2006 

OMAHA RESIDENTIAL LEAD SITE 

Time and Materials Contract 

Remediation Contractor: PRI 

(Project Resources Inc.) 

PROPERTY INFORMATION 

OLS Identification No.: 47877 

Classification: EBL - Age 8.3 

Owner: Francisco Mora-Duenas 

Address: 3220 R St. 

City/State/Zip Code: Omaha, NE 68107 

Prepared for: 

U.S. Environmental Protection Agency 

Region 7 

Prepared by: 

v HGL — HydroGeoLogic, Inc 

Exceedin g Expectation s 

HydroGeoLogic, Inc. 

8245 Nieman Road, Suite 101 

Lenexa, KS66214 

Contract No.: EP-S7-05-05 

40264532 

Superfund 
FINAL PROPERTY REPORT

 

GENERAL INFORMATION 

OLS Identification #: 47877 Owner Name : Francisco Mora-Duenas 

Group: EBL - Age 8.3 

Property Address: 3220 R St. 

Omaha. NE 68 107 

Phone: (402) 614-8651 

Owner Address: 3220 R St. 

Omaha, NE 68 107 

Comments: Alternate Phone Number(s) 

RESTORATION TIMELINE 

Restoration Agreement Signed Date: 4/20/2006 

Excavation Began Date: 8/14/2006 

Excavation Completed Date: 8/15/2006 

Property Sodded Date: 8/24/2006 

EXCAVATION SUMMARY 

Quadrant 

XRF Results 

Pre-Excavation Post-Excavation 

Laboratory 

Confirmation 

Sample Results 

Excavation 

Depth 

Barrier 

Required 

Fl 503 1 12 - 8-10 No 

F2 923 1 10 - 8-10 No 

Bl 349 - - - -

B2 756 229 - 10-12 No 

Drip Zone 793 239 - 12-18 No 

Play Area - - - - -

Garden - - - - -

Easement - - - - -

Other - - - - -

Unexcavated Areas Remaining: 

An area around the garage in the B2 quadrant was not excavated due to technical challenge. The area was 

tested by HGL with EPA approval and tested below 400 ppm at 1 82.6 +/- 29. Consequently the area was not 

excavated. No contamination left behind. 

Excavation Comments: 

* All laboratory and XRF results are reported in milligrams per kilogram. 

- Not applicable 

Property Notes: 
EPA Prooertv Close Out Form a v 

Property #: Property Addres5:_3>2-QO tS 

Date/Time: Owner's Name: \-. 

Quads Excavated: Contractor Group X 

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? iS —

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter of the house in excavated areas generally slope away i^/ 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) ^/k. 

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) M/A

 

6. Was the property graded such that water will not pool on the property^ i/ 

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) W/A 

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

/£^ 

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

 

4-. Was damage to retaining walls avoided? (If applicable) 

Foundation, Siding and Gutters Ye^ s No 

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

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) Yes No 

1 . Was damage to driveway surfaces avoided? •' 

2. Was damage to walkway surfaces avoided? j/1

^ 
0 

Owners comments: 

Inspection notes: 

UO-T 

Removal and restoration activates' complete iueiuding the 30-day sod warrant}": 

/ /^ '''/ 

EPA Representative i// f 

/T 
I

£EP %,^'^H! ^A^ — v^^ HydroGeoLogic Hydro H < , Inc 

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 sod warranty (30 days total) except those items listed below, if any. 

Property ID: U^J^^f 

Property Address: 3Z2C- /< 6r/-f>ei 

Owner: ^ 

't^/^tfL, wr* - DM *„*<>

 

Phone: V/> /'/tf— $/*fr' / 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

\V\ I agree restoration is completed, except as noted above. 

 I I do not agree restoration is completed 

Owner's Signature Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Remediation Contractor: fa^-jL^P/Zj: C fa ft «) 

Property' Identifier Number:

 L/ 7£ 7- ~? _ 

Property Address: _ ? 2.1& /fZ 

Property Owner's Name: B/c?/^ i>Vc> 

(above information to be filled out by remediation contractor prior to delivery' of form to Property Owner) 

*************************#***************************************************:< 

Instructions to Property Owner: 

This form is provided to you as a means of trying to capture your level of satisfaction 

with the work of the above-identified remediation contractor, as applicable to the soil cleanup 

action at your property. The U.S. Environmental Protection Agency (EPA) and the U.S. Army 

Corps of Engineers (USAGE) are very interested in your opinion regarding the work performed 

by our contractors. This form is intended to provide an easy means for you to express your 

opinion about the work performed on your property. 

