Project BBSOUTCES Inc.

Property Final Report

£22

C

Property ID: P0018

Property Address: 3815 Blondo St

D WORK STARTED

D WORK COMPLETED

ON: 01 / 06 / 00

ON: 02 / 02 / 00

Owner: Ms. Jacklyn Sherrod

Address:

Just Like Home Daycarc

3815 Blondo St

Omaha, NE 68111

Phone: 553-2154

Fax:

Cell/Pager:

Renter:

Phone:

Fax:

Cell/Pager:

Additional Information:

i~l Access Agreement

CD Restoration Agreement

CH Video Property Before

CD Digital Photos Before

f~l Video Property After

D Digital Photos After

i~l Property Completion Agreement

D Final Report

Signed: 07 / 12 / 99

Signed: 09 / 20 / 99

On : 01 / 06 / 00

On : 11/15/99

On :_/_/_

On : 02 / 22 / 00

Signed: 12 / 14 / 99

On : 03 / 02/ 00

By: Jacklyn Sherrod

By: Jacklyn Sherrod

By: Jobn Vrenick

By: Randy Davis

By: N/A

By: John Vrenick

By: Jacklyn Sherrod

By: John Vrenick

PROPERTY SPECIFICS

1. Affected areas: SE quadrant Excavated the garden area of the SE quadrant to a depth of 18 inches and

the remainder of the quadrant to a depth of 4 inches.

2. Confirmation sample results: SE quadrant 140.7 ppm lead.

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

4. Did not place sod over garden area as requested by property owner.

40204653

Omaha Lead Project Work Plan

SUPERRIND RECORDS

Page 1 of 19
froject 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: y O

Property Address: 35 |5

Owner:

Phone:

Restoration Kerns in Question:

Kern:

Item:

Hem:

Item:

Item:

Item:

Additional Comments:

agree restoration is completed, except as noted

do notagree restoration is completed

I agree restoration is completed, except as noted

LJ I do not agree restoration is completed

Contractor'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)

MIST

High

5532 ppm

Medium

11 62 ppm

+/- 20%

Low

18.9 ppm

ND

Blank ND

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

Survey Readings (various depths prior to confirmation sampling)

n

1

2

3

4

5

6

7

8

9

10

Location Reading #

11

12

13

14

15

16

17

18

19

20

Location Reading

Confirmation Sampling (In Situ)

Location

Quadrant NE

.Quadrant SE

Quadrant NW

uuaarani ovv

Drip-Line

#1

/&&/?

#2

/J7

#3

//V^J?

#4

fSBS^iS

;-V-?/.';':: .V^-^iii^r*1

iV^'v'S^W^."1:^'

Average

/yo. y

Notes

Y/tc/t-s' /;, vet-

/S^jJifi^ef &_?<»

xy

Confirmation Sampling (Composite Sample)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

Bag

/3V 3

Sifted Send to

Lab?

/!/#

Laboratory # Total Lead Result

Tested

Reviewei

Date:

Date
Project Resources Inc.

Omaha Lead Project

Post Excavation Sampling

RSD - (SD/Mean)*100

3D = Standard Deviation

Mean = Mean Concentration

RSD < 20 is ok

Property Number: foo/p Date: //Qj/00

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

NIST

High

5532 ppm

Medium

1 1 62 ppm

+/- 20%

Low

18.9 ppm

ND

Blank ND

#1

<r7fc?

<S"f

#2

SZXC

^<r,y

#3

•S3&?

^^

#4

^^

^S£'

#5

S&&&

<S^'-

#6

^^

<^sie

#7

^?^'

^'^

Mean

s-/^

• —

SD

?3

—

RSD

/,$*

—

Survey Readings (various depths prior to confirmation sampling)

#

1

2

3

4

5

6

7

8

9

10

Location

fa* Q&JiL&l** -JJ-Qfk-11?/

l?s •Cii.'A f {* F" S & Qb tf<'f

/Vftpi^jsiifiZjf/' •*} £ t&Mff

h/oitrJa, -/{kf •/*,(>

lvti,!,,'dn 4fh&> //nf

fiorlLrf/a-t^Q

Ij f.'l . /

// /t*'vl<5'XV?('"f *jt?t'ti'c*/>

t'f - /~J *

Reading

/6V

/'7'3

*L ^

^/^'

<£/,3£

+ 99

233

//*/

< <?_ j

< <?e

#

11

12

13

14

15

16

17

18

19

20

Location

£e«7r>?/ Mid*!}

JZrtw.fiTrr ertrc/eh

*'/r -' /

/l/A- CorhP'S q<n";/f-i.

