TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: 31421 DATE: 12/15/2010 

ADDRESS: 3039 PINKNEY ST 

REMEDIATION CONTRACTOR: PRUDENTTECHNOLOGIES. INC YEAR: 2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

cf PRE AND POST VIDEO OF PORPERTY (DVD) 

n( EXECUTIVE SUMMARY 

\ d EPA-PROVIDED PROPERTY SKETCH 

d SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT(S) FOR ADJACENT PROPERTY 

d RESTORATION AGREEMENT 

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

• CONFIRMATION DATA 

Q5 PHOTOGRAPHS 

4. AS-BUILT SKETCH 

SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

Q UTILITY CLEARANCES 

[^ PROPERTY INFORMATION FROM DOUGLAS COUNTY ASSESSOR'S OFFICE 

• 

D 

t^M 8lJ*^*' 

SIGNATURE DATE 

30260784 

Superfund 
Find Record Remediation Query [ Lead Remaining Query Property Damage Query 

Backfill: 

Sample Area: 3142 1 - 3039 PINKNEY ST 

Owner: User Provided Owner Information 

n Owner Occupied 

Owner Name: Owner Name: 

DAILEY FRANK E 

Owner Addressi: Owner Address: 

1 " • 

Owner Address2: 

J3113 N 30 ST 

City: State: Zip Code: City: State: Zip Code: 

lOMAHA INE J68111­ i r 

Owner Phone Alternate Phone: Owner Phone: Alternate Phone: 

)(402) 880-6912 1 

Contract: Assessment: 

Contractor: PRUDENT2010. .5 Qualifying Group J400 

Contract Option J OPTION 2 1 Assessment Max XRF Value f 493.8 

1 

Resident: 

Resident Name: 

Property Address: 

13039 PINKNEY ST 

Zip Code: 

|68111-

Resident Phone 

i 
PROPERTY SUMMARY 

Date: 12/15/2010 Omaha Lead Site Reniedial Action Contract # EP-R7-07-06 TO#l Month of: December 

Property Address: 3039 PINKNEY ST 

A. EXECUTIVE SUMMARY 

A.l Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: POLE, TREE & CONCRETE ON THE WEST SIDE OF THE PROPERTY 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl = 142 PPM @ 10"; EA = 112 PPM @ SCRAPE (~1") 

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) 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) Description ofareas not meeting Interim ROD cleanup criteria. 

TECHNOLOCIES, INC. 
TECHNOLOGIES, INC. 

EPA Property Close Out 

Propcitv#: ^^f^' i Pj-operty Address: 303* ^ PmV:-r^«-^ ^ h 

Date/Time: lOf2.Z (2y>lV Owner'sName: FVCL/VIC- t>c«J 1*^./ 

Quads Excavated: Contractor Group: Prudent Technologies, Unc, 

Excavation General ('es No 

I Lt necessarv. were llie correcl quadrant(s) excavated aiid restored'^ 

y 

2, If necessary, were the correct areas ofdrip zone excavated and restored? y 

Grading Sod and Vegetation 

Yes No 

I. Does Uie grading around tJie periineter ofthe house in excavated areas generally slope away 

from the liouse? / 

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

.V Does the sod appear lo be geneniliy healthy and growing? (Only evaluate if inspected at a 30 

day time j.ieriod.) y 

4 Arc sodded areas generally firm and evenly graded? y 

5. Are die joints belween the sod stnps generally light? (Only evaluate if inspected al a 30 day y time period) 

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

7 Was d:miage lo landscaping or plant materials avoided? 

/ 

Gates, Fences and Retaining Wall.s 

1 Do gates open and close freely'' (Ifapplicable) 

7 

-1 

Were all gates or fences tal<;en down during restoration activities reinstalled? 

