CONTRACT # W912DQ-04-D-0017, T.O. DK03 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

ECC Certification for Property Closeout 

BVID 27055 Property Address 1907N26St 

Field Work Started 9/20/2006 Field Work Completed 09/28/2006 

Summary: 

• The excavation was performed in compliance with ihe work plans and specifications. 

• Fl excavation depth varied from 12 to 14 inches below ground surface. 

• F2 excavation depth varied from 12 to 14 inches below ground surface. 

• B I excavation depth varied from 1 2 to 14 inches below ground surface. 

• B2 excavation depth varied from 12 to 14 inches below ground surface. 

• Verification samples confirmed that cleanup standards were met. 

• The site was backfilled with material which meets the contract specifications. 

• The backfill was compacted to acceptable standards. 

• Sod placement and site restoration were conducted in compliance with the specifications and 

work plans. 

Comments: 

None. 

Name 

JeffHubbard 

Name 

ECC Project Manager 

Title 

USAGE Con Rep 

Title 

(\ - IM - Q(g 

Date 

Date 
page 1 of. 

Z 

Omaha Lead Site 

Omaha, NE 

U.S Residential Yard Soils . Environmental Protection Agency Region VII 

Environmental Restoration 

Services 

PROPERTY ACCESS (to be completed by property owner) 

vor llanie ai 1-600-223-0425 

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (USAGE), Omaha 

District to conduct environmental restoration services for the Omaha Lead Site. USAGE Omaha is working with 

Environmental Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration 

services. Your cooperation is requested in giving EPA/USACE/ECC permission to access your property during the 

removal/restoration phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551­

7003 or the Office of External Programs, at 1-800-223-0425. 

Access Granted By A 0 

(Please Print Name) 

Property Owner Signature) ~ \ ) (Date) 

NOTE: Granting permission DOES NOT necessarily imply your property will be remediated at this time. 

PROPERTY INFORMATION 

(fo be completed by resident and'or properly owner • Please Print) 

Resident Name: owner LJ renter 

Residence Address: 1 fe 

(CITY) (STATE) (ZIP) 

Property Owned By: .)<•* '{p\~ 

Owners mailing address:_ JJ- ~7 

I * 

Owner's telephone number - Home:_ Work: 

Age of Home? J-i3=£—- years How long have you lived here? years 

Has the exteior been painted or covered with siding since 1978? D Yes No 

Has the interior been painted or covered since 1978? D Yes No 

Total number of occupants: List Ages: 

_ist ages of occupants under 6 years old who play in the yard for 5 or more hours per week:_ 

lomments: 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

The activities to be implemented by EPA under this agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to 

he property for in Section 104(e) of CERCLA, 42 U.S.C. 9604 (e), which provides entry for, "determining the need for response, or choosing or 

aking any response action under this title, or otherwise enforcing the provisions of this title." 

Access Attempts: 

First: Second: : Third: : 
pg-__of_ 

List of Existing Conditions 

Property Address: // DVD ID # 

Owner: Date: BVID# 

Ref: 

Photo 

# 

Description 

Owrjer Signature ECC 
CONTRACT # W912DQ-04-D-0017, T.O. DK03

 

Environmental Chemical Corporation 

Omaha US Army Corps Lead Remediation, Omaha, NE of Engineers 

Sample 

Type 

DE 

DE 

DE 

DE 

PX 

Analytical Results Summary 

BVID #27055 

1907N26St 

Quadran XRF Results t Depth Date Collected (ppm) (avg.) 

B1 14 9/20/2006 415

 

B2 14 9/20/2006 100

 

F1 14 9/20/2006 198

 

F2 14 9/20/2006 202 

EA-W 0 9/20/2006 250

 

Lab Results 

ppm (avg.) 

NA 

NA 

NA 

NA 

NA 

BVIDBVJD is a particular residential property ID from which the sample is collected. 

The sample type identifier (with sequential sample number for that location) as follows; 

PX = Pre-Excavation XRF sample 

PE = Pre-Excavation laboratory sample 

DE = During and Post Excavation 

Quadrant describes the sampling location (with sequential sample number for that location) as follows: 

Fl or F2 = Front Yard One or Front Yard Two 

B1 or B2 = Back Yard One or Back Yard Two 

DZ = Drip Zone 

GA = Garden 

PA = Play Area 

EA = Easement 

Depth describes the depth from which the sample was collected. 

- ppm= parts per million 
•2.7055

 

Name: %>obbi<£ T><tvts Omaha Lead Site Date: t/Sl/G*: North Arrow 

Address: fj07 A/'S-G &7 Site Sketch Time: 2.-' 3o n 

Phone: V02. V&l Q81^ 

Team /tfSs/' ^sylxn BVID# 3 7V?5~6

Sample Number Lead Concentration 

o f?yS££AX/4 ~ 2.70 5"5~ *• ^?*^ ^ ^^ / ^3V >d ^ *7 ^T ^5 C^£^ 7(5^/5 ^P01 

A f^ ^ Vl -'J ^^ t^F**\ C^* • ^ "^ ^^ 

1 a, I fl ^"^ 

ppm j pVD5^PX/\ - 270^5" 1 3 1 & 

— ppm 

6 -•""" PPm 

7 *" PPm 

 XRF Code /0$~7 S<yo^:i3^ 

Confirmation Sample 

ft Yes n No g^ 

f3 Yes n No &f 

>3/ Yes n No g\ 

/jj Yes tU No & 

N0 D 

B_ ._ .__ .„ ^.^ >— > 11 i— i 

\ ca 1— 1 No-'ta ' 

a 157 

Omaha Lead Site 46130 
Contract No. W912DQ-04-D-0017, Task Order DK01

 

Omaha Lead Site, Omaha, NE 

Property Closeout Agreement 

BVID Property Address 

Pn.pertyO^ner Is the Owner the Resident? D Yes No 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers 

(USAGE), Omaha District to conduct environmental restoration services for the Omaha Lead Site. 

