TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: 21453 DATE: 1/15 

ADDRESS: 2610 REES ST 

REMEDIATION CONTRACTOR: PRUDENT TECHNOLOGIES. INC. YEAR: 201(b 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

0 PRE AND POST VIDEO OF PORPERTY (DVD) 

m EXECUTIVE SUMMARY 

0 EPA-PROVIDED PROPERTY SKETCH 

H ^ SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

1 ^ RESTORATION AGREEMENT 

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

0 CONFIRMATION DATA 

m PHOTOGRAPHS 

M AS-BUILT SKETCH 

la^ SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

m PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

EI UTILITY CLEARANCES 

• PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

D 

D 

SIGN^ffURE DATE 

30217588 

NMili 

Superfund 
PROPERTY SUMMARY 

Date: /15/2010 Omaha Lead Site Remedial Action Contract If EP-R7-07-06 TO#l Month of: 

Property Address; 2610 REES 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: 

B2 = 332 PPM @ 8"; 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) BVID number 

7) Other items to be included in the individual property file, ifavailable, or obtained include: 

i) Pre-excavation agreement details (ifany 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. 

TECHNOLOGIES. INC. 
Find Record 

Backfiii: 

Sampie Area: 21453 - 2610 REES ST 

Owner: 

• Owner Occupied 

Owner Name: 

JOUADAKRAM 

Owner Addressi:

r—^—^ 

Owner Address2: 

] 17014 M ST 

City State: Zip Code: : 

JOMAHA JNE J68135-

Owner Phone Alternate Phone: 

fC402) 934-8383 1(402)934^5354 

Contract: 

contractor: jPRUDEKrr2010_S 

contract Option JOPTION 2 

Remediation Query Lead Remaining Query \ Property Damage Query 

User Provided Owner Information 

Owner Name: 

Owner Address: 

i 

City: State: Zip Code: 

j r Alternate Phone: Owner Phone: j 

Assessment: 

Qualifying Group J400 

Assessment Max XRF Value 470 

Resident: 

Resident Name: 

I "" 

Property Address: 

J2610 REES ST 

Zip Code: 

J68165-

Resident Phone 

1 
'tECHNCHX)GI18S, INC. 

EPA Property Close Out 

Property #: 2,( 4 5 3 Property Address; 2-.<S IO f^ee i ^ ^ 

Date/Time: Owner's Name: JM.^.^^J/Y\^ Ory^i ^ 

Quads Excavated: ^ -p Contractor Group: Prudent Technologies, Inc. 

Excavation General Yes No 

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

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 (he house? A 

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

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

day lime period) / 

4. Are sodded areas generally finn and evenly graded? /

5. Arc the joints between tlie sod strips generally tight? (Only evaluate if inspected at a 30 day 

time penod) / 

6. Was the property graded such tliat water will not pool on the property? / 

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

Gates, Fences and Retaining WalJs Yes No 

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

2. Were all gates or fences taicen down during restoration activities reinstalled? (If applicable) / 

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

4. Was damage to retaining walls avoided? (Ifapplicable) / 

Foundation, Sidins; 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 lo windows or door screens avoided? / 

."i. Was damage to downspouts or downspout extensions avoided? / 

Sidewalks and Driveways (Concrete) 

Ves No 

I. W;is d;iniaec to drivewav surfaces avoided? 7 

Was damage lo walkway surfaces avoided? / 
Owners comments: 

Inspection notes: 

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

EPA Representative 9cy» y£L», Date: ///^/g 
OLS # 21453 

CHNOLOGIES. INC. 

AS - BUILT DRAWING V

Date Excavated: 11/01/2010 

USEPA OMAHA LEAD SUPERFUND SITE Signed-Off Date: 

21453 

Omaha Lead Site Exterior Paint 

Site Sketch • Good 

Q Poor 

Sampling Address: 2610 REES ST [ 3 Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm; 

Samples Collected 

RYASCPXA-21453 Fl ffl 2 ppm Date: fll iffl 

RYBSCPXA-21453 

RYCSCPXA-21453 

RYDSCPXA-21453 

F2 

Bl 

B2 

2.g ^

30 5"

^1 0

 ppm 

 ppm 

 ppm 

D 

D 

D 

Time i-oo pf^ 

Samples Analyzed 

r^DZSGPXA ai 4S3 -B i ~ PPffi D D XRF Unit: IQflA Z Book: 2.^ 5 

r^CgSCPXA 21 <63 -€ 2 ~ ppm D D Date 5-1 3 O ^ 

^Lab

¥ Result

 RYASCPLA-21453 . „ . 

