PROPERTY SUMMARY 

Date: 12/12/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: December 

Property Address: 4170 Chicago 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: 

A ^ Issues Resolved: 

A 3 Unique Findings: Concrete to be poured in spring 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl -120 @ 6" F2 - 212 @ 6" 

Bl-229@6' ' 

D l - 159 @ 10" 

El-27 7 @ scrape 

ATTACHMENT 

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/photogrq)hs 

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

5) Documentation - Completed Close-out Checklist 

6) As-Built sketchi) 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-<xcavation agreement details (if any are made with the property owner) 

ii) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iii) Signed form verifying satisfactory restoration 

iv) Description ofareas not meeting Interim ROD cleanup criteria. 

40293333 TECHNOLOGIES, INC. •11 

Superfun(J 


iiiiuiiiiNiifffri 

:jstsi 
"*'^^*^» ^ 
r 41 ^/"-^ 

Name; Soj^ ^ ^^Y/t^fiV^ 

Address: 'fi7B> CLXcX.dc.tSr 

Phone: &$gf^ 4Mg ^ 

TeamP!^. >, ^ gf^i ^

Sample Number 

giJAScPXftr- zs6<VSr 

Lab RYCSCPLA-23649 

Result 488 ppm 

Site Sketch 

 BVID# f?-?^(p^ ^

Lead Concentration 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

Date: ^/6-g ? North Arrow 

Time: ^ 1 / 5 

^ 

 XRFCode .-g S-Q/ 

Confimiation Sample 

t l Yes n No ^ 

1 No 1^ ^ Yes n 

No Cl \3^ Yes 5 i 

^Ye s ° No SI 

DtYes n No H 

P Yes n No ^ 

Yes • No • 

Omaha Lead Site 46130 
.Agreementto allowaccessto 

AVXV, the properb/in crdertc conduct 

environmental sgrnpHng snd to 

Action 

ieaa-contaminateci soil 

iiiuutiu iecxiiiiilugiea. Lit. (PiiMiMit) ia muiei LuiiUdci wiUi the U. S. Enviioniueutal I^otectiou Ag<;iii.', 

^tl7 0 OUcia O ^^sliyour ' 

" " " ' • r. , , , • - , T » , , ^ ^ •• -J - » -< 

,-1 .! ,:,„„,*.„, fcino'^^ o*'j(.^'* '-"-*''*'Tjn?+f fi soil,, and rssttnratton o*- the ret«-*Tirs'.­

»^i w iJ C.t . 

property or -eadants) ^tfein fte next few weeks to coordinate performance 'ttie work 

.lave oay ouertistn about &e soil deatu^ plamied fot your ptt^eilyv phaEu cootaci. 

^ drmmrtrative ' ha Lead Site cleaflup, Ms. CynAe jffinds a* ''-1004. 

UtMi iii Oil J o j|i(.iea L '"^' ' "^' u v Xu^wiiXialioU CiiUiu;.. 

.1. iu^t^l . 

Ptuptiity Owner SigaatUi S {U)q07 ..., ^ ^ 

PROPERr/ INFORMAL 

{Tc le cD2i$Medbj resideaud'Oi prepaid u>.u^ 

RESIDENT N/5.liE: .JkaVixV^e-i a k:lk,«aiHnC _ -J' 

