Project Resources Inc.

Property Final Report

/•""

Property ID: P0054

Property Address: 3310 S. 17th St

D WORK STARTED

D WORK COMPLETED

ON: 01 / 24 / 00

ON: 01 / 24 / 00

Owner: Ms. Anna GuiUen

Address:

3370 S. 17th St

Omaha, NE 68108

Phone: 733-0790

Fax:

Cell/Pager:

Renter:

Phone:

Fax:

Cell/Pager:

Additional Information:

l~~l Access Agreement

CD Restoration Agreement

d Video Property Before

n Digital Photos Before

d Video Property After

D Digital Photos After

l~l Property Completion Agreement

D Final Report

Signed: 01 / 13 / 00

Signed: 01 720/00

On : 01 / 24 / 00

On : 01 / 13 / 00

On :_/_/_

On : 01 / 24 / 00

Signed: 01/28/00

On : 04/ 15 / 00

By: Anna Guillen

By: Anna Guillen

By: John Vrenick

By: Steve Sommerkamp

By: N/A

By: John Vrenick

By: Anna Guillen

By: John Vrenick

PROPERTY SPECIFICS

1. Affected areas: SE Quadrant (garden). Excavated the SE Quadrant (garden) to a depth of 12 inches.

2. Confirmation sample results: SE Quadrant (garden) 158.3 ppm lead.

3. Waste Characterization sample (TCLP): Lead <0.40 mg/1, Arsenic <1.0 mg/1.

4. Small garden approximately 1* x 12' in size.

Omaha Lead Project Work Plan

SUPERFUND RECORDS

Page 1 of 19
Project Resources Inc.

Property Completion Agreement

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 questions,

now, or at any time in the future, except those items listed below, if any.

Property ID: f&&^^

Property Address: j» ^ -^>o J^ j 7/^ Tzf

Owner: ^ /f^s/fast

Phone: 7J>J>_ 07<?d

Restoration Items in Question:

Item:

Item:

Item:

Item:

Item:

Item:

Additional Comments:

t

iX-I agree restoration is completed, except as noted I )f4-agrec restoration is completed, except as noted

1 | I do not agree restoration is completed | | I do not agree restoration is completed

Owner's'Signature Date Co/ftractor's Signature Date

/
Project Resources Inc.

Omaha Lead Project

Post Excavation Sampling

RSD = (SD/Mean)*100

SD ' = Standard Deviation

Mean = Mean Concentration

RSD < 20 is ok

Property Number: Date:

Bulk Soil Sampling Calibration (once a day start of shift)

NIST

High

5532 ppm

Medium

1162 ppm

+/- 20%

Low

18.9 ppm

ND

Blank ND

#1 #2 #3 #4

.$•72"

#5 #6

//^

#7 Mean SD RSD

//p . OS

Survey Readings (various depths prior to confirmation sampling)

#

1

2

3

4

5

6

7

8

9

10

Location Reading

Confirmation Sampling (In Situ)

. #

11

12

13

14

15

16

17

18

19

20

Location Reading

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

#1

/«£jr

#2

JZ.-30

#3

^ 90

#4

•'vi; ?'-••••- j!v#

•i .<*..'>.;;.•,• -,.••"->•;;

5v£?;-17i'^&

'•S-iS.-^^i;

.^.^'s-V-SK?;

Ayerage

. 1

/5i«R ^

' I.

t

^_ i

Notes

/^ />lC/f:?

Confirmation Sampling (Composite Sample)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

Bag

^^

Sifted Send to

Lab?

/Vo

Laboratory #

i

i

1

Total Lead Result

Tested Bv>

Reviewed ByDate:

Date:

A
01/20/00

01/20/2000

16:28

15:45

AMI GROUP COMPANIES

609-85^571

5^5*

INC -> 4559693

EMSL CHEMISTRY,

Analytical

5 Cooper Si, Wtilmont, NJ 08108

A«n; Scott SelKen

AMI Group Inc.

704 South 75th Street

Omaha, ME 68514

Fax. iQZ-397-3313 Phone. 402-3^7-5001

Customer ID

Custorne'1 PO:

Received:

EMSL Ostler;

AMISO

Oim;OOlO;OOAM

010000552

Project ID: Omana Lead N250

Client Sanqtk Description D22SCZCZ-054'104

Test Metkad Parameter

0004

NO.608 P05

PAfct bb/t)/

ic, Total $01 OB Arsenic <1.0 nnj/L

TCIP Melals-Lead, Tora) 60i OB Lead mg/L

Pa$e 5 of 6
ANALYTICAL. ING.

