TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: ^^lo ^ Date: ^\ln^or^r, ^ 

Address: ^fTT o gvArMjg S.'f 

Remediation Contractor: n^aPPt^if l^nfj.I^c.. . Year: ^Q- ^ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

^ Video of property (DVD) 

0^ Executive Summary 

0^ EPA-provided property sketch 

y 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.) 

y Confirmation data 

0^ Photographs •__ 

y As-built sketch 

0^ Satisfactory restoration signed by Property Owner 

0^ Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

B^ Utility clearances 

y Property information from Douglas County Assessor's Oflice 

u 

u 

n 

79f.m-39a^ 3l^i/o± 

Signatures Date 

4031 399 

Superfund 
PROPERTY SUMMARY 

1 Date: 09/15/2008 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06/0004 Month of: Aug/Sept | 

1 Property Address: 2570 EVANS ST I 

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: 

F2=79 PPM @ 8"; EA=219 PPM @ SCRAPE 

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 sketch ­

i) 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, 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. 
Find Record 

Backfill: 

Sample Area: 32104 -

Owner: 

n Owner Occupied 

Owner Name: 

[BARFIELD DWAYNE 

Owner Addressl: 

Owner Address2: 

|2570 EVANS ST 

City: 

[OMAHA 

Qean Up Query Lead Remaining Query

 2570 EVANS ST 

Resident: 

Resident Name: 

JBARnELD DWAYNE 

Property Address: 

[2570 EVANS ST 

Zip Code: 

68111 

Resident Phone 

State: Zip Code: 

[NE [68111 

Owner Phone: Alternate Phone: 

1 

I Property Damage Query Close 

Contract: 

Assessment: 

Qualifying Group 

[PRIORTTY 

Assessment XRF Date: 

I 

Assessment Max XRF Value: 

I 671.41 
^EPA 

EPA Property Close Out 

Property #: 32.J0V Property Address: Osl o Cwaws Sh 

Date/Time: S/zf/of Owner's Name: OMtjf*^ B^turio 

Quads Excavated: F 2- Contractor Group Prudent Technologies 

Excavation General Yes No 

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

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

y 

Grading Sod and Vegetation 

Yes No 

1. Does the grading around the perimeter ofthe house in excavated areas generally slope away 

from the house? y 

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

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

day time period) y 

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

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day y 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? ^y 

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 reinstalled? (If applicable) y 

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

4. Was damage to retaining walls avoided? (If applicable) y 

Foundation, Siding and Gutters 

Yes No 

1. Was damage to the siding or trim avoided? y 

2. Was damage to the foundation avoided? 

/ 

3. Was damage to windows avoided? 

/ 

4. Was damage to windows or door screens avoided? 

i / 

5. Was damage io downspouts or downspout extensions avoided? 

y 

Sidewalks and Driveways (Concrete) 

Yes No 

1. Was damage to driveway surfaces avoided? 

xy 

2. Was damage to walkway surfaces avoided? 

y 
Owners comments: 

Inspection notes: 

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

EPA Representative ^^».J& ^ Date: ff/H/of 
%EPA 

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 ofthe 

subject property, and that no items are in question, now, or at any time in the fiiture, excluding any 

remaining warranty (30 days total) except those items listed below, if any. 

Property ID: 32-) o^] 

Property Address: ^.^^ ^

Owner: J:^ t o «^>N<

Phone: 

 <hjo.i^

 QCA'-UI' ,

 R\r 

 t U 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

I Required corrections to complete the property: 

L J I agree restoration is completed, except as noted above. 

L J I do not agree restoration is completed 

lla^lo^ 

Owner's Sig lature Date 
^^^j:7 t - * ­ f •' '••. \ f » • • » 

J7^ ? v) ^-^ --^-7\77^<-w^ ,7/ 

Piud«Ht T »cfan()lo9»!s Inc. (Tmd»n$ is und»r eontiaet vibth* U. S. EawtaaasnUl Protselion Ag«cy (P>A) lo d»aa ig* l»ad­ 5oata»iH*jd soils at aniaaW of piop»iti»5lo5attdinOs»4ha,N*brBia,includii5th» proptity locslsd at 

Th« EPA r»qii»s!! ycur psnaisaonto slJwr ]^d»izt to peifoiM a seil ebmi^ atftns 

piopntj to iMnov* Uad-eontawinitd soil. By ag^fingftiiEfoiin, th» prop»i1y owii«i gnntspsnaissionto Piud»atlD pcifoiin 

ae1ivi!i»s t»lat»d to th* cUmap includii^ s<»l sampliigi tnnoval ofUad-contiimiiiKtd soil, andresloialion of th» »f«r*nc»d proptity. 

If you have airy- qusdi ons about th* s«il cltaa:^ plana«d for your prop»ily,pl*as» contaa Prudtnt's Adainistraliv* Cltikfor tht 

OmahaLtadSitt cl tamo. Ms. Shannon Holt-at ("402^ 504-1 g)4. Gtntij qutflions aboutflit OmahaLtadSitt cltais^ caabt 

dirtsttd tofc* EPA Public laforaati onCtntmS''*??; "'?!%^4i;5o!:{hO!nahacfS<:»)or(4Cr! 99!-95?3 5Jort^ 

Propeity AectssGianttd By 

Proptrty OTrntr Signaturt. 

