TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: V^i^3k Date: 

Address: ^\0 ^ <> I'h ^ T 

Remediation Contractor: Envrionmental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

0 Video of property (DVD) JSi^efore DAfter \ l Basement D 

" ^ Executive Summary (Final Report) 

^ EPA-provided property sketch 

^ Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

^ Restoration Agreement 

D Settlement documents (i.e., for damage or to replace plants, etc.) 

a Confirmation data 

0 Photographs jQ Before DCrew Photo ^ During Excavation D Sod 

iZ^O-day Sod D 

^•fl As-built sketch 

"" ^ Completion Agreement signed by Property Owner 

^ Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

TSk Utility clearances 

""^ Property information from Douglas County Assessor's Office 

^ Property access checklist 

30260065 

O. Contact Log 

D Superfund 

Environmental Restoration Signature Date 

' Date 
Omaha Lead Site—EP-R7-09-05 

Environmental Restoration, LLC 

www.crllc.com '•> y 

EXECUTIVE SUMiMARY: 

18192-2105 S 33 ST 

No Issues or Concerns I I Issues/Concerns 

Detail Explanation: 
EPA 

EPA Property Close Out Form 

Property #: n\^'x

Date/Time: 

Quads Excavated: f^f . |K3^ 

Omaha Lead Site OU#2 

PropertyAddress: Owner's Name: 

Contractor Groupp :

ol\D ^

Environmental

S 1)1) "S T 

Reestoratio s n (ER) 

Excavation General Yes No 

1. Ifnecessary, were the correct quadrant(s) excavated and restored? J ^ 

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

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter ofthe house in excavated areas generally slope away from the 

house? *^ 

2. Has sod been laid in all areas that were excavated? y 3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at 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 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 Walls Yes No 

]. Do gates open and close ireely? (ifapplicable) ^ 

2. Were all gates or fences taken down during restoration activities re-installed? (ifapplicable) -^ 

3. Was damage to gates or fences avoided? (ifapplicable) ^ 

4. Was damage to retaining walls avoided? (if applicable) J ^ 

Foundation, Siding and Gutters Yes No 

]. Was damage to siding or trim avoided? ^ 

2. Was damage to the foundation avoided? / 

3. Was damage to windows avoided? ^ 

4. Was damage to window screens or door screens avoided? -^ 

5. Was damage to downspouts or downspout e.xtensions avoided? ^ 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? 

Was damage to walkway surfaces avoided? 

Inspection notes: 

Remedial and restoration activities complete including 30-day sod warrant}'; 

EPA Representative:,^y^^^^_^^2,/C/^,.-Jt-J(ijZ?^ Date: u/<:>//d 
Pase 1 of 2 

"> 

[ Create Another Ticket ^ [ Back to Irth Internet ] Send Email 

•mmmmmmamm mim 

YOUR TICKET NUMBER IS 2483662. 


Original Call Date: 

Work to Begin Date: 

5/04/10 

5/06/10 

Time:- 1:30 pm 

Time: 2:00 pm 

Op: TRACY24186 

State: NE 

Address: 2105 

County: 

Street: 

DOUGLAS 

S 33RD ST 

Place: OMAHA 

Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Excavating the entire property 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)451-1069 


: SAID #18192 


Company ENVIRONMENTAL RESTORATION 


Contact Name TRACY BRISTOW Phone: (402)451-1314 


Alt. Contact Phone: (314)504-4874 


Work Being Done For: EPA 


Depth of Excavation: 12 Corner Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUD02 OI>dAHACOF 0PPDGPR6 QLNNEIF 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, FNC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVEL3 LEVEL3 COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUD02 METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF 0MAHA-TRAFF1C,SEWER RJCH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

http:AA\yYffl,ahQQfflg<;jj;t^ isp?ret=<RESULT.S...-_ 5/4/2010 
Page 2 of 2 

OPPDGPR6 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

-.

