TRANSMITTA L of OMAH A LEAD SITE 

SOIL REMEDL4TIO N FILE FOLDER 

SAID#: ^1o<^z Date: M-\-\ \ 

Address: /J®/ oA/o i/-

Remediation Contractor: Envrionmental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

^ Video of property (DVD) _J^efore DAfter D Basement D 

U Executive Summary (Final Report) 

J ^ EPA-provided property sketch 

J/ i 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.) 

2 r Confirmation data 

ja Photographs 21 Before DCrewPhotosC/During Excavation D Sod 

;2^30-day Sod D 

JZ) As-built sketch 

A ^ Completion Agreement signed by Property Owner 

/ 0 Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

A ^ Utility clearances 

yET Property information from Douglas Coimty Assessor's Office 

>0 Property access checklist C. pt f\^\ 1 ^ PO r i ^ 

^ ^ . 30261898 

^ Contact Log 

y ^ \J^^<^^4- A-A 

* Environmental Restora Restoratiot n Signatur ' & • e Date 

1P A COR signatiire / Date 
EPA 

EPA Property Close Out Form 

Omaha Lead Site OU#2 

Property #:__£7o9£ PropertyAddress: /So / Ohio j-y, 

Date/Time: Owner's Name: fA 7orA-Cr 

Quads Excavated: P7 r.?, 3J Contractor Group : Environmental Restoration (ER) 

Excavation General Yes No 

1. Ifnecessary, were the correct quadrant(s) excavated and restored? j ^ 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? j/k. 

Grading Sod and Vegetation Yes No 

\A house? 

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

3. Does the sod appear to be generally healthy and growing? (Only evaluate ifinspected at 30-day time 

period). 

4. Are sodded areas generally firm and evenly graded? A 

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? 1 ^ 

Gates, Fences and Retaining Walls Yes No 

1. Do gatesopen and close freely? (ifapplicable) 

2. Were all gates or fences taken down during restoration activities re-installed? (ifapplicable) i * ­ 3. Was damage to gates or fences avoided? (ifapplicable) 

4. Was damage to retaining walls avoided? (ifapplicable) 

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? 

2. Was damage to the foundation avoided? v^maf (Ctp 

3. Was damage to windows avoided? "7*" 

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? 7 ^ 

2. Was damage to walkway surfaces avoided? 

Inspection notes: 

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

EPA Representative: -^/JjjA^tT^i^^ •^//J.^L/t.. Date: ^3 4 I/.( 
^''^*'< , 

* \i^Sh ^ Omaha Lead Site—EP-R7-09-05 

\^3^^' Environmental Restoration, LLC 

V V www.cr1lc.com '*<»«OiTi'* 

EXECUTIVE SUMMARY: 

29092 1501 OHIOST 

No Issues or Concerns Q] Issues/Concerns 
rage i oi z 

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

YOUR TICKET NUMBER IS 2671019. 

Original Call Date: 

Work to Begin Date: 

2/14/11 

2/16/11 

Time: 

Time: 

8:52 am 

9:15 am 

Op: ADAM24186 

State: NE 

Address: 1501 

County: 

Street: 

DOUGLAS 

OHIO ST 

Place: OMAHA 

Twp: 15N Rng: 13E Sect-Qtr: 10-SE-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead soil removal 


Location of Work: LOCATE ENTIRE PROPERTY 


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


: 29092 


Company ; ENVIRONMENTAL RESTORATION 


Contact Name; ADAM Phone: (402)451-1314 


Alt. Contact; Phone: (636)288-9616 


Work Being Done For: epa 


Depth of Excavation: 24in Corner Lot: N Front: N Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MCINEB MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number 

Utility 

Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469

Emerg: 4029329757 

-

MCINEB MCI NO CALL PER 

MEMO 

Day: 8002893427 

Alt: 

Emerg: 8002893427 

MUDOl METROPOLITAN UTILITIES 

DISTRICT SANDY MUD 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITYOFOMAHA-TRAFFICSEWER RICH/TRAFFIC 

Day: 4024447197 

Alt: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 2/14/2011 
rttg c .6 Ul z. 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING 

