PROPERTY SUMMARY

 

Date: 10/30/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: October 

Property Address: 1618 Manderson St 

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 : Bricks in Fl - 255 @ scrape 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl-55@6" 

El - 47 @ 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. 

40284374 

Superfund 
32738

 

Omah Extertbr Paint North Arrow a Lead Site Owner Name: CHARLES STEWART Q Good Site Sketch Address: 1619 MANDERSON ST 

Phone: HI W: T 

ot paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB Samples Collected 

Firm: _ 

RYASCPXA-32738 F1 _U PPm D Date: _ 7//3/OV 

RYBSCPXA-32738 F2 \ PPm D Time: i>'. Ift 

RYDSCPXA-32738 B2 

ppm 

ppm 

D 

D Samples Analyzed 

RDZSCPXA-32738 DZ -£. PPm D XRF Unit: *^l\ Book: 

ROZ3CPXA-02730 82­ _ppm D D Date: O\ 

_ppm D D Time: 

Number of Samples = i 0 I 

Staff: 

SEP I! 6 2004 

SSllf 

Co H(* 

*$ 

Omaha Lead Site 46130 
IBV 

CT7 
32738 

Omahi 3 Lead Site Exterfor Paint North Arrow Owner Name: CHARLES STEWART 

Sit fj Good e » £ Sketch Address: 1619 MANDERSON ST

 

Phone: H: W: |§ Not paint I \ 

Sample Number 

RYASCPXA-32738

RYBSCPXA-32738

RYPIPPXAi-127^

RYDSCPXA-32738

RDZSCPXA-32738

RQZSCFXA-32730

PPjTPf^PYA T'TTfl

• 

 F1 

 F2 

 R-1 

 B2 

 DZ 

 GZ 

m 

Lead Sample . AR Samples Collected 

Concentration Collected LMD 

^1 © C\ Ab iS \ C>pm H n Date: 1JI3/^ £9 F >pm 0 [3 Time: i>'. 1^ 

>pm n, n 

r\(T\ \ * Samples Analyzed r3«»M \p C >pm Ql CH 

^?P1 f

 f >pm H D XRf -Unit: ol\ Book 

F>pm n n Date: ^A FM

•^>SS- PPm D D Ti me: ' 

Number of Samples = Staff: CoO «/ i ol r 

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Omaha Lead Site 46130 
Agreement to ailow access to 

©mate L© the property in order to conduct 

a

t» environmental sampling and to 

remove lead-contaminated soil 

ProtJeai Tec&aoiogies, Lac. (Pradlegrf) is uadar contract wish tile U. S. Eavkoajmaaslial ProtedioEi Ageacy 

(EPA) to dess ug>lead-coatamaasted soils at a member of properties iocated ia Omaha, Nebraska, 

kdudsfflg {foe property locedsd at )^ V^ iVlAK^,^. c»^ SU--. Hie EPArequests you? 

pemnSSiOffi iS aliuw rsuuau: tu jpedbmS a Soil CiSeSisp at {JgS pfufJEsty to femOVe iead-COmamb^tfid Suil. 

By sigaifflg (Sas fbi-m. &ae a-oaeni owiaa y owiaaf gfafaaia s easissioffl to Pmclest to jparfoinzH aciaviiies related to 

cleaai^) iiidu^iag soil saasoifflg, s-ee&oval of iead!-co2Hi£inras!ated soil, sad restmrs&oa of &e refercsiced 

isaflg iJoe o'^saeir'ii sigfijatee oa Sias fosiaj, PiiMJaat Tecfcaologies, lac.wail cmiiact &e 

owssc? (ead residaate) wstiaa ifes aex* few weeks to coorfeafte perforasEsice fee work. 

