TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SA1D#: 33777 DATE; 1/15 

ADDRESS: 1912 SPRAGUE ST 

REMEDIATION CONTRACTOR: PRUDENTTECHNOLOGIES. INC. YEAR: 20lj> 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

d PRE AND POST VIDEO OF PORPERTY (DVD) 

d EXECUTIVE SUMMARY 

d EPA-PROVIDED PROPERTY SKETCH 

d SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

d RESTORATION AGREEMENT 

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

• CONFIRMATION DATA 

a PHOTOGRAPHS 

Q AS-BUILT SKETCH 

EJ SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

d PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

d UTILITY CLEARANCES 

d PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

D 

D 

D 

^A ^ 3|H|ll 

SIGNATURE O^jE 

30218407 Hi 

Superfund 
PROPERTY SUMMARY 

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

Property Address: 1912 SPRAGUE ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Infonnation: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

F2 = 279 PPM @ 2"; EA = 118 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) 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 ofareas not meeting Interim ROD cleanup criteria. 

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

Backfill: 

Sample Area: 33777 ­ 1912 SPRAGUE ST 

Owner: User Provided Owner Information Resident: 

n Owner Occupied 

Owner Name: 

IFOSTERIVEAN 

Owner Addressl: 

1 

Owner AddressZ: 

|4102 N 19 ST 

City: 

lOMAHA 

Owner Phone 

1 

State: Zip Code: 

|NE |68110-

Alternate Phone: 

1(402) 706-6350 

Owner Name: 

1 

Owner Address: 

1 

City: 

1 

Owner Phone: 

1 "

State: Zip Code: 

1 r 

Alternate Phone: 

1 

Resident Name: 

I 

Property Address: 

|1912 SPRAGUE ST 

Zip Code: 

|68110-

Resident Phone 

I 

Contract: Assessment: 

Contractor: JPRUDENT2010_S Qualifying Group J400 

Contract Option (OPTION 1 Assessment Max XRF Value ) 516 
'ysiyyi 

TECHNOLOGIES, BMC. 

Property #:'^ ? "7" ^ 

Date/Time: 

Quads Excavated: p "^^^ 

EPA Property CSose Out 

Property Address: 1^1^ V^,^ ^ ^tOwner's Name:'3^ U^''-'^ 'royf-eTL 

Contractor Group: Prudent Technologies, Inc., 

Excavation General Yes No 

I.

 if" necessarv. were the correct quadrant(s) excavated and restored? J 

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

Grading Sod and Vegetation Yes 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 lime period) / 

4 Are sodded areas generally finn and evenly graded? / 

5. Are tlie jonits between the sod strips generally tight? (Only evaluate if inspected at a 30 day y time period) 

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

7. Was damage to landscaping or plant materials avoided? y 

Gates, Fences and Retaining Walls Yes No 

i. Do gates open and close freely? (If apphcable) s/ 

2. Were all gales or fences talcen down during restoration activities reinstalled? (If apphcable) y 

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

y 

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

y 

Foundation, Siding and Gutters Yes No 

1. Was damage to the siding or trim avoided? 

y 

2. Was damage to tlie foundation avoided? 

y 

3. Was damage to windows avoided? 

y 

4. Was danmge to windows or door screens avoided? 

y 

5. Was damage to downspouts or downspout extensions avoided? 

y 

Sidewalks and Driveways (Concrete) Yes No 

Wiis 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 Qcs^^^t^ Date: iz/nlio 
ECHNDTDCIES, INC. 

AS - BUILT DRAWING 

OLS#33777 

Date Excavated: 10/06/2010 OMAHA LEAD SUPERFUND SITE I'SEPA Signed-OfTDate: 

33777 

Omaha Lead Site Exterior Paint 

Site Sketch • Good 

• Poor 

Sampling Address; 1912 SPRAGUE ST 

0 Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm:

Samples Collected 

 FPAPB-A J 

RYASCPXA-33777

RYBSCPXA-33777

RYCSCPXA 33'?7-?

RYDSCPXA-33777

 F1 

 F2 

Bl-

 B2 -3_L 

, ppm 

ppm 

ppm 

. ppm 

\y 

D 

[ / 

D 

n 

D 

n 

Date:

Time:

 5~l-0 ^ 

 1-4 0 pTA 

Samples Analyzed 

ROlSCPKA-iiin BS 

RGgCCnXA 33?7y—e2 -

, ppm 

, ppm 

D 

D 

D 

D 

XRF Unit: I09,(D1. Book: 23 5 

Date: fi - 11 • 0°l 

RPZSCPXA-30777­ P2 - , ppm D n Time: -Ar 

Number of Samples • Staff: jaswi. 

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

All quadrants are as viewed from ttte street, facing property 

ENTEJREP 

MAY 1 2 2009 

CA'T^C l l . 

3/ 

\<\\t Spr^gu t S\. 

ZO°l. SlU 

F2 = 279 PPMfl! 2" 

f). .f=f 

WA-^K 

Spra^Ht S-f. kev;(»18 Cralcd: i : Apr 

IA = 1 IS PPM a S( RAPE (~l') 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, 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 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: 

Property Address: I ^ | ^ 

r^HA^,, ^ 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

item: 

item: 

item: 

item: 

item: 

Required corrections to complete ttie property: 

L J I agree restoration is completed. 

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

y^.1^/1 f,t3B£^^A /g^/j-/-.) 

