SAID#: 34110

TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

 DATE: 1/15 

ADDRESS: 1808 SHALER ST 

REMEDIATION CONTRACTOR: PRUDENTTECHNOLOGIES. INC. YEAR: 201^ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

E I PRE AND POST VIDEO OF PORPERTY (DVD) 

m EXECUTIVE SUMMARY 

d . EPA-PROVIDED PROPERTY SKETCH 

^ SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT{S) FOR ADJACENT PROPERTY 

m RESTORATION AGREEMENT 

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

d CONFIRMATION DATA 

d PHOTOGRAPHS 

01 AS-BUILT SKETCH 

U SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

m 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 ^^_^ ^ 

a 

a 

SIGNATURE DATE 

lii 

30218382 

Superfund 
PROPERTY SUMMARV 

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

Property Address: 1808 SAHLER ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl = 204 PPM @ 6"; DZ = 368 PPM @ 10"; GZ = 214 PPM @ 6"; EA = 219 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-Buih sketchi) Shall include fmal 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 Lead Remaining Query Property Damage Query 

Backfill: 

Sample Area: 34110 - 1808 SAHLER ST 

Owner: 

n Owner Occupied 

Owner Name: 

jWILSON LAWRENCE 

Owner Addressl: 

r 

Owner Address2: 

II8O8 SAHLER ST 

City: State: Zip Code: 

JoMAHA (NE (esfiG-

Owner Phone Altemate Phone: 

— f 

Contract: 

Contractor: JPRUDEN17010_S 

Contract Option jOPTION 2 

User Provided Owner Information 

Owner Name: 

1 

Owner Address: 

City: 

I 

State:

1

 Zip Code: 

! 

Owner Phone: 

1 ' ' ^ 

Alternate Phone: 

Assessment: 

Qualifying Group 400 

Assessment Max XRF Value f 583.8 

Resident: 

Resident Name: 

jWIlioNLONZO 

Property Address: 

JI8O8 SAHLER ST 

Zip Code: 

168110-

Resident Phone 

r~ 
TECHNOLOGIES, INC. y y \ 

-X 'p,^y\:. 

EPA Property Close Out 

Property tf:"^^ I/O Property Address: , / ^d' ^ ^aVX^ ^ / ^ ' 

Date/Time: Owner's Name: /<^(«/^Ci^0^4/t^5•^'^ 

Quads Excavated;]^! . ^y ? ^^­ - Contractor Group: Prudent Technologies, Inc., 

Excavation General Yes No 

1 If necessary, were the correcl quadrant(s) excavated aiid restored? / 

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 ui all areas that were excavated? y 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time penod) y 

4. Are sodded areas generally fimi and evenly graded? / 

5, Arc tlie joints between the sod strips generally light? (Only evaluate if inspected at a 30 day 

lime penod) y 

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

7. Was dainage lo landscaping or plant materials avoided? / 

Gates, Fences and Retaining WalJs Yes No 

1. Do gates open and close freely? (If applicable) y 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) 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 (o the foundation avoided? ~y 

Was dainage lo windows avoided? 

4. Was damage to windows or door screens avoided? y 

5. Was damage to downspouts or downspout extensions avoided? r 

Sidewalks and Driveways (Concrete) Ves, No 

I Was damage to diiveway surfaces avoided? 

Was damage to walkway surfaces avoided? ^ 
Owners comments: 

Inspection notes: 

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

EPA Representative ^_ '^'">yL Date ^Date: : a\«\'°
TCHNOLOUIES. [NC. 

AS - BUILT DRAWING 

OLS#341I0 

Date Excavated: 11/03/2010 

USEPA Signed-Off Date: OMAHA LEAD SUPERFUND SITE

Name; >»-^/J/=^ >»->/J^=^^ / Oinaha Lead Site 

Date: 4:^/^7^^ ^ North Arrow

Address Address'~7a^a^^y^< : /Jrgy_4^ ^ , _ ,.^ ^.- ^ Site Sketch Time: /VS ^ 

Phone: ('<J^Z-4 4/^/-OZ<2 ^ 

t 

'/—y—^^^^ XRF Code jfi^O g Team 2./k:/f/T?^^Jf/S,/j BVID# 3y//< ^ 

Sample Number Lead Concentration Confirmation Sample 

/?y;4r?C^AW - JV//g 

rf'tf-'? ^^ V ppm /=7Yes n No ^ 

/g y ^/V ppm /=zYes C3 No 51 ^ /^.YCySCPXA - JV//<? 

