TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SA1D#: ^'h^^ ^ Date: 

Address: ^ ^ 1 ^ V\ . \ i> ^ T 

Remediation Contractor: Envrionmental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

D Video of property (DVD) \)Before DAfter ^Basement D 

n Executive Summary (Final Report) 

l!>k EPA-provided property sketch 

^ Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

^Ss Restoration Agreement 

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

Q Confirmation data 

D Photographs _S Before DCrew Photos D During Excavation^ Sod 

D 30-day Sod D 

'llSy As-built sketch 

^ Completion Agreement signed by Property Owner 

^B^^ Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

1^ Utility clearances 

S Property information from Douglas County Assessor's Office 

By Property access checklist T 

b - Contact Log ° ! 

D 

Environmental Restoration Signature Date 

/ EPA CO R signature X Date 
V' 

/ y^Q^ '\ Omaha Lead Site—EP-R7-09-05 

|f Environmental Restoration, LLC 

j f www.erllc.com 

EXECUTIVE SUMMARY: 

33646-3915 N 18 ST 

No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 
^EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #; ^SUMU Property Address: y^j^Ki . H S"T 

Date/Time: Owner's Name: VsC -6u3>TrNg->^ 

Quads Excavated; f l vf^3.^B ( Contractor Group : Environmental Restoration (ER) 

Excavation General Yes No 

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

t / 

2. If necessary, were the correct areas of drip zone excavated and restored? 1 

Grading Sod and Vegetation Yes No 

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

1 ^ house? 

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

*X 

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

period). 

4. Are sodded areas generally firm and evenly graded? 

i^ J 

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

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

7. Was damage to landscaping or plant materials avoided? 

• -

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and closefi-eely? (if applicable) 

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

3. Was damage to gates or fences avoided? (if applicable) It 

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

^ / 

Foundation, Siding and Gutters 

Yes No 

1. Was damage to siding or trim avoided? 

•^^ 

2. Was damage to the foundation avoided? 

^ 

3. Was damage to windows avoided? 

^ 

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

> y 

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

Sidewalks and Driveways (Concrete) 

Yes No 

1. Was damage to driveway surfaces avoided? A/X 

2 ^ . Was damage to walkway surfaces avoided? 

Inspection notes: 

Remedial and restoration activities complete including 30-day sod warranty: 

EPA Representativ ^X'^^y-^J^lLA/C e ^ J^^CitcJ^JLa ^

 Date: ^/ZS^//<D 
Page 1 of 1 

( Create Anothier Ticket j [ Back to Irthi Internet ] [ Send Email ] 

• YOUR TICKET NUMBER IS 25637524^ 

Original Call Date: 8/09/10 Time: 3:00 pm Op: TRACY24186 


Work to Begin Date: ^8/11/10 Time: 3:30 pmj 


State: NE County: DOUGLAS Place: OMAHA 


Address: 3915 Street: N 18TH ST 


Twp: 15N Rng: 13E Sect-Qtr: 03-SW 


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 

y SAID #33646 | 

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: 


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 

Ah: 4029340469 

Emerg: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

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 

QLNNE1C QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/9/2010 
 I 

SAm#'^^^y^ 

I Owner's Name: l^( ^ 3^(x->iA^vy Daytime Phone: V o <3 '^«2^3 7(5"^

Property Address: 3^/5 ^ ^/. /S*"W ^J- ^ 

Attempt to contact Date/time Name 

f\<'r-:ebS -f)r/^ x Ji^'^e.cf' i-'^.t* /J.-isy.^ . 

^ 

^•-//-/'A ^'^ 

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• 

-
Property Access Checklist 

SAID: 33C/yQ> 

I Property Address: "^IS' ^/• I ^^^ ^ n WORKCOMPELTED ON:' 

Owner:

Address:

 ^ C

 ^^

 _fc^/A^ Y 

1 

Renter; 

Phone: 

Fax: 

Phone:

Fax: 

 </53-^J7 ^ 

Cell/Pager: 

Additional Information: 

Cell/Pager: 

J2^ Access Agreement 

12 Restoration Agreement 

Q Video Property Before 

1 3 Digital Photos Before 

• Video Property After 

Signed: / 1 ^P / / S 

Signed: ) / '^ 1 j D 

On : •>, / /5 / /» 

On '. 1 1 tc, 1 Id 

On : / / 

By:/ ^ 

By: er) 

sy: yiA 

By: /M -

By: 

n Digital Photos After On : / / By : . • 

J/^ Property Completion Agreement Signed: ^ l^ ( /» ^ By:/< ^ 

n Final Report Signed: / / By: 

Additional Video or Digital Photo's Taker 

n Video n Digital Photo On : _ 

r. 

