TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: q/^^ « Date: ij^9. j ^syn,^ 

Address: c?<a3H •iio £st±c& BID . 

Remediation Contractor: Pb-tDgM-/ I'hC-lAtwr^t/ir^iv.^.lrsuL^. Year: ^Ani^--Dnrf] 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

y 

y 

y 

1 / 

Video of orooertv a)VD> 

Executive Sununary 

EPA-provided property sketch 

Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

y 

D 

Restoration Agreement 

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

.

1 

 ' •'­

'• 

' 

y 

y 

y 

y 

y 

D 

y 

y 

D 

Confirmation data 

Photoeraphs 

As-built sketcli 

Satisfactory restoration signed by Property Owner 

Property close-out check list signed by EPA 

Description of areas not meeting ROD cleanup criteria 

Utility clearances 

Property information from Douglas County Assessor's Office 

D 

D 

; 

A ­ ­ ^

Signatur^

 3l/9/o<l 

 Date 

' ^' ­ ^ 40311292 

iimiiiiuii 

Superfund 
PROPERTY SUMMARY 

Date: 01/23/2009 Omaha Lead Site Remedial Action Contract # EP-R7-07-06/0004 Montii of: Dec/Jan 

Property Address: 2038 FLORENCE BVD 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Otiier Relevant Information: NONE 

CONFHlMAT«>N^AMPLTNGT)AT2i/RESULTS: 

Bl = 215 PPM @ 4"; B2 = 158 PPM @ 24"; Fl = 214 PPM @ 4"; F2 = 172 PPM @ 24"; EA = 145 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 clip/photogr^hs 

4) Post-Excavation digital video cUp/photographs 

5) Documentation - Completed Close-out Checklist 

6). AsrB.uilt sketchi) Shall includefinal lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVID number 

7) Oflier items to be iacluded in the iffdividHal piropatyfile, if available, or dbtajtied ificMe: 

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 (Wmdows Media Video) or SWF (Flash Player) format and/or 

photographs 

iv) Signed form verifying satisfactory restoration 

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

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

Backfill: 

Sample Area: 90908 - 2038 FLORENCE BV 

Owner: Resident: Contract: 

n Owner Occupied Resident Name: Contractor: 

Owner Name: jPRUDEI^OOS^S 

|MORELLO BERNARD J 

....-.__...., Property Address: Group: 

Owner Addressl: |2038 FLORENCE BV 

U-, 

Zip Code: 

Assessment: Owner AddressZ: r~~r 

J1M13 HICKORY RD Resident Phone Qualifying Group 

City: State: Zip Code: |800 

jOMAHA ! |NE (68144 

Assessment XRF Date: 

Owner Phone: Alternate Phone: L . |(402) 342-2820 ] 1 Assessment Max XRF Value: —.-•: : 

I sir 
TECHNOUX;iES.INC SER^ 

EPA Property Close Out 

Property#: '=fo°ioS. 

Property Address: cSfoSS,-pl-o/ieri C6 &y 

Date/Time: Owner's Name: 

Quads Excavated: aiyB2.y ft> fl. ^ Eft Contractor Group Prudent Technologies 

Excavation General 

Yes No 

1. If necessary, were the correct quadrant(s) excavated and restored? 77 

2. Ifnecessary, were the correct areas ofdrip zone excavated and restored? 

7^ 

Grading Sod and Vegetation 

Yes gfl 

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 7"" day time period) 

4. Are sodded areas generallyfirm and evenly graded? 7^ 

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? l y ' 

y ­

^ ^ 7.

 Was damage to landscaping or plant materials avoided? 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close freely? (IfappUcable) 7y~ 

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) 

4. Was damage to retaining walls avoided? (IfappUcable) 

Foundation, Siding and Gutters Yes No 

1. Was damage to the siding or trim avoided? ~7 7 

2. Was damage to the foundation avoided? ^ ' 

~ ^ 3.

 Was damage to windows avoided? 

X ^ 

y _ 

4. Was damage to windows or door screens avoided? 

7- T y ' 5.

 Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete) 

Yes No 

1. Was damage to driveway surfaces avoided? 

77 

y_ 

2. Was damage to waUcway surfaces avoided? 

ly 
Owners comments: 

Inspection notes: 

Removal and restorationactivates e jncludin e so on activates complet complete includmgg ththe 30-da 30-dayy sodd warranty warranty:

: 

EPA Representative 
TKh "gfp tf 

Property CompletJon 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 fiiture, excluding any 

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

Property ID: 

Property Address: ^c>-? » ?^ l=^\r)<~ ^ . - , & 1 ^ 

O^"*"-' '^^/.. A J? Uf^r«O0« 

Phone: ^ '-—^ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

TMAOA^L 

Owner's Signature 77 Date 
Piudent Technologies, Inc. (Piudent) is under contract with the U. S. Enviicnmental Protecticn Agency (EPA) to clean up leadcontaminated soils at a numj)er of properties located in Omaha, Nebiaska, including tfae property located at 

. The EPA requests your peimissbn to allow IMtdent to peiform a soil cleanup at this 

property to remove lead-contaminated soil. By signing (his forni, the property owner grants pennission to Prudent to perform 

activities related tothe cleanup including soil sampling, removal of lead-contammated soil, and restoiation of die refeienced propeity. 

If you have any questions about tfae soil cleanif) planned foi youi propeity, please contact Pnident Administrative Cleik foi tfae 

Oinaha Lead Site cleanup. Ms. Deborah Johnson -at (402) 733-1188. G«ia:al questions about the Omaha Lead Site cleamp can be 

directed to the EPA Public Infonnation Centera at (402) 731-3045 (South Omaha ofSce) oi (402) 991-9583 (North Omaha ofiice). 

Property Access Gianted By; XAi/^ ^ XT'. TVSOflELLO . (Please Print Name) 

Propeity Ownei Signature: 

PROPERTY INFORMATION 

KTo be completed by resident and/or property owner — please print) 

RESIDENT NAME: Owner Renter 

RESIDENT ADDRESS: 

„2 f> 3 9; ^ 

Bd Ov^o^Urx Kk 6^/ 1 o ore-v\ c-e. 

IF RENTAL, PROPERTY OWN^BY WNEB^B : 

8(?(g»»g|.f = KAp^-giLo \ jl 

OWNER'S MAILING ADDRESS; 

H;cVL^rj Q^ O^-^rJU VJP^ (><i\^^ 

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 in^jlementedby EPA undei this agreement 

are puisuant to Section 104 of CERCLA, 42 U.S C 9604 EPA's right of access to the propeity is providedfoi m Section 104(e) of 

CERCLA, 42 U.S. C 960S(e), which provides entiy foi "deteiminingthe need foi response, oi choosing or Iddng any response action 

undei tfais title, oi otherwise enforcing tfaeprovisions of tiie title." 

8080 Ward Parlcway, 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 
r. *>i'ASlri,BUILT DRAWTNiS:' 7y7^^ . 

OIM-. 90908 

Date Excavated: 11/03/2008 

IXS£PA Sigpied-OfrOate: 

v. 

90908 

Omaha Moth Amw Lead Site Exterior Paint 

SHa Sketch • Gaod 

• Poor Sa»r»p«rg Addraaa: 2038 FLORENCE BV [^No t paint 

Sample Numtier Lsad Sample LAB Samples Collected 

Concentration CoUected Rmi. FJ A HUJ-C C 

RYASCPXA-g090B F l • Saf i ppm D Pete: \^ 7 1 /O" ? 

RYBSCPXA-OOWa F2 Time. \2.-\ 0 p m RYCSCPXA-90808 Bl U .6 0 I , PP*" Samples Analyzed RYDSCPXA-eO«08 B2 t u 

RDZOCPXA'WWB -Oi U XRF Unit; CJiH t Book- 13l3 _ 

«OgOOPX/^W900 62 D u Pete: I J ' Q<e • Q l •" oom n D Trme JH H Lrt RYBSCPtA-90e08 a Staff: i«lS ^ SROSUK 432 ppm Numbar of Samples • j t f [ ^ j | 

Legend: Fl = Fmnt Left, F2 e Front Ripm, Bl = Back LerLB? * Bapk RigM OZ - Oilp Zone. GZ =" Garden, PZ - Play 

Al quadiart* ire n vmiBm^ A •km. MclnQ prapeny 

ENTlFHED 

^0VS>2':;L.^ 

l^PI:...^!^ 

B2=1S«PPM@24'' 

Bl = 215EPM@4'' .U I i^ti 

5 5 e I^4 1 

Fi:...f F?. 

