SI) #

 

Project Resources Inc. 

Property Final Report \CjgI 

Property ID: P0023 D WORK STARTED ON: 12 / 02 / 99 

Property Address: 3163 Larimore Ave. D WORK COMPLETED ON: 12 713 799 

Owner: Ms. Betty Evans Renter: 

Address: Phone:

 

Fax: 3163 Larimore Ave. 

Omaha Cell/Pager: , NE 68111 

Phone: Additional Information:

 

Fax: 

Cell/Pager: 

L"U Access Agreement Signed: 07 / 14 / 99 By: Betty Evans 

1 1 Restoration Agreement Signed: 09 / 22 / 99 By: Betty Evans 

1 1 Video Property Before On : 11 729 799 By: John Vrenick

 

D Digital Photos Before On : 11/01 799 By: Randy Davis 

1 1 Video Property After On :_/_/_ By: N/A 

D Digital Photos After On : 12 7 13 7 99 By: John Vrenick

 

1 1 Property Completion Agreement Signed: 12 7 13 7 99 By: Betty Evans 

D Final Report On : 03 7 067 00 By: John Vrenick

 

PROPERTY SPECIFICS 

1. Affected areas: NW quadrant and Drip-line. Excavated the entire quadrant to a depth of 6 inches and 

the drip-line to a depth of 12 inches. 

2. Confirmation sample results: NW quadrant 64.6 ppm and Drip-line 186.9 ppm lead. 

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

4. Repaired glazing around basement window that had broken loose during excavation. 

40204643 

SUPERFUND RECORDS 

Omaha Lead Project Work Plan Page 1 of 19 
ftqject 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: P&&^3 

Property Address: 3/(/3' £^/s>?<?r"e 

*~—

Owner: ^^' /tf&ore,/^:'S4ti S

 

Phone: 4(<~3 — ^S*/^ 

Restoration Items in Question: 

Item: 

Item: 

Hem: 

Item: 

Item: 

Item: 

Additional Comments: 

J agree restoration is completed, except as noted IX] I agree restoration is completed, except as noted 

I do not agree restoration is completed LJ I do not agree restoration is completed 

Owner's Signature Date Cfontractor's Signature Date 
RSD = (SD/Mean)*100 Project Resources Inc. SD = Standard Deviation 

Mean = Mean Concentration 

Omaha Lead Project RSD < 20 is o'k 

Post Excavation Sampling 

Property Number: Date: 

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

NIST #1 #2 #3 #4 #5 #6 #7 Mean SD RSD 

High 

5532 ppm 5.2^' 539-1 

Medium 

1162 ppm iO 

Low 

18.9 ppm 

NO fc-3 io.o 

Blank NO "-l-o 

Survey Readings (various depths prior to confirmation sampling) 

1 

Location Reading 

-0 

# 

11 

Location Reading 

MM- £ 12 

V 13 

14 

w. 15 

16 

17 

18 

19 

10 20 

Confirmation Sampling (In Situ) 

Location 

Quadrant NE 

Quadrant SE 

Quadrant NW 

Quadrant SW 

Drip-Line 

#1 #2 

393,3 

# 3 #4 

? 7 

Average Notes 

Confirmation Sampling (Composite Sample) 

Location Bag Sifted Send to 

Lab? 

Laboratory # Total Lead Result 

Quadrant NE 

Quadrant SE 

Quadrant NW •S&r 9 /t^> 

Quadrant SW 

Drip-Line /8*<2- 3 xt4 

Tested By: 

Reviewed Date: 
ftqject Resources he. 

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: D •» 

Property Address; 3 / £ 3 

Owner; 

Phone: 

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: 

Hem: 

Item: 

Item: 

Item: 

Item: 

Pagel of. 
frqject Resources inc. 

Additional Comments / Instructions: 

~tj> 

11 agree I do not agree .agree I do not agree 

SignatureDat e Contractor's Signature Datq 

Page 2 of. 
ftoject 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. 
frqject Resources Inc. 

Site Plan of Property 

USE ADDITIONAL SHEETS IF NECESSARY TO PROVIDE COMPLETE INFORMATION 

Page. of 

l 
4 

11/18/99
 09:05 PMI GROUP COMPPNIES INC -» 4559693
 NO.020 P03
 

11/18/1999 09:29 609-85^^71 EM5L CHEMISTRY PflGE 15/16
 

DRAF T REPOH T Dace of Report: 

.WAI Group, InC •
 

?M South 75th Street
 

Cmahci NS 63:i4
 

Client Project: N25\j C^ahe Lead
 

Designacion: D2ZSCZLZ-023-069
 

METALS
 

Arsenic, TCLP
 

Lead-TCL?
 

