Loading...
HomeMy WebLinkAbout92-1111 458 Dundee Ave RESOLUTION AUTHORIZING EXECUTION OF AN ACCESS AGREEMENT FOR THE USE AND RIGHT OF ENTRY ONTO PROPERTY (458 Dundee Avenue) BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that Larry L. Rice, City Manager, be and is hereby authorized and directed to execute an Access Agreement for the Use and Right of Entry onto Property on behalf of the City of Elgin with Handex of Illinois, Inc. for the monitoring of wells at 458 Dundee Avenue, a copy of which is attached hereto and made a part hereof by reference. s/ George VanDeVoorde George VanDeVoorde, Mayor _ Presented: November 11, 1992 Adopted: November 11, 1992 Vote: Yeas 7 Nays 0 Recorded: Attest: s/ Dolonna Mecum Dolonna Mecum, City Clerk 1 S Elm n ,�.,.�{ � Agenda Item No . (i) s: n.. if ir�i. November 3, 1992 TO: Mayor and Members of the City Council FROM: Larry L. Rice, City Manager SUBJECT: Authorization of an Access Request to Drill Monitoring Wells at 458 Dundee Avenue PURPOSE The purpose of this memorandum is to authorize the City Manager to sign an agreement with Handex of Illinois, Inc . to permit the placement of two (2) groundwater monitoring wells on property owned by the City of Elgin at 458 Dundee Avenue. BACKGROUND Handex of Illinois, Inc. has been retained by the Amoco Oil Company to conduct a subsurface investigation at 470 Dundee Avenue (John' s Amoco) . As part of the investigation, Handex would like to install two monitoring wells at 458 Dundee Avenue. The two wells will be installed approximately 25 feet south of the Amoco property line. The access agreement has been reviewed by the City' s Legal Department and all issues raised by the City have been addressed to the City' s satisfaction by Handex of Illinois, Inc. FINANCIAL IMPACT None. RECOMMENDATION Authorize the City Manager to enter into the access agreement w' Handex of Illinois, Inc. Larr . Ri , City Manager LLR:amp Attachment • • ACCESS AGREEMENT FOR THE USE AND RIGHT OF ENTRY ONTO PROPERTY LOCATED AT Elgin Bethesda Church 458 Dundee Avenue, Elgin, Illinois THIS AGREEMENT, made by and between: Handex of Illinois, Incorporated, and City of Elgin Located at 458 Dundee Avenue in the City of Elgin , County of Kane and State of Illinois as set forth on the official tax map of the City of Elgin , hereinafter referred to and known as "Owner" ; HANDEX OF ILLINOIS, INC. Located at 1701 West Quincy, Suite 31, township of Naperville, County of DuPage and State of Illinois hereinafter referred to and known as "Handex", and; WITNESSET H: Handex, on behalf of Amoco Oil Company, either itself, its employees or agents, or through its contractor, is about to undertake the installation, construction and maintenance of a groundwater monitoring system, including monitoring wells on or about the property owned by the Owner and located as shown in the site plan hereinafter described in Schedule A attached hereto; and The Owner, being the property owner or tenant, as the case may be, has agreed to permit Handex, its employees, agents and contractors, the right to enter upon its property located as stated above for the purpose of installing, constructing, maintaining, monitoring and sampling ( 2 ) groundwater monitoring well (s) as may be approved and authorized by the Illinois Environmental Protection Agency. 1 1'landaX I NOW THEREFORE, the Owner and Handex agree as follows: 1. Handex and its employees, agents, and contractors, shall be permitted to enter upon the Owner's property as stated above for the purpose as aforesaid. 2 . The rights and privileges granted by this instrument to Handex, its employees, agents, and contractors, for the use of the above described property depicted in the site plan in Schedule A attached hereto, shall cease and terminate following completion of said activities as determined by applicable government agencies and Handex. 