F1 = 214PPM@4 n^ F2 = 172PPM@24" 

•.FI?r*i'!«:t'. .<?•;{,. DA] c««d MinorroxTU 

EA = 145 PPM @ SCRAPE 

CONTRACT #: EP - R7-07-06 / 0004 PRUDENT TECHNOLOGIES, INC. 
ENVIRONMENTAL* 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

Property Status Form 

Address: 5lo2> ^ CrlorcjvvC e B J^ ^^^^' i^/l^ho 

Phone: BVID: 

Item NO Plants & Permanent Landscaping To Remain In Place 

On Map Description & Location 

toP 

Pre-Existing Condition of Structures 

Does your Basement have a history of leaking? Yes No 

Item NO Description & Location 

On Map 

\

I roperty Ownei Prudent Employee 

Signatured ignature: 

^Ly-^ M8080 Ward Parkway, Suite 405 2505 N. 24" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Onnaha, 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 
90908 

Extehor Paint r4arthAnaw Omah a Lea d Sit • Good Site Sketc h 

Sampling Addjess ;ress:: 2038 FLORENCE BV [g^Nrt paint

r Sample Nt mber Lead Sampto UB Samples Co I 

Concentntion Collected Firm: Ffl4 

RYASCPXA-90908 F l C] Date:

 U / / 

RYBSCPXA-90908 F2 _±ajl ppm Time: \lUq pm 

RYCSCPXA-90908 B1 Cl Samples Aniiyzed RYDSCPXA-90908 B2 818 \ ppm CI 

RDZOCPXA-DOaBO -OZ ppm n XRFUnit: tkSHZ. Bookria i 

90900 Q g tf^QZOOPXA ppm D Date: //ufi ^ 2 

.ppm 

D CI Time: Lab RYB^CPLArgOSOa

L^Lab " 

^Result 432 ppm NumberLfSamples=[jO Q ^ I «»««: iMSte^ 

Legend: Fl >• Fn^nt Left, F2 = Front Right, B^ = Back Left, Rig It DZ = Drip Zone, GZ = Gapen, PZ = Play 

tacnoprepo^ 

ENTERED 

KOViD 2 '2Ml 

m\..[m 

i\y.\.\^. 

I 

I • 

: 8c(. 

55ft *l*^^

t 

F.l.';..!.. If?-. 

; Ii 

: I ; 

. '.0?rw4^. '^A-i tm i Cnmt. ViV* VlVtM-M 046141.0123 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Pmperty 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner 

City 

Owner 

State 

Owner 

Zip 

1139050000 

MORELLO 

BERNARD J 

2 0'3 ? 

11413 

HICKORY 

RD 

OMAHA 

NE 

68144 

Sec-TwnRng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Treasurer 

Website 

Link 

Assessor 

Website 

Link 

10-15-13 

FRANKUN SQUARE 

0 

9 

N40FT 

40X140 

http://webapps.dotcomm.org:8080/TreasTax/faces/pages/taxinfo.jsp? 

parc=1139050000 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R1139050000 

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 incti = 72 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 10/1/2008 

Page 1 of2 

"> 

Create Another Ticket Bacl< to irtli internet Send Email 

• YOUR TICKET NUMBER IS 2163697. 

Original Call Date: 10/28/08 Time: 11:28 am Op: MADHURIMA18 967 

Work to Begin Date: 10/30/08 Time: 12:00 pm 

State: NE County: DOUGLAS Place: OMAHA 

Adciress: 2038 Street: FLORENCE BLVD 

Twp: 15N Rng: 13E Sect-Qtr: 10-SW,15-NW 

Twp: Rng: Sect-Qtr: 

Legal Given: C 


Type of Work: lead remediatiton work 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 LEVEL3 MAGELLAN MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVELS LEVELS COMMUNICATIONS, LLC NA Alt: 

Emerg: 8773668344 

Day: 9185747098 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP TONYA Alt: 

Emerg: 9185747098 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/28/2008 
^ ( 5 Page 2 of2 

Day: 4024447197 


OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON Alt: 4024445161 


Emerg: 4024445160 


Day: 4067289343 


0PPDGPR5 OMAHA PUBLIC POWER DISTRICT NA Alt: 8887289343 


Emerg: 4067289343 


Day: 4067289343 


QLNNElC QWEST LOCAL NETWORK NA Alt: 


Emerg: 8887289343 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULT... 10/28/2008