TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: I 35"V4? Date: Y 7 ^ ^ 

Address: ^3( ^ IjdcJtir Sc i • 

Remediation Contractor: Envrionmenta l Restoration, LLC _ Year: _2010 

SOIL REMEDIATIO N 

PROPERT Y FIL E FOLDE R DOCUMENT S 

iSs, Video of property (DVD) ^^B3efore DAfter^Sl^Basenient D 

L3\ Executive Smnmary (Final Report) 

N^ EPA-provided property sketch 

Q>. Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

Os Restoration Agreement 

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

N^ Confirmation data 

"TSs. Photographs ^SsjBefore DCrew PhotosS^ During Excavation D Sod 

^&30-daySodn 

MSs. As-built sketch 

Ws Completion Agreement signed by Property Owner 

^ ^ Property close-out check list signed by EPA 

n Description of areas not meeting ROD cleanup criteria 

""^ Utility clearances 

^ Bv Property information from Douglas County Assessor's Office 

B. Property access checklist .. . 

S Contact Log ' 30260413 

.. • D 

Superfund 

Environmental Restoration Signature Date 

/EPA COR signature ~/ ^ Date 
• •<<»'• EPA 

EPA Property Close Out Form 

Omaha Lead Site 0U#2 

Property #:_ y.3sV<i Property Address: ^/. ^ /^PlTfH^ <^l M 

Date/Time: Owner's Name: 

Quads Excavated; ^4^ D ^ Contractor Group : Environmental Restoration (ER) 

Excavation General Yes No' 

1. If necessary, were the eorrect quadrant(s) excavated and restored? y 

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

Grading Sod and Vegetation Yes No 

I. Does the grading around the perimeter of the house in excavated areas generally slope away from the 

house? 1/ ^ ' 

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 30-day time 

period). 

4. Are sodded areas generally finn and evenly graded? ^y 

5. Are thejoints 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? y 

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

Gates, Fences and Retaining Walls Yes No 

1. Do gatesopen and close freely? (if applicable) A/^ 

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

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

4. Was damage to retaining walls avoided? (if applicable) 1 

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? • ^ 

2. Was damage to the foundation avoided? wX 

3. Was damage to windo^ys avoided? 1 ^ 

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

5. Was damage to downspouts or downspout extensions avoided? t ^ 

Sidewalks and Driveways (Concrete) 

1. Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

Yes 

1 ^ 

l y 

No 

inspection notes:

"Sea locks- UBU^TV ­

• t i 

 (*^e>)^je^or'fuOCiA^ 

Remedial and restoration activities complete including 30-day sod warranty: 

EPA Representativ^^^^L^v^.^^g^r^LWiw^^ . ' Date: 4/B// 0 
/IS A Omaha Lead Site—EP-R7-03-05 ^ -ti^^dsf ^ Environmental Restoration. LLC 

%^^^AP * www.crllc.com 

EXECUTIVE SUMMARY: 

13546 - 3315 Hoctor Bd 

r ^ No Issues or Concerns Q] Issues/Concerns 

Detail Explanation: 
Page 1 of2 

"> 

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

o YOUR TICKET NUMBER IS 2435657. 

Original Call Date: 3/05/10 Tiraei 3:00 pm Op: ADAM24186 

Work to Begin Date: 3/09/10 Time: 3:30 pm 

State: NE County: DOUGLAS Place: OMAHA 

Address: 3315 Street: HOCTOR BLVD 

Twp: 15N Rng: 13E Sect-Qtr: 34-NW-SW 

Twp: Rng: Sect-Qtr: 

Legal Given: C 

Type of Work: Excavation of the entire property 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (4 02)451-0880 


: SAID #13546 


Company : ENVIRONMENTAL RESTORATION 


Contact Name: ADAM Phone: (402)451-1314 


Alt. Contact: Phone: (636)288-9616 


Work Being Done For: EPA 


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


Involves Tunneling or Horizontal Boring ; N Explosives: N 


ALT872 ATTNEBRl CXCATV LEVEL3 MUD02 OMAHACOF 0PPDGPR6 


QLNNEIF 


Utility Service Area Contact Phone Number Type 

Day: 4067289343 


ELM ALT872 WINDSTREAM COMMUNICATION Alt: 4062071494 LOCATING 

Emerg: 8887289343 


Day: 80024136249 

ATTNEBRl ATT/T Alt: 