•
 

Projecc Nutnber: 

Lab ID: 

Date Collected:
 

Ccllected By;
 

Dace
 

Cone. Unit
 

mg/1
 

<0.40 rrg/I
 

11/18/95
 

951244^5
 

59-0037751
 

11/01/99 12:45
 

Ciienc
 

IL, C5/99 1C.-OC
 
3 Cooper Street Chain of Custody / Analysis Request Form EMSL Project # __.l_LJ_er_ Wnstmonl, New Jersey 08108 PO tf _. 603-856-9573 

O 609-8584571 (Fat) LO 

Custod LO y and Sample information • Prin( ALL information. Put N/A in blanks not applicable. Press firmly LO 

1. Report lo.1 2. BiH I'p; Project: 

Indicate CD 

Requeste

Analysis

d u

Tel*: 

on FAX#: O 

U)

I 

3 oa . Sampl 4. tf of Samples in Shipment 5. Dale oj Sample SJiipmanl 6. One Sesulls Naeded ui 

CO

i 

Wariix itxx) Preserved 

at Laboratory 

Number $. Sample Station Localion'/ o

 

Number Sample fD 8 o

a 

-/<%<?-, 

4- 03?­

z 

s

^ 

z­

•rr 

Received by Company/Agency Date/Time Delivery Condition Noted Method (Signature) Alfilialion Received 

P<ease 'indicate turnaround time. slandardQD5D 72HR 24HB (Must call for quick turn) (J) m 

Please indicate fepoitin 

& QC 3>flediM3c<f Ueliverablas cn

^-. h-* on 
PARC 2512 OOOO O8
 

FB 02 STATUS 2 CLASS R
 

EXEMPT 0 EXEMPT TYPE TAX DISTRICT O100 SID F-


PROP HOUSE HALF DIR STREET NAME TYPE SUFFIX APT AREA ZIP CODE
 

ADDRESS 03163 LARIMORE AV OMA 68111
 

OWNER INFORMATION
 

NAME BETTY J*MOORE DATE OF LAST CHANGE 03-22-1996
 

•+• 3163 LARIMORE AVE DEED BOOK 2027 PAGE 634
 

ADDR HOMESTEAD DELETE
 

CITY OMAHA ST NE ZIP 68111 NON NUMERIC ZIP CODE
 

"~ ""* "" LrI

JI-mtlN 1 VHLUC. 

V CT A C» - T\A T C" 1 A M T^ Y t.Hr\ UHlC. LMNU irirrv "ILJII-IL. r:

'AR RSN NUMBER TY CD PCT VALUE 

1999 05-21-1999 440O 135OO 17900 SEE 

ADDITION NO. 0694O LOT 24 HALF BLOCK 7 HALF 

COLLIER PLACE SECT TOWN RANGE 

i trr^Ai ncrcr1

UC.OHL !;' T C-TT nM i CT^AI ricror^C'TC'TTfiM . UtoL/r\ir 1 J. UIN ~ — LbbRL DtouKir 1 1UN — • — 

1 E 40 FT 2 40 X 128 

3 4 

5 6 

7 8 

CODE BOOK PAGE DATE KEY SUB TB
 

SPLIT/COMB/LEGAL
 
13 12 II. 10 9 8 7

p*'5 ^j 

ro yo ^ o 

AVE. 

So ST> *^Jt fO >• >• *» j» 5b f* ^ •? 

\ 

\ 

*,6 17 »! 19 20 * 22 23 24 N Ni 

S /6 /7 1 

^t«— tf-^/-«' t/' 

/5 /4 /3 /2 // IO 9 8 7 /5 ,4 /.- •0 

«Sl N 

5T9 fo «* ro r 

AVE 

SO ft ffo SO +*, \ +o **<!>.. ft f* 1. \ ' i i t5 

4r" ' ^ i* • « 

5 2 ' ' ^ % \ 17 Iff 19 */ 99 9* 1 
Omaha Lead

 

Lead Soil Concentrations from Child Care Centers

 