QLNNEIF QWEST LOCAL NETWORK

 ••- i- .- ­

 ELM LOCATING

 'D^-—4067289343 " 

 Alt: 4062071494 

Emerg: 8887289343 

?^i^^i^^v*9«a 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 5/4/2010 
Contact Information Log 

BA\D# /ff/99~ 

Daytime Phone: ^ ^ ^ <g-^^ , 77J?7_ _ | 

PropertyAddress: :ij£>S' 5 . 3 3 %\ 

Attempt to contact Date/time Name 

Hf)i'Sri-7727 

^A\\.eA W\\ r /Vf^^SA^e3'^'f^ y /al-S^prv 

f?,<L)*>i>,/5 

— . ^ f. 

^-z/o / y l^h 

-

L_—„____=—__-.^—, 
Property Access Checklist 

n WORK COMPELTED ON: / /~ 

Owner: 'T .= ^ri) C- ink. Address: 

Phone: c/^2 ­ <K^'7'?7J1 7 

Fax: 

Cell/Pager: 

Renter; 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

.^^cces s Agreement 

iQ'^estoratlo n Agreement 

|7^ Video Property Before 

\J^ Digital Photos Before 

n Video Property After 

D Digital Photos After 

, D 9 Property Completion Agreement 

n Final Report 

Signed: 3 1 ^ I / o 

Signed: ^ / '/I/ O 

On : S / i^ / i^i 

O n : '-'< 1 ^b / in 

On : / / 

On : / / 

Signed: ^ l?Yl( 0 

Signed: / / 

By: ^.£ l

By:^-£)

By: Z:^ 

By- ,yer 

By: 

By : •-

By: ^ 

By: 

^ 

. 

II 

Additiottal Video or Digital Photo's Taken: 

n Video n Digital Photo On :

1 Reason:

 / / By: •

 II 

1 

n Video

Reason:

D Video

Reason: 

n

 n

 Digital Photo 

Digital Photo 

Oa 

On 

:

: .

 /

 /

 / 

/ 

By:

By: ' ' 

. 1 

| 

I 

D Video

Reason: 

n Digital Photo On : / / By : • 1 

1 

Omaha Lead Projed Work Plan Page lofl 9 
Consent for Access to Property SAED# /^/ f g^ 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner), consents to and authorizes the United States Envirorunentai 

Protection Agency (USEPA) or its authorized representatives, collectively the Grantee to enter 

and perfonn certain environmental response activities upon the following described premises.: 

Owner's Name: >yA /v/i'/i'a^^sg^ 

Address: 

Address:

^C>;<> - S- s ^ s/~ • . 

I 

Addresses of Properties 

covered by this Address: 

Agreemeni: Address: ! 

Address: .^- 1 

PURPOSE OF INVESTIGATION 

The purpose of the remedial activities is to remove all soils at the property which are 

containinated with hazardous substances, in particular lead at concentrations greater than.or equal 

to 400 parts per million (ppm). 

REMEDIAL ACTIONS 

The environmental response actions to be performed on said property may include the following 

activities: 

a. Taking photographs and/or video of the property before, duiing, and after remedial 

activities; 

b. Locating equipment and machinery on-site in preparation for and in the course of the 

environmental response; 

c. Planning and implementing the removal action on cr near Grantor's property. 

d. Obtaining samples from Grantor's property; 

AGREEMENT NOT TO INTERFERE 

The Grantor agrees not to interfere or tamper with any of the activities or work done, or the 

equipment used to perform the activities, or to undertake any actions regarding the use of said 

property which would tend to endanger the health or welfare ofthe Grantees or the environment, 

or to allow others to use the property in such 

I graat access to my properties 

LJ I do not graiat access to my properties 

Signat(y?e / 

Signature Date 
p Additional Comments / Instructions: "~j 

• Check this box if owner does not want E.R. to enter the residents to document interior 

foundation walls and possible preexisting damage. By checking this box E.R. is not responsible. 

for any damage done to the interior of house, including foundation cracks cr fissures. 

n I do EOt agree ' I agree r~l I do EtGt agree. 

