CONTRACT # EP-R7-06-04

 

ASW Associates Inc. 

Omaha Lead Site Remediation, Omaha, NE 

EPA 

ASW Associates Inc Certification for Property Closeout 

BVID 47752 Property Address 31 15 R Street 

Field Work Started 18-Jul-06 Field Work Completed 5-Aug-06 

Summary: 

The excavation was performed in compliance with the work plans and specifications. 

The F1 quadrant was excavated to a depth of 12 inch. 

The F2 quadrant was excavated to a depth of 12 inch. 

The B1 quadrant was excavated to a depth of 6 inch. 

Verification samples confirmed that the cleanup standards were met. 

The site was backfilled with materials which meets contract specifications. 

The backfill was compacted to acceptable standards. 

Sod placements and site restorations were conducted in compliance with work plans and 

specifications. 

• Analytical data provided is post excavation at the bottom of the excavation for confirmation 

purposes 

Comments: 

None. 

Jan Prawdzik ASW Project Manager 

Name Title Date denature 

40261992 

SUPERFUND RECORDS 
CONTRACT # EP-R7-06-04 

ASW Associates Inc. 

Omaha Lead Site Remediation, Omaha, NE 

EPA 

Analytical Result Summary 

OLS ID: 47752 

Property Address: 3115 R Street 

XRF Results Lab Results Sample ID Avg. (ppm) (ppm)

 

47752-DE-FM2 76.1 ±55.3 NA 

47752-DE-F2-12 16 ±49.3 NA 

47752-DE-B1-06 165 ± 66.3 NA

 

Jan Prawdzik ASW Project Manager 

Name Title 'Date 

Sample Designation 

OLSID-DE-Location-dd 

OLS ID is a particular residential property ID from which the sample is collected. 

DE == During and Post Excavation 

Location of the sample as follows;

 

Fl = Front Yard (1* Quadrant) 

Bl =• Back Yard (1* Quadrant) 

F2 = Front Yard (2nd Quadrant) 

B2 = Front Yard (2nd Quadrant) 

DZ " Drip Zone 

PZ = Play Zone 

GA= Garden EA = Easement

 

dd describes the depth from which the sample was collected. 

NA •= Not Applicable 
»EPA

 

Remediation/Excavation Contract (ASW) 

EPA Property Close Out Form 

Property #: Property Address: 3 //5" ff 

Date/Time: Owner's Name: ^e£«y-tfA Orttt/sHt 

Quads Excavated: Contractor Croup 

Excavation General 

) . If necessary, were the correct quadrant(s) excavated and restored? 

2. If necessary, were the correct areas of drip 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 healthy and growing? (Only evaluate if inspected at a 30 

day lime 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 Walls 

1. Do gates open and close freely? (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? 

Yes

uU> 

 Yes

L^ 

L^ 

L/ 

U-

U 

Yes

(^ 

uLs

 

C_ 

 Yes

\^ 

Ls 

I/ 

\S 

\^s 

Yes 

\y 

 No 

^ 

/ 

 No 

-

^ 

/ 

 No 

^ 

^ 

/ 

^ 

/

 No 

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/ 

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2. Was damage to walkway surfaces avoided? \y ' 
Owners comments: 

Inspection notes: 

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

EPA Representative Date: 
Contract No: EP - R7 - 06 - 04 

Property Closeout Agreement ? Omaha Lead Superfund Site © 

OLS ID Property Address 

MS- X. JT 

Property Owner Is the Resident the Owner Hie s D No 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) or its authorized representatives, (or its contractors), to enter 

and conduct environmental restoration services for the Omaha Lead Site. 

Your cooperation in giving EPA/ASW permission to access your property during the removal/restoration 

phase is sincerely appreciated. This document certifies that all work performed at this property was 

completed in accordance with the contact specifications and EPA requirements. 

If you have questions or need additional information please contact the EPA Public Information Centers at 

(402) 731-3045 or (402) 991-9583 or the EPA Office of External Programs at 1-800-223-0425. 

Additional Comments by EPA and/or ASW: 

CONTRACTOR CERTIFICATION 

Jan Prawdzik ASW Project Manager 

Name Title Date Signature 

Property Owner Section 

This agreement documents the completion of remedial/restoration efforts at the property to my satisfaction 

07 I agree that restoration is completed at my property 

D I E)o Not Agree: Comments: 

plitUj- \i)^djuui^~ *& ­ !Or

Q(o 

Property Owner's Signature Date 

<*7^a$i / /s /. <fr —

EPA Representative Signature 

^'/^'^ 

Date 
Page 1 of L 

Omaha Lead Site 

Omaha, NE 

U.S. Environmental Protection Agency Region VI! 

Residential Yard Soils 

Environmental Restoration 

Services 

Grantor (the property owner), consents to and authorizes the United Sates Environmental Protection Agency (USEPA) 

or its authorized representatives (or its contractors), the Grantee, to enter and perform certain environmental response 

activities upon the following described premises. For further information please contact EPA at 1-800-223-0425. 

Property Access Granted flt ^~ L/ ^&- U tf £~ 

(Please Print Name) 

(Property Owner Signature) (Date) 

NOTE: Granting permission DOES NOT necessarily imply your properly will be remediated at this time. 

Residence Address: 

(CITY) (STATE) (ZIP) 

Property owned by: 

Owners mailing address: 

Owner's telephone number—Home: ' *O / //Y Work: 

Age of Home? 00~f years How long have you lived here? _ years 

Has the exterior been painted or covered with siding since 1978 ErYES D NO 

Has the interior been painted or covered since 1978? SKYES D NO 

Total number of occupants: S^ List Ages: 

List ages of occupants under 6 years old who play in the yard for 5 or more hours per week: 

Comments: 

AUTHORITY FOR ENVIORNMENTAL RESPONSE ACTIONS 

The activities to be implemented by EPA under this agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to the property for in Section I04(e) of CERCLA, 42 U.S.C. 9604 (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 of this title." 

Access Attempts: 

First: Second: Third:

 
List of existing Conditions pg._/_of_/_ 

Property Address: 

Owner: . D Date: ­ OLSID# 

Description: 

€l 

Owner Signature gnature* - ASW Associates Inc 

r uk- Q 

Print & Sign 
Omaha LeadSite Owner Name: DEBORAH M ORDUNA 

Addr***:3115RST SiteS ketch

Phone:

 H W:

 

Sample Number

 Lead

 Sample ..g Concentration Collected 

RY.ASCPXA-47752 F1 H ^^ DPm fM |~] 

RYBSCPXA-47752 F2 <? > JM ppm p3V D 

RYCSCPXA-47752 B1 \- J_) 1 ppm fv J D 

RVOGOPXA-47752 — 82- ••• DDIH r3 D 

KDJCOPXVS 47762 BE- •* DDm T3 D 

RG JCCPXA"477g2 — QZ- ppm C3 D :t —i

u 

Number of Samples = 2, 

^ Q. 

47752 

 Exterior Paint North Arrow 

D Good 

QPeOr 

(g^Not paint 

Samples Collected 

Rrm: f2)A DC/dl/ /tit f

 

Date: V2 -^dJ-bV 

Time: //'/? 

Samples Analyzed 

XRFUnr AM f r UnlC S At I \ ^ *~o~ ^^ 

Date: . \O *5iS TI KA — Time: rPl

 

Staff: 

- Y • ' 

ENTEREiD 

Omaha Lead Site 46130