TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: Z"1H\<S Date: H-2.C-9-\l 

Address: ZZCXP KA . ZU ^ SV . 

Remediation Contractor: Environmental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

y f Video of property (DVD) ^^efore DAfter D Basement D 

jA Executive Summary (Final Report) 

>Q EPA-provided property sketch 

j A Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

yQ Restoration Agreement 

D Settlement documents (i.e., for damage or to replace plants, etc.) 

Confirmation data 

A^ Photographs JZBefore DCrewPhotoSyZfUxuingExcavation D Sod 

]/30-day Sod D. 

X As-built sketch 

/C 

j £

Completion Agreement signed by Property Owner 

 Property close-out check list signed by EPA 

D Descriptionof areas not meeting ROD cleanup criteria 

j A Utility clearances 

^ Property infomiation from Douglas County Assessor's Office 

^ Property access checklist 6frbp*Hj^ Ptn&l |2.Y«^) 30261923 

J/f Contact Log 

j / \Jiicaryi /a^ Superfund 

Environmental Restoration Signature Date 

iP A CO R signature / Date 
EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #; irV\\% PropertyAddress: ZZ-QCo U - ZL^^S^^. 

Date/Time: Owner'sName: fAo^Cc o "XAdu^cftAt^gjs^ 

Quads Excavated: "^v VYbZ. Contractor Group : Environmental Restoration (ER) 

Excavation General Yes No 

1. Ifnecessary, were the correct quadrant(s) excavated atrd restored? z 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? jJ L 

Grading Sod and Vegetation Yes No 

\ Z house? 

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

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? l^ ­

5. Are the joints between the sod strips generally tight? (Only evaluate ifinspected at 30-day time period). 

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

7. Was damage to landscaping or plant, materials avoided? l^ ^ 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and closefi-eely? (ifapplicable) 

2. Were all gates or fences taken down during restoration activities re-installed? (ifapplicable) 

3. Was damage to gates or fences avoided? (ifapplicable) 

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

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? 

2. Was damage to the foundation avoided? ^ ^C/?A V Ci. 3. Was damage to windows avoided? Ht 

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? 

2. Was damage to walkway surfaces avoided? 

Inspection notes: 

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

EPA Representative ^Jr/^j^/u^. Ju ^ Date: V/V// 
/ ^^®7 \ Omaha Lead Site~^P-R7-09-05 

1^^^ ^ I Environmentat Restoration, LLC 

\ A^ www.erilc.com 

EXECUTIVE SUMMARY: 

27918 2206 N 26 ST 

No Issues or Concerns Q] Issues/Concerns 

Detail Exnlanatinnr 
fage 1 ot1 

"> 

[ Create Another Ticket ] [ Back to Irth Internet ] 

• YOUR TICKET NUMBER IS 2664772. 

Original Call Date: 1/17/11 Time: 7:56 am Op: ADAM24186 

Work to Begin Date: 1/20/11 Time: 7:15 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 2206 Street: N 26TH ST 

Twp: 15N Rng: 13E Sect-Qtr: 09-SE 

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 

: 27918 

Company : ENVIRONMENTAL RESTORATION 


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


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


Work Being Done For: epa 

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

Involves Tunneling or Horizontal Boring : N Explosives: N 

CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 

Service Area Contact Phone Number 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

. Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY MUD Alt: 

Emerg: 4025047970 

Day: 4024447197 

OMAHACOF CITYOFOMAHA-TRAFFICSEWER RICH/TRAFFIC Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

Day: 4067289343 


QLNNEIC QWEST LOCAL NETWORK ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

'[ Send Email ] 

Utility Type 

http://www.dhon.org/irtliintemet/DHONNoticeCreation/MessageText.asp?ret=<RESlJLTS... 1/17/2011 
% ?y.K"V.T 

