TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: 29087 DATE: 12/15/2010 

ADDRESS: 1513 OHIO ST 

REMEDIATION CONTRACTOR: PRUDENT TECHNOLOGIES. INC. YEAR: 2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

H PRE AND POST VIDEO OF PORPERTY (DVD) 

M EXECUTIVE SUMMARY 

BT^EPA-PROVIDED PROPERTY SKETCH 

O^SIGNED ACCESS AGREEMENT FORSUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

• RESTORATION AGREEMENT 

D SETTLEMENT DOCUMENTS (I.E., FOR DAMAGE OR TO REPLACE PLANTS, ETC.) 

H^ONFIRMATION DATA 

S ^ PHOTOGRAPHS ^ O AXLJUA <-cA, 

D^S-BUILT SKETCH 

H SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

B^ROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

a DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

H UTILITY CLEARANCES 

D PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

B^'f^-U- Qk£<.U^ VV>7<i^i (V|iA>^^,S\^ 

30262410 

MiDiiiinii 

Superfund 
Find Record 

Backfill: 

Sample Area: 29087 -1513 OHIO ST 

Owner: 

D Owner Occupied 

Owner Name: 

jCrTY OF OMAHA 

Owner Addressl: 

|C/0 CITY FINANCE 

Owner Address2: 

[1819 FARNAM ST 

City: State: Zip Code: 

lOMAHA |NE [68183-

Owner Phone Alternate Phone: 

[(402) 441-5150 1 

Contract: 

• 

Contractor: PRUDENT2010. .S 

Contract Option OPTION 2 

Remediation Query Lead Remaining Query J Property Damage Query 

User Provided Owner Information 

Owner Name: 

1 

Owner Address: 

1 

City: 

1 

State: Zip Code: 

1—1 

Owner Phone: 

1 

Alternate Phone: 

1 

Assessment: 

Qualifying Group 400 

Assessment Max XRF Value | 495.8 

Resident: 

Resident Name: 

I 

Property Address: 

|l513 OHIO ST 

Zip Code: 

[68110-

Resident Phone 

I 
PROPERTY SUMMARY 

Date: 12/15/2010 Oniaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l Month of: December 

Property Address; I513 0fflOST 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

B2 = 382 PPM @ 8"; NO EASEMENT 

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 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-excavation agreement details (ifany 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) Description of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC. 
EMffiiMa ' TBCHNOUDCmS. INC. 

Property #: '27\0^^ 

Date/Time: 

Quads Excavated: (^2— 

.•••••' •• i?*' ^ P ^ 

'^'9-~^? ». |K 

EPA Property Close Out 

Property Address: | ^|"?> 6^' C ^ ' 

Owner's Name: ^:^^^J «^f^ ^'mak' t 

Contractor Group: Prudent Technologies, Inc., 

Excavation General Yes No 

1. Jf necessary, were the correct quadjrant(s) excavated and restored? y 

2. If necessary. were the correct areas of drip zone excavated and restored? y 

Grading Sod and Vegetation Yes No 

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? y 

3. Does llie sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day lime period) y

4. Are sodded areas generally firm and evenly graded? y 

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 tliat water will not pool on the property? / 

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

Gates, Fences and Retaining Walls \ks No 

1. Do gates open and close freely? (Ifapplicable) / 

2. Were all gales or fences taken down during restoration activities reinstalled? (If applicable) y 

3. Was damage to gates or fences avoided? (Ifapplicable) y 

4. Was damage to reiaining walls avoided? (Ifapplicable) y 

Foundation, Siding and Gutters Yes No 

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

2. Was damage to the foundation avoided? y 

3. Was damage lo windows avoided? y 

4. Was damage to windows or door screens avoided? y 

5. Was damage to downspouts or downspout extensions avoided? 

^ 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage lo driveway surfaces avoided? / ^ 

2. Was damage to walkway surfaces avoided? y
Owners comments: 

Inspection notes: 

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

EPA Representative ^'^A ^ ^Date: lol^*'!"* 
CHNOLOGIES, INC 

AS - BUILT DRAWING 

OLS U 29087 

Date Excavated: 10/08/2010 OMAHA LEAD SUPERFUND SITE liSEPASigned-OffDate: 

Omaha Lead Site Owner Name: OUf ^ 

Site Sketch 

Add ress: isi3 SI aur o S/ 

Phone: H: 

I 

Sample Number 
 Lead Sample Samples Collected LAB Concentration Collected Firm: ^/r S 

RYASCPXA- F1 
 ppm D Date; s^-^' V 

RYBSCPXA- F2 27^ ppm Q- D Time: /'i^ y 

RYCSCPXA- B1 ^90 ppm Q- D Samples Analyzed RYDSCPXA- B2 ^ '^0 ' ppm QRDZSCPXA- BZ- D n

ppm XRF Unit: ^O ^ Book: ^ C S 

RGZSCPXA -GZ- D

ppm D Date: 

RPZSCPXA -PZ- ppm D D 

Time: D 

Staff: Number of Samples = _ i^ 

Omaha Lead Site 

NO EASEMENT 

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

46130 
»EPA 

Property Completion Agreement 

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

The property o\yiier's signature indicates that the property owner is satisfied with the restoration ofthe 

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

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

Properly ID: 

Property Address: \c,ih OKo ^c A 

Owner: 

Phone: 

Restoration Items In Question: 

item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to comptete the property: 

^ I agree restoration is completed. 

EH I do not agree restoration Is completed at (noted deficiencies above) 

<i?J> - QcJrA^-^O/ O 

Date 
Prudent IVchnologlcs, Inc. (Prudent) is under conirnci with ihcU. S. Rnvironmcniiil Proleclion Agency (IZPA) lo clean up leadcoiilaininiiied soils nl a number ol'properlics Incalcdin Omalia. Nebraska, including ihc properly Icicaicd al 

1 5 I ^ '/^^B" f^'"*"^ Sli/cJ.,!" . The HPA requests j-oiir pennission lo allow Prudent lo pcrroini a soil.clcanup nl Ihis 

pmperty to remove Icnd-comaminMcd soil. By signing ihisrorm. ihc proiieily owner gianis pemiission to Prudent to pciform 

aclivities related lo ihe cleanup including soil sampling, removal orieud-cunlnmiiiaied soil, and resioralion ol'lhe relerenccd property. 

Ifynu have any questions about the soil cleanup planned for your property, please contact Piiidciu soutlioiricc .Ibr the Omalia Lend 

Site cleanup-al (-102) 733-1188. General queslions about ihe.Omalia Lead Site cleanup can be directed lo ihe liPA Public Inrormation 

Centers at (402) 731-304S (South Omaha oFTice) or (402) 99l -9383 (Nonh Omaha office). 

Property Access Granted By; ly/'lli'/i I'l^ L.Lr/)jl j 

(Please Print Name) 

Property 0«ne r Signaiurc: 'Tz/t^'r^/ ^^..^^^7^^. J>C^f / -.JOiO 

(Signaiure) (D.-ite) 

PROPERTY INFORMATION 

(To be enmplftcd by reiidcnl and/or properly owner - please print) 

RESIDENT NAME: Owner Renter 

RESIDENT ADDRESS: . ». 

^ A^^ ^ kIC? CS^f/ D 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

/jt^-l ]W^/i,y, SV., ^i./,L/lli 7^7.v/il-t\ .V6: 6i'l\ \ 

OWNER'S TELEPHONE NUMBER • HOME: J _ WORK: 

i^/tfAi ^/v^/- vyy r 

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.) 


AU 11 lOKITY FOK ENVIKONMBNTAL RL'SPONSIZ ACTIONS; The aciiviiies lo be implcnienled by l-PA under Ihis agreemenl 

arc pursiinni to iJcclion 104 of CERCLA. 42 U.S.C. 9604. (iPA's right of access lo the piopeny is provided'lbr in Section 104(c) of 

CliKCLA, 42 U.S. C 960S(e). which provides enir>' for "deiennining ihe need for response, ur choosing ur taking any response aclion 

under ihis title, ur uihcrwise enlorcing the provisiuns oflhe liile." 

80B0 Ward Parkway, Suite 40S 5600S los t 4242 Medical Drive, Suite 4260 

Kansas City, MO 64114 Omaha, Nebraska 68107 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)733-1188 Phone: (210)822-9688 

Fax:(816)363-3707 Fax: (402)733-1883 Fax: (210) 579-6577 
E IP * 2:^03*7 

Omaha Lead Site 46130 
H 56x160 

A ^ Printed: Oct 25, 2010 

w-ww.dcgis.org/'dogis 

)5i5 DI^O .a­
Page 1 of2 

Create Another Ticket Back to Irth Intemet Send Email 

YOUR TICKET NUMBER IS 2609471. 

Original Call Date: 10/05/10 Time: 4:36 pm Op: SIVA18967 


Work to Begin Date: 10/07/10 Time: 5:00 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1513 Street: OHIO ST 


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


: UNSURE CORNERS 


Company : PRUDENT TECHNOLOGIES 


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


Work Being Done For: EPA 


Depth of Excavation: 6 FT Corner Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MCINEB MUDOl OMAHACOF 
 0PPDGPR5 QLNNEIC 


Service Area. Contact Phone Number 

Utility 

Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MCINEB MCI NO CALL PER 

MEMO 

Day: 8002893427 

Alt: 

Emerg: 8002893427 

MUDOl METROPOLITAN UTILITIES 

DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RICH/TRAFFIC 

Day:

Alt:

 4024447197 

 4024445161 

Emerg: 4024445160 

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0PPDGPR5 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=<RESULTS... 10/5/2010 
ENVIRONMENTAL 

ENGINEERmG AND 

CONSTRUCTION iceHNouwies, INC. SOLUTIONS 

SITE SAFETY HAZARD ANALYSIS 

-y-zo Addr».,:/5 / ^ Ohl^ r/" Excavation Date: 

j^- y 

Crew: T^-^l--^ ' f/^^.^ ^ Backfill Date: 

Item Condition Hazards Corrective Action 

Overliead Lines 

Septic/Leech 

Field 

Propane/Butane 

Sidewalk 

^ Foundation 

Retaining Walls 2^ ^ / -

Fences 

Trees ^ 

Structures 

^ ^ ^ Driveway 

Sprinkler System 

other 2© / " ^ ^77 "

5ftCT y ^ ^ " ^ 1-

Crew Foreman Site Safety Office 

. Date: 

,Suto405 StOOSIOSt 4242 Medical Drive, Suite 72S0 

tGHy. MO 64114 Minika<8107 San Antonio, TX 7B229 

Pfiane:f8i6)363^aT03 Phom : (402)733-11t8 Phone: (210) 822^9588 

Fax:(B16)36»4707 ^ZOL: (402)733^1tt3 Tax: (210)570-6577 
is?^:­

75/3 Oli to sf 

VACA/^T ^- r 

/ //^2/2 6>/0