2006 

OMAHA RESIDENTIAL LEAD SITE 

Time and Materials Contract 

Remediation Contractor: PRI 

(Project Resources Inc.) 

PROPERTY INFORMATION 

OLS Identification No.: 22168 

Classification: EBL - Age 2.3 

Owner: Alina M. Ceballos 

Address: 906 S. 26 St.

 

City/State/Zip Code: Omaha, NE 68105 

Prepared for: 

U.S. Environmental Protection Agency

 

Region 7 

Prepared by: 

v HGL ~ HydroGeoLogic, Inc ^ Exceedin g Expectation s 

ID 

roads 7.<J HydroGeoLogic, Inc.

 

8245 Nieman Road, Suite 101

 

Lenexa, KS66214 

Contract No.: EP-S7-05-05 

40264511 

Superfund 
FINAL PROPERTY REPORT 

GENERAL INFORMATION 

OLS Identification^ 22168 Owner Name: Alina M. Ceballos 

Group: EBL - Age 2.3 Phone:(402)502-9971 

Property Address: 906 S. 26 St. Owner Address: 1031 S. 28 St. 

Omaha, NE 68 105 Omaha, NE 68 105 

Comments: Alternate Phone Number(s) (402) 017-5268 

RESTORATION TIMELINE 

Restoration Agreement Signed Date: 6/20/2006 

Excavation Began Date: 8/28/2006 

Excavation Completed Date: 8/29/2006 

Property Sodded Date: 9/6/2006 

EXCAVATION SUMMARY 

Quadrant 

XRF Results 

Pre-Excavation Post-Excavation 

Laboratory 

Confirmation 

Sample Results 

Excavation 

Depth 

Barrier 

Required 

Fl 589 75 - 8-10 No 

F2 672 183 - 8-10 No 

Bl - - - - -

B2 - - - - -

Drip Zone - - - - -

Play Area - - - - -

Garden - - - - -

Easement - 187 - 0 No 

Other - - - - -

Unexcavated Areas Remaining: 

None 

Excavation Comments: 

* All laboratory and XRF results are reported in milligrams per kilogram. 

-Not applicable 

Property Notes: 
£EPA

 

EPA Property Close Out Form 

Property #: _ Property Address: 

Date/Time: _____ Owner's Name: CPfe/VI I /-;* 

Quads Excavated: Contractor Group 

Excavation 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? I/ 

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

 

day time period) ^ 

4. Are sodded areas generally firm and evenly graded? 

^ 

5. Are the joints between the sod strips generally tight 0

 (Only evaluate if inspected at a 30 day \^ time period) 

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 reinstalled0 (Ifapplicable) 

^ 

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

UY 

/-iX 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? y 

4. Was damage to windows or door screens avoided? s 

5. Was damage to downspouts or downspout extensions avoided? s 

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? ^ 

2. Was damage to walkway surfaces avoided? 

^ 
Owners comments: 

inspection notes: 

.=, f

, /

Removal and restoration activates complete including the 30-dav sod warrantv: 

!L tf? ' :, ' 

EPA Representative '2^^ '} /h^- Date: U/\ 5 ./£>/ 
I

SEPA •^- HydroGeoLogic, Inc 

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, except those items 

listed below, if any. 

Property ID: Z^/ ^ 

Property Address: '<{0 6 6. 2^ ^^ 

Owner: /^ /-V 

Phone: .5^2- tftf~7l 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

[XI I agree restoration is completed, except as noted above. 

 I I do not agree restoration is completed 

\ (rV 

Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Remediation Contractor: L

 

Property' Identifier Number: 

Property Address: tfO& £, t& 

Property Owner's Name: 

(above information to be filled out by remediation contractor prior to delivery of form to Property Owner) 

**************************************************************** 

Instructions to Property Owner: 

This form is provided to you as a means of trying to capture your level of satisfaction 

with the work of the above-identified remediation contractor, as applicable to the soil cleanup 

action at your property. The U.S. Environmental Protection Agency (EPA) and the U.S. Army 

Corps of Engineers (USAGE) are very interested in your opinion regarding the work performed 

by our contractors. This form is intended to provide an easy means for you to express your 

opinion about the work performed on your property. 

