PROPERTY SUMMARY

 

Date: 11/20/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: November 

Property Address: 1210N24St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl - 241 @ 6" 

El - 219 @ 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) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iii) Signed form verifying satisfactory restoration 

iv) Description of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC. 40286218 

•111 

Superfund 
*!&»•'

 

40/11/2007 
1 

. Name: JVlrtJ>fi/i/> iWwtf fr-i itf Omaha Lead Site Date: f-to-s' North Arrow —

 

Address:' "l 2./O AJ . 'Zfi+t. &f- Site Sketch Time: // f^

 

Phone: 

Team /ft.T/&lJ BVID# 25" Z ^ Z XRF Code /o 3 7 5ool^ • f33 

Sample Number Lead Concentration Confirmation Sample 

£} ^7 i• 

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i BYASCSXA- ZZZteZ ^3 -^-­

~ (£iR$£.PXA. ~ Z 52 to "2 ? " 'P nnm /^Yes d No G3 !: £v£5£^XA - 2. S"2£2 2.O4- PP ^/ Yes d No E' 

J EYt>5C^X/\ -252.fr 2 / w ^ a ^_* PPm ^2- Yes No & 

__^__________^_— r~l i — — ppm —nm— l~l m.

R "~ PPm •n« n NPa -^ ( 

— ppm T es 1— 1 Nu 1—1 

LJ ® 

1 B CI^i^l J/- KT WT Y.i' V" ix . V v ^ v SE? ??2 & 15 X f> A i-?. ... r . . 

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Omaha Lead Site 46130 
^v;- y>,,ff_

Omaha Lead w ^ /g%k v

Site Remedial £ 'olftr ?

Action \^Jw*rffr^

 AgreemaMMo a How a ccess to 

 the propero in order to conduct 

 environmental sampling and to 

 remove lead-contaminated soil 

Prudent Technologies, me (Prudent) is under contract with me U. S. Environmental Protection Agency 

(EPA) to dean up lead-contaminated soils at a number of properties located in Omaha, Nebraska, 

induding the properly located at \^\Q VO A.

 LV SaJh . The EPA requests your 

permission to allow Prudent to perform a soil deanup at this property to remove lead-contaminated soil 

By signing mis farm, me property owner grants permission (D Pnidentto perform activities related to the 

deanup including soil sampling, removal of lead-contaminated soil, and restoration of the referenced 

property. After obtaining me owner's signature on fins form, Pmdent Technologies, Inc. will contact me 

property owner (and residents) within the next few weeks to coordinate performance the work 

If you have any questions about the soil deanup planned for your property, please contact ftudenf s 

Administrative Clerk for the Omaha Lead Site deanup, Ms. Cyndie Hinds at (402) 504-1004. General 

questions about the Omaha Lead Site deanup can be directed to the EPA Public Information Centers at 

(402) 731-3045 (south Omaha office) or (402) 991-9583 (norm Omaha office). 

Granted Bv 

/ Properly Owner Signature: 7 

PROPERTY INFORMATION 

(To be completed by readeat and/or property owner ­ pleas prin) 

RESDENTNAME: /"/ *l jgjwner Qenter 

RESDENT ADDRESS: T~ 

F RENTAL.PROPERTY OWNED BY: 

OWNER'S MALMG ADDRESS;

OWNER'S TELEPHONE NUMBER-HOME: irA ) I/°4

 _ 

~T 

 *> ^ ^*\ > &* O /) 

3 ^rt'eJLO'*' WORK: I I 

ACE OF HOME?: ""YEARS ////""YEARS.. HOW LONG HAVE YOU LIVED HERE? 

