. Project Rgsonices Inc.

Property Final Report

Property ID: P0009

Property Address: 3150 Larimore Avenue

D WORK STARTED ON: 12 / 02 / 99

D WORK COMPLETED ON: 01 / 11 / 00

Owner: Ms. Hazel Evans

Address:

3150 Larimore Avenue

Omaha, NE 681 11-2360

Phone: 933-2922

Fax:

Cell/Pager:

Renter

Phone:

Fax:

Cell/Pager

Additional Information:

[~1 Access Agreement

Q Restoration Agreement

Cl Video Property Before

D Digital Photos Before

(~l Video Property After

D Digital Photos After

CD Property Completion Agreement

D Final Report

Signed: 07 / 15 / 99

Signed: 09 / 22 / 99

On : 11/29/99

On : 11/01/99

On :_/_/_

On : 02/22/00

Signed: 01/12/00

On : 02/24/00

By: Hazel Evans

By: Hazel Evans

By: John Vrenfck

By: Randy Davis

By: N/A

By: John Vrenick

By: Hazel Evans

By: John Vrenick

PROPERTY SPECIFICS

1. Affected areas: SE quadrant and Drip line. Excavated entire SE a 6 inch depth and drip line to a 12 inch

depth.

2. Confirmation sample results: SE quadrant 57.1 ppm and Drip line 223.3 ppm lead.

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

4. SE quadrant confirmation sample sent to lab; sample # DZZSCZLZ-009-085; reading of 43 ppm lead.

5. Damaged corner fence post during site activities. Made repairs to owners satisfaction.

40204644

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&0O?

Property Address: ^/5~(2 ^/^ y/^/y y> ? //?i/£

Owner: //

' / /" //) . y^r

Phone: ^7 5* - c? J-^<£2

Restoration Items in Question:

Kern:

Item:

Hem:

(torn:

Item:

Item:

Additional Comments:

I agree restoration is completed, except as noted

I do not agree restoration is completed

agree restoration is completed, except as noted

LJ I do not agree restoration is completed

Ownertf Signature Date Contractor's Signature Date
Project Resources Inc.

Omaha Lead Project

Post Excavation Sampling

RSD = (SD/Mean) MOO

SD = Standard Deviation

Mean = Mean Concentration

RSD < 20 is ok

Property Number: Date:

NIST

High

5532 ppm

Medium

1 1 62 ppm

Low

18.9 ppm

ND

Blank NO

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

#1

IIGl

#2

-2ZC

#3

N.

#4

5

#5

IIS

#6 #7 Mean SD RSD

/P

Survey Readings (various depths prior to confirmation sampling)

10

Location Reading

-66 - 6

#

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 #2 #4 Average

.<T7,

Notes

& /A t

/=? /^ c

Confirmation Sampling (Composite Sample)

Location

Quadrant NE

Quadrant SE

Quadrant NW

Quadrant SW

Drip-Line

Bag

SS,<3

^

SiRed

/

Send to

Lab?

l£$J&

Laboratory #

^ZS£Zt/?' &{??-#<?£-

Total Lead Result

^

Tested By:

Reviewed By:

Date:

Date:
Project Resources Inc.

RSD = (SD/Mean)"100

SD - Standard Deviation

Mean = Mean Concentration

Omaha Lead Project

Post Excavation Sampling

RSD 20 is ok

Property Number: Date:

NIST

High

5532 ppm

+1-20%

Medium

1 1 62 ppm

+/- 20%

Low

18. 9 ppm

ND

Blank ND

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

#1 #2

6*}

#3

H13

#4

SHMO

vO-8

633

#5 #6

H -H

#7

3-5

Mean

/tfo

SD RSD

, Of

Survey Readings (various depths prior to confirmation sampling)

10

Location Reading

<- O

#

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 #2 # 3 #4 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:

Reviewed By:

/

Date:

Date: /i
FVoject Resources fee.

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: O

Property Address 7, |

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:

ItemCe/wT.«!KA< f f^n i

Kern:

Item:

Item:

Item:

Item:

Item:

Pagel of.
ftoject Resources be.

Additional Comments / Instructions:

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

Owneir/Signature Date

9/a;L/y ^ / / t Contractor's Signature Daw '

Page 2 of.
P> frqject 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

Project Resources Inc. <~- (~—if

Site Plan of Property

USE ADDITIONAL SHEETS IF NECESSARY TO PROVIDE COMPLETE INFORMATION

Page of.
11/12/99 14:28 AMI GROUP

•"

INC<- •* 4559693

NO.955 002

PAGE 82/03

on: Scoc, Saikin

•ML -roup, inc.

