TRANSMITTA L of OMAH A LEAD SITE 

SOIL REMEDL\TIO N FILE FOLDER 

SAID#: !^;)fi\(Q I Date: 

Address: 1^4 H) \i . ^.^^ 6 T 

Remediation Contractor: Envrionmental Restoration, LLC_ Year: _2010 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

D Video of property (DVD) JSBefore D After 51 Basement D 

^ Executive Summary (Final Report) 

Q EPA-provided property sketch 

^ Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

^ Restoration Agreement 

D Settlement documents (i.e., for damage or to replace plants, etc.) 

^ Confirmation data 

D Photographs _S Before DCrew Photos D During Excavation B. Sod 

\ l 30-day Sod D 

•v^ As-built sketch 

^ ^ Completion Agreement signed by Property Owner 

^ Property close-out check list signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

^ Utility clearances 

H^ Property information from Douglas County Assessor's Office 

N Property access checklist 

H] Contact Log 

n 

Environmental Restoration Signature Date 

yO/lx"X ^ ^-Z7,^i( 

'EPA COR signature X Date 
\ Omaha Lead Site—EP-R7-09-05 

8 Environmerttal Restoration. LLC 

j f www.er1lc.com 

EXECUTIVE SUMMARY: 

32961-3818 N 22 ST 

fxl No Issues or Concerns [^ Issues/Concerns 

Detail Explanation: 
-EPA 

EPA Property Close Out Form 

Omaha Lead Site 

Property #: 'S'^Ui) Property Address: yT^)*^ Vj. 9.-31 S T 

Date/Time: Owner's Name: l-oJk'€.^U UO ^^U 

Quads Excavated: ^ \ .^ 3k .9>\ Contractor Group : Environment ;ntWsl Restoratio R n (ER) 

Excavation General Yes No 

i. If necessary, were the correct quadrant(s) excavated and restored? - Ul 

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

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? 

2. Has sod been laid in all areas that were excavated? e^j/Xtitr Q*^ drvJt^J /lt^< ObCca^lfncXitt^ ^

3. Does the sod appear to be generally healthy and growing? (Only evaluate if insjfected at JO-day time 

period). 

4. Are sodded areas generally firm and evenly graded? t ^ 

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

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

7. Was damage to landscaping or plant materials avoided? i ^ 

Gates, Fences and Retaining Walls Yes No 

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

2. Were all gates or fences taken down during restoration activities re-installed? (if applicable) yA­ 3. Was damage to gates or fences avoided? (if applicable) 

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

Foundation, Siding and Gutters Yes No 

1. Was damage to siding or trim avoided? ^ 

2. Was damage to the foundation avoided? L ^ 

3. Was damage to windows avoided? •^ 

4 fc*^ . Was damage to window screens or door screens avoided? 

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

Sidewalks and Driveways (Concrete) 

1. Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? 

Inspection notes: 

Yes 

Ai^A 

L ^ 

No 

Remedial and restoration activities complete including 30-day sod warranty: 

EPA Representativ Date: 
Page 1 of2 

"> 

[ Create Another Ticket ~] [ Back to Irth Internet ] Send Email 

• YOUR TICKET NUMBER IS 2559580 

Original Call Date: 8/04/10 Time: 6:55 am Op: TRACY24186 

Work to Begin Date: 8/06/lOf Time: 7:15 artf 

State: NE County: DOUGLAS Place: OMAHA 

Address: 3818 Street: N 22ND ST 

Twp: 15N Rng: 13E Sect-Qtr: 03-SW 

Twp: Rng: Sect-Qtr: 

Legal Given: C 

Type of Work: Excavating the entire property 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (4 02)451-1069 


: SAID #32961 
f 


Company ENVIRONMENTAL RESTORATION 


Contact Name TRACY BRISTOW Phone: (402)451-1314 


Alt. Contact Phone: (314)504-4874 


Work Being Done For: EPA 


Depth of Excavation: 12" Corner Lot: N Front: Y Rear; 


Involves Tunneling or Horizontal Boring : N Explosives: N 


ALT872 CXCATV MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Service Area Contact Phone Number Utility Type 

Day: 4067289343 


ALT872 WINDSTREAM COMMUNICATION ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

Day: 4029340469 

CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 

Emerg: 4029329757 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT SANDY Alt: 

Emerg: 4025047970 

Day: 4024447197 


OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICH/TRAFFIC Alt: 4024445161 

Emerg: 4024445160 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/4/2010 
Page 2 of2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT

Day:

 ELM LOCATING Alt:

 4067289343 

 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK

Day: 4067289343 

 ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irtliintemet^HONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/4/2010 
Contact Snformation Log 