99.4 ppm 

— ppm n 

Number of Samples = | Lf \

D 

\ j 

Time: 

Staff jaa­ nsw 

Legend: F1 = Front Left, F2 • Front Right, Bl = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

Al quadrants art as viewed from the street, (adng property 

ENTERED 

^r^­

^ 

.3P5 'il O |B 2 =332 PPM fa} 8 

.P..V 

2GI0 

ms >*— 

(s>Z 1 2&'^ jV '^yr\ # 

Fl Fz 

RcviOOt Crated 01-Apr-09 l^££?.. .A^. 

NO EASEMENT 

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

Property Compietion 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, ifany. 

Property ID: 

Property Address: ^ h ^ '^ 

^ ^ ^A 1  <^ i 

Owner: 

Phone: 

Restoration items in Question: 

Item: 

item: 

item: 

Item: 

Item: 

item: 

Required corrections to complete tiie property: 

R agree restoration is completed. 

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

/2 ' 8^-^-^ 

Owner's Sign^tdfe Date 
TpO«s:0li>i;;SF^, !\:: 

Prudent Technologies, Inc. (Pi-udent) is under contract with the U. S. Environmental Protection Agency (EPA) to clean up IcitdcontanTjpated soils atyi number ofproperties located in Omaha, Nebraska, mcluding the property located at 

^ (g /(A /CX-g^ S The EPA requests your permission to allow Prudent to perfomi a S(MI cleanup at (his 

property to remove load-contaminated soil. By signing this form, the property owner grants permission to Prudent lo perform 

activities related to the cleanup including soil sampling, removal of lead-contaminated soil, and restoration of .he referenced property 

If you have any questions about the soil cleanup planned for your property, please contact Prudent . . ''i.-. . for lhe Omaha 

Lead Site cleanup, at (402) 733-1188; 733-1455. General questions about the Omaha Lead Site cleanup can b : directed lo the FPA 

Public informaiion Centers at (402) 731-3045 (South Omaha ofnc 

Property Access Granted Ry 

MA Property Owner Signature: 

(Date) 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner - please print) 

RESIDENT NAME Owner Renter 

RESIDENT ADDRESS 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

OWNER'S TELEPHONE NUMBER - HOME: (7<^^> J J ^ ^ 7 WORK: 

t^tju q3<A-S3r^ 

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 OLD WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: 

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

AUTHORITY POR ENVIRONMENTAL RESPONSE ACTIONS; The activities to be implemented by EPA .mdcv this agreement 

are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to the property is provided t'o' in Section 104(c) of 

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

under this title, or otherwise enforcing the provisions ofthe title." 

8080 Waro P.^rKvi/ay. .-

Kansas City. WIC 6-4" 
ENVfRO\MENTALi!4 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVK KS 

Property Status Form 

Address: Z(olO Q.£C3 Date: /0/z & I^Ol Q 

Phone: y^^^ 95^-^56^ ^ ^^"'^ ZlV^-5 

V^fA\li:)iAc /\/ZyC^ [^ 'B ^ 

XCA^s//f-r^ ^ Ke^o7> 

[AOA«LIIO(A T ^r ^ E^I-€Cr^iC L/yAC^ aP^ 5^/v?€ 

5oiL~r Igy i 1 ^ 'f^C ' A r ISAC^Kroperty Owner Prudent Employ 

Signature: Signature: yp-^A^yy) 

8080 Ward Parkwa 5600 S 10 St 4242 Medical Drive. Suite 4250 

KansasCity, MO 64114 Omaha, Nebraska 68107 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402) 733-1188 Phone: (210)822-9588 
;1453 

Omali Exterior Paint North An'ow a Lead Site 

Sit • Good e Sketc h 

• Poor 

Sampling Address: 2610REESST [ 3 Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected 

LAB 

Firm:

Samples Collected 

 f^PR 9?). f ^ 

RYASCPXA-21453 Fl (DI . ppm Date: f || joq 

RYBSCPXA-21453 F2 2.8 ^ ppm n Time; I-OO p ^ 

RYCSCPXA-21453

RYDSCPXA-21453

 Bl 

 B2 

^ d 5

^1 0

 ppm 

 ppm 

n 

D Samples Analyzed 

RDZ6CPXA 21463 92 " • ppm D n XRF Unit: IOB&2. Bool<: 2.^ 5 

RGZCCnXA21463 G * ~ - ppm D n Date 5-/ 3 -O ^ 

J. Lab 

2 Result 

RYASCPLA-21453 

99.4 ppm 

— ppm 

Number of Samples =

D 

 l \ \ \

D 

j 

Time 

Staff: 

jazi. 

