SAID#: 31390

TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

 DATE: 1/15 

ADDRESS: 3221 PINKNEY ST 

REMEDIATION CONTRACTOR: PRUDENTTECHNOLOGIES. INC. YEAR: 201^ 

i 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

d PRE AND POST VIDEO OF PORPERTY (DVD) 

d EXECUTIVE SUMMARY 

Ef EPA-PROVIDED PROPERTY SKETCH 

d SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

W RESTORATION AGREEMENT 

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

d CONFIRMATION DATA 

PHOTOGRAPHS 

/ AS-BUILT SKETCH 

SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

m UTILITY CLEARANCES 

d PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

D 

D 

D 

SIGNATURE DATE 

30218434 

Hillillii 

Superfund 
PROPERTY SUMMARY 

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

Property Address; 3221 PINKNEY 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 = 224 PPM @ 6"; NO EASEMENT 

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) 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 of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOCIES, INC. 
Find Reconj Remediation Query Lead Remaining Query I Property Damage Query 

Backfill: 

Sample Area: 31390 ­ 3221 PINKNEY ST 

Owner: User Provided Owner Information Resident: 

n Owner Occupied 

Owner Name: 

[VINSON WILLIAM 

Owner Addressl: 

1 

Owner AddressZ: 

j 14055 PINE ST 

City: 

lOMAHA 

Owner Phone 

1(402) 758-1879 

State: Zip Code: 

JNE |68144-

Alternate Phone: 

1(402) 714-0200 

Owner Name: 

1 

Owner Address: 

1 

City: 

1 

Owner Phone: 

1 "

State: Zip Code: 

1 1 

Alternate Phone: 

1 

Resident Name: 

Property Address: 

|3221 PINKNEY ST 

Zip Code: 

|68111-

Resident Phone 

Contract: Assessment: 

Contractor: |PRUDENT2010_S Qualifying Group p'oo 

Contract Option |OPnON 2 Assessment Max XRF Value | 496.74 
TECHNOLOCnSS. iiSic. 

EPA Property Close Out 

Property#: 3>(3^<^ Property Address:'5^'^ ^ P«^-J^r<o^ 5"t. 

Date/Time: Owner'sName: t^'l^?*-"^ l/iVso-^ 

Quads Excavated: B 2 - Contractor Group: Prudent Technologies, Inc.. 

Excavation General Yes 

I If necessary, were the correct quadjnaiit(s) excavated and restored? / 

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

Grading Sod and Vegetation 

Yes 

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? 

y 

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

day lime period) y 

4. Are sodded areas generally fimi and evenly graded? / 

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

tune penod) y

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

y 

7. Was diiniage to landscaping or plant materials avoided? 

y 

Gates, Fences and Retaining WaUs 

Yes 

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

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

1 Was damage to the siding or trim avoided? y 

2. Was damage lo the foundalion avoided? 

y 

Was damage lo windows avoided? y 

Was damage to windows or door screens avoided? y 

5. Was damage to downspouts or downspout extensions avoided? y 

Sidewalks and Driveways (Concrete) Ves

Was daiiiaec lo diivewav surfaces avoided? 

2. Was damage to walkway surfaces avoided'.' 

No 

No 

No 

 No 

 No 
Owners comments: 

Inspection notes: 

/ . 

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

EPA Representative j9cto j^e*^ Date: ijiijii 
RJHNOl.OGIES, INC, 

AS - BUILT DRAWING 

OLS #31390 

Date Excavated: 10/27/2010 MAHA LEAD SUPERFUND SI liSEP.4 Signed-OIT Date: L 

31390 

Omaha Exterior Paint Morth Arrow Owne Lead Site r Name : WiLUAM VINSON 

Site • Good Sketch Address: 3221 PINKNCYST___ 

Number of Samples '•-{ 

• Poor Phone : » J!02-T58-16T9 W 

g-lflot painl \ 

Sampl e Number 

RYASCPXA-31390

RYBSCPXA-31390

 Fl 

 F2 

Lead 

Cor«:entrat(on 

/y( t ppm 

^/ O ppm 

Sampie 

Collected 

EK 

LAB 

D 

D 

Samples Collected 

F^rm. .£ £ .-AT4(A 

Date: Q H - l^ " Cv-^' 

Time: S-O T SA X 

RYCSCPXA-31390

RYDSCPXA-31390

 81 

 B2 

^J L 

^? 7 

ppm 

ppm 

D 

D Samples Analyzed 

RD2GCPXA-31390 OZ ppm D D XRF Unit: /£> i 7 Book: 1^2. 

