TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

t: i^l ^ SAID#: ^cf^l^ l Date: 

Address: Slci ^ N . ^ 3 S f 

Remediation Contractor: Envrionmental Restoration, LLC_ Year: _2010_ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

D Video of property (DVD) JtS^efore DAfter D Basement^ /i t i^UH£/\y ' 

^S . Executive Summary (Final Report) 

^ ^ EPA-provided property sketch 

^S^ Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

^ Restoration Agreement 

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

^ Confirmation data 

D Photographs ^^Before DCrewPhotosBsDuringExcavation D Sod 

^ 30-day Sod D 

IS^ As-built sketch 

L> Completion Agreement signed by Property Owne r 

LS Property close-out check list signed by EPA 

. D Description ofarea s not meeting RO D cleanup criteria 

1 ^ Utility clearances 

L \ Property information from Douglas Coimty Assessor's Office 

)s^ Property access checklist 

Q Contact Log ^30237775 

D 

Superfund 

Environmental Restoration Signature Date 

EPA COZOR^ signatur signature Xy T5ate 
I

Omaha Uad Site—EP-R7-09-05 

 >^i^ ^ ? Environmental Restoratiort, LLC 

wwMr.ernc.com 

EXECUTIVE SUMMARY: 

32159-3615 N 29 ST 

No Issues or Concerns [^ Issues/Concerns 

Etetail Explanation: 
- EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #:_ SPt^ltf") Property Address: 2 ^t S MSJ^ ^ S P 

Date/Time: Owner's Name: . 

Quads Excavated: Ft &i .Bz Contractor Group : Environmental Restoration (ER) 

Excavation General Yes No 

I. Ifnecessary, were the correct quadrant(s) excavated and restored? y 

2. Ifnecessary, were the correct areas ofdrip 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 

y house? 

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

3. Does the sod appear to be generally healthy and growing? (Only evaliiate if inspected at 30-day time 

period). 

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

5. Are the joints between the sod strips generally tight? (Only evaluate ifinspected at 30-day time period). 

6. Was the property graded such that water will not pool on the property? y 

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

Gates, Fiences and Retaining Walls Yes No 

I. Do gates open and closefreely? (if applicable) 

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

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

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

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? y 

2. Was damalge to the foundation avoided? y 

3. Was damage to windows avoided? y 

4. Was damage to window screens or door screens avoided? . t y 

5. Was damage to downspouts or downspout extensions avoided? u y 

Sidewalks and Driveways (Concrete) Yes No 

I. Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfeces avoided? 

Inspection notes: 

Ppul w ^ Ai&tufD^ S6 d 

Remedial and restoration activities complete including SOnday sod warranty: 

EPA Representsitiveyyyy?..//7t ^ ^ y7/&^., A.rt ^ , Date: //^^ i 'lo. 
Page 1 of 1 

[ Create Another Ticket j [ Backto Irth Internet ] [ Send Email ] 

. YOUR TICKET NUMBER IS 255433% 

Original Call Date: 7/27/10 Time: 5:12 pm Op: TRACY24186 

Work to Begin Date: 7/29/10 Time: 5:45 pit 

State: NE County: DOUGLAS Place: OMAHA 

Address: 3615 Street: N 29TH ST 

Twp: 15N Rng: 13E Sect-Qtr: 04-SE,09-NE 

Twp: Rng: Sect-Qtr: 

Legal Given: C 

Type of Work: Excavating the entire property 


Location of Work: LOCATE ENTIRE PROPERTY 


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


: SAID #32159 


Company ENVIRONMENTAL RESTORATION 


Contact Name TRACY BRISTOW Phone: (402)451-1314 


Alt. Contact Phone: (314)504-4874 


Work Being Done For: EPA 


Depth of Excavation: 12" Corner Lot: N Front: Y Rear: Y 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS. INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Ate: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RICH/TRAFFIC 

Day: 4024447197 

Alt: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNE 1C QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 7/27/2010 
Contact Information Log SAID#3ll£l 