Emerg: 80024136249 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 


LEVELS LEVELS COMMUNICATIONS, LLC NA Alt: 


U^-^./A AU r\t ^ t^TTV /^».+u;«+^«.«£^+n^ijrvxTXT»*: --rf^-
Page 2 of2 

METROPOLITAN UTILITIES MUD02 DISTRICT 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER 

0PPDGPR6 OMAHA PUBLIC POWER DISTRICT 

QLNNE 1F QWEST LOCAL NETWORK 

SANDY 

RICH^RAFFIC

ELM 

LOCATING 

ELM 

LOCATING 

Emerg: 8773668344 

Day: 4025047823 


Alt: 


Emerg: 4025047970 

Day: 4024447197 


 Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

Day: 4067289343 

Alt: 4062071494 

Emerg: 8887289343 

Viff-n'//\\nxm7 /^"hnrt r\rrT/irtV»int#»rti/af/r^"H'/^XTXT*-k+:/^£»/^«-ari+:.-.**/A ^f^r^.-.^ ,1^^ + r)

„4.^r>r:ciT TT T-O o l e I'^ m i\ 
Contact Information Log 

Oy*n^r^^'t^^^^Y7ui4f^n7AA/ fh>P^fiYfPt(^ A DaytimePhone; g; ^ ^ ^ 

Attempt to contact Date/time Name 

l93Lt U^kJcT/f^'S/^ i^f-l773: 

l,efY 1^^^^^ ^^)^v^ii ^ Q v ^ 

< PK^/^ It^^yiryfyPf^y ^"^-yV'^ //-'r^ ^ 1 ^ 

Ltf-Y^y^r^r^-e ^-31')^-I I • yII '• ^ X 

>/>> ^ ^y^ n ^^.i-r^.j'ys 5yS 
Property Access Checklist 

iSAID:y<2,5y^ 

P WORK STARTED 

£ ] WORK COMPELTED ON: i''-^-^^^-'^-^-"^^^ A^^;fe>-^ ^ 

Owner; Renter: 

Addresi Phone: 

Fax: 

Cell/Pager: 

Additional Information: 

Fax : ^ • ^ . ^ • .• -• • •.•. • 

Cell/Pager: 

Of Access Agreement Signed:^/^/f i By:^/ 7 

P3/ Restoration Agreement Signed:^ is^f/ ^ By:^/ ? 

E 1 Video Property Before On . : '^ /V*^/lO By: ,\fe 

IZl Digital Photos Before On :']i_l^/iO , By: ^ ^ 

• Video Property After On : 7 / By:­

n Digital Photos After On : / / B y : .•:•-.;•. . 

Ll Property Completion Agreement Signed: / / By: 

n Final Report Signed: / / By: 

Additional Video or Digital Photo's Taken 

n Video D Digital Photo On / / 

Reason: 

n Video D Digital Photo On / / 3y: 

Reason: 

O Video n Digital Photo I On ; / ) 

Reason: 

D Video n Digital Photo On / / 

Reason: 

Omaha Lead Project Work Plan 

Page lof 19 
ConserlBbr Access to Property SAID#_ 

RIGHT OF ENTRY TO PREMISES 

Grantor (ihe property owner), consents to and authorizeii ihe United States Eiiviroruiientai 

PiMieciiori Ageiicy (USEPA) or its authoriized representatives, collectively the Grantee to enter 

and perform certain enviroimiental response activities upon the following described premises; 

Owner's Name: F\or>C i PA^ao ^ I Dayf""e Phone; 5^ ^ ^^" ^ X 1C> 

Address 

= ??/f>/.rt7£rK'^ ^ 

Address: 

Addresses of Properties 

covered by this Address: 

Agreement: . Address: 

Address: 

PURPOSE OF INVESTIGATION : 

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

coritaminated 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 perfomied on said property may include the following 

activities: ..-.•. 

a. Taking photographs, and/or video of the property before, during, 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 ornear Grantor's property. 

