TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAE)#: 397/4 Date: H//^/D 9 

Address: 2-7^; P /^'f A A / 

Remediation Contractor: fW^.. ^ "7^^/. IZT7C;. Year: ^SLOO? 

SOIL SEMEDIATIDN 

PROPERTY FILE FOLDER DOCUMENTS 

^ 

Video of property (DVD) 

Executive Suimnary 

/ 

EPA-provided property sketch 

Signed Access Agreement for subject property 

Signed Access .^reement(s) for adjacent property 

Restoration ^jeement 

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

[ / Confirmation data 

V Photographs 

As-built sketch 

Satisfectory restoradon signed by Property Owner 

Property close-out check Ust signed by EPA 

D 

Description of areas not meeting ROD cleanup criteria 

Utility dearances 

Property mformation from Douglas County Assessor's Office 

D 

D 

D 

Signaturef —<rti TSte" 

30054152 ill 

Superfund 
Find Record Remediation Query j Lead Remaining Query I Property Damage Query 

Backfill: 

Sample Area: 39714

Owner: 

D Owner Occupied 

Owner Name: 

JFLANNERYROGERA 

Owner Addressl: 

r 

Owner Address2: 

|2748 REDICK AVE 

City: 

jOMAHA 

Owner Phone:

j(402) 455 7459

 - 2748 REDICK AV 

State: Zip Code: 

|NE )68112 

 Alternate Phone 

 |(402) 455-7459 

Resident: 

Resident Name: 

|FLANNERYROGERA 

Property Address: 

|2748 REDICK AV 

Zip Code: 

|68112 

Resident Phone 

I ~ 

Contract: 

Contractor: 

)PRUDENT2009_S 

contract Option 

OPnON 2 

Assessment: 

Qualifying Group 

poo ; 

Assessment l^ax XRF Value: 

r 444 
Date; 1^/15/2009 I Omaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l | Month of: October 

Property Address: 2748 REDICK AV 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

Bl = 128 PPM @ 6"; 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 mdividual 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. 

IHCHNOeaieESjIIC. 
TECHNOLOGIES, INC. 

EPA Property Close Out 

Property #: %'^'7llf Property Address;^ 2'?4'? ^' ' 

Date/Time: Owner's Name: Y-^AJJ' F^OA^f^^'*^ 

Quads Excavated: 9>\ Contractor Group Pnident Technologies 

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? 

y 

Grading Sod and Vegetation Yes No 

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

fi-om the house? ^ 

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 

time period) y 

6. Was the property graded such that water wall not pool on the property? y 

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 reinstalled? (If applicable) / 

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

/ 

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? / 

4. Was damage to windows 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? 

y 
Owners comments: 

Inspection notes: 

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

EPA Representative £L.)^ ^Date: lolu/o^ 
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, excluding any 

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

Property ID: 

Properly AddreM: ^ 7 M g j^eX i c ST r\. ^ 

Phone: ^ t 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

LlJ I agree restoration is completed. 

L l I do not agree restoration is completed at (noted defidencies above) 
Prudent Technologies, Inc. (Prudent) is under contract with the U. S, Environmental Protection Agency (EPA) to clean up leadcoi^yniti^ed^ils at a numbea ofproperties located in Omaha, Nebraska, including the property located at 

9tf'0 /iS^ffUk. m/c. The EPA requests your permission to allow ftudent to perfonn a soil cleanup at this 

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

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

If you have any questions about the soil cleanup planned for your property, please contact the Prudent Office for the Omaha Lead Site 

cleanup at (402) 733-1188. General questions about the Omaha Lead Site cleanup can be directed to the EPA PubUc Information 

Centers at (402) 731-3045 (South Omaha office) or (402) 991-9583 (North Omaha office). 

Property Access Granted By: / ^ ^\ ^ Q ^ t^ y ^ y^y^*i ^ e/-y 

(Please Print Name) / 

Property Owner Signature: 

(Signature) (Date) 

PROPERTY INFORMATION 

(T^ ^ completed by resident and/or property owner . .. . — please print) . . . , 

RESIDENT NAME: Renter 

RESIDENT ADDRESS RESS: ' A ""^

IF RENTAL, PROPERTY OWNED BY: 

OWNER' WNCK SS MAILIN MAILINGG AUUKCS ADDRESSS ; • / ) i . , .«-t^>y ­

23^5^ yi^ y^^ S^, (P/»ic^k>^/0^ ^S/(>V 

OWNER'S TELEPHONE NUMBER - HOME,: _ i M 3^;i^ar77 WORK:

( \ 

AGE OF HOME?: fy YEARS. HOW LONG HAVE YOU LIVED HERE? iff YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? V^TYEE S 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 FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented by EPA under this agreement 

are pursuant to Section 104 ofCERCLA, 42 U.S.C. 9604. EPA's right of access to the property is provided for in Section 104(e) of 

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

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

J t A . •: ... I I 
I'VMKOSMI'A ; >, .V 

(ONSTIU .;••: 10' 

Sl P' C v.: 

Property Status Form 

Addre,,: ^T/ g /tcd,C^ ^^ ^ Date: f-ysr-Cf? 