3 Cooper Street

Westmont, New Jersey 08108

609-858-9573

609-858-4571 (Fax)

Chain of Custody /Analysis Request Form EMSL Project*

PO#

Custody and Sample Information - Print ALL information. Put N/A in blanks not applicable Press firmly.

1. Report to:

3. Sarnpled;.by, (Signature)

Sample

Number

2. Bill to:

4. # of Samples in Shipment

Station Location /

Sample ID

Project:

Tel#:

FAX #:

5. Date of Sample Shipment

• -'' •' ~~- -'f' .- -,

rr

O

Matrix

6. Date .Results-Needed

i'' •/ •• ••, .'*

Method Preserved

u

o

Sampling

O

Indicate

Analysis

Requested

/—/-LaboratoryNumber

.. Released--by

.;,.., (Signature)

.Date/Time

Released

.. Delivery Method ,

Received by

(Signature) •

Company/Agency

Affiliation

Date/Time ••

Received

Condition Noted

Please.indicate.turnaround time: standard 10D: 5D 72HR 48HR 24HR ;(Must-call for quick turn)

Comments:

Please indicate reporting requirements: .

1) Results only 2) Results. & QC 3) Reduced Deliverables
Project Resources Inc.

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 decontamination 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 ID: ;^7£75~X/

Property Address: ??^/o C"^ / ^ T^ ^~T^-

Owner: >^L>» r/^/> ^/frt?4

Phone: n^^—Olcjd

On the attached diagram(s) indicate area(s) to 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.

Items to be removed by Owner before start of clean up:

Item:

Item:

Item:

Item:

Item:

Item:

Item:

Page 1 of.
Project Resources Inc.

Additional Comments / Instructions:

agree I do not agree I agree I do not agree

Owner's Signature Date Contractor's Signature Date

Page 2 of.
Project Resources Inc.

Additional Items

Additional items to be removed by Owner before start of clean up:

Item:

Item:

Item:

Item:

Item:

Item:

Item:

Item:

Item:

Item:

Item:

Page of
PROJECT RESOURCES Inc.

WORK PLAN

Site Plan of Property

'')' (^tidGfr^h

JL

?

USE ADDITIONAL SHEETS IF NECESSARY TO PROVIDE COMPLETE INFORMATION

Page of

Omaha Lead Project Work Plan Page 16 of 19
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

REGION VII

901 NORTH 5TH STREET

KANSAS CITY, KANSAS 66101

February 2, 2000

Ms. Anna Guillen

3370 South 17th Street

Omaha, Nebraska 68108'

Dear Ms. Guillen:

Results from the Environmental Protection Agency's (EPAi) testing of soil from your

property were mailed to you in December 1999. Unfortunately, the results from samples 7142

and 7144 were incorrect. A copy of the sketch of your property and a corrected table of results

accompany this letter.

Please call me at 913-551-7747 or 800-223-0425 if you have questions regarding this

matter.

Sincerely,

D^&JjL Don Bahnke

Remedial Project Manager

FFSE Branch

cc: Tim Gauger, USCOE (w/encl.)

Enclosure

RECYCLE©

wpf* CONUKI MOCLto F«S«E
Omaha Lead Site Investigation, EPA Region 7

Residential Results*

Anna Guillen, 3370 South 17th Street, Omaha, NE 68108

Sample Property Location Quadrant Date Lead XRF Lead

Number Code Code Code Collected Results Precision/DL

Lead Off-Site

Laboratory

Results

Lead

Qualifier

07142

07143

07144

07145

07515

07516

07141

R

R

R

R

R

R

R

Y

Y

Y

G

Y

G

Y

D

B

C

B

B

B

A

9/22/99

9/22/99

9/22/99

9/22/99

9/22/99

9/22/99

9/22/99

302

198

216

563

NA

NA

96

68

30

59

41

NA

NA

25

NA

NA

NA

NA

217

561

NA

NA

NA

NA

NA

NA

NA

NALocation Codes

Y=Yard Sample

D=Foundation Sample

G=Garden Sample

P=Play Area Sample

Quadrant Codes

A=Northeast (NE) Quadrant

B=Southeast (SE) Quadrant

C=Southwest (SW) Quadrant

D=Northwest (NW) Quadrant

Z=Not Applicable

CE=East Central

CN=North Central

CS=South Central

CW=West Central

Sample Interval Codes

A=0-2 inches

B=0-8 inches

C=8-16 inches

0=16-24 inches

Lead Qualifier Codes

NA=Not Applicable

U=Below Detection Limit

J=Estimated Result

"Properties Sampled Between Julu 1, 1999 and September 30, 1999
1. ' • " =

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Soil Analysis Project

Dais: f-53-ff lime: (

I

Teaia: Zone:

Address: 337o 5

Distance:

• n* 57:

SamoleNo.: Comments:

A:

B:

C:

D:

E:

ppm;

ppm

ppm

ppm

corn

! i ;

1 i

^

4-

1

X

^ / / /. u

>>

/: x' x^

:.j£"

i

sf

//,/:)/?cc^U

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t

X

,

X

x

X

^

x'

^

F

f

j

Scale I

linch =

(

1.

'

•^ ••

3o feet.

A. QB

7.

XJ.X

i Sample CoHectsd;

QC QD QE

QC Dtmlicats Sanrole CoHectai j

X

Record Number
Omaha Lead Site Investigation, EPA Region 7

Residential Results*

Anna Guillen, 3370 South 17th Street, Omaha, NE 68108

ID

UD

LO

GP

Sample Property

Number Code

Location Quadrant Data LaadXRF Lead

Code Code Collected Results Qualifier

Lead Off-Site

Laboratory

Results

Lead

Qualifier

•

07142

07515

07145

- 07144

07143

G7516

07141

R

R

R

R

R

R

R

Y

Y

G

Y

Y

G

Y

D

B

B .

C

B

B

A

3/22/99

9/22/99

9/22/99

9/22/99

9/22/99

9/22/99

9/22/99

88

NA

563 I •

59

198

NA

96

NA

NA

NA

NA

NA

NA

NA

NA

217

NA

"NA

NA

561

NA

NA

NA

NA

NA '

NA

NA

NA

--

cn

en

cn

cn

oo

Location Codes

Y=Yard Sample

D=Foundation Sample

G=Garden Sample

P=Play Area Sample

Quadrant Codes

A=Northeaet{NE) Quadrant

B=-Sciutheast(SE) Quadrant

OSouthwest (SW) Quadrant

D=Northwest (NW) Quadrant

Z=Not Applicable

CE=East Central

CN=North Central

CS=South Central

CW-Weat Central

* Properties Sampled Between Juiu 1,1998 and September 30,1B9B

Sample Interval Codes

A=0-2 Inches

B=0-B inches

C-8-16 inches

O=16-24 inches

Lead Qualifiei Codes

NA=Not Applicable

U=Selow Detection Limit

J=Estimated Result

-o

m

o
12/20/1999 10:10 PAGE 05
PARC 0550 0000 13

FB 27 STATUS 2 CLASS R

PROP

EXEMPT 0 EXEMPT TYPE TAX DISTRICT 0100 SID

HOUSE HALF DIR ---- STREET NAME ----- TYPE SUFFIX APT

03370 S 017 ST

: ---------------------- OWNER INFORMATION--

FAREA ZIP CODE

DMA 68108

NAME SALVADOR*GUILLEN

+ 3370 S 17 ST

ADDR

CITY OMAHA

DATE OF LAST CHANGE 09-16-1996

DEED BOOK 2042 PAGE 393

HOMESTEAD DELETE

ST NE ZIP 68108 NON NUMERIC ZIP CODE

CURRENT VALUE HOMESTEAD

YEAR DATE LAND-- IMPR-- --TOTAL-- PAR RSN NUMBER TY CD PCT VALUE

1999 05-21-1999 4900 57600 62500 SBE

ADDITION NO. 15960

HAZEL TERRACE

LEGAL DESCRIPTION1 50 X 127

3

5

7

LOT 6 H/jkLF BLOCK 2

SECT TOWrll RANGE

-LEGAL DESCRIPTIONHALF

CODE BOOK PAGE

2

4

6

8

DATE KEY SUB TB

SPLIT/COMB/LEGAL
H

O)

5

4

21 /
12-26-99 11:46 EPA REG ION_ 7 SUPERFUND = 913.^517863 P81/SZ

ACCESS AGREEMENT

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:

PURPOSE OF rHVESTIGATION .

