\x

Project Resources Inc.

Property Final Report

Property ED: P0041

Property Address: 1624 North 33rd Street

D WORK STARTED

D WORK COMPLETED

ON: 01 711 700

ON: 04 7 04 7 00

Owner: Ms. Monetta Prince

Address:

Children's Palace Daycare

1624 North 33rd Street

Omaha, NE 68111

Phone: 551-8399

Fax:

Cell/Pager:

Renter:

Phone:

Fax:

Cell/Pager:

Additional Information:

1 I Access Agreement

HH Restoration Agreement

[~1 Video Property Before

l~l Digital Photos Before

HH Video Property After

n Digital Photos After

|~1 Property Completion Agreement

1 1 Final Report

Signed: 01 / 10 7 00

Signed: 01 / 10 7 00

On : 01 7 10 7 00

On : 01 7 10 7 00

On :_/_/_

On : 04 7 05 7 00

Signed: 04 7 26 7 00

On : 047 27 7 00

By: Monetta Prince

By: Monetta Prince

By: John Vrenick

By: John Vrenick

By: N/A

By: Carlton Lehman

By: Monetta Prince

By: John Vrenick

PROPERTY SPECIFICS

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

the Drip-line to a depth of 12 inches.

2. Confirmation sample results: NW Quadrant 203.7 ppm and Drip-line 140.9 ppm lead.

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

4. Did not place sod at north end of Northwest Quadrant from wire fence to Franklin Street as requested

by the property owner. Owner plans to use this area for parking.

40204663

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:

Property Address:

Owner:

Phone:

Restoration Items in Question:

Item:

Item:

Item:

Item:

Item:

Item:

Additional Comments:

,r

I agree restoration is completed, except as noted JVj I agree restoration is completed, except as noted

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

/G\s<ner's Signature Contractor's Signature
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

5S32ppm

Medium

1162 ppm

Low

18.9 ppm

NO

Blank NO

#1 #2 #3 #4

£'73o5rfS£>

#5 #7 Mean SD RSD

Survey Readings (various depths prior to confirmation sampling)

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

Quadrant SW

Drip-Line

#1

SX/,J

93,3

#2

/3£

3.06?

*3

.^5127

/6J.3

#4

V'.' l1*

1

"

1

-

1

:^ .',' •' j'

.i.'~ . '-'.X'-'-'.'V-'"*

'v^'.'.V;-,'' .'-, '•-''.-i:

-

ii~/^'-1

 -.•-• ,.."..-/.

/U?

Average

J70J-. y

/*&. 9

Notes

»^ SJr fL^r f^

/-?/* drs

Confirmation Sampling (Composite Sample)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

Bag

/£?.£

Sifted Send to

Lab?

A>o

Laboratory # Total Lead Result

Tested

Revi

Date:

Date:
01/20/00

91/20/2080

16:28

15:45

fiMI GROUP COMPANIES

669-85^671

INC -» 4559593

EMSL CHEMISTRY

NO. 608 G>04

PAGE 04/07

An aiy ti cai

3 Cooper 51- Wwtmonl. NJ 0*108

4 Attn: ScoK Selken

AMI Group Inc.

7M South 75«i

Orr:aha,

002 -397-33 13

Customer ID

Customgr PQ:

Phone: 402-397-5001

AMlSO

01/14/00 10:00 AM

EMSL Order 010000552 .

EMSL Project ID: Omaha Lead N2SO

Owl Sample Dctsriptlon DZZSCZLA-041.103

Mahot

Lab 10: 0003

Ptiamuttr Concentration Onio

Lead. Total 6010B Lead 250 rng/Kg

Tatal Sol^s 150.1 Total Solids 80
VL-Y-TICAU INC.

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. Sampled.by..(Signature)

Sample

Number

2. Bill to:

4. # of Samples in Shipment

Station Location /

Sample ID

Project:

.•"/ ,

Tel#:

FAX #:

5. Date of Sample Shipment

O .

o

CD

<

oc

Matrix Method Preserved

tr

6. Date .Results Needed

o

Sampling

0)

raQ

Indicate

Analysis

Requested

Laboratory

Number

:. .Released-by

..... (Signature)

Date/Time

Released

Delivery Method ..

Received by

(Signature) .;.

