TRANSMITTAL of OMABA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: ^ 7 f^/ Date: l-^f^l^^X 

Address -S gi-j/ - : C^o 7 

Remediation Contractor: J^'^sJi ^ i^cLi^dlt,^. ^Llsyti^ Year: .2x30^ 

SOI L REMEDIATIO N 

PROPERT Y FIL E FOLDE R DOCUMENT S 

^ Video of property (DVD) 

^ Executive Sununary 

0 EPA-provided property sketch 

a Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

Ef Restoration Agreement 

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

[/ Confirmation data 

0 Photographs 

0 As-built sketch 

sf Satisfactory restoration signed by Property Owner 

Bi Property close-out check list signed by EP A 

D Description of areas not meeting RO D cleanup criteria 

0 Utility clearances 

y . Property infonnationfiwm Doi^las County Assessor's OfBce 

D 40309590 

D 

g Superfund 

ignatufe Date 
PROPERTY SUMMARY 

Date: 12/20/2008 Omaha Lead Site Remedial Action Contract # EP-R7-07-06/0004 Month of: NovADec, 

Property Address; 5407 S 32 ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encoimtered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Oflier Relevant Infonnation: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

B2 = 261 PPM @ JT; DZ = 104 PPM @ 12"; Fl = 212 PPM @ 8"; F2 = 135 PPM @ 8"; EA = 150 PPM @ 

SCRAPE 

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 cUp/photogr^hs 

4) Post-Excavation digital video clip/photogrs^hs 

5) Documentation - Completed Close-out Checklist 

6) As-Built sketchi) Shall includefinal 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 obtaiaed 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) fonnat and/or 

photographs 

iv) Signed form verifying satisfactory restoration 

v) Desoiption of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC. 
Find Record I Clean Up Query Lead Remaining Query I Property Damage Query 

Backfill: 

Sample Area: 4743 1 - 5407 S 32 ST 

Owner: Resident: Contract: 

D Owner Occupied Resident Name: Contractor: 

Owner Name: r jPRUDENT2008_S 

[JAIME ENRIQUE Property Address: Group: 

Owner Addressl: |5407 S 32 ST 

Owner Address2: 

Zip Code: 

[68107 Assessment: 

|5407 S 32 ST Resident Phone Qualifying Group 

City: State: Zip Code: I J800/CHILD 

jOMAHA [NE (68107 Assessment XRF Date: 

Owner Phone: Alternate Phone: I 

|(402) 917-5775 |(402) 917-3578 Assessment Max XRF Value: 

I 1083 
TBCHNOIOGIBS, INC 

Property*: Lfll)-'i>) 

Date/Time: 

Quads Excavated: pl^jLj h ^ |>2. 

SER(V 

EPA Property Close Out 

Property Address: 5fP7 5 32. SlOwner's Name: 

Contractor Group: Prudent Technologies, Inc., 

Excavation General 

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 

1. Does the grading around the perimeter ofthe 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 evahiate if inspected at a 30 

day lime period) 

4. Are sodded areas generally fum 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? (IfappUcable) 

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? (IfappUcable) 

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 surfeces avoided? 

2. Was damage to walkway surfaces avoided? 

Yes No 

/ 

/ 

Yes No 

/ 

/ 

/ 

/ 

/ 

/ 

/ 

Yes No 

/ 

/ 

X 

y 

Yes No 

y 

X 

/ 

/ 

y 

Yes No 

/ 

y 
Owners comments: 

Inspection notes: 

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

EPA Representative fL^ j^^ M . Date: ,a/,/os ^ 
Property Completion Agreement 

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

The property owner's signatm^e 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 fiiture, excluding any 

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

Property ID: 

Property Address: ^ ^ p -^ O^ O5/L •'V <) 

Owner: Q .^. 7lo. ^ V^ u ^ .. ^ ">. 

Phone: ^ O A 

Restoration items In Question: 

Item: 

Item: 

Item: 

Item: 

item: 

Item: 

Required corrections to complete the property: °°n 

L J I agree i^storation Is completed, except as noted above. 