SAiD# 3710 J 

Owner's Nam•^e = jjCrro U U^ri^Usc f I Daytime Phone: ^^-^Jl ^ 

C r^o^ ^V^ Property Address: J8l & AJ» t Z 767 

Attempt to contact Date/time Name 

^/cs/u*<> l^lcM /i^ ^ 

o'^Ho 

\oJ(\K ^if^MUt (i^'IO -10 p i 'ux ^ 

9^^ 

I'/o 3 ?o /B. 
Property Access Checkiist 

I SAID: 3J2^^ / — 1 

n WORKCOMPELTED ON: 

Owner: /^-fr^/ f UJ^/gCflS ^ Renter; 

Address: /^6 ^ P-o^XXe^^XPr Phone: Stjif .%Z.^ ^^ ^ 

Fax: 

Additional Video or Digital Photo's Taken: 

n Video n Digital Photo On : / / By: 1 

Reason: j 

n Video n Digital Photo On : / / By: 

1 Reason: 

n Video n Digital Photo On : / / By: 

Reason: • [ 

n Video n Digital Photo On : / / By: 

Reason: _—. 

Omaha Lead Project Work Plan Page 1 of 19 
Consent for Access to Property SASD# 

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 perform certain environmental response activities upon the following described premises,: 

I Owner's Name: /^cfft K l/Jj/ZaLisj / \'^^^^^^^''^^^^- ^t~H^'Z l N \ 

Address '' 3?>l^ /V^2 ^ 

Address: 

Addresses of Properties 

Address:

covered by this 

Agreement: 

Address: 

Address: 

PURPOSE OF INVESTIGATION 

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

contaminated with hazardous substances, in particular lead at concentrations greater than.or equal 

to 400 parts per million (ppm). 

REMEDIAL ACTIONS 

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

activities: 

a. Taking photographs and/or video of the.property 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 samplesfi-omGrantor's property; 

AGREEMENT NOT To INTERFERE 

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

equipment used to perform 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 

^ I gramt access to my properties 

n I do EOt grant access to my properties 

/y ^ D.ZiA {,-10-10 

Signature Date Signature Date 
Additional Comments / Instructions: 

LO01/^1 c j ljl<~e /Aif<^''< ^ p<"oW^s> TiA^kenr 

• 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. 

I agree [H I do not agree • lag ree CH I do mot agree 

^ 

Owner's Signature Contractor's Signature Date 
Restoration Agreement 

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). 

Property Address: 5^/ ^ /J SQ. ^ 

Owner: l^4f^^f JAJricfl^h^/J 

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 

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. 

Stems to be removed by Corjtractor and not replaced: 

U ^ ( C^J/aJ^ U)\ ^ 9QJ . 

Page 1 of 2 
Additional Comments / Instructions: 

¥ • I agree D I do not agree Q I agree • I do not agree 

Owner's Signature Contractor's Signature 

Attachments 

Page 2 of 2 
' ""~"i~"-. # _ — ...|—.., — - -^ , -

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, if any. 

s^^p- 3^^ n 

Property Address: 3^/ ^ K Z2^ ^ 

Owner: /^jy^ K lOri't^LfsJ/ 

Restoration Items In Question: 

Additional Commsnts; 

'7Z~ I agree restoration is completed, except as noted |\1 1 agree restoration is completed, except as noted 

\v\ I agre( 

I I I do not agree restoration is completed I I I do not agree restoration ES completed 

»K^^ yX-/d {:?£/)A^£ Y'^¥-A 

Owner's Sfenature Date CoKtractor's Signature Bate 
Douglas County Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R2014040000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - Vie w O n Ma p Information is valid as of 2009-12-31 Treasurer's Tax Report 

New Feature ->->- > Auto Sales Search 

Owner 

WRIGHTSELL INVESTMENTS LLC 

C/0 LATRELL WRIGHTSELL 

12657 DEER CREEK DR 

OMAHA NE 68142-0000 

Property Informatio n 

Key Number: 

Account Type: 

Parcel Number: 

Parcel Address: 

Legal Description: 

Value Informatio n 

Land 

2009 

2008 

2007 

2006 

2005 

2004 

Sales Informatio n 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

1404 0000 20 

Residential 

2014040000 

3818 N 22 ST 

OMAHA NE 68110-0000 

PLAINVIEW LOT 4 BLOCK 6 S 25 FT 25 X 124 

Improvement Total 

$7,000.00 $28,900.00 $35,900.00 

$7,000.00 $28,900.00 $35,900.00 

$7,000.00 $28,900.00 $35,900.00 

$7,000.00 $28,900.00 $35,900.00 

$7,000.00 $5,800.00 $12,800.00 

$7,000.00 $5,300.00 $12,300.00 

2006-01-23 

QCM Book: 2006 Page: 007796 

$0.00 

Latrell Wrightsell etal 

Wrightsell Investments 

Invalid 

Family Sale 

2006-01-11 

WD Book: 2006 Page: 004537 

$0.00 

GILBERT L CAIN 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R20... 1/18/2010 
Douglas County Account Information Page 2 of 3 

