PROPERTY SUMMARY

 

| Date: 10/10/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: October 

| Property Address: 1803 Pinkney St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

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

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl - 94 @ 6" 

Easement 35 @ 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/photographs 

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 of areas not meeting Interim ROD cleanup criteria. 

HNOLOCIES, INC. 
31727 

Or Exterior Paint North Arrow 

Owne riaha Lead Site r Name: SECOND BAPTIST CHURCH Q Good Site Sketch Address: 1803 PINKNEY ST Q Poor

 

Phone: H: 402-451-1060 W: 402-451-7768 Q Not paint 

Sampl Lead Sample .._ Samples Collected e Number 

Concentration Collected Firm: fcbA HT /^wJ 

RYASCPXA-31727 F1 891 opm I7f PI Date: &~ 11*- / i 

RYBSCPXA-31727 F2 / (a 4 ppm El D Time: /:

 3S 

RYCSCPXA-31727 B1 311 Ppm Ef D Samples Analyzed RYDSCPXA-31727 B2 *5 o£ Ppm DZf D 

-RDZOOPXA31727 Di "~ Dpm D D XR F Unit: //ja-7 n«r>i- i ? *» 

RCZSCPXA 31737 GZ- ~ Dpm D D D ate'

 <? '/-05­

RPZSCPXA317a7 P2-- ~ cpm D D T me:

 

S 2L^ taff: Number of Samples = ! j~ ; ' — ' 

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

All quadrants are as v ewed from the street, facing property 

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31727 

Omah Exterior Paint North Arrow Owne a Lead Site r Name: SECOND BAPTIST CHURCH Q Good Site Sketch Address: 1803 PINKNEY ST Q Poor

 

Phone:

 H:

 402-451-1060 W: 402-451-7768 Q Not paint 

Sampl Lead Sample .._ Samples Collected e Number 

Concentration Collected Firm: FbA MjJ?v3

 

RYASCPXA-31727 F1 8*? 1 ppm 2f fj

 Date: 8'IL>~<

 

RYBSCPXA-31727 F2 1 (a 4 com -f- / " "^2 c~

 [Zf D Time: I - 5 b

 

RYCSCPXA-31727 B1 311 Dpm [Zf D

 Samples Analyze d

RYDSCPXA-31727 B2 O tj2 Dpm Ef D "~ npm D D XR F Unit: / & $ f OQO) <.: 12.1 

-44GZSCPXA-3172X-- GZ . cpm D D C ate' q-l -05 

RPZ6CPXA31727 P2-» ~ Dpm D D

 T me Pm 

Staff: i-A Number of Sa mples = a: t 

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

All quadrants are as viewed from the street, facing property 

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Agreemntto a!low¥ccesslo ^11(3- J 

Omaha Lead the pr^rty in order to conduct 

Site Remedial environmental sampling and to 

Action remove lead-contaminated soil 

Prudent Technologies, Inc. (Prudenf) is under contract with die U. S. Environmental Protection Agency 

(EPA) to clean up lead- contaminated soils at a munber^o/ properties located in Omaha, Nebraska, 

including fee property located at jxfl_3 /-y/)/4/ffit./ *jr* The EPA requests your 

permission to allow Prudent to perform a soil cleanup at mi^ property to remove lead- contaminated soil. 

By signing mis form, the property owner grants permission to Prudent to perform activities related to me 

cleanup including soil sampling, removal of lead-contaminated soil, and restoration of me referenced 

property. After obtaining the owner's signature on mis form, Prudent Technologies, Inc. will contact me 

property owner (and residents) within the next few weeks to coordinate performance me work. 

If you have any questions about me soil cleanup planned for your property, please contact Prudent' s 

Administrative Clerk for me Omaha Lead Site cleanup, Ms. Cyndie Hinds at (402) 504-1004. General 

questions about me Omaha Lead Site cleanup can be directed to me EPA Public Information Centers at 

(402) 731-3045 (south Omaha office) or (402) 991-95^3 (norfc Omajra>#ice). 

