PROPERTY SUMMARY

 

I Date; 09/28/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: September 

| Property Address: 3109 Franklin St 

A EXECUTIVE SUMMARY 

A.I Issues Encountered: 

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: 

Fl-117@6" F2-36@6" 

Easement - 60 @ 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) 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 of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC. 40286238 

111111 

Superfund 
26208

 

Omah Exterior Paint North Arrow a Lead Site Owner Name: GERALD M ZENON D Good

Site Sketch I Address: 3109 FRANKLIN ST 

Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

Phone: H: W: 

Q P°or

Q' Not paint 

1 

Sample Number Lead Concentration /???TI1le 

 Collected J LAB 

Firm:

Samples Collected 

 fr^P, \(LsVCM 

RYASCPXA-26208 F1 fiQ^I ppm lyt P Date: p4­ - 2.^, -06 

RYBSCPXA-26208 F2 "i ^ ?, ppm \$f or Time: IC> '• 2e AOO 

RYCSCPXA-26208

RYDSCPXA-26208

 B1

 B2

 £Hp, 

 2,f 3 

ppm

ppm

 [vj 

 pf 

n 

D Samples Analyzed 

RGZSCPXA-aS208 GZ 

, ppm

ppm

 p 

 |~) 

D 

n 

XRFUnit: 907. Book:

Dato C: /Tv /^/», 

 |j& 

npTpppYA ^ft^nft .«.D7 

Lab RYBSCPLA-26208

Result 775 nnm 

 Number 

, ., DD"i G 

of Samples = j AT j cij 

n Time.

Staff:

 A M 

 MSW 

All quadrants are at viewed from the street, facing property 

ENTERE 

0-27006 

Z63 '2H8 

F3L. 

809 H42 

Malk. 

R«v4 . . - - rtfvjr-: 046141.012} 


26208

 

Omah Site Exterior Paint North Arrow Owne a Lead r Name: GJRALD M ZENON h Q Good 

Address Site Skew; : 3109 FRANKLIN sr Q Poor

 

Phone:

 H W:

 [2T Not paint 

Sample Lead Sample Samples Collected Number LAB Concentration Collected Firm: Fftft \ ds V C.M

 

RYASCPXA-26208 F1 AoQ com

 D Date: C4- - 2.C, - 0 6

 

RYBSCPXA-26208 F2 "1 S 1 pprn & Time: l D '. 2o <3- no

 

RYCSCPXA-26208 B1 2. HP, Dpm

 D Samples Analyzed RYDSCPXA-26208 B2 2.5 3 ppm D 

nDZSGPXA 26208 BZ ppm D D YRF 1 Init- G/~l~) Q^y.L- na uuuix. M CJ 

Hr^7SCPXA "^P^OS C"7 ppm D D Date' 5 OH O/^>

 

nrgSCPXA-26208 P2 ppm n

 D Time AM

 

Lab RYBSCPLA-26208 Staff: M <, ^iJ

 Number of Samples = ; AT 

Result 775 nnm 

Front Right, B1 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

ENTERE= 

•WAV 07» 

2J53 '248 

F2_. 

809 

.SV 
o-N-';

'^'vf.. Agreement to allow access to 

Omaha Lead ?' $'fyV the property in order to conduct 

Site Remedial * -TM*^ ••> _,,—-^., «„...„.„*- StM Uglily itIIU 

Action \-f*f}ti*ftrf^> remove lead-contaminated soil 

Prudent Technologies, Inc. (Prudent) is under contract with the U. S. Environmental Protection Agency 

(EPA) to clean up lead-contaminated soils at a number of properties located in Omaha, Nebraska, 

including the property located at 3tocl T'T^rxV^U ^ £ I - The EPA requests your 

permission to allow Prudent to perform a soil cleanup at this property to remove lead-contaminated sot! 

By signing this form, the property owner grants permission to Piudent to perform activities related to the 

cleanup including soil sampling, removal of lead-contaminated soil, and restoration of the referenced 

property. After obtaining the owner's signature on this form, Prudent Technologies, Inc. will contact the 

property owner (and residents) within the next few weeks to coordinate performance me work. 

If you have any questions about the soil cleanup planned for your property, please contact Prudent'5 

Administrative Clerk for me Omaha Lead Site cleanup, Ms. Cyndie Hinds at (402) 504-1004. General 

questions about me Omaha Lead Site cleanup can be directed to the EPA Public Information Centers at 

(402) 731-3045 (south Omaha office/** (402) 991-9583 {north Omaha office). 

