PROPERTY SUMMARY

 

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

Property Address: 2212 Florence Blvd 

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-389@14" B2- 293 @ 10" 

Easement 95 @ Scrape 

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. 

iCHNOLOCIES, INC. 40286239 

111 HI 111 

Superfund 
27952 

Omar Exterior Paint North Arrow 

Owne i a Lead Site r Name: R A REAMES Q Good 

Address Sit e Sketch : 2212 FLORENCE BD Q Poor 

Phone:

 H:

 402-341-2941 W: Q Not paint 

Sampl Lead Sample Samples Collected e Number 

Concentration Collected Firm: F&-4

 MtT /7?<-<J 

RYASCPXA-27952 F1 Z$\ opm pf |~] Date: 0- 1 ( ~ 5 / RYBSCPXA-27952 F2 / 7<fc ppm D C3- Time: /^ •' GO 

RYCSCPXA-27952 B1 OU~J ppm Ef D Samples Analyze d 

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

RYDSCPXA-27952 B2 (a7^ P pm IZf D 

RDZSCPXA 2706° D<& — ppm D D XRF Unit: IA 3 ~7 Qnfl <• l2-i RC-rr.CpvA ~ 7fj6£ QZ ppm D D S — Lab RYBSCPLA-27952 P pm D D Time: /4A? 

Result 216 ppm Number of Sa mples ­3] T Staff: /.X 

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All quadrants are as viewejj from the street, facing property 

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27952 

Orna Exterior Paint North Arrow 

Owne h a Lead Site r Name: R A REAMES Q| Good 

Address Sit. 3 Sketch : 2212 FLORENCE BD Q Poor 

Phone:

 H: 402-341-2941 W: Q Not paint 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm:

Samples Collected 

 F^ WtT /^u3 

RYASCPXA-27952 F1 Z8\ c Date: 0­ 1 1 ~6 ' 

RYBSCPXA-27952 F2 176 .F pm n Q^ Time: 10 •• CO 

RYCSCPXA-27952

RYDSCPXA-27952

 B1 

 B2 

&H1 ppm 

. ppm 

Hf

CZf

 D 

D Samples Analyzed 

— RDZSCPXA 2706° DZ Fpm D D XR F Unit: 

. nCZSCPiXA S7Q62 G2- F pm D D Dafp* <2 _?<--A5" 

Lab RYBSCPLA-27952 - F pm D D T me: y A/rt 

Result 216ppm Staff: t-4 Number of Sa mples = L3.J 1JLJ 

L egend: F1 = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Pla y All quadrants are as viewed from the street, facing property 

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SEPA 

EPA Property Close Out 

Property #: Property Address: 22/ 2 

Date/Time: Owner's Name: #&#,„„„ 

Quads Excavated:'« * . Contractor Group Prudent Technologies 

Excavation General

 Yes No 

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

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

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? •S 

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? i/ 

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? y 

7. Was damage to landscaping or plant materials avoided? i/ 

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) i/ 

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

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

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? i/ 

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

5. Was damage to downspouts or downspout extensions avoided? S 

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? i/ 

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

Inspection notes: 

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

EPA Representative £c~, }6L_ Date: /o/,n/o -? 
27952 

Omah Exterior Paint North Arrow Owne a Lead Site r Name: R A REAMES Q Good 

Address Site Sketch : 2212 FLORENCE BD 

Phone:

 H- 402-341-2941 W: Q Not paint 

Sample Number

 Lead

 Sample _ Samples Collected 

Concentration Collected Firm: FIV* MtJ JlZ^

 

RYASCPXA-27952 F1 Z $ \ oom FT [~l Date: b~((~6

 

RYBSCPXA-27952 F2 / 76 ppm D L^ Time: /0 ' GO

 

RYCSCPXA-27952 ;B.1, jS^S'Jf?' ppm Cf D

 Samples Analyzed RYDSCPXA-27952 ?B2» QSl'by.&HW ppm EZf D 

^3TA7O/^pYA 0705^ ««_32tf "TM ppm D D XRF Unit: /^ •? 7 Book

 

RQTECPXA 27062 GE ppm D D Da te• 3

 

ppm Lab RYBSCPLA-27952 D D

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Resul Sts ff: LA

 t 216 ppm Number of Samples = '_aJ LLJ 

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

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BA 
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: Q ~\ Cj «g ^ 

Property Address: OlA 3.2-19 ple>v~«-uvC€ 6 0 — *-^>A. fVM- 0)2 V< D 

Owner: ^/\r. l?PAiv^l^ 

Phone: L|OT "^ur - 3.c\ U 1 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

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

LJ I do not agree restoration is completed 

Owner's Signature Date 
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 

1138980000 

REAMES R A 

2212 

FLORENCE BD 

OMAHA 

68110 

2222 

FLORENCE 

BLVD 

OMAHA 

NE 

68110 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

10-15-13 

FRANKLIN SQUARE 

0 

4 

S16FTLT3 

&N17FT 

33X140 

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

accountno=R1 138980000 

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 = 28 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
Page 1 of2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1864714. 

Original Call Date: 8/14/07 Time: 9:53 am Op: CYNDIE18967
 

Work to Begin Date: 8/16/07 Time: 10:30 am
 

State: NE County: DOUGLAS Place: OMAHA
 

Address: 2212 Street: FLORENCE BLVD
 

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

Twp: Rng: Sect-Qtr:
 

Legal Given: C
 

Type of Work: Soil Remediation - Lead - Excavation
 

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" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring N Explosives: N
 

CXCATV MAGELLAN MUD01 OMAHACOF OPPDGPR5 QLNNE1C
 

Service Area Contact Phone Number Utility Type 

Day: 4029340469
 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469
 

Emerg: 4029329757
 

Day: 9185747098 

MAGELLAN MAGELLAN MIDSTREAM PARTNERS LP TONYA Alt: 

Emerg: 9185747098 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT EDWINA Alt: 

Emerg: 4025047946 

Day: 4024447197 

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RON Alt: 4024445161 

Emerg: 4024445160 

Day: 4067289343
 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/14/2007 
Page 2 of 2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT MA 

Alt: 

Emerg: 8887289343 

QLNNE1C QWEST LOCAL NETWORK NA

Day:

 Alt: 

 4067289343 

Emerg: 8887289343 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/14/2007 
Find Record dean Up Query Lead Remaining Query Property Damage Query 

D Owner Occupied 

Owner Name: 

IREAMES R A 

Owner Addressl: 

Owner AddressZ: 

12222 FLORENCE BLVD 

City: State: Zip Code 

(OMAHA NE (68110 

Owner Phone: Alternate Phone: 

(402) 341-2941 

Resident Name: 

(VACANT LOT |PRUDENT2007 

Property Address: Group: 

|2212 FLORENCE BD 

Zip Code: 

J68110 

Resident Phone Qualifying Group 

|800 

Assessment XRF Date: 

Assessment Max XRF Value