REsmEHTADDRESS: ^t"TO CJUlcc^ajD ^ Q^^U a b>£= ( ^ \^ j 

IP RENTAL. PROPERTY OWHED BY: \'CsxW \ tJZy ^ V- » \ C O M y^ ^ '^_ '_ 

OWMER-SHASLKS ADDRESS: ^ ^ ^t j C tj ? CJCMSI n '^ V ^W ^ y^ L n K J^ . G ^ > S | 

OWNER'S TELEPHONE «UM5EF ,^0 1 SS S - MM S 3 J 

AGE OF H0HE7: • "^-O ;-|ow LOBS HAV? VOU t—~»-!"RS7 li>ygfir' ^ 

HAS THE EXTERIOR BEEN PAINTED ' ''D WTIH SCIKG KNCE 13787 ^y ^ 

KUiaSER OF OCCUPANTS UHDERr YEARS CL:^ Q ^ 

NUMBER OF CHILDREN UHDER7 YE/- -1J»Y M "^ "ERWEEK: D 

Tfw^r TT'.'^^ yyy^Tf ^ - ­ ^ b W A ^ i W A . . A '.Q uS U'l'ii^ic^Vicsitea uV' iLji-:,-^ .^i\ii-. 

I mvni^nrp^f ^ 

-irig i^y ::cipiSiafe ktloi iiida; this Liilej c: 
AA^A 

Name: 3cwMg^^ KiHX^uMX^ Omaha Lead Site Date:^/g-f? North Arrow —i 

AddressTTT^ZnSfl^* ^ Site Slcetcii Time: q : 7 5 

Phone: &$g^^ 4M8 ^ t 

Team?!«^>.^^x^i ^ BV1D# AT^/p^ ^ XRF Code S.'S-Q/ 

Sample Number Lead Concentration Confimnation Sample 

Lab RYCSC£L^::2^9 

^ 

ru t 27 

Z7S» 1-7 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

1 ^ Yes

f& Yes

?>\ Yes

e^^Yes

PtYes

P Yes

Yes

 a 

n 

 51 

o 

n 

n 

• 

No ^ 

No 1^ 

No • 

No S 

No H 

No 85 

No • 

Result C^Spp m 

t> v> tov \ o.«-/, j^\ _ 

Omaha Lead Site 46130 
EPA Property Close Out 

Property #: ZSSVf Property Address: y/7o Ch/ap* 

Date/Time: ntiih' ? Owner's Name: J/t/ttj Ku. cof«c 

Quads Excavated: p j jr j r%^ Contractor Group Prudent l^chnologies 

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 of the house in excavated areas generally slope away 

from die 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 

day time period) 

4. Are sodded areas generalfy firm 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 die property graded such that water will not pool on the property? 

7. Was damage to landsc{q>ing or plant materials avoided? 

Gates, Fences and Retaining Walls 

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 ^plicable) 

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

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 sur&ces avoided? 

2. Was damage to walkway surfaces avoided? 

Yes No 

• 

y 

Yes No 

y 

^ 

^ 

i y 

t y 

^ y 

u / 

Yes No 

y 

y 

y 

iX 

Yes No 

• ­

* y 

y 

t y 

t y 

Yes No 

*/ 

X 
Owners comments: 

Inspection notes: 

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

EPA Representative -6^^ ^ .Date: f^/s/or, 
«EFyv 

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 of the 

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

remaining warranty (90 days overall, 30 days on sod growth guarantee) except those items listed below, 

if any. 

Property ID: "^3(^1^^ ^ 

Property Address: gi-I^ Q C \/CiCCXQr. ^AOwner; S rvL. 1—.^c\fY\ IS A K. Phone: ^C,^ ^ A ^S^^qq^ ^ 

Restoration Kerns in Question: 

Kern: 

Item: 

Kem: 

Item: 

Item: 

Hem: 

Required corrections to complete the property: 

It/cJI^ <?fr oocck . 

( ^ \XIM ^^ J 

v^\i\ VN\b^-k y^.^"^ y^^Q-^^ :w.i-b: 

L J I do not agree restoration is completed 

-n rr" • i^^'^^- V A(^V.^n^^''^ /^-/0'07 

Owner's Signature Date 
Name: y>UMt^<i fU H^t. Omaha Lead Site Date: ^/g-^ ^ North Arrow 

Address: '/l'X> Ck Site Sketch Time: ^ 1 / 5 

Phone: &$Srv^ 4W8"^ ^ 

Team ?^>. ^ hi^jy . BVID # o^T^/p^ S XRF Code , ^ "g-Q / 

Sample Number Lead Concentration 

?OAscPx^- zs(;^ ? 