Contact Information Log 

SAID#27?/8 

Owner's Name: j^r^obg(^ Q r>^Ov>a4^^•>£:s Daytime Phone: <y^7.-gi/2.-2€)'2o 

j Property Address: lloj ^ ^ 2C>S+ 

Attempt to contact Date/time Name 

Uth^d h f'O' ^jciJt^ 11-/^-^^ /'^'^t^^'— (y ­

\z/z9- / }o / j^oOU/u . 5"lC|A£ti ^ e3) 

^OAW-UC * ^ ^ tKc^«4.'.4 < • ly/ f ISO 
Property Final Report 

SAID: 279I& n WORK STARTED ON: / / 

PropertyAddress: 2^o( ^ V 26, 5^- D WORK COMPELTED ON: / / 

Owner: p.^l^g^j ^ X^^Ci^^sfeJes Renter: 

Address: .^^^ ^ ^Z K^ 3+ Phone: 

Fax: 

Cell/Pager: 

Phone: VoZ.-SVl - Zg z o Additional Information: 

Fax: 

Cell/Pager: 

H Access Agreement Siened:/T. 12-% i lO By:2.CiA+Lcyt_ 

El Restoration Agreement Siened: ' ^ / ^>- / ^'^ By:S..feuJt-Uc,A^ 

0 Video Property Before On :*2 i n /JO By^r./S'^+^-t' 

[xl Digital Photos Before On -.n irL 1 io By: Z. ig^lfjZ., 

r~l Video Property After On •.JJ _ By: N/A 

n Digital Photos After On : / / By: 

.^Propert y Completion Agreement Siened:!? t:?^ / f( By: ^ ^ 

n FinalReport Siened: / / By: 

EXECUTIVE SUMMARY 

Omaha Lead Project Work Plan Pagel of 19 
% 

Consent for Access to Property SA{P# oll^i t 

RIGHT OF ENTRY TO PREMISES 

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

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

and perform certain environmental response activities upon the foUowing described premises; 

Owner'sName: fYl O ^ ^ C 0 .^/ ) J/A^C;^ . Daytime Phone: ^Z" - y ^ 2 ^^ 2 2 O 

Address: c;K^oi, /^.g.G3f- Address: \j/kc/^/^<r Lof- Addresses of Properties 

Address: covered by this 

Agreement: Address: 

Address: 

PURPOSE OF INVESTIGATION 

The purpose of the remedial activities is to remove all soils at the property which are 

contaminated with hazardous substances, in particular lead at concem.ratio.ns greater than or equal 

to 400 parts per .tniliion (ppm). 

REMEDIAL ACTIONS 

The envircmrsental response actions Lo be perfomied oa :;3'd propeny nay ir!.cn.:de rhs ixCu./i^io 

acti'^^ties: 

o- Taking photographs and'or video of fhe .cvoperty bcfo:e, diuing. --vA-c^.ti: L-crnedif.i 

•activities; 

b. Locating equipment and ii-?achii:-^?> cn-site in i:r'^p???f"cvj f?r :;rd ir? ihe ^'"'I'rce c'^'-^e 

environmental response; 

'•: Planning and Implementing ihe ;:p:viOval d.cxLC'i •;•;'• :;: ••e^: '^•:i^v:'j\ -i y-';-r:c';'v 

d Obtaining samples from Grantor's propert}: 

AC-REE.MENT NOT TO INTERFERE 

Tne Grantor agrees not to interfere or tamper vviih any of the activities or work done, or the 

equipment used to perfonn the activities, or to undertake any actions regai-ding tlie use of said 

property v/hich v/ould tend to endanger the health cr welfare ofthe Grantees or the environment, 

cr to ,aHow others to use the property in such 

J graa t acce.ss t.a my prop«n<.es r n i do aoi grant access IJ my picperties 

'.lAld.(P... Gate Oate bigr.SiEsre 
m^^^'^^-'^ 

^W^Kl'lJrBi; i?i 

Restoratjon .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 ofthe property owner and the United States Environmental 

Protection Agency (EPA). 

