SAiD#: 28278 

TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

DATE: 1/15 

ADDRESS: 2234 N 18 ST 

REMEDIATION CONTRACTOR: PRUDENTTECHNOLOGIES. INC. YEAR: 2011^ 

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.) 

d CONFIRMATION DATA 

0 PHOTOGRAPHS 

d AS-BUILT SKETCH 

0 SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

0 PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

U / UTILITY CLEARANCES 

d PROPERTY INFORMATION FROM DOUGUVS COUNTY ASSESSOR'S OFFICE 

D 

a 

%\\^\\\ -BK^JDSIGNATURE DATE 

30218417 Wi 

Superfund 
PROPERTY SUMMARY 

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

Property Address: 2234 N 18 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: 

Bl = 349 PPM @ 6"; EA = 388 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) Descriprion ofareas not meeting Interim ROD cleanup criteria. 

TECHNOLOCIES. INC. 
Find Record 

Backnil: 

Sample Area: 28278 - 2234 N 18 ST 

Owner: 

D Owner Occupied 

Owner Name: 

JHOUSING IN OMAHA INC 

Owner Addressl: 

] 

Owner Address2: 

520 S 27 ST 

City: State: Zip Code: 

JOMAHA NE 68105-

Owner Phone Alternate Phone: 

Contract: 

Contractor: JPRUDENT2010_S 

Contract Option JOPTION 2 

Remediation Query Lead Remaining Query Ptx)petty Damage Query 

User Provided Owner Information Resident: 

Owner Name: Resident Name: 

Owner Address: 

1 

City: State: Zip CixJe: 

Property Address: 

12234 N 18 ST 

Zip Code: 

lesiio- Resident Phone 

Owner Phone: 

1 

Alternate Phone: 

Assessment: 

i Qualifying Group |400 

i 

j Assessment Max XRF Value f 482.47 
TECHNOLiOGIES, tNC. 

EPA Property Close Out 

Property #:'Z'^ 2-"^^ Property Address: 7'Z.>H ^ ' '^ "^ 

Date/Time: Owner's Name: 0^-1^ -

Quads Excavated: X7 \ Contractor Group: Prudent Technologies, Inc., 

Excavation General Yes 

1. 

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 

Yes

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? / 1 

J . 

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. 

Arc tlie joints between tlie sod strips generally tight? (Only evaluate if inspected at a 30 day 

/ time penod) 

6. 

Was the property graded such tliat water will not pool on the property? / 

7. 

Was damage to landscaping or plant materials avoided? / 

Gates, Fences and Retaining Walls 

Yes 

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 

Yes

1. Was damage to the siding or trim avoided? / 

2. Was damage to tlie foundation avoided? / 

.1. 

Was damage to windows avoided? / 

4. 

Was damage to windows or door screens avoided? / 

5. 

Was damage to downspouts or downspout extensions avoided? / 

Sidewallts and Driveways (Concrete) Ye Yess

1 Wiis d;iiiiaee lo drivewav surfaces avoided? 

2. Was damage to walkway surfaces avoided? y

No 

No 

No 

No 

No 
Owners comments: 

Inspection notes: 

y yy 

y) 

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

EPA Representative 9c^ / ^ ^Date: dulH 
THNOLOGIES. INC. 

AS - BUILT DRAWING 

OLS tt 28278 

Date Kxcavated: 11/02/2010 

IISEPA Signed-OfTDate: OMAHA LEAD SUPERFUND SITE 

Name: (^EUE R^KP, Omaha Lead Site 

Address: 77.34 - M 1 ^'^ ^ Site Sketch 

Phone: 

Team_£DA__Ga^A i BVID#^2£2l£ _ 

Sample Number 

Lead Concentration 

349 

ppm Z-i?,'5CP)LA-Z.e-znP, ^17 5 ppm 

H0-Z ppm gg'v 

ppm 

ppm 

ppm 

ppm 

-• ,1­

''^VNT J 

Bl =349 PP'M«f, M " r

.,BL ..a2L 

Hdl2- 3S«-I 

-7;5­ ^C 

345 j 775 

-Et2234ii.t3i;!i. 

f4^ Liim, IZhlMh 

7S -•/

 • ,//.^ 7 

Z 8 Z7 & 

Date: 09-W-9 5 North Arrow 

Time: (\:U n 

XRFCode /g3 7 fJooiC- IZ<f 

Confirmation Sample 

F l Yes D No ^ 

F2 Yes CD No 5 , 

B; Yes • No [2S 

BZYes <=! No Ef 

CK Yes n fjo- B 

QZYes Q M&-J3 

• PiL Yea D- No D 

TTiim: 

EA = 388 PPM (d SCRAPE (-1") 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
SERft 

•s. 

Property Completion Agreement 

This agreement documents the completion of removal activities perfonned on the below listed property. 

The property owner's signature indicates that the property owner is satisfied with the restoration of the 

subject property, and (hat no items are in question, now, or at any time in the future, excluding any 

remaining warranty (30 days total) except those itemis listed below, if any. 

Property ID: 

Property Address: 2234 N 18 St 

Owner: Omaha Housing Authority 

Phone: 402-444-6900x251 

Restoration Items in Question: 

Item: The site is snow covered at this time and the sod is domfiant. Being unable to 

Item: inspect the sod; OHA cannot be certain of satisfaction. Prudent agrees that 

Item: warranty of work is extended during winter months through spring. If sod does not 

Kem: take root and become healthy by the end bf spring, Prudent to be responsible for 

Hem: replacing sod at that time. 

Kem: 

Required corrections to complete the property: 

I I I agree restoration is completed. 