Reason:

n Video n Digital Photo On : _ 

Reason: 

1

1

 1 

1 

By:

By: 

1 

i 

1 

D Video

Reason:

n Video

1 Reason: 

n

 n

 Digital Photo 

 Digital Photo 

On

On

 :_ 

 :_ 

1 

1 1 

By: 

By: 

• | 

1 

Omaha Lead Project Work Plan Pagel of 19 
 I 

Consent for Access to Property S 33<^9(f 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner), consents to and authorizes the United States Environmental 

I^rotection Agency (USEPA) or its authorized representatives, collectively the Grantee to enter 

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

Owner's Name: Q C Aou IA.^' V Daytime Phone: V5 3 'P37- ^

Address: 3*?lS" K/. f^-^ s-^^ 

Address: 

Addresses of Properties \ 

Address: covered by this 

Agreement: 

Address: 

l_ 

Address: 

PURPOSE OF INVESTIGATION 

The purpose of the remedial activities is to remove all soils at the property v»?hich are 

contaminated with hazardous substances, in particular lead at concentrations greater than.or equal 

to 400 parts per million (ppm). 

REMEDIAL ACTIONS 

The environmental response actions to be performed on said property may include the following 

activities: 

a. Taking photographs and/or video of the property/ before, during, and after remedial 

activities; 

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

environmental response; 

c. Planning and implementing the removal action on or near Grantor's propeity. 

d. Obtaining samples from Grantor's property; 

AG R E EMENT NOT TO INTERFERE ' • . 

The Grantor agrees not tO interfere or tamper with any of the activities or work done, or the 

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

property Vs^hich would tend to endanger the health or welfare of the Grantees or the environment, 

or to allow others to use the property in such 

ly] I graffit access to my properties 

n I do Eiot grant access to my properties 

Signature 

Signature Date 
Additional Comments / Instructions: 

• Check this box if owner does not want E.R. to enter the residents to document Interior 

foundation walls and possible preexisting damage. By checking this box E.R. is not responsible 

for any damage done to the Interior of house, including foundation cracks or fissures. 

i I agree n i do not agree Dlag ree n I do Bot agree 

Owner' ler'ss Sig Signatur i e Date ^-"^ CoContractor' s s Signature Date 
Restoration Agreemerst 

The purpose of this agreement is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This will also serve as documentation for the purpose of assuring that restoration 

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

Protection Agency (EPA). 

SAID: JJGV 6 

Property Address: 3 1 IS N. ISt^ i t 

Owner: _S"UJ r/\ -C-I ¥- Phone: VSj'.i37S~ 

On the attached diagram(s) indicate area(s) to be excavated and depth of 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 arrow indicating direction of view. 

Ksms to bs removed by Contractor and not replsced: 

Et&m: 

Mpl^ci-^ Ml cSiU. ^ac J 

Item: 

Item: 

Item: 

Page 1 of 2 
Additional Comments / Instructions: 

ts I agree CU I cIo HOt agree [U I agree Q I do not agree 

R c 

OwEBer's Signature Contractor's Signature Date 

Attachments 

Page 2 of 2 
This agreement documents the 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 below, if any. 

SAID: 3J^VC r 

Property Address: 3^ ) S /Vf- l^~* ^ S^ -

Owner: ^ (^ 5c^.V\-cy 

Phone: i/^ j . pJ75 ' 

Restoration Stems in Question: 

Additional Gommsnts: 

^ I agree restoration is completed, except as Eoted ]S>[ ! agree restoration is compEeted, except as noted 

r I I do net agree restoration is completed I 1 I do not agree restoration is completed 

^vvAA<!iei^ llALA o

Owner's Signature CoKtractor's SJgaatiire ns ste 
Douglas County Account Intbrmation rage i oiz 

Douglas County, Nebraska Property Record -110701450000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St-VJeW OH Ma P Infonnation Is valid as of 2009-12-31 Treasurer's Tax Report 