Please indicate your level of satisfaction with the contractor's work by selecting a 

numerical rating (ranging from 1 to 10) using the following rating scale, then please sign & date 

the form and return it to the USEPA in the attached self-addressed & stamped envelope, 

(additional comments may also be provided in the space below, at the option of the property 

owner.) 

9-10 "excellent" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1 -2 "very poor" 

Property Owner's Satisfaction Rating Regarding Contractor's Work 

10 ex<v^W 5 

9 4 

8 3 

7 2 

6 1 

Additional Comments from Property Owner (optional; continue on back of page if needed) 

Property Owner's Signature: 'jPWM faa (\ff jC^ Dateff-/**y ~ ff £ 
Description of post excavation areas F1, front yard left-hand quadrant; F2. front yard rignt-hand quadrant; B1 Dackyard left-hand quaarani B2. Dackyard right-hand 

quadrant' DZ. drip zone (1-3 foot area of soil around the foundation of the house). 2006 
SEPA ~ HydroGeoLoqiC lr>c 

vHGL 

Omaha Lead Site 

Post Excavation Sampling Results 

DATE: *~/(S hi, ', 

OLS ID: ^7& y ^ 

ADDRESS: 5 Z lc> ft ^fy^e-^ 

XRFID : 5? 

XRF Confirmation Results 

XRF Reading 

Location #2 #3 Average Depth Comments 

Hot to 

-. 2? 3 LSI 3.7 

B2 

DZ 26? i 3? I 35 

GZ 

PZ 

Easement J-J6 ftiO #63 Sff 

Lab Samples 

Location Date Sample ID Field XRF Lab XRF Depth Comments 

Fl 

fl -KL--"~ ffc/^ 4e&-ei'-*i3 HteffU.?­ \W ?-//»* 

Bl 

B2 

DZ 

GZ 

PZ 

Easement 

TESTED Date: 

REVIEWED BY: Date: 

^/ 
•• 

47877 

O Exterior Paint North Arrow nnaha Lead Site r Owner Name: FRANCISCO MORA-DUENAS Q^Good SiteS ketch Address: 3220 RST fj Poor 

Phone:

 H;

 £N* #65/ W: f

rj Not paint 

Sampl Lead Sam Samples Collected e Number Ple

 LAB Concentration Collet :ted LA 

Firm: /$£ t*j <rs/£>»i 

RYASCPXA-47877 F1 50 2> pom G3" D Date: / 6 ////6S~ RYBSCPXA-47877 F2 ^23 Dpm 01 D Time: 2-O3 

RYCSCPXA-47877 B1 3^<

=f 3pm tX D Samples Analyzed RYDSCPXA-47877 B2 75^ 7 3pm G 

RDZSCPXA-47877 DZ "79* > 3pm Gif D XRFUnit: /O^l Book: /33 

" pom C] a Date / / - i a -Q£ : ,„,, "' •—£'*-'' *\t\ -*r / C I t 1 *L spm rpv — [ = 

C] D Time: P/Y1 

j : _ Staff: LA Number of Samples : 

- ,i.. 

r ENT EEBD 

£*/*# ton 2 i tt& 

756> ^^ 

fl £1 

. x>, 

tr ./7"5 If * 

K — *— « 

0 

D 7.- ~?93 

5 30 £^ro 

« 

• <'tfA^C 

^vc i^/ ^ 503 J:<?23 . 

^ 

Omaha Lead Site 46)30 
Consiento para el Acceso de la Propiedad 

DERECHOA ENTRAR LAPROPIEDAD 

Otorgante (dueno(a) de propiedad) se da consiento y autoriza la Agenda para la Proteccion del 

Medio Ambiente de Los Estado Unidos (EPA) o sus representantes autorizado, a entrar y llevar 

a cabo algunas actividades ambientales acerca de la propiedad describid que sigue: 

Dueno de la Propiedad: ^7^^£^?-z_^/^ Numero Diario:

 ti£>^.^ 6/*~1f

-8"& J?/ | 

Direccion: ^9 ^/s jO ^ ' -4* 

Direccion de 

Propiedades Cubierto 

Direccion:

Direccion: 

/ .