Day: 4067289343 

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... 2/14/2011 
Contact Information Log 

SAID#_^12^ 

Owner's Name; 'l^­ roi Daytime Phone: Cf(^' '^C/^^^ //^ ^ 

PropertyAddress: ]^Q I Q^JJ O ^T " 

Attempt to contact Date/time Name 

^rrc-*i€b up i2e/ 0 <fyf^ 
SAID: 2'^O^Z 

Property Address: /^T J # 

Property Final Report 

n WORK STARTED

D WORK COMPELTED

 ON:

 ON:

 /

 /

 / 

/ 

Owner: Y-.. ToihJf/L 

Address: 2^ 3 ^ . iG^ «5r 

BLD . iWliSZ <.*^KJ- ShteO 

Phone: ^A?2-.g*V^-//^^ 

Fax: 

Cell/Pager: 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

13

1^

13

[^

n

n

JG

n

 Access Agreement 

 Restoration Agreement 

 Video Property Before 

 Digital Photos Before 

 Video Property After 

 Digital Photos After 

 Property Completion Agreement 

 FinalReport 

Signed: 1^1 fi I/O 

Signed:/Z / & li O 

On :lt/8/i o 

On : IZ / t / 10 

On :_l_l _ 

On : / / 

Si2ned:3 /l l / U 

Signed: / / 

By: a> . 

By= :r./PBy: j^fl 

By^TP 

By: N/A 

By: 

By: i$£) 

By: 

EXECUTIVE SUMMARY 

Omaha Lead Project Work Plan Page lof 19 
Consent for Access to Property SAID# A^^Z . 

RIGHT OF ENTRY TO PREMISES 

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

Protection Agency (USEPA) or its authorized representatives, collectively the Grantee to enter 

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

Owner's Name: j<^ TlJ^\ ^ Daytime Phone: ^QZ'3H^'/J")' ^ 

Address: ,_- ^ / ^ - -

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 s,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 perfonned cn 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 tlie course of the 

environmental response; 

c. Planning and implementing the removal action on or near 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 activities 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 ofthe Grantees or the environment, 

or to allow others to use the property in such 

ITH grant access to my properties O I do not grant access to my properties 

^ ,. /li^-'f 2.0^0 

Date 
Additional Comments / Instructions: 

E^heck 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. 

[XHTagree O I do not agree J/Tl agree I 11 do not agree 

Owner's Signature Date Contractor'sSignature Date 
H 

Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of property 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). 

SAID: z^o^z 

PropertyAddress: ) 5"^ , Q^XT Q ^T . 

Owner: ^ j^jj^^^f^ 

Phone: 

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. Indicate 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: 

/ l u C/lUCit^T^ 0 / T// ^ P^;/^^TA' C'jfy^ /^ ^ /^^gSJe^^^P. 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 1 of 2 
1^1 agree d l I do not agree ^ 0 I agree CH I do not agree 

Owner's Signature Date Contractor's Signature Date 

Attachment 

Page 2 of 2 
Property Completion Agreement 

This agreement documents the completion of remedial activities perfonned 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: '/^lO^Z 

PropertyAddress:/5(^ / 0//j7>) -g T 

Owner: /<• TottjeA-. Phone •k5L'3>^S--(l<^^ 

Restoration Items in Question: 

Item: 

item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

1^1 agree restoration is completed, except as noted IXTI agree restoration is completed, except as noted 

 I I do not agree restoration is completed \T\ I do not agree restoration is completed 

/ ^ -Ti^.j^y. ^ 1:-A9-;k^/A ^:^C\%^J:^/^X ^ -^\I:^\K\ 

/ Owner's Signature Date Contractor's Signature Date 

I
Douglas County Accoimt intbrmation I'age I ot I 

Douglas County, Nebraska Property Record - R0210160000 

Print Reoort 

View Interactive GIS Mao Information is valid as of 2010-8-16 Treasurer's Tax Reoort 