Grantee: LATRELL WRIGHTSELL ETAL 

Valid/Invalid: 

Invalid 

Exclusion Reason: Corrective Deed 

Sales Date: 2006-01-09 

Deed Type: QCM Book: 2006 Page: 002694 

Price: $0.00 

Grantor: Wrightsell Investments 

Grantee: Latrell Wrightsell etal 

Valid/Invalid: Invalid 

Exclusion Reason: 

Corrective Deed 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.07 3100.0 1.0 124.0 25.0 No 

Improvemen t Informatio n 

Building 1 

3ei« N 22 a. 

» 3 | fl T>(r 

5Cf 

I5tr 

» E I 

; Story 

CLICK TO ENLARGE IMAGE 

Square Footage: 1127.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Poor 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 6.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp ?accountno=R20... 1/18/2010 
Douglas County Account Intbmiation Page 3 of 3 

Year Built Year 

Remodeled 

1925 0 

Detail Type 

Appliance 

Basement 

Fixture 

Fixture 

Garage 

Porch 

Porch 

Percent 

Remodeled 

0% 

Detail Description 

Allowance 

Bsmnt Block 8 ft 

Base Fixtures 

Bath Full 

Detached 

End Screen 

End Screen 

Adjusted Year 

Built 

1925 

Physical Age 

85 

Units 

1.0 

684.0 

1.0 

1.0 

440.0 

144.0 

25.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R20... 1/18/2010 
ENVIRONMENTAL AS-BUILT DRAWING 

;MAHA LEAD SUPERFUND SITE 

RESTORATION 

Name: ^.L^-f ­ (^ ^ ^/ / Omaha Lead Site Date: t/^/^^^yc? ^ 

Address: •(^f/f T / V ^i T r ^ Site Sketch Time: gL. Tt*^ 

Phone; 'VnJ2-J?^:P-^/.T f 

Omaha Lead Site 46130 

LESEHC 

OTf^^ M excavate c! Drip Zofte Excavated ContominaMon Loft Behind 

/«An».....»* U. C O 0 7 AA AC . *%« «l^^«%«4.«^B^ ' 
VA<^\ AA^ ^ to''(k^<^U 

Name: ^r.Ly f l^f^ ?*> Omaha Lead Site 

Address: r?^/ ^ / V ^ ^ ^ Site Sketch 

Phone: ~T\A 

Team j^^^jO. BVIDf.l^f^c: ^ / 

Sample Number Lead Concentration 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

\ "l^: V \ I V 

i^zA^'^A y4^ I 

v 

''T—Hr V-i^-^--1vfl 

"Cji'&xr 2; 

i£- '^xd£\^3.ilk 

jpfbpcjtU^ itrmJii'Vi 

Date: [o/O^G/O' ^ North Arrow 

Time: g,.3 T 

> 

XRF <^>V  Code "V 

Confirmation Sample 

r / Yes a No ^ 

r^ Yes n No ^ 

•$( ye%

^:e Yes

 • 

 1=5 

No

No

 S) 

^ 

i>^Ye s n No § 

Yes a No a 

Yes • No • 

5^ 9c<^ 3r 

^^i'^s.y! 

r> r^ ^e- ^ S 

-_„-..| . . |. _.| ^ 

V - ^ ^ 

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(3 

j 

a^ wXAm^^W l^^f'^iiH^^'!^"t' 

i/-^rg r\(\^fOW. 

Omaha Lead Site 46130 \^51-^'; 
Name: /CJx,X <^/t./// Omaha Lead Site Date: [a/^C^/d ^ North Arrow —i 

Address; ^f/f T / ^ ^ ^ ^ Site Sketch Time: g.'. 3*r 

Phone: '¥r>:2-'?^J?-'(//.TS' > 

Team >4r<r/^ 

BVIDS^IAZ^L Z XRF Code ^^'^' ^ 

Sample Number 

Lead Concentration Confirmation Sample 

^^^^// ^ ^^ ^ r/ Yes ° 

r^Z Yes O k9ci,d^Xjc/i -k-z-V/^f 

<g( Yes 1=1 ^/•;i-:f ^ V PPf" ^^• ^ PP"" ^ 2 Yes ^ 

•^ScL ppm J) 2^ Yes n 

ppm 

Yes a 

ppm Yes •

oS\^^ 

I i :5 3^ 

7 ^-----dKC^- ^ <••••-•--! 

