TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#; 26556 DATE: 12/15/2010 

ADDRESS: 3432 DECATUR ST 

REMEDIATION CONTRAaOR: PRUDENTTECHNOLOGIES. INC. YEAR: 2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

d PRE AND POST VIDEO OF PORPERTY (DVD) 

d EXECUTIVE SUMMARY 

d EPA-PROVIDED PROPERTY SKETCH 

d SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

d RESTORATION AGREEMENT 

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

d CONFIRMATION DATA 

[/PHOTOGRAPHS 

U AS-BUILT SKETCH 

d SATISFAaORY RESTORATION SIGNED BY PROPERTY OWNER 

d PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

d UTILITY CLEARANCES 

d PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

n 

D 

D 

3hili> 

SIGNATUR NATUREE - DATE 

30218414 

Superfund 
Find Record Remediation Query I Lead Remaining Query 9 Property Damage Query 

Backfiii: 

Sample Area: 26556 - 3432 DECATUR ST 

Owner: 

• Owner Occupied 

Owner Name: 

jWHUE ANTONE D 

Owner Addressl: 

1 

Owner AddressZ: 

J3512 DEWEY AVE #5 

City: State: Zip Code: 

jOMAHA |NE J68105-

Owner Phone Altemate Phone: 

j(402) 714-2400 

' 

Contract: 

Contractor: PRUDENT2010_S 

Contract Option jOPnON 2 

User Provided Owner Information 

Owner Name: 

1 

Owner Address: 

! 

City: State: Zip Code: 

1 1 1 "•-• • 

Owner Phone: Alternate Phone: 

1 

Assessment: 

Qualifying Group (400 

Assessment Max XRF Value j " 490 

Resident: 

Resident Name: 

I 

Property Address: 

|3432 DECATUR ST 

Zip Code: 

|68111-

Resident Phone 
PROPERTY SUMMARY 

Date: 12/15/2010 Oinaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l Montli of: December 

Property Address; 3432 DECATUR ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Infonnation: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl = 190 PPM @ 6"; EA = 200 PPM @ SCRAPE (~1") 

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, 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 ofareas not meeting Interim ROD cleanup criteria. 

TECHNOLOCiES. INC. 
TECHNOLOGIES, INC. 

Property#: h^^'~^ ^ 

Date/Time: 

Quads Excavated: r / 

~~ ti' 

EPA Property Close Out 

Property Address: 1^^2 - OcS^^ ^ 

Owner's Name: ^ V<\<3T^ € cOkYV ^ 

Contractor Group: Prudent Technologies, Inc., 

E.\cavation General Yes No 

1. If necessarv, were the correct quadrant(s) excavated and restored? J 

2. If necessarv, were the correct areas of drip zone excavated and restored? / 

Grading Sod and Vegetation Yes No 

I. Does the grading around the perimeter of the house in excavated areas generally slope away 

from the house? ^ 

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

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

diiy time period) y 

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

5, Arc tlie jonits between tlie sod strips generally liglit? (Only evaluate if inspected at a 30 day y tune period) 

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

7. Was dainage to Lindscaping or plaiit materials avoided? 

y 

Gates, Fences and Retaining WaUs Yes No 

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

2. Were all gates or fences taken down during restoration activities reinstalled? (If apphcable) y 

3. Was dainage 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 tlie foundation avoided? 

3 Was dainage lo windows avoided? y ^ 

y 4.

 Was damage to windows or door screens avoided? 

y 5.

 Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete) Yes No 

1 Was damage to drivewav surfaces avoided? 

Was damage to walkway surfaces avoided? 
Owners comments: 

Inspection notes: 

v^^*' 

y ' y 

y" y 

-i" y y ,.y 

yyy y^ .^.' 

t y 

^y^ y 

^y y 

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

EPA Representative n^^Jl Date: ///^/^ 
CHNOLOGIES, [NC. 

OLS #26556 

Date Excavated: 11/02/2010 

liSEPA Signed-OfT Date: 

Sampling Address: 3i-5C .

Sample Nutnber 

RYASCPXA- QGS5C F1 

RYBSCPXA-,?555C F2 

RYDSCPXA-jS><255^ B2 

ROZSCPXA-gC5'5g &g 

RCZSGPXA- t?g5arg OZ 

RPZOCPXA- CZ^S C "P^ 

AS - BUILT DRAWING 

OMAHA LEAD SUPERFUND SITE 

Omaha Lead Site 

Site Sketch 

 PeCafu r <3 t 

Lead Sampie 

Concenlralion Coticcted 

ppm sf. _Ln. 10S 

ppm 

ppm 

ppfn 

ppm D 

ppm a 

ppm D 

Number of Samples = Ji 

LAB 

D 

D 

n 

D 

D 

D 

D 

n J 

tSy53 ^ 

Exterior Paint North Arrow 

• Good 

0 Not paint 

Samples Collected 

Firm:

Dste:

Time:

XRF Unit:

Date 

 F M t>R-Jh 

fe-a5-^fe 

 I '-36 fr^ 

Samples Analyzed 

 dSHC) Book.: 21' ^ 

- 1 ^ • o S 

Time ^ 

Staff: rn.^i^ 

Legerkd: F1 = Front Left, F2 = Front Rigtit, B1 = Back Left. B2 = Back Right D2 = Drip Zone, GZ = Garden, PZ = Play 

Alt quadrants are as view«<J troTn th« str«e1, facm^ property 

S£P-t.7 . 

i f 

^ 

.l.2Je. 