' d. Obtaining samples from Grantor's property; 

AGREEMENT NOtTO 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 of the Grantees or the environment, 

or to allow others to use the property in such 

M grant access to my properties n I do not grant access to my properties 

DaVe I Signature Date 
Additional Comments / Instructions: 

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

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

for any damage done to the interiorof house, including foundation cracks or fissures. 

^ l n I f^o KG* agree r~l I agree O I do not agree agree 

Bate' ' . • Contractor's Signature. Date 
iiXMmSt ^ mA 

Restoration Agreement 

The purpose of liiIs agreement is to provide a mutual agreement as.to condhions of property pribi: to 

contractor aeiivuies." This wiil'also seifve'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:/? 5 V ^ 

Property-Address: J ^/ y f7<^C. "f^y^ t? ^ 

Owner: f>i7r9YP7Y^tJ 'trfy Uc, ^•Tfi ^j'±? r.vr/ ^ 

dn 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. 

Etsms to be removed by Contractor and not replaced: 

Item: 

^f,P//7 - rrrfc^ Ci\ / • j <? 

Item: 

[tem: 

Item: 

i i m I I I KJ-' 

Item: 

Item: 

(tern: 

Page 1 of 2 
agree Did o not agree . rn j 

^^'' ' : Didoac t agree 

^ner' s Signature 

Attachment Date s 

Page 2 of 2 
3/31/2010 2:14 PH FROM: Homebuyers Homebuyecs TO: 45110^ ^ PAGE: 001 OF 004 


Homebuyers 

To: . Ron Deevers 

Fax number: 4511069 

From: fiona moody 

Fax number: 

Business phone: 

Home phone: 

Date & Time: 3/31/2010 2:14:23 PM 

Pages: 4 

Re: 
, ..1/^.jiu .!:i4 PM FKOH: Homebuyers Homebuyer3^Tor"4E11069 PAGE: 003 OF 004 


ncCRocT rn x 

Propi&rty Completion Aflrciftmenlt 

This Agreement do&umfints the completion of noiedlil ButiviiiM pedTomtsd on my properly, l^y 

sigABture will de>i|p«tPth»tI ain'sttiinecl vilhtltore«toration of (ny property, andthatno items veIn 

question,'now, or fitaiiy time b the future* ej(cepithp's« Items listed below, if ftcy. 

SMD : fJ^f/C 

ProptrtyAddrne, ^, , ^^^ , Q Q 

^"*" ^(^frtlart ^f^ifv^y -jtfy(<i^ U ^ 

Piioa*: /tf'j y >aft>a(r <g>^ / ? 

n«|»toratf or\ Itemt In C(uqBtloi]t: 

liem: • ^ . cxre^- rrwis-E^y 1

^ ^ 

EfAiMt . . . 1 . . . 

K«t\i; 

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(tsm: 

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Adttttlonai C^rrtRuntfa; 

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\_j I do uotAj^effsslortttlon I9 (caip[«(cd 

^•—I . •ifijfci jf.«l»fc»iM I •*• 

Cscti'icter'i Sfgastuffi 
^v.x.11. .i.xii.\jxxiiaiiVJll Page 1 of3 

Douglas County, Nebraska Property Record - R1322940000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - VJeW O n Ma p Information is valid as of 2009-12-15 Treasurer's Tax Report 