Property Access Granted By: 

Property Owner Signatured 

PROPERTY INFORMATION 

(To be completed bj resident and/or property owner ­ please print) 

RE SEE NT NAME. QDwner Qenter 

RE SIDE NT AD DRESS: 

IF RENTAL.PROPERTY OWNED BY: 

OWNE R-S MAILING ADDRESS; 

OWNER'S TELEPHONE NUMBER-HONE: i

 

AGE OF HOME?: 

HAS THE EXTERIOR BEEN PAW RED WITH SIDMG SMCE 1978?

 

NUMBER OF OCCUPANTS UNDER7 YEARS OLD: NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER

 

NUMBER OF CHILDREN UNDER 7 YE ARS OLD WHO PLAY M THE YARD FOR S HOURS OR MORE PE R WEEK: 

COMMENTS OR SPECIAL INSTRUCTIONS: (IE. DOGS.ENTRY GATES. 

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. IPA's right of access to the property is 

provided for in Section 104<e) of CERCLA, 42 U.S. C °605(e), which provides entry for "determining the need for 

response, or choosing or taking any response action under this title, or otherwise enforcing the provisions of the 

title" 
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ENTERED 31727 

i Or Exterior Paint North Arrow Owne riaha Lead Site r Name: SECOND BAPTIST CHURCH Q Good Site Sketch | Address: 1803 PINKNEY ST rj Poor 

[ Phone: "= 402-451-1060 W: 402-451-7768 Q Nol paint -

Sample Number 

RYASCPXA-31727

RYBSCPXA-31727

RYCSCPXA-31727

RYDSCPXA-31727

RDgOQPXA31727

RGZSCPXA 31727

RPZ8CPXA 31727

Lead 

Concentration 

Sample

Collected

 ^_ LAB 

 F1 ^^­ fBH ppm pi |~~l

 F2 llo^ oom |7f |~I 

 B1 311 Dpm |7f Q 

 B2 •5 fo^ ppm [^ n 

 Di. ~ DPm D D 

 GZ ~ c pm D D 

 P2­ ~ Dpm n n 

Number of Samples = ffj LSamples Collected

 

Firm: \^hA H J /'J?cU

 

 Date S't(f~^ 

Time: / " ^5" 

Samples Analyzed 

I0Z"7 Rnnk 1 7 *? 

Clate °l-\ -05" 

T me' PWl 

Staff: LA 

XR F Unit: 

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

drants are as viewed from the street, facing property 

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EPA Property Close Out

 

Property #: 3 Property Address: 1803 P,«X/vfj 

Date/Time: Owner's Name: $£<:0!,o ^f/}f~ 6WC 

Quads Excavated: , Contractor Group Prudent Technologies 

F JExcavation General

 Yes No 

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

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

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? i/ 

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 i/ day time period) 

4. Are sodded areas generally firm and evenly graded? u/ 

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

time period) ^ 

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

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 reinstalled? (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. Was damage to the siding or trim avoided? i/ 

2. Was damage to the foundation avoided? s 

3. Was damage to windows avoided? y 

4. Was damage to windows 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? c/ 

2. Was damage to walkway surfaces avoided? I/ 
1 • 

Owners comments: 

Inspection notes: 

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

EPA Representative Qr,

— 

^ .x^^ Date: /
Property Completion Agreement

 

This agreement documents the completion of removal activities perfo med on the below listed property. 

The property owner's signature indicates that the property owner ir ;a isfied with the restoration of the 

subject property, and that no items are in question, now, or at ai ' i::-ie in the future, excluding any 

remaining warranty (30 days total) except those items listed below, i ar /. 

Property ID: ^ ) 

Property Address: /jfo 3 

Phone: 

Restoration Herns in Question: 

item: 

Item: — 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

I agree restoration is completed, except as noted above. 

