TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FTLE FOLDER 

SAID #: X/lol^l Date: ll " I 5 " I 0 

Address: ;^3/ C FwnNf n ^ f 

Remediation Contractor: Ppf, n/PrM-J itr ^ NI^OC, I? <^. /iMr,. i Year: 6^U\ (J 

SOIL REMEDL^TION 

PROPERTY FILE FOLDER DOCUMENTS 

[?f Video of property (DVD) 

B Executive Summary 

Q EPA-provided property sketch 

0 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.) 

B Confinnation data 

0 Photographs 

GT As-built sketch 

gf Satisfactory restoration signed by Property Owner 

[fl Property close-out check hst signed by EPA 

D Description of areas not meeting ROD cleanup criteria 

0 Utility clearances 

1/ Property information from Douglas County Assessor's Office 

D 

D 

D 

9l^ ^ : ii uli* 

iture Signature Dat D e 

30262028 

Superfund 
PROPERTY SUMMARY 

Date: 11/15/2010 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l Month of: November 

Property Address: 3315 FRANKLIN ST 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

Bl = 192 PPM @ 9"; EA= 111 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-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 (if any 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. 

TECHNOLOGIES, INC. 
Find Record 

Backfill: 

Remediation Query I Lead Remaining Query I Property Damage Query 

Sample Area: 26151 - 3315 FRANKLIN ST 

Owner: User Provided Owner Information Resident: 

• Owner Occupied 

Owner Name: 

fCnY OF OMAHA 

Owner Addressi: 

|C/0 PLANNING DEPARTMENT 

owner Address2: 

|1819 FARNAM ST #1111 

City: State: 

JOMAHA |NE 

Zip Code: 

Owner Phone 

168183-

Alternate Phone: 

Owner Name: 

1 

Owner Address: 

I 

City: 

Owner Phone: 

1 '

State: Zip Code: 

1 1 

Alternate Phone: 

1 

Resident Name: 

I 

Property Address: 

|3315 FRANKLIN ST 

Zip Code: 

|68111-

Resident Phone 

I 

Contract: Assessment: 

Contractor: |PRUDENT2010_S Qualifying Group |4bo 

Contract Option JOPTION 1 Assessment Max XRF Value j 517 
pRlinRNT^i^^ 

J^-^=^^^|pPi F III III IOLOGIK5.1 »EPA 

EPA Property Close Out 

Propeity #: Z6i^ ( Property Address: J ? ^^ rra•^ ^ >^ 

Date/Time: Owner'sName: C?I«A^ OJ-(!5WuiU.<^ 

Quads Excavated: (^'( Contractor Group: Prudent Technologies, Inc, 

Excavation General 

Yes No 

1. If necessary, were tlie correct quadrant(s) e.^ccavaied and restored? 

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? ' / 

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

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? / 

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

Gates Fences and Retaining Walls Yes No 

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

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

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

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

^ 

Foundation, Siding and Gutters Yes No 

1. Was damage to tlie siding or trim avoided? / 

2. Was damage to the foundation avoided? / 

3. Was damage to wi ndows avoided? / 

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

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

Sidewalks and Driveways (Concrete) 

Yes No 

1. Was damage to drivewav surfaces avoided? / 

2. Was damage to walkway surfaces avoided? 

T 
Owners comments: 

Inspection notes: 

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

EPA Representative ^^.^ A...^ Date: ,o jefio 
JIES, INC. 

AS - BUBLT DRAWING 

OLS #26151 

Date Excavated: 9/17/2010 

USEPA Signed-OfTDate: OMAHA LEAD SUPERFUND SITE 

iiiiii i illll 26151 

Exterior Paint North Arrow Omaha Lead Site 

Sit • Good e Sketch 

n Poor 

SamDiina Address: 3315 FRANKLIN ST 

[ 3 Not paint 

Sample Number Lead Sample 

Samples Collected LAB Concentration Collected Firm: Ft>A DB-AT 

RYASCPXA-26151 F1 3 5 5 ppm Ef D 

Date: i> -f-^ f 

RYBSCPXA-26151 F2 n<1 ppm Ef D 

Time: 3 '• 00 pm 

RYCSCPXA-26151 B1 *11 ppm Ef D 

Samples Analyzed 

RYDSCPXA-26151 82 sn ppm [Ef D

nDZSCPXA-2615^ 92 ppm D D XRF Unit: jDfl&T- Book: 2M I 

r^OZCCrXA-26151 G i - ppm D D Date: 1 • etX -o g 

nPZGGPXA-gOIGI PZ- - ppm D 

D Time: Ar ^ 

Staff: fvtjUft/ Number of Samples = | t| [ | Q | 

Legend: Fl = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as vievued from the street, lacing property A iit- ^ 

ENTBRED 

JUN 1 9 2003 95 .sa 

Bl 

3?I5. FgftNKirW.i^T. 