Iy£yL 

Bate 
Restoration Agreement 

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

contractor activities. This will 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). 

SAID: /-p-/^^ 

Property Address: ;? /^ 5 - g-^ ^^-^-l -

Owner: yTk SL£f. A 

Phone: 'y^s-'z^'v^/' yy ^ 

On the attached diagram(s) indicate area(s) to be excavated and depth of excavation, location of all known 

utilities, subsurface features, surface structures and landscaping features, access location(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

Kems to be removed by Contrsctor and not rspfaced; 

e/c^c/^-t-g ^ . ^•€^ 5 iO yU ~ ^ifdji 

Sten^: 

Item: 

Stem: 

Pasge 1 of 2 
I ] I do Bot agree 1 agree ]n I do mot agree 

3'^-/c. r's Sii^ajure ignature Date 

Attachments 

Page 2 of 2 
" •'—i-—-- ^ 1 -*# - - -

This agreement docuinents the completion of remedial activities performed on my property. My 

signature will designate that I am satisfied with the restoration of my property, and that no items are in 

question, now, or at any time in the future, except those items listed below, ifany. 

SAID: ^fnJ 

PropertyAddress: OfO S ^ - 3! ? ^" f 

Owner: ^J^^^j ^ •f^.«VA.c^ciO 

I Phone: f ^y. 77^7 

f 

Restoration Items in Question: 

agree restoratian is completed, except as noted rsj ! sgree restoration is completed, except as .rioted 

I 1 do not agj'eieTestorstion is coEEtpEetsd I I I do not agree restoration ts completed 

CoJitractcr's Signature 

I
Douglas Countv Account Infomiation Page 1 of 3 

Douglas County, Nebraska Property Record - R2200060000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 fl west of 52nd St - VJeW O n Ma p Information is valid as of 2009-12-31 Treasurer's Tax Report 

New Feature -•->- > Auto Sales Search 

Owner 

FINNEGAN JOSEPH P 

ETAL 

2105 S 33 ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 0006 0000 22 

Account Type: Residential 

Parcel Number: 2200060000 


Parcel Address: 2105 S 33 ST 

OMAHA NE 68105-0000 

Legal Description: sCOTT & HILLS SUB DIV LOT 7 BLOCK 0 50 X 100 

Value Informatio n 

Land Improvement Total 

2009 $5,700.00 $121,900.00 $127,600.00 

2008 $5,700.00 $121,900.00 $127,600.00 

2007 _$5,700.00 $121,900.00 $127,600.00 

2006 $5,700.00 $90,500.00 $96,200.00 

2005 $5,700.00 $90,500.00 $96,200.00 

2004 $5,700.00 $90,500.00 $96,200.00 

Sales Information 

Sales Date: 2007-04-20 

Deed Type: WD Book: 2007 Page: 044496 

Price: $159,000.00 

Grantor: HEADLEY CYNTHIA A ETAL 

Grantee: FINNEGAN JOSEPH P ETAL 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 1991-02-23 

Deed Type: Book: 1893 Page: 537 

Price: $64,500.00 

Grantor: 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R22... 1/18/2010 
Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Valid 

Lan d Informatio n 

Acres SF 

0.11 5000.0 

Improvemen t Informatio n 

Building 1 

J 

I Units 

1.0 

Depth 

100.0 

Wf'y 

: • • ,t^m-. * ' ' „ ^ 

!•!T5!»•v^rJ•^:lW»•^-^-V^;,^•f.^.^J4-l-W:J .*rf 

CLICK TO ENLARGE IMAGE | 

Square Footage: 1857.0 

Perimeter 0.0 

Unit Type: 

Built As : 2 1/2 Story Unfin 

HVAC: Central Air to Air 

Exterior: Frame Siding 

Interior: Drywall 

Roof Cover: Composition Shingle 

Roof Type: Gable 

Floorcover: Allowance 

Year Percent Year Built Remodeled Remodeled 

1910 1984 0% 

Detail Type Detail Description 

Add On Fence Kroy (Vinyl) 

Add On Unfinished Attic W/floor 

Appliance Allowance 

Appliance Fireplace Masonry 

Width Vacant 

50.0 No 

Otactied 

S?$,OSq H. 