L J I do not agree restoration Is completed 

\y^ ^ ^ /f ^e_^ ^ j ^ ^ //-X-W ~ Xool^ 

Owner's Signature Date 
Prudent Technologies, Inc. (Piudent) is under contract with the U. S. Environmental Protection Agency (EPA) to clean up lead­ contaminated soils at a number of properties located in Omaha, Nebraska, including the property located at . The EPA requests your permissbn to allow Prudent to perform a soil cleaniq) at this 

property to iemo\e lead-contaminated 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 of the referenced property. 

If you have any questions about the soil cleanup planned for your property, please contact Prudent Administrative Clericfor the 

Omaha Lead Site cleanup. Ms. Deboiah Johnson -at (402) 733-1188. General questions about the Omaha Lead Site cleaiup can be 

directed to the EPA Public Infomiation Centers at (402) 731-304S (South Omaha ofGce) or (402) 991-9583 (North Omaha ofiice). 

Property Access Granted By: id^^'J^ / 9" ^ - ^ Oot , > ^ ^ "C^ 

(Please Print Nrnie) 

Property Owner Signature: J^T ? ^Jft f ^ : ? at ' 7 "9 ^ T ^ 1^1 3< \ ® » 

(Signature) '~ (Date) 

PROPERTY INFORMATION 

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

RESIDENT NAME: \ ejL^.jCU^\f ^ Owner Renter 

RESIDENT ADDRESS: 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; „ x>. o o ^ 

OWNER'S TELEPHONE NUMBER - HOME: J _ _L WORK: 

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

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? YES NO 


NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: . 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 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 of CERCLA, 42 U.S.C. 9604. EPA's right of access to the property is providedfor in Section 104(e) of 

CERCLA, 42 U.S. C 960S(e), which provides entryfor "determiningthe needfor response, or choosing ortaking any response action 

under diis title, or otherwise enforcing theprovisions of die title." 

8080 Ward Parkway, Suite 405 2505 N. 24*^ Street, Suite 308 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 I/ 
y ^ AS - BUILT DRAWING f ^ 

OLS#: 47431 

DateEicavated: 11/12/2008 

USEPA Signed-OffDate: 

OMAHA LEAD SUPERFUND SITE. 

47431 ^n-Gi'-^^ North AiKMr

4n-s5i« °is:iisir 

Swipflna Addiwa: 5407S32ST 

Sampte'Number Lead

Concciitralion

 Sampto 

Collecta inca c d LAB Sampfas Colecied 

RYASCPXA47431

RYBSCPXA-47431

nVOOOPM* IT-WI

RVDSCPXA^7431

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F2 

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oomM 

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SampletAnai^Bd 

ROZSCPXA-47431 OZ _X4JJ_ppm Unit: CA*i*iO Book: 218 ­

fWZOCnW 47 Wl OZ • ^ POW D 

-HPZBGPWMMai P» " ^ " W W n 

Number of Samptoa =[ ^ | Q [ rasv/. Lagand: Fl a Fiont Uft, F^ B From RHihi. Bl = Back Laft. 82 « Back Rl| ^ OZ^^^Zm . GZ « Garderi. PZ s Ptay 

M quHtqmk are a vinad fton ( w ikM , ttCkm 

; j i.,^,J......,.L^LJi^ixsM&.vi. •• 

CONTRACT #: EP - R7-07-06 / 0004 PRUDENT TECHNOLOGtES, INC. 
t ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

Property Status Form 

Address: 'oMo~V S 32.*^^ SW Date: lopi|o g 

Phone; Hogi- ^V\ - ^'^'^ S BVID: • 

Item NO Plants & Permanent Landscaping To Remain In Place 

On Map Description & Location 

W ^Va.^V-2 o

Pre-Existing Condition of Structures 

DoesyourBasementhaveahistory of leaking? Yes No 7^ 

Item NO Description & Location 

On Map 

Property Owner 

Signature: 

{X'^-\.y^~^^ y 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 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 
'v 47431 n^n r-nn^ 

11 1 L> *- Externr Paint NorthAnow Omaha Lead Site • Good An Site Sketch - s^Tg n Poor 

Samolina Address: 5407 S 32 ST 0 Not paint 

Lead Sample Samples Collected Sample Number LAB Concentration Collected Firm: FCA P^-S n 