Property Access Granted 

Property Owner Signature: *J/s&1('j(/J 

7 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner - please print) 

RE SID EHT NAME: \J C^C-O^^r LO ^~ [gSfcr.sr [Banter 

RESIDENT ADDRESS: "^>\ O Q r^TTCi^ \£_[ ^ C...V- £) W\A Lfll \$< 

IF RENTAL. PROPERTY OWNED BY: Cjejf<x| 

OWNER'S MAILING ADDRESS; ^*>\b'2> M.i'rUolgg. __ ^_ ___ Q VV\ ^ U C^ 

OWNER'S TELEPHONE NUMBER -HOME. f^JOTl 3 Ml - 3 "^ 3 OtfyORK: J_ \__ _ _ 

AGE OF HOME?: _] YEARS. HOW LONG HAVE YOU LWED HERE? YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 1378? 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: (IE- DOGS, ENTRY GATES. ETC.) 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS. The activities to be implemented by EPA under this n/-n-svw^nv%* f^-r-. mn-f-,tnv.+ *« C rt ^+i *w. 1 Avi rtf ^'"C'TD iT A /1OTTCP * HlCf'VI TTTI A > r *-i «V.t rt^" nfl- ff r »^ *U^ nv-rwv or**» i r o£4 cminriu. 01 C pui iuaiu. n_',jck-uv-ai i vr >ji \--iia.\.^-a-j-i, -r *-• u.u>.-w-. ?\_'\.'T. u.r-j-1. ^II^ILU I a*.\-rai L\J uic yi uyin i_y ia 

prcvided for in Section 104(e) of CERCLA, 42 U.S. C 9-505(e), which provides entrj' for

 J determining the need fa;­

reipojise, or choosing or taking any response action undsr tJiis title, or cthiarft'iae enforcir^ the provisioni cf the 

title." 
EPA Property Close Out

 

Property #: Property Address: 

Date/Time: Se.pf- Owner's Name: Qeanu) 

Quads Excavated: /?* ^ Contractor Group Prudent Technologies 

Excavation General Yes No 

1 . If necessary, were the correct quadrants) 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? y 

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

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? s 

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

time period) s 

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

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

Gates, Fences and Retaining Walls Yes No 

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

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

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? S 

2. Was damage to the foundation avoided? </ 

3. Was damage to windows avoided? / 

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

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

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? i/ 

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

Inspection notes: 

c^it/e/i- yfltucL 

<7 

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

EPA Representative ^a^.-^L^ Date: 
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: 

Property Address: '^ y \O< \ 

Owner: 

Phone: 4o2_ 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

LJ I agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

Date 
26208

 

Omah Exterior Paint North Arrow 

Owne a Lead Site r Name: GERALD.M ZENpN ____._. [3 Good Site Sketch Address: 3109 FRANKLIN ST Q Poor 

Phone: H W: Q" Not paint 

Lead Sample Samples Collected Sample Number LAB Concentration Collected Firm. Fftft \(LsV C,^ f

f

RYASCPXA-2620 'd /~l^i• M. 8 I- -'r^ ^J^f • f Ppm D Date: OA- - 2_£ - 0 (, 

RYBSCPXA-26208 & fflWi.1 PPm Time: ID' 2o <4. rr> 

RYCSCPXA-26208 B1 2. HP, ppm D Samples Analyzed RYDSCPXA-26208 B2 2.-S3 ppm D 

RDZ60PXA 26208 — BZ ppm D D XRFUi lit­ OA") Onnl,-

!'.& . nC^^fiCPXA ^S^OQ C~* ppm D D Date: *•>' OH 

nP7ErPXA 2620R n-7 ppm D D Time: 

Lab RYBSCPLA-26208 

Result 775 nnm 

Number of Samples = j A" \ \ \ Staff: M-sW 

Front Right. B1 = Back Left, 62 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

W614I.012.1 
k . .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 

1627510000 

ZENON 

GERALD M 

3109 

FRANKLIN ST 

OMAHA 

68111 

3103 

NICHOLAS ST 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

16-15-13 

LINDSAYS ADD 

0 

5 

E1/2 

25X124 

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

accountno=R1 62751 0000 

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 = 37 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 8/1/2007 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

' ZENON <ZRALD H 

; lb_>2 N it ai 

V t •'. • • -- '•• - ZENON SRALOM ' ,!. ZENON <ZRALDM ZENON SRALD H ., ,oi) ,4^ NKulN $r 

V'311S NiAMKUNSI 3111 HtANKLlNSl . . ..... 

