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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

,., 

.EC:C:.

ECC Certification for Property Closeout 

OLSID 25747 Property Address 1512 N 40th St 

Field Work Started 9/4/2007 Field Work Completed 9/6/2007 

Summary: 

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

• F1 excavation depth was 5 inches below ground surfaces. 

• F2 excavation depth was 3 inches below ground surfaces. 

• B2 excavation depth was 5 inches below ground surfaces. 

• Drip zone excavation depth was 12 inches below ground surfaces.. 

• Verification samples confinned 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 

ECCOCM o/J7!C:{ 

Title Date 

Jeff Hubbard USACE Con Rep W-).'-,iJ1 

Name Title Date Signature 
---

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Lead Concentration 

15~ ppm 

__,~OO ppm 

). :J. ; ppffillf. "0 ppm 

)00 ppm 

8b ppm _____......tppm 

_____--tppm 

ppm 

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Owner Name :e~h1tEt~f1I'iUf:;l~HiR .. -_-....._~ -

Addr't$s~ 1512 N 40 ST 

Phone: H: ~_~~?"" W; 

C. 01; Ids OLS_--LF~P....:....A,",-

Quadrant 

FI 5" 

F2 3" 

BI O·~

B2 ~I#'

DZ 12'" 

EA-E o~

Omaha lead Site
 

SIte S etch
 

Exteliot PainL 

25747 

00 GJPdO

.~oor

n N01 paint 

XRF Code 2 7 g 

Date 9t1fuz 

LogBook 

"#01 

t 

i 
page 1 of_ 

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Omaha lead Site 

Omaha, NE 

Residential Yard Soils
 

Environmental Restoration
 

Services
 

'.

U.S. Environmental Protection Agency Region VII 

PROPERTY ACCESS (to be completed by property owner) 

~ilra reC'Jlf es~a fcr~a en es,:a:-'i01 ::;O( favor Harne aJ i °80'J·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 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~

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

(Please Prinl Name) 

NOTE Grant' ., DOES NOT . " rt Wb d: t d tth' r . _________0 o~ ._.____ _ _ __ _._ __ _ , 

PROPERTY INFORMATION 

(to be completed by resident and'or property owner· Please P"nt) 

Resident Name: /JIJj)£,£..s"/I.) Downer ~r

Residence Address: /SIrJ. /I tit' $7: OM/}1h1- 11).., 

(CITY) (STATE) (ZIP) 

Property Owned By: "Tfllen k/tlflPP 

Owners mailing address: ptJ. ,8dX P,.j lit 0J11Ilff.4 Nt tR?IPb 

Owner's telephone number - Home: i'S-~ sf'?.s Work: 

Age of Home? ______years How long have you lived here? _____years 

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

Has the interior been painted or covered since 1978? ~s o No 

Total number of occupants:__..:.f__ List Ages: 

--------------------~

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 

IThe 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 l04(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 lhis title." 

Access Attempts:
 

First: Second: : Third: : _
 
pg._of_ 

List of Existing Conditions
 

Property Address: jS/tJ. If l./~ 71 S:rr DVD ID # _ 

Owner: TItRO /(It/Ope Date: 2-/s-tJ2 BVID# ()S- ') 'f? 

Ref: 

Photo Description 

# 

1) C~Ck fl9~kltV6 !-()'j h~l"/} f=tJe Dller - ~t:M(JV&

/}AJY rScJ/1... - Plitt.,.. OF ..&>..t. 

V &1.J-s.J.1

~J;;) P in S' n ) trb ~~~Si9rJA~~//Y'" ./7."p ,/" 

...-.--:: ........... i

Contract No. W912DQ-04-D-0017, Task Order DKOI
 

Omaha Lead Site, Omaha, NE
 

Property Closeout Agreement 

BVID Property Address ll'~Z¢" tJ (JS ?Lf'l '10 ST

Property Owner Is the Owner the Resident? DYes 2J....bW T 11Rn. k: lItA-pf
 

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 EPA1USACEIECC 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 ofExtemaI Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION
 

EeC Project Manager
 

Name Title Date Signature 

PROPERTY OWNER SECTION 

This agreement documents the completion ofremediallrestoration efforts at the property to my
 

satisfaction.
 

.~ragree that restoration is completed at my property, except as noted
 

Comments (if applicable):
 

) l\ r 

IX'" J:i~/?-00 Property Owner's Signature Datt' 
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site Perfonnanc~Based Contracting (PBC) Pilot Project 

Remediation Contractor: .... £~cc..::;....:!!:=::.- _

Property Identifier Number: _ 

Property BVID Number: _-,,~..c;...;...;;:.s~2_LJ~?__ 

Property Address: --'/,.~ __~-:.........l,- .....NL..:....-_J-j.r..=o::....-_.s_r _


Property Owner's Name: _T:~~,""",R~G"""--,-K",-,1./-....,,.e....... ?~e _
 (above infonnation to be filled out by remediation contractor prior to delivery of fonn 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. Army 

Corps ofEngineers (USACE) 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 ofsatisfaction with the Contractor's work by selecting a 

nwnerical 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 JL::J 5

9 4
 

8 3
 

7 2
 

6 1
 

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

(YU{~~~~~ cUe;{ fYQJZ 

~61VrL~. C\ 

Property Owner's Sigoature: f~~:/s4:=.1k') 
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

.EI:C.

... 

Analytical Results Summary 

OLS # 25747 

1512 N 40th St 

Quadrant Sample Depth XRF Results Date Collected 

Type (ppm) (avg.) 

DE F1 5 9/4/2007 159 I DE \:') 3 9/4/2007 100 

DE R') 5 9/4/2007 110 I 

DE DZ I 12 9/4/2007 100 I 

DE EA-E 0 I 9/4/2007 86 I 

I I 

SAMPLE 10-

SAMPLE 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 descnbes the sampling location (with sequential sample number for that location) as follows; 

FI or F2· Front Yard One or Front Yard Two 

BI 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