Please indicate your level of satisfaction with the contractor's work by selecting a 

numerical rating (ranging from 1 to 10) using the following rating scale, then please sign & date 

the form and return it to the USEPA in the attached self-addressed & stamped envelope, 

(additional comments may also be provided in the space below, at the option of the propertyowner.) 

"very good" 

"acceptable" 

"poor" 

''very poor" 

Property' Owner's Satisfaction Rating Regarding Contractor's Work 

10 X, 5 

9 V 4 

8 A 3 

7 2 

6 1 

Additional Comments from Property Owner (optional; continue on back of page if needed) 

L 

Property Owner's Signature: . Jut-^ \ ^T\^/ .xDatc: tf> -l(g 
Total Quadrant Square Footage to be Excavated = 4304 

Property Classification: EBL Total Drip Zone Linear Footage to be Excavated = 0 

Legend 

|iv.'ij] Concrete 

r'/\ Excavated Area 

Existing Structure 

—• Fence 

— Quadrant Boundary 

— Street Boundary 

o Tree/Shrub 

North Arrow 

Scale 

1 Inch = 20 feet or 1 grid = 5 x 5 ft 

>•"*•'. 

i

v

 HC3L $ ~ HyrimGi-nLnglf. Inf 

Omaha Lead Site 

Omaha, Nebraska 

Property Number 

OLS-22168 

Properly Address 

906 S 26 Street 

st Excavation Concentrations (ppm) 

B2 — Play Area ~ 

DZ ' Easement /& 7 

Garden •— Other -— 

Descnpuon of post excavation areas: F1, front yard left-nand quaarant; F2. front yard ngnl-hand quadrant; B1. backyard left-hand quadrant: B2. backyard right-hand quadrant 

DZ. drip zone (1-3 foot area of soil arouna the foundation o' the house) 
Property Photo Display Page 1 of 1 

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vHGL

 

Omaha Lead Site 

Post Excavation Sampling Results 

DATE: 

OLSID: 

ADDRESS: 

XRF ID: 

XRF Confirmation Results 

Location #1 

Fl 

F2 

Bl 

B2 

DZ 

GZ 

PZ 

Easement 

XRF Reading 

#2 #3 Average Depth Comments 

Lab Samples 

Location 

F] 

F2 

Bl 

B2 

DZ 

GZ 

PZ 

Easement 

Date Sample ID Field XRF Lab XRF Depth Comments 

TESTED BY: ft

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Date:

Date:

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N«ma: Omaha Lead Site 

Site Sketch 

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Phont: 

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Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm:

Sample* Cadecled 

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RYASCPXA-22/Ca F1 ppm Date: ft a- it,-pL 

RYBSCPXA-22/ca F2 .ppm D Tima: •>> :ftnt>Nv . 

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D n Dale: jf • lf$ 

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Number of Sample* = 2. Staff: MS W 

Lage nd: F1 « Front Left, F2 " Front Right. B1 " Back Left. B2 e Back Right DZ * Drip Zone, QZ • Garden, PZ» Play 

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Consent For Access to Property 

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 

environmental response activities upon the following described premises: 

Owner's Name: Daytime Phone: "< 1*46}) j<->*''~ itr ) 

ii ]> W A ^-c/hut 1(0 ^ (" tw i) ^y'7' " ^2r&$ 

Address: i&£ $ '. "2^& ^/ 

City, State Zip: £> Mifi faa. sis £, &$(f>^ 

Addresses of Address: Properties covered by

 

this Agreement City, State Zip:

 

Address: 

City. State Zip: 

Grantee understands that this grant does not limit EPA's right of access under the Comprehensive 

Environmental Response, and Liability Act (CERCLA), 42 USC. § 9601-9675. or anv other law. 

PURPOSE OF ACCESS 

The purpose of the response action is to remove lead contaminated soil from residential properties; 

including day care facilities. Sampling of soil may be conducted. 

