PROPERTY SUMMARY 

Date: 12/12/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: December 

Property Address: 2431 Patrick Av 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: 

A.2 Issues Resolved: 

A,3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl - 183 @ 8" 

Bl - 155 @ 8" B2 - 222 @ 8" 

El - 194 @ 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 meedng Interim ROD cleanup criteria. 

n-0 

40293360 TECHNOLOGIES, INC. 

Superfund 
y'sr^r ^ 

'^y-W§L 

27431 

Omaha Exterior Paint North Arrow Lead SMe 

^plln g Addiws : 2431 PATRICK AV SHB Skoteh • Good 

• Poor 

Phone: »• (402)234-2820 ALT: 

o f Not paint [ 

Sample Lead Samples Collected Number 

Concentration Fimi: PpA I>g'CC 

RYASCPXA-27431 F1 5&5 Date: 7 - \Z - bl -

RYBSCPXA-27431 F2 

Time: M;</.? MTh 

RYCSCPXA-27431 B1 

Samples Analyzed 

RYDSCPXA-27431 B2 

RDZ9CPXA'27401 BZ XRF Unit fl>^*/2 Bo(M:iM^ 

RQZ3CPXA'g7401 62 Date: fJ-IH-Q-J 

RPgOOPXA'g7401 Pf-

Time: PtA 

Staff: MAu / Number of Samples = | U 

Legend: Fl = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone. GZ = Garden, PZ = Play 

AH quadfant» aw a|g^\j[ey^from the straet. facing property 

I 

• & 

£!NT'ERED 

437. JUL 2 7 tm 

2431 UW\LY^h/. 

y L o ^ 

V>/C3 

9'i(ftN.< ,ey^t' 

:.c^ . 

.565 /.85.. 

..FJ Fz 

sazs: 

Rev5 Created: 7/9/2007 11:06:IS 046141.0123 
^^ ^«i-.«^,^^ Agree^pit to allowaccess to 

Omaha Lead ' ^ ^r ^ ^ v the propertyin order to conduct 

Site Remedial |^ \^W ? ^ environmental sampling and to 

Aetion | V«MSvwr;^' remove lead-contaminated soil 

Rudest Tedmobgies, Inc. (Rndcnl^ ts uoder confract vnh Ate U. S. EnvinnmeBtBl Rotedion Agency 

(EPA) to dean np lead-coatamtiiated soils at a mtoibar of properties located in OknAa, Ndiraska, 

indndii ^ die properly loorted at O.y^'XK 'PaV-nrJf A.iiu. The EPA reqpieste your 

penuission tB dlowRudenttDperfbiiuasoildeanup at fliis property to remove lead-cosfaBunatedsoiL 

By signing dns fiiim,diepnyerty owner grants penuission to Audentfo perfimu adivilies related to flic 

deannp indudtng soil satipling, renravd of lead-oontaaunated soil, end resforalion of die referenced 

property. Aflar obtaining die owner's signatnre on dus fium, Rudcnt Tedmobgies, fac. will contact die 

property owner (and residents) widiin die next few we As to coordinate perftrtnance die work 

Ifyou have any qnestiotis diontdie soil deaimp planned for your pnyeriy, please contact Rudenf s 

Adininistrtfive Cledc fbr die ObuhaLead Site deanup, Ms. Cyndie Btads at (402) 304-1004. General 

qjueslions dMiut die Omdia Lead Site deanup can be dtrected to die EPA Biblic Itifoimafion Centers at 

(402) 731-3045 (sondi Onulia office) or (402) 991-9583 (nordi Otaiaha offic^. 