704 Scuch 75th Screet

CrrAha, NE 68114

nsi; ?rojecc N-= . N2SO omah'a Lead

projec£ ,; ^^

Date Received-. u/CS/39 1C.-OC^

The following results are for Arssnic, T£LP

i'Sfc t Sonc. Dnic Client Designation

3S 0033^62

33 0388462,

59 0083^64

99 C066465

35 0'C83i65

<i.Q

<1.C

mg/1

mg/1

mg/l

mg/1

'DZ2SCZLZ-020-0-70

DZ2SC2LZ-013-072

DZZSD2LZ-OI3-073

D2ZSCZLZ-02S-074

*£ following results are for Lead-TCLP

5 Cone. UriiC Client Designation

55 0088462

59 OC9S462

35 008345-5

99 00334£S

95

<C.*0

<3.40

<0.40

<0.*C

<o.40

mg/1 DZZSCZLZ-020-070

mg/1 DZZSCZtZ-009-371

mg/1 DZZSC2LZ-013-072

mg/1 D3ZSDZL2-0;3-073

mg/1 DZ2SCZLZ-025-074
3 Cooper Streel

Westroom. Kew Jers«y 08108

6098S8-3573

6M-8i8-«5/'l

Chain of Custody / Analysis Request Form EMSL Project # ....±1V__T_.__

Custody and SamjjIeJnjomiatiQn^ Print_ALL jnt

1. Report to:

S.

Sample

Number

2. e<U fo:

4. ff of Samples in Shipment

Station Location /

Sample ID

Project:

FAX #:

S Date iple

ID

4t

O

§

.. Oflts Reeulls Ni

Method Preswved

o

Indicate

AaaJysis

Requested

rvj

cs ro

LD CO

on

m

en V mL

I I/

I/

I/

Received by

(Signature)

Released by

{Signature}

P(ease_indicate (urnaround time: standard tOD 5D

/ornrnents:

8HR 24HR (Must cad tor quick (urn)

Tl
12/09/1999 IS: 24 EMSL CHEMISTRY PAGE 02/03

Attention: Scott Selkin

AMI Group,

704 South 75th Street

Omaha, NE 68114

Customer Project So. Omaha Lead N-250

The following results ara for Lead

Lab ft Cone. unic Client Designation

Project ft: 9913S787

Date Received! 12/06/39 io:o

99 0094710 200

99 0094711 43

rag/kg DZZSCZLA-016-084

mg/kg DZZSCZLA-009-OB5

The following results are for Solids, Total

Lab * Cone. Unit Client Designation

99 0094710 89"

99 0094711 96

DZZSCZLA-015-084

DZZSC2LA-009-OS5

4- DM I SBINbdWOD IWb 66/60/ST
n

cs

ro

en

Ef A4S L.» ~ti-•••-<• ce AC

3 Ccop&f S1/881

Westmonl. New Jartey 08108

609-85B-9573

609-B5a-4571 (Fax)

Chain of Custody / Analysis Request; Form EMSL Project *

PO #

Custody and Sampie Information - Print ALL information. Put N/A in blanks not applicable. Pressjirrnl^

1. Report to:

3. Sawled. ature)

Sample

Number

2. 6i« to:

4. 0 of Samples in Shipment

Station Location /

Sample ID

Released by

^(Signalurg)

Date/Time

Released

Pcoject:

J*

FAX

5. Date of Sftmpla Shipment

o.

Matrix

Delivery Method

Please indicate turnaround time: standard 10D 5D

o

6. Dale

Sampling

Comments:

Received by

(Siooature)

-7-J #—

I

Indicate

Analysis

Requested

Laboratory

Number

Company/Agency

Af/iliai/on

Date/Ttme

Received

\ o

. Condition Moted

48HR 24HR (Must call for quick turn)

Ploase incficat»

() Results only" 2) ReiuitsS OC'~3J>leduced Oelivefat>1&5

IN)

O

U3

H->

U3

Lfl

UD

l->

<n

ro

en

CO

O3

I

O3

cn

CD

m

o

01

I

<s

OJ

cs

OJ
PARC 2559 OOOO 08

FB 02 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 03150 LARIMORE AV DMA 68111