3 . Handex, its employees, agents and contractors agree that they shall: a) maintain the property used throughout the aforesaid period; b) not traverse on any other portion of the lands owned by the Owner, not subject to the agreement, other than those contained in the within right of entry agreement herein described; c) perform the work in a workmanlike manner; and d) maintain the well, well cover and appurtenances in good condition and repair, in accordance with appropriate municipal codes; and e) submit a site health and safety plan. 4 . Handex, its employees, agents and contractors, additionally agree that the grant by the Owner named above to Handex, its employees, agents and contractors, of this right of entry onto the property of the Owner, which is leased to the Elgin Bethesda Church, shall be coordinated with the normal activities of the Bethesda Church and not interfere with the Owner's and Owner's tenant's access to its property, except as may be necessary to effectuate the purposes of this agreement and which shall be subject to this agreement. 5. Handex, its employees, agents and contractors, further agree that the property of the Owner, which is utilized in this agreement, during the construction of any work described above, or during any other time of this agreement, which is damaged during the use and term of this agreement, shall be restored as nearly as may be reasonably possible to its original condition as prior to entry as soon as practicable. 6. Handex, its employees, agents and contractors, shall maintain combined single limit insurance of at least $1, 000, 000. 00 including contractual liability coverage for independent contractors, and explosion, collapse and underground coverage, and will provide Owner with a certificate of insurance for the above, naming the Owner as co-insured, and will obtain written permission from the Owner's Public Works Director before drilling begins. 2 !lanclac® 7 . Handex shall forever indemnify, defend, and hold City of Elgin officers and directors harmless from and against any and all claims, losses, liabilities, demands, costs, and expenses, including reasonable attorney's fees, arising out of or in connection with the project and testing performed by Handex and for any claims, losses, liabilities, demands, costs, and expenses, arising out of or in connection with the ownership of any of he substances located during the testing procedure. All indemnification, defense, and hold harmless obligations of Handex shall survive the terms of this agreement. 8. Any hazardous or toxic substances, hazardous or toxic waste, pollutants or contaminants, or other waste materials encountered by or associated with the test performed by Handex shall at no time become the property of the Owner. 3 1'lcindaXm IN WITNESS, the Owner and Handex have signed and sealed this Agreement on the dates set forth below. WITNESS: A B >276'.-1; Date: ///JZ,9Z Owner WITNESS: HANDEX OF ILLINOIS, INC. L6//it J BY y am _ Date://S/T -- Stuart O. Smith, President 4 ATTACHMENT A FIGURES Iiandex° FIGURE 1 AREA-NIDE MAP # 19564 AMOCO SERVICE STATION 470 DUNDEE RD. ELGIN. ILL. RESIDENTIAL RESIDENTIAL PLUM CT. 1 QP� 1 2 —/ RESIDENTIAL SUMMIT ST. 3 4 VACANT AMOCO LOT STATION 4 6 Z 7 0 Bethesda Church.=5 0 11 14' 9 12 RESIDENTIAL O 110 13 SENECA ST. 15 1. DOCTOR'S OFFICE 2. ELGIN STATE BANK 3. DUNKIN DONUTS 4. CONDEMED HOUSE Et BLDG. 5. AMOCO STATION 6. CLEANERS 7. McDONALDS 0. JUNCTION RESTURANT 9. APARTMENT BLDG. 10. TATOO SHOP 11. CHURCH 12. SHOPE 13.0 200' 14. KFCUT SHOP 15. BUSINESS SCALE 1 INCH = 200 FEET = �QndaZ SUMMIT STREET FIGURE 2 . f\ N - 0A6 LOVE / i/ ,\ . .\... . .. .... . . ..po ..E.m... .. 1. 1... .. . . .. ..t.- ........MATER 1..tras.--. ......-..—. /..---• ----' --7-- 1 b MM-e A MM-1 9 MM-2 ',,� • eLEc v,,, / I rOR TRAFFIC CONTROL I c ii /. OVERHEAD PUP ISLAND POWER LOVE I (--- TAti'C D D ITV.I / OVERHEAD I \ rC. ......}?l�att U C:t..0 t11.KV I Mk-9 i \ 11.1011111.1 .3 V I % / I \ r ,''' . h /.. ria I \ : /. e, 7 I \ / 7 ,_ I KM-7 iDTR 4 =_ • ,/ /, - 41 . O /// O .• ni IM ' I LEGEND: 1 AI 0M9*-5 //: / 9 - MONITORING HELL L' FAIL J'� • . _ _ _ _ _ __ _ _ _._ . _ __/// 4. _ aTOJEGO WF.1I Alley between Amoco and Bethesd OVERHEAD TEI_E>>H . AMOCO SERVICE STATION e 10 20 40 4. # 19564 ■IMIMIll .. 