Phone; BVID: 39^7 f i 

Item NO Plants & Permanent Landscaping To Remain In Place 

On Map Description & Location 

u^)//7 Sod. \ J 4< >U 

Pre-Existing Condition of Structures 

Does your Basement have a history of leaking? Yes No y 

Item NO Description & Location 

On Map 

^rtyai^ nyci' ^ ^no^i-^) pfS - C^ra,c^^ ^'"f /"' 

Property Owner/'^ / yi^/J Prudent Employee 

Signature: Y*,y<^y^ytry.-^ - ^ Signature: 

' 

yjlA^'iCA— 

S080 Ward Parkway, Suite 405 2505 N. 24" Street Suite 308 

Kansas City, UO S4114 Omaha, Nebraska 68110 

Phone: (816) 3£3-37a3 Phone: (402) 504-1004 

Pax: (816) 363-3707 Fax: (402) 504-1005 
AS - BUILT DRAWING 

OMAHA LEAD SUPERFUND SITE 

Name: Rat^BA FiA.^/.njsA'r Oinaha Laad Site Date: )0 /y/^* ^ ^4orth Arrow Address: •3->^'B fieAZcK AQ Site Sketch Time: 

Phone: ^ot j w5y ­ T<S'\ 

Omaha Lead Site 46130 

CONTRACT #: EP - R7-07-06 T0#1 PRUDENTTECHNOLOGIES, INC. 
Omaha L^ad SH«» Ca,le: /c .''i-"'t' i »ilcm Anc*' 

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2748 REDICK AV 

arch 2007 DOUGLAS COUNTY ASSESS 
Print Preview Page 1 of2 

Douglas County-Omaha, NE 

Pan;el ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 

2 

Owner 

City 

Owner 

State 

Owner 

Zip 

Sec-TwnRng 

1753250000 

FLANNERY 

ROGER A 

2748 

REDICK AV 

OMAHA 

68112 

2748 

REDICK AVE 

OMAHA 

NE 

68112 

33-16-13 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Acres 

Treasurer 

Website 

Link 

Assessor 

Website 

Link 

MINNE LUSA 

25 

16 

44X120 

0.12 

http://webapps.dotcomm.org:8080/TreasTax/faces/pages/taxinfo.jsp? 

parc=1753250000 

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

accountno=R1753250000 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 9/2/2009 
Page 1 of2 

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YOUR TICKET NUMBER IS 2366607. 

Original Call Date: 9/17/09 Time: 12:31 pm Op: SIVA18967 

Work to Begin Date: 9/21/09 Time: 1:00 pm 

State: NE County: DOUGLAS Place: OMAHA 

Address: 2748 Street: REDICK AVE 

Twp: 16N Rng: 13E Sect-Qtr: 33-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 


: FAX ALL CLEARS TO (402) 733 1883 


: UNSURE CORNERS 


Company : PRUDENT TECHNOLOGIES 


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


Work Being Done For: EPA 


Depth of Excavation: 6 FT Corner Lot: 1 Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring : I Explosives: N 


CXCATV MAGELLAN METRO MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact

 Phone Number Utility Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 9185747098 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP DEBORAH Alt: 

Emerg: 9185747098 

Day: 4024572307 

METRO METRO COMM. COLLEGE CHRIS Alt: 4026727033 

Emerg: 4024572313 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Alt: 

Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/17/2009 
Page 2 of2 

OMAHACOF CITYOFOMAHA-TRAFFICSEWER RON 

Day: 4024447197 

Alt: 4024445161 

Emerg: 4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

QLNNE 1C QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/17/2009 
Address: J^l'^iCrew: "^ ^ ^ 

Date: '7/9o« Y 

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 

ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

yy Site Safety Hazard Analysis 

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Site Safetv Officer 

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8080 VVard\Parkway, Suite 405 2505 (\1. 24"^ Street, Suite 3OS 4242 Medical Drive. Suite 7250 

KansasCity. MO 64114 Omaha. Nebraska 68110 San Antonio. TX 78229 

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

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