^/Yes Q No ^ ^ 

«?g-? J^'^ ppm No 5!!!^ /?r)zscpyA - AN-tio 3^*'es CD No S ^ --5-V>9 ^^-6 ppm <3 Yes

 a No er ppm Yes a 

No • 

EA = 219 PPM i® SCRAPE (-1") 

Omaha Lead Site 46130 

CONTRACT #: EP-S7-10-05 PRUDENTTECHNOLOGIES, INC. 
AEPA 

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: Z^hHo 

Property Address; \<^Q ^ <)^V^V^ ^ ^ 

Owner: 

1 (Xy^<fvwf_ \A3'A'SCV> 

Phone: 

^s\-v^•!)9^•n 

Restoration Kems in Question: 

Item: 

Item: 

Item: 

Item: 

item: 

Item: 

Required corrections to complete the property: 

[ ^ I agree restoration Is completed. 

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

v^-^o-\^ 

t>^ner'$ Signature Date 

I
Pnident Technologies. Inc (Prudent) is under ccjntract with the U. S. Environmental Protection Agencv fEPA) to dean up le-adconumnijlecl sgiis ata number of propojiesrlocated in Omaha, Nebraska, including the property located at 

/cy//c ) ^I^nAr^'^ ^ ^^ / ''"'''^ '^.^f^ request.'; your permission to allow Pnident to perform a soil cleanup at tJii.-: 

fropertvTo remove lead-contarainated soil. Bv signing this ibrm. the property owner grants permission to Prudenl to perform 

activities related lo the cleanup including soil sampling, removal of lead-contaminated soil, and restoration ofthe referenced propeny 

ifyou have any questions about the soil cleanup planned for your property, please contact Prudenl south office for the Omaha Lead 

Site cleannp-at (•='02) 733-1188. General questions about the Omaha Lead Site cleanup can be directed to the EPA Public Information 

Centers at (402) 731 -3045 (South Omaha office) or (402) 991-9583 (North Omaha ofilce). 

Property .Acces.>; (Jranted By. L a c^/cw^cg to) Is^y

(Please Print Name) 

'2,01 0 

Property Owner Signatur 

(Signature)) ' (Date) 

PROPERTY IWFORMATIOM 

(To be completed by resident and/or property owner - please prinr) 

RESIDENT WAME: 5^1^^ Owner Renter

RESIDENT ADDRESS: 

/ff03 ^/^i-t-Le^ 3y ^ 

iF RENTAL. PROPERTY OWNED BY; 

OWNER'S MAILING ADDRESJ 

OWNER'S TELEPHONE NUMBER - HOME: (H^ h h~l 1 - ^ 1 ^ ^ WORK: 

( ) 

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

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? \ yU^ YEE S WO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: Q NUMBER 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 WtEK' 

COMMENTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS, ENTRY GATES, ETC.) 

.UlTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONSi The activities to be implemented by EPA under this agreement 

are pursuant lo Section 104 ofCERCLA 42 U.S.C. 9604. EP.A's nght ofaccess to the property is provided for in Section 104(e) ol' 

CERCLA. 42 O.S C 9603(e), whicli. provides entry for "detennining the need for response, or choo.sing or lalaiig any response action 

under tins title, or otherwise enforcing the provisions ofthe title " 

e080 i'Varct Paikvjay, antr<= • •••?'i?. M';it(r.til Oriv*!. OiiUR fiV-i^ 

Kansas City. MOfi-J-l\-i. .'frcK-;iB, [•.ierrJrt^^K^s Siii: rpin r.rifon«>. Th. /.'v*.':?! 

