TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: n^l 2 Date: "i-Z*&-\\ 

Address: JJ?3y S- 1 ^ S^ 

Remediation Contractor: Environmental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

X Video of property (DVD) _^efore DAfler D Basement • 

/« Executive Summary (Final Report) 

/ Q EPA-provided property sketch 

0 ^ Signed Access Agreement for subject property 

n 

Signed Access Agreement(s) for adjacent property 

Restoration Agreement 

G Settiement documents (Le., for damage or to replace plants, etc.) 

yi Confirmation data 

/ / Photograpiis J2^efore GCrew Photos ;?t>uring Excavation Q Sod 

>Z^ 0-day Sod D 

^ As-built sketch 

/2! Completion Agreement signed by Property Owner 

y/ ^ Propertj' close-oirt check list signed by EPA 

O Descriptioa of areas aot meetiag ROD cleanup criteria 

y ^ Udlirv- clearances 

JZ^ Property information from DougJas Coimty-Assessor's Office 

y ^ Property access checklist 

Contact Loffc-nv-ixoomentai Restoration Signat^ai?

 Date 

30262396 iMpliii 

Superfund 
EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property U: \ 1 %\S Property Address: J337 ^ ' "7 ^ J<-. Date/Time: Owner's Name: jCc^/> X>U<^4A.A^4-

Quads Excavated: . tSl Contractor Group : Environmental Restoration (ER) 

Excavation General VAfUbor LOT. Yes No 

1. If necessaiy, were the correct qiiadrant(5) exca-vated and restored? 

2. Ifnecessary, wereflie correct areas of drip zone excavated and restored? /JL 

Grading Sod and Vegetation Yes No 

I. Does the grading "-«.^^ A» p^^»to> »f t>.«!,»»«. in excavated areas generally slope awy from the w / house? . . 

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

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

y period). 

4. Are sodded areas generally firm and evenly graded? 

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

6. Was the proper^ 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 close freely? (ifapplicable) 

2. Were all gates orfences taken down duringrestoration activities re-installed? (ifapplicable) 

7 ^ 3. Was damage to gates or fences avoided? (ifapplicable) 

4. Was damage to retaining walls avoided? (ifapplicable) 

Foundatiofl, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? 

2. Was damage to die foundation avoided? \/ArAur ^- ^ 

3. Was danage to windows avoided? n 

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

5. ^' ^ damage co downspouts or downspout extensions avoided? I

Sidewalks aad Driveways (Coacrete) Yss No 

i. Was damage to driveway surfeces avoided? 31 

2.. Was damage to walkway surfeces avoided? 

Inspection not^s: 

Remedial and rsatoration actM-d'ea c-omple-t? inelnding 3€-d.a7 sod Trarranty; 

EPA Repre3eaCarive>y^I/7^ J ^^>- , A-^^ ^ ^^' " 7/7// / 
^'"^"'"" ^ OMAHA LEAD SITE — EP-R7-09-05 

s ENVIRONMENTAL RESTORATION, LLC 

WWW.ERLLC.COM >^TT ^ 

EXECUTIVE SUMMARY: 

th 17818-2339 S 7'" ST 

NO ISSUES OR CONCERNS ISSUES/CONCERNS 

DETAIL EXPLANATION: 
Fage 1 ot1 

"> 

[ Create Another Ticket ] [ Back to irth InterneT Send Email 

• YOUR TICKET NUMBER IS 2707699. 

Original Call Date: 4/08/11 Time: 6:40 am Op: TIM24186 

Work to Begin Date: 4/12/11 Time: 7:15 am 

State: NE County: DOUGLAS Place: OMAHA 

Address: 2339 Street: S 7TH ST 

Twp: 15N Rng: 13E Sect-Qtr: 26-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Lead Soil Removal 


Location of Work: LOCATE ENTIRE PROPERTY 


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


: SAID # 17818 


Company : ENVIRONMENTAL RESTORATION 


Contact Name: TIM SUTTON Phone: (402)451-1314 x2267 


Alt. Contact: Phone: (402)306-2347 


Work Being Done For: EPA 


Depth of Excavation: 24 in Corner Lot: N Front: N Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV LEVEL3 MUD02 OMAHACOF 0PPDGPR6 QLNNEIF 


Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

LEVEL3 LEVEL3 COMMUNICATIONS, LLC NA 

Day: 8773668344 

Alt: 

Emerg: 8773668344 

MUD02 METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OiVlAHA-TRAFFICSEWER RICH/TRAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 4/8/2011 
Fage 2 of 2 

0PPDGPR6 OMAHA PUBLIC POWER DISTRICT

Day:

 ELM LOCATING Alt:

 4067289343 

 4062071494 

Emerg: 8887289343 

QLNNEIF QWEST LOCAL NETWORK

Day: 4067289343 

 ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 3/25/2011 
Contact Information Log 

SAID#_i2£/£ 

I Owner's Name; Acko/ ^ -TDv ^ ^/n^/. ! I ^"V^'""^ ^^°'"'- ^0 / -35^ ' nCf S 

I Property Address; ^Jj j J . 7 ^ p/ - H 

Attempt to contact Date/time Name 

faeces J -^r^ s ytj¥lJ (-36'(( 7^J9 

' 
Property Access Checklist 

SAID: /-7/f ^ 

n WORK STARTED ON: _/ l_ 

Property D WORK COIMPELTED ON; I I Address; ^?? ? ^B3? 

Owner: ^|;^ ^

Address: ^^ ^

 rTAU^^^^Al ^ 

 T . J-U4 C l ( , " ^ 

Renter: 

Phone: 

Fax: 

Cell/Pager: 

Phone:

Fax; 

 /"O f - J 5 /'^ ^ ( U ? Additional Information: 

Cell/Pager: 

[ ^

[ ^

H

 Access Agreement 

 Restoration Agreement 

 Video Property Before 

Siened: /

Siened:/

On : {

 1 Il«l 11 

 1^ 1 l l 

 iJlo l 1/ 

By: /^ ^ 

By:A^ 

By:^ ^ 

1 ^ Digital Photos Before On : ( /Jo / /( By:<e^ 

n Video Property After On : / / By: 

D

IS

 Digital Photos After 

 Property Completion Agreement 

On :

Siened: ^

 / / 

 1 Lt> 1 l( 

By: 

By: fiO 

D FinalReport Signed: / / By: 

Additional Video or Digital Photo's Taken: 

D Video n Digital Photo On :

Reason; 

/ / By; 

D Video

Reason: 

 D Digital Photo On ; / / By: 

D Video

Reason: 

D Digital Photo On ; / / By; 

n Video

Reason: 

n Digital Photo On : / / By: 
Consent for Access to Property SAID# 11^19 

RIGHT OF ENTRY TO PREMISES 

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

Protection Agency (USEPA) or its authorized representatives, collectively the Grantee to enter 

and perfonn certain environmental response activities upon the following described premises: 

Owner's Name: /\d^\ ^ 'X\\lP:^..'i h | Daytime Phone: ^Ol^J^g-^^l ^ 

Address; 

s 7 ^ 233 ^ 

Address: 

Addresses of Properties 

covered by this Address; 

Agreement;­ ' ... Address: .-. • . ­ ' • 

Address: , 

PURPOSE OF INVESTIGATION 

The purpose of the renaedial activities is to remove all soils at the property which are 

contaminated with hazardous substances"; ih particular lead at concentrations greater than or equal 

lo 400 parts per million (ppm). 

REMEDIAL ACTIONS : ' ' 

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

activities; " ' '•''••:'; • 

a. Taking photographs and/or video of the propert>' 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 property. 

d. Obtaining samples from Grantor's property; 

AGREEMENT NOT TO INTERFERE 

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

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

property which would tend to endanger the health or welfare of the Grantees or the environment, 

or to allow others to use the property in such 

]g(lgrant access to my properties 

CH r do not grant access to my properties 

u 

Signature Date Signature 

Date 
Additional Comments / Instructions: 

S^. t/W Co(-

G 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. 

n I agree Q I do not agree I 11 agree Q I do not agree 

Owner's Signature Date Contractor's Signature Date 
Restoration Agreenient 

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: [n^lf 

Property Address: 2^'^'2 ^ C. 7^ ^ 

Owner: j(\^ ^ 'tpt.ii»4.^,.^.rK 

Phone: 

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 

I 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. 