HAS THE EXTERIOR BEEN PAMTED OR COVE RED WimSDMQSMCE 1878? /// A 

NUMBER OF OCCUPANTS UNDER7 YEARS OLD: _ NUMBER OF OCCUPANTS7 YEARS OLD AND OLDER / 

C/­ NUMBER OF CHILDREN UNDER7 YEARS OLD WHO PLAY H THE YARD FOR 5 HOURS OR MORE PER WEEK: _ Aj / A~~ 

C/^ COMMENTS OR SPECIAL MSTRUCTKWS: (l£.OOGS.ENTRY GATES.ETC) 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented by EPA under mis 

agreement are pursuant to Section 104 of CBRCLA, 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(eX which provides entry &r"detemuning the need for 

response, or choosing or taking any response action under this title, or otherwise enforcing the provisions of the 

title" 
EPA Property Close Out

 

Property #: 3S3. CO, Property Address: IZI O H 

Date/Time: ///a. 1/07 Owner's Name: 8e»nant> /»<>««*«> 

Quads Excavated: Contractor Group Prudent Technologies 

Excavation General Yes No 

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

2. If necessary, were the correct areas of drip zone excavated and restored? s 

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? t/ 

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) S 

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

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

time period) S 

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

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) S 

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

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

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

Foundation, Siding and Gutters Yes No 

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

2. Was damage to the foundation avoided? S 

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? S 
Owners comments: 

Inspection notes: 

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

EPA Representative ^L. jft. Date: 
(0 Ctev pif 

Name: Omaha Lead Site I" ' 'L / " "' 

Address:' IZ./Q //• i* &K Site Sketch ^?,( ki/t'uwi •'''•["> "Er

ttv"' /-'[ 

Phone: - • •• •} {• 

ENTERED 

Omaha Lead Site 46130 
ENVIRON'MENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

Property Contact Attempts 

Property ID: 

Property Address; V^AO 

Owner Name; ( t r)JtNQL 

Owner Phone: "t a - S- p 

Below please find a listing of unsuccessful attempts to 

reach the above property owner. 

Date Time Initials Result

 

sol at CM- d-t^f- "^t-^i^t^^filo 1^ C^f~ H^', ^AeMs-^ I/'/ £ L*4- -yq^tJ^JK^nJ 

It/ /^ (Z&L ^je^f- "A^^U^jLill ) h <L&f- -^I'^'&t^&slr-flp. 

Date 

Prudent Technologies, Inc. 

n 19.1107 

Acknowledgement Signature Date 

EPA 

8080 Ward Parkway, Suite 405 2505 N. 24TM Street, Suite 308 8918 Tesoro Drive, Suite 109 

Kansas City, MO 64114 Omaha, Nebraska San Antonio, TX 78217 

Phone: (816) 363-3703 

Fax:(816)363-3707 

Phone: (402)504-1004 

Fax:(402)504-1005 

(210)822-9588 

Fax: (210)579-6577 
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: ^SZeS.

 

Property Address: iZio A/ 3VM .Jf«-««^~

 

Owner: a 

Phone: v 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

Lj I agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

nfti/07 

Owner's Signature Date 
Print Preview Page 1 of 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

2210470000 

MOBECO 

INDUSTRIES 

1210N24ST 

OMAHA 

68102 

11413 HICKORY 

RD 

OMAHA 

NE 

68144 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

16-15-13 

SHINNSADD 

13 

1 

N 42 E 85 FT 

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

accountno=R221 0470000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 17 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
Page 1 of 2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1880372. 

Original Call Date: 9/04/07 Time: 1:29 pm Op: CYNDIE18967
 

Work to Begin Date: 9/06/07 Time: 2:00 pm
 

State: NE County: DOUGLAS Place: OMAHA
 

Address: 1210 Street: N 24TH ST
 

Twp: 15N Rng: 13E Sect-Qtr: 15-NW-SW,16-NE-SE
 

Twp: Rng: Sect-Qtr:
 

Legal Given: C
 

Type of Work: soil excavation for lead remediation
 

Location of Work: LOCATE ENTIRE PROPERTY
 

Remarks: FAX ALL CLEARS TO: (402)504-1005
 

Company : PRUDENT TECHNOLOGIES
 

Contact Name: CYNDIE Phone: (402)504-1004
 

Work Being Done For: epa
 

Depth of Excavation: 14" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring : N Explosives: N
 

CXCATV LEVEL3 MAGELLAN MCI MCLEODNE MUD01 OMAHACOF 

OPPDGPR5 OWWC QLNNE1C 

Service Area Contact Phone Number Utility 

Type 

CXCATV COX COMMUNICATIONS, [NC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVELS COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MAGELLAN MAGELLAN MIDSTREAM 