Was damage to gates or fences avoided? (Ifapplicable) 

Was damage lo retaining walls avoided? (Ifapplicable) 

(If applicable) 

Yes 

y 

y 

y 

A 

No 

Foundation, Siding and Gutters 

1 Was dainage to the siding or trim avoided? 

2 Was damage to the foundalion avoided? 

Yes

/ 

/ 

 No 

3 Was damage to windows avoided? 

4. Was daniage to windows or door screens avoided'^ 

/ 

7 

.") Was damage lo downspouts or downspout extensions avoided? / 

Sidewalks and Driveways (Concrete) 

I Was damat;e lo diivewav surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

Ves

/ 

y 

 No 
Owners coimments: 

Inspection MOtes: 

.«<» • 

y A 

y ^ 

.^•y 

t" '

^ y

 ,i»''L 

<.y 

 k •*' 

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

EPA Representative Qa^ j ^ Date: io[ts|'o 
rrfTKDTOGlES. INC 

OLS #31421 

Date Excavated: 10/19/2010 

IISEPA Signed-Off Date: 

Owner Name: FRANKJ DAILEY 

Address: 3039 PINKNEY ST 

Phone: H:

Sannple Nunnber 

RYASCPXA-31421 Fl 

RYBSCPXA-31421 F2 

RYCSCPXA-31421 Bl 

RYDSCPXA-31421 82 

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-RrZGCrXA-31421 PZENTERED 

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Fl = 142 PPM fa} 10" 

AS - BUILT DRAWING 

OMAHA LEAD SUPERFUND SITE 

 W: 

Lead 

Concentration 

H ^ 

!2. 

3QP £ 

Omaha Lead Site 

Site Sketch 

Sample 

Collecteri LAB 

ppm D 

ppm D 

ppm D 

D 

31421 

Exterior Paint 

• Good 

• Poor 

[]] Not paint 

Samples Collected 

Firm: fP ^ £)C\36 t 

Date: SJIJO^ 

Time: IZ: 30 

Samples Analyzed 

ppm D D XRF Unit Book: D b 

ppm D D Date: _ 9^1°V -^U , 

ppm D D Time: _ 

Staff: ^ Numljer of Samples = Af : 

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Omaha Lead Site 46130 

EA = 112 PP.M'&SCR.\PE 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
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 ID: 

Property Address: • SOSM Pir\.li ^ 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

<s 

^..u ^ W ^cl3'^ A[)7s\ m\ 

I I 1 agree restoration is completed. 

I I 1 do not agree restoration is completed at (noted deficiencies above) 

D Asfd/ \om\d 

Owner's Signature Date 
• • / 

Pnidciil Technologies, Inc. (Prudent') is under conti-aci wilh the U. S. Envirommemal Proteclion .A.gencY (EPA) to clean up leadconKuiiinatcd soils at a number of propenies locaied in Omaha, Nebraska, includingthe property located al 

. The El-'A rcquesls your permission lo allow Pnident to perform a soil cleanup at thi.s 

propeny lo remove lead-conlaminalcd soil. By signing this form, the property owner grants permission to Prudeni to perform 

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

Ifyou have any questions about the soil cleanup planned for your property, please contact Prudeni soutii office .for the Omaha Lead 

Sue cleanup-at (402) 733-1 188. General questions about Uie Omalia Lead Site cle.anup can be directed to the EPA Public Informalion 

Centers al (402) 73 1-3045 (South Oraaha office) or (402) 991-9583 (North Omaha office). 

Property Access Granied By: t (Please Pnjti Najne) 

Property Owner .Signature i^-syy/f 

(Dale) 

PROPERTY INFORIVIATION 

(Tobe completed by resident aiid/or property oivner ~- please print) 

RESIDENT NAME: V O-t CciLvJ^ \(nV-~ Owner Renter 

RESIDENT ADDRESS: . 

-^Cs ^ 9 "d>\^\:..vs^^y QA- C^UCLL^C ^-^ ^ ^' ^ y t t J 

\ U PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS 

:SAA3 y. g>o ^ Qps fOys=siAs^ £>"^(l \ 

OWNER'S TELEPHONE NUMBER - HOME: J L WORK: 

AGE OF HOME?: YEARS. HOW LONG HAVE YOU LIVED HERE? YEARS. 

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

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: 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.) 


AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemenled hy EPA under this agreement 

are pursuant lo Section 104 ofCERCLA. 42 U.S.C. 9604. EP.A's nght of access lo the property is provided for in Section 104(e) of 

CERCLA, <12 U.S. C 9605(e), which provides entry for "detennining the need for response, or choosing or laknig any response aclion 

under this title, or otherwise enforcing the provisions ofthe tille." 