New Feature ->->• * Subdivision Sales Search 

Owner 

BRUNKEN S 

ETAL 

2503 N 16 ST #8 

OMAHA NE 68110-0000 

Property Informatio n 

Key Number: 1016 0000 02 

Account Type: Residential 

Parcel Number 0210160000 -

Parcel Address: 1501 OHIOST 

OMAHA NE 68110-0000 

Legal Description: LANDS SEC-TWN-RGE 10-15-13 E 48 W 106 FT SUB LT 7 TAX LT 8 & E 48 W 

436 FT TAX LT 9 

Value Informatio n 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

$500.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.17 7680.0 0.0 160.0 48.0 Yes 

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http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo,isp?accountno=R02... 8/20/2010 
ENVIRONMENTAL AS-BUILT DRAWING 

OMAHA LEAD SUPERFUND SITE 

RESTORATION 

"^(^ HTL 

Owner Name: K-.J^f.'j'n&tAddress: ISO i P/^'P

Phone: H: sityg-./^<J(^

Sample Number 

RYASCPXA-2<7tf 9 2 Fl 

RYBSCPXA-Z<?f 9? F2 

RYCSCPXA-29092 B1 

RYDSCPXA-29092 82 

r^DZOCPXA 

RQZSCPXA^ -« 2 

RPZ30PXA­ -P2 

Omaha Lead Site 

Site Sketch $'h-. 

 W: 

Lead Sample LAB Concentration CoHected 

S l ^ ppm D 

JlhR. ppm n ^ 7 5 ppm D ^ ^ 3 ppm D ~ ppm D D ~ ppm n D ~ ppm D 

Number of Samples = ^ 

Exterior Paint North Arrow 

Q] Good 

r~| Poor 

ni^'f^ot paint i 

Samples Collected 

Firm: ? £ . ^ T 4 Gg -

Date: O ^ -oX - CX S 

Time; % ^(-> A.-"^^ 

Samples Analyzed 

XRF Unit: /£>31 Book; !Z 9 

Date _ q'-/7-g:S'" 

Time; F/n 

Staff; AA. 

Omalia Lead Site 46 130 

UESE.ND 

Qtiadranrt cxcavatod P^lpi5?"eEx^vato<j Q0O^yniny^<9n ^„yft fiyhln^ 
"^o^z 

Owne Omaha Lead Site r Name:_K.-_X!-«^j^/"- Site Sketch Address: _Jj^oi_0A.i?_.. 5f-•.. 

Phone:_"•?.!/£- /i'?5

Sample Number 

RYASCPXA-2'T^'^Z

RYBSCPXA-29 ^^9?

RYCSCPXA-E-^o92

RYDSCPXA-2'?0'?Z

RBZOCPXA

RGZSCPXARPZ3CP)(ASo,-/ ^-©^ 

 Fl 

 F2 

 B1 

 82 

 -B ^ 

-«z 

-PZ 

 _^i 

Lead 

Concentration 

5.23. ppm 

//6 ^ ppm 

3 7 5 ppm 

^ ^ ^ ppm 

" ppm 

ppm 

~ ppm 

Sample 

Collected LAB 

D 

D 

D 

D 

D D 

D D 

D D 

Number of Samples = ^ 

31S 

Exterio North Arrow r Paint 

• Good 

• Poor 

[]g>ffot paint 

Samples Collected 

Firm: r'£ .^T^GP -

Date: O'^-OX . O S 

Time: ^ <DO Ar ^ 

Samples Analyzed 

XRF Unit: / a 3 1 Book: /2 9 

Date; ^'IH-OS ' 

Time: Fm 

Staff: L A 

.ex.. 