±\^WL 

Legend: Fl = Front Left, F2 = Front Right, Bl Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

Al quadrants are as viewed from Ihe street, facing propeily 

6 > ENTERED 

. ^ (pZ I ze^^ 

•r^^ f ^ ^1 

KwZOOS 3 anlt d 0]-Apt4» l^es^.^i:. (M470l.01.23 
21453 

Omaha Lead Site Exterior Paint North Arrow 

Site Sketch • Good 

• _ Poor 

Sampling Address: 26IOREESS T [7( Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected 

LAB 

Firm 

Samples Collected 

RYASCPXA-21453

RYBSCPX,A-21453

 Fl 

F2 ^8 ^ 

ppm 

ppm D 

Date 

Time 

fll im 

'••00 po ^ 

RYCSCPXA-21453

RYDSCPXA-21453

 B l 

B2 mo 

ppm 

ppm 

Ul D 

D Samples Analyzed 

RDZ6Cn.XA-21463

RGZ6CnXA-21453

 0 * 

G ^ 

ppm 

ppm 

D 

D 

n 

n 

XRF Unit 

Date _ 

{gg62­ Booi< Z35 - 5-I 3 'O ^ 

^Lab RYASCPLA-21453 ppm n D Time: _ 

5^ Result 99.4 ppm Number of Samples = | <| / 

Staff: jnSiWl 

Legend: F1 Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ • Play 

AS quadrants are as viewed from the street, facing properly 

ENTERED 

HAY € 8 2009 

^££S : . .s-t. RevJOOS Crated: 01 •A(jr-0!' 
H 261

0 Rees 

A Printed

: Dec 08, 2010 

www.dcgisorg/dogis 
Page 1 of2 

"> 

Create Another Ticket Back to Irtli Internet Send Email 

• YOUR TICKET NUMBER IS 2629132. 

Original Call Date: 10/28/10

Work to Begin Date: 11/01/10

 Time:

 Time:

 4:09 pm 

 4:45 pm 

Op: SIVA18967 

State: NE 

Address: 2610 

County: DOUGLAS 

Street: REES ST 

Place: OMAHA 

Twp: 15N Rng: 13E Sect-Qtr: 21-SE,28-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 


Company : PRUDENT TECHNOLOGIES 


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


Work Being Done For: EPA 


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


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUDOl MUD02 OMAHACOF OPPDGPRS 0PPDGPR6 


QLNNEIC QLNNEIF 


Service Area Contact Phone Nuniber Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVEL3 COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

MUD02 METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

Day: 4024447197 

http://www.(ihon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/28/2010 
Page 2 of2 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC 

Alt: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

OPPDGPR6 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNE 1C QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNE 1F QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/28/2010 
ENVIRONMENTAL 

ENGINEERING AND 

CONSTRUCTION itccHNOijamEs, IMC. SOLUTIONS 

SITE SAFfeTY HAZARD ANALYSIS 

Address:^iiA5-i^.- i Excavation Date: ilulJJ — 

Item 

Overhead Lines 

Gas Line 

Water Line 

Sewer Line 

Septic/Leech 

Field 

Propane/Butane 

Sidewalk 

Foundation 

Retaining Walls 

Fences 

Trees 

Structures 

Driveway 

Sprinkler System 

Other 

Crew Foreman 

Condition 

NIAl 

ri iQ. 

pj'iAl­ 1 

/U/lfl­ ^<y r 

rvijANi/A 

rv)/i9­ {V)\Or 

l^\& 

nJ) a 

^^h 

Backfill Date: 

Hazards Corrective Action 

Site Safety Office 

Date: 

„.___^£::. 

8080 WaitfBaftaBay, Suita 4(B 5600 S lost 4242 Medical Drive, Suite 7250 

Kansas (>«y<lia64114 Omaha, Nebtadlca 68107 San Antonio, TX 78229 

Phone: («16) 36X0703 Phone: (402)733-1188 Phone: t2t0) B22r>9588 

Fa«:(a«) 383-3707 Paae. (402)733^1883 Fax: (210) 579-6577 

"'•'- y 'A 

A A 

I'A In l-<yi<y 

i