Items to be removed by Contractor and not replaced: 

Iter 

IC£jpUc-€ rUi -Av-z^A-^K u^'-yto iMeAO c<<nC I '^ f^J i ^ 

Item 

Item: 

Page 1 of 2 
Additional Comments / Instructions: 

magree n I do not agree -Q ^ agree n Ido not agree 

Ownei-'s Signkture 

'AL 

Date 

O^tt^CAf

Contractor's Signature 

 1-U-i l 

Date 

Attachment 

Page 2 of 2 
Property Completion Agreement 

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, ifany. 

SAID: JUlil Property Address: ^J ^ J j . y ^ S\ . 

Owner: ^^ck; ^ IDvV«.5.4/n4,/J. 

Phone; jp^^ . j f y-//0 3 

Restoration ttems in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

ttem: 

Additional Comments: 

K ] I agree restoration is completed, except as noted .^•PT T agree restoration ii completed, except as noted 

|__| I do not agree restoration is completed [_| I do not agree restoration b completed 

7 ' O - // 

Owner' KHcr'ss Sienatur Signature e Date Contractor's Signature Date 
Douglas Coimty Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R0535400000 

Print Report 

View Interactive GIS Map Information is valid as of 2010-7-30 Treasurer's Tax Report 

New Feature -> *> -^ Subdivision Sales Search 

Owner 

ACTION F INVESTMEN T A LLC 

105 8 STATE ST #407 

OREM UT 84058-0000 

Property Informatio n 

Key Number: 3540 0000 05 

Account Type: Residential 

Parcel Number: 0535400000 

Parcel Address: 2339 S 7 ST 

OMAHANE 68108-0000 

Legal Description: BARKERS ALLOTMENT LOT 1 BLOCK 0 -EX PT FOR ST & N 42 FT- S 143 E 114 

FT 

Value Inforniatio n 

2010 

2009 

2008 

2007 

2006 

2005 

Land 

$100.00 

$100.00 

$100.00 

$100.00 

$100.00 

$100.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$100.00 

$100.00 

$100.00 

$100.00 

$100.00 

$100.00 

Sales Informatio n 

Sales Date: 2008-09-01 View Document 

Deed Type: 

Price: 

SWD 

$600.00 

Book: 2008 Page: 089850 

Grantor: Redwood Real Estate Development LLC 

Grantee: Empower Group LLC 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 2006-10-30 

Deed Type: WD Book: 2006 Page: 128732 

Price: $500.00 

Grantor: Woods Jay A etal 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 8/17/2010 
Douglas County Account Information Page 2 of3 

Grantee: Redwood Real Estate Development 

Valid/Invalid: Valid 

Exclusion Reason: 

Show All Transactions 

Land Informatio n 

Acres SF Unlta Depth Widtii Vacant 

0.26 11514.0 0.0 114.0 101.0 Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 8/17/2010 
Douglas County Account Information Page 3 of 3 

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http://dougIasne.mapping-onIine.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 8/17/2010 
ENVIRONMENTAL AS-BUILT DRAWING 

OMAHA LEAD SUPERFUND SifE 

RESTORATION 

17818 

Omah Exterior Paint Nortti Arrow a Lead Site Owner Name: JAYA WooDS^ 

Site • Good Sketch Address:2339S7^T • Poor Phone: H 402-932.6083 Q Not paint 

Sample Number 

RYASCPXA-17818 Fl 

Lead 

Concentration 

9 ^ ppm 

Sample 

Collected LAB 

D 

Firm: 

Date: 

Samples Collected 

rP/ l ­ 7~i. 7r£? 

