SAID#; 26902

TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

 DATE: 12/15/2010 

ADDRESS: 2419 PARKER ST 

REMEDIATION CONTRAaOR: PRUDENT TECHNOLOGIES. INC. YEAR: 2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

[6 PRE AND POST VIDEO OF PORPERTY (DVD) 

E EXECUTIVE SUMMARY 

• r EPA-PROVIDED PROPERTY SKETCH 

a SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

Q RESTORATION AGREEMENT 

D SETTLEMENT DOCUMENTS (I.E., FOR DAMAGE OR TO REPLACE PLANTS, ETC.) 

d CONFIRMATION DATA 

m PHOTOGRAPHS 

B AS-BUILT SKETCH 

Q SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

d PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

d UTILITY CLEARANCES 

• PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

D 

D 

<a^4 ^ 4\*'lu 

SIGNATURE DATE 

30218614 

Hi 

Superfund 
Find Record Remediation Query ] Lead Remaining Query I Property Damage Query 

Backfill: 

Sample Area: 26902 ­ 2419 PARKER ST 

Owner: User Provided Owner Information Resident: 

n Owner Occupied 

Owner Name: Owner Name: Resident Name: 

ICTTY OF OMAHA j fTM ~ 

Owner Addressl: Owner Address: Property Address: 

IC/O RNANCE DEPT r i2419 PARKER ST 

Owner AddressZ: Zip Code: 

|1819 FARNAM ST 168111-

City: state: ZipCode: Qty: state: Zip Code: Resident Phone 

lOMAHA JNE J68183­ r 1 1 • 1 

Owner Phone Alternate Phone: 

r 

Owner Phone: 

r ' Alternate Phone: 

r 

Contract: Assessment: 

Contractor: (pRUDEN^loT 400 

Contract Option JOPTION 2 472.83 
PROPERTY SUMMARY 

Date: 12/15/2010 Omaha Lead Site Reinedial Action Contract tt EP-R7-07-06 TO#l Montli of: December 

Property Address: 2419 PARKER ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

Bl = 319 PPM @ 6"; F2 = 278 PPM @ 6"; NO EASEMENT 

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 sketchi) Shall include final lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVK) 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) Property Status Form signed by property owner 

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

photographs 

iv) Signed form verifying satisfactory restoration 

v) Description of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOCIES, INC. 
-yULiy TECHNOLOGIES, INC. 

Property #: ZCO^GT -

Date/Time: 

Quads Excavated: i^^f^ { 

EPA Property Close Out 

Property Addres>:/2-^'^ P/i.rVL&- *ii^. 

Owner's Name: C-?>tt>^ »Y-^'"vv^U*.^ 

Contractor Group: Prudent Technologies, Inc., 

Excavation General 

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

2 If necessar>, were the corrert areas of drip zone excavated and restored'? 

Grading Sod and Vegetation 

1 Does the grading around the penmeter of the house m excavated areas generally slope away 

from the house'? 

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

3 Does die sod appear to be generally healthy and growing'? (Only evaluate if mspected at a 30 

day time penod) 

4 Are sodded areas generally fimi and evenly graded"? 

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

time penod) 

6 Was lhe property graded such tliat water will not pool on the property'? 

7 Was damage to landscaping or plant materials avoided"? 

Gates, Fences and Retaining Walls 

1 Do gates open mid close freely'? (If apphcable) 

2 Were all gates or fences taken down dunng restoration activities reinstalled'? (If applicable) 

3 Was damage lo gates or fences avoided"? (Ifapplicable) 

4 Was damage to retainmg walls avoided"? (Ifapplicable) 

Foundation, Siding and Gutters 

1 Was damage to tlie siding or U-im avoided"? 

2 Was dainage to tlie foundauon avoided"? 

3 Was damage to windows avoided? 

4 Was damage to windows or door screens avoided? 

5. Was damage to downspouts or downspout extensions avoided"^ 

Sidewalks and Driveways (Concrete) 

1 Was damage lo dnveway surfaces avoided? 

2 Was damage to walkway surfaces avoided"? 

Yes No 

y 

y 

Yes No 

y 

/ " 

y 

y 

y 

y 

y 

Yes No 

y 

y 

y 

y 

Yes No 

y 

/ 

y 

y 

/ 

Yes No 

y 

/^ 
Owners comments: 

Inspection notes: 

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

EPA Representative 9*^:^^ Date" io\i.7lio 
m 

CHNOLOUIES, INC. 

