->-*- > Auto Sales Search 

Owner 

WEINFURTNER EMERY E 

ETAL 

4536 N 13 ST 

OMAHA NE 68110-0000 

Property Informatio n 

Key Number: 1990 0002 21 

Account Type: Residential 

Parcel Number: 2119900002 

Parcel Address: 4530 N 13 ST 

OMAHA NE 68110-0000 

Legal Description: ROANOKE ADD LOT 52 BLOCK 0 S 20 FT LT 51 & ALL LT 52 60 X 121.5 

Value Informatio n 

Land Improvement Total 

2009 $200.00 $0.00 $200.00 

2008 $200.00 $0.00 $200.00 

2007 $200.00 $0.00 $200.00 

2006 $200.00 $0.00 $200.00 

2005 $200.00 $0.00 $200.00 

2004 $200.00 $0.00 $200.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.16 7260.0 0.0 121.0 60.0 Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountao=R2... 12/18/2009 
Page 1 of2 

"> 

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

• YOUR TICKET NUMBER IS 2581516. 

Original Call Date: 8/31/10 Time: 5:27 pm . Op: TRACY24186 

Work to Begin Date; 9/02/10 Time: 6:00 pm f 

State: NE County: DOUGLAS Place: OMAHA 


Address: 4530 Street: N 13TH ST 


Twp: 15N Rng: 13E Sect-Qtr: 03-NE-SE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Excavating the entire property 


Location of Work: LOCATE ENTIRE PROPERTY 


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


: SAID #34909 


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 MAGELLANP MCINEB MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Utility Service Area Contact Phone Number Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Ah: 4029340469 

Emerg: 4029329757 

Day: 9185747098 


MAGELLAN MIDSTREAM MAGELLANP DEBORAH Ah: PARTNERS LP 

Emerg: 9185747098 

Day: 8002893427 


NO CALL PER MCINEB MCI Alt: MEMO 

Emerg: 8002893427 

Day: 4025047823 

METROPOLITAN UTILITIES MUDOl SANDY Alt: DISTRICT 

Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/31/2010 
Page 2 of 2 

OMAHACOF CITY OF OMAHA-TRAFFlC,SEWER RICH/TRAFFIC

Day: 4024447197 

 Ah: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Ah: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/31/2010 
ENVIRONMENTAL AS-BUILT DRAWING f, 

MAHA LEAD SUPERFUND SITE 

RESTORATION 

Exterior Paint North Arrow Omaha Lead Site • Good Site Sketch • Poor 

Samplinq Address: ^S3 0 N- 13 St . B'Not paint 

Sample Number Lead Sample „ Samples Collected 

Concentratio n Collected ^ ° Firm: P E Ire . DB.C C 

RYASCPXA- 3«t909 Fl % .ppm B- D Date: 1 - \ 0 - O S 

RYBSCPXA-a*9o9 F2 2 S 1 .ppm B- n 

Time: S'-B B d m 

RYOSCPXA-34709 B1 lfo 9 .ppm B a 

Samples Analyzed 

RYDSCPXA-3*f9<>9 B2 .ppm B n 

.ppm D n XRF Unit: <e>5HO Book: 'Z-' ^ 

.ppm D D Date: 7 - Z3~0 & 

.ppm U U Time: pn n 

Staff: MS W Number of. Samples = 5 o 

Legend: F1 = Front Left. F2 =Front Right, 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

AI quattanis ir» *s vimm) trcm th* <trMt:, , facing propartv 

Lifi£»C 

Qtiadfant excavated ^^^^ H Df ID Zone Excavated Cotitamination Left Behind 

Contract #: EP-R7-09-05 Environmental Restoration LLC 
3H-909 

Exterior Paint hkxth Amow Omah a Lead Site • Good Site Sketch • Poor 

Sampling Address: ^S3 0 M. 13 Si¥. g'No t paint 

Sample Numt>er Lead Sample Samples Collected UKB Concentration Collected Flmft: P E Inc . Pe>,C e 

RYASCPXA- 34909 F1 94. _pp m Q­ a Date: -7-10-0 8 

RYBSCPXA-Vf909 F2 251 _pp m Q- a Time: S'.S S ct m 

RYOSCPXA-34909 Bl I4>9 ppm Q- a 

Samples Analyzed RYDSCPXA-3*W09 B2 2.2 0 ppm Q- a 

RDZOOrXA-gif^o^ -BZ a D XRF Unit: <<»5HQ Book: ^1 3 

R0Z3CPXA'9«»9O9 -es _Z= ppm n D Date: T-Z3-Q & 

RPZOCPXA- B^^O*? -P2- J = ppm a Time: n ip m 

Numbe Staff. MSW r of Samples = 5 

Legecxl: F1 = Front Left. F2 * Front Right. B1 = Back Left. B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