New Feature ->->- > Auto Sales Search 

Owner 

SWINEY R C 

3915 N 18 ST 

OMAHA NE 68110-0000 

Property Informatio n 

Key Number 0145 0000 07 

Account Type: Residential 

Parcel Number 0701450000 

Parcel Address: 3915 N 18 ST 

OMAHA NE 68110-0000 

Legal Description: BOULEVARD PARK ADD LOT 14 BLOCK 8 N 20 FT & S 20 FT LT 15 40 X 125 

Value Informatio n 

2009 

2008 

2007 

2006 

2005 

2004 

Land 

$7,000.00 

$7,000.00 

$7,000.00 

$7,000.00 

$7,000.00 

$7,000.00 

Improvement 

$10,900.00 

$15,800.00 

$15,800.00 

$15,800.00 

$15,200.00 

$13,800.00 

Total 

$17,900.00 

$22,800.00 

$22,800.00 

$22,800.00 

$22,200.00 

$20,800.00 

Land Informatio n 

Acres 

0.11 

SF 

5000.0 

Units 

1.0 

Depth 

125.0 

Width 

40.0 

Vacant 

No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R07... 1/19/2010 
Douglas County Account Intbrmation rage z or z 

Stfcond Floor 

«T20 tq « 

FnlFkiiir 

^I..*T I.WIH 

_^LjCKJ^N^gGEJMAgE_ _£UCKT£EN^RGEJMAgE_ 

Square Footage: J 1344.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Poor 

Built As: 2 1/2 Story Unfin Condo Square Footage: 0.0 

HVAC: i Forced Air Rooms: 6.0 

Exterior ; Frame Aluminum Units: 1.0 

Interior: ' Drywall Baths: 10 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: I Hip Stories: ; 2.5 

Flooreover: Allowance Foundation: Block 

Sprinkler Square Footage: j 0.0 

Year Percent Adjusted Year Year Bum Physical Age Remodeled Remodeled Built 

1918 0% 1918 91 

Detail Type Detail Description Units 

Add On Unfinished Attic W/floor 672.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 672.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch End Screen 20.0 

Porch End Screen 140.0 

http://douglasne.mapping-online.eom/DouglasCoNe/static/accountinfo.j sp?accountno=R07... 1/19/2010 
ENVIRONMENTAL Ab-BUILT DRAWING 

'OMAHA LEAD SUPERFUND SITE 

RESTORATION 

llll II II llll II 33646 

Omaha Exterior Paint Nortti Arrow Lead Site Owner Name: R C SWINEY • Good 

Address : 3915 N 18 ST Site Sketch 

^fPoo r 

Phone: H: W: 

r r Not paint 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm: /T?£-S> P,f///y% 

RYASCPXA-33646 F1 l3«» ^ [ ppm n Date; ^1 I ^/o-j 

RYBSCPXA-33646 F2 n Time: n RYCSCPXA-33646 B l ppm n 

Samples Analyzed RYDSCPXA-33646 B2 ppm n 

RDZSCPXA-33646 DZ ^^ ^ ppm I n XRF Unit: 7^ \ \ Book:' ^ 

ppm n n Date: _ ^-^^-OA ­ RP-ZSCPXA-33646 PZ ppm n n Time: t^N A 

Number of Samples = ' ^ Staff; C^ 

^'V- SAID # 33646 

DATE EXCAVATED 8-14-10 

DATE EPA SIGNED OFF 8-25-10 

•SEP isz m 

AREA SODDED 2979 SQ FT 

•'v'-i itt -

Omaha Lead Site 46130 i\J , [^ 6+ • 

LCQEIiQ 

Df ID Zona EKcavatod (pontaminllon LaW Behind Quadrant excavated 

C>.«i«i^^««>««^«%*««i 0.^^*^i^'**!^* * 11 ^ r*^.t»m-^ * u . C D D T nck n c 
33646 

Omaha Lead Site 46130 

f\j , I ^ 6+ • 

-•at- .'-i ^ 
lillliliililli 3364(^ 

Omaha Lead Site Exterior Paint North Arrow Owner Name: R C SWINEY 

Site Sketch • Good 

Address: 3915 N 18 ST 

0 Poor 

Phone: _H: ^ J$ Vl^VH^i . 