\ Flretfteer 7?«.0 Sq: Ft 

HOBlDSq. Fl ;|?e 

2 1/2 STORY UNFIN. 

p.-,Tnf ei-ck- 9 ft 

776 OSq F', 

CLICK TO ENLARGE IMAGE 

Percent Complete: j 100.0% 

Quality: Average 

Condition: Average 

Condo Square Footage: 0.0 

Rooms: 7.0 

Units: 1.0 

Baths: 1.0 

Bedrooms: 4.0 

Stories: 2.5 

Foundation: Block 

Sprinkler Square Footage: 1 0.0 

Adjusted Year Physical Age Built 

1910 100 

Units 

1.0 

776.0 

1.0 

1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp ?accountno=R22... 1/18/2010 
Doutjias County Account Information Page 3 of 3 

Basement Bsmnt Block 8 ft 776.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Detached 276.0 

Porch Slab Roof Ceiling 176.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R22... 1/18/2010 
ENVIRONMENTAL AS-BUILT DRAWING 

• b MAHA LEAD SUPERFUND SITE' 

RESTORATION 

8192 

Omaha Lead Site Exterior Paint Morth Arrow 

Site Sketch [Tf Good 

• Poor 

Sampling Address: 2135 S 33 ST Q Not paint 

Sample Nunnbei' 

RYASCPXA-13192

RYBSCPXA-18192

RYCSCPXA-18192

RYDSCPXA-18192

RDZSCPXA-18192

 Fl 

 F2 

 B1 

B2 

 DZ 

Lead 

Conceritration 

"Lo9_ ±L2LL 

q iM 

ppm 

ppm 

ppm 

ppm 

ppm 

Sample 

Collected 

I 

LAB 

n 

n 

n 

n 

D 

Firm 

Date 

Time 

Samples Collected 

yX)h ^ L Ff^ 

-^-15-OB 

Samples Analyzed 

XRF Unit: G5H O Book: Z0 5 

nQZOCP)(/v.1010£ GZ ppm D n Date: 'i -28 -oe 

npzGcrxA icioi:—PZ ppm D n Time: Pt ^ 

Numbe Statf M5 W r of Samples • 

Legend: Fl = Front Left, F2 = Front Right. 81 = Back Left. 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing propeny 

lrE<5ENJ3 

Quaaraitt cxc^vaicd DfipZoiTii; Excavated Conlamiitalion LcH Bchiind 

Contrac Environmental Restoration LLC t #: EP-R7-09-05 
Iliillliiill 1819: ^cy 

Omah Exterior Paint North Arrow a Lead Site 

\Z{ Good Site Sketch • Poor 

Sampling Address: 2105 S 33 ST r~| Not paint 

.^ample Number Lead Sample 

Samples Collected LAB Concentration Collected Firm:

 fX) h ^ L f?> 

RYASCPXA-18192 Fl 1 0 ^ ppm 

D Date: ^ ' 15'O B 

RYBSCPXA-18192 F2 H31 ppm 

D Time: 3'O \ p*"^ 

RYCSCPXA-18192 81 .^^ 2 ppm D 

RYDSCPXA-1819 Samples Analyzed 2 B2 36>6 ppm 

i D

RDZSCPXA-18192 DZ qi H ppm n XRF Unit: CoSHO Book: 20 3 

ROZ0CP)C^'10102 GZ 

ppm n n 

Date: H ' 2 8 - OQ 

RP2SePXA-464^2 - PZ 

ppm n D 

Time P M 

Numbe Staff: M 5 W r of Samples = 5 0_ 

Legend: Fl = Front Lett, F2 = Front Rigtit, Bl = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

y •: • •^.(: i : • V 
Illllllllllllllillllllllll 8192 

Omah Exterior Paint North Arrow a Lead Site 

[ ^ Good Site Sketch • Poor 

Sampling Address: 2105 S 33 ST [~| Not paint 

Sample Number Lead Sample Samples Coiiected LAB Concentration Collected Firm 

RYASCPXA-18192 Fl 10 ^ ppm D Date ^•15-08 

RYBSCPXA-18192 F2 H31 ppm Time 

RYCSCPXA-18192 B1 .^Hl ppm 

n 

D Samples Analyzed RYDSCPXA-18192 B2 3C>(o ppm 

RDZSGPXA-18192 DZ qi H ppm 

n 

XRF Unit; QSHO Book: 20 3 n ROZOCrXA-10102 GZ ppm n D Date: H-2 8 -OS 

RPZOCPXA-1G102 - PZ ppm n Time: PtA n Staff: n 5 W Number of Samples • L0_ Legend: Fl = Front Left, F2 = Front Rigtit, Bl = Back Left, B2 = Back Rigtit DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

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XRF DATA ENTRY LOG 

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- Lyy' . •,­ SL.." ... ­ •-; •'- -

DATE 5 >/S >/b 

PROPERTY ADDR 

ZXKbS 5. 

ESS 

33 c2* ^ f 

QU.ADRENT OR SAMPLE AREA 

redig n 

—" • 

13 

u 

Fl 

F2 

31 

82 

02 

DEPTH 

r 

(y 

13" 

TIME 

XRF S/N 

AVERAGE OF RESULTS 

3^i^8 

lo</:tiB 

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3^77^

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3U3'37/ 

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3UH'3^'7 

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1 

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1 

PZ 

GZ 

F71 

EZ2 

OTHER 

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SAMPLER MAME 'R.oM Ocuci^i 
Thermo 

SCIENTIFI C 

1 2010-05-13 15:00 

2 2010-05-15 15:00 

3 2010-05-15 15:01 

4 2010-05-15 13:01 

5 2010-05-15 15:02 

6 2010-05-15 15:03 

7 2010-05-15 15:03 

8 2010-05-15 15:03 

9 2010-05-15 15:05 

10 2010-05-15 15:06 

II 2010-05-15 15:06 

12 2010-05-15 15:06 

S.AII) ,

18192 

18192 

18192 

18192 

18192 

18192 

18192 

18192 

18192 

 ,M)I)I{I-..S,S 

2105 8 33 st 

2105 s 33 st 

2105 s 33 Sl 

2105 s 33 st 

2105 s 33 sl 

2105 3 33 SI 

2105 s 33 sl 

2105 s 33 Sl 

2105 s 33 SI 

2105 s 33 st 

2105 s 33 st 

2105 s 33 st 

DZ 

DZ 

DZ 

DZ 

Fl 

Fl 

Fl 

Fl 

F2 

F2 

F2 

F2 

RON 

RON 

RON 

RON 

RON 

RON 

RON 

RON 

RON 

RON 

RON 

RON 

13 

13 

13 

13 

6 

6 

6 

final clearance 

final clearance 

final ctearance 

final clearance Avg of 364-366 

final clearance 

final clearance 

final clearance 

final clearance Avg of 368-370 

final clearance 

final clearance 

final clearance 

final clearance Avg of 372-374 

427.08 

411.36 

454.30 

430.91 

296,91 

306,68 

295,29 

299.63 

95,40 

111.83 

103.70 

103,65 

± 32.66 

± 32,27 

± 33.48 

± 32,80 

± 27.49 

± 28,00 

± 27.52 

± 27,67 

t 17,05 

± 18,18 

± 17,62 

± 17,61 

Thermo Fisher Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Page 1 of I 05/15/10 16:05:21 
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