Project Resources Inc.

Property Final Report

Property ID: P0103

Property Address: 1024 North 40th Street

WORK STARTED

WORK COMPLETED

ON: 03 / 22 / 00

ON: 04/OS/00

Owner: Mr. Timothy Larsen

Address:

1024 North 40th Street

Omaha, NE 68131

Phone: 553-3260

Fax:

Cell/Pager:

Renter:

Phone:

Fax:

Cell/Pager:

Additional Information:

Anna Blunt (Daughter)

1 1 Access Agreement

l~l Restoration Agreement

d Video Property Before

D Digital Photos Before

[~l Video Property After

D Digital Photos After

CH Property Completion Agreement

[H Final Report

Signed: 03 / 01 / 00

Signed: 03 / 15 / 00

On : 03 / 21 / 00

On :03/21/00

On :_/_/_

On : 04/07/00

Signed: 05 / 22 / 00

On : 06/20/00

By: Anna Blunt

By: Timothy Larsen

By: John Vrenick

By: John Vrenick

By: N/A

By: Steve Sommerkamp

By: Anna Blunt

By: John Vrenick

PROPERTY SPECIFICS

1. Affected areas: SW Quadrant and the Drip-line. Excavated the SW Quadrant and Drip-line to a depth

of 12 inches.

2. Confirmation sample results: SW Quadrant 203 and Drip-line 264 ppm lead.

3. Waste Characterization sample (TCLP): Stockpile #154 - Lead <0.40 mg/1, Arsenic <1.0 mg/1.

4. The SW Quadrant had some erosion from rain because the water drains through that area. PRI

repaired eroded backfill and replaced sod.

5. Removed brick stair step wall at west end of SW Quadrant as requested by property owner.

40204728

V —

Omaha Lead Project

SUPERFUND RECORDS

Work Plan Page 1 of 19
".'LJffe ' 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 anytime in the future, except those items listed below, if any.

Property ID:

Property Address:

Owner:

Phone:

Restoration Items in Question:

Item:

Item:

Item:

Item:

Item:

Item:

Additional Comments:

J^Tl agree restoration is completed, except as noted

LJ I do not agree restoration is completed

I agree restoration is completed, except as noted

| I I do not agree restoration is completed

Owner's Signature Date Contractor's Signature Date
Projec t Resource s Inc .

Omaha Lead Project

Post Excavation Sampling

RSD = ( SD/Mean) *100

SD = Standard Deviation

Mean = Mea n Concentration

RSD < 20 is o>.

Property Number: Date:

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

MIST

High

5532 ppm

#1 §2 #3 #4 #5 #6 #7 Mean SD RSD

A/ 7

Medium

1 1 62 ppm

+/- 20% U V V?

Low

18.9 ppm

ND

Blan k NO

_L

Survey Readings (various depths prior to confirmation sampling)

n

10

Location Reading

1/9-

. # '

11

12

' 13

14

15

16

17

18

19

20

Location

WBJi P ^

flRiP.lJ

Reading

JJLd

110

Confirmation Sampling (In Situ)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

# 1

JVf

±g?

« 2

s23

/ n

# 3

/yy

^^L'*

# 4

-•^'-V^^rV1^

'i^Sfcw^JS?

s^S-S-'WSK

SiWS^WAiSW

^liS^SS'S

r ?^

Average

2.°5

2.bLi

Notes

J3 "

. ;>"

Confirmation Sampling (Composite Sample)

Location

Quadrant NE

Quadrant SE

Quadrant NW

.Quadrant SW

Drip-Line

Bag

^6f

j££

Sifted Send to

Lab?

Laboratory # Total Lead Result

Date:

Date:
CJO • -L'-1

68:53

'-uv-i'-'r ^uiirnruco

609-858-4571

(

EMSL CHEMISTRY

ENISL Analytical

2 CwperSt, W«rt/m><NJOS108

Ann: Scott Selken

AMI Group Inc.

704 South 75Ui

Omaha,

402-3&7-5313

CiistomsrlD

Customer PO1.