311S FRANKLIN ST 

.1170 1 f? SFWARD ST l 

LJTZ ARNOLD cParcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

 ' j! 

1627510000 

ZENON 

GERALD M 

3109 

FRANKLIN ST 

OMAHA 

68111 

3103 

NICHOLAS ST 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

. JOHNSON MARV 

Ih^u N ai il 

\ JOHNSON <2:(tALDL 

.-1-- Ifild N .^1 >.! 

TIHHERHAN CONNIE 

IblU N .31 SI ­

16-15-13 

LINDSAYS ADD 

0 

5 

E1/2 

25X124 

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

accountno=R1 62751 0000 

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 = 39 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 9/4/2007 
Page 1 of2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1866781. 

Original Call Date: 8/16/07 Time: 9:34 am Op: CYNDIE18967
 

Work to Begin Date: 8/20/07 Time: 10:00 am
 

State: NE County: DOUGLAS Place: OMAHA
 

Address: 3109 Street: FRANKLIN ST
 

Twp: 15N Rng: 13E Sect-Qtr: 16-NW
 

Twp: Rng: Sect-Qtr:
 

Legal Given: C
 

Type of Work: soil excavation - Lead Remediation
 

Location of Work: LOCATE ENTIRE PROPERTY
 

Remarks: FAX ALL CLEARS TO: (402)504-1005
 

Company : PRUDENT TECHNOLOGIES
 

Contact Name: CYNDIE Phone: (402)504-1004
 

Work Being Done For: EPA
 

Depth of Excavation: 14" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring : N Explosives: N
 

CXCATV LEVEL3 MCLEODNE MUD01 OMAHACOF OPPDGPR5 QLNNE1C
 

Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

LEVELS LEVELS COMMUNICATIONS, LLC NA

Day: 8773668344 

 Alt: 

Emerg: 8773668344 

MCLEODNE MCLEODUSA NA

Day: 8002891901 

 Alt: 

Emerg: 8002891901 

Day: 4025047823 

MUDOl METROPOLITAN UTILITIES DISTRICT EDWTNA Alt: 

Emerg: 4025047946 

Day: 4024447197
 

http://vvww.dhon.org/irtrdntemet/DHONNoticeCreatiori/MessageText.asp?ret=<RESULTS... 8/16/2007 
Page 2 of 2 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON 

Alt: 

Emerg: 

4024445161 

4024445160 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

QLNNE1C QWEST LOCAL NETWORK NA 

Day: 4067289343 

Alt: 

Emerg: 8887289343 

http://www.dhon.org/irthintemet/DHONTvloticeCreation/MessageText.asp?ret=<RESULTS... 8/16/2007 
5: 

I 26208 

Oma Exterior Paint North Arrow Owne h a Lead Site r Name: .GERALD M ZENON fj Good Sit e Sketch Address: 3109 FRANKLIN ST [~| Poor 

Phone: H: w [2T Not paint 

Sampl Lead Sample ..„ Samples Collected e Number 

Concentration Collected Firm: fnft \dsV CM 

RYASCPXA-26208 F1 $<?£( ppm [vf n Date: OA- - 2.C, - 0 4 

RYBSCPXA-26208 F2 4 H 2. ppm V3C IvT Time: ID'. 2o Ano 

RYCSCPXA-26208 B1 2.HP, ppm IB" D Samples Analyze d RYDSCPXA-26208 B2 2L-S3 Ppm ET D 

RDZ6GPXA 26208 DZ ppm D D XR F Q/"O Bnr\l Unit: <: t>& 

nozscpxA aeaoe— sz ppm D D Cate' 'c- /i w ^ /^ 

n|->-»p/T»v A ^annr* PIT 

D pm D D T me: r\M 

Lab RYBSCPLA-262C )8 Staff: f^ ^ ^/ Number of Samples = j 4" j i : 

Result 775 ppm 

L _ Front Right, B1 = Back Left, 82 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

I 

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