XX

Project Resources Inc.

Property Final Report

ID

TAXI .

Property ID: P0028

Property Address: 2004 N. 34th St.

D WORK STARTED

D WORK COMPLETED

ON: 12101 / 99

ON: 01/13 700

Owner: Mr. Leroy Rahn

Address:

2004 N. 34"1 St.

Omaha, NE 681 11

Phone: 451-4047

Fax:

Cell/Pager:

Renter:

Phone:

Fax:

Cell/Pager:

Additional Information:

Bcttie Rahn (wife)

1 1 Access Agreement

[H Restoration Agreement

[~| Video Property Before

D Digital Photos Before

n Video Property After

D Digital Photos After

[~l Property Completion Agreement

D Final Report

Signed: 07 / 14 / 99

Signed: 09 / 20 / 99

On : 11 / 29 / 99

On : 11/01 799

On :_/_/_

On : 02/221 00

Signed: 01 / 13 / 00

On : 03 / 07/ 00

By: Bettie Rahn

By: Bettie Rahn

By: John Vrenick

By: Randy Davis

By: N/A

By: John Vrenick

By: Bettie Rahn

By: John Vrenick

PROPERTY SPECIFICS

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

inches and the drip-line to a depth of 12 inches.

2. Confirmation sample results: NW quadrant 136.7 ppm, SW quadrant 135.6 ppm, and Drip-line 145.8

ppm lead.

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

4. Owner originally wanted grass seed but changed her mind and asked for sod.

40204642

SUPERFUND RECORDS

Omaha Lead Project Work Plan 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;

Property Address;

Owner:

Phone:

Restoration Kerns in Question:

Item:

Item:

Item:

Item:

Kern:

Item:

Additional Comments:

|M I agree restoration is completed, except as noted JX[ 1 agree restoration is completed, except as noted

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

S.S Owner's Signature Date Contractor's Signature Date
Project Resources Inc.

Omaha Lead Project

Post Excavation Sampling

RSD = (SD/Mean)V100

SD = Standard Deviation

Mean = Mean Concentration

RSD < 20 is ok

Property Number: Date:

/

NIST

High

5532 ppm

Medium

1 1 62 ppm

+/- 20%

Low

18.9 ppm

ND

Blank NO

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

#1

2 (,

#2

m?

#3 #4

S'HMO

6 3 -"3

#5

(120

#6 #7 Mean SD RSD

166

H -H

Survey Readings (various depths prior to confirmation sampling)

10

Location Reading

ioq- 0

H «i • 4

•2 I C -0

#

11

12

13 A/

14

15

16

17

18

19

20

Location Reading

& H . 3

Confirmation Sampling (In Situ)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

#1 #2 #3 #4

ss/.p

Average Notes

tf

n

Confirmation Sampling (Composite Sample)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

Bag

&2,#

/^3,9

3.v?lo

Sifted Send to

Lab?

/^

/t4

/M>

Laboratory # Total Lead Result

Tested By: /?

Reviewed By: Date:
ftqject 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: ^2 g

Property Address: /"X/a,^ A). 3V-/-L

Owner: n. J-l „ /) j v^a^jr1

^, i<~rcsv\/>~>

Phone: clo ~Z_ <_>is-/ - y oy~7

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:

Kern:

Item:

Kern:

Item:

Item:

Item:

Item:

Pagel of.
fVoject Resources Inc.

Additional Comments / Instructions:

&C /v^&f/ o r' o>ress

<y

I agree

s I •

Owner's Signature

I do not agree

Date

agree I do not agree

L/2/L d^

ontractof s Signature

Page 2 of.
Reject 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.
R-qject Resources Inc.

Site Plan of Property

USE ADDITIONAL SHEETS IF NECESSARY TO PROVIDE COMPLETE INFORMATION

r—

Page of.
11/18/99 09:05 PMI GROUP COMPflNIES INC •» 4559693

LI/18/1939 09:23 609-85^^71 EMSL CHEMISTRY

DRAF T RE P 0 R_ T

Attention.-. Scctt S

AXI Group, Ir-c704 South 7Sth Screet

Omaha NZ £3114

Client Project: N250 Omaha Lead

Client Designation: DZZsezLZ-028-068

METALS

Arsenic, TCLF

Lead-TCLP

cone.