Company/Agency :

Affiliation

Date/Time

Received

Condition Noted

.Please indicate turnaround time: standard 10D5 D 72HR 48HR 24HR -(Must call for quick turn)

 :;

 .

Comments:

Please indicate reporting requirements: .•

1) Results only 2) Results. & QC 3) Reduced Deliverables
01/05/00 10:54

01/95/2000 09; 48

AMI GROUP COMPANIES

689-8^4571

INC -> 4559693

EMSL

NO.425 002

PAGE 82/03

Attention.- Scot,:: Selkin

AMI Group, inc.

704 South 75th-Street

Omeha, NE 66114

Project *-. 99i3$ai3

Received: 12/24/99 10

Project NO. Omaha Lead,N250

The following results are for Arsenic, TCLp

Lab S Cone. Unit Client Designation

59 0100026

99 01CDOS1

93 31C0393

mg/1

mg/1

mg./l

mg/1

Ths following results are for

Lab * Cone. Unit

35 0100086

99 01000:91

39 010C092

<Q.4 0

<C.4 C

<0.4 0

<0.4C

mg/1

mg/1

mg/1

Jag/1

DZ2SCZL2-041-089

D2ZSCZLZ-043-090

DZZSCDLZ-044-092

Client Designation

DZiSSCZLZ-041-089

D2ZSCZL2-Q43-090

D22SC2L2-044-OS1

DZZSCDLZ-044-092
=rars

3 coope/ staT**"

 T'°~~ "*" Chain ol Custody / Analysis Request Form

Weslinoni. Maw Jersey 08108

6*3-868-9573

6M-858-457I (fax)

Custody and Sample Information ^Print ALL information. Put M/A in blanks not applicable. PC ess

EMSL Project # . j

PO #

\. Report to;

A^

70+

2. Bill to:

4. # ol Samples in Shipment

Sample

Number

Station Location 1

Sample ID

Project:

Tel

5. Oale ol Sample, Shipmenl

1

o

Matrix Mettwd Prasen/ed

6. Gate

O

Sampling

Indicate

Analysts

IX)

CS>

cs

§?

en •

CS3. =

-8

m

V

i/

9 S- _L ( .i

Ptgase indicate turnaround time: standard 100

Comments:

48HR 24HR (Must call for quick turn)

Ptoasa indicate

Reduoad Oeli«<ables

u j m
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: /"fosJ^//

Property Address:

/£<£?/!/, 33 'r</ &

Owner: /fy/m/y/^a &*/M/>

Phone: ^S^/" $*3 ?J

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 CD I do not agree

(Owner's Signature Date ^pfitractor's Signature Date

Page 2 of.
Project Resources Inc.

Site Plan of Property

USE ADDITIONAL SHEETS IF NECESSARY TO PROVIDE COMPLETE INFORMATION

Page. of
LU

CD

£

Omaha Lead Site Investigation, EPA Region 7

Child Care Center Results*

Monetta Prince, 1624 N 33rd St., Omaha, NE 68111

Sample property

Number Code

CD

(fi

8

Location Quadrant

Code Code

Date

Collected

LeadXRF

Results

Lead

Qualifier

Lead Off-Site

Laboratory

Results

Lead

Qualifier

05574

06135

05578

05677

05575

05573

05576

D

D

D

D

D

D

D

Y

Y

P

P

D

Y

D

D

D

B

B

Z

A

Z

8/16/99

en 3/99

6/18/99

8/18/99

a/16/99

8/16/99

8/16/99

524

NA

51

72

810

389

1060

NA

NA

|_ NA

NA

NA

NA

NA

NA

531

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

GO

LD

LD

*—I

CD

LD

LD

ro

in

Location 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 -

CM=Morth Central

CS=South Central

CW=West Central

Sample Interval Codes

A=0-2 inches

8=0-8 inches

C=B-t6 inches

D=16-24 inches

Lead Qualifier Codes

NA=Not Applicable

U-Beiaw Detection Limit

J=Estimatsd Result

on

01

en

"Properties Sampled Between July 1.1699 and Sept era be* 30,1999

CN

-*.

CN
Soil Analysis Project

Scale

lJndi« feet

Date:

"/ /

Team: ' Zone:

Tiine:

Tjt*tfJl IU Ltf*

Address: /^-2/V JJ

Sample No J Cccmeats:

iP ,,.„.,...-...r rt ..„[' < m .