Owner's Signatun Date 
Prudent Technologies. Inc. (Prudetit) is under contract with the U. S. Enviromnental Protection Agency (EPA) to clean up leadcontaminated sojls at a number of properties located in Omaha, Nebraska, including the property located at 

1*^12.. .f r RACOLA] ^ ST" ^ • Tlie EPA requests your permission to allow Pnident to perform a soil cleanup at tliis 

property to remove lead-contammated 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 plamied for your property, please contact Prudent south office for the Omaha Lead 

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

Centers at (402) 731 -3045 (Soutt^mali •Omaliaa office office)

} roor (402 f402)) 9/1/9 9/V9585 3 (NortlSOmaha office).

Property Access Granted By> 

Print Name) 

Property Owner Signature: 

^ 1 (Sign4fu/e) ( "(Date) 

PROPERTY INFORMATION 

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

RESIDENT NAME: \/ArCA/^- ^ C o ? Owner Renter 

RESIDENT ADDRESS: 

( ^ (Z- Sf^iy{Qoi C _ 

IF RENTAL, PROPERTY OWNED BY: s.y\ ' ^ 

OWNER'S MAILING ADDRESS; ^^ ^ y/^ ^ /^/ f •t?rOWNER'S TELEPHONE NUMBER - HOME: \.H'^ \ 70(e>- ^ '^SC J WORK: 

( ) 

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

^ ^ 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? _...yyy 

OCCUPANTS UNDER 7 YEARS OLD MBER OF OCCUPANTS 7 YEARS OLD AND OLDER 

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.) 

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 m Section 104(e) of 

CERCLA, 42 U.S. C 9605(e), which provides entry for "detennining the need for response, or choosing or taking any response aclion 

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

8080 Ward Parkway. Suite 405 5800 '> 1. e St i:lVl r/ieciical Drive, Guite 4260 

Kansas City. MO 64114 Oinsna.. !v.e«;rjt£..« ft'il'. r^yn AriloiHO, TX 78229 

Phone: (816) 363-3703 Phone: ;«.(12f IZZ.-^-^. Pfiorift: r210)022.M88 

Fax: (816', 363-3707 i^ax; (210) 076-6677 
ILNVfRONMENTALA 

CONSTRLlCTION 

TECHNOLOGIES, INC. SERVICE.S 

Property Status Form , 

Address: 1^1 ^ ^fff^^OM V Date: /O/j/jlO/ O 

Phone: BVID: J 3 9 7 ^ Yo 2 - y p (^1^.1^0 

'i^^D//\<y A/^yi:/r J^ fZ ^ 

^ycA\iAiC I' yy^^yy'V^ 

y^-o- ^ CA-^ 

Property Own Prudent Ei iee 

Signature: 

8080 Ward PifrKfci/ay'Suite 40S 5600 S 10 SI 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebrasica 6&107 San Antonio, TX 78229 

Phone: (816) 383-3703 Phone: (402)733-1188 Phone: (210)822-9688 

mne* '>fr'» ^TAT C'.v. tAf\'i\ 11 1 HOO-* 
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Oijo/oiyy^/o y {^^^ ^ ^ 

33111 

Omah Exterior Paint Nort h ArroMTi a Lead Site 

Q Good Site SIcetch 

Q Poor 

Sampling Address: 1912 SPRAGUE ST [ ^ Notpairrt r 

Sample Lead Sample Samples Collected Number LAB Concentration Collected FH-m: FDAPB-/WT 

RYASCPXA-33777 F1 

;zo9 ppm H' n Date: 5-7-g> ^ 

RYBSCPXA-33777 F2 

s / ^ ppm n Time: I '• 4 0 />rt 

RYCSCPXA 33777 BV "~ ppm n

D Samples Analyzed: 

RYDSCPXA-33777 B2 3_L_pp«" n 

RDZ3CPXA-33rTr ©? *~ ppm 

n XRF Unit: JUB ^ Book: 23 5 

RGgCCP)(A'03777 Qf- U H ppm D Date: fJ-Z L • O ^ 

RPZ3CP)(A-33777 P2- u D 

Time: Atta n Staif: M<^U/ Number of Samples n. Legend: Fl = Front Left, F2 = Front Right, Bl = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as. viewiedfeDfrr the street, facing property 

; '.'.. ' 

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MAY 1 2 20B ^ i \ ^ 

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1912 SPRAGUE ST 

Printed: Dec 10.2010 -. bis . 

www.dcgis.org/dogi.'! 
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Create Another Ticket Back to irth Intemet Send Email 

YOUR TICKET NUMBER IS 2608873. 

Original Call Date: 10/05/10 Time: 10:40 am Op: SIVA18967 


Work to Begin Date: 10/07/10 Time: 11:15 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1912 Street: SPRAGUE ST 


Twp: 15N Rng: 13E Sect-Qtr: 03-SW 


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 

Day: 4029340469 

CXCATV COX COMMLINICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 


Day: 4024447197 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RICH/TRAFFIC Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

Day: 4067289343 


QLNNElC QWEST LOCAL NETWORK ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 10/5/2010 
TEOmniLOMB, mc. CONSTRUCTION 

SOLUTIONS 

SITE SAFfeTY HAZARD ANALYSIS 

Address: --J^'2Z:L~-^t:^^3^^-Ji2l l 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 

Stmctures 

Driveway 

Sprinkler System 

Other 

Crew Foreman 

Condition Hazards Corrective Action 

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Site Safety Office 

Date: 

080 VMwfBwleMtay, iiat a 405 >S10St 4242 H«dical Drive, Suite 72fiO 

xma t GDly; aiO«4114 Oiirtla, ll«hf*it o 08107 San Antonio, TX 78229 

none: (810) 30^3703 PlMfw: (402) 733-1108 Phone: (2t0) 822-0688 

ax: {SIS) SOS.'STflT Fax: (402)733^1083 Fax: (210) «79-65n 
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