•J

Reading

<//<3>

+ Sf?

•^ $*/

Confirmation Sampling (In Situ)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

#1 #2 #3 #4

J&^s-'^J?

s

;

jSv«sw<=T-!S;-:

«&s£'w£ss§:

^^-Ifr^'isrirj

**flKffif;?M

-3j.-yii$i:i'*43!:i3

-^e^wsi

Average Notes

Confirmation Sampling (Composite Sample)

Location

Quadrant NE

Quadrant SE

Quadrant NW

.Quadrant SW

Drip-Line

Bag Sifted Send to

Lab?

Laboratory # Total Lead Result

Tested By>

Revievye

Date:

Date:
froject 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: f

Property Address: 33/5"

Owner:

Phone: SS3

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: y>

Item:

Item:

Item:

Item:

Item:

Pagel of.
ftpject Resources be.

Additional Comments / Instructions:

//u

agree I do not agree [ I agree I do not agree

Contractor's Signature Date

Page 2 of.
ftqject 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.
• froject Resources Inc.

Site Plan of Property

USE ADDITIONAL SHEETS IF NECESSARY TO PROVIDE COMPLETE INFORMATION

Page. of
11/23/99 11:38 PI-1I RQUP COMPfiNIES INC -> 4559693

11/22/1339 17:10 EMSL CHEMISTRY

HO.082 P02

PAGE 82/83

Atite1.-.--icn • Scott Sellc'ir.

M^'I Group, "f nc .

"34 South 73ch Screec

Omaha, HE 58114

Cvis "flier1 Project Ho: N250 Omaha Lead

The ?olLosing results are for Arsenic, TCLP

Cohc.- Unit Client Designation

Project (1 : 9'S 124

Date Received: n/17/99 10

39 0050=i-i3 <•! .0

mg/1

mg/1

DZZSCZLZ-034-G30

DZZSCtLZ-018-'Cei

"he .tolio'«:rig resul-s are for Laad

. Cone. Onit client Desigr.aniori

39 c-;jO<;.4; 200 rr.gAg DZ2SCZLA-C31-079

The icllcwing results are for. Lead-TCLP

I«at = Cone. Unic Client Designation

5? OG9C442 <0.40

95 :-0;9'0443 <0.-30

mg/1 DZZSCZLZ-034-080

ir,g'/l CZ2SC2LZ-01Q-081

The 'c-llowir.g results are fo^ Solids, Total

Let - Cori'c. Unit Client Designation

DZZSCZLA-031-079
EMSI -.

3 Coof.x?i Street

Wesvnoni. t-iav' Jej;

S09-853-9570

&09-8S8-3S7I

Chain of Custody / Analysis Request Form EMSL Project #

PO #

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

Station Location /

Sample 10

Released by

{Signature}

Company/Agency

AOiliationj Please indicate turnaround time: standard 100

j Comments.

48HR 24HR (Must call for quick turn)

"

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c.

PARC 2506 0000 19

FB 10 STATUS 2 CLASS R

EXEMPT 0 EXEMPT TYPE TAX DISTRICT 0100 SID FPROP HOUSE HALF DIR ---- STREET NAME ------ TYPE SUFFIX APT AREA ZIP CODE

ADDRESS 03815 BLONDO ST OMA 68111

T MCT1CJMAT T flM _ .— __ — — ___ _,-. — — _ __ __ — — . _ _._ _ _-. __ __. _ iixnurvi IH i j. LJIM

NAME JACKLYN*SHERROD

+ 3815 BLONDO ST

ADDR

CITY OMAHA

YEAR DATE LAND

1999 O5-21-1999 1600

ADDITION NO. 2882O

ORCHARD HILL

LEGAL DESCRIPTION

1 50 X 130

3

5

ST NE ZIP 68111

DATE OF LAST CHANGE 12-29-1994

DEED BOOK 1994 PAGE 498

HOMESTEAD DELETE

NON NUMERIC ZIP CODE

,IN 1 VML-UC. — - - riUI IdcJ 1 C_r1J_/

-IMPR — — TOTAL — PAR RSN NUMBER TY CD PCT VALUE

26500 28100

LOT 37

SECT

i

!