X i 

y 

13^. Fl = 190 PPM ro 6" r F! r^ 

•©• 

iAA^ 

De;<:/t,tv./C-.st 

RwilKiS.EL CM3I0J. WM.f,-

K,A = 200 PPM ro] SCRAPE (-!") 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
RX P.002 Date/Time 11/23^0 16:41 

11/23/2010 TUB 16! 33 PAX ^ QI002/003 

SEFW 

Property Completion Agreement 

Thid agxeeneat dpcumeals the cotnpletioo of rexnoval aictivities perfonned on tbe below listed propefty. 

Tbe propocty ovvoor's sigDature indicates tihat the pioperty ovm a is satisfied with the restoration ofth e 

subject property, and that oo itenu are in qoanGDa, now, or at any time in A e Aiture. excluding any 

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

Property 0): 

Propevtjr Address: "^^gf i ![;^*. r^cJr^* ^ «r1^ 

^'^ ' ArNVL« ^ . T^ VO^A'^ ^ . 

Pho«e: ^,^ _ a.M0 O 

RAStoration Items in Question: 

Item: 

Itttm: 

Item: 

Item: 

Rem: 

ttem: 

Required comctfon s t o complet e the property: 

J\ ] I agree restoration is cocnpleted. 

L J I do not agnse restoration is completed at (noted deficiencies alx>ve) 

(yd^^, AaiJ/^ 

.Owner's Signatore Date 

SOO/ZOQTd OQfil ZS:Sl OlOZ/EZ/U 
l/^ ( P.002 

10/29/201 0 FRI 14)3 2 FAX ei002/003 

RX Date/Time 10/29/2010 14:39 

——•— . . . . • 

P.002/003 •^iiw2ffl2crfr^rtio8" w~ 

ftudMicTNhnologieaklna (PradoiOiiuodGrcMlrMvridi iheU. S. Bnviramentil Pmeelion Agency (EPA)lodeuif leadooBlaita^ laflK tf a miiite rfpiCMitiei iMOied ID Ooub^ Netndc^ to 

jy^?Z - jTTfc/'^^/'.LATlieHPAiBiiiietoiwMfDeiMlalantoanowlYBAittPiw^^ 

pnpertytoiemoralead-eoalaminalBdsail. By 5tgaillg1hilfbln^ibc|napertya1awgFMl&pc^llissiM to Pnident lopedbnn 

ictividei felOBd t»the dcnnp inctadingMQ tanpUn& ceqMinl sflctd-oooti^ 

tf vou twe anyflUMliemabout Ifae toil dcamatPlimiedarvaurTBtiDcrtr.ptoiecBnlactPnidemSDiilhOi^ 

Lead Sit* eI(tttupL.tt (402) 733-11 B8;73J-1455. Oeaeral^aetliantabeut^OmahaljaalSlMeleaAqpem^dinacedlothBBPA 

Public InfimiiatbiD Oonm at (402) 7314045 (South Omaba offiM). 

PwiertyAccBBiCimlEdBY: /MTAfua . D . iAtJ ^ 

(PlMtePiintNaaie) 

Propeny Owaer Sleiatwe: | 

(Sipiaoin) (DHU) 

PROPERIYINFORUATION 

(Te be completed by rccldcot and/or property owacr - pleaR print) 

RESIDENT NAUE: /^fa^i P A^y ^ Ranler 

RESIDENITAOORESS T AOORESS:. ^ .

IF REKTAL, PROPpnY OWNED BY: 

OWNER'S MAILINO ADDRESS; 

OWNER'S TELEPHONE NUMBER-HOME: (4lt> ^ ^^ V " ^/<^ 0 WORK: 

AOEOFHQUE?: YEARS. HOW LONG HAVE YOU LIVED HERE? YEARS. 

HAS TNE EXTERIOR BEEN PAINTED OR COVERED VflTH SIDINQ SINCE 19787 _YES No 

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

NUMBER OP CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEBC 

COMMENTS OR SPECIAL INSTRUC7X>NS: (LE. D06S. ENTRY GATES, ETC.) 