ppm gVks<: pxAT - zuy q ppm 

ppm 

g'V^Sc PXA - ^34wq ppm 

ppm 

ppm 

g^^scP>x>a- •Z3^v^'» ppm 

Lab RYCSCPLA-23649 

Result 488 ppm (^\ 

Confirmation Sample 

^> Yes a No ^ 

F^Ye s n No 1 ^ 

CBLVes E* No n 

e^^Yes 1=1 No SI 

DC Yes n No S 

P Yes n No ^ 

Yes • No • 

Omaha Lead Site 46130 
wBtocwnar 

12-11-2007 

2505 N 24* 

Omaha NE 68110 

504-1004 

Prudent Technologies, Inc. . has made an arrangement with the property owner of 

^ / 70 Ck!rnnf} 

to replace concrete as marked by Prudent a+the earliest availability as weather permits. 

c(/><y> 

Jason Pfahl 

For 

Prudent Technologies, Inc. 

cc. 

Sam Mudumaia 

President 

Prudent Technologies, Inc. 
> 12/11/2007 03:50 402895031^ ^ ^ 

^ PAGE 02/02 

Clark Concrete Inc. Dennis Clark 671-9070 

December 8, 2007 

Clark Concrete will tear out and replace /^/^/^ ^ do/iue-le c^f' H)y o 

CMicouo^ o as soon as the weather permits. The job will be done t6r 

Prudent Technologies. 

Dennis Clark 

President 

-fo/c 

f^ioDtxy^ 7^c//^/p^jys^ :]Xc. 
> 12/11/2007 03:50 40289503 ^ ^ 

^ PfiGE 02/02 

Clark Concrete Inc. Dennis Clark 671-9070 

December 8, 2007 

Clark Concrete will tear out and replace y^/^/g/W dcticreU c^ f- H i y d 

OyHOj^c^o as soon as the weather permits. The job will be done tor 

Prudent Technologies. 

Dennis Clark 

President 

-fo/C 
m 

Aoy^ '3\ 

' ' ^ e^c^^^*^ ~ 

r4 
Page 1 of2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1860890. 

Original Call Date: 8/08/07 Time: 12:21 pm Op: CYNDIE18967 


Work to Begin Date: 8/10/07 Time: 12:45 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 4170 Street: CHICAGO ST 


TvTp: 15N Rng: 13E Sect-Qtr: 17-SE-SW,20-NE-NW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Soil Excavation - Lead Remediation 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)504-1005 

Company : PRUDENT TECHNOLOGIES 

Contact Name: CYNDIE Phone: (402)504-1004 

Work Being Done For: EPA 

Depth of Excavation: 14" Comer Lot: N 

Involves Tunneling or Horizontal Boring : N 

Front: N Rear: 

Explosives: N 

N 

BSHPCLKS CXCATV MCLEODNE MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number utility Type 

Day: 4025523459 

BSHPCLKS NEBRASKA HEALTH SYSTEM NA Alt: 4025523347 

Emerg: 4025522000 

Day: 4029340469 

CXCATV COX CGMNfUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 8002891901 

MCLEODNE MCLEODUSA NA Alt: 

Emerg: 8002891901 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT EDWINA Alt: 

Emerg: 4025047946 

Day: 4024447197 


http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/8/2007 
Page 2 of2 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON 

Alt: 

Emerg: 

4024445161 

4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 

Alt: 

Emerg: 

4067289343 

8887289343 

QLNNEIC QWEST LOCAL NETWORK NA 

Day 4067289343 

Alt: 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/8/2007 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

2019230000 

KILCOYNE 

JAMES M 

4170 

CHICAGO ST 

OMAHA 

68131 

4170 

CHICAGO ST 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Blocl< 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

20-15-13 

POPPLETON PARK 

17 

16 

50X128 

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

accountno=R2019230000 

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 = 39 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007