PROPERTY SUMMARY

 

| Date; 10/29/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: October 

| Property Address; 616 N 42 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: 

Dl - 89 @ 13" 

B2 -104 @ 5" 

El - 56 @ 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..- ~~ " " 

40284376 

Superfund 

TECHNOLOGIES, INC. 
Name: Omaha Lead Site Date:, North Arrow

 

Address: £/£> XX Site Sketch Time: ?

 

Phone: 

Team BVID# XRFCode 

Sample Number 

RYASCPLA-24151 

Lab 164ppm 

-^ 

1* 

V 

-w 

Lead Concentration 

•^ \\ ppm 

* (5 ppm 

ppm 

opm 

^-~ppm 

- PPm 

_ Ppm 

U 

t / / 

; 4\2-

Confirmation Sample 

^7 Yes 

es 

Z> No 

NO 

No 

No 

Yes 

Yes D 

No

No

 CD 

 CD 


, 

- »v 

• 

""^.i.-lu 

-;. -v 4. fclT'' 

^ 
Name: _ 

Address: 

Phone: 

XX 

Omaha Lead Site

Site Sketch

 Date­

 Time. 

-. North Arrow 

Team BVID# 2 */ /S~/ XRF Code. 

Sample Number Lead Concentration Confirmation Sample 

Lab 

241-5; 

RYASCPLA-24151 

164ppm 

i J3 

±­ (5 

ppm 

ppm 

ppm 

j_ PPm 

- 33-2-ppm 

ppm 

Ppm 

/^/Yes 

Yes 

es 

Yes 

Yes 

No

No 

No 

No 

No 

No 

No 

 "=> 

ni 

SSeuLx^ 

i

i 

i 

i 

I 
Agreement to allow access to L©ad the property in order So conduct 

environmental sampling and to 

remove iead-confaminated soil 

Psudeai Tedfflologies, lac. is imdesr coakacd wfe &e U. S. EsmroasaaeHial Brotecliioffl Agescy 

(EPA) to cJeea 113 Sssd-etm ed soils si a saHislba? of psrogjesties locoted ra Oaadis, Nebraska, 

&a property t (s^.\£> \3 ^\7_ _ Sit_ • "^e EPA requests yoiff 

perfbsrsra a soil deffmigs at &is psrojscsaiy to mmiove lead-cosafemiiHatcd soil. 

By sigffliag SSas fonsa, iy owsaesr gfeiais pefississica to Firndsisi to yarfosaa acdsvities related to fee 

asadudRjig sejil remsovel of He^d-ctraSrszrai^.^ecl soil, emd trestosrslfioja of ifise ?efesresiccd 

After oijiEii ' a &is &%*&, ?iadsfflt Teckiolagiea, Isac. wM coaiact fiie 

(sad rasidlsafe) * few weeks to coojcfeots parfosrsuEsice fee 

If you Jiave £say quesiioaxs fee soil deasBia pisifiieiJ &&• yujar gK-opesiy, please coaiEci Pnideai's 

AdfflMHsferfliive Clark fo? &a Laad Sita deeaaij, Ms. Cyrf.e Hra^.s st (^02) 504-1004. General 

tpesiaoas afeout Jjje Osaaka l Site deasH^i csa fee cliireciaii to &e 3?A PiibSic LafoKSEaiioa Ceoiars at 

(402) 731-3045 (souJfa Oaarfcs office) oy (402) S91-95S3 (aor& Omeha o^ca). 

ccess Groated By: /]/ / 0

(PloawPrintNemo) / </ 

er ^3 ~c3 T ~< 

il fey iresaclEui auil/cr jiroij^rij c.7i:Er - glass pzis 

RESIOEHTHAC1E: Vv vJ (L._ C> 0 Dp_ [tptSffer Qenter 

RESIDENT ADDRESS: < I U ^2. ft Vv\ ^ La. 

IF REMTAL. PROPERTY OWNED BY: ^M C_ 

OWNER'S QAJLEG ADDRESS; jj 7. 

OWMER'S TELEPHONE BUC1BER -MOCE: "~ '^­

_p 

AGE OF YEARS. HOW LOMG KAVE YCL' L5V20 KERC:? 