jSAID: .^7^/ ^ 

PropertyAddress: ^;2^C? 6 ,AJ , ^ & ^/ ^ 

Owner: rf ) O^ F C O " X// D Z/J C 

Phone: ^ot" 3 <-j 1 ' X'if Z o 

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 rsmoved by Contractor and not replaced: 

^puc ^ oJJ so/O j/kcA/or LD<r_______ Item: 

!tS17lL 

item: 

itsm: 

Item: 

Etent: 

Page 1 of 2 
T?f. ?.g~'?e L ] ? do fjov .egi"?.-2 • ^^-si^re e [_j i iJi cv.t. agree 

ry\o£>€co T/^PJAJC^J^^^^^^ Tp^g^yj^ ^ , H^5-U 

Owner's Sjgnatare Date ' CcE?iractor'l Signature Date 

.Attachment 

Page 2 cl' 
• 

Property Completion Agreement 

This agreement documents the completion of remedial activities performed 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, ifany. 

SAID: 27'?) ^ 

Property Address: ^7. 0 (^ ^ ^.Q, 5 + 

Owner: f^U,^^ ^ lnDv^.-h^T&^ 

Phone: C^Q^J.-J^^i.-I^I Q 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additionai Comments: 

i agree restoration is completed, except as noted )Z A ' agree restoration is completed, except as noted 

fri l do not agr j I I do not agree restoration is completed iree restoration i.s completed 

Owner's Signature H Date Contractor's Signature Date 
Douglas County Account Information Page 1 of2 

Douglas County, Nebraska Property Record ­ R2001750000 

Print Reoort 

Information is valid as of 2010-8-16 View Interactive GIS Map 

Treasurer's Tax Report 

New Feature -> -» -^ Subdivision Sales Search 

Owner 

MOBECO INDUSTRIES 

11413 HICKORY RD 

OMAHA NE 68144-0000 

Property Informatio n 

Key Number: 0175 0000 20 

Account Type: Residential 

Parcel Number 2001750000 

Parcel Address: 2206 N 26 ST 

OMAHA NE 68111-0000 

Legal Description: PATRICKS 2ND ADD LOT 17 BLOCK 9 40 X.I20 

Value Informatio n 

Land Improvement Total 

2010 $300.00 $0.00 $300.00 

2009 $300.00 $0.00 $300.00 

2008 $300.00 $0.00 $300.00 

2007 $300.00 $0.00 $300.00 

2006 $300.00 $0.00 $300.00 

2005 $300.00 $0.00 $300.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.11 4800.0 0.0 120.0 40.0 Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R20... 8/20/2010 
ENVIRONMENTAL ^ AS-BUILT DRAWING 

#OMAHA LEAD SUPERFUND SITt' 

RESTORATION 

Z19/8 

Name /)/\ D IOSCO JlAniijs^fiA i 

Address: a^/j * . ^ ^ ^ s^ 

Omaha Lead Site 

Site Sketch 

Date: 

Time: 

fAr/^'S-. North Arrow [• 

Phone: 

Omaha Lead Site 46130 

UBBEMC 

Quadrant axcavatad Drip Zone Excavatod ContawiinaMon Left Behind 

r^^^t-^y.* U. C D D T AA AC C>i%B ••i^^* * V«M^ »«*«« I D^««»*.^^^^*^ % •« I I ^ 
Z19/ S 

Name: /)>% UeCn XAJiJsi-ri&S 

Address: ,?^<?<: A^ >tf ''^ 

Phone: 

Omaha Lead Site

Site Sketch

 Date:

 Time:

 <^//fA>4~ 

 :? -O"? 

North Arrow 

Team i^uJ g.< A^tn BV1D# 

^M _ XRFCode 103 7 3oo<Zx 13 3 

Sample Lead Concentration Confirmation Sample Number 

^^kSCP^/\ "Zlll S ppm /='Yes n 

No 21^ 

No ra^ ppm i 3r: 0/Yes • 

No ^ ppm gyZ>^^/^XA-

 2-i<=ll8> see ppm ClVes D 

No o r 

NO D " ppm 

Ytib Q NU" Q ­ ppm 

ppm Ye& • Nu • 

tmn t Urj- IZF m 

i..I^5!^..A«ik—i-. 

