\X

Project HesonicES Inc.

Property Final Report

CJUl

Property ID: P0029

Property Address: 3012 S. 32nd Ave.

D WORK STARTED

D WORK COMPLETED

ON: 11/15/99

ON: 12/03/99

Owner: Ms. Mariellen Robeson

Address:

3012 S. 32nd Ave.

Omaha, NE 68105

Phone: 342-5528

Fax:

Cell/Pager:

Renter:

Phone:

Fax:

Cell/Pager:

Additional Information:

CU Access Agreement

1 I Restoration Agreement

l~l Video Property Before

G Digital Photos Before

[H Video Property After

D Digital Photos After

l~l Property Completion Agreement

1 1 Final Report

Signed: 07 / 21 / 99

Signed: 09 / 28 / 99

On : 11/03/99

On : 10 / 21 / 99

On :_/_/_

On : 12 / 03 / 99

Signed: 12 / 03 / 99

On : 03 / 08/ 00

By: Mariellen Robeson

By: Mariellen Robeson

By: Randy Davis

By: Randy Davis

By: N/A

By: John Vrenick

By: Mariellen Robeson

By: John Vrenick

PROPERTY SPECIFICS

1. Affected areas: NW quadrant and Drip-line. Excavated the quadrant to a depth of 8 inches and the

drip-line to a depth of 12 inches.

2. Confirmation sample results: NW quadrant 205.8 ppm and Drip-line 307.1 ppm lead.

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

4. Did not excavate rocked area under deck nor the landscaped drip-line at the southeast corner of the

house as requested by the property owner.

40204636

SUPERFUND RECORDS

Omaha Lead Project Work Plan 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:

Kg I agree restoration is completed, except as noted y\ I agree restoration is completed, except as noted

I 11 do not agree restoration is completed [_] I do not agree restoration is completed

Signature Date 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:

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

NIST

High

5532 ppm

+/-20%

Medium

1 1 62 ppm

+/- 20%

Low

18.9 ppm

ND

Blank ND

#1

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Survey Readings (various depths prior to confirmation sampling)

#

1

2

3

4

5

6

7

8

9

10

Location

NKOoxi.Vh/coc^

l/VW^lv-cilV^io^v

Reading

W

*£3

#

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

<%& /

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#2

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Confirmation Sampling (Composite Sample)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

Bag

c^/?x_?

#r&0

Sifted Send to

Lab?

/V*

/Vo

Laboratory # Total Lead Result

Tested By:

Reviewed By:

Date:

Date:
frqject 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: ^ (

15

 ' 2. 5, ^^.^d, ?Aoe

Owner: fVl&n ^lAfi/vN li^nL S-**—^

Phone: .-2 <^h'7 <T"<C',3. El

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:

Paget of.
FVoject Resources Inc.

Additional Comments / Instructions:

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

Owner's Signature Date ontractor's Signature Date

Page 2 of.
• Project Resources Inc.

Site Plan of Property

USE ADDITIONAL SHEETS IF NECESSARY TO PROVIDE COMPLETE INFORMATION

Page. of
10/28/99 09:46

10/28/1993 10:16

AMI GROUP COMPANIES INC -> 4559693

EMSU CHEMISTRY

NO.812 004

PAGE 02/03

Attention.- Scotc SelXin

AMI Group, inc.

704 So'jth ?sch Street

Omaha, US

•Customer Project So. Omaha Lead N250

Project #.- 9911383$

Date Received: 10/22/99 10:0

The following results ere for Arsenic, TCLP

Lab * Ccric. Unit Client Designation

99 OQS4301

93 0034302

99 0084303

I

D3ZSCZL2-02S-049

D22SCZL2-024-050

DZZSC2L2-004-051

The following results are Cor Lead-TCLP

Cont. Unit Client Designation

59 0084301

9? CC3-i3Q2

99 OC64303 r DZ2SCZI.Z-029-049

D2ZSCZLZ-024-050

DZZSC2L2-Q04-051
s>

LJ

CL

3 Cooper Sireel

WesHnwtl. Nw ^srwy flfl' 08

609655-5573

«098M-«71 (Fan)

Chain of Custody / Analysis Request Form 6MSL Project

PC #

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

I. Report io:

a. Ssfwfi&tiff

cA/^T^g

7

Sampte

Number

2< Bill to;

4. It of

Staiion Location

Sample 10

fteteased by

(Signature)

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Released

Pr-ijecl:

A/2TO

FAX ft: , Jf 7-

Delivery Malhad

Ul

5>0

. Dale RsSuHs Needed

o

Indicate

Analysis

Requested

V

t/

Compaay/Agency

Affiliation Received

Pfease incficats turnaround time: standard 10D 5D 72HR(48HRy24HR (Must call tor quick lurn)

, * ~~~~^^TM * * *

Laboratory

Number

Condilion Noted

Commenis: PtMSft fntfcat* FepuvliTfl

1} RasuU»wJy 2) ffewltt & QC

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PARC 0985 OOOO 14

FB 21 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 03012 S 032 AV DMA 68105

