TRANSMITTA L of OMAH A LEAD SITE 

SOIL REMEDIATIO N FILE FOLDER 

SAID#: 250^ S Date: ^-lU- U 

Address: H^ \ K^ . ZS* ^ 'S'^ • 

Remediation Contractor: Environniental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

^ Video ofproperty (DVD) J3^for e DAfter D Basement D 

y Executive Summary (Final Report) 

y ^ EPA-provided property sketch 

/ Q Signed Access Agreement for subject property 

• Signed Access Agreement(s) for adjacent property 

j y Restoration Agreement 

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

y Confirmation data 

/0 Photographs jzlsefore DCrew Photos^H^uring Excavation D Sod 

X30-day Sod D 

y As-built sketch 

j y Completion Agreement signed by Property Owner 

/ O Property close-out check list signed by EPA 

D Description ofareas not raeeting ROD cleanup criteria 

y Utility clearances 

y Property information from Douglas Coimty Assessor's Office 

X Property access checklist 

^ ^ _^30262080 

Contact Log 

X ^cL^^ l lo-f Superfund 

Environinental Restoration Signature Date 

Date 
EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #: Z50^ B Property Address: 9S \ IsA . ZS" ^ 'SsV. 

Date/Time: Owner's Name: fecf rvOufiA OTvorcWci 

Quads Excavated: F \ -'h\ -'^Z Contractor Group : Environmental Restoration (ER) 

Excavation General Yes No 

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

2. If necessary, were the correct areas ofdrip zone excavated and restored? 7 M 

Grading Sod and Vegetation Yes No 

1. Does the grading aouiiJ llit pti iiiiLl^i of LIIL house in excavated areas generally slope away from the l / 

house? 

2. Has sod been laid in all areas that were excavated? v^ 

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 firm and evenly graded? ^ 

5. Arethejointsbetween the sod sfrips 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? v ^ 

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

Gates, Fences and Retaining Walls Yes No 

I. Do gates open and close freely? (if applicable) 

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

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

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

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? 

2. Was damage to the foundation avoided? \/&C^Xt\.{' UV 

3. Was damage to windows avoided? Aji 

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

5. Was damage to downspouts or dovraspout e.xtensions avoided? 1 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? w 

2. Was damage to walkway surfaces avoided? SE 

inspection notes: . , 

[M r a/ui /VLet^t ^' ^ 

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

EPA Representative:- '^/T^ ^ ^>. . JL ^ Date: ^//3/// 
/ JQ^ \ Omaha Lead Site—EP-R7-09-05 

I •^^^y^ ' Environmental Restoration. LLC 

EXECUTIVE SUMMARY: 

25095 981 N 25 ST 

No Issues or Concerns [ ^ Issues/Concerns 

Detail FAnlnnnrinn- _ 
Page 1 of2 

"> 

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

• YOUR TICKET NUMBER IS 2664760. 

Original Call Date: 1/17/11 Time: 7:46 am Op: ADAM2418 6 

Work to Begin Date: 1/20/11 Time: 7:15 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 981 Street: N 25TH ST 

Twp: 15N Rng: 13E Sect-Qtr: 15-SW,16-NE-SE 

Twp: Rng: Sect-Qtr: 

Legal Given: C 

Type of Work: lead soil removal 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)451-1069 


: 25095 


Company ENVIRONMENTAL RESTORATION 


Contact Name ADAM Phone: (402)451-1314 


Alt. Contact Phone: (636)288-9616 


Work Being Done For: epa 


Depth of Excavation: 24 inch Corner Lot: N Front: N Rear: 


Involves Tunneling or Horizontal Boring : N E.xplosives: N 


CXCATV LEVEL3 MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVEL3 LEVEL3 COMMUNICATIONS. LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY MUD 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 1/17/2011 
Page 2 of2 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day:

 Alt:

 4067289343 

 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... 1/17/2011 
Contact Information Log 

SAID#t??^<^9'5 

Owner-sName: "^^^^J , /^eJk i | Daytime Phone: 3*/ ^ "^.P^ Q 

Property Address: ^^(/\i . 9<"£D . ^- / 

Attempt to contact Date/time Name 

A^CJC^ S -^ ^ S St^t^ J t^l'J-l - lO ^ B 

^ofv4-*C--K^ -fp'" •OCC'KUcJ-'iovl lil' U ^ ^ 

-
Property Access Checklist 

SAID: -^^o9 S 

n WORK STARTED ON: / / 

Property D WORKCOMPELTED ON: / / Address: ^a i AJ ^S ' M ' 

