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TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: 29562 DATE: 1/15 

ADDRESS: 4219 BINNEY ST 

REMEDIATION CONTRACTOR: PRUDENTTECHNOLOGIES. INC. YEAR: 201(^ 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

H PRE AND POST VIDEO OF PORPERTY (DVD) 

d EXECUTIVE SUMMARY 

 EPA-PROVIDED PROPERTY SKETCH 

d SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

of RESTORATION AGREEMENT 

n SETTLEMENT DOCUMENTS (I.E., FOR DAMAGE OR TO REPLACE PLANTS, ETC.) 

d CONFIRMATION DATA 

\fi PHOTOGRAPHS 

d AS-BUILT SKETCH 

d SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

d PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

m UTILITY CLEARANCES 

111 PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

D 

D 

D 

^ j ^ i\t'V' 

SIGNATURE DATE 
PROPERTY SUMMARY 

Date: /15/2010 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l Month of: 

Property Address; 4219 BINNEY 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: 

F2 = 177 PPM @ 6"; 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-Buih sketchi) 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 (ifany 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) Descriptionof areas not meeting Interim ROD cleanup criteria. 

ECHNOLOGIES. INC. 
Find Record Remediation Query Lead Remaining Query Property Damage Query 

Backfill: 

Sample Area: 29562 - 4219 BINNEY ST 

Owner: 

• Owner Occupied 

Owner Name: 

FLEMING MARSHA L 

Owner Addressl: 

Owner Address2: 

4217 BINNEY ST 

City: State: ZipCode: 

lOMAHA NE 68111-

Owner Phone Alternate Phone: 

(402) 453-6959 (402) 422-3999 

Contract: 

Contractor: PRUDENT2010_S 

Contract Option lOPTlON 1 

User Provided Owner Information Resident: 

Owner Name: Resident Name: 

Owner Address: Property Address: 

4219 BINNEY ST 

Zip Code: 

68111-

City: State: Zip Code: Resident Phone 

I 

Owner Phone: Alternate Phone: 

Assessment: 

Qualifying Group J400 

Assessment Max XRF Value 503.63 
' TECHNOLOGIES, INC! 

EPA Property CJose Out 

Property #: '2AA?(^ ^ Property Address: ^Z> ^ ^^.-^ir^e-^ '^ . 

Date/Time: Owner's Name: IU.a.r£k». p(£wv."('\'\ 

Quads Excavated: p "2 Contractor Group: Prudent Technologies, Inc., 

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 e.xcavated and restored? / 

Grading Sod and Vegetation 

Yes No 

1. Does the grading aroimd the perimeter of the house in excavated areas generally slope away / from the house? 

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

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

day lune period) y 

4. Are sodded areas generally fmn and evenly graded? y 

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

lime period) y 

6. Was the property graded such tliat water will not pool on die property? 

y 

7. Was damage lo landscaping or plant materials avoided? A 

Gates, Fences and Retaining Walls 

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

Yes 

/ 

No 

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

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

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

y 

y 

Foundation, Siding and Gutters 

1 Was damage to the siding or trim avoided? 

2 Was damage lo the foundation avoided? 

Yes

/ 

y 

 No 

3. Was damage lo windows avoided? y 

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

5 Was damage to downspouts or downspout extensions avoided? y 

Sidewalks and Driveways (Concrete) Yes No 

1. Was damage lo diiveway surfaces avoided? y 

2 Was damage to walkway surfaces avoided? y 
Owners comments: 

Inspection notes: 

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

EPA Representative i9»- - ^ Date: ta.|g|tb 
C'llNOlOCIIRS. INC. 