New Feature -> -> r* Auto Sales Search 

Owne r 

GUARDIAN PROPERTY SERV LLC 

701 OLSON DR #109 

PAPILLION NE 68046-0000 

Propert y Informatio n 

Key Number: 2294 0000 13 

Account Type: Residential 

Parcel Number: 1322940000 

Parcel Address: 3315 HOCTOR BD 

OMAHA NE 68108-0000 

Legal Description: HOCTOR TERRACE LOT 7 BLOCK 2 45 X 120 

Value Informatio n 

Land Improvement Total 

2009 $5,900.00 $71,700.00 $77,600.00 

2008 $5,900.00 $71,700.00 $77,600.00 

2007 $5,900.00 $71,700.00 $77,600.00 

2006 $5,900.00 $71,700.00 $77,600.00 

2005 $5,900.00 $71,700.00 $77,600.00 

2004 $5,900.00 $35,200.00 $41,100.00 

Sales Informatio n 

Sales Date: 2009-11-03 

Deed Type: TRD Book: 2009 Page: 121874 

Price: $0.00 

Grantor: Young Thomas J Trustee 

Grantee: Guardian Property Services LLC 

Valid/Invalid: Invalid 

Exclusion Reason: Foreclosure 

Sales Date: 1998-09-08 

Deed Type: D Boole 2100 Page: 443 

Price: $55,900.00 

Grantor: 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 12/21/2009 
Page 2 of 3 ^uuiii iiiiuiiiianon 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.12 5400.0 1.0 120.0 45.0 No 

Improvemen t Informatio n 

Building 1 

331S Hoctor S!v«S 

1" W D Sq « 

11/2 Story Fin 

CLICK TO ENLARGE IMAGE 

Square Footage: 1333.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 5.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

0 0% 1914 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 880.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch End Screen 144.0 

1914 96 

httD://douglasne.mapDing-online.com/DouglasCoNe/static/accountinfo.isp?accountno=R 1 ^ln^ nndn 
Page 3 of3 

Porch End Screen 64.0 

User Attic Full Finish 437.0 

User Plastic over int windows 1.0 

http://douglasne.mapping-oniine.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl... 12/21/2009 
ENVIRONMENTAL AS-BUILT DRAWING 

OMAHA LEAD SUPERFUND SITE 

RESTORATION 

Iilllll III III 1.^546 

Omaha Lcai i Site 

Site Skotc h 

1 ] P.m, S^mulliiU Aildiifss: S3-ia HCCVT.-iR r^O 

L6AC1 

r.onr-onlistliiiti 

Uumpln 

Colletied Fl l 111: 

Suiiifjleii CulleulecJ 

RYASCPXA-13S46 f l 2 H'Z. pom n I- T •t>«' _ 

RYC3CPXA-13546 k!) 

HYUiiCH>CA-l3ri*5 B2 

RDZe.CPXA->J54(l Ui i 

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I

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Time: iZ-'K' f l 

XRF 1.1 nK. CaS-HO Dook

Datr O J ­ tt o ­ C^ & 

Time. P/ ^ 

20 ^ 

NiiOtbW of ijurnoles ~ 5 iitart: /^SlV ^ 

L«igciiiil. F l rcofil Liiti. I-? = Frnnt RIoM B l - Ba'A Left, D i - back Kight 13Z = D(\r> Zone, GZ - Geideii, PZ • Ml.iy 

>7 .'>'i~.'r'< ." V. •;?.' «-:i »-•• 

3 1 \ A JAN 1 iti m ^ % SAID #13546 

DATE EXCAVATED 3-I6-IO 

DATE EPA SIGNED OFF 4.8-IO 

AREA SODDED 385 SQ FT 

Qiijdran Drio2onoExcava<.>d ContBmlnaHon It/t BoWnd I oxtnvated 

Contract*: EP-R7-09-05 Environmental Restoration LLC 
13546 

Omah Exterior Paint North Arrow a Lead Site 

13 Good Site Sketch • Poor 

Sampling Address: 3315 HOCTOR BD Q] Not paint 

Sample Number Lead Sample Samples Collected 

I

I 

LAB Concentration Collected Firm: P^TM ff f M 

RYASCPXA-13546 F1 2^ Z ppm D 

Date: l-'^-bg' 

RYBSCPXA-13546 F2 

\S ^ ppm D Time: iZ'-tjO ^t^ 

RYCSCPXA-13546 B1 3 / / ppm 

D Samples Analyzed RYDSCPXA-13546 82 G 52. ppm D 

RDZSCPXA-13546 DZ I n 1,1 ppm D XRF Unit: frS^ D Book: 2^2L . P!QZOCPXA-1354G 6 2 - ppm D D Date: O / - It o • 