Owner: P,e^^^^ ^ Yr^fL^WO 

Renter: 

Address: ^^ J A/ ^3 - S + 

Phone: 

Fax: 

Cell/Pager: 

Additional Information: Phone: Vo 2-3^2-^62 0 

Fax: 

Cell/Pager: 

IS Access Agreement Signed:/2

 1 2%-HO «y=r.fi.,-^)U.^ 

S Restoration Agreement Signed: J'2^ l'2Xll ° ^r-2.Q>^^U^ 

13 Video Property Before On :l T / 22.//0 By£.<?^/. ^ 

H Digital Photos Before On -l-LiyLl h By: C . P>v-VL«^ 

• Video Property After On :

 / / By: 

n Digital Photos After On :

 / / By: 

S'^iopert v Completion Agreement Signed: 3

 >c?<e / t( By:<^<' 

1 1 Final Report Signed:

 / / By: 

Additional Video or Digital Photo's Taken: 

D Video 

Reason: 

D Digital Photo On : / / By: 

n Video 

Reason: 

D Digital Photo On : / / By: 

D Video 

Reason: 

D Digital Photo On : / / By: 

n Video 

Reason: 

n Digital Photo On : / / By: 
Consent for Access to Propeity SAID#_2£!il£ 

RIGHT OF ENTRY TO PREMISES 

Grantor (the properly owner), consents to and authorizes the United States Environmental 

Protection Agency (USEPA) or its authorized representatives, collectively the Grantee to enter 

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

Owner's Name: G»£eAAT^o P-\oec>\r) Daytime Phone: ^QT^- S ^1-2t 2 O

Address: ?g;l ,J -2 ^ i^r 

Addresses of Properties 

covered by this 

.\d dress: 

Address: 

,thc/^A)r LOT 

Agreement: Address: 

Address: 

PURPOSE OF INVESTIGATION 

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

contaminated with hazardous sijbstances, in particular lead at cofiCenTi-ations greater than or equal 

;:D 400 parts per inillion (nprn). 

.REMEDIAL ACTIONS 

The envircmneGlal re:po!:se :ici".icTxS i-zlvd :-iJ3..-h:Li 

• Vi-,,-. nf: c • [c:S 

Takiag photographs und'ir video -A •he vicpe^'^'y bz-ibr?;, diii^ng. -^-.d ufter JirYi^diKi 

?.ctivities; 

Locating equipment and ,•'•^^c'li^?^• :n-'::te ":•. :;;-i;:^??.":":n :'?'' -r-:' T-- \VZ ^?v?ce cf--^^ 

•Tn\-iromi'; ents,l respo nse; 

?'amag and ImpIemerLiing The -^rnvov^! P<~:J'.:: ••: ,• • 'i.-. C•.i^^•:,•• \. \-:\.^''\:, 

1}braining samples from Graritcr's propeit^; 

AGR£E:\!ENT MOT TO INTERFERE 

The Grantor agrees not to interfere or tamper .viLh any :?f che activities or wrork done, or the 

equipment used to perform the activities, or to undertake any actions regarding iiie use of said 

propert>' which would tend to endanger the health cr welfa,ie cf ;he Grantees <jr the envirormient, 

ov lo ,?J^.w others '.o use tlie property in "uch 

\y\ J,-. I grK,_it ECi-^r.s f,o :r;y rjr0'pe-i:is.3 i. 'f.o Jiri gi.-£:nt 2.z~.^Z'3, yj "ny p£'Gp'Ssti^;S. 

Oate S^-'-TisS.'^ r i 
Restoration Agreement 

The purpose of this agreement is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This vvill also serve as documentation for the purpose of assuring that restoration 

activities are completed to the satisfaction ofthe property owner and the United States Environmental 

Protection Agency (EPA). 