AS - BUILT DRAWING 

OLS # 26902 

Date Excavated: 10/08/2010 OMAHA LEAD SUPERFUND SITE IISEPA Signed-OffDate: 

26902 

Exterior Paint Owner Name: FRANK D GLEBAVICIUS Omaha Lead Site 

Sit • Good Address e Sketch : 2419 PARKER^SJ •^Poor Phone: H: 907-490-6688 W; 907-377-2129 Q Not paint 

Lead Sample Samples Collected 

Concentration Collected Sample Number LAB Flm,: _£jM_ai_i ^ 

RYASCPXA-26902 Fl ppm D Date: jO'l 3 6 U 

RYBSCPXA-26902 F2 ppm D Time: )^'.lR ^,V^ 

RYCSCPXA-26902 Bl ppm D Samples Analyzed RYDSCPXA-26902 82 ppm D 

RDZSCP.YA 36002 -B2 ppm D 

D XRF Unit: /Q/J J Book; /7 3 

RGgSCPXA 26002 -6 » ppm D D 

Date / o •/? -^l " 

nr£0CPXA-2G902 -P2- ppm D D 

Time 

Staff: ^i> y Number of Samples = : *-( 

Legend: Fl = Front Left, F2 = Front Rigtit, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

1 

ENTERED 

.473 .355. 

Bl =319 PPM a 6" .e>i 

I 

• %^ • T 

F2 = 278 PPM fa 6" 

.Z53 

l-l 

r 

WAlK 

P/^.ig/^e?. ^•.. _ 

NO EASEMENT 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
EPA 

Property Completion Agreement 

This agreement documents the completion of removal activities perfonned 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. 

r

Property ID: 

Property Address; ^^/y^ P^,U^r \-\r.^ J 

Owner: c LW O.^iy^ 

Phone: ^^^ - ^^^ ^ 

Restoration Items in Question: 

item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

l^v l agree restoration is completed. 

n I do not agree restoration is completed at (noted deficiencies above) 

(^f-Qckkx/ -J^I O 

Date 
Prudent Technologies, Inc (Prudent) is under conlmcl wilh Ihe U S Environmenial Proleciion Agency (EPA) lo clean up leadcomaminalcd soils al a number ofproperties located in Omalia. Nebraska, including Ihc property located al 

cfHi'i ft^Ut.r SJA^/- , The EPA requests your permission lo allow Prudent lo perform a soil cleanup al this 

propeny lo remove lead-conlaminated soil. Dy signing this form, lhe property owner grants permission lo Prudeni lo perform 

ociivilies related to lhe cleanup including soil sampling, removal of Icad-conlaminaled soil, and restoration ofthe referenced propeny 

Ifyou have any queslions about the soil cleanup planned for your propert)', please contact Prudeni south office .for Ihe Omaha Lead 

Site cleanup-at (<t02) 733-1188 General queslions about the Omaha Lead Sue cleanup can be directed lo the EPA Public Informalion 

Centers at (402) 73I-304S (South Omaha office) or (402) 991-9583 (Nonh Omaha office). 

Property Access Granted By MiltAt ^ LuU'/^d h 

(Please Print Name) 

Property Owner Signature­ S-O^ i "t/O/U

y (S(Signalure l ) (Date)

PROPERTY INFORMATION 

(To bc completed by resident and/or property owner ~ please print) 

RESIDENT NAME: " ^ Owner Renter 

RESIDENI

TT ADDRES ADDRESSS : / )

r^^^n M/juy yy 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

.-^^^m^h-^rdcq-^^t^cd-. Ih ^ Jy^/ia^ SA Si'ikllfl Ofw L ^/\//^ &Sill^ 

OWNER'S TELEPHONE NUMBER-HOME: J L WORK: 

AGE OF HOME?: YEARS. HOW LONG HAVE YOU LIVED HERE? YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? YES NO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD:. NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 

NUMBER OF CHILDREN UNDER 7 YEARS OLO WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: 

COMMENTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS, ENTRY GATES, ETC.) 