A:.

B:

.

C:.

1>:

E:

ppm

ppm

ppn

ppm

ppm

DA QB DC QD DS

DC Dm^^Sancle Cqfle

IT 39Vd saoowr 899T£99£T6 IS:0T
PARC 4084 0000 16

FB 09 -"" STATUS 2 CLASS C

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

01624 N 033 ST OMA 68111

OWNER INFORMATION

NAME CHILDRENS PALACE INC DATE OF LAST CHANGE 12-19-1996

+ 4223 NEBRASKA AVENUE DEED BOOK 2049 PAGE 700

ADDR HOMESTEAD DELETE

CITY OMAHA ST NE ZIP 68111 NON NUMERIC ZIP CODE

CURRENT VALUE HOMESTEAD

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

1990 03-15-1990 5600 55300 60900 BP 2566

ADDITION NO. 23120

LOWES ADD

LEGAL DESCRIPTION1 LT 1 & E 40 FT

3

5

7

LOT 2 HALF BLOCK N

SECT TOWN RANGE

LEGAL DESCRIPTIONHALF

2

4

6

8

CODE BOOK PAGE DATE KEY SUB TB

SPLIT/COMB/LEGAL
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12-28-99 11:45 EPA REG I ON 7 SUPERFUND ' ID = 913£5 17063 PSl/82

. . ACCESS AGREEMENT

RIGHT OF ENTRY TO PREMISED . -.: : ./ . .

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;

7 c.

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 Grarrtor'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 prbperty 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 the 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 se^., 5 U.S.C. §8101 et seq., and 31 U.S.C. §3701 et
12-20-99 11:46 EPA REGION 7 SUPERFUND ID=9135517G6 355) 3 PQ2/S2

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.

DataTlmo:

Lonthnt

Caption:

01/10/2000

Front Elevation

View of the property from intersection of

Franklin and N. 33rd St.

P0041 -1624 North 33rd Street PHOTO 0001.jpg

DatoTimet

Loeattoit

Caption:

01/10/2000

North Elevation

View of the siding and chain link fence

P0041 -1624 North 33rd Street PHOTO 0002.jpg

DatoThna:

Location:

Caption:

East Elevation

01/10/2000

View of the siding and chain link fence

P0041 -1624 North 33rd Street PHOTO 0003.jpg

Monday, April 17, 2000 Page 1 of 1
Project Resources Inc.

DateTdnB:

UnflUoit

Caption

West Elevation

01/10/2000

View of the siding

P0041 -1624 North 33rd Street PHOTO 0004.jpg

DateTlmfc

Loatloit

Caption

West Elevation

01/10/2000

View of the siding from the north

P0041 -1624 North 33rd Street PHOTO 0005.jpg

DataTbna:

LoBathnt

GaptUut

North Driveway

01/10/2000

Severe cracking in concrete paved

driveway

P0041 -1624 North 33rd Street PHOTO 0006.jpg

Monday, April 17, 2000 Page 1 of 1
Project Resources Inc.

BateTtaJB:

Loeatbut

Captioit

01/10/2000

Front Steps

Deteriorated concrete paved steps

P0041 -1624 North 33rd Street PHOTO 0007.jpg

DatoTtaDJ:

Location:

Caption:

01/10/2000

Front Steps

Cracks in front steps and barrel planters

P0041 -1624 North 33rd Street PHOTO 0008.jpg

DatoTbnB:

Loeattoit

Caption:

01/10/2000

East Perimeter

Damaged and leaning chain link fence

P0041 -1624 North 33rd Street PHOTO 0009.jpg

Monday, April 17, 2000 Page 1 of 1
Project Resources Inc.

DateTlmfc

Loeattoo:

Caption:

01/10/2000

South Side of Main Building

View of wood stairs with some damage

especially to lattice

P0041 -1624 North 33rd Street PHOTO 0010.jpg

DateTDBfc

Loesttoo:

Caption:

01/10/2000

Basketball Court

Cracks in concrete paved basketball court

P0041 -1624 North 33rd Street PHOTO 0011.jpg

Datemmt

Losatioit

Caption:

Southeast End of Long Building

01/10/2000

View of metal entry way to basement with

damaged door

P0041 -1624 North 33rd Street PHOTO 0012.jpg

Monday, April 17, 2000 Page 1 of 1
Project Resources Inc.