If you have any ojjestiojss aboui liae soil deaTM^» gjlaamiedfiisryou? p'operiy, please cosaiact Pmdast's 

AdSmanisteative Clerk for &a Oaasfes Lead Site deasm^, Ms. Cwdic Hkids at (402) 504-1004. General 

questions aboui Jiie Osmiha Lead Siie deaiaaig* ctsa be sSffecSadl to &e EPA 

(402) 731-3045 (sou& OmE^ia office) oir (402) ^91-9583 (aiosA Ornate 

Propsr4y Access 

Owoer SigBatase: 

(Dnte) 

8TV DKKFORGflATBOKI 

(To be coEijplcAea &yreadsd s^ifl/or prffigisij JCTIIET -

QJwnar 

RESIOEMTfiDDRESS: 

IF REMTOL. PROPERTY O^tJED BY: 

OTHER'S OAILCJG ADDRESS; 

OWMER'STELEPHOMEtJUnBER-HOdE: f^tTli ^-f.fl '" 

AGE OF (J\l YEARS. HOWLOMS MA»JE HERE? 

HAS THE EKTERIOR SEEM PAINTED OR COVEREDWJTH SOJIMG SStJCE 1S787 HO 

HUC31SER ©F OCCUPANTS UMDER 7 YEARS OLD: /^) HUKBECl©r OCCUPAMTS7 YEAtlS OLD ACJO OLDER { 

MUC3BER OF CHILDREN UCJDER 7 YEARS OLD WHO PLAY C3 THE YARD FOR 5 HOURS OR CORE PER WEEK: 

COC3UEMTS OR SPECIAL IHSTRUCT10MS: (I.E. DOGS. EMTRY GATES.ETC.) 

AUTHORITY FORENVIRONMENTAL RESPONSE ACTIONS: The activities to be implernerted by EPA under this 

agreement arepursuant to Sectisi 104of CERCLA,42U.S.C. 9504. EPA'srighicf access to the property is 

provided for in Section 104(e) of CERCLA, 42 U.S. C 9605(e), which provides entry fear "detemining the nesd for 

response, cr choosing or tailing any response action under this title, or cIh£T,?iss enforcing the provisions of the 

title." 
_ AgreenAHo allowaccessto 

©maha Lead ~ / $fifa v the proWty in order to conduct 

Site Remedial */\?K? ? environmental sampling and to 

remove lead-contaminated soil 

Prudent Technologies, Inc. (Prudent) is under contract with &e U. S. Environmental Rotedsoa Agency 

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

including foe property located at /%/y /fletir\<J&rSort STT The EPA requests your 

permission to allow Prudent to perform a soil cleanup at this properly to remove lead-contaminated soil 

By signing Shis form, the property owner grants permission to Prudent to perform activities related to the 

cleanup iadudiag soil s&npliag, \ emov&I of lead-cGiitamiQated! soil, gad f estof atios of fee f efereoced 

property. After obtaining the owner's signature on this form, Prudent Technologies. Inc. will contact (he 

property owaer (eadresioeife) vnmm ma next few weeks in cooromara peibfoaeace ma work. 

If you have any questions about die soil cleanup planned for you? property, please contact Rudent's 

Admiuisfrative Cl&rk for foe Omaha Lead Site cleanup, Ms. Cyndie Hinds at (402) 504-1004. General 

questions about the Omaha Lead Site cleanup can be directed in the EPA Public Information Centers at 

(402) 731-3045 (soufe Omaha office) or (402) 991-9583 (norfe Omaha office). 

Property Access Granted By: CL 

(Phaa? PriniNnm») 

r n / ^ri 

Property Owner Signature:( 

(Date) 

PROPERTY 

(To be completed by readent and/or property osaa" - pleas priat) 

RESQEMTNAOE: _ gpwnef Qenter 

RESDENT ADDRESS: 

RE WTOL. PROPERTY OWNED BY: 0^1 

GOFER'S TELEPHONE NUMBER -KOBE: fe? \ 4(5^" ^^-^ WORK: j j 

AGEOFHOHET: < YEARS. HOWLOMG HAVE YOU LIVED HE RE?_ YEARS. 

HAS THE EXTERtORBEEHPAMTEDORCOVEREDWfTHStDMGSIHCE 1978? _ YES 

NUC3BER OF OCCUPANTS UNDE R 7 YEARS OLD: %Q MUC3BER OF OCCUPANTS 7 YEARS OLD AMD OLDE R c3. 

MUC33ER OF CHILDREN UMDER 7 YEARS OLD WHO PLAY M THE YARD FOR 5 HOURS OR HORE PER WSEK: 

COE3t3EMTS OR SPECIAL CdSTRUCTOMS: (LE.OOGS.EHTRY GATES. 