470 DUNDEE RD. liandax �y�� ELGIN. ILL. '— GRAMIC SC&E Al I-kb.I - ATTACHMENT B SITE HEALTH AND SAFETY PLAN 1'landax® HANDEX INC. SITE HEALTH AND SAFETY PLAN SITE NAME: John' s Amoco MAILING 470 Dundee Road ADDRESS Elgin, Illinois 60120 INDICATING CROSS Summit AND COUNTY Kane HANDEX LOCATION CODE: 105536 EMERGENCY PHONE NUMBERS BUSINESS TELEPHONE (708) 742 - 7141 LOCAL POLICE (911) - LOCAL FIRE (911) - LOCAL RESCUE (911) - LOCAL HOSPITAL (708) 742 - 9800 LOCAL HOSPITAL: ADDRESS - Sherman Hospital 934 Center Street, Elgin 60120 ROUTE FROM SITE: (see attached map. ) Follow Summit west to Spring Street and turn right. Procede 5 blocks and Sherman Hospital (and the Emergency Room) will be on the right. - KEY PERSONNEL: Office Resources Handex of Illinois B (708) 527-1666 1701 W. Quincy Ave. , Suite 31 Naperville, IL 60540 Roger Well (Sr. Project Manager) (Pager) (708) 939-9102 (Portable) (708) 217-4266 John Groneck (Project Manager) (Pager) (708) 939-9103 -EMERGENCY CONTACTS: MEDICAL & HEALTH Poison Information Center Chicago 1 (800) 942-5969 - IEPA Illinois Emergency Services and Disaster Agency 1-800-782-7860 (IESDA - HOT-LINE) Office of the State Fire Marshall (217) 785-5878 Division of Petroleum and Chemical Safety IEPA, Division of Land Pollution Control, LUST (217) 782-6760 SITE MAP Provide three maps, (MAP 1, MAP 2, & MAP 3) , that show the following information the THIRD MAP is the ROUTE TO HOSPITAL MAP: A TOPOGRAPHIC MAP IS NOT ACCEPTABLE. USE AN EXISTING SITE MAP OR NEATLY HAND SKETCH A SITE MAP THAT SHOWS THE LOCATION OF THE FOLLOWING: MAP 1 - LOCAL ROAD MAP indicating the site and adjacent roads, MAP 2 - SITE MAP indicating the site's main features, such as, MAP 3 - ROUTE TO HOSPITAL (i.e. , gasoline station repair building, pump islands, well locations, above ground and/or underground storage tanks, etc) . COMMENTS: • MRP 1 ,. ,C G I ;IIII'' ',II I .4 \ LS ; RD I �I :VOYAGE•R 1 I ; / a I Ntor Ri eP : LANDl�Vf3 I - oT+ 6 IBulilnerr RO. �„ \ 'TJ .- � 4, I e tHICAGO`\ 6HgN7 ` I `a �$ I: •Za s C FOREST OR la:? "'�•`+`` JUNIOR F� --'• : _. ��,.:_ PRESERVE E ScHO L S.�. rX A� ` i T i. �IL� �� Ri I I II - w L COUNTY _ _ ItF "'-�- J TIOIE WESTrii,___;3,s,,ttitr,fl0 _ � �URON OR .COOK COUNTY T s'r-it YLER CREEK,'_ , /i- PI :_ ,, RoUTPAR _ ____` II,, i £RNOREE o oEST• FOREST PRESERVE p�• A� 111 ,• ,6'4'` It,out 1 - [// c o ¢'' E0' 6a 1 STEWART x:.AV I LrJ __ c 7 . 4.4'VA,/' 6 E. O4 tENW000 AV I c $ a 6, TRNN I LNIN :' .. of•_;. 1 N TR,'O�AKHILLRD �< a o I 31W-12 1A! )OW ( Mp O /T� ; DS- `l ' • oC�'ST 1 .�ftEMAA'- ELMq sr"- I PAY> AV Q AY32 -13N I / Lai . I I'' j�d �;,l'b,�'..- *�EIE3 - I !', < 'I"{y r�oDaH ,o's slouxDR I IIHOFFMAN sjg ►� i1:__ 0,4° i ESTATES ' 'IfEILE . 6, PIIRIVER BI olio fr N000 ROUTE \ _FRO AY Pr/k RIVER BLUFIF RI ,- < '�� m . -gg A__V �w ... \ IBENES�E AVz1 COOPER m T O 7 L 7 • �R MAN S , T'E \ En1' li la' ;--AV �g " 'iSLADE 13 W-12 �(I 4_.7 r E. A\` �t1L :��•® o •O ` 1 LINCOL II___.AV = I c aR•4 qr. LINCOLN A y, 0 tit \ u ER II S I .l. - 1 C �t,�N N 2',, ;•R 32w!, 2N eµEj�o tal6el' < �, lip _1 WRELL < I�3 sr a33W ��JYCOLIIMBtIEN ®AlObxa Yl '�9Y o = L�� Z JULIANII ALGONAa AV _ v : oa.'SUCIIIYE Y •ST I _ ,I ,AV O�_ L • ' AyY>'t11oIE W JEFFERSON TOflD S11Y_:� _`'_'.. 600N --= ., - JEfFERSON� z PT'IG F$T, `,. ;'OAREEIEES AV PLUM I ST i PLUM ENTERPRISE g W ST�- S I APJOR• ��•2 'C4q� 0 �I Tf 4'o" 'A 90 SUMMIT I ST L .2, g SUMMIT 6 Ainiet/e i I ST 3 500N t? I o GOLF I 1m. Kl DS � SENECA I ST _ - I OAV� O I�F� I EM�u-R�_ \ FREMONT R ST -i IA LOROs PAR a I v �G M" IVERN CT CHERRY -- -- 'RANN Y< -r - < ,6T \ N 1 xlaloRY E. 49DlL�ARLA4I! ` LFAwaoe _ l$ -- P • AMII SNl REDAA d4ti 't a Iz DR n k II -, __ 1�,gt T. - '. y7 _ ANN --- Ath I 1� Rq-.-2� h,IGl1 YEOOD ebe:P+ WMa"�H1 ST�` \ `o'_ i _C LOIN ACADEMY ;� 11'. '`'PT.%4,S 'O/ "' a4' °N /eOL�N'Ar _ d} eRA o �,1.I� =AOOISON- ST I LORDS y�O,-0 ° � ORDE ,,,Ei V�Ia MA Fi'l N N�IANOMsGDRa 1M Allu oI. /� azv6 i ce ORD3 ' i HECOR _ '°( `� pp Y • .A STI co,1 � KC81 'I _ to ai>rui C IN - .p �f� an 14. ... : IENCE :A:,--It \!f S NOR T /._ PA,. i5 Y, ST ,. _o PARK , ? B 6 Nc7' - b\\1 r b / GI, a �.; L y �i � k= :o!t ♦ vi•' I+ RA1Y % : 1N n NORTH ST llLLIE �ST�ilQ��i 0, MICE_ OR Le - 1"•MAR\, -: IU OIUCMI PARKW000 $Ee p 1I � �I � \ T I SGy al �� w AI S OR g` o`,Wy�pR C1 > 1 Io' - f s /, , L �.. 