RPZOCPXA-1354G PZ D

•" ppm D Time: P/*^ 

Staff: nS W Number of Samples • 

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

All quadrants are as viewed from the streel. facing property 

:311 JAN 1 6: 2008 

61 

'i m 

m dta^ G52 :: 

JDZ-= \in 

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155 

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Ore-ned: :7-DecJl7 <>46I4I.0123 

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• ^ 

13546 

Omah Exterior Paint North Arrow a Lead Site 

(3 Good Site Sketch • Poor 

Sampling Address: 3315 HOCTOR BD [~| Not paint 

Sample Number Lead Sample Samples Collected 

Concentration Coilected LAB 

Firm: i^rvq ff>M 

RYASCPXA-13546 Fl 2H'Z. ppm D 

Date: 

RYBSCPXA-13546 F2 l-S" ^ ppm 

D Time: 

RYCSCPXA-13546 Bl 3 1 I ppm D 

Samples Analyzed 

RYDSCPXA-13546 82 Q_5!l^ ppm 

I

I D 

RDZSCPXA-13546 DZ I 1 7.T ppm n XRF Unit: PrSH D Book: 20 ^ 

RQZOCPXA-13546 SZ - ppm D D Date: n i - /l o • 

RPZOCPXA-13540 PZ - ppm 

D D Time: Vf^ 

Staff: t^S U Number 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 property 

- V1 ' "•• T^jrr-1? REiin: D 

311 

61 (3^] A 

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JA N 1 6200 : 8 

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ENVIRONMENTAL XRF DATA ENTRY LOG 

RESTORATION 

SAID# \^S % DATE 3 xl7o\ /o 

PROPERTY ADDRESS TIME 

XRF S/N 

QUADRENT OR SAMPLE AREA DEPTH IE OF RESULTS SHOT #s 

Fl 

F2 

81 

L ^ B2 :ii^o -2ir3 

DZ 

PZ 

GZ 

EZl ^ Illf^O An^-ii- ^ 

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OTHER 


lAda^ D^>'J SAMPLER NAME 

Thermo Fisher Scientific Thermo 900 Middlesex Turnpike 

Billerica, MA 01821 

SCIENTIFI C 

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1 2010-03-23 I2;39 Avgof2478-248(|octorbd DZ ADAM 13 retest final 40.49 ± 13.30 

2 ,-. .,.,, . 2010-03-23 12:39 _ 

octorbd ADAM 13 retest final 13546 35.66 * 12.81 °2 ,..-..-, 3 2010-03-23 12:39 octorbd DZ ADAM 13 retest final 13546 

38.74 ± 13.11 

2010-03-23 12:38 octorbd DZ ADAM 13 retestfinal 13546 47.07 ± 13.99 

2010-03-16 17:52 Avgof2180-218: 3315 hoctor bd ADAM «yrf«» ir final clearance 155.92 ± 21.81 

- • 

^ 2,a 

6 2010-03-16 17:52 3315 hoctor bd esr ADAM final clearance 13546 

149.98 ± 21.64 , p i, j 2010-03-16 17:51 

3315 ',:, , hoctor bd ES. ADAM final clearance 13546 162.68 ± 22.17 ^ 

2010-03-16 17:51 3315 hoctor bd M- ADAM final clearance 13546 155.11 ± 21.62 R'a, 

r - M 

2010-03-16 17:44 Av .-_ .... J g of 2176-217il3315 hoctor bd EZ ADAM surface final clearance 115.88 ± 19.10 

ip; :• 2010-03-1617:44 3315hoctorbd EZ ADAM sui&ce final cleaiahce 13546 129.53 ± 19.87 

11 2010-03-16 17:44 3315 hoctor bd EZ ADAM sur&ce final clearance 13546 110.36 ± 18.73 

X2:-^-^'^ T ^,.,,-.,.,._,^,,„-.,-..„.... . r 2010-03-16 17:43 ' " 3315hobtorbd ADAM 7 s,i&i»:'7,^ final cl^nnce 13546 — 

107.73 ± 18.71 ' " ~~ 7 

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