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

agreement are pursuant to Section 104 of CERCLA, 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 9o"05(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 of the 

title" 
&EHV

 

EPA Property Close Out 

Property #: 32739 Property Address: /f/9 f1<**oe*s<>» 

Date/Time: /O/3O/O? Owner's Name: Chnttet s-H*t**r 

Quads Excavated: Contractor Group Prudent 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? 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? S 

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) ** 

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

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

time period) ,/ 

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) •­

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

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

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? tS 

2. Was damage to walkway surfaces avoided? IS 
Owners comments: 

Inspection notes: 

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

EPA Representative fl**. &~ Date: 
32738

 

AJ 

Omaha Lead Site Exteifor Paint North Arrow Ovu.er Name: CHARLES STEWART 

Sit Q Good / e Sketch Address: 1619 MANDERSON ST 

Phone: H: W: @ ?/29 Not paint « 

Sample Number

 Lead Sample ..g Samples Collected

 

Concentre ition Collected

 Firm: M£^ BHVPA

 

RYASCPXA-32738 fFI] ^T^Yi ^/ppm pf n Date: 7//3/*y

 

RYBSCPXA-32738 F2 ,0 C i \ ppm 0 n Time: j">'. Ift

 

rrypTTVA T"7iA m ' W

\r\iv11| f I I I L_^ LJ Samples Analyzed RYDSCPXA-32738 B2 ^ \P ppm pf PI 

RDZSCPXA-32738 DZ 0)^ Jl_^ pom [t |~| XRF Unit: O \ \ BookH H

 

RGZSCPXA-32738 Wi ppm n n Date: ^\ -3J( -Q^

 

RPZGCPXA-32730 PZ- ppm Q D Time: P fV\ ' 

Staff: k. 'oO Number of Samples = ) ^ i D I r 

&u 

Omaha Lead Site 46130 

rt^ 
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 (90 days overall, 30 days on sod growth guarantee) except those items listed below, 

if any. 

Property ID: \ n -i o o 

Property Address: «•£• ^ [ Q ^ys. 1 C*POwner: /"* 0_ (\ QL, ^_ 

Phone: ^.^- f _ r o ! Vjo-"? ^ ^M o f •—^ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

 I I do not agree restoration is completed 

Owner's Signature Date 

I
Find Record Clean Up Query Lead Remaining Query Property Damage Query 

Owner Occupied 

Owner Name: 

| STEWART CHARLES 

Owner Addressl: 

Owner AddressZ 

J5522 N 56 ST 

City: State: Zip Code 

| OMANA NE J68104 

Owner Phone: Alternate Phone: 

Resident Name: 

[TENANTS 

Property Address: 

1619 MANDERSON ST 

Zip Code: 

J68110 

Resident Phone 

JPRUDENT2007 

Group: 

Qualifying Group 

|800 

Assessment XRF Date: 

Assessment Max XRF Value 

? 

P 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

1513230000 

STEWART 

CHARLES 

1619 

MANDERSON 

ST 

OMAHA 

68110 

5522 N 56 ST 

OMAHA 

NE 

68104 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal2 

Legal3 

Legal4 

Assessor 

Website Link 

03-15-13 

KIRKWOOD ADD 

7 

4 

E 32 W 96 N 120 FT 

32X120 

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

accountno=R1 51 3230000 

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 = 37 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 7/16/2007 
r Find Record dean UpQuery 1 Lead Remaining Query j Property Damage Query j Close 1 

Sample Area: 32738 - 1619 MANDERSON ST 

Owner: Resident: Contract:

 

D Owner Occupied Resident Name: Contractor: 

Owner Name: [TENANTS JPRUDENT2007 

/i^.^flk

€ 

(STEWART CHARLES 

Owner Addressl: 

Owner Address2: 

Property Address: 

J1619 MANDERSON ST 

Zip Code: 

J68110 

Group: 

j 

Assessment: 

J5522 N 56 ST Resident Phone' Qualifying Group 

City: State: Zip Code: I J800 

JOMAHA JNE J68104 Assessment XRF Date: 

Owner Phone: Alternate Phone: j 

•j i Assessment Max XRF Value: 

^Y —^ * * Q f ./ j 889.43 

. 

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