SAID: 2<o9<y 

Property Address: ^<X\ tJ ^< s/ 

Owner: ^tiLf\^^<:> fV\o G-cW C7 

Phone: IA\>2'^^Z -l^t O 

On the attached diagram(s) indicate area(s) to be excavated and depth of excavation, location ofall 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. 

items to be removed by Contractor and not replaced: 

Fsga \ of 2 
1 I "i do fTjOt .•igrce' l^j 1 Eigree I do cot ftgree 

Ov/fier's ,'i%f!ature 

Attachment 

4.> ^ 

Contractors Sig-iature Date 

Page 2 of 7, 
• 

Property Completion Agreement 

This agreement documents the completion of remedial activities performed on my property. My 

signature wiii designate that I am satisfied with the restoration of my property, and that no items are in 

question, now, or at any time in the future, except those items listed below, ifany. 

SAID: 2^09$ : 

Property Address: <^ ^ } /U ^S ' s-h 

Owner: B>cg.nAg-t:> r^oftgllo 

Phone: Vol- ZHl- Z&Zo 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

I K I a,gre_ e restoration is corapleted, except as noted 

lyT l agree restorrition is completed, except as noted

|»n l do nol I I I do not agree restoration is completed

not agree restoration is completed 

&A^^AAJ j/z^A

Owner's Signature Date 
Douglas County Account Information rage t oi z 

Douglas County, Nebraska Property Record - R0527590000 

Print Reoort 

View Interactive GIS Mao Information is valid as of 2011-3-31 Treasurer's Tax Reoort 

New Feature ->->- • Subdivision Sales Search 

Owner 

MORELLO BERNARD J 

11413 HICKORY RD 

OMAHA NE 68144-0000 

Property Informatio n 

Key Number 2759 OOOO 05 

Account Type: Residential 

Parcel Number 0527590000 

Parcel Address: 981 N 25 ST 

OMAHA NE 68131-0000 

Legal Description: ARMSTRONGS 1ST ADD LOT 27 BLOCK 1 N 40 FT 40 X 127 

Value Informatio n 

Land Improvement Total 

2010 $200.00 $0.00 $200.00 

2009 $200.00 $0.00 $200.00 

2008 $200.00 $0.00 $200.00 

2007 $200.00 $0.00 $200.00 

2006 $200.00 $0.00 $200.00 

2005 $200.00 $0.00 $200.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.11 5080.0 0.0 127.0 40.0 Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accoimtno=R05... 4/13/2011 
Douglas County Account Information Page 2 of 2 

The above map is powered by Google, and is intended to provide a general idea of a property's location. If 

you require a more exact property location, you may use the Interactive GIS Maps that are maintained by our 

office. 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accoimtno=R05... 4/13/2011 
ENVIRONMENTAL AS-BUILT DRAWING 

OMAHA LEAD SUPERFUND SITL 

RESTORATION 

ZS'0?S' 

Name Ser/ta^-d tyiorCll a Omaha Lead Site Date 9-// »/oi - North Arrow 

Address -Tif/ ^ =45~*' ^ Site Sketch Time: lO-i- g 

Phone: 

Si-oifP.CA r:>-.¥e.:ll-Z-0'5 Tirne: pr\ 

Team ^ a >~i e. S / t r^^ BVID # ^ 5~0 ? '^^ XRF Code (AZ I ^ookJ: /3 3 

Sample Number Lead Concentration Confirmation Sample 

IZI 

A J - ppm f 2 Yes • No 

S3>H ppm (3/ Yes • No 

^ H ^ ppm ^Ye s • No 

ppm - B - Nu D 

ppm 

ppm 'I'tfS • Na • 

Hze ppm /"'Ye s No 

e 157 

Omalia Lead Site 46130 

Quadrant cucavated Df io Zona Excavated Contamination Loft B^ind 

«. e n D-7 r\€% nc >aK«<ii^^%.v%» 
ZS'OJS' 

Name; ger^* ^

Address: ^'Ri ^

 /yhrell o 

 •SiS^^'f 

Omaha Lead Site 

Site Sketch 

Date: 

Time: .,15..,: vy . 

North Arrow h 

Phone: 

..rl . 

