{ 

PROPERTY SUMMARY 

Date: 12/12/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Montiiof: December • . • • 

Property Address: 2816 HamUton St 

A. EXECUTIVE SUMMARY 

A.1 Issues Encoantered: 

A.2 Issues Resolved: 

A3 Unique Findings: 

A4 Other Relevant Information: Area around small bush access denied 99 @ scrape 

CONFIRMATION SAMPLING DATA/RESULTS: 

Bl - 61 @ 6" 

El -185 @ Scrape 

F2-202@6' ' 

ATTACHMENT 

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) EkKumentation - Completed Close-out Checklist 

6) As-Built 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 (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 ofareas not meeting Interim ROD cleanup criteria. 

7v 

40293349 __. 

TECHNOLOGIES, INC. 

Superfund 


iii 

2SG33 

Name: tAoket.n .'X/\dffi^'^'^'1tfi 

Address: Aa^^/>V*f-«>04/5/ 

Omaha Lead Site 

Site Sitetch 

Date:

Time:

 9/^s/a r 

^ : ^ ^ 

North Arrow j 

Phone: 

Team /7SK J X * ^^ ^ BV1D# DS'S'J' ^ _ XRF Code /^>3' ^ BeoK­' 

Sample Numt>er Lead Concentration Confimiation Sample 

-un 

-fi 

:afe

ppm 

ppm 

 ppm 

/<r/ Yes

f3 Yes

^ / Yes

A l Yes

 CD

 n

 a

 D

 No ^ 

 No a> 

 No ^ 

 No ET 

= ppm TBS P No-B -

= r ppm yes D NU P 

= ppm Yes a No D 

IS 

Qmst E^TiiHE^ 

ISEP19 ani 

^..— 

I 

^S^G 3ZO\ 

6X j 

> PI 

3?C ^IB 

yrrieifiltiHUmz 

i '^1 /ffMlcia*.* * • 

Omaha Lead Site 46130 
^'^'"•'^ . A^HBhtt o allowaccess to Omaha Lead i:A>v ttie property in order to conduct 

Site Remedial ryt * environmental sampling and to 

Action remove lead-contaminated soli 

Fhident Tedmologies, lac (IVudea^ is under coatract vnh die U. 5. Envtronmoital Brotectiofl Agency 

(EPA) to dean i ^ lead-contaminated soils at a nunber of propertiesJocBted in Otaa^a, Nebraska, 

including die property located at '2L^ I fp "ffAM-jCtd^^T^ . The EPA requests your 

permission to allow Rudent to perform a soil cleam^ at this properly to remove lead-contaminated soil 

By signing fliis fbnu, the property owner grants penuission to Budentto perform activities related to flie 

cleanup including soil sanqiling, removal of lead-contaminated soil, and restoration of b e referenced 

property. After obtaining the owner's signature onfiiis fbnu, Rudent Technobgies, Lie. will contact flie 

property owner (and residents) within the next few wedu to coordinate performance file work. 

Ifyou have any questions about flie soil cleanup planned for your property, please contact Rudent's 

Administrative Clerit for fiie Omaha Lead Site cleanup, Ms. Cjndie Binds at (402) 504-1004. General 

questions about fiie Om^a Lead Site cleam^ can be directed tofile EPA Fbblic Information Centers at 

(402) 731-3045 (soufii Omaha office) or (402) 991-9583 (norfii Gtaiaha office). 

Property Access Grantsd By: T^fTltirML O M 6 6^ S^J- ^ f o fi^ /K? O^^CoJR/iiglVC ^ 

^1»BB PiintNain*) 

IVoperty Owner Signature: 9/3/07 

PROPERTY lE^FORMATtON 

(To be coo^leted bj residot and/or property omier - please print) 

RESBJENTNAHE: /// ^ gSwner Qenter 

RESDENT ADDRESS: y ^ ^ 

F RE NTAL. PROPERTY OWNED BY: /// ^ 

OWNE R-S HALMG ADDRESS: //y/.^ ^icJ^o/lY ^ ^ 

OWNER'S IE LfPHONE NUUBER-HOME: ytJ^ j Zj3^'^^6^ ^ WORK: J L_ 

AGEOFHOUET: NIftY^M& . HOWLOHG HAVE YOU LIVED HERE? A^Sg-YEARS. 