RYASCPXA-47431 Fl D Date: G-^-n^ 

RYBSCPXA-47431 F2 0 5 H Pom 

I 

n Time: /z : 15 j,y^ 

•RVGGCPXA-47431 Bl- __!l__pp m n Samples Analyzed RYDSCPXA-^TASI B2 fc*?^ ppmM n 

RDZSCPXA-47431 DZ Tig»<^ ppm D XRF Unit: fo.'^HO Book: 2l R 

RCgOCPXA-47431 6E ppm n Date: fl-21'QR

nPZSOPXA-47401 PZ- " ppm D D Time: Ar>-» D Staff: ^\S W Numtier of Samples = | If | j Q | 

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

All quadrants are as vievwed from the street, feeing pcxjperty 

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R14245900000001.jpg (JPEG Image, 640x480 pixels) http;//douglasne.mapji|^online.com/assessdoc/Photos/36/ PJW||- R 14245900... ' 

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Douglas County-Omaha, NE 

Parcel ID 1424590000 Sec-Twn-Rng 09-14-13 

Owner 

Name 

JAIME 

ENRIQUE Addition JblltRSAD D 

Property 

Address 

5407 S 32 ST Block 8 

City OMAHA Lot 8 

Zip 68107 Legal 1 8 28 FT 

Owner 

Address Legal 2 28X55 

Owner 

Address 2 5407 8 32 ST Legal 3 

Owner City OMAHA Legal 4 

Owner 

State 

NE Treasurer 

Website Unk 

http://webapps.dot comm.org:8080/TreasTax/f aces/pages 

/taxinfo. jsp?parc= 1424590000 

Owner Zip 68107 Assessor 

Website Unk 

http: //doug lasne. mapping-online, com/Doug lasCoNe/stat ic 

/accountinfo.jsp?accountno=R1424590000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 12 feet appraisal, survey, or for zoning verification. 

lfl 11/3/2008 11 17 ^ 




http://www.dhon.org^Bnternet/DHONNoticeCreation/MessageText.., 

# 

I Create Another.TJcket''•• Back to.Irth Internet Siend Ertiall' i 

YOUR TICKET NUMBER IS  2168929. 

Original Call Date: 11/04/08 Time: 10:34 am Op: MADHURIMA18967 


Work to Begin Date: 11/06/08 Time: 11:00 am 


State: NE County: DOUGLAS Place: OMAHA 


Address: 5407 Street: S 32ND ST 


Twp: 14N Rng: 13E Sect-Qtr: 09-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: lead remediation for soil 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: [402)733-1883 


: UNSURE CORNERS 


Company : PRUDENT TECHNOLOGIES 


Contact Name: MADHURIMA Phone: (402)733-1188 


Alt. Contact: Phone: (618)401-2223 


Work Being Done For: epa 


Depth of Excavation: 6 ft Corner Lot; N Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring ; N Explosives: N 


CXCATV MCLEODNE METRO MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


Utility Service Area Contact Phone Number Type 

Day: 4029340469 


COX Alt: 4029340469 
 CXCATV COMMUNICATIONS, INC ^^^° ^ 

Emerg: 4029329757 


Day: 8002891901 


NO NEED TO CALL MCLEODNE MCLEODUSA Alt: OUT EMERGENCY 

Emerg: 8002891901 

Day: 4024572307 

METRO COMM. 
 METRO CHRIS Alt: 4026727033 COLLEGE 


Emerg: 4024572313 

Day: 4025047823 

METROPOLITAN MUD02 SANDY Alt: UTILITIES DISTRICT 

Emerg: 4025047970 

CITY OF OMAHA- Day: 4024447197 OMAHACOF RON TRAFFICSEWER 

lof2 11/4/2008 10:34 AM 
http://www.dhon.org/j^fcntemel/DHONNoticeCreation/MessageText. /j^i 
 .

Alt: 4024445161 


Emerg: 4024445160 


0PPDGPR6 OMAHA PUBLIC POWER 

DISTRICT NA 

Day: 

Alt: 

Emerg: 

4067289343 

8887289343 

: 4067289343 

QLNNEIF QWEST LOCAL 

NETWORK NA 

Day: 

Alt: 

Emerg: 

4067289343 

8887289343 

2 of 2 11/4/2008 10:34 AM