Team _^gw<. C S /t A. f*^ BVID # 2 5~0 ? ^ XRF Code f/i 3 7 y^oofe^ : /3 3 

Sample Number Lead Concentration Confirmation Sample 

m^^.c/>xA'Z^^f 

fl^D6C/>XA'Z5-09 S 

MZ ^ 

SLZ­

~E3B. sm^ 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

f'Ye s 

0 Yes 

01 Yes 

^5 Yes 

-TSS' 

•res

n

•

•

• 

Q 

No 

No 

No 

No 

Nu

No

[3 ^ 

D 

' D 

ppm ^rtjs n 

S

No • 

 EJ 

.L,S£i.2.lS5_ 

"/Vq'id'lT'lT'try^^^ 

••^r^-^ ^ 

^hyi ^^^^^c > 

s<^ 

H 

nAl2:.. nzs B l 

t 

B 

\^7^ "^ 

Omaha Lead Site 46130 
X''XiiAX»:>**-i<'' .<*X'.''*J*'*. 'ii-i''i'*-r>i^frttl(tf-fcii.-icr3Wiift1M.'-i'W.Sr«r'<^4T''*V1^ 

Z^O?S' 

Name; Ber/'»'~d Mor e H o 

Address: 5^ / A^ai""* ^ 

Phone: 

Omaha Lead Site 

Site Sketch 

Date: 

Time: 

Norm Arrow r 

Team / i i^uj cs/t, ^ BVID # ^ 5~0 ? ^' 

^\r<KfP:LA P«kff.//-Z-<?5­ Tin\e'.pn\ 

XRF Code //)3 7 /Seet^: /3 3 

Omaha Lead Site \ 46130 
ENVIRONMENTAL XRF DATA ENTRY LOG 

(T 

RESTORATION 

SA1D# 25CR'

r" 

3 DATE \ \vq.\\ \ 

PROPERTY AD DRESS TIME 

q^ l Ni- Z5 ^i V 

XRF S/N 

QUADRENT OR SAMPLE AREA 

DEPTH AVERAGE OF RESULTS SHOT#s 

redig 

D

D F2 

/oOto-^O 

n Bl 13 (a2Al ^T. ^^(e.-z^ q 

n B2 V^ VZ-lt tA? 2$0 - 2.SS 

n DZ 

n PZ 

n GZ 

n EZ1 M0£?^ 

n F7? 

n OTHER 

SAMPLER NAME U'UO^o^ i^L 
Thermo 

SCIENTIFI C 

1 2011-01-19 10:27 

2 2011-01-19 10:27 

3 2011-01-19 10:27 

4 2011-01-19 10:26 

5 2011-01-19 10:23 

6 2011-01-19 10:23 

7 2011-01-19 10:23 

8 2011-01-19 10:22 

9 2011-01-19 10:21 

10 2011-01-19 10:21 

II 2011-01-19 10:20 

12 2011-01-19 10:20 

AVKH.VCK

Avg of 250-252 

Avg 01-246-248 

Avg of 242-244 

 AI)l)Ki;SS 

981n25sl 

981n25st 

981n25sl 

981n25st 

981n25st 

981n25st 

981 n 25 SI 

981 n2Sst 

981n25si 

981 n25sl 

981n25st 

981n25st 

B2 

D2 

B2 

B2 

131 

Dl 

131 

Bl 

Fl 

Fl 

Fl 

Fl 

AltKA OI'KKAlOlt 

itniny 

iininy 

iiniiiy 

iminy 

iiiimy 

iiniTiy 

iminy 

iiiiiny 

iininy 

itiliny 

iminy 

iminy 

NOIK S :SAII )

final clearance 

final clearance 25095 

final clearance 25095 

final clearance 25095 

final clearance 

final clearance 25095 

final clearance 25095 

final clearance 25095 

final clearance 

final clearance 25095 

final clearance 25095 

final clearance 25095 

 I>1> 

826.70 ± 

759.15 ± 

830.39 ± 

890.57 ± 

529.29 ± 

580,97 ± 

628,31 ± 

678,58 ± 

606.08 ± 

572,75 ± 

628,34 ± 

617,14 ± 

47,73 

45,76 

48,00 

49.44 

42.15 

40,37 

42,29 

43.79 

40.48 

39.50 

41.08 

40.87 

Tliernio Fislier Scientific 

900 Middlesex Turnpike 

Billerica, MA 01821 

Pajie 1 of 1 01/19/11 09:54:09