(•/milh£j ^lx' £~ //^./^ —r  bpiu f" 

por este Acuerdo: Direccion: 

Direccion: 

Otorgante entiende que esta concesion no limite el derecho de acceso de EPA bajo del 

Comprehensive Environmental Response, and Liability Act (CERCLA), 42 USC. § 9601-9675, 

o cualquier otra ley. 

PROPOSITO DE ACCESO 

El proposito del accion ambiental es para remover tierra contaminado con plomo de las 

propiedades residenciales; incluso facilidades de cuida diaria. Podria tomar muestras de tierra 

si sea necesario. 

ACCION DE LA RESPUESTA AMBIENTAL 

La accion de la respuesta ambiental a ser realizado en la propiedad del sujeto podria incluir las 

actividades que sigue: 

A. Localizando equipo y/o maquinas en la propiedad del sujeto en preparacion 

para el curso de la actividad de respuesta 

B. Obtener muestras de la propiedad del Otorgante. 

C. Planear y implementar la accion de removimiento sobre o cerca de la 

propiedad del Otorgante. Este podria incluir la excavacion de tierra contaminada 

con plomo, repuesta tierra limpia, y la restauracion de la propiedad. 

CONDICIONES 

Este acuerdo de acceso podria ser operable para la epoca de tiempo que lo dura a terminar las 

actividades de la respuesta ambiental. Despues de la terminacion de las acciones de la 
respuesta. Todos las derechos dado por el(la) Otorgante podria cesar en esta fecha, a menos 

que esta extendido por un acuerdo subsiguiente. 

Yo he lefdo el documento precedente y entiendo que lo es un acuerdo que otorga permision al 

cesionario a entrar la propiedad describid arriba para el proposito a realizar actividades de 

respuestas ambientales, y estoy de acuerdo con las condiciones. 

ACUERDQ A NO INTERFERIR 

El Otorgante esta de acuerdo a no interferir con ningunas actividades emprendio por el EPA en 

la propiedad, enredar con cualquier propiedad de la EPA, o tomar cualesquiera acciones 

concerniendo el uso de la propiedad que podria poner en peligro la salud humano o bienestar o 

el medio ambiente, o permitir otras a usar la propiedad en una manera durante de la epoca de 

este consiento. El Otorgante esta de acuerdo a proveer noticia y una copia de este acuerdo a 

compradores prospectivos, arrendatarios, o cesionarios de la propiedad o cualquier de la 

porcion. EI(La) Otorgante esta de acuerdo a proveer una noticia de 30-dfas a la EPA 

anteriormente a cualquier transferir de derechos de posesion de la propiedad. 

RESULTADOS DE LAS MUESTRAS
 

El cesionario esta de acuerdo a proveer al(la) Otorgante con cualquier y todo de los resultados 

de las muestras hecho y/o los analisis que resulta de las actividades de respuesta en la 

propiedad por el cesionario. 

ACUERDO DE CQNDICIONES ANTERIORMENTE 

El(la) Otorgante esta de acuerdo a la condicion de la propiedad anteriormente a la remediacion 

y indica en adherencia 1 cualesquiera articulos a ser removido por el(la) Otorgante antes de las 

actividades comenzar. 

RESTAURACION DE PROPIEDAD 

El cesionario esta de acuerdo que dicho propiedad sera restaurado como cerca que sea posible 

al estado y condicion original como encontrado inmediatamente precedente la empieza de las 

actividades por este acuerdo, siguiendo la termination de las actividades de la respuesta. 

Firma (Otorgante) Fecha 
Address

 J121 •<-*-o^ R /\ ~J I Property # 

CURRENT CONDITIONS/PROPOSED REMOVAL ACTIVITIES 

The purpose of this section is lo provide a mutual agreement as to conditions of property prior to 

contractor activities. This wil l also serve as documentation for the purpose of assuring that restoration 

activities are completed to the satisfaction of the property owner and the United States Environmental 

Protection Agency (EPA). 

Items to be removed by property owner prior to the removal activities: 

r 

i. 

Items not to be removed by contractor during removal activities: 

, fl/CUhif, 

2_ 

i. 

ADDITIONAL COMMENTS: 

"2 

\y - 2$ 

Signature (Grantor's) Date 
HydroGeoLogic, Inc SEPA 

Property Log 

Property OLS # 47877 Property Address: 3220 R ST 

Owner's Name: FRANCISCO MORA-DUENAS Contact Number(.)s6\ u

- Date/Time Spoke To HGL Comments 

1

A 

«/ ****"**

5V/ 
17737 

Report Number: 

06-233-2001 

Account: 

13611 "B" Street • Omaha, Nebraska 68144-3693 • (402) 334-7770 - FAX (402 334-9121 

www.midwestlabs.corri 

HYDROGEOLOGIC INC LEAD ANALYSIS 

OMAHA LEAD 

5600 S VOTH 

OMAHA NE 68107-

Anaiysis As Detection 

Performed Received Units Limit Method 

Lab number: 121 1535 Sample ID: ACE-06-012 8/14/06 51 10 S 39TH ST 

Lead (total) 77.9 mg/kg 5 EPA 6010 

Lab number: 1 21 1536 Sample ID: ACE-06-013 C/15/06 3220 R F2@8-10 

Lead (total) 120 mg/kg 5 EPA 6010 

Report emailed upon completion. 

Date Reported: 

21-AUG-06 

Date Received: 

15-AUG-06 

Page: 1 c

I 

N£ 

w 

W! 

N? 

© 

Analyst Verifier 

Date Date 

emr/os-i? bab/os-21 

emr/oa-17 bab/os-21 

Respectfully Submitted 

Heather Ramig/Sue Ann Seitz/Rob Ferris 

Client Services 

Our reports and letters are for the exclusive and confidential use of our clients and may not be reproduced in whole or in par., nor may any reference be made 

to the work, the results, or the company in any advertising, news reieast, or other public announcements witnout obtaininy our prior written authorization. 
ORDER NUMBER: PAGE NUMBER: 

131464 6 

13611 "B" Street • Omaha, Nebraska 68144-3693 • (402) 334-7770 • FAX (402) 334-9121 

www.midwesllabs.com 

ACCOUNT NO: 17737 SAMPLE DESCRIPTION COPY TO: CHAIN OF 

IIYDROGEOLOGIC INC LEAD ANALYSIS CUSTODY 

OMAHA LEAD 

5600 s lorn PO NUMBER: 

OMAHA, NE 68107-

Automatic Order Submittal Form PLACED BY: heather on Jul 07, 2006 

5'J 

6' 

Our reports and letters are for the exclusive and confidential use of our clients and may not be reproduced in whole or in part, nor may any reference be made CIMIN nr CUSTODY 

to the wmk, the irwrlte, or the cnmpany ;n any ndveifisinn. news release, or otliT puhlir announcements williout obtnininn our prior written aulhctization. 
v HGL

 ~ HydroGeoLogic, inc 

Property Notes 

3 /// t 
Page 1 of 1 

I You replied on 12/1/2006 9:09 AM. 

OLS 

From: CJWestSuccess@aol.com [CJWestSuccess@aol.com] Sent: Thu 11/30/2006 6:58 PM 

To: OLS 

Cc: Mehnert, Bill 

Subject: Re: List of properties to CONTINUE close out efforts on 

Attachments: 

Steve, 

11/30/06, 5:54 PM 

I just talked to Abraham who speaks English. He interprets for his folks. According to his father, the work is OK 

and they had misplaced the papers. I stated we (LSOC) would foward another set out tomorrow and his Dad 

said he would sign them. 

Cheryl 

==ln a message dated 11/16/06 10:25:03 AM Central Standard Time, OLS@hgl.com writes: 

Subj: List of properties to CONTINUE close out efforts on 

Date: 11/16/06 10:25:03 AM Central Standard Time 

From: OLS@hgl.com 

To: CJWestsuccess@aol.com 

CC: bmehnert@hgl.com, OLS@hgl.com 

File: SOC11-16-2006Listofpropertiestocontinuecloseouteffortson.xls (19456 bytes) DL Time 

(TCP/IP): <1 minute 

Sent from the Internet 

Cheryl, 

Attached is a list of six (6) properties that were previously assigned 

to LSOC for close out assistance. Our records show what LSOC has not 

obtained close out agreements on these properties to date. Please 

continue LSOC's efforts to close out the properties in the attached list

 

and provide HGL a current status of your efforts on these properties. 