..:S?:......l 

^ i 

I 

} ^ 

t-ty ^ \ 1^: V^-i^ TT -^A 

;;:. . . K 

i 1^" ^ Q^ ^ i .5,:........^......^^ 

I—_ j. .•wl.._i j. 

^—^^^^^—^^^—^^-1--^,—K , \ i 

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fl i If^ 

^ 

^id ^ S Z T 

^riycVJ^ itmtji^WJ 

a^ to» ^ v: ijg[4 iijttj A^ ;iPt"^ ^4ee44 ' 

V^-tr\^ nnt/rouj 

Omaha Lead Site 46130 
ENVIRONMENTAL XRF DATA ENTRY LOG 

RESTORATION d 

SAID# :'.'2AU \ DATE ^ \ v:^\vo 

PROPERTY ADDRESS 

:^%\« t^.Tfz.^ ^ 

QUADRENT OR SAMPLE AREA 

redig 

n 

n 

n 

n 

n 

n 

n 

a 

D 

F2 

B1 

82 

DZ 

PZ 

GZ 

EZ1 

F7? 

OTHER 

DEPTH 

A " 

• \ 

< • 

\n " 

- ^ 

TIME 

XRF S/N 

AVERAGE OF RESULTS 

?^%t 3\ 

•2JUC« ± -Si 

?»4SfSo 

zrtat, 14 

SHOT #s 

S^V-3^*\ 

^S - 5^8 

CaS-A- t»6-7 

Sqft ' 6.02_ 

SAMPLER NAME ,J^\rf>cv\ oy ^>^o:Ja.^ 
Thermo Fisher Scientific Thermo 900 Middlesex Turnpike 

Billerica, MA 01821 

SCIENTIFI C 

AM;UA(,I ; ADDRKSS AKIA OI'IUAIOK NO IKS SAID IM) 

1 2010-08-14 09:06 Avg of 654-656 3818 n 22 St DZ jimmy 10 final clearance 347.84 ± 29.64 

2 2010-08-14 09:06 3818 n 22 St DZ jimmy 10 final clearance 32961 365.54 ± 30.50 

3 2010-08-14 09:06 3818 n 22 St DZ jimmy 10 tinal clearance 32961 334.57 ± 28.79 

4 2010-08-14 09:05 3818 n 22 St DZ jimmy 10 final clearance 32961 343.42 ± 29.63 

5 2010-08-13 15:06 Avg of 599-601 3818 n 22 St EZ jimmy surface final clearance 242.66 ± 24.35 

6 2010-08-13 15:06 3818 n 22 St EZ jimmy surface final clearance 32961 238.79 ± 24.10 

7 2010-08-13 15:05 3818 n 22 St EZ jimmy surface final clearance 32961 243.63 ± 24.40 

8 2010-08-13 15:04 3818 n 22 St EZ jimmy surface final clearance 32961 245.56 ± 24.55 

9 2010-08-13 15:03 Avg of 595-597 3818 n 22 St Bl jimmy final clearance 366.17 ± 31.39 

10 2010-08-13 15:03 3818 n 22 St Bl jimmy final clearance 32961 361.43 ± 30.86 

11 2010-08-13 15:02 3818 n 22 St Bl jimmy final clearance 32961 359.93 ± 31.21 

12 2010-08-13 15:02 3818 n 22 St Bl jimmy final clearance 32961 377.15 ± 32.09 

13 2010-08-13 14:59 Avg of 591-593 3818 n 22 St F2 jimn^ final clearance 363.00 ± 30.76 

14 2010-08-13 14:59 3818 n 22 St F2 jimmy final clearance 32961 387.56 ± 31.73 

15 2010-08-13 14:59 3818 n 22 St F2 jimmy final clearance 32961 374.92 ± 31.17 

16 2010-08-13 14:58 3818 n 22 St F2 jimmy final clearance 32961 32651 ± 29.39 

17 2010-08-13 14:53 Avg of 587-589 3818 n 22 St Fl jimmy final clearance 237.23 ± 25.06 

18 2010-08-13 14:53 3818 n 22 St Fl jimmy final clearance 32961 245.11 ± 25.33 

19 2010-08-13 14:53 3818 n 22 St Fl jimmy final clearance 32961 252.60 ± 25.89 

20 2010-08-13 14:52 3818 n 22 St Fl jimmy final clearance 32961 213.96 ± 23.97 

Page 1 of 1 08/14/10 13:31:52 
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