TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: 27002 DATE: 1/15 

ADDRESS: 2536 PARKER ST 

REMEDIATION CONTRACTOR: PRUDENTTECHNOLOGIES. INC. YEAR: 201(|) 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

[^ PRE AND POST VIDEO OF PORPERTY (DVD) 

m EXECUTIVE SUMMARY 

EPA-PROVIDED PROPERTY SKETCH 

SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

n SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

Q RESTORATION AGREEMENT 

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

ID CONFIRMATION DATA 

0 PHOTOGRAPHS 

III AS-BUILT SKETCH 

Cl SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

d PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

• DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

• UTILITY CLEARANCES 

PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

D 

D 

D 

^ Vy y\\i\\\ 

SIGNATURE DATE 

30218370 iili 

Superfund 
PROPERTY SUMMARY 

Date: /15/2010 Oniaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l Month of: 

Property Address: 2536 PARKER ST 

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: 

B2 = 391 PPM @ 6"; EA = 295 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 sketch ­

i) Shall include final lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv):[iBVID 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. 
Find Record 

Backfill: 

Remediation Query Lead Remaining Query Property Damage Query 

Sampie Area: 27002

Owner: 

­ 2536 PARKER ST 

User Provided Owner Information Resident: 

n Owner Occupied 

Owner Name: 

IMOBECO INDUSmiES 

Owner Addressl: 

Owner Address2: 

111413 HICKORY RD 

City: 

lOMAHA 

Owner Phone 

1(402) 342-2820 

State: Zip Code: 

INE )68144-

Altemate Phone: 

Owner Name: 

Owner Address: 

City: 

Owner Phone: 

State: Zip Code: 

1 

Alternate Phone: 

Resident Name: 

Property Address: 

|2536 PARKER ST 

Zip Code: 

168111-

Resident Phone 

I 

Contract: Assessment: 

i Contractor: PRUDENT2010 S Qualifying Group 400 

Contract Option ]OPnON 2 Assessment Max XRF Value 483 
LMUm-MX 

'TECHNOUXJIES. INC. 

Property #: 27<^2- -

Date/Time: 

Quads Excavated: ^02— 

EPA Property Close Out 

Property Address: 2.53 6 (^^rt^r 9 k 

Owner's Name: rAob€<f^ 3r ^ -

Contractor Group: Prudent Technologies, Bmc, 

Excavation General Yes No 

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

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

Grading Sod and Vegetation Ye9 No 

1 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? ^ 

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. Arc tlie joints between die sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) y

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

7. Was damage (0 landscaping or plant materials avoided? y 

Gates, Fences and Retaining WalJs .Yes No 

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

y 

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

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

4. Was damage fo retaining walls avoided? (If applicable) ^ 

Foundation, Siding and Gutters Yes No 

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

I. Was damage to the fomidation avoided? y 

Was damage to windows avoided? 

4. Was damage to windows or door screens avoided? y 

5 Was damage to downspouts or downspout extensions avoided? y 

Sidewalks and Privcways (Concrete) Yes, No 

1. Was damage lo driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

/ 
Owners comments: 

Inspection notes: 

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

EPA Representative '^'^3 ^ ^Date: W^"^ 
HTHNOLOGIES. INC. 

AS - BUILT DRAWING 

OLS # 27002 

Date Excavated: 10/20/2010 OMAHA LEAD SUPERFUND SITE ISEPA Signed-OfT Date: 

27002 

Omah Exterior Paint a Lead Sit* 

Sampling Addrass: 2536 PARKER ST Site Sketch • Good 

n,Poo r 

Phone: H (402)342-2820 ALT: 0 Not paint \ 

Sample Lead Sample Samples Coliected Number LAB ConcentratiOfi Collected Firm F/>>4 F3-Oe> 

RYASCPXA-27002 F1 . ppm D Date: f-IZ-o:] - RYBSCPXA-27002 F2 =^^2 . PP"i D Tlme y • ?6 ^/y? 

RYCSCPXA-27002 Bl 37 2 ppm n Samples Analyzed 

RD^SCPX;

RYDSCPXA-2700

^ 37003 

2 82 JLfld. . PP"! i D

-ez ppm XRF Unit ikSHl Book: id f 

nozocrxA 3700? D D

ppm Date: a • H ' <?? 

nngCCPXA 27002 -PB- ppm D D

Time: ,AtI 

n n Staff: AteW Number of Samples = ULegend: Fl • Front Left F2 = Front Right. Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ -Play All quadf ants are as viewed from the street, facing property 

ENTERED 

i\il I 7 2007 

& 0 mB2 = 39l PPM@6 " 

371 H83 

.S> 1 i} 

^ L CL 

^ ^} 

^.3 

F/ F2 ^ ? 

3 0 5 a3z 

I 

- ^ I'lAl K 

farjiiir J t 

Crcac E.4 = 295 PPM a SCRAPE (~1"> d cl^'Min lo-UW 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
^JBV< 

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: 

Property Address: '^ <y O. C. 1 Vur^,r S^h 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

agree restoration is completed. 

L J I do not agree restoration is completed at (noted deficiencies above) 

A^coSltd i .^^J'^c Lu, I1/9.3//0 

^ p" Date 

(yA\Ay>y)i^<6^^^ 
^"^m. 