RYBSCPXA-17818 F2 60 ppm D Time: 

RYCSCPXA-17818

RYDSCPXA-17818

 B1 

 B2 

A37L 

L4S 

ppm 

ppm 

D 

D Samples Analyzed 

RD2SOPXA-170^ D2­ ppm D D XRF Unit: / 0 3 7 Book: 1/ 1 

ROZOGrXA-17010 G ^ ppm D D Date: 1 -I Z -tfS " 

RPZOCrXA-17010 P2­ ppm D D Time: 

staff: 

/' ^ 

£. ^ Number of Samples = W 

Legend: Fl = Front Left, F2 = Front Right, Bl = Back Lett, 82 = Back Rlgfit DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from ttie street, facing property 

SAID #17818 

DATE EXCAVATED 4-29-11 

DATE EPA SIGNED OFF 7-7-11 

AREA SODDED 2696 SQ FT 

^55 9 5-.7s^ \(fi 

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JSL 

^ - -7 >t.: 

0461410133 

ICfiSffi 

Quadfanl oxcavated Df ID 3!or>e Encavalad Contaminalion Left Bohind 

Contract #: EP.R7^9-05 Environmental Restoration LLC 
% iiiiiiiiiiiliiiilii 17818 

Omah Exterior Paint North Arrow a Lead Site Owner Name: JAY A WOODS • Good Site Sketch Address: 2339 S 7 ST • Poor 

Phone: H: 402-932-6083 W; Q Not paint 

Lead Sample Samples Coilected Sample Number 

Concentration Collected LAB Firm: PP/^- T t /T£> 

RYASCPXA-17818 Fl 9 ^ ppm D Date: y~7-i> s 

RYBSCPXA-17818 F2 AA. ppm D Time: 9:v^ 

RYCSCPXA-17818 B1 (fid'i ppm D 

Samples Analyzed RYDSCPXA-17818 82 \^S ppm D 

RDZSCPXA-170-[^ B2- ppm D D XRF Uni t: 103 7 Book: i7<i 

RGZOCrXA-17010 ppm D D Date: 7-/2-^5 ­

RPZOCr)(A-17i310 ppm D D Time. /'/r } 

Staff: £-/i Number of Samples = H 

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

All quadrants are as viewed from the street, facing property 

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IIIIIIIIII 17818 

Omah Exterior Paint North Arrow Owne a Lead Site r Name: JAY A WOODS 

Sit • Good e Sketch Address: 2339 8 7 ST • Poor 

Phone: H: 402-932-6083 W: 

Sample Number 

RYASCPXA-17818 

RYBSCPXA-17818 

RYCSCPXA-17818 

RYDSCPXA-17818 

nDZOCrX;\ 17010

ROZOCr'XA-17010 

RPZGCPXA'17010­

[]] Not paint 

Lead Sample Samples Collected LAB Concentration Collected Firm: -

F1 9r ppm 

F2 AA. ppm 

Bl 

<^3^ ppm 

82 HS ppm 

 DZ- ppm 

-G2- ppm 

- P ^ ppm 

Number of Samples =

 FP/f T L /TJ ? 

D Date: y-p-g- S 

D Time: 9:V ^ 

D 

Samples Analyzed D 

D D XRF Unit: Book: _ I7<i I032_ D D Date: _ 

D D Time: _ / ' ^ 

Staff: ^ ^ H 

Legend: Fl = 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 

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ENVIRONMENTAL XRF DATA ENTRY LOG C 

RESTORATION 

SAID#n§l 5 DATE ^\2^\i l 

PROPERTY ADDF ^S S TIME 

XRFSffJ 

QUAORENTG IR SAMPLE AREA 

DEPFH AVERAGE OF RESULTS SHOT #8 

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SAMPLER NAME c^ ­VSarxaL^x ^ 
Thermo Fisher Scientific 

900 Middlesex Tumpike I neriTio Billerica, MA 01821 

SCIENTIFI C 

v \ i K.\(,t: ADDkK.S.S LS AM I'l I. AUKA Ot'KUA I OU DKP IH 

2011-04-29 15:42 Avgof60I-603 2339 s 7 st Bl JIMMY 6 final clearance 84.01 ± 16.61 

2011-04-29 15:42 2339 s 7 st Bl JIMMY 6 final clearance 17818 81.48 ± 16.33 

2011-04-29 15:41 2339 s 7 st Bl JIMMY 6 final clearance 17818 75.36 ± 16.14 

2011-04-29 15:41 2339 s 7 st Bl JIMMY 6 final clearance 17818 95.19 ± 17.35 

Page I of I 05/03/11 16:07:26 
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