PROPERTY SUMMARY

 

Date: 10/5/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: October 

Property Address; 6332 N 33 St 

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-188@6" 

Dl- 285 @ 13" 

El - 73 @ 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) BVJD 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. 

40285013 TECHNOLOGIES, INC. 

IIIJill I III 

Superfund 
Team 

Sample Number 

P-YBSCPXA ­

-r 

Omaha Lead Site 

Site Sketch 

Lead Concentration 

ppm 

opm 

3pm 

ppm 

ppm 

ppm 

ppm 

1 

TT *

1 

*55 

K ! 

shi 

i^ 

"h 

"f 

: 

Sfii 1! 

O- j

r 

i! 

Time: ?>'."DQ 

-» 

XRFCode 13? 

Confirmation Sample 

Fl Yes D

f2 Yes O

B| Yes d

bZ Yes D

TO-Yes D

Yes CD

Yes CD

S^ A

fi^R t7" 

— ^dV1 

n. fi 

* y...^..

51 

^

r

 <r 1 

No $ 

NO g 

NoR 

No 2 

No g 

No a 

No a -N 

V5.X 

^-J 

i ^JP [jjfd^ i J4- K 

Omaha Lead Site 46130 



Name: Omaha Lead Site Date: North Arrow 

Address: Site Sketch Time: (TVPhone: 

Team XRFCode 

Sample Number Lead Concentration Confirmation Sample 

ppm Fl Yes d No 

ppm f 2 Yes D No g 

gyP5>CfXA­ ppm 

ppm 

B] Yes d 

b?- Yes n 

No

No

 K 

 CS 

ppm t?^-Yes tD NO g 

ppm Yes n No t) 

ppm Yes CD No D 

It 

•} A

.1 T*-l .......

tr ^ 

4 

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D~ 

Omaha Lead Site 46130 
^ ^v-v--"7

'V^ Agreeme^|b Allow Access To 

Omaha Lead / gg-fa V Property To Conduct Easement 

Site Remedial * '?%$?2 Sampling and Cleanup 

Action ^2" y 

Under Contract EP-R7-07-06, the U. S. Environmental Protection Agency (EPA) has Contacted Prudent 

Technologies, Inc.(Prudent), to cleanup lead contamination on various residential properties including 

your property. You can help with this activity by giving permission to conduct easement sampling and 

conduct cleanup on your property. If you sign this form, Prudent will return in a few weeks and perform 

the work. We will coordinate sampling and cleanup with you prior to commencement. 

If you have any questions about the proposed work, please contact Dan Garvey, EPA's Project Officer for 

our Omaha Lead Site Contract Mr. Garvey can be reached at (402) 731-0788. 

Property Access Granted By: 

Property Owner Signature; 

(Signature) \) (Dat«) 

PROPERTY INFORMATION 

(To be completed byresidentand/or property owner - please print)

RESIDENT NAME:: }QQrtr

11

 £._ \O A -° " ^^ _ Gorier Qenler 

RESIDENT ADDRESS: 

IF RENTAL. PROPERTY OWNED BY!" 

OWNER'S MAILING ADDRESS; £-> ^ 3 -} fy) ^^ <^- QWxig) L^Oi }Ol (^ § \ \( 

OWNER'S TELEPHONE NUMBER -HOME: t 4*0*. __MS >' £>3~1.3 WORK: J ) 

AGE OF HOME?: d-jgVV \ btlEARS. HOW LONG HAVE YOLIVED HERE? * ' YEARS. 

O I • < HAS THEEXTERIOR BEEN PAINTED OR COVERDED WITH SIDMG SWCE1978? YES"""^ ~NO ^i

 <^ 

HAS THEINTERIOR BEEN PAINTED ORCOVERED SINCE 1378? ^ YES NO 

NUUBER OF OCCUPANTS UNDER C YEARSOLD: _J NUMBER OF OCCUPANTS6YEARS OLD AND OLDER ^c ..^ 

— ' ) /tLr <^-

NUMBER OF CHILDRENT UNDER 6 YEARS OLD WHOPLAY INTHEYARD FOR 5 HOURS ORBORE PER WEEK: ^ 

COMMENTS OR SPECIAL INSTRUCTIONS: (IE.DOGS. ENTRY GATES. ETC.) 

, RESPONSEACTIONS 

The activities to be implements by EPA under this agreement are pursuant to Section ] 04 of CERCLE, 42 U. S.C. 

9604. EPA'srightof accesstotheprcperty isprtwidedfcrinSecticn 104(e) of CERCLE,42U.S. C 9605(e), which 

provides entry for "detOTnining the need for response, or choosing or taking any responseaction under thistitle, or 

otherwise enforcing the provisions of the title." 
EPA Property Close Out Form

 

Property #: _ Property Address: €332 

Date/Time: $<p Owner's Name: DOAU 

Quads Excavated: 01 Contractor Group P^u 

Excavation General Yes No 

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

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

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? u/ 

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

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

time period) »/ 

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

1. Was damage to landscaping or plant materials avoided? c/ 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close freely? (If applicable) S 

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

3. Was damage to gates or fences avoided? (If applicable) v/' 

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

Foundation, Siding and Gutters Yes No 

1 . Was damage to the siding or trim avoided? i/ 

2. Was damage to the foundation avoided? S 

3. Was damage to windows avoided? ,/ 

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

5. Was damage to downspouts or downspout extensions avoided? i/ 

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? •/ 

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

Inspection notes: 

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

EPA Representative .Qc^jtiLu. Date: 
Name: Omaha Lead Site Date: North Arrow 

Address: 33 ST Site Sketch Time. 