AS - BUILT DRAWING 

()I,.S#29S62 

Dale Kxcavated: 09/28/2010 

I SEPA Signed-Ofl Date: OMAHA LEAD SUPERFUND SITE 

29562 

Omah Exterior Pain! North Arow 

Owne a Lead Site r Name: MARSHA L FLEMING 

Site • Good Address Sketch : 4219 BINNEY ST • Poor Phone: ^ 402-453-6959 W 402-422-3999 [Q-'flol paint i 

Sample Number Lead 

Concentration 

Sample 

Collected LAB 

Firm

Samples Collected 

 { % m r 4 Uf ^ 

RYASCPXA-29562 Fl / Z 8 ppr" D Data; IQ - Cvlo Tl ^ 

RYBSCPXA-29562 F2 gflt f ppm D Time: 'X i C" A /^W 

RYCSCPXA-29562 

RYDSCPXA-29562 

Bl 

82 

IZ-H

Z77

 PP'" 

 ppm 

D 

D Samples Analyzed 

ROZSCPXArBOSSa -02 ~ ppm D D XRF Unit: 103 7 Book >3 3 

R€ --€2 -" ppm D D Date n- 7 -oS' 

RPZS€ i PE "• ppm D D Time: ^/ H 

Staff: ^ Number of Samples = M 

Legend: Fl = Front Lett, F2 = Front Right, 61 = Back Left, B2 = Back Rigtit DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are »% •/•ewed from the street, racing property 

ENTEBED .^ ^ > - ^ ^CT 0 7 ?M'i 

Z7:7 

-}-" • 

bX 

S^jR lip^^^^^y 

' ^ 

-ce 

F l n F2 = 177PPM «j6" 

\Z2> soq­

'JJY 

:^2s±y±y^z±z 

l/jX-VOfOi^.y ; 5 ' — — • ' • • VJ- : 

NO E.ASEMENT 

CONTRACT #: EP-S7-10-05 PRUDENTTECHNOLOGIES, INC. 
SEPA 

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 ofthe 

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, ifany. 

Property Address: i^ ^A^ ^ B : tJjJe^ ^ 

Q^"*"-^ U(.rsl ^ .yX^jtyj-^-^ 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

agree restoration Is completed. 

L J I do not agree restoration is completed at (noted deficiencies above) 

Owner's Signature Q Date 
Prudent Technologies. Inc. (Prudent) is under contract with the U. S. Environmentai Protection Agency (EPA) to clean up leadcontaminated soUs at a number ofproperties located in Omahzi, Nebraska, including the property located at 

r"^!^ Jylf^r)€jJ ^7" ''^^^ Z?h requests your permir.siOTi to allow Prudent to perform a soil cleanup at this 

property tcf renwve lead-confaminated soil. By signing this form, the property owner grants permission to Prudent to perform 

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

tf you have any questions about the soil cleanup planned for your property, please contact Prudent south ofTice for the Omaha Lead 

Site cleanup-.\t (402) 73.3-1 188. 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. A'l3r"'5n3 U ' '^HnO(^ 

(Please Print Name) 

Property Owner Si ignature / / / ^U^A^l . \Af-/^^^to (Date) 

PROPERTY INFORMATION 

(To be completed by resident and/or property OTvner ~ please print) 

RESIDENT NAME: /-^< i r S A«3. rt-C,H t /tSLr Renter 

RESIDENT ADDRESS SSI .,—^ 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAIUNG ADDRESS 

OWNER'S TELEPHONE NUMBER - HOME : i^a , /A'3-3y3 4 WORK: 

J > 

AGE OF HOME?: l^C> YEARS. HOW LONG HAVE YOU LIVED HERE? ^ A YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1978? YES X ^ NO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: D 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.) 

Al UHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented by EPA under this agreement 

are pursuantto Section 104 ofCERCLA, 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 •'detenmning the need for response, or choosing or taking any response action 

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

8080 Ward Parkway, Suite 405 560B S 'si .St 4242 Medical Drive, Suite 4250 

^»ns^s City. MO 64114 

Phone: (816) 363-3703 

Fax: (8161 363-3707 

Orruha. l\JetM3£k2 9S1S7 

Phone: {432f 725'iiee 

Fax; t*02i 733-t8g3 

San Antonio, TX 7S22d 

Phone: (210) 622-SS88 

Fax; (210) 679-S677 
ErSV(ROiN!>]EiVT,4iL& 

CONSTRUCTION 

TECHNOLOGIES StRVTCF..S , INC. 