I Owner^sName: •f\\^vCse^ ^>^o>l\a.Cr^ Daytime Phone: ^"hl i SS7 7 | 

Property Address: ^4? I 5 " [J I^ K 

Attempt to contact DateAJme Name 

yiAcf CVuptye^ (j^ ^ t c < ; /<:>/^^-5 ;?/ — y7Ai^ / 

t<LJoekrt:i) o>o S>eto;^ (fp2/Of P?i^O 

"F-4 

vW-^^^^^ /P'ZJO-O? /ZC^P ^ 

eVCAllcJ->'ty\ . t'lyo k> 

-jn^ n CAcr-<4 

< 
Property Access Checklist 

Additional Vidaocr Bigjtal Photo's Takers: 

Omaha Lead Project Work Plan Page I of 19 
Consent tor Access to Property SASD# 3- ^ ^ ^ ' 

RIGHT OF ENTRY TO PREMISES 

Grantor (lhe property 6^yner), consents to and cuthr-rizes ihe United States Environmental 

?i-.jt:;ciion. Agedcy (USEPA) or its aiithorized representatives, collectively tlie Grantee to enter 

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

Owner's Name: Aft C-C UJkli«lC<_ Daytime ghona: ^3 3 ' SS 7 7 

3(^ ^ M- ^T ^ ^ 

PURPOSE OF INVESTIGATION .'. 

The .purpose of the remedial activities is to reriiove all soils at the property Vt-'hich are 

contaminated vrith hazardous substances, in particular lead at concentrations greater tlian.or equal 

• to 400 parts permiilion (ppm). 

REMEDIAL ACTIONS 

The eayirorimental response actions to be perfomied on said property may include thefoJIovviGg 

activities: 

a. Taking photographs, and/cr video of tlie property before, during, aud after remedial 

activities; 

b. Locating equipment and machinery on-site in preparation for and in the cquise of the 

environmental response; 

c. Planfliiig and implern&nting fne lemoval action on or near Grantor's propeity. 

• • d. . Obtaining samples from Grantor's propeity; 

AGREEMENT NOT TO INTERFERE • 

• The Grantor agrees not to interfere or tamper '.vith any of the activities or v/ork done, cr the 

. equipment used to perform the activities, or to undertake any actions regarding the. use cf said 

property which "would tend to endanger the health or W'-elfare of the Grantees or the environment, 

or to allov/ethers to use the property in such 

I grant access to ay properties n I ^Q not grant access to my properi'ies 

hX •Jtio 

Signature Date Signature Date 
Addttianal Commants / Enstructfons: 

03 Check this box if cwnsr does not want E.R. to enter tha residents to documsnt interior 

foundsticn Vv'alls snd possible prssxfsting damage. 3y cbecking this box E.R. is not rssponsible 

for any damsge clone to the intsricr of house, iridudirig foundation cracks or fissures. 

j i 1 agree J211 do net sgrsa Q ^ ^g^fs- d I '^a sot sgree 

/^AJ^:I'X)KMI'^S.//JI:> • 

Owrser^s Signatisre Date • . • ConfrECfcr's Slgnat-^re Bate 
RestorstEcn Agrees-kient 

T h s purpose of iSiIs agreement is to provide a mutual agreernent ="c, f^ ccnditioiii vji piypeny prior to 

r-.-T.ntractc-r acliviiies. Tiiis wiii also serve as documentation for the purpose of assuring that restoration 

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

Protection Agency (EPA). 

On the attached diagram(s) indicate area(s) to be excavated and depth cf excavation, location.of all 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 arrov/indicating direction of view. . . 

Etems ^o ba rsrrscysd fcy Ccntractes; snd not rsp'aced: 

Fags 1 of 2 
AddttJonal Comtnents / Instructions: 

i agree' n I do not £gree • I agree nidonctagrs a 

^j^ljf-/i 

Owner's Signature Dat3 Contrsctor's Signature Date 

Attachments 

• P3S3 2of 2 
Property CompJstion Agreesrtei^' 

T'«.b ?.greeir.er.t dccumcrits Llic completion of remedial activities performed on my property,. My 

signature will 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 belov/, if any. 

SAID; 3PIS J 

Property Address: 3 (_p ) ^ ^ . .^"fib^ S^ -

Owner: A^Kl ^ «>^X/kG? 