8 li:F t:: I I1 FO -12 FORESTAV ,A�U6E NI6N�` ID 't: N g-c <l ui N�'� - DONN 6 --- �4 �� � f HIGHBURY 6fl BURY OR, zI1,YIdFNC1'A ris_ zN�y is d ��1� LpWRN run g uxDEr� c ' o_ RD —.A— 17 s _ N aA` a 3 �__I T _ Av �I $ODE DNS =I i_aNuo _ < ° — MALICE 18 o T€, 31W-11N •1yY 0 fA6E ✓• II -� �,- p'AV. .Z4vit 1 1 N \\ \��% LTON`{$zl ig i sr egi.7i qa sr .i`. -I TEM,. 32W-1 1 N DR 'MHOS L. ' [ROLLING E Big i>-3 s , :\� \\\\�bebnnuu ��q,\ 1 LAT.- 'PI -T• ELLIS i. 1aos "' W BIBCNO W .,Ct Ey. IKNOLLS .s.O•_;esIS0•l K. E S� Pit \V�' STm 1 II C R-`" l6 1 ° 8.d' o S C.t„ : Sty s (\\ \�s 3 Y/DOLE Z1 sxARo"cT H/C < o rnr. GQO.LF- 1.4 �.°Ir; TONYAN ti SD�N Ep`A\SS YIN.C.:• S Y 'GS;_4 I LAUREL S I�ST2 MTTMA" 200S ACom r MFy�' I CLUBDR'f �2 ]AdNBR Ma: y w .1 u t ...9°' . � 1 S` .t'<STFLI.I3;'I�EµA CT R'> L WIYIO ti' " q2�F ST _ �i�`���Alh/aU` \{jL,. i G �;ILNMECcr I < V IV MADQTIK S c CFYAfJ1�4 i ROLLING c \4y =r,--- z = h _. �. `�_m:.s 1O,' �,J1.- BARRtirr WTY '<JOY�Ci'L ANr LR300S ..,-N-�'4r I �T-°9.�t"• "yl. ST Hour o do rgRy ZEO 3 E xN IrOAKNIIIaI Na' KNOLLS' ESTIvuT� aT _ SITE �yP! sum F _ NST� LA w`ENCESTAN0191 OM/ �(l Se�� �' ��• 3'6•SI JA`MMI�$ '�',' -`� $T ' : ST 300S H. AI .\�4 i a J n pi-.A $ �''�boo ��./ '" - L -> \a ,41'. l 'Ili- SHERp AN'f- Pa Patti"L" of \ I -,;. W e E SA I;< to .n -.pia ,(«. •F Y.�/,..E z �I "W< _--��►YDRL IN .t loll 'i p q >� ,.AtYi z �, M Tmskt. S ml'� [ arru �*a `r t I -T� , _ PE�p 40o LM ElmOR F F A�y(W- K I AEHEWN -'I - `. \ ,�T�T ,,,,,-WI n dT of i. NooNEr L" 4$-- -$- '4 'F 1 ` FAISM t. r \BENT I sT I ■\ aEuuN ' }� anti ADos sr Dasasoo a � Boos'sr? r , P .J16 >li 2 or �. 1▪I mN IWIbINGS \ NOEN G RPJI LD\•ITO NB RL�"oirL a o $�'.r .A J l . w u ';1 � c.. 'IMOR IMOR6AN 6� `. i i a. `a Y 1 IP MAY i. ST '6s� � i\�'/ J - OSm_ h -T.. T, MAY I ST__ - 5 o; dxE ST $G� y R??? - > er`�. t\� ARAAILLe -1NVERNE LDOM OR •'PR_ $ z e z a x;-- r s < W ♦�'+1 trA �a O.s v Isms F� _,Es pp LORD ST='�\ r� z F •/ / r/\' Q' V z sOMMSDy 3�_s= 1 i ST_ I! oi+ ,o y J o u_ffi r A_Y f S". Io s• ��' _� 0 BOOS mII�3 --- -sc f y= 3R1:. IJAY I. • 4 $•$T 6 [�Jyht f9f �� tP//r�' o •c M FN er'..I I 13;$OUSTER el - _ -I �z STl'P. N �7�u0 2 1 R NAST., I 'a S' 7005'> �e o P. \ • R 1 I 1 1 1 a ` • DWI�iITT A7rroon '! STOMro \ MF, �♦ i- 1 tl'I1 „,,,11 -1 11 _ era l��` _ -I ST FI !d _ .I i f _..... M 14 I 'i, I IIIIIi' FI Ifi II ` ` t rl.' Sie I 1 F W I 1 N , 'L I --RussEL1 r !CUFF CITY i EILYD anr4it 1�ITTFIi'i1i1:li :iI 11`4 5 1 v' l< 1 _ II y I nt N--.jfY� y Isff tF t'I .-,w ~ ..„ > >•JOAN `aer+l; ;F t`if Art 1� AI 1n i r h DIXON AV r L a o' I I�II T; L�iI. it�lljTd Ihi11 h ,P"i t.,. , •• . 1f/ -- - _ - ill. ,T^III I�P .1•IIfN4111i 11i) 1 'I I 1, W ¢ EL6N AV ,- CA _. ,4 iNll. i ' 1' I ',t1 , , I' S= t`. ( , b. it R ji .:111�111) II IL I ItT' A c41 al IQ tg! • II oI .c, il,Lp �..a., _�W` _ Tn;' T, Iidk!ti lt�t jAtitil 4 1 !I r I sTa'g 8 1 11 1 1 lN1i1 itiJ 1111 I lI IlIII L Ilft' ci AP)" % ' W ,.::-= 0 L yl _I DANA OR t� -- CyjC•9 I Milt JI �I\ �' is mot 3 SOUTH 6�7 , / `AtAcr'�` ` I 32W-9NSr9N I 3� s IN I W 9N 33,•f�`�rj- 9N z I 9E ' s, �WILSON ,• •\� oQ •l5 I 30 9•� l + , B 1 Ri iil q�Bf'\ TROLL- .s. t'C •11 II O t� \ _ _ SEE PAGES 2B-29 SUMMIT STREET P\ ? ..,,. \' OAS LINE / l � Ii �� ��WATER LINE�� /��� �� �� } •MM-e •MM-I BMW-2 i,,/ I • / ELEC. VAULT ��/����JlJ FOR TRAFFIC ,/ CONTROL 12\ `\ / J I • OVERHEAD I i , ' PIMP ISLMO POWER LINE TALI* E].D I ITYP.I / OVERHEAD 1 \ ` / .......... , . , / E. la ELEC. :P.Eti�t�.U�:t::l:INt~ . I.. NW-3 I // • / I % / ' . ,/ EDS GAL. .. 0 / I OIL-/" Ill / �: /7 /.