PROPERTY MFORMATION 

RESIDENT MAME .-^u^avAi\e-^BHva^£j! •;-tS -

RESIDENT ADDRESS: 

-£i: aLVy.'^JU. i:>k-._£.gil b 

IF RENTAL. PROPERTY OWNED BY: 

^w^no.c' «A1LW6 ADDRESS: 

3i5.!li3 <ljfci y\7s ei_ nwvp^.n. K)^ C% W b 

OWNER'STELEPHONE NUMBER-HOME: J _ WORK: 

AGE OF HOME?: \OC>f YEARS. HOW LONG HAVE YOU LIVED HERE? | ^ YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COX^tRED WITH SIDING SNCE 1378? ^YES NO 

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

NUMBER OF CHILDREH UHDER 7 YEARS OLD WHO PLAY M THE YARD FOR 5 HOURS OR MORE PER WEEK: 

COiSMFMTS OR SPECfflL WSTRUCTTOMS: (I.E. DOGS. ENTRY GATES. ETC.) 

Aui-H0Rj7V-F0RENviK0NMtL«TAlHspDNSEkunUA;fTto^^^^ 

ZI^^T.fltf^l ] f^?f^- ^ « ^^•'^' ?«l'«- EPA's right of acctss to Iht proptrty is pio^dtd forin Stction 154<t^ -J 

Lli.KS.uA, 42 L S. C 9605(t). whichprovidt! eaJiy foi dtttHiining tht nttdfoi rtiyonst, ot chooang or talcing any rtqBonst actio action undtr this titlt, or olhtnrise tnforcii^ tht previsions of tht iitlt." 

8080 Ward Parkway. Suits 405 2S05 N. 24* Staat Sulta 308 4242 Madlcal Oriva. Sutta 42S0 

Kanaaa C%. HO Gdt U OmAa, Mabraakacaiio San Antonio. TX 78229 Phone: (816) 363-3703 Phone: <402^ 504-1004 Pnone: CIO) 822^568 Far ^16) 363-3707 Fax: (402)504-1005 f-ax 1210! 573-6577 
/ . ' .... '. \ 

^••'j-j.' ^ 

Pmdtnt Ttchuolo^ti; lae. (TiudtmQ is imdti eoatiBCt wi&th* U. S. Enviionm tntal ProUction Agtncy (^i ^ to clean 19 

coatamin^d soils at B numW of pr^erties located in Omaha, N ebndca, isclui&Dg tht propeny located at 

. The EPA leqiieslsyouipeimisaoiiti} allonr Ptudent to perfoDB a soil cleanup at tts 

piopw^to zemore lead-eontamiiuUd soil. By agongfliis fom, the property o«mw grants peaaisaon to Ptudent to ptrfoim 

•ctivitieEielaUdiD the clesn^ includii^ soil simpli% lemoval sf lead-contamiaMed soil, mdiestontioo of tht nfeienced piopeity. 

If you have my quedioBE about the scil cleaa:^ planned foi yout piopetly, please ectaaiitPlSliSrs'XdiBrniaiali'ye Clak fw the 

Omaha Lead Site deann>. Ms.ShaBnoinHolt-at (403) 504-1004. G eneial (jueslions aboutftie OmahaLeadSite cleamipcn be 

directed toflie EPA Public lafoimali on C enteis at (40^ 731-3043 (Pouth Omaha office) or (402) ?91-9583 (Jl orth Oa aha offi et). 

PtopertyAeeeBjCnaiUdBy. Ij / Ji\/P/]]Cly J~:>7i/7-Cli^Jdl( 

OPIeast Piint)! ameV' 

.e: ^M^y/ i;Ai JQLJIOMTIMT^U/^/ S Ptoperty Ownei Stgoabae 

^ ^T - (D.U) T 

PROPERTY MFORMATION 

(Tt ko naylelid ky nmlaal aal/trp n f u ^ nrMC - |lMu»fxiat) 

RESIOENT MAME Renter ^ J " u —\ 

RESIOENT ADDRESS: _, , ,^ \ y. 

O 5 Mf> 9\J7^r^S. SV O'fvv'a.UA K><L/ C-7l\\ ^ 

IF REMTAL. PROPERTY OWNED BY: 

^ ( . 

OWNER'S HAILMG ADDRESS: > , . 

9-5 ID Q^fciv\7\ ^^g^^,.- Qt^^A^^ 1 — ^ 

OWNER'STELEPHONE NUMBER HOME: J_ — jWORK: « l l ^ 

\0of AGE OF HOME?: YEARS. HOW LONG HAVE YOU LIVED HERE? YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED ¥lfrm SUING SINCE 1S787 _ YES NO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: NUMBER OF OCCUPANTS? YEARS OLD AMD OLDER 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY M THE YARD FOR S HOURS OR MORE PER WEEK: 

C0P(|||)X^ OR SPECIAL fMSTKUCnOMS: (I.E. DOGS. ENTRY GATES. ETC.) 