DatBTIm

Loeathnt

Caption:

01/10/2000

Basketball Court

View of the basketball hoop

P0041 -1624 North 33rd Street PHOTO 0013.jpg

^iFfe^^iy ^'i^^iiifJJ! y.--'!. ^s^fe ^M^jp ^ *ri|^ f ^|^-^f^^

iK>pCjjSiiiiii;;ji£-1il .•Srtj-^TM^J-^«Aa«jj^HX-:F««SJ*xji.ji^

i?^s*§!iS!s^^

DatoThm:

Lmatioit

Caption:

01/10/2000

Southeast Corner of Main Building

Leaning chain link fence

P0041 -1624 North 33rd Street PHOTO 0014.jpg

DatBThmJ:

LOBatiOO:

Caption:

South Elevation

01/10/2000

View of the siding and foundation

P0041 -1624 North 33rd Street PHOTO 0015.jpg

Monday, April 17, 2000 Page 1 of 1
Project Resources Inc.

DatBTHnft

Loeattot

Gaptton:

Southeast Corner of Long Building

01/10/2000

View of damaged siding and damaged

downspout

P0041 -1624 North 33rd Street PHOTO 0016.jpg

DatBTtoft

LoeatUnt

Cqnhnt

Northwest Quadrant

01/11/2000

Excavation of northwest quadrant and

drip line

P0041 -1624 North 33rd Street PHOTO 0017.jpg

DsteTlmu:

LoBatlint

Caption:

01/11/2000

Northwest Quadrant

Excavation of the northwest quadrant

and drip line

P0041 -1624 North 33rd Street PHOTO 0018.jpg

Monday. April 17,2000 Page 1 of 1
Project Resources Inc.

DateThne:

losattont

Caothnt

01/11/2000

Northwest Quadrant

Loading of trucks

P0041 -1624 North 33rd Street PHOTO 0019.jpg

Datolhne:

Loeattoit

Caption:

01/11/2000

Southeast Drip line

Excavation of the southeast drip line

P0041 -1624 North 33rd Street PHOTO 0020.jpg

OBteThm:

Lroattoit

Caption:

01/11/2000

East Drip line

Excavation of the east drip line

P0041 -1624 North 33rd Street PHOTO 0021.jpg

Monday, April 17, 2000 Page 1 of 1
Project Resources Inc.

DltBTlDNt

Loeattoit

04/05/2000

Northwest Quadrant

Sod placement at the south end of the

northwest quadrant

P0041 -1624 North 33rd Street PHOTO 0022.jpg

DateThw:

Losattoo:

Caption:

Northwest Quadrant

04/05/2000

Sod placement at the northwest quadrant

P0041 -1624 North 33rd Street PHOTO 0023.jpg

D&tBTfinB:

Loeatunt

Caption:

04/05/2000

Northwest Quadrant

Sod placement at the southwest corner

of the northwest quadrant

P0041 -1624 North 33rd Street PHOTO 0024.jpg

Monday, April 17, 2000 Page 1 of 1
Project Resources Inc.

DateThnfc

LoeatiDB:

Caption:

North Drip-line

04/05/2000

Sod placement at the north drip-line

P0041 -1624 North 33rd Street PHOTO 0025.jpg

DateTtoft

Location:

Caption:

East Drip-line

04/05/2000

Sod placement at the east drip-line

P0041 -1624 North 33rd Street PHOTO 0026.jpg

DatBThntk

LOEatiOIt

Caption:

04/05/2000

Southeast Drip-line

Sod placement at southeast drip-line

P0041 -1624 North 33rd Street PHOTO 0027.jpg

Monday, ApriM 7, 2000 Page 1 of 1
Project Resources Inc.

DatBTtant

LoeaUoit

Caption

Southeast Drip-line

04/05/2000

Sod placement at southeast drip-line

P0041 -1624 North 33rd Street PHOTO 0028.jpg

Monday, April 17, 2000 Page 1 of 1
This Document Contains

CD-ROM

Photo, Video & Document

(unable to scan)