ENVIRONMENTAL RESPONSE ACTIONS 

The environmental response actions to be preformed on subject property may include the following 

activities: 

1. Locating equipment and/or machinery on subject property in preparation for and in the 

course of the response activities; 

2. Obtaining samples from Grantor's property; 

3. Planning and implementing the removal action on or near Grantor's property. (This may 

include the excavation of lead contaminated soil, backfilling with clean soil, and 

restoring the site properly. 
This access agreement shall be operable for the period of time it takes to complete the environmental 

response activities. Upon completion of the response actions. All rights and privileges given by the 

Grantor shall cease on that date, unless extended by subsequent agreement. 

I have read the foregoing document and understand that it is an agreement granting permission to the 

Grantee to enter the above described premises for the purpose of conducting environmental response 

activities, and I agree to its terms and conditions. 

AGREEMENT NOT TO INTERFERE 

Grantor agrees not to interfere with any of the activities undertaken by EPA at the Property, tamper with 

any of EPA's property, or take any actions regarding the use of the Property which will endanger human 

health or welfare or the environment, or allow others to use the Property in such a manner during the term 

of this consent. Grantor agrees to provide notice and a copy of this agreement to prospective purchasers, 

lessees, assigns, or grantees of the property or any portion of it. Grantor agrees to provide 30-day notice 

to EPA prior to any transfer of ownership rights to the property. 

SAMPLING RESULTS 

Grantee agrees to provide Grantor with the results of any and all sampling and/or analysis resulting from 

Grantee's response activities on the property. 

PRIOR CONDITIONS AGREEMENT 

The Grantor agrees to the condition of the property prior to remediation and indicates on attachment 1 any 

items to be removed bv the Grantor before activities commence. 

RESTORATION OF PROPERTY 

The Grantee agrees that said property will be restored as nearly as possible to its original state and 

condition as found immediately preceding the beginning of activities authorized by this Agreement, 

following completion of the response activities. 
Address 40$ $ U Properly # 

CURRENT CONDITIONS/PROPOSED REMOVAL ACTIVITIES 

The purpose of this section 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). 

Items to be removed by property owner prior to the removal activities: 

1/AyitS/ip.A-f 

Jo 

Items not to be removed by contractor during removal activities: 

fc-ntf OP E \ 

ADDITIONAL COMMENTS: 

Date 
— HydroGeoLogic, Inc SEPA 

Property Log 

Property # Property Address 

Owner's Contact 

Date/Time Spoke To HGL Comments 

It 
Page 1 of 2 

OLS 

From: Burnett.Bryant@epamail.epa.gov Sent: Mon 6/12/2006 10:08 AM 

[Burnett.Bryant@epamail.epa.gov] 

To: OLS; Garvey.Daniel@epamail.epa.gov 

Cc: 

Subject: Fw: \\ ^ -j , / 

Attachments: tf j^ // // \ @ O 

Bryant Burnett // (/ ^( 

CDR,USPHS « 

Superfund/FFSE 

(913) 551-7742 

----- Forwarded by Bryant Burnett/SUPR/R7/USEPA/US on 06/12/2006 09:08 

AM ..... 

Robert 

Feild/SUPR/R7/US 

EPA/US To 

"Langum, Steve M." 

06/08/2006 02:53 <LangumSM@bv.com> 

PM cc 

Bryant 

Burnett/SUPR/R7/USEPA/US@EPA/ 

fdillon 

<fdillon@airsoilwater.com>, 

mcastaneda@airsoilwater.com 

Subject 

Re: (Document link: Bryant 

Burnett) 

This one should go to the top of the list for the Corps response 

contractor. 

"Langum, Steve 

M." 

<LangumSM@bv.com To 

> Robert 

Feild/SUPR/R7/USEPA/US@EPA, 

06/08/2006 11:39 Bryant 

AM Burnett/SUPR/R7/USEPA/US@EPA 

cc 

fdillon 

<fdillon@airsoilwater.com>, 

mcastaneda@airsoilwater.com 

http://pandora.hgl.com/exchange/OLS/Inbox/Fw:.EML?Cmd=open 6/12/2006 
Page 2 of 2 

Subject 

FYI -1 received a call this morning from Alina Ceballos, 906 S 26 ST, 

BVID 22168, in regards to sampling results information. I stated that 

her property was sampled on May 5th, 2006 (Fl = 589, F2 = 672) and that 

she should receive results data soon in our next mailing. Ms. Ceballos 

has four children living in the home age 6 and under. She informed me 

that her youngest 2 year old child has tested positive with a blood lead 

level of 13.1 stated to Ms. Ceballos that an EPA representative or 

myself would get back in touch with her. 

