• # 

TRANSMnTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAn)#: S7 I Date: i^jldcfi 

Address: !^^ ) 3,<^V l <^y..U.y^ n~ 

Remediation Contractor: rK^^Jic ^ H^c A ^n^ o Year: ^wog>^ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

3 Video of property (DVD) 

Executive Summary 

d EPA-provided property sketch 

d Signed Access Agreement for subject property 

Signed Access Agreement(s) for adjacent property 

Restoration Agreement 

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

Confinnation data 

13 Photographs 

As-built sketch 

i Satisfectory restoration signed by Property Owner 

t Property close-out check list signed by EPA 

• Description of areas not meeting ROD cleaniq> criteria 

h UtiUty clearances 

Property information from Douglas County Assessor's Of&ce 

D 

D 

D 

Signature I>ate 

30218259 n il 

Superfund 
Find Record Remediation Query I Lead Remaining Query I Property Damage Query 

Backfill: 

Sample Area: 571 - 2431SPAULDZNG ST 

Owner: 

D Owner Occupied 

Owner Name: 

NABULSI AND SERHAN INVEST LLC 

Owner Addressl: 

C/O ZAHER A SERHAN 

Owner Address2: 

16529 WEIR ST 

City: State: Zip Code: 

OMAHA [N E |6813 5 

Owner Phone: Altemate Phone: 

Resident: 

Resident Name: 

r 

Property Address: 

J2431 SPAULDING ST 

Zip Code: 

|68111 

Resident Phone 

I 

Contract: 

Contractor: 

|PRUDENT2009_S 

Contract Option 

OPnON3 

Assessment: 

Qualifying Group 

400 

Assessment Max XRF Value: 

I 460.8 
jumwmmwmsBmsBx 

Date: 12/15/2009 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l Month of: November 

Property Address: 2431 SPAULDING ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

B2 = 237 PPM @ 12"; DZ = 591 PPM @ 13"; 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 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) 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. 

TlHBINOiaKIiBjINi:. 
' TECHNOLOGIES, INC. 

EPA Property Close Out 

Property #: 5"7/ Property Address: 2.^5' iyswJf^hr ^ 

Date/Time: Owner's Name: ?'akjE.«­ S^ tV^ ^ 

Quads Excavated: ^2,0 ^ Contractor Group: Prudent Technologies, Inc, 

Excavation General Yes No 

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

2. If necessar)', 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 tlie house? y 

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

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

dav time period) y

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

5. Are Uie joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) y

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 Fences and Retaining Walls Yes No 

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

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

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

4. Was damage to retaining walls avoided? (Ifapplicable) / 

Foundation, Siding and Gutters Yes No 

1. Was damage to tlie 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) Yes No 

1. Was damage to driveway surfaces avoided? 

/ 

2. Was damage to walkway surfaces avoided? 

<j 
Owners comments: 

Inspection notes: 

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

EPA Representative da/^'i^L.j ^Date: ifho/o^ 
FROM : ZPiS CORP LLC 
 FAX NO. : 402 991 5533 
 Oct. 23 2809 12:03PM PI 


.:?/«& r^f ^ 

Property Completion Agreement 

This asrcesRCJit documents the uotnpietion of removal activities performed on the below Ji'«ed property. 

The property owners signarure indicates that the propertj- owner is satisfied with the iisstorarion of the 

subject property, and that no iterrs are in question, now, or ar any rime in ihe future, excluding any 

remaining wairanty <30 days totai) except those itfems Jisted below, if isny. 

Property [D: 

Property .Address: _2 l-^\ ^ \ S po-.s^ \ A'tr^siJ g} ^ 

Owner: :Zcxt^.r ,<V,*^ Lc . ^ 

Phone; 

Restontlen iteme fn Quoetion: 

Itam: 

lt»m: 

item: 

Item; 

it«m: 

Item; I 

Required corrections to corjiplete the property: 

I agree restoration is completed, except as noted abcve. 

C J I dc not agree restoration is conipleted 

/C? - T> 3 - <^ ^ ^ Owner's i> ignature Date 

prtrtft /znnnlSi IVJ ZS'il e003/C?/01 
PrudeDt Technologies, Inc. (Prudent) is under contract with the U. S. Enviromnental Protection Agency (EPA) to clean up leadpties located in Omaha, Nebraska, including the property located at 

.The EPA requests your permission to allow Prudent to perform a soil cleanup at this 

bted soil. By signing this form, the property owner grants permission to Prudent to perform 

activities related to the cleanup including soil sampling, removal of lead-contaminated soil, and restoration ofthe referenced property. 