- � 1VI A F. 2 1 TAM I \iMN-4 ♦MN-7 / EMT.MOGIIN SS // �<v SITE PI-AN 1 _ / of /• T c // N Io FA I ■ V ' I A II •MN-5 /.' LEGEND: I ,, / $ ". MONITORING WELL WS 1 - _ - - TAA WASTE 0[L�� i •` - TANC / j ••7> OVERHEAD � TELEPHONE LINE AMOCO SERVICE STATION 0 10 20 40 # 19564 470 DUNDEE RD. GRAPHIC SCALE: IN FEET ELGIN. ILL. ' iccc MAP 3 • • . I, i ILl l 1/t ,, i ilf VOYA'E•R ',11 ll4,lioil,faiilrittllr,!j41r I iN Iiiii off tit,l,j1iititil�i;lilllihlil!i!I i I'i'";,,.1 ,f•.Gv I" Ii 'n I1111 ,iilit t 1�\ Ill .4111111 Iii ltil rllll liillif 11,111 w' •LSu - ---.RO-_-/ 2b°, 1 \,.r4,11,i LANDSIG it'r' Il,ll,lll'llili;i':'il;ili'AIilll'II1'1''i111F'i'iiiihIi,::1 l!ii!liiili!iil lliiilii:41i, E ` -Ilf.iiil 4,{ t it `. I,I i II , 11,1[�Lt �Yi!il IIII 11'lli'111:,f 9 C� • �illlli, xr. 'gO!�Q.,I ltil 1 .d -.g•j{Niv:,II !i 1 Ii,l.• •' I,i,1 lEf111E!II 1i.11111ti1111 f I'111 iiil I iiti. 1 IB - ' \ a1k 8 c :! i;I,i.!, FOREST `,' .IN t .L,;�' BNAN- Ili 11 1111111 lhillli}rt_il!11111111'lii" /3 �� -✓ ri .�TIIt{�_ I 1t�tl.tl I i lili I, I! ^/ 1 --•. -�-�- _l � \, Sill: 1 �'9l i r,v 2'« 8,e. (K.-Mari) l'Illilllilit 11i 1I'itl.li t Illlii 1!I,hi" :: � lilt! 1 �i1 P8ESEFVE ,P / pthE.. ouNrvl i _©T wEflaE RB _ flD - RON DR l nru' enIA ry . I -t EST• opEsrPREseAVE , D ti 4_ 7% ,b a -II % ROUTE EC _' o / >,1> HOSP 1TAL L7- s i `'f\ , s"r -Y'I��,,ia,•_--, 1:5>!//W I-3 < < o ,'IYER BLUFF no INRI6R_BII`FI i I- =turn AV1Il I;s 112•ARRIRSE-. ,1 I 1 W - GO N 11 o il1wAY AVE.,II TIN CON600N- lAY o AV to GREEN o O S!!HA I WIN J HERMAN HOSPITA L_ Ro 11- 3 SHOE ppCTOR9 r T �I--- �-- SQ�I C09PElt__ - I t e Y J - - - i II it.I <Il` e E J NEEP ' _ - ��I 1 I' S AV I .e VLF •; a I,i,IDGE _ ''II II�� 1 ~"" 1 C$ Is EMERGENCY ROOM c_�_�V � �o =L- F"TE q AY I IRArRI�u, -- 0,o l e p i Cr 1 i 'f TOCNBRI)Gf -12 r I W 1, E I LINCO�IN A 4, J a ('ta 0�Pi ff CT 111��1���1 �y e I _ g I N'�,I"__ � Jc/Gt.�, = r •TV v �R19GE 1'� 8 1 �I IW1�1� T M _ < w CIIESTER +O `▪ II ,i IPA DP BLN' o f0 RD B M > AV I �+ I�'h 2 wit c IL O Qr / _'YP�- '�b` `-` J °ALE RD_._ �ii*'l 1,/ I I LIMB II AV._ y l`o/ O N 2N I P �_ ENTRANCE ONES oeA. 1_Ai/ 1I ¢�NA I�l-;h-i°\i-_ yE .J .8 1� o;-�_ ilE 1�. JEFFERSUe�LU1fUlo_RV"_'.i sJy�_.. / BOON �_ �1 II �OEFFRSOM�II_/--__Al -- o i_ 7-r9of _s ,-7 pluE G_-W zIl 1 :4AANORiff 4�- 1 la III SPRING STREET ISTm i o i CT/SUMMIT uG = ^ "}N(°rro1 'S8 Sr 3II 500N kr" GOLF � ! iAALAND AV Its ENI et �rII II_ NT I1el ,$T hurt/dW� LODSPARKI> II'. G tiR- `'r >. :- v" '_ iST i�gl- 4�/ � __ _ Alt_ST AIRp-I-I Io- xc� ).,.� L 0 1 _ < l 1 / m I Q ELG/N CADE_ Sr ♦ o G6 - -°q � _- r.rtswI.1 — l Sl I1 l� "� )OON. ! pp -Qn s� 41, ST n,Goa \ M e AL, , II-Ani M MOWN 11 ST I`�\ y/.QRDS, . i,� �,,,,�HECSFR '.,,, pp .zn, E'. ST �.. I• ST GJ �'-_ � RK °_°�j 1 s°�°EM ,�wR ° qR IE II N•YI•LT•�' 't'4 / 1 i 11WE ISf �4 °°�"EIj R ZRILE =DB I DR 61 `ctCY I X I� ,�•,.r I. W D < �ARKWDDD SfBlUN6 DR g' I'l as © 1 , ,..� , ui SITEP IIAY a �IAif � �_ � ° • f E 1FDREST AV N 6 - I 7INj_ < / °tL� Cli. 041-Amis-- w' LI- -- I IfC.N16fAB1�Y_-� R/�h9URY,DR z CT / \ E €it▪ 1 �' u-Pr -k RD s _17 r °/%fit �'a. C -IISH�1 -.. _IT II AVR D_ ▪h u u u u !_ _ — � 0-2, 0�1 ,Dui tfII� = :1 -_/ �AaMv 18 Z; IT 1� Tam "_• ��.�/; W T' A�.,/ID -€' 1 I; 32W-11�OgI• AFSgHDR�L_h� IROLL7Nf�• . . a:1 x I JI< =9" \" � E aoN II R,,B1 Ji.1..ja Vol, a. 100S "A�y�, ..4 , „i C.����°°° 4BK I KNOLLS'' gt f 'IE �y _.srJl_ T1" C C : -1, cN t coLF'c' _; Y/DOLE SRARaN a H/ m u Z I a G 8.' ,o OW 0, ,En A:,• •NI 'a'9 A�A• MA Y'sz�C _ LAUREL ,ST2 COIFMAN MOOS �C� U I CLU • B U'RI= S _,e( ` 4 1 J flIMM Oa / a aE p.- -9/h \' 6' \ r<'TEOBTlmua 1_ OO A yo /Ng c, W1ST � �0�,` -Atti1a rlo •�. � �I IIILT` ia1 VIV wAcaru WI �• I ROLLINGoyo9 •NF3A Ee I FIeYd ?\ B AA' ly IY f` I�BAI EN300S L \ DLO 1 � ole': � ¢ I���a K� 5 OAKHILIa KNOLLSW ICHESiNur 30r TC— IBr <:H Ea YY*\• N'` fir/ I IC) II' l ''w.• ''B ! a ST 6 waE cE= I_° ; sr 1t�it\ it.�:rq ^ 4., O°;.ITS,I TF ., ¢ r Y 1.. s7 �O T -� .0' Av d # • 4jy i \ - --=� 1FSfN j� f\r0 I =A C I �'� . > --1r-�tl 1-n - r 4,, $1(: Spar RiM) a t- LR ,. -,. =I1 1 E i ` I Y :157�' \ Nam+ 777iii1 ~ s£g1� n TcoN6REss_Ipi 1 �1 � it � - I AR tWit t- HBUR II f.1 W ffi I{'z'rl ''\\ �p1 1 ENT\\ I I ST GI I YSI a`, ,'��u '`.‘'. FARM i"j mIAD �_ °�_ �,_ I_�ry. \,. Dg`r I I_. \ / coos _ 6 o tltl ST MI HI W. ^ NAROIN6 NOENI O F LD mW NOS D <� !