L5^ii/.^.:tgz: 1 

la Lead Site 

46130 
1 ^ ^ ^ Z79/S 

Name: /y\o jpSOO Xf^^si-neS Omaha Lead Site Date: North Arrow [• 

Address: ,j^o<: A^ ;>•,( ^ . Site Sketch Time: 

Phone: 

Team <^u> c:.< /!..»-> BVID# (AjHi^ XRFCode /<?37 3oa^'- i33 

Sampie Number Lead Concentration Confirmation Sample 

^ ^ ^ 

ppm f'ye s • No ^ sc: ppm /^-?Yes n No ^ (ZjCZSCfKA- Zl°[\t> <S5 

ppm 0/Yes • No ^ 

seg ppm «2Yes D No G3^ fSLil>^cP>cA- zi<=ii& 

ppm N5 D " 

ppm Nu D 

ppm \'ei, D Nu n Q dmifxir fof EI 

Omaha Lead Site 46130 
ENVIRONMENTAL XRF DATA ENTRY LOG 

RESTORATION L 

SAID #27^1 ? DATE V \2Jh\i \ 

PROPERTYADDRESS TIME 

2JZ3X. /O . 2itf S.T 

XRF S/N 

QUADRENT OR SAMPLE AREA 

DEPTH AVERAGE OF RESULTS SHOT#s 

redig 

n F2 

IZI Bl / - l ^ ^x n t -5,?^ ;^'S-7>°i? 

n B2 _ § \ - m t 2.2. ^.s--?.n \ 

n DZ 

n PZ 

D GZ 

n EZ1 - ^ V'^l^ ^ 2-3 3T^.-5^ S 

n FZ? -

• OTHER 

SAMPLER NAME "Ty^fgL-y- ^ 
Thermo Fisher Scientific Thermo 900 Middlesex Tumpike 

Billerica, MA 01821 

SCIENTIFI C 

AI)l)l<i:SS SAMI'l.K AltKA OI'KUA I OK , l)i;i' NOIK S SAI D I'll 

1 2011-01-26 10:25 Avg of 395-397 2206 n 26 st B l jimmy 13 fmal clearance 427.17 ± 32.91 

2011-01-26 10:25 2206 n 26 st B l jiiiimy 13 final clearance 27918 398.46 ± 32.09 

2011-01-26 10:25 2206 n 26 st Bl jimmy 13 , final clearance 27918 459.01 ± 34.03 

2011-01-26 10:24 2206 n 26 st Bl jimmy 13 final clearance 27918 424.03 ± 32.60 

2011-01-25 18.02 Avg of 372-374 2206 n 26 st EZ jiiiuny surface final clearance 193.12 ± 23.03 

2011-01-25 18:02 2206 n 26 st EZ jimmy surface final clearance 27918 197.33 ± 23.24 

2011-01-25 18:01 2206 n 26 st EZ jimmy surrace final clearance 27918 185.94 ± 22.60 

8 2011-01-25 18:01 2206 n 26 st EZ jimmy surface final clearance 27918 196.09 ± 23.27 

9 2011-01-25 17:58 Avg of 368-370 2206 n 26 st B2 jimmy 8 final clearance 173.89 ± 22.04 

10 2011-01-25 17:58 2206 n 26 st B2 jimmy 8 filial clearance 27918 193.38 ± 22.94 

11 2011-01-25 17:57 2205 n 26 st B2 jimmy 8 final clearance 27918 171.53 ± 21.86 

12 2011-01-25 17:57 2206 n 26 st B2 jimmy 8 final clearance 27918 156.75 ± 21.31 

Page 1 of 1 01/26/11 12:55:47