Phone: 

7S?-S>S77 

Restoration Jtsnis in Question: 

; JS ^ I sgrss restoratics is corap'etsd, except as Koted 

. L J E do not sgree restoration !s ccnspfeted 

/XtiytY^UYiMryyu ihyji^ 

Owaer's SESitatuts • oSe ' 

PSl I agree restcration is coartpfsted, ezcept as noted 

I 11 do net £gr£e restorsticn Is ccrapJeted 

3'^^SY^ 

Contractor's SEgnature Dste 
Douglas County, NebrasksrPropert sk! ^ y Record - R0544570000 

Print Report 

NEW Feature - Parcel Dimensions avaUaUe (g scale 0^0 It west of 52nd St - Vie w Of l Ma p infonnation is valid as of 2009-8-3 Treasurer's Tax Report 

New Feature -•-•- > Auto Sales Search 

Owner 

WALLACE ALICE 

ETAL 

3615 N 29 ST 

OMAHA NE 68111-0000 

Property Informatio n 

Key Number 4457 OOOO 05 

Account Type: Residential 

Parcel Number 0544570000 

Parcel Address: 3615 N 29 ST 

OMAHA NE 68111-0000 

Legal Description: BEDFORD PLACE LOT 2 BLOCK 17 N 1/2 24.5 X 125 

Value Informatio n 

Land Improvement Total 

2009 $1,800.00 $21,200.00 $23,000.00 

2008 $1,800.00 $21,200.00 $23,000.00 

2007 $1,800.00 $22,800.00 $24,600.00 

2006 $1,800.00 $22,800.00 $24,600.00 

2005 $1,800.00 $22,800.00 $24,600.00 

2004 $1,800.00 $10,200.00 $12,000.00 

Sales Informatio n 

Sales Date: 2006-05-08 

Deed Type: QC Book: 2006 Page: 051114 

Price; $0.00 

Grantor JESSIE M TURNER 

Grantee: JOHN TURNER SR. 

Valid/Invalid: Invalid 

Exclusion Reason: Family Sale 

Sales Date: 2006-05-08 

Deed Type: QC Sooir: 2006 Page: 051115 

Price: $25,000.00 

Grantor JOHN TURNER SR. 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accoimtno=R05... 8/31/2009 
Grantee: \ ALICE WALLACE ETAL 

Valid/Invalid: ] Valid 

Exclusion Reason: Non Bono with Doc Stamps 

Land Information 

Acres SF Units Depth Width Vacant 

0.07 3125.0 1.0 125.0 25.0 No 

Improvemen t Informatio n 

Building 1 

RANCH 

3615 N 29 ST 

^1 ^ "te;r 

R./!r!fiir. i. r Tfi:; if -.; -t 

CLICK CLICK^TO iNUARGE IMAGE TO ENLARGE IMAGE 

Square Footage: | 636.0 Percent Complete: 100.0% 

Perimeter I 0.0 Quality: Fair 

Unit Type: Condition: Average 

Built As: Ranch Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 4.0 

Exterior: i Frame Siding Units: 1.0 

Interior: i Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 1.0 

Roof Type: I Gable Stories: 1.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1915 0% 1915 94 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 612.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Detached 264.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 8/31/2009 
Porch End Solid Wall " 126.0 

Porch Slab Roof Ceil 28.0 

http://douglasne.mapping-onUne.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 8/31/2009 
Douglas County Account Inlormation rag e J \ji J 

Porch End Solid Wall 126.0 

Porch Slab Roof Ceil 28.0 

http://douglasne.mapping-online.eom/DougIasCoNe/static/accountinfo.j sp?accountno=R05... 8/31 /2009 
ENVIRONMENTAL AS-BUILT DRAWING 

JMAHA LEAD SUPERFUND SITE' 

RESTORATION 

llllilllllill llllilllllill 321S9 

Omah Exterior Paint North Arrow a Lead Site 

Sit • Good e Sketch 

[7[ Poor 

Sampling Address: 3615 N29ST 1 1 Not paint 

Lead Sample 

Samples Collected Sample Number Concentratior 1 Cc Jilected '-'^° Firm: _ P^ C-C- E K 