__.-»—___-—___„„_-. _.——OWNER INF URnRT I Q|\|—•———-«——•—————— — — — — —

NAME DANIEL*EVANS ETAL DATE OF LAST CHANGE 03--21--1974

+ 3150 LARIMORE AVE 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 O5-21-1999 4400

ADDITION NO. O698O

COLLIER PLACE REPLAT BLOCK 8

LEGAL DESCRIPTION—

IRREG E 839 SQ FT

8< S 102 FT LT 29

16500 20900

LOT 28

SECT

CODE BOOK PAGE

2 S

4

6

8

DATE

SBE

HALF BLOCK 0

TOWN RANGE

LEGAL DESCRIPTION102 FT

HALFKEY SUB TB

SPLIT/COMB/LEGAL
25 26

-J* 1

15

N

N

5V>

14

ro

13

A

12

••

II.

<•

10

so

9

-

8

f>

7

NN

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I I

AVE.

So

17 18

so

19 20

X

/>

21

*•

22

so

t

23 24^

r—i 1 1 1 r T—n
Omaha Lead

Lead Soil Concentrations from Child Care Centers

Yard Samples Over 400 mg/Kg

07/07/99

•|M|MHMMM|MMHlHHHM^MMHMHHB|HHn^^gMMHM^«

Numbe Sampler

 H^^^H^^^^^^^BH|^H|l[^^HIB^^^^^^^^^^^^^H|^^«^^^^^^^ff JBJn|M^Efl^^^TM^^ffl^Fl^ffffT'fflBF'lTM'PPt^^?uBIPo!M l

00123

00120

00122

00118

00115

00121

00117

00116

00119

Evans

Evans

Evans

Evans

Evans

Evans

Evans

Evans

Evans

Hazel

Hazel

Hazel

Hazel

Hazel

Hazel

Hazel

Hazel

Hazel

3150Lari

3150 Lari

3150 Lari

3150 Lari

31 50 Lari

31 50 Lari

3 150 Lari

3 150 Lari

3150 Lari

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

Y

Y

Y

Y

Y

Y

Y

D

D

D

D

C

A

D

B

D

Z

A

B

D

A

A

C

A

A

A

88.5

85.4

95.4

367.4

82.5

128.7

864.0

81.9

1729.6

39.6

29.8

30.3

111

29.6

45.5

120.0

40.1

230.0

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
u^raahha Lead

Lead Soil Concentrations from Child Care Centers

400 mg/Kg and Above

Quadrant, Play Area, Garden, and Depth Samples

07/19/99

ilclfretlj

||^5ffnf|

1

2

3

4

5

6

7

8

9

10

I

I

11

12

! 13

14

15

16

^iMJ-t'S^j^g^^i^JijgMKj^B p5?<SS

A-1 Child Care

A-1 Child Care

Angels In Training

Barnes

Barnes

Brader

Children's World Daycare

Children's World Daycare

Davis

Davis

Delehant

Elliott

Evans

Galas

Galas

Galas

Guardian Angels Child Care

Guardian Angels Child Care

Guardian Angels Child Care

Hardeman

Hardetnan

Hardeman

Helping Hands Day Care

Helping Hands Day Care

Hoard

Hoard

Hoard

Hoard

Horton

Houston

Houston

Houston

Beth

Beth

David & Diane

Doris

Doris

Patrick/Kathy

Ernestine

Hazel

Marcy &. Kit

Marcy & Kit

Marcy & Kit

Seelther

Seelther

Seelther

Roberta

Roberta

Roberta

Roberta

Frank

Shell Cooper/Mose

Shell Cooper/Mose

Shell Cooper/Mose

jgSp&j^i^^^^^^^^^SE

2006 North 23rd Street

2006 North 23rd Street

1824 Spencer

2419 Crown Point Avenue

2419 Crown Point Avenue

1504 Martha Street

126 North 35th

126 North 35th

4609 North 42nd Street

4609 North 42nd Street

1939 South 9th

3336 Fowler

3150 Larimore Avenue

5637 South 22nd

5637 South 22nd

5637 South 22nd

181 3 Pratt Street

181 3 Pratt Street

181 3 Pratt Street

3030 Evans

3030 Evans

3030 Evans

1823 Lake

1823 Lake

1404 Bancroft

1404 Bancroft

1404 Bancroft

1404 Bancroft

4226 Florence Blvd.

4714 North 40th Street

4714 North 40th Street

4714 North 40th Street

SBSi^jjSISSjjiw

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

Omaha

!3jSS4j$Sjf

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE"1

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

NE

PKPJpSEffc

Y

Y

Y

Y

P

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

P

Y

Y

Y

P

Y

Y

Y

Y

Y

Y

P

Y

Y

Y

Y

Y

n^aSSri Uuadrant^;