—^-i 

355 : T\'\ 

Fi­

= . ^ ' 

W A ^ 

fli?ftN.il<:UN 5T Rcv;oOX..1;> rrearcd: lJ-Mar-08 

EA = J111 PPM iS; SCRAPE 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
»EF^ 

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, if any. 

Property ID: '6/SI 

Property Address; 33 ! S f^t^JfCUAJ 5r . 

Owner: 6TV n f C^ArlA 

Phone: 

^ffl) vv^- yzt/fi 

Restoration Items in Question: 

Item: 

Item: 

item: 

Item: 

Kem: 

Kem: 

Required corrections to complete the property: 

^ I agree restoration is completed. 

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

ner's S^natare 
Prudent Technologies, Inc. (Prudent) is under contract with the U. S. Enviroiunental Protection Agency (EPA) to clean up leadcontaminated soils at a number of properties located in Omaha, Nebraska, including the property located at 

3?>l\ •fpyt-^ Icli/\ • Tlie EPA requests your permission to allow Prudent to perform a soil cleanup at this 

property to remove lead-contaminated soil. By signing this form, the property owner grants permission to Prudent to perform 

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

Ifyou have any questions about the soil cleanup planned for your propeny, please contact Prudent south office _for the Omaha Lead 

Site cleanup-at (402) 733-1188. 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; UflUl^/y \ (-^yU.! ^ ^ 

(Please Print Name) 

Property Owner Signature: n-..-Q^.A:Po/o 

(Date) 

PROPERTY INFORMATION 

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

RESIDENT NAME: CiL o(- (0Awa^9- (Owner ^ Renter 

% 

RESIDENT ADDRESS: f) v ^ 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

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 implemented by EPA under this agreement 

are pursuant to Section 104 of CERCLA, 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), wliich provides entry for "determining the need for response, or choosing or taking any response action 

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

8080 Ward Parkway. Suite 405 5600 S 10 St 4242 Medical Drive, Suite 4250 

Kansas City.'MO 64114 Omaha.. Nebraska 68107 San Antonio. TX 78229 

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

Fax:(816)363-3707 Fax: f402i 733-1883 Fax: (210) 579-6577 
r 

ENX'IROiVMEiNTAL & IRUDF.N' CONSTRUCTION 

TECHNOLOGIES, INC. SHRVICE-S 

Property Status Form 

Date: ^ | y ^ \ ^ d OL CLCL ^ 

BVID: 

L^,-A-<_ :^ q p c=> KA. 

Png- n K^ ^^ ^ ^^­

ji. ^ olfT. ^

IP ^ 5?U­ ^ ^ 

O^-y^-^ T3i lt^'^rV o Ajjie 

yo^nV.lc C i l-a 0 ^u ^.< ^ 

JMIA Ki I n ^ su- V/«CC^>A-A [nj­

^ . 

g^ a^oc Cl) AV, 

g ' p ]S.:>^ l^ldret^c ^ 

S H S o s e*^ 1 ^ 

^ g^,^ir/^^ 

. / 

Property Owner Pnident Employee 

Signature: Signature: 1 

8080 Ward Parkway, Suite 405 5600 S 10 St nedical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68107 San Antonio, TX 78229 

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

/0<1C\ O O -STrtT 
"/•'\ . j ' ^ 26151 ilililllliilliliillll 

Omaha Lead Site tixtenor Haint r''iorth Arrow 

Site Sketch G ^<^^ 

n Poor 

Sampling Address;. FRANKLIN ST [ ^ Not paint \ 

Leaa bampie Sampies Coilected Sampie Number LAB 

Concentration Cottected 

RY.ASCPXA-26151 F1 ppm a 

RYBSCPXA-26151

RYCSCPXA-26151

RYDSCPXA-26151

 F2 

 Bl 

 B2 

A l 

ppm 

ppm 

pprn [Ef 

D 

a 

D 

Time: 2l£^_y2Al_. 