AD quadranta vaasvlMMdfromttw streat, fadrtg prapcftv 

Rn200a.BL CreKed: lfr.Miy.08 
3H-^09 \>frjur>l U-g^/vftrrrvu^ 

Exteriof Paint North Arrow Omah a Lea d Site ^n - 4UM • Good Site Sitetch • Poor 

Sampling Address: ^S3 0 Kl. 13 f»^. Q'Not paint 

Scmple Numfc>er Lead Sample Samples Collected LAB Concentration Collected Rrm: P E Inc . PB>,C O 

RYASCPXA-34909 F1 94. _pp m Q- a Date: -7-iO-Q 3 

RYBSCPXA-Vf9o9 F2 2SI _pp m Q- a Time: S»S 5 ct m 

RYCSCPXA-94W9 Bl I<P 9 ppm H- a 

Samples Analyzed RYDSCPXA-3tf909 B2 2,2 0 ppm ca- a 

-RDZGCPXA-g*»90? Pg — ppm n D XRF Unit: <^5HQ Book: ^1 3 

RQZ8CPXA''d490? 0 2 J H ppm n D Date: -T-z3-oa 

RPzacPXA-aH»y!) PZ J Z ppm D Time: n lprr\ 

Numbe Staff: MSW r cf Samples = 5 O 

Legend: F1 =^ Front Left, F2 = Front Right. Bl 'Bac k Left. B2 = Back Right DZ = Drip Zone. GZ = Garden. PZ = Play 

A I quadrants v e a»"vhww<ffrO(n the etreet, fedne prqMrtv 

Sampl XRF e Numl)er 

R;ftl^PXA-34909 -t^iS ppm 

R£y]O0S.BL Cicxed: \6-iAMf-m (M61il.0123 
ENVIRONMENTAL XRF DATA ENTRY LOG 

RESTORATION 

SAID#_ ,^^9o9 

PROPERTY ADDRESS 

HK-^ M. 13 S T 

QUADRENT OR SAMPLE AREA 

redig 

D 

D 

n 

n 

n 

n 

n 

n 

n 

0 

^ ^ 

F1 

F2 

B1 

B2 

DZ 

PZ 

GZ 

F71 

F7? 

OTHER 

DATE ^ \/3 \ 10 

TIIVIE 

XRF S/N ^^1^ 0 

DEPTH AVERAGE OF RESULTS SHOT#s 

- ^ l^ t «(> jU(iH-2.6.^7 

SAMPLER NAME <^ I »^rw«^ O ­ t 
Thermo Fisher Scientific Thermo 900 Middlesex Turnpike 

Billerica, MA 01821 

SCIENTIFI C 

AVKR.\GK ADDRKSS LSAMIMK ARKA OPKRA TOR DEPIH 

1 2010-09-15 14:39 Avg of 2913-291:4530 n 13 st r-01 jimmy 8 final clearance 267.94 ± 25.88 

2 2010-09-15 14:39 4530nl3st r-Ol jimmy 8 final clearance 34909 260.96 ± 25.48 

3 2010-09-15 14:39 4530nI3st r-OI jimmy 8 final clearance 34909 260.62 ± 25.65 

4 2010-09-15 14:38 4530nl3st r-01 ••^i jimm y 8 final clearance 34909 282.25 ± 26.51 

5 2010-09-13 14:42 Avg of 2694-269(4530 n 13 st EZ jimmy sur&ce final clearance 72.61 ± 15.90 

6 2010-09-13 14:42 4530 n 13 st EZ jimmy surface final clearance 34909 68.05 ± 15.73 

7 2010-09-13 14:41 4530 n 13 st EZ jimmy surface final clearance 34909 77.79 ± 16.28 

8 2010-09-13 14:41 4530 n 13 st EZ jimmy surface final clearance 34909 71.97 ± 15.71 

Page 1 of 1 09/15/10 17:40:55 
Thermo Fisher Scientific Thermo 900 Middlesex Turnpike 

Billerica, MA 01821 

SCIENTIFI C 

AVERAGK ADDRKSS SAMPI.I-; ARKA OPKRATOR DKPTH NOIKS SAID \'b 

I 2010-09-13 14:42 Avg of 2694-26914530 n 13 st EZ jimmy surface final clearance 72.61 ± 15.90 

2 2010-09-13 14:42 •­ : K ; 4530nl3st EZ jimmy surface final clearance 34909 68.05 ± 15.73 

3 2010-09-13 14:41 4530nl3st EZ jimmy surface final clearance 34909 77.79 ± 16.28 

4 2010-09-13 14:41 4530nl3st EZ ' jimmy surface final clearance 34909 71.97 ± 15.71 

5 2010-09-13 14:34 Avg of 2690-269:4530 n 13 st r-01 jimmy 4 final clearance 258.99 ± 25.32 

6 2010-09-13 14:34 4530nl3st r-01 jimmy 4 final clearance 34909 236.74 ± 24.27 

7 2010-09-13 14:34 4530nl3st r-01 jimmy 4 final clearance 34909 258.96 ± 25.38 

8 2010-09-13 14:33 '•: 4530nl3st r-01 jimmy 4 final clearance 34909 281.28 ± 26.30 

Page I of 1 09/13/10 17:38:04 
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