Ruperty Owner Signatore: 

PROPERTY nFORMATION 

(To be convkted by restdeot andte propsty o««r - pkas prnt) 

X RESOENTNAME: ^/jirCA^l T Cy>J ' QJwnar Qenter 

\Q RESPEilTADDRESS: ^/J ^ 

T W REHTAL.PROPERIY OWNEO BY: 

U OWMER'SIIABJIGAOORESS; llli ^ ttl^C<^^ ^ 1 ^ 

V OWMER'SIELEPHOIIE HIHiaER-HOIIE: jf^^SX^ A '«^^< ^ WORK: j L 

V AceoPHOiiET: A ) //^uaa . HOWLOMC HAVE YOU LB/ED HERE? ^A^ ^ YEARS. 

y HAS THE EXTERIOR BEEN PAM1ED OR COVERED WITH SDH6 SMCE 18787 YES MO Af^ ^ 

y~ NUMKR OF OCCUPANTS UNDER7 YEARS OLD: NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER A^/ ^ 

y NUMKR<H>CHn.DRENUNDER7YEARSOL0WHOPLAYilTHEYAR0FORSHOURS0RII0REPER1MEER: /^ ( A 

y COUKNTS OR SPECIALBISTRUCnONS: (lE.DOGS.ENTRYGATES.ETC^ (/ACv 4 ^ T~S¥9F l 

AUTHC»UT7 FOR ENVIRONMENTAL RESPONSE ACTIONS; The activities to be implemented by SPA under diis 

agreement are pursuant to Section 104 ofCERCLA, 42 US.C. 9604. EPA'sri^ofaoces&tothepicpeityis 

provided for in Secticn 104(e) of CSRCLA, 42 US. C 9S0S(e)^ which provides en&y fir "detennining die need fbr 

re^Kuse, or ciioasingcr taking aiyie^ciiseaiticn under ddstid^ or odterwiseenlbxing die provisions of dte 

tiUa' 
^ ^ u . I J w^ .v^"''"'^*<. Agree^^ t to allowaccess to 

Omaha Lead / ^^ ^ V ttiepropertyin order to conduct 

Site Remedial \ %)^W? $ environmental sampling and to 

Atflion V*«NVw«*;/' remove lead-contaminated soil 

Rudcnt Tedmobgies, Inc. (Ruden^ is under ooidract widi die U. S. EnviranBental Rotedion Agency 

iPfJ^ to dean qp lead-amtaninatBd soils at a muribcr of pnqjierties located in OknAa, Ndua ^ 

indnding die property located at . Ihe EPA reqpesb your 

penuission to auowRudentto periotni a soil dean y at flns property to raniove lead-contaminated soiL 

By "B*'*"c ftfs rann, tfiepraperty owner granfe pcnnission to Rudentto pcrnim octivilies rdaled to die 

deanqp todBdtug soil sanqibig, removd of lead-contantDated soil, and restoralioB of die reftrenced 

pfopeity. Affcer dbtaning die owner's "S""'*^** on dus rami, RndoBt Tedmobgies, LBC wiu contact die 

property owner (andresidenfe) witfun the next fbw weeks to coordbnafe perfbrmance die work. 

Ifyou hove any (pieslioiis about die soil deanup planned fbr your property, please contact Rudenf s 

Adninisfradve Cledi fbr die QnaluLead Site deam^, Vs. Cyndie EEnds at (402) S04-1004. General 

qiieslions dbout die Omaha Lead Site doimp can be iKrected to die EPA Rdilicbifeimation Centers at 

(402) 731-3045 (sondi Otauha office) or (402) 991-9583 (nordi Qnaha offic0. 

Ruperty Access Granted By: 

0>lsa»MaNaw) 

Roperty Owner Signatore: 

PROPERTY INFORMATION 

(To be caB^lBted by Tcddnt asdte propcity OBBO'—phBB prtoQ 

RESOENTNAIK: V gt C r...*^ [jo)r- QXvntf Qenter 

RESOENTAODRESS: X I ^"T^ y ^ ^ ^^r > /W^e_: 0\^^-^>X.^ KM . ^^11 O 

V REN1AL.PR0PER1V OVWIED BY: ' ' 

OIWIER'BMAmQADDRESS: \VV>f>.tf V U cA^U^y\jL RS) (^•\^^^^KXU>^ K ^ - ^ ' 

OWNER'SlElCPHONE NUaBSR-HOME: i 1 .^_«- . WORN: i \ 

AeEOrNOMET: YEARS. HOWflONG HAVE YOU UWED HERE? YEARS. 