Phone: (816) 363-2703 •?ttcfu;: 

. !,ir. -3.x: (SIS') •iZi-':7r\i 
ENVIRONMENTAL* 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

Property Status Form . XddTtss:/308SAJ^C6r2-'^T- Date: /0/P^'^r< 

Phone: BVID: 3y// 0 

^/Z>/A L /I.C£AS A( ^ f\^ 'h^ ^ 

f^ l ^ ^ycAsJAr e 4 ^^>^ ^ 

U~ ^ X5/3i/CT/'< SiTSi ^ CoNC6J-nC 

Aid /IXH ^iDi - ^yc CA JAT^ i '^^^ > 

J/O^'^fSiU ^ £)^cy.s,^C i ^-^or. 

f-iA^'bfW -y^^ly. /s yi/y> y^^x^^Aj Ae^A jA^^yuc^a^ 

Property Own Prudent E 

nature (Z{AAJ2^/CJ? \A) {}UMV\ Signature^ yiy^''2<s/ 

^TO O 0 Ward PJifkway, Suite 405 S600 S 10 St 4242 Medical Drive. Suite 4250 

Kansas Crty.MO 64114 Omaha, Nebraska 6810 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)733-1188 Phone: (210)822-9588 
Name: "^^/y^ y ' ^ Omaha Lead Site Date: North Arrow 

M6Tessy7^i^-.X^y9yM~ ^T Site Sketch Time: 

Phone: i^(/^Z-J- 47-f/ -<:?24C^ t 

y^oj) 

Team 2^yf^/f/T^y/f/S'/// BVID # 3^y/y> XRF Code ^^O

Sample Number Lead Concentration Confirmation Sample 

^ 

/=?Yes n No 5 ^ /?ys.'sr.pyA - 3'///o tQi- v v ppm /^Ye s n No 5 ^ /?YCSCPyA - 3^/JO ppm ^/Ye s n No g ^ yiYDSCPXA ' 3¥J/0 ppm ^^Ye s 1 ^ No ^^ y -———-^ — ppm /^nzscPXA - 3¥// o Crztes CD No SV_ /?a7SCpyA - 3¥/i o 5^/3 ^C3 ppm (3 Yes n No er" ^ 

PPnn Yes • No • 

Omaha Lead Site 46130 
Page 1 of 1 

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http://douglasne.mapping-online.com/assessdoc/Photos/03/R07021100000001 .jpg 12/10/2010 
N 180

8 SAHLER ST: 40 X 115 

A 

^ ttis ^ Printed: Dec 10.2010 

www.dcgis org/dogis 
Page 1 of 1 

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Create Another Ticket Back to Irth Internet Send Email 

• YOUR TICKET NUMBER IS 2631204. 

Original Call Date: 11/01/10 Time: 12:59 pm Op: SIVA18967 


Work to Begin Date: 11/03/10 Time: 1:30 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1808 Street: SAHLER 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 Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFICSEWER RICH/TRAFFIC

Day:

 Alt:

 4024447197 

 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret^<RESULTS... 11/1/2010 
ENVIRONMENTAL 

ENGINEERING AND 

CONSTRUCTION TEeHNOUiGffis, mc. SOLUTIONS 

SITE SAF*:TY HAZAR D ANALYSIS 

Address: Z^^ji_ , kLcSjL Excavation Date •.lyi:^ 

Crew; /CC^J1:^LIJJ1JJU^ BackfiU Date: 

Item Condition Hazards Corrective Action 

Overhead Lines y^fc^y A'^ ^ 

Gas Line y l 'cy/'/i^r 

Water Line /?<yr,^cL 

Sewer Line 

Septic/Leech 

Field 

Propane/Butane 

Sidewalk 

Foundation 

Retaining Walls 'F'c^ir 

Fences 

Trees 

Structures po^r 

Driveway eac?r Z^^Urr^J 

Sprinkler System ,A///f 

other 

Crew Foreman Site Safety OfTice 

Date: 

8080 WHif eaftany. Suite 405 4242 Medical Drive, Suite 7250 iseoosiost 

Kaua s G^ . 1I064114 San Antonio, TX 78229 ebiaska 68107 

Phone: (8t6) 363-3703 Phone: (2t0) 822^9588 Phone: (402)733-1188 Fax:(816)363-3707 Fax:(210)579-6577 ^aac. (402)733^1883 
1808 oHu, 

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808 ^.K\, 

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