▪ le r,`i .A A 41 °; 1`,' t 0'4' L_ ' - -ORDAII _:i 0Sm l�� �� <Il ' \., gym, __ ST ° MAY' l � 4 4/ .. e - MVEAN �- SNELDON � R� V���e� _�i �j zl "y zI�fI / RRo/\� II }'1--------' '�_ B�AOAMS = f WN�tl oI� t�i10HD STD. B\ l',[Il �Ik o;Ya I.zIBTA / AVM �� r�1�'`O I'y l .. I'• -„: 31 BOOS ---T '/10�= f fe --- �1/ 9 2 �' JAY $ t c 6 r, hr r O 1Y a,�1� d3p1:a I1 �I 9 I"f1 •► f ALef 2� on ev , ?zutrEA :x r—� r lB' - '+ '' NG a 4- R N, �y xAs'nxa%._ I 3q II �Toos a 1+ •.;C�� o \, e 31 W 1 D _ - 4yyItilYi. fi- fi'Rts� ,:u..4h '��DWI HT IW Nwrb. t < STONP ,1..., '.0;� _—l/1' '4.? t t11't'1 li 1 p-.: „,. 'i��`_ ( _ll-+_ -sr I FI Id 1 iS 42�./ ,._ - ....... I i Y it i j i� ,t;',4uilt 141''ittl,t4 i t1 ttk4, � W i il4tN! tH rti ,"1ii 1v ' • --'p�M ! 'r BLUFF CITT BLVO C—L 3t 'i rvt I IIf �!n t111 �11 iNJDAM c- •� +j , 1,4 I, .Tf i!n » ('1 F�, 1,'j I !i + DDt0� III+ @- hi �' .j -� _-= p Eli I - 191 13 r l L I ni , -,Ll,l, g ¢, 1y I Av_ o.. .,i �= } T l�p I fir, c .c ..I i>w > /' =Y .+.r 1"--• vim Jims,,i _L;i 4. ITf1 I' 4 ! , r s d: _ ,'" � � �r�' � AMMONO -� '+tBt4,7 ,1 f,tLi 1f+ If . i•1t' Jt5 •.,I�j A ->L' e 8 V �_ tTL,�,C#i {,S}itk,.ij ttsl(1pST."K/iti'�tf`1'•t�,� r 10 T, .iiip,,q iP;lttii+! IR'i Itl,'1- ir. - \ W1 r • 1:1�t 4, Al..tut DR \' .• C I 1 ice, z i // .•:. �AV�p;\ - %�\qG+� 1e� UBUC '�-'< RD S_ - P o \\ ® \\09Ty ¢ I I II r --_ ar _ ,/ ��- A� I ��K'6S +1IC I H . 1 5 1 °�O: 33�. � 9N 32W 9N�T�ti 3� N +'�wtiaaN V„�f�b s� T15 1 30 9,y 1 29 B (1TRai Ar TROLL--��j�,.�'``,�,`. 'mac` Et'. .•..Af- Qy Lr. • '•: "fy 96F Pr $II 1 \� I it-, \ _ SEE PAGES 2R-29_ A. SITE DESCRIPTION - The site is an active gasoline station with operating service bays. It is located on the busy intersection of Dundee and Summit Streets. SITE HISTORY: this site has been retailing gasoline since at least 1983 . There is one waste oil tank on site. SUMMARY OF HAZARDS: Heavy traffic along Summit and Dundee, access onto station from both roads, overhead wires along Dundee Ave, underground utilities, underground hydrocarbon impacts, moving parts of drill rig. Very busy station AREA OF CONCERN: The southeast corner of the property and the off-site alley located immediately adjacent to the south property line. NEIGHBORHOOD DESCRIPTION: Light commercial TOPOGRAPHY AND SITE ACCESS: Relatively flat, access from Dundee Avenue and Summit. ADDITIONAL INFORMATION: B. PROJECT OBJECTIVES - THE OBJECTIVE OF THIS PROJECT IS TO: (DESCRIBE TASK(S) TO BE PERFORMED, I . E. , DRILL, INSTALL MONITOR WELLS, MONITOR/GAUGE WELLS, COLLECT SAMPLES, INSTALLATION/ MAINTENANCE OF RECOVERY SYSTEM, ETC. ) Install two monitor wells, collect a round of samples, Install a recovery well and conduct a pump test. PLANNED DRILLING METHOD hollow Stem Auger C. ON-SITE ORGANIZATION AND COORDINATION - THE FOLLOWING ARE DESIGNATED TO CARRY OUT STATED JOB FUNCTIONS ON SITE. (NOTE: ONE PERSON MAY CARRY OUT MORE THAN ONE JOB FUNCTION. ) PRINT FULL NAME PROJECT MANAGER: Roger Well HYDROGEOLOGIST: Christine Salvatore SITE SAFETY OFFICER: * Christine Salvatore ALL ACTIVITIES ON-SITE MUST BE CLEARED BY THE HYDROGEOLOGIST. *IN HIS/HER ABSENCE NEXT SENIOR HANDEX EMPLOYEE ON SITE. D. ON-SITE CONTROL A SAFE PERIMETER HAS BEEN ESTABLISHED WITH CONTROL BOUNDARIES IDENTIFIED AND MARKED OFF WITH - (BOUNDARY TAPE, TRAFFIC CONES, BARRICADES) . E. 1. PHYSICAL HAZARDS THE FOLLOWING PHYSICAL HAZARDS ARE EXPECTED ON-SITE: (i. e. , overhead wires, utilities, substation power, mark out dates, slip, trip and fall, confined space, heavy traffic etc. ) slip, trip, fall, overhead and underground utilities MARKOUT # Will be secured upon approval of ROA FIRST AID SUGGESTED FOR THE OBSERVED PHYSICAL HAZARDS IS: Follow established Red Cross standard First-Aid procedures noted in the Standard First-Aid manual 2 . PERSONAL PROTECTIVE EQUIPMENT : BASED ON THE POSSIBILITY OF FUTURE CHANGES IN THE SCOPE OF WORK ON THIS SITE, AND POTENTIAL FOR ADDITIONAL HAZARDS, THE FOLLOWING LEVELS OF PROTECTION ARE ASSIGNED FOR WORK AREAS OR TASKS LISTED: JOB FUNCTION SITE LOCATION LEVEL OF PROTECTION DATE OF ENTRY Drilling Crew Entire Site A B C OTHER Pending Monitoring