Cil. O

cO .40

Dace cf Report:

Project Number=

Lab ID:

Date Collected.-

Collected Sy:

Dace Rec*i*-'e3:

Unic

mg/1

rng/1

NO.020 P02

PAGE 14/16

11/18/53

11/01/99 10:45

Ciiant

11/06/93 10: CO
(M

§

CTi

TH

Q

d

EMSI ^vTM.

3 Cooper Street

Wftstmcnt. New Jersey 08t 08

603-856-9573

609*8584571 (Fax)

Chain of Custody / Analysis Request Form EMSL Project # __.£.

P0#

1. Report 1o:

Custody and Sample Information • Print ALL information. Put N/A in blanks not appifcable. Press firmiy.

2. Bill !b;

4. 0 of Samples in Shlpnnenl

Sample

Number

Station Localion'/

Sample *D

Project:

Teltf:

FAX#:

5. Date erf Sample Shipment

t/

Wat«ix Meitwd Preserved

Delivery Method

...&3.&L

6. Dale Reaillp Nseded

o o

UJ

Received by

(Signature)

Please 'indicate turnaround time: standard 10D 5D/72HR

z

Indicate

Analysis

Requested

Company/Agency

Affiliation

Date/Time

Received

Laboratory

Number

Condition Noted

24HR (Must call for quick turn)

Comments:

LO

in

LO

on

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IO

LOO

FUI

00

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CO

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CD
PARC 3926 0000 16

FB 09 STATUS 2 CLASS R

EXEMPT 0 EXEMPT TYPE TAX DISTRICT 0100 SID \--

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

ADDRESS 02004 N O34 ST DMA 68111

__—_ _«-_-.«___.-.__-.__„—_— _..- OWNER INrURrtATIQ f\l—————— -_——.— _———__._—

NAME LEROY H*RAHN ETAL DATE OF LAST CHANGE OO-OO-OOOO

+ 2004 N 34 ST DEED BOOK PAGE

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

1999 05-21-1999 150O 10200 11700 SBE

ADDITION NO. 23120 LOT 1 HALF

LOWES ADD

1 N 36 FT

3

5

7

SPLIT/COMB/LEGAL

-LEGAL DESCRIPTIONCODE BOOK PAGE

BLOCK B HALF

SECT TOWN RANGE

LEGAL DESCRIPTION

2 36 X 60

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Omaha Lead

Lead Soil Concentrations from Child Care Centers

Yard Samples Over 400 mg/Kg

07/07/99

Rahn

Rahn

Rahn

Rahn

Rahn

Rahn

Rahn

Rahn

Rahn

Bettie

Bettie

Bettie

Bettie

Bettie

Bettie

Bettie

Bettie

Bettie

2004 Nort

2004 Nort

2004 Nort

2004 Nort

2004 Nort

2004 Nort

2004 Nort

2004 Nort

2004 Nort

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

NE

NE

NE

NE

NE

NE

NE

NE

NE

68111

68111

68111

68111

68111

68111

68111

68111

68111

D

D

D

D

D

D

D

D

D

Y

D

Y

Y

Y

Y

Y

Y

Y

D

Z

D

D

C

A

D

D

B

B

A

A

A

A

A

C

D

A

120.8

1360.0

860.8.