Phone: 

Team XRFCode 

Sample Number Lead Concentration Confirmation Sample 

RYBSCPVA - F Yes 0 

fZ Yes tU 

B| Yes a 

No 

NO

NO

 g

 gj 

b?- Yes a No CD 

ppm 

ppm 

P2-Yes CD 

Yes d No

No

 2 

a 

ppm Yes a No a 

ft ^t * 

- *­

-^ ._„ 

ov 

oi4_ iL 

Omaha Lead Site 46130 
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: £ 9 Y53" 

Property Address: /J 

Owner: 

Phone: -z/-

Restoration Items in Question: 

Kern: 

Item: 

Item: 

Kern: 

Kern: 

Hem: 

Required corrections to complete the property: 

I agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

Owner's Signature Date 
Omaha Lead Application Page 1 of 2 

New Search Logout Omaha Lead Application Change P; 

Summary j 

Property jnfp Assessment CJeanJJp Place on Hold 

Overview 

Remove Hold 

J Call Tracking 

Property Google. Maps Douglas County Interactive EPA Map Images 

Sample Area ID Property Address Sample Address Zip Owner Name 

39455 5332 N 33 ST 3332 N 33 ST 58111 WASHINGTON DORIS J 

Property Info 

View/Edit Existing Property 

Douglas CO Parcel ID: 

Owner Name: 

Owner Occupied: 

Address: 

Address2: 

City: 

State: 

Zip: 

Owner Home Phone: 

Owner Alt Phone:

 

Owner Notes: 

Property Type: 

Resident Name: 

Resident Phone: 

Property Address:

 

Address Notes: 

Unit: 

Occupancy Length Years: 

Exterior Paint Since 1978: 

Interior Paint Since 1978: 

Total Occupants: 

Total Children Under 7: 

0606320000 

WASHINGTON DORIS J 

r 

EBL 

6332 N 33 ST Child Care 

OMAHA 

NE 

68111 

{(402)933-6332 

((402)552-3381 

! RESIDENCE County Property Type: RESl 

(WASHINGTON DORIS J 

r 

6332 N 33 ST 

;GRANDKIDS UNDER 6 Y/O 

i 

Address Info Provider: B&V 

Info Date: 09/06/2003 

http://r 7arcims.r7comp.epa.gov/ols/ Access_Info.cfin 5/20/2007 
Omaha Lead Application ^^ ^^ Page 2 of 2 

Youngest Child DOB: j Child Info Date: 

Youngest Child in Months: Address Info Provider: B&V Child Info Provider: 

Update I 

http://r7arcims.r7comp.epa.gov/ols/Access_Info.cfm 5/20/2007 
Douglas County 

Click to Enlarge Image 

Square Footage:

Perimeter

Unit Type: 

Built As: 

HVAC: 

Exterior: 

Interior: 

Roof Cover: 

Roof Type: 

Floorcover:

1921 

Detail Type 

Appliance 

Basement 

Basement 

Fixture 

Fixture 

Garage 

Porch 

User 

 1008.0 

 0.0 

1 1/2 Story Fin 

Forced Air 

Frame Aluminum 

Drywall 

Composition Shingle 

Gable 

 Allowance 

0% 

Detail Description 

Allowance 

Bsmnt Block 8 ft 

Fair Finish 

Base Fixtures 

Bath Full 

Detached 

Encl Solid Wall 

Attic Full Finish 

1 1/2 STORY 

• 

Click to Enlarge Image 

Percent Complete: 

Quality: 

Condition: 

Condo Square Footage: 

Rooms: 

Units: 

Baths: 

Bedrooms: 

Stories: 

Foundation: 

Sprinkler Square Footage: 

1921 

Page 2 of 2 

100.0% 

Fair 

Average 

0.0 

6.0 

1.0 

1.0 

3.0 

1.5 

Block 

0.0 

83 

Units 

1.0 

816.0 

300.0 

1.0 

216.0 

140.0 

192.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R06... 6/21/2007 

1.0 
Douglas County Page 1 of 2 

Douglas County, Nebraska Property Record ­ R0606200000 

Information is valid as of 2007-5-9 

Values not finali/ecl until afte r Board of Equr-ih/atior 

Print Report 

View on Map 

Owner 

KANNE KORP LP 

624 N CRAWFORD ST 

P O BOX 729 

CARROLL IA 51401-0000 

Property Information 

Key Number: 0620 0000 06 

Account Type: Residential 

Parcel Number: 0606200000 

Parcel Address: 6333 N 33 ST 

OMAHA NE 68111-0000 

Legal Description: BELVEDERE HEIGHTS LOT 23 BLOCK 0 41 X 120.25 

Value Information 

2007

2006

2005

2004

2003

2002

Land 

 $4,300.00 

 $4,300.00 

 $4,300.00 

 $4.300.00 

 $4.300.00 

 $0.00 

Improvement 

$36,400.00 

$36.400.00 

$36.400.00 

$35,500.00 

$35,500.00 

$0.00 

Total 

$40,700.00 

$40,700.00 

$40,700.00 

$39,800.00 

$39,800.00 

$0.00 

Sales Information 

Date 

1997-10-30 

Type Book 

2074 

Page 

729 

Price 

$28.700.00 

Land Information 

Acres

0.11

 SF

 4920.0

 FF

 41.0

 Units

 1.0

 Depth

 120.0

 Width

 41.0

 Vacant 

 No 

Land Attributes 

Attribute Attribute Description 

Improvement Information 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R06... 6/21/2007