2

4

6

8

SBE

HALF

TOWN

i crr^Ai

LhtoHL

BLOCK 17

RANGE

T\ CT O f"* C« T C1

UtbLnl T T f"i K 1 r 1 I UN —

HALF

CODE BOOK PAGE

SPLIT/COMB/LEGAL

DATE KEY SUB TB
>6

'

27

so

28

5 14

••

13

50

••

M

V

29

•

30

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/ /

12 ^

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32

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33

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34

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ro
Omaha Lead

Lead Soil Concentrations from Child Care Centers

Yard Samples Over 400 mg/Kg

07/07/99

Sample

Number

00170

00173

00174

00172

00171

00167

00169

00168

Just Like Home Day

Just Like Home Day

Just Like Home Day

Just Like Home Day

Just Like Home Day

Just Like Home Day

Just Like Home Day

Just Like Home Day

3815Blon

3815Blon

3815Blon

3815 Blon

3815Blon

3815 Blon

3815 Blon

381 5 Blon

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

NE

NE

NE

NE

NE

NE

NE

NE

68111

68111

68111

68111

68111

68111

68111

68111

D

D

D

D

D

D

D

D

Y

D

P

P

D

Y

Y

Y

C

Z

C

C

z .

A

B

D

A

A

A

A

A

A

A

A

140.4

198.6

268.0

211.2

203.6

93.1

496.0

39.3

35.1

39.3

66.9

42.1

54.4

31.2

110.0

U

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

07/19/99

CN=North Central Quadrant

CW=West Central Quadrant Page 1 of 2

17

18

19

20

21

22

23

24

25

26

27

I

28

29

30

31

32

33

34

35

36

37

38

39

Juracek

Just Like Home Day Care

Kargle

Kargle

Kargle

Kids In Motion

Kids In Motion

Kids In Motion

Kids In Motion

Miller

Mitchell

vloore-Evans

Nicole's Daycare

Perry's Child Care

Pflug

Pinkney

Pinkney

Rahn

Rahn

Robeson

Rosie's Little Rascals Daycare

Rosie's Little Rascals Daycare

Smock

Smock

Swain

Traynham

Traynham

Van Ornam

Weberg

Wedemeyer

Wedemeyer

Wee Are The World

Willis

Kurt/Lynne

Robert

Robert

Robert

Storm

JoAnn

Betty

Sharon

Charlotte

Charlotte

Bettie

Bettie

Mariellen

William & Lisa

William & Lisa

Clifford/Ruby

Mary

Antonette

Debra

Bob/Nadine

Janice

Janice

Ella

2503 North 64th

381 5 Blondo Street

2617 Poppleton

2617Poppleton

261 7 Poppleton

2724 North 30th

2724 North 30th

2724 North 30th

2724 North 30th

1720 South 12th Street

3731 North 39th Street

3163 Larimore Avenue

3716 Pacific

2427 Spencer

2724 Fontenelle Blvd.

1714 South 26th Street

1714 South 26th Street

2004 North 34th

2004 North 34th

3012 South 32nd Avenue

1029 West Broadway

1029 West Broadway^

2461 South 18th Street

2461 South 18th Street

61 09 North 24th

4702 North 37th

241 3 Ohio

2105 Polk

81 9 South 37th

4422 South 32nd Street

4422 South 32nd Street

1623 North 33rd Street

41 23 North 25th Avenue

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Council Bluffs

Council Bluffs

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

IA

IA

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

Y

Y

P

G

Y

Y

P

Y

Y

Y

Y

Y

Y

Y

P

P

Y

Y

Y

Y

P

Y

Y

Y

Y

Y

Y

Y

Y

P

Y

Y

Y

C

B

C

C

C

A

C

B

C

C

A

D

C

B

C

B

D

C

D

D

A

B

A

C

C

C

D

B

A

CW

B

B

D

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

B

A

A

A

A

1030

496

415

481

1930

488

462

452

592

730

676

857

611

700

748

650

587

478

982

574

664

467

507

512

1060

511

416

406

498

522

1190

592

1150

140

110

89

71 M

370 ^

100

98

95

84

99

130

110

120

96

150

130

120

97

140

120

94 A

100 T

100

100

200

100

91

87

74

110

160

120

210

»

Location Code: Quadrant Code: Sample Interval Code:
.Tlirs Papist: for EPA/Sverdrap Use Only

Soil Analysis Project

Scale

linch= |Q' feet

-Sample AreaA: ppm

B: • ' • ppm

C: PPm

D: ppm

Confinnation Sample Collected:

DA QB DC DD QE

1. 3.