Re«elv«i:

AMI50

03/31/00 10:00 AM

Phone: 4Q2-39r-5'OOl EMSL Order: 010003456'

Project ID: Omeha Lead N260

Client SainpU DcsvipAen DZZSC2L2.SKP-154

MelAaJ

. 0002

Paramfttf Uxlu

PAGE 03/00

Arsenic, TCL.P 60108 <1.00 mg/L

&<J. TO.P Lead O.400 mg/L

Page 3 c-f 3
EMSL^*u^r,C*. ,

3 Coopof S\ree<

Waymonl. New Jersey OS 108

Chain of Custody / Analysis Request Form EMSL Project #

PO#

60D-85B-1571'

Custody and Sample Information_• Print ALL information ion.. Put MA in faianks not applicable..Press

Nt

Indicate

Analysis

Requested

Laboratoiy

Wumber

Station Localtoa /

Sample ID

Date/Time

Received

ipany/Agency

Aftfliation

Released by

[Signature)

Date/Time

Released

Received by

(Signature)

Delivery Method ConcJUion Noted

ease indicate turnaround time: standard 10D 24HR (Must call for quick turn)

Ptoaso indicate reporting (equi/emonts: .

1) Results orrty 2) Results & QC 3) Reduced Deir/erables

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cs

CS'

en

cs

03 1

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PROJECT RESOBHCES Inc. WORK PLAN

14.3 Restoration Agreement

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: /?0/&^

Property Address: /£>^?4^ 4/ ^T^T^ ^^

Owner: ""T^L, ~7%

f t

\/ £-tir^&s>

Phone: ^^J> - 3^?£0

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.

Omaha Lead Project Work Plan Page 15 of 19
PBOIECT RESODRCK Inc.

WORK PLAN

Additional Comments / Instructions:

Z

j

&

~r^

-

j<<?

V

I agree I do not agree

Owner's Signature yT)ate

I agree I do not agree

3//S700

ntractor's Signature Date

Omaha Lead Project

Page 2 of.

Page 16 of 19
PROJECT RESOURCES lac . WORK PLAN

0?e*«yt

Site Plan of Property

Y y ~ /N

"/"

r^t ^:

Di

-/

tff&

s* ^-1<-

.

USE ADDITIONAL SHEETS IF NECESSARY TO PROVIDE COMPLETE INFORMATION

Page of

Omaha Lead Project Work Plan Page 17 of 19
Omaha Lead Site Investigation, EPA Region 7

Residential Property Results *

Units in mg/Kg

Timothy Larsen, 1024 North 40th Street, Omaha, NE 68131

Lead Off-Site

Sample Date Location Quadrant Sample Lead Lead Laboratory Lead

Number Collected Code Code Interval Code XRF Results Qualifier Result Qualifier

09706

09412

09415

09414

09413

11/3/99

11/3/99

11/3/99

11/3/99

11/3/99

P

Y

P

D

Y

C

A

C

Z

B

A

A

A

A

A

NA

236.4

494.8

952.8

239.8

NA

57.2

30.9

180

30.6

437

NA

NA

NA

NA

NA

NA

NA

NA

NA

Location Codes

-Yard Sample

D=Drip 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

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

)Z=Not Applicable

CE=East Central

CN=North Central

CS=South Central

CW=West Central

*Properties Sampled Between September 22, 1999 and December, 1999.
^p^

, Soil Analysis Project

1 • L(T'.rS£^

Date: ll).^Jo « Time: (his.)

Team: ' Zone: Distance:

Address: fe4 AL V/9>^k S^

L

 T f J •

Bample No.: Comments:

9

. Sample Area -

A: Ppm

B. ppm

C: ppm

D: ppm

E: ppm

Scale

<

1 inch = _2 o_ feet ,

Connrr^/^icm S^trrrnli'? Oollcctcd

DA DB DC QD

1. 2. . 3.