Prudent Technologies, Inc. (Prudent) is under contract with the U. S. Enviromnental Protection Agency (EPA) to clean up leadcontanupated soilaat a number ofgroperties located in Omaha, Nebraska, including the property located at 

rJiC)-PJy rQiJL&A o ' The EPA requests your permission to allow Prudent to perform a soil cleanup at thi.s 

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 Iead-contaminaled soil, and restoration ofthe referenced property. 

Ifyou have any questions about the soil cleanup planned for your property, please contact Prudent south office for the Omaha Lead 

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

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

Property Access Granted By: S^IJ^/j/H l /S^Off. e LCO F Q ^ I^^OXRe P O X"^!^ ' JZ>'« ^ 

(Please Print Name) 

Property Owner Signature]^ 

(Date) 

'PROPERTY INFORMATION 

(To be completed by resident and/or property owner — please print) 

RESIDENT NAME: \)/kCJ^/JT /-Of (_ (^Owne O Renter 

RESIDENT ADDRESS: 

J,??A pAfike/i x r 

IF RENTAL, PROPERTY OWNED BY:

/yjL 

OWNER'S MAILIN.INGG ADDRESS ADDRESS;; ^ ^itttT 

OWNER'S TELEPHONE NUMBER - HOME: jtOi^ ) 3 l 1 ' ^ R ^ O WORK: 

J L 

AGE OF HOME?: ^j\ ^ YEARS. HOW LONG HAVE YOU LIVED HERE? NJ ^ YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? YES NO /^ / Pf 

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

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.) 


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

are pursuant lo 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, oi- choosing or taking any response aclion 

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

8080 Ward Parkway, Suite 405 66G0 S 10 St 4242 Medical Drive, Suite 42S0 

Kansas City, MO 64114 Omaha. Nebraslta 58107 San Antonio. TX 78229 

Phone: (816) 363-3703 Phone: (402) 733-1188 Phone; (210) 822-9588 

Fax:(816)363-3707 Fat: (402) 733-1883 Fax:(210)579.6577 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC, SERVICES 

^ Property Status Form 

Address: Xj^<'^<^^ A VAoreXL o ''^ PpODerW ^ ^^*^' 

Phone: BVID: 

O L CAWV- to ^ 

-c^^t^ZQ Y^cxhoc^^ (K^ ^ -M o ptrii. 

Q^e 

8080 Ward Parkway, Suite 405 5600 S 10 St 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68107N San Antonio, TX 78229 

Phono: (816) 363-3703 Phone: (402)733-1188 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)733-1883 Fax: (210) 579-6577 
o 7002 

Omah Exterior Paint North Arrow a Lead Site 

Q Good Sampling Addrms: 2536 PARKER ST Site Sketch 

g^Poor 

PItOfW: H: (402)342-2820 ALT: ^ Not paint f 

Sample Number Lead 

Concentration 

Sample 

Coliected LAB 

Firm 

Samples Coliected 

RYASCPXA-27002 F1 3 0 5 ppm D Date 

RYBSCPXA-27002

RYCSCPXA-27002

RYDSCPXA-27002

 F2 

 B1 

 B2 

A12. 3 72 

ppm 

ppm 

ppm 

D 

D 

D 

Time u , ?<0 fry] . 

Samples Analyzed 

nDzccpX;^ 27002—ez ppm D D XRF Unit: LSH2 Book: [ ^ 

RGZGCPXA 27002 G^­

R^zccp^^ 27002—PZppm 

ppm 

D 

D n Date: B • i J

Time: A M 

­ Q l 

Number of Samples ~ A Staff; m i 

Legend: Fl = Front Left, F2 = Front Right Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Gandem, PZ = Play 

All quadrants are as viewed from the street, facing property 
253

6 Parker St 60x30 

A 

- « i Printed: Nov 30, 2010 www. dcgis. org/dogis 
Page 1 of2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

• YOUR TICKET NUMBER IS 2618623. 

Original Call Date: 10/15/10 Time: 4:00 pm Op: SIVA18967 


Work to Begin Date: 10/19/10 Time: 4:30 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2536 Street: PARKER ST 


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


: 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 LEVEL3 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVELS COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICHATRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

http://www.dhon.org/irthmternet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/15/2010 
Page 2 of2 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING At: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/15/2010 
TEOHNOLOraB. mc. CONSTRUCTKWy 

SOLUTIONS 

SITE SAf^TY HAZARD ANALYSIS 

Address : -^£L-4.-j(^life:^^ Excavation Date: 

Crew: BackfiU Date: 

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 

Condition Hazards Corrective Action 

< ^ ^ 

e^ 

(h^' \c? 

O/c 

a/*­ m 

Pc^ ^ 

CS'^'C^ 

t^^k^ 

CJ* — 

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^__ — 

Site Safety Office 

Date: 

m o WtatfVarfcmy. Sirito405 SSOOSIOSt 4242 Medical Drive, Suite 7250 

(ana s Citr;lK>«4114 Oiittta, NabnAka «8107 San Antonio, TX 78229 

ihone: (SIS) 3O|3703 Plwna: (4fl2)733-11SS Phone: (2t0) 8224588 

Fax: (402)73»«1S83 Fax; (210) 5T9-6577 
^d^ta. 

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