DATE OF LAST CHANGE 09-22-1983

DEED BOOK PAGE

HOMESTEAD DELETE

NON NUMERIC ZIP CODE

NAME MARIELLEN*ROBE30N

+ 3012 S 32 AVE

ADDR

CITY OMAHA ST NE ZIP 68105

.•.r*"1 — 1 Id*CI*CTK1T" \. J/\I I Icr* ____.,-. w_ _i_ji IITIb. ^- i „_ — — ___«._-.— —._ _ TM« L/UnrXt-lNl VHL-LJti — rlUl IC.O i

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

6130O 67700 SEE

LOT 4 HALF

YEAR DATE

1999 05-21-1999 6400

ADDITION NO. 18080

ILER ADD

LEGAL DESCRIPTION1 ALL LT 3 ?/ N 5 FT

3

5

7

BLOCK 6 HALF

SECT TOWN RANGE

---------- LEGAL DESCRIPTION2 55 X 114.5

4

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CODE BOOK PAGE DATE KEY SUB TB

SPLIT/COMB/LEGAL
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Omaha Lead

Lead Soil Concentrations from Child Care Centers

Yard Samples Over 400 mg/Kg

07/07/99

Robeson

Robeson

Robeson

Robeson

Robeson

Robeson

Robeson

Robeson

Robeson

Robeson

Robeson

Mariellen

Mariellen

Mariellen

Mariellen

Mariellen

Mariellen

Mariellen

Mariellen

Mariellen

Mariellen

Mariellen

3012 Soutl Omaha

3012Sou« Omaha

3012Souti Omaha

3012 Souti Omaha

3012Soufl Omaha

3012 Souti Omaha

3012 Souti Omaha

3012 Souti Omaha

301 2 Souti Omaha

3012 Souti Omaha

3012 Sout| Omaha

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

68105

68105

68105

68105

68105

68105

68105

68105

68105

68105

68105

D

D

D

D

D

D

D

D

D

D

D

Y

Y

Y

Y

P

Y

D

Y

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Y

Y

B

B

B

B

Z

B

Z

c

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D

B

D

C

A

C

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B

A

A

A

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53.6

61.4

120.2

58.4

165.0

94.4

1739.2

202.8

164.9

573.6

167.5

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44.6

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49.1

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

L

 17

18

19

20

21

22

23

24

25

26

27

L

28

| 29

30

31

32

33

34

35

36

37

38

39

uracek

Just Like Home Day Care

<argle

Karqle

Kargle

<ids In Motion

Kids In Motion

Kids In Motion

Kids In Motion

Miller

Mitchell

Moore-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

Wlariellen

William & Lisa

William & Lisa

Clifford/Ruby

Mary

Antonette

Debra

Bob/Nadine

Janice

Janice

Ella

2503 North 64th

3815 Blondo Street

2617 Poppleton

2617Poppleton

2617 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.

171 4 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

6109 North 24th

4702 North 37th

241 3 Ohio

2105 Polk

819 South 37th

4422 South 32nd Street

4422 South 32nd Street

1623 North 33rd Street

4123 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 I

110

89 m

71 •

370

100

98

95

84

99

130

110

120

96

150

130

120

97

140

120 i

94 <!

100

100

100

200

100

91

87

74

110

160

120

210

»

Location Code: Quadrant Code: Sample Interval Code:
Soil Analysis Project

Scale

lincfa= feet

Date: Time:

Confirmation Sample Collected:

QA DB QC QD DE

Team: _ Zone: _ Distance:

.ddress: 30l2 S. 2 2"* A

Sample No.: Comments:

QC Duplicate Sample Collected:
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:

30(1

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; j

I

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

i

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 I

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 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. §810] e^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.

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.

Loathnt

Capthnt

West rear yard

11/16/1999

Northwest quadrant after excavation

P0029 - 3012 South 32nd Avenue PHOTO 0001.jpg

Loratloit

Caption:

11/16/1999

North

North dripline after excavation

P0029 - 3012 South 32nd Avenue PHOTO 0002.jpg

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DateTlma:

UHatJim West

11/16/1999

West dripline after excavation

P0029 - 3012 South 32nd Avenue PHOTO 0003.jpg

Tuesday, March 07, 2000 Page 1 of 1
Project Resources Inc.

D&t8Tbn&

LoB8thnt

Caption:

Northwest Quadrant

11/16/1999

Nothwest quadrant after excavation

P0029 - 3012 South 32nd Avenue PHOTO 0004.jpg

DateTDire:

Loeathnt

12/03/1999

Sod placement

Northwest Quadrant

P0029 - 3012 South 32nd Avenue PHOTO 0008.jpg

^^^,^,^..^:^

KS?».,f

,,l

DateTmnt

LomttOD: Northwest Quadrant

12/03/1999

Sod placement

P0029 - 3012 South 32nd Avenue PHOTO 0009.jpg

Tuesday, March 07, 2000 Page 1 of 1
\x

Project Resources Inc. Digital Photo Log

DateTlme:

Lnattoit

dptteit

12/03/1999

North Drip line

Sod placement

P0029 - 3012 South 32nd Avenue PHOTO 0010.jpg

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Tuesday, March 07, 2000 Page 1 of 1
This Document Contains

CD-ROM

/Photo, Video & Document

(unable to scan)

\