\/ .-, c •w' w 

''' yfj^ 

AufifQpy if^^u<OHMltN|^ ^^^[i£nLi^ttii^im4s^tyAmi».]^.m..n^^ 

(•£iu<LA,4^ UA.C9eu5(e);w^cnpiaividestatiyfot detenaiauigthenttdfotiei^pflnM,'01 fehboaagortakingaByrei^aaseaetion 

undei this title, or othenrist enfi»eii%the ptovaons ofthe title.'" '^ 

8080 Ward PartiMy. Sulfa 405 2S0S N. 24** Sireet. Suite 308 4242 MedlcM Olive. Suite 4250 

Kamaa Ci^. MO C4114 Omaha. NMraeiia 68110 S m Antonio. TX 78229 

PhORC fill6)363-3703 

Fax: (816)363^707 

Phone: («02) S04-1004 

Fax: (402)504-1005 

Ptione: ^10) 822-0588 

Fax:(Z10)S79-CS77 
AS - BUILT DRAWING Jl^ 

OMAHA LEAD SUPERFUND SITE 

OLS#: 32104 

Date Excavated: 7/1S/20OS 

Date USEPA Signed-Off: 

Name: .X>wu,v^^.. ^<iVV[^l<i 

Address: <2s^ h ^^c.^\ v 

Phone: /^ni - ^•^^-S.t^ q 

Team f Jl>.ot A | QVvvtAtt.^

Sample Number 

|gVP^S6p>c4-^zinM 

6 

7 

Omaha Lead SKe 

Site Sketch 

 BVID # J2l2l£> L 

Lead Concentration 

.2ft D I ^ '- J ppm 

ppm 

11-7 f l 3 ppm 

ppm 

ppm 

ppm 

ppm 

Date; OT-lc-0 3 North Anow 

IK •nme:\^vnr? 

XRF Code _^^DJ _ 

Conllrmation Sample 

f'Yes a No tP 

PlYes a No 91 

<}(Yes O No @ 

ftiYes a No P 

CWes

Yes

 a 

• 

No

No

 g 

• 

Yes • No • 

EA = 219 PPM a SCRAPE 

Omaha Lead Site 46130 

CONTRACT #: EP - R7-07-06 / 0004 PRUDENT TECHNOLOGIES, INC. 
IRUDEK rECHNOLOGIES, mc . — 

Property Status Form 

Address: 2.57 ^ Ej/ni^ ^ S f Date: 

Phone: BVID: 32-10 ^ 

Plants & Permanent Landscaping 

Item# 

On Map Description and Location 

Pre-Existing Condition of Structures 

Does your Basement have a history of leaking? Yes — No . . / 

Item# Description & Location 

On Map 

tv\o^ ^ O^ULl(^ C^ A^evO? w>a9JtLv^:A^ ^t^ v l-o $>^,s 

4 TOrvV ^WtP ,-

Property Owner Prudent Employee 

Signature: Signature: ^ 

8080 Ward Parkway, Suite 405 5 N. 24'" Street, Suite 308 4242 IViedical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax: (210)579-6577 
Name: Dyjuyx ^ Pavwe^U Omalia Lead Site 

Adclress: cSS'^D S-A/twx "sV- Site SIcetch 

Phone: ^r. 1 - M?;^-^Cq Q 

^ ^ J) (Woua-'t-t:^ 

Team ^>'^oU ^ ^Vvre^H ^ BVID # Ti^H&M 

Sample Number Lead Concentration 

ppm (fl / * Z Z 

ppm 

ppm 1 1 1 ^ 13 

ppm 

ppm 

ppm 

ppm 

Date: £l-tO-o 3 North Arrow 

Time: \(f.'.aQ <N 

XRF Code ^5DI 

Confirmation Sample 

^'Yes n No ?3 

PiYes n No ^ 

(J^Yes • No g 

Styes O No P 

O^yes n No [^ 

Yes • No • 

Yes • No D 

Omaha Lead Site 46130 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Pamel ID 

Owner 

Name 

Pmperty 

Addmss 

City 

Zip 

Owner 

Addmss 

Owner 

Addmss 2 

Owner 

City 

Owner 

State 

Owner 

Zip 

2100590000 

BARFIELD 

DWAYNE 

2570 EVANS 

ST 

OMAHA 

68111 

2570 EVANS 

ST 

OtAAHA 

NE 

68111 

Sec-TwnRng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Tmasumr 

Website 

Unk 

Assessor 

Website 

Link 

09-15-13 

REDICKS-CLARK-ADD 

2 

22 

46.23X124 

http://webapps.dotcomm.org:8080n"reasTax/faces/pages/taxinfo.jsp? 

parc=2100590000 

http ://douglasne. mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R2100590000 

Disclaimer Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. Tiiis is not a legal document and should not be substituted for a title search, 1 incti = 42 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas%20County-Omah... 6/12/2008 
R2100590000000 Ljpg (JPEG Image, 640x480 pixels) http://douglasne.mapping-online.coin/assessdoc/Photos/29/R210059... 

£y/i^N^ -^ f ^55-70 

lof l 7/2/2008 9:31 AM 
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7 7 '':­

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