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

y&y/^//£> 

Date 
Pnideni Technologies. Inc. (Pnident) is under conliact with Ihe U. S. Envinmmcnlal Protection Agency (EPA) to clean up leadconlaminated soils at a number ofproperties located in Omaha. Nebiaska. including the property located al 2234 N. 18"* Street. The 

EPA requests your permission to allow Pnident to perform a soil cleanup at this property to remove lead-contaminated soil. By 

signmg this form, the property owner grants permission to Pmdent to poform aciivtties related to the cleanup including soil sampling, 

removal of lead^ontanunated soil, and restoration ofthe referenced property. 

Ifyou have any questions about Ihe soil cleanup planned for-your property, please contact Prudent south office .for the Omaha Lead 

Site cleanup-et (402) 733-1188. General questions about the Omaha Lead Site cleanup can be directed to the EPA Public hfbrmation 

Centers at (402) 73i-304S (Soulh Omaha oflice) or (402) 991-9583 (North Omaha ofTice). 

Propeny Access Granted By: Stanley Tinun, Executive Director for Omaha Housing Authority 

(Please Print Name) 

Property Owner Signature: vyyAyiUr/.lj f y/yytfiy*'^ ^ ^^ l^*\>O\ 0 

(Signature) (Date) f

PROPERTY INFORMATION 

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

RESIDENT NAME: Vacant lot Owner Renter 

RESIDENT ADDRESS: 2234 N 18 St Omaha, NE 

IF RENTAL. PROPERTY OWNED BY: The Omaha Housing Authority 

OWNER'S MAILING ADDRESS; 540 S. 27*" Street, Omaha, NE 68105 

OWNER'S TELEPHONE NUMBER-Work: (402> 444-6900 x251 

AGE OF HOME?: N/A YEARS. HOW LONG HAVE YOU LIVED HERE? N/A_ YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? ^YES NO N/A 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: _N/A_ NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 

_N/A 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 3 HOURS OR MORE PER WEEK: 

_N/A 

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

AUTHORrrY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented by EPA under this agreeinent 

are pursuant to Section 104 ofCERCLA. 42 U.S.C. 9604. EPA'srightofaccesstothepropeity is provided for in Section I04(e)of 

CERCLA. 42 U.S. C 9605(e). which provides entry for "detemiining the need for lesponse. or choosing or taking any response action 

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

8080 Ward Parkway, Suite 405 5600 S 10 St 4242 Medical Drive, Suite 4250 

Kansas City, MO 04114 Omaha, Nebraska 68107 San/Vntonio, TX 78229 

Phone:(816)363-3703 Phone: (402)733-1188 Phone: (210)822-0588 

Fax:(816)363-3707 Fax: (402)733-1883 Fax:(210)579-6577 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

Property Status Form 

Address: 35L'3>4 M ( ? Kv $[^ Date: 

Phone: BVID: 

JBT A 5 0 \ 

Property Owner Prudent Emp 

Signature: Signature: .^a^ 

8080 Ward Parkway, Suite 405 2505 N. 24"* Street, Suji 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
Z8Z1 B 

Name: feMg ^C^i . Address: 77.^4 . Kl \9.+^~ 

Omaha Lead Site 

Site Sketch 

Date: O^-IQ-^ ^ 

Time: il-U Q 

North Arrow —i 

Phone: ­ • •• 

Team_EDAj3ljQAL_ BVID#^fiZ?p, XRFCode 7^3 7 /?ook.'. 12^ 

Sample Number Lead Concentration Confirmation Sample 

tZ^t>SCP)CA'7.SZ7ff ^02 

gg ^ 

ppm 

ppm 

ppm 

ppm 

ppm 

F l Yes a 

f Z Yes n 

51 Yes 1=3 

5 2 Yes a 

eg Ves D 

No ca^. 

No —V 

No 12^ 

No 

5^ 

TJo-S 

ppm 

ppm piL Yoa D No Q 

•"ry k 

/T/W -a-f« / 1 

-Bi 92. 

4^ ^ 3izH 

34^ "175 

T __F2 

223^ 

I 

e> 
I .r'-i Ts: 1:5 

ap-'i 

133 103 

K 

A 

2234 N 18ST:60X 140 

Printed: Dec 10.2010 

'"1 

www. dcgis. org/dogis 
Page 1 of 1 

"> 

Create Another Ticket Back to Irth Intemet Send Email 

• YOUR TICKET NUMBER IS 2628942. 

Original Call Date: 10/28/10 Time: 2:04 pm Op: SIVA18967 


Work to Begin Date: 11/01/10 Time: 2:30 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 2234 Street: N 18TH ST 


Twp: 15N Rng: 13E Sect-Qtr: 10-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 


Company : PRUDENT TECHNOLOGIES 


Contact Name: SIVA JAMPAMA Phone: (402)733-1188 


Work Being Done For: EPA 


Depth of Excavation: 6FT Corner Lot: Y 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-TRAFFIC,SEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

OPPDGPR5 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=<RESULT... 10/28/2010 
CONSTRUCTION wc. SOLUTIONS 

SITE SAFfeTY HAZARD ANALYSIS 

Address: J^^Sy^M—ti^LUt 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 

Structures 

Driveway 

Sprinkler System 

Other 

Crew Foreman 

Condition Hazards Corrective Action 

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Site Safety Office 

Date: 

«0W!an»«aftany.SataF4« SSMSIOSt 4242 Medical Drive, Suite 7260 

gnwC«r/Ma«411 4 148107 San Antonio, TX 78229 

lona: (SIS) SaSsSfU (402)733-1188 Phone: (2t0) 8Z2-«688 

Fax: |4a2)733<1«S3 Fax: (210) CT9-6577