HAS THE EXTERUR BEEN PAWTED OR COVERED WITH SIDB46 SMCE t9787 /U/p T /J/JS y 

NUMBER OF OCCUPANTS UNDER? YEARS OLD: A^/I^StKO ? OCCUPANTS 7 YEARS OLD AND OLDER fO/J ^ 

NUBBER0FCHILDRENUNDER7YEARS0LDWH0PLAYWTHE YARD F0R5 HOURS ORIBOREPERWEEK : yA//^H i 

COMMENTS OR SPECIAL WSTRUCTWMS: (IE. DOGS.ENTRY GATES.ETC^ \JA-C^A'7^/7 ^ (JL-J^KJ/ ^ 

AUTHORITY POR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be inqjiemented by EPA unda- this 

agreement are pursuant to SedicB 104 of CERCLA, 42 U.S.C. 9fiC4. SPA'sri^of access tc the piqserty is 

provided for in S ection 104<e) of CStCLA, 42 U. 5. C y6o5(e), whidi pnwides entiy tor" detamining the need tor 

response, cr dunsing or taking anyrespcsise adioi under this title, cr cAhenvise enfcnnng the provisions of the 

titla" 
^JjLayji ^ i^^^f f Of 

^ ENTERED 2SG33 

Name: HAode-tri Tyi.^i/c4-.«t^<; Ontaha Lead Site Date: ^//y/gj - North Arrow 

Address: A a •^•^ /-/jf^ rt/OA/ s/. Site SItetcti Time: ^- H \ 

Phone: f 

Team /?SKi c */CL4> ^ BVID# DS'T'i' ^ __ XRF Code /OS n go o AC 

Sample Number Lead Concentration Confirmation Sample 

iayAggPX/^-2g5-3 3 

ppm f'f Yes n No ^ 

ppm f 2 Yes a No 5 / 61 fifP ^ ' Yes n No ^ 

^--^-^^ ppm A l Yes 1=1 No ET 

ppm •yes D -Nu-S­ ppm 'V6B D No Q 

ppm Yea • No • 

07 

^*BV*»**^*B«t**#a«**tt*S*4^**«B a 

I 1—« 

U W\l'^\ a 

i i ^ « ••• •»*«4>**. 

h - 1 — 

— J 1 ­

^ 

- ^ 

133^ i I 1^/^ I 

• « I ; 

i I ^ h / i 

! ! f^ L 1 

irk^^f 

f^fi^tde^^ j iri \ 

'l^y^ZIi^^n^^-~Y T'AHB^'^^^^^^^ AC^ 

Omaha Lead Site 46130 
# • &ERf^ 

Property #: ^ SSJ;3 

Date/Time: tl/a.fJon 

Quads Excavated: ^^ 

Excavation General 

EPA Property Close Out 

Property Address: tSI£ Hntnitroti 

Owner's Name: Btuntteo MoRei.co 

Contractor Group Prudent Technologies 

Yes No 

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

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? X 

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 a 30 

day time period) y 

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) X 

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

7. Was damage to landscaping or plant materials avoided? X 

Gates, Fences and Retaining Walb Yes No 

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

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

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

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

Foundation, Siding and Gutters Yes No 

1. Was damage to the siding or trim avoided? 

y 

2. Was damage to the foundation avoided? y 

3. Was damage to windows avoided? >/" 

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

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

Sidewalks and Driveways (Concrete) 

1. Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

Yes No 

/ 

V 
• • 

Owners comments: 

Inspection notes: 

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

EPA Representative Pun JSSHIS ^ Date: n/zt/o7 
%IBV^ 

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 fiiture, excluding any 

remaining warranty (30 days total) except those items listed below, if any. 

Property D): 255-5-5 

Property Address: ^y/g ^^ ^ lt.Tcr> 

O^^*-' Bc^n^^o^, oe eioi 

Phone: 

"/o^-si^-ssao 

Restoration items in Question: 

Hem: 

Hem: 

Hem: 

Hem: 

Item: 

Item: 

Required corrections to complete the property: 

L H I agree restoration is completed, except as noted above. 

L J I do not agree restoration is completed 

^c Q/n ^ 4 6 /,/aiff,t 

Owner' re </ s Signature Date 
• • 

ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

Property Contact Attempts 

Property ID: ^ S 5 3 3 

Property Address: ^<R\C. <Wni.r.Jjr»a>^. ^ . Owner Name: <gk, ^^^ya >J:^ —-yrvAJvo yLs — 

OwnerPhone: ^oai - 3*^31-0.^5^0 

Below please find a listing of unsuccessful attempts to 

reach the above property owner. 