A

D

B

C

C

A

B

C

D

C

D

B

B

D

C

A '

D

C

A

CN

A

D

B

A

B

A

A

B

B

B

D

. A

(Www^^-i^yjjjgi

lntl^aj.f>pcji|

A

A

A

A

A

A

A

A

A

A

B

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

A

B

A -•

A

A

A

ftift^vf^'SK

iilieadlXRRif

993

493

510

498

1530

672

691

1150

487

557

419

530

864

1280

516 •

418

836

410

810

514

492

723

483

694

812

403

547

1430

922

410

428

558

,&&&$%&&$&£

greejs|qjflDlS

140

100

39

100

280

130

140 1

150 V

100

77

64

110

120

240

78

62

110

88

110

78

100

100

70

95 I

160 '^

87

110

270

180

87

68

79

Location Code:

G=Garden

P=Play Area

Y=Yard

Quadrant Code:

A=Northeast Quadrant (NE)

B=Southeast Quadrant (SE)

C=Southwest Quadrant (SW)

D=Northwest Quadrant (NW)

Sample Interval Code:

A=0-2 inches

B=0-8 inches
^ll£iliii^

Soil Analysis Project

inn SampV Collected;

DA DB DC QD QE

1. 2. 3.

Erne:

Distance QC Duplicate Sample Collected:

Sample No.: Comments:

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:

n*f

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. seg., 5 U.S.C. §8101 eLse^, 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:

Date7
Project Resources Inc.

DatBThno:

Location:

Caption:

Southeast

11/01/1999

Southeast view of subject

P0009 - 3150 Larimore Avenue PHOTO 0001.jpg

DatBTlme:

Location:

Caption:

South

11/01/1999

Front view of subject

P0009 - 3150 Larimore Avenue PHOTO 0002.jpg

DatBTlme:

Location:

Caption:

South Elevation

11/01/1999

View of siding

P0009 - 3150 Larimore Avenue PHOTO 0003.jpg

Thursday, February 24, 2000 Page 1 of 1
Project Resources Inc.

DataTlme:

Location:

Caption:

South

11/01/1999

Front steps to subject

P0009 - 3150 Larimore Avenue PHOTO 0004.jpg

DatoTbno:

Location:

Caption:

South

11/01/1999

Cracks in sidewalk

P0009 - 3150 Larimore Avenue PHOTO 0005.jpg

DateTlme:

Location:

Capthnt

11/01/1999

West

Cracks in driveway

P0009 - 3150 Larimore Avenue PHOTO 0006.jpg

Thursday, February 24, 2000 Page 1 of 1
Project Resources Inc. Digital Photo Log

DatBTImt

Location:

caption:

West side

11/01/2011

Cracks in driveway

P0009 - 3150 Larimore Avenue PHOTO 0007.jpg

LOBatlOtt:

Caption:

North

11/01/1999

Cracks in sidewalk

P0009 - 3150 Larimore Avenue PHOTO 0008.jpg

DateThno:

Location:

Caption:

West

11/01/1999

Steps along west side

P0009 - 3150 Larimore Avenue PHOTO 0009.jpg

Thursday, February 24, 2000 Page 1 of 1
Project Resources Inc.

DatoTlmo:

Location: Southeast Quadrant

12/02/1999

Excavation of southeast quadrant

P0009 - 3150 Larimore Avenue PHOTO 0010.jpg

DatBTime:

Location:

Caption:

12/02/1999

Southeast Quadrant

Excavation of southeast quadrant

P0009 - 3150 Larimore Avenue PHOTO 001 l.jpg

DateTlmft

Location:

Capthnt

02/22/2000

Southeast Quadrant

Sod placement at east end of southeast

quadrant

P0009 - 3150 Larimore Avenue PHOTO 0012.jpg

Thursday, February 24, 2000 Page 1 of 1
k Project Resources Inc.

DflteTbnB:

Location:

Captton.

02/22/2000

Southeast Quadrant

Sod placement at the south end of

southeast quadrant

P0009 - 3150 Larimore Avenue PHOTO 0013.jpg

Thursday, February 24, 2000 Page 1 of 1
This Document Contains

CD-ROM

/Photo, Video & Document

(unable to scan)

\