Q Not paint 

Sarri^le Number Lead Sample 

Samples Collected LAB Concentratior Collected Firm: _ /Yl £ ^ p>'rl/OA 

RYASCPXA-33646 Fl O^-l ppm d/ n Date: 11 n/0^ 

i^v ^,'::: . RYBSCPXA-33646 F2 ppm D Time: 1 

RYCSCPXA-33646 B1 anM ppm 

n Samples Analyzed RYDSCPXA-33646 82 A; m ppm 0/ D 

RDZSCPXA-33646 DZ ppm Q n XRF Unit : %\ \ Book: A 4 

RS2SePXA-=3364e— ppm D D Date: ^. -Q ;a -D M 

RP^SGPXA-33646— —PZ . ppm D D 

Time: F\^^^ 

Staff: ( >> A Number of Samples = : ^ D 

«!U M 

ir^i2 

:rMnP' Ui 

•SE^ 1- -6 ife •J- -

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3/xy 

6h 9-'^^'^ 

Omaha Lead Site 

46130 
ENVIRONMENTAL XRF DATA ENTRY LOG 

RESTORATION 

SAID # 33^2 M:(j? 


PROPERTY ADDRESS 


QUADRENT OR SAMPLE AREA 


redig 

n Fl 

a F2 

B1 

B2 

n DZ 

n PZ 

GZ 

EZ1 

D EZ2 

a OTHER 

t 

DEPTH 

? 

DATE 1 

TIME 

i 

XRF S/N 

AVERAGE OF RESULTS 

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to2 ± 

z-^ 

n 

3T0± Tn 

i 

S- \ \t^\

SHOT #3 

sg^-^/ ^ 

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A ]->^ t 19 

1 

5f<?-S-Z2^ 

SAMPLER NAME .^ Vr^r^M, vS. 
Thermo Fisher Scientific Thermo 900 Middlesex Turnpike 

Billerica, MA 01821 

SCIENTIFI C 

rime A\i;u\(;i : \i)i)Ki:ss s.y AUKA ()I'I;RAI() R 

1 2010-08-16 15:51 Avg of 853-855 3915 n 18 st Bl jimmy 8 fmal clearance 101.77 ± 16.81 

2 2010-08-16 15:51 3915 n 18 st Bl jimmy 8 final clearance 33646 110.47 ± 17.20 

3 2010-08-16 15:50 3915 n 18 st Bl jimmy 8 final clearance 33646 100.75 ± 16.81 

4 2010-08-16 15:50 3915nl8st Bl jimmy 8 tinal clearance 33646 94 09 t 16.42 

5 2010-08-16 10:19 Avgof819-821 3915 ^ 18 SI EZ jimmy surface final clearance 12915 ± 18.91 

6 2010-08-16 10:19 3915nl8sl EZ jimmy surface final clearance 33646 127.67 ± 18.76 

7 2010-08-16 10:19 3915nl8st EZ jimmy surface final clearance 33646 134.10 ± 19.27 

g 2010-08-16 10:18 3915 n 18 st EZ jimmy surface final clearance 33646 125.67 ± 18.69 

9 2010-08-16 10:15 Avg of 815-817 3915 n 18 st DZ jimmy 8 final clearance 369.99 ± 29.86 

10 2010-08-16 10:15 3915nl8st DZ jimmy 8 final clearance 33646 378.92 ± 30.12 

11 2010-08-16 10:14 3915nl8st DZ jimmy 8 final clearance 33646 364 19 ± 29.76 

12 2010-08-16 10:14 3915nl8st DZ jimmy 8 final clearance 33646 366.86 ± 29.71 

13 2010-08-16 10:05 Avg of 808-810 3915nl8st F2 jimmy 4 final clearance 230.30 ± 24.29 

14 2010-08-16 10:05 3915nl8st F2 jimmy 4 final clearance 33646 250.43 ± 25.26 

15 2010-08-16 10:04 3915nl8st F2 jimmy 4 final clearance 33646 222.29 ± 23.66 

16 2010-08-16 10:04 3915 n 18 st F2 jimmy 4 final clearance 33646 218.19 ± 23.96 

17 2010-08-16 10:01 Avg of 804-806 3915 n 18 st Fl jimmy 4 final clearance 348.81 ± 29.79 

18 2010-08-16 10:01 3915 n 18 st Fl jimmy 4 final clearance 33646 353.53 ± 29.76 

19 2010-08-16 10:00 3915nl8st Fl jimmy 4 final clearance 33646 331.52 ± 29.13 

20 2010-08-16 10:00 3915 n 18 st Fl jimmy 4 final clearance 33646 361.39 ± 30.49 

Page 1 of I 08/16/10 16:38:17 
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