Yard Samples Over 400 mg/Kg 

07/07/99 

00126 Moore-Ev Betty 3163 Lari Omaha 68111 D 856.8 110.0 

00125 Moore-Ev Betty 3163 Lari Omaha NE 68111 244.2 46.4 

00128 Moore-Ev Betty 3163 Lari Omaha NE 68111 255.6 61.6 

00127 Moore-Ev Betty 3163 Lari Omaha NE 68111 270.2 63.8 

00129 Moore-Ev Betty 3163 Lari Omaha NE 68111 2508.8 460.0 

Location Quadrant Code: Sample Interval Code: 

G=Garde A=Northeast Quadra A=0-2 inches 

P=Play Ar B=Southeast Quadra B=0-8 inches 

Y=Yard C=Southwest Quadrant (SW) 

D=Northwest Quadrant (NW) 

Z=Quadrant Location Type Not Applicable 

CN=North Central Quadrant 

CW=West Cental Quadrant 
Omaha Lead 

Lead Soil Concentrations from Child Care Centers 

400 mg/Kg and Above 

Quadrant, Play Area, Garden, and Depth Samples 

17 

18 

19 

20 

21 

22 

23 

24 

25 

26 

27 

I 

28 

I 29 

30 

31 

32 

33 

34 

35 

36 

37 

38 

39 

07/19/99 

CN=North Central Quadrant 

CW=West Central Quadrant 

uracek Kurt/Lynne 503 North 64th Omaha NE Y C A 1030 

Just Like Home Day Care 3815 Blondo Street Omaha NE Y B A 496 

<argle Robert 2617 Poppleton Omaha NE P C A 415 

Kargle Robert 2617Poppleton Omaha NE G C A 481 

Kargle Robert 2617 Poppleton Omaha NE Y C A 1930 

Kids In Motion 2724 North 30th Omaha NE Y A A 488 

Kids In Motion 2724 North 30th Omaha NE P C A 462 

Kids In Motion 2724 North 30th Omaha NE Y B A 452 

Kids In Motion 2724 North 30th Omaha NE. Y C A 592 

Miller Storm 1720 South 12th Street Omaha NE Y C A 730 

Mitchell Jo Ann 3731 North 39th Street Omaha NE Y A A 676 

VIoore-Evans Betty 3163 Larimore Avenue Omaha NE Y D A 857 

Nicole's Daycare 3716 Pacific Omaha NE Y C A 611 

Perry's Child Care 2427 Spencer Omaha NE Y B A 700 

Pflug Sharon 2724 Fontenelle Blvd. Omaha NE P C A 748 

Pinkney Charlotte 1714 South 26th Street Omaha NE P B A 650 

Pinkney Charlotte 1714 South 26th Street Omaha NE Y D A 587 

Rahn Bettie 2004 North 34th Omaha NE Y C A 478 

Rahn Bettie 2004 North 34th Omaha NE Y D A 982 

Robeson Mariellen 3012 South 32nd Avenue Omaha NE Y D A 574 

Rosie's Little Rascals Daycare 1029 West Broadway Council Bluffs IA P A A 664 

Rosie's Little Rascals Daycare 1029 West Broadway Council Bluffs IA Y B A 467 

Smock William & Lisa 2461 South 18th Street Omaha NE Y A A 507 

Smock William 8. Lisa 2461 South 18th Street Omaha NE Y C A 512 

Swain Clifford/Ruby 61 09 North 24th Omaha NE Y C A 1060 

Traynham Mary 4702 North 37th Omaha NE Y C A 511 

Traynham Antonette 241 3 Ohio Omaha NE Y D A 416 

Van Ornam Debra 2105 Polk Omaha NE Y B A 406 

Weberg Bob/Nadine 81 9 South 37th Omaha NE Y A B 498 

Wedemeyer Janice 4422 South 32nd Street Omaha NE P CW A 522 

Wedemeyer Janice 4422 South 32nd Street Omaha NE Y B A 1190 

Wee Are The World 1623 North 33rd Street Omaha NE Y B A 592 

Willis Ella 41 23 North 25th Avenue Omaha NE Y D . A 1150 

Page 1 of 2 

140 

110 

89 I 

71

 1 

370 

100 

98 

95 

84 

99 

130 

110 

120 

96 

150 

130 

120 

97 

140 

120 

94 A 

100 

100 

100 

200 

100 

91 

87 

74 

110 

160 

120 

210 

Location Code: Quadrant Code: Sample Interval Code: 
'9 

.-ft.J.--i-.-Jjta'K.-; :. ...^JiJJii 

'-••••'•: : 5 r-v!bS't ••rSS^j'-'V: 

-/^QCDrrolicate Sample CoHectafc «Mr 

^Ti¥j^^^y^^C^?o^-^Ji7:?v^?.^f-¥»;^j-;U^^ 
f- • — .'. 

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: 

3/63 

PURPOSE OF INVESTIGATION 

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 may include the following 

activities: 

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 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 a manner, during the term of this Agreement. 

RESTORATION OF PROPERTY 

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 this Agreement, 

following completion of the investigative activities. 

SAMPLING ACTIVITIES 

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

Grantee's response activities on 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 to th^.property or injuries to persons which result from or are caused by 

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

Federal Employee's Compensation Act, 28 U.S.C. §2671,et. seg., 5 U.S.C. §8101 et, seg^ and 31 U.S.C. 

§3701 et.sefl.. 

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. 

1 have read the foregoing document and 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: 

Date 
Project Resources Inc.

 Digital Photo Log 

DatflTtme 11/01/1999 : 

Uuatloi North side t 

Caption: Front view of subject 

P0023 - 3163 Larimore Avenue PHOTO 0001.jpg 

11/01/1999 

Lnatbi North side t 

Sidewalk entrance to subject 

P0023 - 3163 Larimore Avenue PHOTO 0002.jpg 

DateTtoni 11/01/1999 : 

North side 

Cupttnt Concrete cracked and spalled at North 

side 

P0023 - 3163 Larimore Avenue PHOTO 0003.jpg 

Friday, March 03, 2000 Page 1 of 1 
Project Resources Inc. 

Datenme 11/01/1999 : 

Location west side : 

Caption: Drip line along west side of property 

P0023 - 3163 Larimore Avenue PHOTO 0004.jpg 

DatoT&no 11/01/1999 : 

Loeattoi Northwest quadrant t 

Caption Landscaped area aat NE corner : 

PD023 - 3163 Larimore Avenue PHOTO 0005.jpg 

DatBTImft 11/01/1999 

Loeattoi East side t 

View of east side of subject 

P0023 - 3163 Larimore Avenue PHOTO 0006.jpg 

Friday, March 03, 2000 Page 1 of 1 
Project Resources Inc.

 

DateThna 11/01/1999

 : 

Loeathn South side t 

ftqffloit Porch on South side of subject 

P0023 - 3163 Larimore Avenue PHOTO 0007.jpg 

DataThDB 11/01/1999 : 

Rear of House 

CapUiHt View of concrete patio and wood stairs 

P0023 - 3163 Larimore Avenue PHOTO 0008.jpg 

DatoTtaf 12/02/1999 t 

Unathu Northwest Quadrant t 

Capt&nt Excavation of the northwest quadrant 

P0023 - 3163 Larimore Avenue PHOTO 0009.jpg 

Friday, March 03, 2000 Page 1 of 1 
Project Resources Inc. 

Datamini: 

Location: 

Gaptnnt 

12/02/1999 

Northwest Quadrant 

Excavation of the northwest quadrant 

P0023 - 3163 Larimore Avenue PHOTO 0010.jpg 

DataThno: 

Location: West Drip line 

12/02/1999 

Excavation of the west drip line 

Rnm^-r H 

Uo,:::;U:;iL-,4 -

P0023 - 3163 Larimore Avenue PHOTO 0011.jpg 

Datunme: 

LOBatiOH: 

Canfloit 

Northwest Quadrant 

12/13/1999 

Sod placement 

P0023 - 3163 Larimore Avenue PHOTO 0012.jpg 

• ~\Q•'^.•;>~.:i~£*: t^'4-:,: ' '-' r"/ \ 

Friday, March 03, 2000 Page 1 of 1 
Project Resources Inc. 

DateTlmft 12/13/1999 

Location Northwest Quadrant : 

Sod placement 

P0023 - 3163 Larimore Avenue PHOTO 0013.jpg 

OatBTtmft 12/13/1999 

West Drip line LOGflttOlt 

CapthHt Sod placement 

P0023 - 3163 Larimore Avenue PHOTO 0014.jpg 

DateTlniB 12/13/1999 : 

LOEStlOB East Drip line : 

Backfill and pressure washed sidewalk 

P0023 - 3163 Larimore Avenue PHOTO 0015.jpg 

Friday, March 03, 2000 Page 1 of 1 
This Document Contains

 

CD-ROM 

, Video & Document 

(unable to scan) 

\