QC Duplicate Sample Collected:

Record Number
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:

L\I<(L.. /Tom^ child Ca

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.
LIMITATIO

USEPA's liabilit

N O

y

F

 fo

 LIABILIT

r damage

Y

s to the property or injuries to persons whic

•

h 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, e^se^, 5 U.S.C. §8101 eL sea^, and 31 U.S.C.

§3701 et. seq..

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 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.

DateThne:

South rear

11/16/1999

South rear view of subject

P0018 - 3815 Blondo Street PHOTO 0001.jpg

DatBTtma:

Southeast

Caption:

11/16/1999

Sidewalk along SE corner

P0018 - 3815 Blondo Street PHOTO 0002.jpg

DateTlon:

LositfOfl: Southeast

11/16/1999

Gate to garden in SE quadrant

P0018 - 3815 Blondo Street PHOTO 0003.jpg

Thursday, March 02, 2000 Page 1 of 1
Project Resources Inc.

DateTlme:

Location:

11/16/1999

South

Sidewalk along South side

P0018 - 3815 Blondo Street PHOTO 0004.jpg

Location:

Caption:

11/16/1999

Southeast quadrant

Shed in SE quadrant

P0018 - 3815 Blondo Street PHOTO 0005.jpg

DateTlme:

Location: SE quadrant

11/16/1999

Fence in SE quadrant looking North

P0018 - 3815 Blondo Street PHOTO 0006.jpg

Thursday, March 02, 2000 Page 1 of 1
Project Resources Inc.

DatBTDnB: 11/16/1999

|West side

Patio at west side

P0018 - 3815 Blondo Street PHOTO 0007.jpg

DatflTlmB:

Location:

11/16/1999

North

North view of subject

P0018 - 3815 Blondo Street PHOTO 0008.jpg

DatoThn:

North side

Caption:

11/16/1999

Retaining wall along Blondo

PO018 - 3815 Blondo Street PHOTO 0009.jpg

«• V-? -J&

•*$&-':&

•'•H'- *»"'

• t^'V

Thursday, March 02, 2000 Page 1 of 1
Project Resources Inc.

DateTlmfr

Loratbnt

Captloit

South

11/16/1999

View of SE quadrant fence from alley

P0018 - 3815 Blondo Street PHOTO 0010.jpg

-r- fcjoni-;tv^-::^''-:-:^-m^j

DatBThTO:

01/07/2000

Southeast Quadrant

Excavation of southwest area of

southeast quadrant

P0018 - 3815 Blondo Street PHOTO 0011.jpg

DatoTlmo:

Southeast Quadrant

ClpUoifc

01/07/2000

Excavation of the northwest area of the

southeast quadrant

P0018 - 3815 Blondo Street PHOTO 0012.jpg

Thursday, March 02, 2000 Page 1 of 1
iilC/y Project Resources Inc.

DateTtafc

Loeatfint

Caption:

Southeast Quadrant

01/07/2000

Excavation of the southeast quadrant

P0018 - 3815 Blondo Street PHOTO 0013.jpg

Iff

DatBThnB:

Southeast Quadrant

01/07/2000

Excavation of the north section of the

garden in the southeast quadrant

P0018 - 3815 Blondo Street PHOTO 0014.jpg

DltBTtatt

Southeast Quadrant

02/22/2000

Sod placement and top soil placement in

garden area of southeast quadrant

P0018 - 3815 Blondo Street PHOTO 0015.jpg

Thursday, March 02, 2000 Page 1 of 1
Project Resources Inc. Digital Photo Log

DateTImB:

Losathnt

02/22/2000 Mff <"Vl.ffe4WL-*i?<>£

Southeast Quadrant

Sod placement at north end of southeast

quadrant

P0018 - 3815 Blondo Street PHOTO 0016.jpg

LOBTttoD:

Captte

Southeast Quadrant

02/22/2000

Sod placement at south end of southeast

quadrant

P0018 - 3815 Blondo Street PHOTO 0017.jpg

Thursday, March 02, 2000 Page 1 of 1
This Document Contains

CD-ROM

/Photo, Video & Document

(unable to scan)

\