To+c^lEx=^/:^ziyo 

^l -f¥. ^ 

^ .1 

I 

f l 

515 

F:L 

V^5 

Z5H^cr~3T-

Omaha Lead Site 46130 
^^^ z 

Owner Name: 

Address: 

Phone: 

Sample Number 

RYASCPXA-2 9^^2

RYBSCPXA-Z9£J'?2

RYCSCPXA-2^o"?2

RYDSCPXA-2'?0'? 2

RBZGCrXA

RGZSCPXARPZ3CPXA­

 F1 

 F2 

 Bl 

 B2 

 B* 

-QZ 

• i ^ 

H:9ty5^Yil ^ 

Omaha Lead Site \L:JlsJrAAjr. Site Sketch \50 \ -<?Ai?..S-f..: 

W: 

Lead Sample LAB Concentration Collected 

3J3. ppm D 

4^8 . ppm D 

3 7 S ppm D 

^ ^ 3 ppm D 

Exterior Paint North Arrow 

• Good 

• Poor 

Q-'flot paint 

i 

Samples Collected 

Firm: ? £ /^ T ^ LsiiDate: O^-aX . CL5 " 

Time: "B •' tPO Ar ^ 

Samples Analyzed 

" ppm D D XRF Unit: /a3 7 Book: fZ9 

~ ppm D D Date: <^-l^'G ^ 

-JZ ppm D D Time: Prn 

Staff: LA Number of Samples = ^ 

-.'f y •f-i 'j^.-j 'ji-v 

I 

R.€^S-?'|;|§- -

3-7S 

61 . .ex.. 

<:D^ 

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Omaha Lead Site 46130 
ENVIRONMENTAL 

I • 1^ 

^zz:i 

RESTORATION 

XRF DATA ENTRY LOG 

c 

SAIDtZnOR-Z . — DATE .2­ \2.l \ U . 

PROPERTY ADDRE 

\^r^ \ r^W.T^ 

ESS 

QUADRENT OR SAMPLE AREA 

redig 

DEPTH 

TIME 

XRF S/N 

AVERAGE OF RESULTS SHOT#s 

a 

n 

n 

D 

n 

n 

a

• 

n 

F2 

B1 

82 

DZ 

PZ 

GZ 

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SAMPLER NAME rS-(^o>rQ.\<vS> 
Themio Fisher Scientific Thermo 900 Middlesex Tumpike 

Billerica, MA 01821 

SCIENTIFI C 

rime |Avi.:kA(.;K ADDUKSS S.* AkKA OI'KKA rOK DKr m NO TKS SAID IM) 

1 2011-02-21 15;28 Avg of922-924 1501 chic SI EZ JIMMY surface final clearance 66.08 ± 15.43 

2 2011-02-21 15:28 1501 Ohio SI EZ JIMMY surface final clearance 29092 61.31 ± 15.07 

3 2011-02-21 15:28 1501 Ohio SI EZ JIMMY surface final clearance 29092 66.71 ± 15.46 

4 2011-02-21 15:27 1501 ohiost EZ JIMMY surface final clearance 29092 70.20 ± 15.77 

5 2011-02-21 15:26 Avg Df918-920 1501 Ohio SI B2 JIMMY final clearance 279.29 ± 27.13 

6 2011-02-21 15:26 1501 ohiost B2 JIMMY final clearance 29092 278.09 ± 27.33 

7 2011-02-21 15:25 1501 ohiost B2 JIMMY final clearance 29092 267.33 ± 26.50 

8 2011-02-21 15:25 1501 ohiost B2 JIMMY final clearance 29092 292.45 ± 27.56 

9 2011-02-21 15:21 Avg of914-916 1501 ohiost F2 JIMMY final clearance 145.36 ± 20.72 

10 2011-02-21 15:21 1501 ohiost F2 JIMMY final clearance 29092 146.87 ± 20.70 

II 2011-02-21 15:21 1501 ohiost F2 JIMMY final clearance 29092 150.70 ± 21.22 

12 2011-02-21 15:20 1501 ohiost F2 JIMMY final clearance 29092 138.52 ± 20.24 

13 2011-02-21 15:16 Avg of 910-912 1501 ohiost Fl JIMMY final clearance 15.05 ± 9.87 

14 2011-02-21 15:16 1501 ohiost Fl JIMMY final clearance 29092 16.58 ± 10.06 

15 2011-02-21 15:16 1501 ohiost FI JIMMY final clearance 29092 18.62 ± 10.22 

16 2011-02-21 15:15 1501 ohiost Fl JIMMY final clearance 29092 0 

Page I oFI 02/22/1108:58:25 
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