USAGE Omaha is working with Environmental Chemical Corporation (ECC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPA/USACE/ECC permission to access your property during the 

removal/restoration phase is sincerely appreciated. This document certifies that all work performed at 

this property was completed in accordance with the contract specifications and EPA requirements. 

If you have questions or need additional information please contact Don Bahnke, EPA Project Manager, 

at (913) 551-7003 or the Office of External Programs at 1-800-223-0425. 

Additional Comments by USAGE and/or ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or ECC Project Manager 

Charles "Skip"Milton 

Name K , , Title Date Signature ,

.SK/p M:lU t>M 10 ~i(> -(}(<, JPb v I) 

PROPERTY OWNER SECTION 

This agreement documents the completion of remedial/restoration efforts at the property to my 

satisfaction. 

4sjp I agree that restoration is completed at my property, except as noted 

Comments (if applicable): 

Property Owner's Signature Date' 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Performance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: >-^ <-^ij ^\ 

Property Identifier Number: 

Property BVID Number: <^~ j VS^ 

I f "*"V"n *f L 'tiP 

Property Address: / 7 Cy7 /--A-gt^tjTrj^l <g :: 

Property Owner's Name: 

(above information to be filled out by remediation contractor prior to delivery of form to Property Owner) 

Instructions to Property Owner: 

This form is provided to you as a means of trying to capture your level of satisfaction 

with the work of the above-identified Remediation Contractor, as applicable to the soil cleanup 

action at your property. The U.S. Environmental Protection Agency (EPA) and the U.S. Army 

Corps of Engineers (USAGE) are very interested in your opinion regarding the work performed 

by our contractors. This form is intended to provide an easy means for you to express your 

opinion about the work performed on your property. 

Please indicate your level of satisfaction with the Contractor's work by selecting a 

numerical rating (ranging from 1 to 10) using the following rating scale, then please sign & date 

the form and return it to USAGE in the attached self-addressed & stamped envelope. (Additional 

comments may also be provided in the space provided, at the option of the property owner.) 

9-10 "excellent" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1 -2 "very poor" 

Property Owner's Satisfaction Rating regarding Contractor's Work 

10 ^ 5 

9 4 

8 3 

7 2 

6 1 

Additional Comments from Property Owner (optional; continue on back of page if needed 1 

Property Owner's SiCTature:^fo^L* Wt k^V^L Date: I $ I 
Property Check Lists QC 

Location ."0'> A/. 26'Uj 

BVID ZToS.S 

Dates °i / £& oc? S-J'i/dc^ v~e?£T'0£> 

Excavation check list XRF check list 

have easement map have easemet map (1) 

have site map have site map (3) . 

home .owner agreement easements sample 

line locator F1 samples 

access log F2 samples 

decon station B1 samples 

tape barricade B2 samples 

garden hose DZ samples 

reconstruction map for buildback AS-Built 

fences map corrected 

sod areas shots mapped 

mulch concrete mapped 

gravel trees marked 

notes LIP marked/noted 

name and date name 

date 

easement mapped 

window wells mapped 

ac mapped 

Log book up to date c

 

QC Notes 

Backfill check list 

reconstruction map 

positive drainage from house 

NO low spots 

NO Rake Gaps 

lawn even 

soil compacted 

sidewalk 1" cuts 

smooth transition from walks 

area free of debris 

fences repaired 

damage to property? 

damage list 

punchlist filed 1)0 
--

t<; » 4 27055 

Name: &obk>i£ T^qvts Omaha Lead Site Date: l/ft/as North Arrow 

Address: f^O 7 /V "S- £ &7 Site Sketch Time: 2-' "So 

Phone: f,72. t/Gl Q81*> 

Team X?6V tsX-xM BVID# ^> ?^>5~A~ XRF Code /(537 B&oK'. 131 

Sample Number Lead Concentration Confirmation Sample 

^VA^^XyA - Z7^$"5" ^/ Yes n No ^ ^a/5 PPm 

« RVKZ^pxA ~ 2.705"5~ ppm ^2 Yes O No ^ t RV C~<ZCP)tA " TrlO £~5~ lO^S

 ppm x3/ Yes tD NO ^ , £WSCf>X.A-'Z-lo5-S~ 1318 n ppm A2 Yes No Cs 

— ppm 

fi "" PPm — No i—1 

7 " I y 1 b — 1 rvo LJ 1— . PPm VLJ LJ I

a

 Wr>

 E7 

SEP 2 CIS 7 

f3l<9 

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Omaha Lead Site RlM 46130 
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r Name: &obot£ l^qvts, 

Address: 1^07 /</ ^ £ *7 

Phone: V0Z. VSV O87Z 

Omaha Lead Site 

Site Sketch 

Date:

Time:

 ?//l/6f 

 2-' 3e> 

North Arrow 

Team BVID# XRFCode 

-­ /0-Z7-OS' 

Sample Number Lead Concentration Confirmation Sample 

- 2.70 gy 

1318 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

/^X Yes 

^2 Yes 

XSX Yes 

/JJ Yes 

Yes

"Ytfb

'—' 

 *—> 

D 

No 

No 

No 

No 

'—' 

INO 

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