8080 Ward Parkway, Suite 406 5600 8 10 St 4242 Medical Drive. Suite 4250 

Kansas City,'MO 64114 Omafia, Nebraska 68107 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402) 733-11&8 Phone : f210) 822-9588 

Fax:(816)363-3707 Fax: (402) 733-18S3 .Pax: (210)579-6577 
mmvN ENV[RO;NMEi\T.AL&

CCNSTRLICTION TECHNOLOGIES, INC. SERVICE.S 

Property Status Form _ ^ ^,. Address: "^O' ^ c^ p;^^^ ^ ^ ^ Date:/^- 5 ^ ^ ^ ^'^ '^ti\ ^ ^ Date: 

Phone:/^57__^^/^ BVID: 

•^AS^K^s^Jh 7^\ \ 

Property Owner Prudent Employe 

Signature:-/>g>^y f /^pUy^f ^ Signature: 

8080 Ward Parkway Parkway., Suite 4()405 5 / 5600 S 10 St -—y^— KansasCity, MO 64114 Omaha, Nebraska 68107 4242 fmiica San Antonio l Dr^e, Suit , TXe 7822 42590 Phone: (816) 363-3703 Phone: (402) 733-1188 tr>Ac:\ o o OTrtT Phone: (210) 822-9588 
31421 

Omaha Lead Site Exterior Paint North Arrow Owner Name: .FRANKf DAILEY^ 

Site Sketch • Good 

Address: 3039^NKNEY ST^ 

Phone: H: W: • Poor I

Q Not paint 

Sampl Lead Sample Samples Collected e Number 

Concentration Coliecied LAB Firm: f D f\ !Clc\3/k 

RYASCPXA-31421 Fl HM ppm D Date: SjljoH 

RYBSCPXA-31421 F2 ^ ppm Time: IZ'.SO 

RYCSCPXA-31421 Bl . ppm 

n 32. i D Samples Analyzed RYDSCPXA-31421 B2 

RDZGCnXA-314i21 -B2- ppm D D XRF Unit: 0\ \ Bbck:'2S_ P.CZSCPXA 311121 @?r ppm D D 

-RrZGCPXA-31421 P2- ppm n D n 

Number of Samples S] 

EN TEB,ED 

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T^££ 

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Omaha Lead Site 46130 
N Lega

l Description: 38 X 128 

A Printed

: Oct 08. 2010 

www.dcgis.org/dogis 
Ticket Text and Map display fc^cket: # 2609831 Page 1 of 2 

Original Call Date: 10/06/10

Work to Begin Date: 10/08/10

 Time: 9:01 am 

 Time: 9:30 am 

Op: SIVA18967 

State: NE 

Address: 3039 

County: DOUGLAS 

Street: PINKNEY ST 

Place: OMAHA 

Twp: 15N Rng: 13E Sect-Qtr: 09-NE-NW 


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: (4 02)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 Number Utility Type 

CXCATV COX COMMUNICATIONS, FNC HEIDI 

Day: 4029340469 

Alt: 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 DISTRJCT ELM LOCATING

Day:

 Alt:

 4067289343 

 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt! 4062071494 

Emerg: 8887289343 

View Map Close Map 

http://www.dhon.org/irthintemet/MessageText/MessageTextAndMap.asp?NoticeID=DHO... 12/6/2010 
Ticket Text and Map display fc^cket: # 2609831 ^ Page 2 of 2 

http://www.dhon.org/irthintemet/MessageText/MessageTextAndMap.asp?NoticeID=DHO... 12/6/2010 
TECHMaUMIl IB^I^ INC I . CONSTRUCTION 

SOLUTIONS 

SITE SAFETY HAZARD ANALYSIS 

Address: .—'^7XS-±-lLaki^. ^ Excavation Date: A^JldLLLl. 

Crew: Backfill Date: —l^llflkp-

Item 

Overhead Lines 

Gas Line 

Water Line 

Sewer Line 

Septic/Leech 

Field 

Propane/Butane 

Sidewalk 

Foundation 

Retaining Walls 

Fences 

Trees 

Structures 

Driveway 

Sprinkler System 

Other 

Crew Foreman 

Condition Hazards Corrective Action 

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Site Safety Office 

Date: 

080 Wanl'l?arfciMay, Suite 405 5600 S 10 St 4242 Medical Drive, Suite 7250 

lansas City; MO «4114 OmalB, Nebraska 68107 San Antonio, TX 78229 

fume: (816) 363-3703 Ptione: (402)733-1188 Phone: (210) 822^9588 

ax: (816) 363-3707 Fax: (402)733^1883 Fax:(210)579-6577 
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