Mary please log this call. Thanks 

Alina Ceballos 

Home: 502-9971 

Work: 734-4110 

Cell: 917-5267 

http://pandora.hgl.com/exchange/OLS/Inbox/Fw:. EML?Cmd=open 6/12/2006 
-"•- HydroGeoLogic, Inc SEPA 

Pre Ex Photograph Log 

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If Revision 
Property Detail Information Page 1 of 3 

nun Him 

(Doug[as County Assessor 

Last Updated: 06/16/2006. 

« Perform a New Valuation Search 

Owner Information: 

Owner Name: CEBALLOS ALINA M 

Mailing Address: 1031 S 28 ST 

OMAHA, NE 68105-0000 

Property Information: 

Key Number: 13320000 17 

Account Type: Residential 

Parcel Number: 1713320000 

Parcel Address: 906 S 26 ST 

OMAHA, 68105-0000 

Previous Assessed Value: $62600.00 

Current Assessed Value: $62600.00 

Tax Levy Information: 

CITY COUNTY BUILDING 

DOUGLAS COUNTY 

OMAHA PUBLIC SCHOOL DISTRICT 

EDUCATIONAL SERVICE UNIT 019 

METROPOLITAN COMMUNITY COLLEGE 

CITY OF OMAHA 

PAPIO NATURAL RESOURCE DISTRICT 

OMAHA TRANSIT AUTHORITY 

Total Levy 

View Douglas County Treasurer's Tax History Information 

.01096 

.26427 

1.21849 

.01500 

.06740 

.43387 

.03909 

.04890 

.00000 

.00000 

2.09798 

Parcel Characteristics: 

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Property Detail Information Page 2 of 3 

Legal Description: MARSHS ADD LOT 2 BLOCK 4 50 X 124 

Parcel Size: Acres: 0.14 Sq. Ft.: 6200 

Please Note: 

The legal description above is a courtesy provided for assessment purposes and is not intended for 

use in legal instruments. 

Sales Information: Click Here For Sales Data 

Building Characteristics: 

Building Number: 01 

Building Size: 976 sq. ft. 

Year Built: 1910 

Condition: Good 

Quality: Average 

Exterior: Frame Aluminum 

Units: 1 

Bedrooms: 3 

Baths: 1.5 

Garage: 

Garage Size: 

Property Photos/Sketches: 

TSQOSu <-

MO- ?( 

1 1/2 STORY FINISHED 

ClickJHere To Enjarge Image Click Here To Enlarge Image 

View Parcel Map 

The Douglas County Assessor's office makes every effort to produce and publish the most current and 

accurate information possible. No warranties, expressed or implied, are provided for the data herein, its use 

or interpretation. 

© Copyright 2003, Douglas County Assessor's Office 

Assessors Home | Valuation Information | Meet Your Assessor | Frequently Asked Questions 

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Sketch Display Page 1 of 1 

7.0' 

/4.2' 9.0' 

10.0' 

Slab Roof Cei 

168.0 Sq Ft. Second Floor First Floor 

280.OSq.Ft. 696.0 Sq. Ft. 

24.0' 28.0' 28.0' 28.0' 28.0 

10.0' 

2.0' 10.0'

 

5.0' 5.0' 

10.0' -111.0' 

Slab w/Steps 

60, BO.OSq. Ft. 

10.0' 

Bsmnt Block 8 ft 1 1/2 STORY FINISH 726.0 Sq. Ft. 

sketch by 400 SF Fin Bsmt not Incl in Living Area 

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Legend 

I Highkghtod Feature 

| | Parcel 

f/ StoMl 

Black and White 

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