Property Status Form 

Address: AJ^ /<? B/^^iU ^ ^ C>l^^-h!L- Ay^^Cxfiftl Date P^>i/o 

Phone: jAi>'X ^^3 - 3^ 3 C» BVID: 

A>r<a^^ 

^^^^ /^ ^^/v. ^ Av­ ^ 

Property Owner Prudent Employee 

8080 Ward Parkway, Suite 405 4242 Medical Drive, Suite 4250 seoo & 10 st 

Kansas City. MO 64114 Otna^ia San Antonto, TX 78220 . Nebraska 68107 

Phone: (816) 363-3703 Pnc^ne: (210) 822-9908 Phone: 002)733-1165 liHt^ l TKlt 400 t 
Ill 

29562 

Exterior Paint North Arrow Owner Name: MARSHA L FLEMING Omaha Lead Site • Good Address: 4219 BINNEY ST

 Site Sketch • Poor 

Phone: H 402-453-6959 W: 402-422-3999 0^o t paint 

Sample Number Lead Sample |. g Samples Collected 

Concentration Collected Firm: P ^ A^XT A. UAs 

RYASCPXA-29562 F1 IZ 8 ppm & - n Date: iO - C\i^'(11 ^ 

RYBSCPXA-29562 F2 Time: 3-^ l O £

ft/W 

RYCSCPXA-29562 Bl iZrH ppm 0 ^ D Samples Analyzed RYDSCPXA-29562 B2 2^77 ppm B - D 

RDZSCPXA aoeea—sz " ppm D D XRF Unit: \0% 7 Book: /3 g 

RCgCCPXA-20662 GZ Z. ppm D D Date: _ n-7-<> ^ RPZ0CPXA>295G2 —P£ ~ ppm D D 

Time; _ /v?>; 

Staff: 

Number of Samples = | M i 

-^-4. 

Legend: Fl = Front Left, F2 = Front Right, 81 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

ENTERED 

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BX lil 

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421

9 binney St. 

A Printed

: Dec 15.2010 www

. dcgis. org/dogis 
Page 1 of 1 

"> 

Create Another Ticket Back to Irth Internet Send Ernail 

• YOUR TICKET NUMBER IS 2596239. 

Original Call Date: 9/20/10 Time: 11:02 am Op: SIVA18967 


Work to Begin Date: 9/22/10 Time: 11:30 am 


State : NE County: DOUGLAS Place: OMAHA 

Adciress: 4219 Street: BINNEY ST 

Twp: 15N Rng: 13E Sect-Qtr: 08-NE-NW-SE-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: SOIL LEAD REMEDIATION PROJECT 


Location of Work: LOCATE ENTIRE PROPERTY 


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


: UNSURE CORNERS 


Company : PRUDENT TECHNOLOGIES 


Contact Name: SIVA JAMPAMA Phone: (402)733-1188 


Work Being Done For: EPA 


Depth of Excavation: 6 FT Corner Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Nuniber Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY 

Day: 4025047823 

Alt: 

Emerg: 4025047970 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICHH-RAFFIC

Day: 4024447197 

 Alt: 4024445161 

Emerg: 4024445160 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/20/2010 
Mm ENVIRONMENTAL 

ENGINEERING AND 

TBeHMOLOOSS, CONSTRUCTION INC 

SOLUTIONS 

SITE SAITfcTY HAZARD ANALYSIS 

Address 

Crew 

Excavatioii Date: — 

,,±^gy Backfill Date: 

Item Condition Hazards Corrective Action 

Overhead Lines 

Gas Line •^c^ J 

Water Line ^Odc A 

Sewer Line 

Septic/Leech 

Field 

Propane/Butane 

Sidewalk 

Foundation 

Cr^ 

UlA­ lyypy^yz^ C- Ay ^ \/LA S CjrscA 

Retaining WaUs Ii 

Fences 'd£/ 

Trees tiyUL 

structures 

Driveway 

Sprinkler System 

Other 

Crew Foreman Site Safety Office 

Date: 

8080 Waftf Cailany. Suite 40S iseeosiost 4242 Medical Drive, Suite 7250 

Kansas CiDr;ilO«4114 Omatei, Mobrailta 88107 San Antonio, TX 78229 

Phone: (818) 363A3703 Phone: (402)733-1188 Phone: (210)822:^9588 

Fae (818) 363-^707 Fax: (402)733^1883 Fax: (210)579-6577 
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