PARTNERS LP TONYA 

Day: 9185747098 

Alt: 

Emerg: 9185747098 

MCI MCI NO CALL PER 

MEMO 

Day: 8002893427 

Alt: 

Emerg: 8002893427 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret-<RESULTS... 9/4/2007 
Page 2 of 2 

MCLEODNE MCLEODUSA NA 

MUD01 METROPOLITAN UTILITIES 

DISTRICT EDWFNA 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

OWWC OMAHA WORLD HERALD 

COMPANY NA 

QLNNE1C QWEST LOCAL NETWORK NA 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

Day: 

Alt: 

Emerg: 

8002891901
 

8002891901
 

4025047823
 

4025047946
 

4024447197
 

4024445161
 

4024445160
 

4067289343
 

8887289343
 

4024441198
 

4024443169
 

4024441198
 

4067289343
 

8887289343
 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/4/2007 
Find Record dean Up Query Lead Remaining Query | Property Damage Query Close 

D Owner Occupied 

Owner Name: 

IMOBECO INDUSTRIES 

Owner Addressl: 

Owner Address2: 

111413 HICKORY RD" 

Zip Code 

JOMAHA 68144 

Owner Phone: Alternate Phone: 

| (402) 342-2820 

Resident Name: 

JVACANT LOT JPRUDENT2007 

Property Address Group: 

(1210N24ST 

Zip Code: 

[68102 

Resident Phone Qualifying Group 

(800 

Assessment XRF Date: 

Assessment Max XRF Value 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

August 8, 2007 

Mobeco Industries 

11413 Hickory St 

Omaha NE 68114 

RE: 1210 N 24 St, 2419 Decatur St, 2612 Burdette St, 3720 N 30 St 

BVID# 25262,26621,27873,32466 

Dear Sir: 

Thank you for participating in the soil clean up project being implemented by the U.S. 

Environmental Protection Agency (EPA) for the Omaha Lead Site. This clean-up project is being 

completed at no cost to the homeowners. 

In allowing the remediation of your propertiespo[-0 at 3720 N39 St, 2612 Burdette St, 1210 N 

24 St, 2419 Decatur St you will have achieved a lead safe environment from the exposure of 

lead in the soil for your family or the families of your tenant, if the property listed above is a 

rental property. 

We are asking you to sign the enclosed document stating that: by my signature on the enclosed 

agreement form. 1 hereby give permission to employees and/or authorized representatives of 

Prudent Technologies, Inc. (Prudent), contracted by the United States Environmental Protection 

Agency (EPA) under Contract EP-R7-07-06, to enter and have access to my property for the 

purpose of sampling and taking appropriate response actions which are necessary to implement 

the clean up of lead contamination in the soil. Such actions will include: (1) Preparation for and 

the excavation of contaminated soil from my property; (2) Backfill excavated areas with 

approved clean soil; (3) Restore grass and other vegetation or structures as close as possible to 

their pre-excavation state. 

Please sign the form where indicated and return in the pre-addressed stamped envelope, keeping 

the pink copy for your records or please contact me at the phone number listed below, and I will 

be happy to meet with you at your convenience to discuss any property issues. 

Also, please remember that the above property will be listed in the EPA's database as well as 

your county assessor's office of clean properties upon completion. 

Should you have any questions, please do not hesitate to contact our office at 2505 N 24th St, 

Suite 308, Omaha, NE 68110 or 402-504-1004. 

Thank you again for your prompt attention in this matter. 

Sincerely, 

Cyndie Hinds 

Prudent Technologies, Inc. 

Omaha Lead Site Administrative Clerk Team Member 

Enclosures 

8080 Ward Parkway, Suite 405 2505 N. 24TM Street, Suite 219 8918 Tesoro Drive, Suite 109 

Kansas City, MO 64114 Omaha, Nebraska San Antonio, TX 78217 

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

Fax: (816) 363-3707 Fax: (402) 504-1005 Fax:(210)579-6577