RYASCPXA-32159 F1 G I T ppm Gzr D Date: _ (o-iz-?; 

RYBSCPXA-32159 F2 ppm [S a Time: 

RYCSCPXA-32159 81 QIO ppm sS n 

Samples Analyzed RYDSCPXA-32159 B2 

ppm Q n 

RDZSCPXA-32159 DZ 

ppm \S u XRF Uni t: Pcif^HC Book: 2QB 

ppm Date: _ -7-O-Z - O S 

nPZSCPXA-32159 PZ- ppm n n Time: _ A M 

Staff . MSuy Number of 5Samples = 5 0 

Legend: F1 = Front Left, F2 = Front Right. B1 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden. PZ = Play 

AM^ quadrants are as viewed from the street, facing property 

SAID #32159 

DATE EXCAVATED 8-10-10 

DATE EPA SIGNED OFF 8-25-10 

AREA SODDED 1095 SQ FT 

2I1IW \,\ f rMlcd M-M.ir-OH l)44?lll OJ :! 

Quadrant eKcavated Dflo long EKOvatod ContawrinaBon Urft Bahind 

r>^...4,.,.,«« u . C O D T r\ti n e Ca^ft «• i^^^Mt«Mn.Mi^t4^ I 0^^4.^^^Aii^* « I I r^ 
fll 32159 

Omah Exterior Paint North Arrow a Lead Site • Good Site Sketch 

0 Poor 

Sampling Address: 3615 N 29 ST Q Not paint 

Sample Number Lead Sample Samples Collected LAB Concentration Collected Firm: T>£ C C g.lt 

RYASCPXA-32159 F1 GT] 1 ppm Gzr D Date: (o-i2- 8 

RYBSCPXA-32159 F2 2^ ^ ppm D Time: ll'S" * la. M.. 

RYCSCPXA-32159 81 G7 Q ppm 

D Samples Analyzed RYDSCPXA-32159 B2 13 5 ppm n RDZSCPXA-32159 DZ )Z5H ppm XRF Unit: PnfiHb Book: 26 B D RGZGCPXA-32159 6 * ppm D Date: "7-OZ-Q 8 D nPZCCPXA 32150 P2- ppm n Time: ftM D Staff: nSUy Number of Samples = 5 

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

All quadrants are as viewed from the street, facing property 

y r 

.Mi?y.; 

* .• - -». , ; f 

6.oi<>c. • 

JUN 2 0 'm% 

61. 

Glo "135 

B:l 

>f-»f 

Tfl-- IZ' ^ 

3(^15 Nl. 1'^ S[ 

OZ 

'/^>-\cU 'k Kl-» ^^W /ie.?fl. 

GAll 

f t 

l/iiMK 

.W. W. St. Rev2(W8..W Creatal: l.'-Mar-08 044701 01.2.1 
^\)UL y\(B t p.. c ^ iiiiiijjiiiinii 32159 ( ^ 

Omah Exterior Paint North Arrow a Lead Site ^^-'551' ) • Good Site Sketch 

0 Poor 

Sampling Address: 3615 N 29 ST Q Not paint 

Sample Number 

RYASCPXA-32159 

RYBSCPXA-32159 

RYCSCPXA-32159 

RYDSCPXA-32159 

RDZSCPXA-32159 

RGZGCPXA-321G9 

RPZCGrX;^ 32150 

Lead 

Concentration 

Sample 

Collected LAB 

Firm: 

Samples Collected 

F1 Gil _ ppm D Date: 

F2 

Bl 

B2 

DZ 

^fifL _

G7Q

13 5

IZ5H

 ppm 

 ppm 

 ppm 

 ppm 

i n 

D 

D 

Time: U * S^e rx. «*-• 

Samples Analyzed 

XRF Unit: Pn^^ O Book: 2 O S 

-e^ * " ppm u n Date l-0'Z-0< ^ 

-P2­ ' " ppm u 

Number of Samples = [ 5 | |

D 

D 

Q 

Time 

Staff: 

mi 

MSw 

Legend: Fl = Front Left, F2 - Front Right, 81 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from ttie street, facing property 

