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CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

ml 

us Army Corps 

of Engineers 

.EI:C:. 

ECC Certification for Property Closeout 

OLSID 30057 Property Address 1626 Locust St 

Field Work Started 8/3/2007 Field Work Completed 8/17/2007 

Summary: 

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

• F1 excavation depth was 8 inches below ground surfaces. 

• F2 excavation depth was 8 inches below ground surfaces. 

• 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. 

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

work plans. 

Comments: None 

ECCQCM IcJ/~/() '1 .. I 

Title Date 

Name 

Jeff Hubbard 

Title 

USACE Can Rep 

Date 

[o/II/til ~-Signature 
•• 

3OO5? 

North Arrow 

Address: Site Sketch Time: 

Phone: 

Name: Omaha Lead Site Date: 

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'Omaha Lead Site 46130 
page 1 of_ 

Omaha Lead Site 

Omaha, NE 

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

Environmental Restoration 

Services 

PROPERTY ACCESS (to be completed by property owner) 

Para ree.:)I: Es:a fc:~"a en es;:a...... ,J1 ;:;0: favor bJrne 31 1-600-223·(;425 

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

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

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

services. Your cooperation is requested in giving EPAlUSACElECC permission to access yo~r 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. l 

(' 

Property Access Granted By II .r 

?... -()? 

(Dale) L • , 1 . NOTE G t • ~_~__ ~_~f DOES NOT 0________ rt '/1 be ed' t _d lth' f _ 

PROPERTY INFORMATION 

(to be completed by reSident and'or properly owner' Please Print) 

Resident Name: Nl:hJ LIFE CIIf$cH OJ': GO/) ~ner o renter 

Residence Address: /Wfo I..OCVST s..,­

(CITY) (STATE) (ZIP) 

Property Owned By:_--=S. .......... 'f)u.",.<!.E'(~ _ 

Owners mailing address: __ 

Owner's telephone number - Home: Lf()<9. ~:f 'IS lJs..1':J. Work:------------i1 

iAge of Home? Vflcf}rVT /-()r years How long have you lived here? _____years

Has the exteior been painted or covered with siding since 1978? DYes o No 

Has the interior been painted or covered since 19787 DYes o No 

Total number of occupants: _ List Ages:---------------------il 

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

Comments: 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

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

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

aking any response action under this title, Of' olherwise enforcing lhe provisions of this title." 

Access Attempts:
 

First Second: : Third: : _
 
pg._of_ 

List of Existing Conditions
 

Property Address: OVO 10 # 3:f:D51 

BVID# 9IDSL
 

Ref:
 

Photo
 

# 

Description 

Owner Signature ECC 

Print & Sign Print & Sign 
Contract No. W912DQ-04-D-0017, Taste Order DKOI
 

Omaha Lead Site, Omaha, NE
 

Pronertv Closeout Agreement 

DVID 3Ct1,i7 Property Address I /r;;J.{£j /-()CU-s. " ~I

Property Owner Is the Owner the Resident? DYes t'J.-t;tO 1AJew f../f£ Clh)fc If 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) has contracted the u.s. Army Corps ofEngineers 

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

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

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPA/USACEIECC 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. 

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

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

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION
 

Prashant Khanna or ECC Project Manager 

Charles "Skip"Milton 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction. 

.­

.u;:l.-/ragree that restoration is completed at my property,'except as noted 

Comments (if applicable): 

Xr~A~i:l /J ~1A~ 1.f2..-(~ :tY7

,. 

Pr~eriyOwner's Signature- Date / 
Property Owner Satisfaction Snnrey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: -~===----------------

Property Identifier Number: _ 

Property BVID Number: 3 O"S 'J 

Property Address: &cJ bLoCuS T S r 

Property Owner's Name: N{w LIFE CHtJPC# of G-tJ.b 

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

Instructions to Property Owner: 

This fonn is provided to you as a means oftrying to capture your level ofsatisfaction 

with the work ofthe 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. Anny 

Corps ofEngineers (USACE) are very interested in your opinion regarding the work perfonned 

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

opinion about the work perfonned on your property. 

Please indicate your level ofsatisfaction 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 USACE 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 

9 

/ 5 

4 

8 3 

7 2 

6 1 

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

Property Owner's Signature: ;CCCu 2(",)tUM Date: r

II- It-, R7
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

mJ 

us Anny Corps 

of Engineers 

.Et:t:.

,., 

Analytical Results Summary 

OLS # 30057 

1626 Locust St 

Quadrant Sample XRF Results I~pth I Date Collected 

Type (ppm) (avg.) 

: DE F2 I 8 I 8/3/2007 274

DE F1 8 8/3/2007 96 

PX EA-S 0 8/3/2007 174

I II II , 

SAMPLEIDSAMPLE ID 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
 

DE '" During and Post Excavation
 

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

FI or F2 '" front Yard One or Front Yard Two 

81 or 82 '" 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