RG^-SGPJWr*^3&©—-«3­ ppm D D Date: J Q .-JI-OS ­

RP£SGPXAai30Q W ppm D D Time /'/ ^ 

Staff: 4 ^ ­

legend: F1 = Front Left. F2 = Front Right, 81 - Back Left, B2 = Back Right DZ •- Drip Zone, GZ = Garden, PZ = Play 

Afl qwclrsnu «<« » viewed from the street, facing property 

BN?rERED 

y\ T"*^" 

SEP 2 '<y^ y f 

y 

-/­

Q>y y- B2 = 224 I'P.VI fdi 6" 

J- y 

.3<U.l tJ 

•^. . + - ^• 

rt 

.Fl fy.) z/^ .1 

; Pj-ft)VCA)£y ;5r 

NO EASEMENT 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
This agreeinent documents the completion of removal activities perfonned on the below hsted property 

The property owner's signature indicates that the property owner is satisfied with the restoration ofthe 

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: •^^IS^c? 

Property Address: ^ ^ ^ I P ; >^ y- r ^ 

^"°"- [A)?lPj7rvv^ \yYx.icA, I 

Phone: 

Restoration litems in Qyestiom: 

V ] 1 agree restoration is completed, except as noted above. 

 I I do not agree restoration Is completed 

I Z - Z l - 2,^1 ^ VxA/ 

'wner's Signature 

I
V 

yr»Vi 

Prudent Technologies, Inc. (Prudent) is under contract with the U. S. Environmental Protection Agency (EPA) to clean up leadcontwiinated sojls at a numberpf properties located in Omaha, Nebraska, including the property located at 

"^JT A P>''A-tg-VV£J-j J ^ The EPA requests your pennission to allow Prudent to perform a soil cleanup at this 

profflt} to remove lead-conniminated soil. By signing this form, the property owner grants permission to Prudent to perform 

activities related to the cleanup including soil sampling, removal of lead-contaminated soil, and restoration ofthe referenced property. 

Ifyou have any questions about the soil cleanup planned for your property, please contact Prudent South Omaha Office for the Omaha 

Lead Site cleanup,,at (402) 733-1188; 733-14SS. General questions about the Omaha Lead Site cleanup can be directed to the EPA 

Public Information Centers at (402) 731-3045 (South Omaha office). 

Property Access Granted I 

y" ^ (Please Print Name) 

/o 

Property Owner SimatuieK^^ lyUAjOuyiLMy ^ V JAy^STlAy^ ^ / / 

y (Signature) / (Dale) 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner — DleasCprhrtK.. 

RESIDENT NAME: y V x (L^U^J ^ \tt\r ^ Owner 1 J Renter 

RESIDENT ADDRI 

^%^ \ gg^fr \\t ^ J^SJLi. 

IF RENTAL, PROPERTY OWNED BY: 

yOr \XJ< rtr\A.y^ 

OWNER'S MAILING ADDRESS;;, > St QvoJU K3£ ^^)V c 

y 

OWNER'S TELEPHONE NUMBER - HOME: J _ WORK: 

AGE OF HOME?: YEARS. HOW LONG HAVE YOU LIVED HERE? YEARS. 

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

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

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR S HOURS OR MORE PER WEEK: 

COMMENTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS, ENTRY GATES, ETC.) 

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

are pursuant to Section 104 ofCERCLA, 42 U.S.C. 9604. EPA's right ofaccess 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, or choosing or taking any response action 

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

8080 Ward Parkway, Suite 405 5600 S. 10'" Street 4242 Medical Drive, Suite 4250 

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

Phone: (816) 363-3703 Phone: (402)733-1455 Phone: (210)822-9588 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

Property Status Form 

Address: S* ^ l i \ ^ ' , 

Phone 

(_Pfoperty Owner 

Signature: IfJ^f/uA* ^ [J . Xi^^knA J 

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

Kansas City, MO 64114 

Phone: (816) 363-3703 

Omaha, Nebraska 68107 

Phone: (402)733-1188 <L San Antonio, TX 78229 

Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)733-1883 Fax: (210) 579-6577 
H legal dimensions: 50 X 128 

A Printed: Dec 02. 2010 

www.dcgis org/dogis 

-^^U l f^nluieM Q­
"> 

Page 1 of 1 

Create Another Ticket Back to Irth Internet r Send Email 

• YOUR TICKET NUMBER IS 2624845. 

Original Call Date: 10/25/10

Work to Begin Date: 10/27/10

 Time:

 Time:

 8:09 am 

 8:45 am 

Op: SIVA18967 

State: NE 

Address: 3221 

County: DOUGLAS 

Street: PINKNEY ST 

Place: OMAHA 

Twp: 15N Rng: 13E Sect-Qtr: 09-NW 


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 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 

Service Area Contact Phone Nuniber Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNE IC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/25/2010 
TEmiNOUM|k, mc. CONSTRUCnON 

SOLUTIONS 

SITE SAFETY HAZARD ANALYSIS 

Address j=^-*~i : U>l lL=-=i.jii 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 

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Site Safety Office 

Date: 

M Want Vaitanqr. Suite 4(ffi SSOOSIOSt 4242 Mwiical Drive, Suite 7280 

nsMCi|y;MO«4114 Omata^ NaliiaAla 08107 San AiKeoio, TX 78229 

one: (Sn) SCS-STW Phoiw: fMO) 733-1180 Phone: (2t0) 822-8588 

(:{»» ) 363.3707 ftDC (402)733^1883 Fax: (210) 6T9-6877