HASnS EXIBRIORBEEMPAIITCDORGOVEReomniSDIIOSMCe 1878? .YES NO 

NUSBER OF 0CCUMB18 UNDER r YEARS OLD: NUMER OF OGCtVAMIS I YEARS OLO AND OLDER 

NUHBEROFCHOJIRENUNDERTYeARSeLOWHOPLAYHIIMEYAROFORSHOURSORaORePeRWeER: 

CO—ENW OROTEOM.USTRUCIIDNS: (IE.D068.BNfmYeAtE8.eTC^ 

AUTHCHUTYFORENVIRONIiENTALRESPONSBACTIONS: Ibe activities to beinplanoitedbr SPAuodordiis 

agpeement are pursuant to Secttm 104 of CERCZA, 42 U.S.C 9d04. EPA's il ^ of access to dieptapeity is 

provided for in Seoifln 104(e) tf CERCLA, 42 US. C 6d05(eX which provides eatiy fir "detamining d» need finreqpoBse^ or duxsing or taldng oi^ req^onse action under diis tide^ cr odienrise enfiicing die p 

title" 
27431 Xly^^k^- ^ rily^-(y-^^ ^^/^^ ' 

Omah Exterior Paint North Arrow a Lead Site 

Sampling Address: 2431 PATRICK AV Site SIcetch • Good 

• Poor 

Phone: H: (402)234-2820 ALT: 

\ ^ Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm: 

Samples Collected 

RYASCPXA-27431 Fl ppm D Date: 7 -12-67 - RYBSCPXA-27431 F2 J_a ^ ppm D Time: /f).'/.? ^uo^ 

RYCSCPXA-27431

RYDSCPXA-27431

 B1 

 82 

ppm 

ppm 

D 

D Samples Analyzed 

RDg9CPXA-27401 BZ ppm D D XRF Unit: &SH2. Book:/fiy 

RQZOCPXA"27431 Sfi ppm D D Date: S-IH-0 7 

RPZ0Cn)(A-27431 P?- ppm D Time: ?fA 

Staff: M.SW Number of Samples = !• 

Legend: Fl = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are a&jVjew^ from the street, facing property 

ENTERED 

m 2 7M7^ 

^A^ pl>y^ &\ ^ ^ 

9fO'^^--yX(Jy • 

rv^ . 

^:^>X.y..BA.. I'i'f^^yy^myf- Rev 5 Created; 7/9/2007 11.06.15 2a 046J41.0123 

4OT mor noT Kor moT m r joor» !r'no7]ai>r»Dri[n'3Qar wi7 7ceTaxi7MOT]a)TnoT»aT]ai'ia>riea'»i)inoT]anmiTMDTnDT xoinor x»r m i x or xor 3Dor •a s M V x»t XWT IOBT KOI XOT XXIJ RSI > 
SER(V 

EPA Property Close Out 

Property #:^7yJ/ P<,htcK/f»t^, Property Address: 5Vj; P,/,<tlt fl«»c 

Date/Time: ii/Aifof Owner's Name: fftammo ttoMto 

Quads Excavated: f f m. _ Contractor Group Prudent Technologies 

Excavation General 

1. If necessary, were the correct qiia(irant(s) excavated and restored? 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? 

Grading Sod and Vegetation 

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 heahhy and growing? (Only evaluate if inspected at a 30 

day time period) 

4. Are sodded areas generally firm and evenly graded? 

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? 

7. Was damage to landscaping or plant materials avoided? 

Gates, Fences and Retaining Wails 

1. Do gates open and closefreely? (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 

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) 

1. Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces a;Voided? 

Yes No 

• 

J 

Yes No 

y 

y 

/ 

• 

y 

t / 

• 

Yes No 

/ 

y 

• 

y 

Yes No 

y 

y 

/ 

y 

y 

Yes No 

/ 

y 
Owners comments: 

Inspection notes: 

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

EPA Representative J^JL ^ Date: iilxifpy 

y 
«ER\ 

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: "^J^f-i/ 5 / 

Property Address Address:

: "yiy '2_li:k I {^^i^r/ I JOA y

Q^^*-^ Pvo^r-TNo.^

-

rv\^.r-^/ u 

Phone: 

Restoration Items in Question: 

Item: 

Hem: 

Hem: 

Hem: 

Item: 

Hem: 

Required corrections to complete the property: 

L J I agree restoration is completed, except as noted above. 