The purpose of the response activities is to determine whether soil at the property is contaminated with

hazardous substances, in particular lead. • .

ENVIRONMENTAL RESPONSE ACTIONS

The environmental response actions to be performed on said property m'ay include the following activities:

•.-•. . - , . j

a. Locating equipment and machinery on-site in preparation for and in the course of the

environmental response;

b. • Obtaining samples from Grantor's property;

c. Planning and implementing the removal action on or near Grantor's property.

AGREEMENT NOT TO INTERFERE

The 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 salid 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 a manner, during the term of this Agreement.

RESTORATION OF PROPERTY j

The Grantee agrees that said property will be restored as nearly as possible to its original state and condition

.as found immediately, preceding the beginning of activities authorized by

completion of the investigative activities.

this Agreement, following

SAMPLING ACTIVITIES . ; .

Grantee agrees to provide Grantor with the results of any and all sampling and/or analysis resulting from

Grantee's response activities oh the properties. Further, should Grantor desire, Grantee will freely make

available to Grantor or Grantor's authorized representative split samples of any and all sampling which

Grantee conducts on the properties. Sample bottles for the collection of any split samples shall be provided by

Grantor, and disposition of any split samples taken by or for Grantor is Grantor's responsibility.

LIMITATION OF LIABILITY

USEPA's liability for damages tothe property or injuries to persons which result from or are caused by the

activities on the property shail.be to the extent permitted by the Federal Tort Claims Act, and the Federal

T-* ...... 1 -I v"1 . .._ *.' + • A'-j-'/IOIl'-Oj-^ l P •"* fi-i 1 -j- "'. . i-TTC t S-> C-'rt i A 1 -j. • 1 ••» -I T T *TMl xS f* ^* rr A 4 Employee's Compensation Act, 28 U:S.C. §2671, et seo^ 5 U.S.C. §8101 el seg^, and 31 U.S.C. §3701 et
12-28-99 11:46 EPA REG I ON _7 SUPERFUND 17063 PQ2/82

TERM

This access agreement shall be operable for the period of time it takes to' complete the environmental response

activities. Upon completion of the investigation, all rights and privileges given by the Grantor shall cease on

that date, unless extended by subsequent agreement.

I have read the foregoing document arid understand that it is an agreement granting permission to the Grantee

to enter the above described premises for purpose of conducting environmental response activities, and I agree

to its terms and conditions.

GRANTOR:

By C)f~fl A C^n/ // O .A I ("3 r

Date
Project Resources Inc.

BatflTlmfc

Location:

Caption:

Front Elevation

01/13/2000

View of the property from S. 17th St.

P0054 - 3370 South 17th Street PHOTO 0001.jpg

DatBThne:

Location: North elevation

01/13/2000

View of north elevation

P0054 - 3370 South 17th Street PHOTO 0002.jpg

DateTtare:

Location:

Caption:

01/13/2000

Rear elevation

View of west elevation

P0054 - 3370 South 17th Street PHOTO 0003.jpg

Saturday, April 15, 2000 Page 1 of 1
Project Resources Inc.

Loeatioit

Caption:

South elevation

01/13/2000

View of south elevation

P0054 - 3370 South 17th Street PHOTO 0004.jpg

DflteTlDTB:

Loeattaut

Gqrttoll:

01/13/2000

East of house

View of sidewalk and curb

P0054 - 3370 South 17th Street PHOTO 0005.jpg

DatBTtare:

ineatout

Caption:

01/13/2000

South of house

View of garden in Southeast quadrant

P0054 - 3370 South 17th Street PHOTO 0006.jpg

Saturday, April 15, 2000 Page 1 of 1
Project Resources Inc.

DutBThna:

Caption:

01/24/2000

Southeast Quadrant Garden

Excavation and backfill of southeast

quadrant garden

P0054 - 3370 South 17th Street PHOTO 0007.jpg

DiteThnB:

loeattat

Caption:

Southeast Quadrant Garden

01/24/2000

Excavation and backfill of southeast

quadrant garden

P0054 - 3370 South 17th Street PHOTO 0008.jpg

Saturday, April 15, 2000 Page 1 of 1
This Document Contains

CD-ROM

Photo, Video & Document

(unable to scan)