^

QE

QC DuoJicate Samnle Collected:

{

Record Number
.tied

PARC 0647 0000 24

FB 10 STATUS 2 CLASS M

EXEMPT 0 EXEMPT TYPE TAX DISTRICT 0100 SID F-

?>ROP HOUSE HALF DIR STREET NAME TYPE SUFFIX APT AREA ZIP CO

ADDRESS 01024 N 040 ST OMA 68131

OWNER INFORMATION '-

NAME TIMOTHY J*LARSEN ETAL DATE OF LAST CHANGE 01-26-1993

+ 1024 N 40 ST DEED BOOK 1942 PAGE 424

ADDR HOMESTEAD DELETE

CITY OMAHA ST NE ZIP 68131 NON NUMERIC ZIP CODE

CURRENT VALUE HOMESTEAD--

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

1999 05-21-1999 5100 43500 48600 SEE

ADDITION NO. 40580 LOT 2 HALF BLOCK 13 HALF

WALNUT HILL SECT TOWN RANGE

LEGAL DESCRIPTION LEGAL DESCRIPTION

1 N 37.5 FT LTS 1 %_. ,, 2 37.5 X 100

3 ./,. ' 4

5

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7 8 . •

CODE BOOK PAGE DATE KEY SUB TB

SPLIT/COMB/LEGAL

ite: 3/77 0 Time: 03:15:28 PM
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125.1*0-99 11:46 EPA REGION . SUPERFUND . 1.0 = 913.5517863 ' P81/82

• • . 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 writer and perform certain environmental

response activities upon •the following described premises:

'PURPOSE O F INVESTIGATION ... . . . . , . - •

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

hazardous substances, in.particular lead. . .

ENVIRONMENTAL1 'RESPONSE ACTIONS ,' . • ..••.... .

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

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

envirortrnental. response; . • •

b.

 : Obtaining samples from Grantor'.s property; - . .

c. Planning and implementing the removal action on.6rne.ar 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 ;iindertake any actions regarding the use-of said property, which would tend to

endanger the health or welfare.pf 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 PROPERT_Y . :; .

.The Grantee agrees that said prbperty will be restored as nearly as-possible to:-its original -state and condition

"as found immediately .preceding the-beginnmg of activities authorized by this Agreementi following .

completion of the investigative activities. . .

•SAMP-LING AGT-LVITXE-S'' '.. . h':' .:' .,•'= • • " ' ,

Grantee agrees to .provide1 "Grantor with.the results of any and all sarnpling and/or analysis resulting from

Grantee's response activities pri the propertie.s, Further, should Grantor desire, Grantee will freely make

available to Grantor pr: Grantor's authorized representative split samples of any and all sarnpling which

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

Grantor, and dispositioji^^ — —

. .

; for damag^s.to the property -or injuries to persons whieh-f esu.lt frpm or are/caused, by.the

:.the-pr:Qjper^.-isha11-be -to -the-extent-perrjiitt^d-by the .•FederahTort^Claims Act,."aSd •the 'Federal"

-:C^p^ati&^

eg., '••:.'.' . ;,.'...-. • ' • .:..•' •
1.,,.12-0-99 11:46 EPA REGION 7 SUPERFUND I D = 9 1 3551 7Q63

 --•- s*—- -*- — PQ2/82

.. .

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 and understand ithat.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:

. Date
Project Resources Inc.

DateTtatt

Usattoit

tapttant

03/21/2000

Front Elevation

View of the property from N. 40th St.

P0103 -1024 North 40th Street PHOTO 0001.jpg

\.

DatBTHM 03/21/2000

North Elevation

View of the property from Nicholas St.

P0103 -1024 North 40th Street PHOTO 0002.jpg

BatlThDO:

Lraattoit South Elevation

03/21/2000

View of the south side of the house

P0103 -1024 North 40th Street PHOTO 0003.jpg

Friday, June 16,2000 Page 1 of 1
Project Resources Inc.