Tech. Entire Site A B C OTHER Sampling Tech. Entire Site A B C OTHER Installation Crew Entire Site A B C D OTHER Maintenance Tech Entire Site A B C D OTHER GAC Maint. - CARBON CREW GAC Shed * A B C D OTHER Dewatering Crew Entire Site A B C D OTHER pH Adjust/Install. Tech GAC Shed A B C D OTHER pH Maintenance Tech. GAC Shed A B C D OTHER Re-bedding Vapor/Liquid GAC Shed * A B C D OTHER Air Stripper Install Crew Entire Site A B C D OTHER Stripper clean/repack Tech Entire Site A B C D OTHER Tank Excavation Crew Entire Site A B C D OTHER Pump or Slug Test Team Entire Site A B C \\D)OTHER " SPECIFIC PROTECTIVE EQUIPMENT MODIFICATION FOR EACH LEVEL OF PROTECTION IS AS FOLLOWS: Steel toe boots, hard hat, and safetly glasses OTHER: IF AIR-PURIFYING RESPIRATORS ARE AUTHORIZED, AG OV Hepa Combo (FILTERING MEDIUM) IS THE APPROPRIATE CANISTER FOR USE WITH THE INVOLVED SUBSTANCES AND CONCENTRATIONS. *** IN THE EVENT OF CARBON DUST SWITCH TO LEVEL 'C' . *** • F., HAZARD EVALUATION and FIRST AID 1. CHEMICAL HAZARDS and AIR MONITORING SURVEY THE FOLLOWING SUBSTANCES ARE KNOWN OR SUSPECTED TO BE ON-SITE. THE PRIMARY HAZARDS OF EACH ARE IDENTIFIED. Substance concentrations are based on past lab analysis of soil or water samples. PRIMARY HAZARDS - SYMPTOMS SUBSTANCES CONCENTRATIONS and EXPOSURE SYSTEM FIRST (Chemical name) (If known) PEL/TLV* (i.g.Toxic on inhalation) AID SKIN - INHALED Gasoline (TPHC) 14 know beN 250 ppm Dermatitis, Eye irritant E,A SKIN - INHALED Benzene (SC) 36 1 ppm Giddiness, Eve irritant E,A SKIN - INHALED Toluene 48 100 ppm Dizziness, Fatigue E,C SKIN - INHALED Ethylbenzene 1. 3 100 ppm Eye irritant A SKIN - INHALED Xylene 6 . 2 100 ppm Dizziness, Incoordination E,C FIRST AID (A) IRRIGATE IMMEDIATELY (B) WATER FLUSH IMMEDIATELY (C) ARTIFICIAL RESPIRATION (D) MEDICAL ATTENTION IMMEDIATELY (E) SOAP WASH IMMEDIATELY (F) FIRST AID EQUIPMENT AVAILABLE ON SITE IS LOCATED: FIRST AID KIT - DRILL CAB/HANDEX VEHICLE EMERGENCY EYE WASH - in Handex truck EMERGENCY SHOWER/HOSE - hose in service bay - THE SITE'S AIR MONITORING SURVEY REQUIRES USING THE FOLLOWING EQUIPMENT - (i.e. , HNU, LEL or CGI, Oxygen percent and radiation meter) . > The results of the Site's Air Monitoring Survey where readings were observed above background, are shown on the attached site map and are described in the space below. Monitoring probes measured the air in the breathing zone and upon opening monitoring and recovery wells, sumps and sheds. IF NO READINGS ABOVE BACKGROUND ARE OBSERVED, THE TERM "NO HITS" IS NOTED IN THE SPACE BELOW AND ON THE ATTACHED SITE MAP. > CIRCLE ONE OF THE FOLLOWING UNDERLINED CHOICES. < SITE AIR MONITORING SURVEY INDICATES READINGS ABOVE/ (6)BACKGROUND. A description of where air monitoring equipment indicates a reading over the background, and the probe reading, is as follows: NO HITS * Permissible Exposure Limit (OSHA) or Threshold Limit (ACGIH) for time-weighted average for an 8-hr workday or 40-hr workweek. G: 1. DECONTAMINATION PROCEDURES - Personnel and equipment leaving an identified Exclusion Zone, (indicated in Section F) , shall be thoroughly decontaminated. The standard level "C" decontamination protocol shall be used with the following decontamination approach: (1) Wash gloves & boots using Decon solution and tap water rinse. (2) Remove face mask respirator. (3) Remove securing tape from wrists and ankles. (4) Remove disposable tyvek (without boots) . (5) Remove boot covers & boots. (6) Remove gloves For level "D" dress-down, follow steps 1, 4 , 5, & 6. 2. ENVIRONMENTAL MONITORING THE FOLLOWING MONITORING INSTRUMENTS SHALL BE USED AT SPECIFIED INTERVALS. OXYGEN MONITOR - CONTINUOUS/HOURLY/DAILY/OTHER LEL INDICATOR - CONTINUOUS/HOURLY/DAILY/OTHER HNU - CONTINUOUS/HOURLY/DAILY/OTHER continuous OVA - CONTINUOUS/HOURLY/DAILY/OTHER CARBON MONOXIDE INDICATOR - CONTINUOUS/HOURLY/DAILY/OTHER HYDROGEN SULFIDE - CONTINUOUS/HOURLY/DAILY/OTHER COLORIMETRIC TUBES - CONTINUOUS/HOURLY/DAILY/OTHER (TYPE) - RADIATION DETECTOR - CONTINUOUS/HOURLY/DAILY/OTHER OTHER - CONTINUOUS/HOURLY/DAILY/OTHER GUIDELINES FOR AIR MONITORING GASOLINE HAZARDS (1) Monitoring Instrument Hazard Measured Level Action CGI-Combustible Gas Explosive < 10% LEL Investigate with indicator (% Lower Atmosphere Caution Explosive Limit of in immediate Combustible Gases) work area > 10% LEL Explosion Hazard withdraw from area immediately CGI-Combustible Gas Oxygen Monitor while Indicator (Oxygen %) Concentration < 19 . 