If you have any questions about the soil cleanup planned for your property, please contact Prudent's Administrative Clerk for the 

Omaha Lead Site cleanup. Ms. Siva S. Jampana-at (402) 733-1188. General questions about the Omaha Lead Site cleanup can be 

directed to the EPA Public Information Centers at (402) 731-3045 (South Omaha office) or (402) 991-9583 (North Omaha office). 

Property Access Granted By; i( 'Z^l\e ^ ^^r^lxik / ^ 

(Please Print Name) 

Property Owner Signature: V/^ ^ 

(Signature) 3 (Date) 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner — please print) 

RESIDENT NAME: \JcLc.n(\'h Owner Renter 

RESIDENT ADDRESS: 

IF RENTAL, PROPERTY OWNED BY: . 

OWNER 'S MAILING ADDRESS; , \ ^_ i ^ 1 / ^. ^ / A/- ^ S^ 

OWNER'S TELEPHONE NUMBER -HOME: m,. bl? - i> m S^ / 

J 1 

AGE OF HOME? . 70 YEARS. HOW LONG HAVE YOU LIVED HERE? A. YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 19787 V ^YES NO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLO: 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.) 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS, The activities to be implemented by EPA under this agreement 

are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to the property is provided for in Section 104(e) of 

CERCLA, 42 U.S. C 9605(e), which provides entry for "determining the need for response, or choosing or taking any response action 

under this title, or otherwise enforcing the provisions ofthe title." 

8080 Ward Parkway, Suite 405 2505 N. 24*^ Street, Suite 308 4242 Medical Drive, Suite 4250 

KansasCity, MO64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
IRUDENT ^TECHNOLOGIES, INC. 

Property Status Form 

Address: QfS l SfJuMtf^ J ^"^ ^ Date: ^/^s/09 

Phone: *fO^-^7S'&f27 Ice/Q ^^^°- ^^ ^ 

Plants & Permanent Landscaping 

Item# 

On Map Description and Location 

Pre-Existing Condition of Structures 

r Does your Basement have a history of leaking? Yes — No ~-

Item # Description & Location 

On Map 

Property Owner 

Signature?:?^ 

Prudent Employe iployeee i 

Signature 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraslta 68110 San Antonio, TX 78229 

Phone; (816) 363-3703 Phone: (402) 504-1004 Phone; (210)822-9588 itiA C\ '!»*?'> '^•m- ^ 
571 

RJllNOj.OOIF.S. INC. 

AS - BUILT DRAWING 

OI..S#:571 

Date Ksiavati-d: 09/29/2009 

I SEPA Signed-Off I>atc: OMAHA LEAD SUPERFUND SITE

Omah Exterior Paint Nontl Arrow a Lead S te Owner Name: 

Site • Good Sketch Address: 2431 SPAULDING ST • Poor Phone: H: W: (S) -

Q Not painl 

Sampl Lead Sannple Samples Collected e Number LAB Concentrat on Collected Firm; Sverdrup 

RYASCPXA-571 YA 250 _pp m 0 a Date:

RYBSCPXA-571 YB 270.6 _ ppm 0 a Time:

RYCSCPXA-571 YC 460.8 _ ppm 0 D Samples Analyzed RYDSCPXA-571 YD 237 _ ppm 0 D 

RDZSCPXA-571 DZ 2209.6 _ ppm 0 D XRF Unit Book 

RGZSCPXA-571 GZ _ ppm n n Date: 10/26/1999

RPZSCPXA-571 PZ _ppm • n Time: 09:32

Staff: Number of Samples = 5 

Legend; YA = Yard (NE), YB = Yard (SE), YC = Yard (SW), YD = Yard (NW). DZ = Drip Zone, GZ= Garden, PZ = Play 

SPAULDIN<5 ST. 

yyyyyyyyyy. VZZZy, 

ALLEY 

NO F.ASF.MKM 

CONTRACT #: EP - R7-07-06 T0#1 PRUDENTTECHNOLOGIES, INC. 
zc.\^ ^ do 

; 571 

Omah Exterior Paint North Arrow a Lead Site Owner Name: • Good Site Sketch Address : 2431 SPAULDING ST • Poor Phone:_H W: (S) 12] Not paint 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm: _ Sverdrup 