Date Time Initials Result 

/0/^(i> CM- '^^t-e.d-^e-gs^-O­

/^'/ ^ 

Cyl$i-~ .& ^ 

Cy^4­ ->?^7^J>Ui^to > ^J^. 

l/f ^ <>U. 

Mj_)_k_ 

<L>tfyM^/ o 1 

Date 

Prudent Technologies, Inc. 

tiru n Xici. 

Hfsifot 7 

Acknowledgement Signature 

Date 

EPA 

8080 Ward Parkway, Suite 405 2505 N. 24TM Street, Suite 308 8918 Tesoro Drive, Suite 109 

Kansas City, MO 64114 Omaha, Nebraslo San Antonio, TX 78217 

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

Fax: (816) 363-3707 Fax: (402) 504-1005 Fax: (210) 579-6577 
Print Preview Page 1 of 1

• 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

\City 

\zip 

Owner 

Address 

Owner 

\ Address 2 

Owner City 

Owner 

State 

Owner Zip 

2213730000 

MOBECO 

INDUSTRIES 

2816 

HAMILTON ST 

OMAHA 

68131 

11413 HICKORY 

RD 

OMAHA 

NE 

68144 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

16-15-13 

SHINNS3RDADD 

Z 

E55W175FTSW1/4 

55X135 

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

accountno=R2213730000 

Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 40 feet appraisal, survey, or for zoning verification. 

http://A\ww.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla /A^revw s County-... 8/1/2007 
Print Preview Page 1 of 1 • t e 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

2213730000 

MOBECO 

INDUSTRIES 

2816 

HAMILTON ST 

OMAHA 

68131 

11413 HICKORY 

RD 

OMAHA 

NE 

68144 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

16-15-13 

SHINNS3RDADD 

Z 

E55W175FTSW1/4 

55X135 

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

accountno=R2213730000 

Disclaimer Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 40 feet appraisal, survey, or for zoning verification. 

lli§l4iflfii2^2lilitPieview.aspx?PrintOptData=Douglas County-... 8/1/2007 
• • 

ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

August 24,2007 

MOBECO Industries 

11413 Hickory St 

Omaha, NE 68144 

RE: 2816 Hamilton St 

BVID# 25533 

Dear Sir: 

Thank you for participating in the soil clean up project being implemented by the U.S. 

Environmental Protection Agency (EPA) for die Omaha Lead Site. This clean-up project is being 

completed at no cost to the homeowners. 

In allowing the remediation of your property at 2816 Hamilton Street_ you will have achieved a 

lead safe environmentfrom the exposure of lead in the soil for yourfemily or the families of your 

tenant, if the property listed above is a rental property. 

We are asking you to sign the enclosed document stating that: by my signature on the enclosed 

agreement form. I hereby give permission to employees and/or authorized representatives of 

Prudent Technologies, Inc. (Prudent), contracted by the United States Environmental Protection 

Agency (EPA) under Contract EP-R7-07-06, to enter and have access to my property for the 

purpose of sampling and taking appropriate response actions which are necessary to implement 

the clean up of lead contamination in the soil. Such actions will include: (1) Preparation for and 

the excavation of contaminated soilfrom my property; (2) Backfill excavated areas with 

approved clean soil; (3) Restore grass and other vegetation or structures as close as possible to 

their pre-excavation state. 

Please sign the form where indicated and retum in the pre-addressed stamped envelope, keeping 

the pink copy for your records or please contact me at the phone number listed below, and I will 

be happy to meet with you at your convenience to discuss any property issues. 

Also, please remember that the above property will be listed in the EPA's database as well as 

your county assessor's office of clean properties upon completion. 

Should you have any questions, please do not hesitate to contact our office at 2505 N 24* St, 

Suite 308, Omaha, NE 68110 or 402-504-1004. 

Thank you again for your prompt attention in this matter. 

Sincerely, 

Cyndie Hmds 

Prudent Technologies, Inc. 

Omaha Lead Site Administrative Clerk Team Member 

Enclosures 

8080 Ward Parkway, Suite 405 2505 N. 24TM Street, Suite 219 8918 Tesoro Drive, Suite 109 

Kansas City, iMO 64114 Omaha, Nebraska San Antonio, TX 78217 

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

Fax:(816)363-3707 Fax:(402)504-1005 Fax:(210)579-6577