HAS THE SEEM PAJHTEBJ eft C3VER2Q W1TO SG3CMG E5MCE 19787 

#o HU13I3ER OF OCCUPAMTS U.MBEffJ T YEARS ©IB: _£>_ C^15C3SER OF OCCUPAD3TE 7 YEARS OLD AMO CLDER 

OF CHILDREN UMDER 7 YEARS OLO WMO PLAY D3 TOE YARD FOR 5 NOU3S GR COKE PER WEEK: 

COC3KEMTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS. EMTOV GATES. ETC.} 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The acuities to be irr^Ieneled by EPA undsr this qq**f%fgv\f%rvt «»-n -wiwfttnwi* *r* C*-n->i«rv 1 ^V1 «f ^*TTD r^T A /I ") TT C r* 0/5^^1 TTTl A ' i- «-;/-A-> «f nri-fvr 4-j-* tVirt w»«-4-o» m-HT tid£pi cnllciiL 01 c pui audiu. LU ijctuwii i v-r \_«i ^^JJ(A\.^^J^n7 T^ w.ij.-^. y\j\j~r. jUiSm. AiJ£4iLwi auucii LW uic pi \JJJEI LV ii 

presided fcr in Sa±im lO-^c) of CERCLA, 42 U.S. C 9605(8), which provides entry for "deiermining the need for 

response, car choosing or taking ai\y respcnse adic:-; unde1 this iitle, cr tfherrci^e er.fcrdrig foa prorisicns of the 

title." 
&EPA

 

EPA Property Close Out 

Property #: Property Address: £/£ w y^^g S+KC(L f_ 

Date/Time: /0/29/77 Owner's Name: rtftftj&M) 

Quads Excavated: Contractor Group Prudent Technologies 

Excavation General Yes No 

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

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

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 hi all areas that were excavated? «/ 

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

day time period) I/ 

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

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? 

t/ 

7. Was damage to landscaping or plant materials avoided? I/ 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close freely? (If applicable) i/ 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) t^ 

3. Was damage to gates or fences avoided? (If applicable) t/ 

4. Was damage to retaining walls avoided? (If applicable) ,/ 

Foundation, Siding and Gutters Yes No 

1. Was damage to the siding or trim avoided? */ 

2. Was damage to the foundation avoided? »/ 

3. Was damage to windows avoided? </ 

4. Was damage to windows or door screens avoided? i/ 

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? {/ 
Owners comments: 

Inspection notes: 

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

EPA Representative £L~,&^ Date: ^^ 
Lead Site 

Site Sketch 

Phone: <St>2-

Sample Number Lead Concentration Confirmation Sample 

t \\ ppm 

ppm /7_Yes ^ 

ppm 

RYASCPLA-24151 
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 

2016960000 

BOPP MARY 

C 

616N42ST 

OMAHA 

68131 

616 N 42 ST 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

20-15-13 

POPPLETON PARK 

5 

7 

S 20 FT LT 6 & N 20 FT 

40X128 

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

accountno=R201 6960000 

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 = 27 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
&EPA

 

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 

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

Property ID: I 5 f 

Property Address: 

Owner: -A- Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

L_J I agree restoration is completed, except as noted above. 

 I I do not agree restoration is completed 

Owner's Signature Date V ff 

I
Page 1 of2 

Create Another Ticket Back to Irth Internet Send Email 

• YOUR TICKET NUMBER IS 1874908. 

Original Call Date: 8/27/07 Time: 4:08 pm Op: CYNDIE18967 

Work to Begin Date: 8/29/07 Time: 4:45 pm 

State: NE County: DOUGLAS Place: OMAHA 

Address: 616 Street: N 42ND ST 

Twp: 15N Rng: 13E Sect-Qtr: 17-SE-SW 

Twp: Rng: Sect-Qtr: 

Legal Given: C
 

Type of Work: Lead Remediation - Soil Excavation
 

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: 14" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring : N Explosives: N
 

ATTNEBR1 CXCATV MCLEODNE MUD01 OMAHACOF OPPDGPR5 QLNNE1C
 

Service Area Contact Phone Number Utility Type 

Day: 80024136249 

ATTNEBR1 AT&T Alt: 

Emerg: 80024136249 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8002891901 

MCLEODNE MCLEODUSA NA Alt: 

Emerg: 8002891901 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT EDWINA Alt: 

Emerg: 4025047946 

Day: 4024447197 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/27/2007 
Page 2 of2 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON 

Alt: 

Emerg: 

4024445161 

4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

QLNNE1C QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

http://www.dhon.org/irtWntemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/27/2007 
Find Record Clean Up Query Lead Remaining Query Property Damage Query 

EH Owner Occupied 

Owner Name: 

JBOPP MARY C 

Owner Addressl 

Owner AddressZ 

J616 N 42 ST 

City: State: Zip Code 

OMAHA NE 168131 

Owner Phone Alternate Phone: 

Resident Name: 

JBOPP MARY C JPRUDENT2007 

Property Address Group: 

J616 N 42 ST 

Zip Code: 

J68131 

Resident Phone Qualifying Group 

|800 

Assessment XRF Date: 

Assessment Max XRF Value