AUTHORITY IOR ENVIRONMENTAL RESPONSE ACTIONS; Tlie activities to be implemented by EPA under this agreemenl 

arc pursuant to Section 104 ofCERCLA, 42 U S.C 9604 EPA's righi of access lo the property is provided for in Section 104(e) of 

CERCLA. 42 U S. C 9605(e), which provides entry for 'detennining the need for response, or choosing or taking any response action 

under this title, or otherwise enforcing Ihe provisions ol lhe title " 

8080 Ward Parkway, Suite 405 5600 SIO St 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68107 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402) 733-1188 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)733-1883 Fax: (210) 579-6577 
26902 

Omah Exterior Paint Monh Arrow Owne a Lead Site r Name: FRANK D GLEBAVICIUS 

Sit n Good e Sketch Address: 2419 PARKER^ST n Poor Phone: H: 907-490^688 W; 907-377-2129 [ ^ Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm 

Sampies Coliected 

RYASCPXA-26902 Fl ppm D Date 10' ;3 c^. RYBSCPXA-26902

RYCSCPXA-26902

RYDSCPXA-26902

 F2 

 B1 

 B2 

•43 H­ ppm 

ppm 

ppm 

D 

D

• 

Time )iyi^ m 

Samples Analyzed 

RDZSCPXA 25602 E^ ppm D D XRF Unit Book: J 7 3 

nCZCCPXuA 26002

n!PZOCrXA-2C902

 G * 

 P2­

ppm 

ppm 

D 

D 

D 

D 

Date 

Time 

/Oi l

Prp 

 Otp 

Number of Samples = j ^ Staff 

Legend: F1 = Front Left, F2 = Front Riglnt, B1 = Back Left, 82 = Back Right DZ = Dnp Zone, GZ = Garden, PZ = Play 

All quadrants are as vii^ied from the street, facing property 

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2.53 

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30 X 126 

A Printed

: Oct 25, 2010 

www.dcgis.org/dogis 
Page 1 of2 

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Create Another Ticket Back to Irth Intemet Send Email 

YOUR TICKET NUMBER IS 2609464. 

Original Call Date: 10/05/10 Time: 4:34 pm Op: SIVA18967 


Work to Begin Date: 10/07/10 Time: 5:00 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2419 Street: PARKER ST 


Twp: 15N Rng: 13E Sect-Qtr: 15-NW,16-NE 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: SOIL LEAD REMEDIATION PROJECT 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)733-1883 


: UNSURE CORNERS 


Company ; PRUDENT TECHNOLOGIES 


Contact Name; SIVA JAMPAMA Phone: (402)733-1188 


Work Being Done For: EPA 


Depth of Excavation: 6 FT Corner Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Nuniber Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVEL3 LEVELS COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/5/2010 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING Alt: 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... 10/5/2010 
TEPMWOtOOTO, JMC 

ENVIRONMENTAL 

ENGINEERING AND 

CONSTRUCTION 

SOLUTIONS 

SITE SAFi^TY HAZARD ANALYSIS 

. 7^^'> ^c^h f ^}r Address Excavation Date: l^SEJ L : 

Crew: ^ Backfill Date: 

Item 

Overhead Lines 

Gas Line 

Water Line 

Sewer Line 

Septic/Leech 

Field 

Propane/Butane 

Sidewalk 

Foundation 

Retaining Walls 

Fences 

Trees 

Stmctures 

Driveway 

Sprinkler System 

Other 

Crew Foreman 

Condition 

(9L 

OK 

OK 

C\i<. 

AH 

/O^A. 

?^ //«> ^ 

AJO ^ 

Jj&^i 

OC 

Vo<. P o ^ 

/l^^^ 

Hazards Corrective Action 

' • 

Site Safety Office 

Date: 

80» WaR^Baitany. Suite 405 seoosiost 4242 Medical Drive, Suite 7250 

Kaisas Cify. MO««114 Omaha, Nttaa^ka 08107 San Antonio, TX 78229 

Pfione: (81S) SGMTOS fhone: (402) 733-1108 Phone: (210) 82Z-«588 

f^ac^lS) 363-^3707 Fax: (402)733'1883 Fax: (210)579-6577 

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