5% wearing SCBA. NOTE: combustible gas readings are not valid in atmospheres with < 19 . 5% Oxygen 19 . 5-23 . 5% Continue investigation with caution > 23 . 5% Discontinue investigation monitoring. Fire Hazard Potential. Consult Specialist Photoionization (Hnu) / Volatile Breathing Zone Flame Ionization (OVA) Contaminants Background to Level D Meters 200 ppm Protection (2) 200 to 300 ppm Level C ACTIONS TAKEN ARE over backgrnd. Protection (2) BASED ON SUSTAINED OR FREQUENT READINGS. 300 to 500 ppm Level B over backgrnd. Protection (2) Over 500 ppm EVALUATE EXPOSURE over backgrnd. SOURCE (1) - Gasoline is used for this guideline based on it's higher volatility. (2) - Meter readings are not the sole criteria for selecting the level of protection. These are only generalized guidelines. ) - HANDEX INC. SITE HEALTH AND SAFETY PLAN SITE NAME: John's Amoco MAILING 470 Dundee Road ADDRESS Elgin, Illinois, 60120 INDICATING CROSS Summit STREETS AND COUNTY Kane HANDEX LOCATION CODE: 105536 CLIENT LOCATION CODE: 19564 ORIGINAL PLAN DATE: 10/13/92 ENTRY DATE: / /_ DRILLING X MONITORING X SAMPLING X REVISED PLAN DATE: / / REVISED PLAN DATE: / /_ PLAN PREPARATION: Prepared by: Christine Salvatore Date: 10/13/92 REVIEWED BY: (Please print your name under your signature. ) Hydrogeologist: s�Ui2ow- Date: /6)/ /17_7,2 Christine lva ore Project Manager: � Date: /0//5/ 9 Z /Roger E. Well APPROVALS: -4 Senior Project Manager: /a Date: l�' / /5/ 92--- Boger E. Well ATTACHMENT C CERTIFICATE OF INSURANCE n I1cindex® • AC�7t D. ERTIFI A 'E • F ACE ISSUE• •• •• •••• • • DATE1 1 /Y ) (MM/DD Y • 08/ /92 • PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, Arthur J. Gallagher & Co. of N.Y.,Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 465 Columbus Avenue, Suite 210 Companies AffordingCoverage Valhalla, New York 10595-1336 P 9 Company Letter A National Union Company INSURED Letter B City Insurance Company Handex of Illinois, Inc. Company 1701 W. Quincy Avenue, Suite 31 Letter C Home Insurance Company Naperville, IL 60540 Company Letter D Travelers Insurance Company Company E Letter COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YY) DATE (MM/DDNY) A General Liability GLA5833607 02/28/92 02/28/93* General Aggregate $ 5,000,000 ❑x Commercial General Liability Products-Comp/OPAgg. $ 5,000,000 Personal&Adv.Injury $ 5,000,000 ['Claims Made 0Occurrence Each Occurrence $ 5,000,000 ❑Owners'&Contractors'Protective 0 Pollution(Sudden&Accidental) Eire Damage(Any one fire) $ 100,000 DXCU MedExpense(Anyoneperson) $ Included B Automobile Liability BAF568505 02/28/92 02/28/93* Combined Single Limit $ 1,000,000 ❑x Any Auto ❑All Owned Autos Bodily Injury(Per Person) $ ❑Scheduled Autos Hired Autos Bodily Injury(Per Person) Nonowned Autos $ ❑Garage Liability ❑ Property Damage $ C Excess Liability-Automobile CXLF598623 02/28/92 02/28/93* Each Accident $ 10,000,000 ❑Umbrella Form Aggregate $ 10,000,000 ❑x Other Than Umbrella Form D Workers'Compensation 6K-UB-208K297-6-92 03/16/92 03/16/93 X Statutory Limits And Each Accident $ Employers'Liability Disease-Policy limit $ Disease-Each Employee $ Other Description of Operations/Locations/Vehicles/Special Items: Job No. 105536-02, Amoco Service Station #19564,470 Dundee Road,Elgin,Illinois. Certificate Holder is named as Additional Insured.* • • CI»H• OLDEl CA C#«1ri.A1'lOI M City of Elgin SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREO ,150 Dexter Court DAYS WRITTEN NOTICE OFT EECERTIFICATISSUINGOE LL HOLDER MPANY INAMEDETO LEFT,AVOTHEOI BUTAIL ( • Elgin, Illinois 60120 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES Authorized Re res ative � ':�! a,; �y,�� ACOR4 35 54 /94} • �A ::. G4ulr CtOIRa'I'1r#990