RYASCPXA-571 YA 250 ppm a 

Date: _ 

RYBSCPXA-571 YB 270.6 ppm a 

Time: _ -»• 

RYCSCPXA-571 YC 460.8 ppm m a

Samples Analyzed RYDSCPXA-571 YD 237 : ppm a 

RDZSCPXA-571 DZ 2209.6 ppm a XRF Uni t: Book: 

RGZSCPXA-571 GZ 

L_PPnn • Date: _ 10/26/1999 

RPZSCPXA-571 PZ 

_PP m a D Time: _ 09:32 

Staff:. Number bf Samples = 5D 

Legend: YA = Yard (NE), YB = Yard (SE), YC = Yard (SW), YD = Yard (NW), DZ = Drip Zone, GZ = Garden, PZ = Play 

SPAULD1JM6 ST 

y//////y//z ^77777. — ^ r- >«— ^ J" w^ 

I \ 

Y D ; YA 

^ ^ / 250 

ALLEY 

Rev 4 046141 0123 

Print Preview Page 1 of2 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

iName 

Property 

Address 

\city 

Zip 

Owner 

Address 

Owner 

Address 

Owner 

City 

Owner 

State 

Owner 

\zip 

1714730000 

NABULSI AND 

SERHAN 

INVEST LLC 

2431 

SPAULDING 

ST 

OMAHA 

68111 

C/O ZAHER A 

SERHAN 

16529 WEIR 

ST 

OMAHA 

NE 

68135 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Acres 

Treasurer 

Website 

Link 

Assessor 

Website 

Link 

MARYSVILLEADD | 

1 

8 

50X128 

0.14 

http://webapps.dotcomm.org:8080/TreasTax/faces/pages/taxinfo.jsp? 

parc=1714730000 

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

accountno=R1714730000 

http://www.dogis.org/dogis_aIias/dogis/printPreview.aspx?PrintOptData=DougIas County-... 9/16/2009 

2 
Pagel of2 

"> 

• YOUR TICKET NUMBER IS 2374922. 

Original Call Date: 9/29/09 Time: 9:53 am 


Work to Begin Date: 10/01/09 Time: 10:30 am 


State: NE 


Address: 2431 


Twp: 15N Rng: 13E 


Twp: Rng: 


Legal Given: C 


County: DOUGLAS 


Street: SPAULDING ST 


Sect-Qtr: 04-SE 


Sect-Qtr: 


Type of Work: SOIL LEAD REMEDIATION PROJECT 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)733-1883 


: FAX ALL CLEARS TO (402) 733 1883 


: UNSURE CORNERS 


Company : PRUDENT TECHNOLOGIES 


Contact Name: SIVA JAMPAMA 


Work Being Done For: EPA 


Depth of Excavation: 6 FT Corner Lot: N 


Involves Tunneling or Horizontal Boring : N 


Op: SIVA18967 


Place: OMAHA 


Phone: (402)733-1188 


Front: Y Rear: 


Explosives: N 


ALT872 CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact

ALT872 WINDSTREAM COMMUNICATION NA

CXCATV COX COMMUNICATIONS, INC HEIDI

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY

OMAHACOF CITY OF OMAHA-TRAFFIC.SEWER RON

 Phone Number Utility Type 

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

Day: 4025047823 

 Alt: 

Emerg: 4025047970 

Day: 4024447197 


 Alt: 4024445161 


Emerg: 4024445160 

ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

(D Site Safety Hazard Analysis 

Address: J4/3/ :^^ ^ 

Crew: -^^ y 

Date: 'y-jj^g' t 

Item 

Overhead Lines 

Gas Line 

Water Line 

Sewer Line 

Septic / Leech 

field 

Propane/Butane 

Sidewalk 

Foundation 

Retaining Walls 

Fences 

Trees 

Structures 

Drivewav 

Sprinkler System 

Other 

eman 

Conciition Hazards 

Corrective 

Action 

Cjcj,y ^ >>7*^///^/#» 

/:kyr.a'i Man. J /4-K^/ ^ 

\ 

^.r , & i \ 

• 

• 

\nA ^

/ 

 loc^rh^ 

/U 4 

-r^,tt . 

-hc-nC 

UJt r iPJu^t^- ^ 

/ / 

yiy/f 1 

y}/i, ^ 

A^nA 

pc^. ^ f>',<-« f>/*fctjc^ ^ 

A^ ^ 

Site Safet> Officer 

8080 Wa\|/f arl<v/ay. Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive. Suite 7250 

KansasCity, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402) 504-1004 Phone: (210) 822-9588 

Fax: (816)363-3707 Fax: (4071 «nA.-(nr\J: