PROPERTY SUMMARY

 

| Date: 10/01/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: October 

| Property Address: 1616 N 29 St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Bl-365@13" B2-354@13" 

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 sketch ­

i) 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 (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 of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC. 
26220 

Omah Exterior Paint North Arrow Owne J i Lead Site r Name: JOHN T MCPHATTER JR 

Address: 1 616 N 29 ST Site Sketch fj] Good ^ 

Phone: H: (,S1- S~6 J/

 W: 

Q Not paint 

Sample Number Lead

Concentration

 Sample

 Collected 

 ..„ 

Firm:

Samples Collected 

 FDA filial 

RYASCPXA-26220 F1 314 ppm [\/ PI D«ate: O4U\ IGCi) 

RYBSCPXA-26220 F2 2.41 ppm EK D Time: ID-OS AM 

RYCSCPXA-26220

RYDSCPXA-26220

 B1 

 B2 

^45 

CL u £ D 1 r3 

nr 

PI 

3m 

3m 

or

G^

 n 

D Samples Analyzec 

nr7rrpXA ^gonrv

fjD'TC'f^py A ^fi^^n

 r-, 

 p»*» 

pi 

PI 

jm 

3m 

com 

a

n

n

 n 

D 

n 

XRf 

D 

Ti 

: | Init L^M

ate: 4 -N- 04) 

ne1 K.M 

 Rnntr I5o 

Number of Samples = j A. \ j J 

S aff: M^W 

Legend: F1 = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

a^ 

^ ENTERED 

4 p

K f 2 2005 

6i iv 

QL 

t> M5 6 

/ 

f( n ill 

3(1 JWfciAf 

Z^T 

'• 

?6f. \ Re\ J . . . *? M6M1 01?3 

26220 

North Anovv' 

Owner Name: JOHN T MCPHATTER JR 

Site Sketch n Good 

Omah; 1 Lead Site Exterior Paint 

Address: 1616 N 29 ST Q Poor

 

Phone:

 H; LSI -Si

?_?LL — — Q Not paint 

Sampl Lead Sample . .R Samples Collected e Number 

Concentration Collected

 Firm: fDA GTlP-fO

 

RYASCPXA-26220 F1 314 ppm ^( ("I Date: dA \\ \ GO?

 

RYBSCPXA-26220 F2 Z4I ppm EK n Time: 1O-0 —» AM

 

RYCSCPXA-26220 81 £>45 npm or n

 

pm 

7 Samples Analyzed RYDSCPXA-26220 82 ftS& P co n 

RDZSCPXA 26220 BZ Ppm n n XRF r i Init- / "^M D^nLr unn. loji : 150 

nCZCCPXA 26220 GZ Ppm D n D Rp,eCpV* -,goo0 pZ ppm n n Ti me1

 KM 

":

 S taff: M^VI/ Number of Samples = i 

i 

Legend: F1 = Front Left, F2 = Front Right, 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

e-

^ EJ 'TTEREl 3 

1 t Wt .I 2005 1 

1 

tM j

i V? 

8L k> ^ b

/ 

Fl n^

L

i\ 

3ii ..jfow?.:

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\

 ! -'*/.Ws i. \ Rev 4 . 04614 .0123 
jC J uut.'U j . i.i.ji'ji 

I- f-'V '.i 1 +r. r » rrr ,.-. * • 

iJU- i J' .ii­

)\ '-in -5fi.'! - iVnitk I'j 

ACE OF HOME?: ___ YEAF.S. KCV;' LOIJG HAV^ VO'J LIVED J^E^ 

YEARS CLD: 

ARC otn V/MC "• '•? IN •TM-^ VAnn FO 
26220 

Site Exterior Paint North Arrow Owner Name: JOHN T MCPHATTER JR Omaha Lead ^ fj Good

 ^ 

Address: 1616 N 29 ST Site Sketc 

Phone: H: £SV-S"&2/

 w 

Q Not pa nt 

Sample Number

 Lead

 Sample .D Samples Collected 

Concentratio LAB r-~i n-r\rik\ n Collected Firm: pDA tri.l (r.M

 

RYASCPXA-26220 F1 314 pom \tf LI Date: £# HjBG m RYBSCPXA-26220 F2 2-^1 pp nX D Time: )2):05 AM 

RYCSCPXA-26220 \ 3-1'/ f&tiS ppm UX

 D

I-. Samples Analyzed RYDSCPXA-26220 f B2v ."ftSft" ppm [p/ 

KDZSCPXtA 26220 19Z com PI D YRF 1 lr\it /_^M Rnnlr- l^n 

rcCZCCPXA 26220 GZ Dpm [~l 

KPZCCPXA 26220 PZ DDm fl |_1 Time' KM 

~ "i Staff. yv^\«/ Number of Samples = i A. '•-. J 

Legend: F1 = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

: ! i . \ : ""? \ \ : ENTERED 

* MM PKn2 ; M M » 

V , ; . , t~\ii . s) f^ : , ^" ^— ^— 7i 

\ . . . . 