.1.1.3-. U 

^ r f ;>r n 

. 7y.^.Q IH^ CoKiC 

Hp<^A mi-iQ mn 

A^Y // 

I l l Glo I 135 H)P:^3 B 

]^' ^ if-> f .\cJ 

,3M m. ' iz</H 1^^^ 

CX 

3(^15 Ni-2.<^ SV • K 1^ 

> 

i)z 

—-.-..)>: r'ti/P . . TA • G17 

- J i~. fl : Fl 

* L EDC 

.M. 1.1. .St. Rev 2f)08..?,A Creaicil: H-Mar-08 044701.01.2.> 
llsSVlRONMENTAL XRF DATA ENTRY LOG 

RESTORATION c

SA1D#_32J69__ DATE *?• \ \t^\ vn 

PROPERTY ADDRESS TIME 

/ZU\^ il. z ^ s.-r 

XRFS/N ,??Rl50 

QUADRENT OR SAMPLE AREA 

DEPTH AVERAGE OF RESULTS SHOT#s 

redig 

n F1 

D F2 

• Bl 

D B2 

n DZ 

2. 

n PZ 

n GZ 

• EZ1 f2.\j:l^ T'-'frV-?^^ ^ 

EZ2 

n OTHER 

SAMPLER NAME .Jl^m U Pnr/^tgL<; 
Thenno Fisher Scientific Thermo 900 Middlesex Turnpike 

BUlerica, MA 01821 

SCIENTIFI C 

IlKlOV 1 lin o .\ \ I.K.AI.I-. .\I)I)I<I'.S.S .•^.XMI'I.I­ .VKI-..V OI'I.U.VI (IK lll.l' l II N'OIK.S LS.MI) !'• " 

1 20104)8-10 14:38 Avg of 281-283 3613n29 8t EZ jimmy Burface final clearance 121.24 ± 18.89 

2 2010-08-10 14:38 3613n29st EZ jimmy surface final clearance 32139 119.17 ± 18.77 

3 2010.08-10 14:38 3613n29 8t EZ jimmy surfiice final clearance 32139 136.04 ± 19.85 

4 2010-08-10 14:37 3613n29st EZ jimmy surface final clearance 32139 108.52 ± 18.06 

5 2010-08-10 14:32 Avg of 277-279 3613n29« DZ jimmy final clearance 323.69 ± 28.93 

6 2010.08-10 14:32 3613n29 8t DZ jimmy final clearance 32159 333.80 ± 29.14 

7 201048-10 14:32 3613 n 29 81 DZ jiramy final clearance 32159 311.86 ± 28.37 

8 201048-10 14:31 3613n29st DZ jimmy final clearance 32159 325.41 ± 29.28 

9 201048-10 14:49 Avg of 273-275 3615n29 8t Bl jimmy final clearance 37.03 t 12.82 

10 201048-10 14:49 3613n29st Bl jimmy final clearance 32139 34.34 t 12.65 

II 201048-10 14:48 3613 n 29 SI Bl jimmy final clearance 32139 42.39 t 13.14 

12 201048-10 14:47 3613n29st Bl jimmy final clearance 32139 34.36 t 12.66 

13 201048-10 14:43 Avg of 269-271 3613 n 29 81 B2 jimmy 6 .final clearance 243.53 ± 25.31 

U 201048-10 14:43 3613 n 29 81 B2 jimmy 6 final clearance 32139 235.06 ± 26.07 

13 201048-10 14:44 3613n298t B2 jimmy 6 final clearance 32159 224.83 ± 24.15 

16 201048-10 14.44 361 3 D 29 Bt B2 jimmy final clearance 32159 256.70 ± 25.71 

17 201048-10 14:33 Avg of 238-260 3613n29Bt Fl Jimmy final clearance 238.63 ± 25.02 

18 201048-10 14:33 3613Q29Bt Fl jimmy final clearance 32159 225.61 ± 24.48 

19 201048-10 14:32 361Sn29Bt Fl jimmy final clearance 32159 237.38 ± 24.94 

20 201048-10 14:32 3615n298t Fl jimmy final clearance 32159 252.90 ± 25.62 

Page I of 1 08/10/10 15:27:55 
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