BatBlbm

Play Area

03/21/2000

Play area to be excavated

P0103 -1024 North 40th Street PHOTO 0004.jpg

DateTtatt

Lorathnt

Caption:

West Elevation

03/21/2000

View of the rear of the house

P0103 -1024 North 40th Street PHOTO 0005.jpg

5- -ftWr

|g^:^--te^WI

i£'J«mh»?^j..- ^a&i'ijjp^ii-'.'^gfei.-j

Location:

CaptiOB:

Brick Stair Step

03/21/2000

Brick stair step to the west of the play

area (owner requested that the bricks be

removed and set aside)

P0103 -1024 North 40th Street PHOTO 0006.jpg

Friday, June 16, 2000 Page 1 of 1
Project Resources Inc.

Leeatbut

03/21/2000

Retaining Wall

Damaged concrete block retaining wall

at south perimeter of backyard

P0103 -1024 North 40th Street PHOTO 0007.jpg

BateT&mt

Metal Shed

03/21/2000

Metal shed at rear of the house

P0103 -1024 North 40th Street PHOTO 0008.jpg

Loeattnt

Caption:

West Perimeter

03/21/2000

Wood privacy fence at west perimeter of

the backyard

P0103 -1024 North 40th Street PHOTO 0009.jpg

Friday, June 16,2000 Page 1 of 1
Project Resources Inc.

BatflTfina:

U&ttUttD:

03/21/2000

Northwest Corner of House

Cracked concrete porch at northwest

corner of the house

P0103 -1024 North 40th Street PHOTO 0010.jpg

03/21/2000

North Drip-line

View of the north foundation and siding

P0103 -1024 North 40th Street PHOTO 001 l.jpg

Lorattoit

Capttat

Sidewalk Along Nicholas St.

03/21/2000

Damaged concrete sidewalk along

Nicholas St.

P0103 -1024 North 40th Street PHOTO 0012.jpg

Friday, June 16,2000 Page 1 of 1
Project Resources Inc.

OataTtmat

Sidewalk Along N. 40th St.

03/21/2000

Brick sidewalk along N. 40th St.

P0103 -1024 North 40th Street PHOTO 0013.jpg

DateTlffiB:

Front Sidewalk

03/21/2000

Brick front sidewalk

P0103 -1024 North 40th Street PHOTO 0014.jpg

LoBatJoa

03/22/2000

Play Area

Excavation of play area

P0103 -1024 North 40th Street PHOTO 0015.jpg

Friday, June 16,2000 Page 1 of 1
Project Resources Inc.

DatBTtaft

Play Area

03/22/2000

Excavation of play area

P0103 -1024 North 40th Street PHOTO 0016.jpg

LOBrttBfl: Northeast Drip-line

03/22/2000

Excavation of the northeast drip-line

P0103 -1024 North 40th Street PHOTO 0017.jpg

Location: Play Area

04/07/2000

Placement of sod at play area

P0103 -1024 North 40th Street PHOTO 0018.jpg

Friday, June 16, 2000 Page 1 of 1
Project Resources Inc.

£^^s|igfes?,> '^!$^^?3ff^f^3s8F

^^^^^S-^^-^sSi^^^^^fe:

DatflTlmft

East Drip-line

04/07/2000

Placement of sod at east drip-line

P0103 -1024 North 40th Street PHOTO 0019.jpg

DatoThDBt

LeeattOD:

04/07/2000

Northeast Drip-line

Placement of sod at northeast drip-line

P0103 -1024 North 40th Street PHOTO 0020.jpg

Friday, June 16,2000 Page 1 of 1
Project Resources Inc.

LBsattoit

04/07/00

Southwest Corner of House

Placement of sod at southwest corner of

house

P0103 -1024 North 40th Street PHOTO 0024.jpg

feS&B'-H

•«»«£»"'

v< .-:):•-:':; ..•

.j":;-;''.-:.1-

1

 .:;-•''

Friday, June 16,2000 Page 1 of 1
FVoject Resources Inc.

DaUfflmet

Laestfoft

04/07/00

North Drip-line

Placement of sod at north drip-line

P0103 -1024 North 40th Street PHOTO 0026.jpg

North Drip-line

04/07/00

Placement of sod at north drip-line

P0103 -1024 North 40th Street PHOTO 0027.jpg

Friday, June 16,2000 Page 1 of 1
This Document Contains

CD-ROM

Photo, Video & Document

(unable to scan)