L J I do not agree restoration is completed 

Owner's Signature Date 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

Property Contact Attempts 

Property ID: <Sl") t-f S T 

Property Addressr ;^<l\j^ \ X ^ 

Owner Name; C^^, r^rcxQ > ^ —VrvJ^^o ^Lg.»— 

Owner Phone; ^e>a ~ 3 ^ a - 3L^ 9;.O 

Below please find a listing of unsuccessful attempts to 

reach the above property owner. 

Date Time Initials Result 

O ^ " yyi^.A.rrd^.Jk ^ 

CylP^ . .S^^jAy— 

^// ^ Cy^H- -77^7^J>L^>U^ 

V7r^ ^>U T£> ^ '^i,i^i-^JL ^ 

jjJ^Lk. <L?M­

//yyp -7 

Date 

Prudent Technologies, Inc. 

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, Nebraslo 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 
Name: k)/\j>n\. Date: U Ilk lip. 

No. Property Address 

^/.^) HAi^V/r A^ 

Day Care AM Landscape Others 

SYv\fil l X/yv9 CA C/>c/ i>i IflDiy^)! ^ 

\2\ P 1 «ij J 

rW\^U i h J^hriyU­ Zfu * 

i 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

cn voi-CfH,. Sdl l PA I Hi'. 

REYNOLDS NEAL R 

-' ^ 'O^V N 2 i SI 

33 ECO IND : 

ill / KA I tc. 43 1 PATRICK A V CXTYOFOHArtA >j->i p»Tr,,O f AV aiVOI-OMAHf. 

.f016 N .-'.l i l 

>515 PATRICK A V - ^ 

OTYOFOHAH ; 

•. CITY OF OMAHA 

*.' ::01 1 N 2 i S I • 

HOB ECO IN DUl 

.•UUS N .fl i^ 

DAVIS BOBBIE A " 2da i &LCNDOST > .!UU/ N 25 ST 2"»2« BLONDOSr 

Parce/ /D 2001070000 Sec-Twn-Rng 09-15-13 

Owner MORELLO Addition PATRICKS ADD Name BERNARD J 

Property 2431 PATRICK Block 6 Address AV 

City OMAHA Lot 6 

Zip 68111 Legal 1 El/2 

Owner Legal 2 Address 

Owner 11413 Legal 3 Address 2 HICKORY RD 

Owner City OMAHA Legal 4 

http://douglasne.mapping- Owner Assessor NE online.com/DouglasCoNe/statlc/accountinfo.jsp? State Website Link accountno=R2001070000 

Owner Zip 68144 

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 = 77 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas Count... 10/10/2007 
Print Preview Page 1 of 1 

L H V.'AflREN E 

)J FA I KIW. AV 

3ECOINDL 

-.'J / PA 1 i," 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

ERSHAWf 

\ 1 t-l '.-" 

:ji FR*.; 

.iLlUij rii .1-5 " 

2001070000 

MORELLO 

BERNARD J 

2431 PATRICK 

AV 

OMAHA 

68111 

11413 

HICKORY RD 

OMAHA 

NE 

68144 

Douglas County-Omaha, NE 

M , .• I 

• ^ - -

Patric k *v e 

241 5 PATRICK J ClTVOi-OMArtA ! 1 PATRICK A V OTYOFOMAH A 24 S I PAT RICK A V >1 S/ PA r RICK A'. .?<Jlb N .-'4 i l 

-ITYOFOMJ? . 

.:U11 N 2.i . 

. h — 

HOBECOINDLti 

 BLONDKDS1 242 6 BLONDOST 241B

3.4,V1.S BOBBIE A 242 2 SLONDO 

Sec-Twn-Rng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

1 .lUU/ N 2-5 s r S'»2B BLONDOST I errYO F OMAHA |gf 1^­ 09-15-13 

PATRICKS ADD 

6 

6 

El/2 

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

accountno=R2001070000 

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 = 77 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas Count... 10/10/2007