Samples An-alyzed 

RDZGCPX.A-2615^ 92 ppm n G j XRF Unst: \0^(a1 ^ Book: 2M i 

RGZSGPX^,-261S1 S * ppm G G Date: 7-g>2 ­ o<=> 

Rnz56P'KA.-26151 PS- PplTl n 1 T'^ie ^ 

^ j j o j 1 Staff: Hi W 

Legend: f-1 = Front Left, F2 = Front Right, B1 = Back Left, B2 = Back Right DZ = Dnp Zorse, GZ = Garoen, PZ = Play 

AH quadrants are as viewsii'rom the street rarjng propeny A ^it V 

\NhlK 

...fjJV^NKUN, 5X. Rev "i)ii« Vt frMtrri- I'i-\-Sar-l)» 
M ^ ^ 

A Printed

: Nov 16,2010 

vvww.dcgis org/dogis 
Page 1 of 2 

"> 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 2592084. 

Original Call Date: 


Work to Begin Date: 


State: NE 


Address: 3315 


Twp: 15N Rng: 13E 


Twp: Rng: 


Legal Given: C 


9/14/10

9/16/10

 Time:

 Time:

 5:25 

 6:00 

pm 

pm 

Op: SIVA18967 

County: DOUGLAS 

Street: FRANKLIN ST 

Place: OMAHA 

Sect-Qtr: 16-NW 

Sect-Qtr: 

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 : 

Contact Name; 

PRUDENT TECHNOLOGIES 

SIVA JAMPAMA Phone: (402)733-1188 

Work Being Done For: EPA 

Depth of Excavation: 6 FT Corner Lot: 

Involves Tunneling or Horizontal Boring : 

CXCATV LEVELS MUDOl OMAHACOF 

N Front: Y

N Explosives: N 

0PPDGPR5 QLNNEIC 

 Rear: 

Service Area Contact 

CXCATV COX COMMUNICATIONS, INC HEIDI 

LEVELS LEVEL3 COMMUNICATIONS, LLC NA 

MUDOI METROPOLITAN UTILITIES DISTRICT SANDY 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RICH/TRAFFIC 

Plione Number 

Day: 4029340469 

Alt: 4029340469 

Emerg: 4029329757 

Day: 8773668344 

Alt: 

Emerg: 8773668344 


Day: 4025047823 


Alt: 


Emerg: 4025047970 


Day: 4024447197 


Alt: 4024445161 


Emerg: 4024445160 


Utility Type 

Day: 4067289343 


http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/14/2010 
Page 2 of 2 

Alt* 4062071494 

0PPDGPR5 OMAHA PUBLIC POWER DISTRICT ELM LOCATING 

Emerg: 8887289343 

Day: 40672S9343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING Alt: 4062071494 

Emerg: 8887289343 

http://www.dhon.org/irthmtemet^HONNoticeCreation/MessageText.asp?ret=<RESULTS... 9/14/2010 
ENVIRONMENTAL 

ENGINEERING AND 

CONSTRUCTION lECHNOuiess, mc. SOLUTIONS 

SITE SAFfeTY HAZARD ANALYSIS 

Address .3d2S : Excavation Date: 

Crew Backfill Date: 

Item Condition Hazards Corrective Action 

Overhead Lines 

Gas Line 

Water Line 

Sewer Line 

Septic/Leech 

Field 

Propane/Bntane 

Sidewalk 

Foundation 

Retaining Walls 

Fences 

Trees 

stmctures 

Driveway 

Sprinkler System 

3^6 MjJL 

S/A HLh i[/4 

nJ ^ 

Other 

Crew Foreman 

C. Site Safety Office 

Date: 

8880 WanffiartBMay. Suite 405 5600 SI O St 4242 Medical Drive, Suite 7250 

Kansas Gi|y.lloe4114 Omaiia, Nebraska 68107 San Antonio, TX 78229 

Pfiane: ^6 ) 363-3703 •Phone: (402)733-1188 Phone: (2t0).822:<9588 

Fax: (8 ^ 363^707 i^ K (402)733^1883 Fax: (210) 579-6577 
JV'!' THi^pSi'W 

•*«* : 

r/^^MkU 5t