5stf" /'• 4 '" ' {2 "'• 

j — ' 

n 

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i • v?<?5f. '. ' ' . '. . ' 046141 OL2.1 
&EPA 

EPA Property Close Out 

Property #: Property Address: /£ ,£ jV/?,,A 

Date/Time: oc/. 1, Owner's Name: jf,^ r. /? 

Quads Excavated: _ Contractor Group Prudent Technologies 

Excavation General Yes No 

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 Yes No 

1. Does the grading around the perimeter of the house in excavated areas generally slope away 

from the house? s 

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) s 

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

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? I/ 

7. Was damage to landscaping or plant materials avoided? ,s 

Gates, Fences and Retaining Walls Yes No 

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 applicable) i/ 

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

Foundation, Siding and Gutters Yes No 

1 . Was damage to the siding or trim avoided? i/ 

2. Was damage to the foundation avoided? 

</ 

3. Was damage to windows avoided? f/ 

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

5. Was damage to downspouts or downspout extensions avoided? (/ 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage to driveway surfaces avoided? 

^ 

2. Was damage to walkway surfaces avoided? 

^ 
Owners comments: 

Inspection notes: 

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

EPA Representative ^L,^L^ Date: 10/1/07 

— 
&EPA

 

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

Property ID: 2_- G 2- Z- O 

Property Address: \t 0 \(f , \^ 2-^ S\- n^<3>l^ rv ^ C^<£\ 0 

Owner: ^^orN T fV\ p p\ 

Phone: J-\QT_ - g> <^> \ <S^,7_ \ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

I I I agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

Owner's Signature Date 
Page 1 of 2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1860254. 

Original Call Date: 8/07/07 Time: 5:18 pm Op: CYNDIE18967
 

Work to Begin Date: 8/09/07 Time: 5:45 pm
 

State: NE County: DOUGLAS Place: OMAHA
 

Address: 1616 Street: N 29TH ST
 

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

Twp: Rng: Sect-Qtr:
 

Legal Given: C
 

Type of Work: Excavation Soil - 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: 13" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring : N Explosives: N
 

CXCATV LEVEL3 MUD01 OMAHACOF OPPDGPR5 QLNNE1C
 

Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

LEVELS LEVELS COMMUNICATIONS, LLC NA Alt: 

Emerg: 8773668344 

Day: 4025047823
 

MUD01 METROPOLITAN UTILITIES DISTRICT EDWINA Alt: 

Emerg: 4025047946 

Day: 4024447197 

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

Emerg: 4024445160 

Day: 4067289343
 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/7/2007 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Alt: 

Emerg: 8887289343 

QLNNE1C QWEST LOCAL NETWORK NA 

Day:

Alt: 

 4067289343 

Emerg: 8887289343 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/7/2007 
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 

2212850000 

MCPHATTER JR 

JOHNT 

1616N29ST 

OMAHA 

68111 

11710 GOLDEN 

BLVD 

OMAHA 

NE 

68123 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

16-15-13 

SHINNS2NDADD 

U 

2 

S54E 110 FT 

54X110 

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

accountno=R221 2850000 

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 = 22 feet appraisal, survey, or for zoning verification. 

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

2212850000 

MCPHATTER JR 

JOHNT 

1616N29ST 

OMAHA 

68111 

11710 GOLDEN 

BLVD 

OMAHA 

NE 

68123 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

16-15-13 

SHINNS2NDADD 

U 

2 

S 54 E 110 FT 

54X110 

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

accountno=R221 2850000 

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 = 22 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
Find Record Clean Up Query Lead Remaining Query Property Damage Query Close 

Owner Occupied 

Owner Name: 

IMCPHATTERJRJOHNT 

Owner Addressl: 

Owner Address2: 

j 11710 GOLDEN BLVD 

City: 

JOMAHA 

State:

NE 

 Zip Code 

68123 

Owner Phone: 

(402) 651-5621 

Alternate Phone: 

Resident Name: 

(VACANT LOT 

Property Address 

J1616N 29 ST 

Zip Code: 

j68111 

Resident Phone 

(PRUDENT2007 

Group: 

Qualifying Group 

|800 

Assessment XRF Date: 

Assessment Max XRF Value