982.4

478.4

255.0

201.0

38.7

250.2

49.6

250.0

170.0

140.0

97.2

55.1

40.7

U

61.9

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 Locatio PDF Code:

CN=North Central Q PDP=Off-Site Laboratory Confirmatory Sample

CW=West Cental Quadrant

Precision Code:

U=Below Detection Limit
Omaha Lead

Lead Soil Concentrations from Child Care Centers

400 mg/Kg and Above

Quadrant, Play Area, Garden, and Depth Samples

07/19/99

»S'Vi«*Sl S&SS»»il»(6»! s3SM!*r;j>iiKi8

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

<arqle

(arqle

Kargle

Kids 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 Oaycare

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

2617 Poppleton

2617 Popplelon

2724 North 30th

2724 North 30th

2724 North 30lh

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

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:
-V

"• f •'-•

ill-1

SI

*. •••.'!•;.*!

-C :..ff

o/-.n"

Soil Analysis Project

Date: (hrs.)

Sample No.: Comments:*

r Simple Area -

C:

D: \

E:

Ppm

ppm

Scale.

1 inch = JQi-feet

Confinnstion Siunplc CoIlcctCQi

DA DB QC DD D

i. 3.

QC Duplicate Sample Collected:

Record Number
ACCESS AGREEMENT

RJGHT 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? 9-

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 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. sgg., 5 U.S.C. §8101 el seg,, andSl 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 1 agree to its terms and conditions.

Date
Project Resources Inc.

DatBThnfc

Location:

11/01/199

East side

Front view of subject

P0028 - 2004 North 34th Street PHOTO 0001.jpg

DatoTbnB:

Lontloit

Caption:

Southeast quadrant

11/01/1999

Sidewalk from 34th street

P0028 - 2004 North 34th Street PHOTO 0002.jpg

DatflTbBB:

Lontteit Southeast corner

11/01/1999

Sidewalk and front steps

P0028 - 2004 North 34th Street PHOTO 0003.jpg

Monday, March 06, 2000 Page 1 of 1
Project Resources Inc. Digital Photo Loo

(tateTlma:

LoBattoit

Caption:

South side

11/01/1999

Sidewalk along south side

P0028 - 2004 North 34th Street PHOTO 0004.jpg

DatBTlmft

Lueathnt

Caption

11/01/1999

— ;•<»£:;:

v • m

South side

Crack along side walk and foundation

P0028 - 2004 North 34th Street PHOTO 0005.jpg

DateThne:

West side

Caption:

11/01/1999

Brick paved sidewalk along west side

P0028 - 2004 North 34th Street PHOTO 0006.jpg

Monday, March 06,2000 Page 1 of 1
Project Resources Inc.

DateTbno:

Loeatioit

Caption:

West side

11/01/1999

Stair step cracks in foundation

P0028 - 2004 North 34th Street PHOTO 0007.jpg

DltOTIIM:

Locution:

Caption:

12/01/1999

Northeast corner

Excavation of north and east drip line

P0028 - 2004 North 34th Street PHOTO 0009.jpg

DatBlnm:

LOBfltlOB: Northwest Quadrant

12/01/1999

Excavation of northwest quadrant

P0028 - 2004 North 34th Street PHOTO 0010.jpg

Monday, March 06, 2000 Page 1 of 1
Project Resources Inc.

DateTbDB:

Location:

Capttoft

Southwest Quadrant

12/01/1999

Excavation of southwest quadrant

P0028 - 2004 North 34th Street PHOTO 0011.jpg

DatBTImB:

CapthHt

02/22/2000

Northwest Quadrant

Sod placement at east end of northwest

quadrant and east drip line

P0028 - 2004 North 34th Street PHOTO 0012.jpg

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DatBTDBB:

LoeaOot

CaDtMt

02/22/2000

Northwest & Southwest Quadrants

Sod placement at west end of northwest

and southwest quadrants

P0028 - 2004 North 34th Street PHOTO 0013.jpg

Monday, March 06, 2000 Page 1 of 1
Project Resources Inc. Digital Photo Log

DateTnne:

Location:

Caption:

02/22/2000

Northwest Quadrant

Sod placement at north end of northwest

quadrant

P0028 - 2004 North 34th Street PHOTO 0014.jpg

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Monday, March 06, 2000 Page 1 of 1
This Document Contains

CD-ROM

, Video & Document

(unable to scan)

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