Li I do not agree restoration is completed 

Owner's S/tnature Date 
.,1727

 

Exterior Paint North Arrow Owne CHURCH Omaha Lead Site r Name: SECOND BAPTIST Q Good Site Sketc h Address: 1803 PINKNEY ST Q Poor 

Phone:

 H:

 402-451-1060 W: 402-451-7768 Q Not paint 

Sampl Lead Sample ..p Samples Collecte

^

d e Number 

Concentration Collected Firm: FbA Mj~ /^wJ 

RYASCPXA-31727 F1 0 <? I ppm [*f D Date: & ' I (, <" 

RYBSCPXA-31727 F2 / to *t ppm pj D Time: / r "3S 

RYCSCPXA-31727 B1 3 1\ ppm pf 

Samples Analyzed RYDSCPXA-31727 B2 •5 o £ Ppm Fv^i D — RBZOCPXA 31727 B2» "~ ppm | | YRP 1 Init- 1 0 *t "7 Urmlr- I ? Q 

RG7SCPY-A 317°7 GZ ppm [~~l n Date 9 '-/ -05­

. RPZCCPXA 31727 P2-- ppm r~| Time. jP>^J 

Staff: LA Numbe ! : r of Samples = IT- —

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

All quadrants are as viewed from the street, facing property 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

1529210000 

SECOND 

BAPTIST 

CHURCH 

1803PINKNEY 

ST 

OMAHA 

68110 

PO BOX 111264 

OMAHA 

NE 

68110 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal2 

Legal3 

Legal 4 

Assessor 

Website Link 

10-15-13 

KOUNTZE PLACE 

35 

1 

W40N80FT 

40X80 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R1 52921 0000 

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 = 25 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 7/16/2007 
Page 1 of 2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1846654. 

Original Call Date:

Work to Begin Date:

 7/20/07 

 7/24/07 

Time:

Time:

 1:48 pm 

 2:15 pm 

Op: CYNDIE18967 

State: NE 

Address: 1803 

County: DOUGLAS 

Street: PINKNEY ST 

Place: OMAHA 

Twp: 15N Rng: 13E 

Twp: Rng: 

Legal Given: C 

Sect-Qtr: 10-NW 

Sect-Qtr: 

Type of Work: Soil Excavation - Lead 

Location of Work: LOCATE ENTIRE PROPERTY 

Remarks: FAX ALL CLEARS TO: (402)504-1005 

Company : PRUDENT TECHNOLOGIES 

Contact Name: CYNDIE Phone: (402)504-1004 

Work Being Done For: EPA 

Depth of Excavation: 13" Max Corner Lot: 

Involves Tunneling or Horizontal Boring : 

CXCATV MAGELLAN MUD01 OMAHACOF 

N Front: N Rear: 

N Explosives: N 

OPPDGPR5 QLNNE1C 

Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP TONYA

Day: 9185747098 

 Alt: 

Emerg: 9185747098 

MUDOl METROPOLITAN UTILITIES DISTRICT EDWINA

Day: 4025047823 

 Alt: 

Emerg: 4025047946 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

http://ww\v.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 7/20/2007 
Page 2 of 2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT MA 

Alt: 

Emerg: 8887289343 

QLNNE1C QWEST LOCAL NETWORK 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 7/20/2007 
Find Record Clean Up Query Lead Remaining Query Property Damage Query Close 

.ample Area: 31727 - 1803 PINKNEY ST 

Owner: Resident: Contract: 

1 : | G Owner Occupied Resident Name: Contractor:

 

| Owner Name: , VACANT LOT |pRUDENT2007/­

! j SECOND BAPTIST CHURCH Property Address: Group: ' 1 ; 

Owner Addressl: j 1803 PINKNEY ST 

» Zip Code: 

Owne 68110 town*,*. r Address2: 

|PO BOX 111264 I Resident Phone j Qualifying Group

 

City: State: Zip Code: . J800

 

JOMAHA JNE J68110 i ;

 Assessment XRF Date: 

Owner Phone: ^^ Alternate Phone: i 

1

 1(402)451-1060^^ ((402)451-7768 : , Assessment Max XRF Valu 

891.39 

\3kj5_ CM_A-A-A_-C