Pleased call me at 731-0779 if you have any questions or need to discuss 

this request further. 

Steve Holmes 

HGL 

http://pandora.hgl.eom/exchange/OLS/Inbox/Re:%20List%20of%20properties%20to%20... 12/1/2006 
V•^- HydroGeoLogic, Inc H &EPA

 

8(a) Contract 

Pre Ex Photograph Log 

Property OLS #: 47877 Property Address: 3220 R ST -

Date: HGL Member: 3 XX 

Photo Direction 

Number Time Looking Description 

IX 

u/ 

it/ 

Ux / r 

4/frA/ 

x/ A/ 

•V 

A/ 

^1 

Revision 
•^T" HydroGeol ogic, Inc SEPA 

8(a) Contract 

Pre Ex Photograph Log 

Property #: Property Address: 

Date: HGL Member: 

Photo Direction 

Number Time Looking Description 

/H- P 2, 

IV ^ &**•* 

l 

4­

-$-

Revision 
HydroGeoLogic, Inc SEPA 

Property #: 

Date: fe 

Photo 

Number Time 

8(a) Contract 

Pre Ex Photograph Log 

Property Address: 

HGL Member: 

Direction 

Looking Description 

5 

5 

If 

7 

/I/ 

/I/ 14 

Revision 
Property Detail Information Page 1 of 3 

•mil .nun 

(Douglas Bounty Assessor 

Last Updated: 04/12/2006 

« Perform a New Valuation Search 

Owner Information: 

Owner Name: MORA-DUENAS FRANCISCO 

Mailing Address: 3220 R ST 

OMAHA, NE 68107-0000 

Property Information: 

Key Number: 3808 0000 22 

Account Type: Residential 

Parcel Number: 2238080000 

Parcel Address: 3220 R ST 

OMAHA, 68107-0000 

Previous Assessed Value: $30400.00 

Current Assessed Value: S33000.00 

Tax Levy Information: 

CITY COUNTY BUILDING 

DOUGLAS COUNTY 

OMAHA PUBLIC SCHOOL DISTRICT 

EDUCATIONAL SERVICE UNIT 019 

METROPOLITAN COMMUNITY COLLEGE 

CITY OF OMAHA 

PAPIO NATURAL RESOURCE DISTRICT 

OMAHA TRANSIT AUTHORITY 

Total Levy 

View Douglas County Treasurer's Tax History Information 

.01096 

.26427 

1.21849 

.01500 

.06740 

.43387 

.03909 

.04890 

.00000 

.00000 

2.09798 

Parcel Characteristics: 

http://www.dcassessor.org/details.asp?Name=&Address=&Key=3808+0000+22&Submit=... 4/17/2006 
Property Detail Information Page 2 of 3 

Legal Description: SO OMAHA 2ND ADD LOT 7 BLOCK 3 50 X 130 

Parcel Size: Acres: 0.14 Sq. Ft.: 6500 

Please Note: 

The legal description above is a courtesy provided for assessment purposes and is not intended for 

use in legal instruments. 

Sales Information: Click Here For Sales Data 

Building Characteristics: 

Building Number: 01 

Building Size: 724 sq. ft 

Year Built: 1905 

Condition: Average 

Quality: Fair 

Exterior: Frame Siding 

Units: 1 

Bedrooms: 2 

Baths: 1 

Garage: 

Garage Size: 

Property Photos/Sketches: 

Image Is Not Available 

Click Here To Enlarge Image Click Here To Enlarge Image 

View Parcel Map 

The Douglas County Assessor's office makes every effort to produce and publish the most current and 

accurate information possible. No warranties, expressed or implied, are provided for the data herein, its use 

or interpretation. 

© Copyright 2003, Douglas County Assessor's Office 

Assessors Home | Valuation Information | Meet Your Assessor | Frequently Asked Questions 

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Property Detail Information Page 3 of 3 

Tax Information | Cpntact_the Assessor | Slide Show 

Calendar I Websites of Interest 

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