AUTHORTTY POR ENVIRONMENTAL RBSPOMSEACnOMS; Theactivitie(lobe<n|ilanen4dbyEPAUDdcriiiisteM»>ait 

iPB pianamt to Section 104 ofCEKOA, 42 U.S.C 9604. EPA'srielMOfneocn to tbe piopaty is pnxrided ftr in Scsiian 104(e) of 

CERCL\ 42 U.S. C 9MS(e}, v^hidi pravldes enuy <bt *detennioIiigthe need Ibr nsponic, or cbeotiag or Bd ^ acQr icspei^ 

tndertliii iitle^ oi oQiMwiw (Bftreiag tbe pigviiiooa ofdia title;" 

80B0 Wanl Parkway, Suite 40S SSOO 8.10'" Street 4242 Medical Drive, Suite 4260 

Kansas City. MO 64114 Omaha, Nebraska IB107 San Antonio, TX 78229 

Phorw. (K16) aed-3703 

Fax:(816)36M707 

Phono: (402) 739-1486 

Pax: (402) n3-1883 

Pliona: (210)822-8688 

Fax:(210)579-6577 
RX Date/Time 10 14:39 P.003 

10/29/2010 FRI 14:32 FAX M. g|003/003 

PMonos 

TECHNOLOGIES, IfiC. 

I f I 

ENViRONMENTAL & 

CONSTfiOCnON 

SERVICES 

Address:. 

Phone: 

Property Status Form 

^»^'

BVID: 

 /0/z9/lO 

yCLinJ -

3 iProperty Owner Pnident Employee 

Signature: /Ak ^ / ? jjuht ^ Signstare: 
Omah Exterior Paint North Arrow a Lead Site • Good Site Sketch k • Poor 

Sampling Address: _ 34^ ^ i2a2^Ay r 6 t 0 Not pamt 

Lead Sampie Samples Collected Sample Number LAB Concentration Collected Firm rM PByp _ RYASCPXA-2G55(;F1 D Date 

RYBSCPXA-<f555C; F2 I 31 ppm D Time 

RYCSCPXA-^(i"55^ B1 Z 9S ppm D 

Samples Analyzed RYDSCPXA-jf(^55(^ B2 / Z 6 ppm I D •ReZSCPXA-gt^JJt^ DZ ~~ ppm D XRF Unit: GSH D Book: 21" ^ 

RCZCCPXA CC5 ^ CZ "•" ppm D D Date ' / ^ - c-Qg 

ppm D D Time 

D m . Staff, r?.5L..> Number of Sam pies = j 4 !J2.. 

Legend: F1 = Front Left, F2 = Front Right. 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, P2 Play 

All quadrants are as viewed from the street, facing property 

S£P-1 .7.>Ma----; 

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< ;z^5-.. In 14^ / 

52^ 

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Rev 2:i»8B 1 L Cre «L-d. )6-!vf4y •o;-' '.*1,4I 
343

2 DECATUR ST 

A IP iihJ T Printed: Dec 02,2010 

www.dcgis.org/dogis 
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Create Another Ticket Back to Irth Intemet Send Email j^VjAa*r*^^Li.->'./ ^ ..•'••J­ . :. • ^---.-. i • .-.•.^w^lC^^.^b•'^^m»^>-•*«n^..T^J»" ­ .r . 1 • ...•f».:^...'n...:..-.M..^.4l­

• YOUR TICKET NUMBER IS 2630014. 

Original Call Date: 10/29/10

Work to Begin Date: 11/02/10

 Time: 3:14 pm 

 Time: 3:45 pm 

Op: SIVA18967 

State: NE 

Address: 3432 

County: DOUGLAS 

Street: DECATUR ST 

Place: OMAHA 

Twp: 15N Rng: 13E Sect-Qtr: 16-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Lead Soil Remediation Project 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: 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: N Front: Y Rear; 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVELS MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number 

utmty 

Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

LEVELS 

LEVELS COMMUNICATIONS, 

LLC 

NA 

Day: 8773668344 

AH: 

Emerg: 8773668344 

MUDOl 

METROPOLITAN UTlLrnES 

DISTRICT 

SANDY 

Day: 4025047823 

Ak: 

Emerg: 4025047970 

OMAHACOF 

CITYOFOMAHATRAFFIC,SEWER 

RICH/TRAFFIC

Day: 4024447197 

 AH: 4024445161 

Emerg: 4024445160 

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0PPDGPR5 OMAHA PUBLIC POWER ELM

^Day : 4067289343 

 4062071494 

uffuui-i o DISTRICT LOCATING ^ ' ^"^^"^^'^^'^ 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK

FTM 

 T^^A^TTXT^

LOCAllN O 

Day: 4067289343 

 Ak: 4062071494 

Emerg: 8887289343 

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ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

Site Safety Hazard Analysis 

Crew: ^ Bf. 

Date= ll'- y lO 

CQixectlye 

Item Condition H^zardS^ 

Overhead Lines 

Gas Line 

Water Line lywy 

Sewer Line 

Septic / Leech 

field 

Propane/Butane ^ y 

Sidewalk ^ o r C/^cK Ply i^acyA- /' b/ x 

^ 

Foundation ^ ^ 

Retaining Walls 

Fences 

Trees/ Bushes SZ LyyfC^h AOoJ '/-O 

Structures ^^^< ^ 

Driveway ^ 

Sprinkler System 

Other 

Crew Foreman Site Safety Officer 

<y ^ <v-rT^. 

8080 Ward Partcway, Suite 405 2505 N. 24*" Street, Suite 308 4242 Medical Drive, Suite 7250 

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