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


Environmental Chemical Corporation 


Omaha Lead Remediation, Omaha, NE 
 US Anny Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 34371 Property Address 3342 Ames Ave 

Field Work Started 9/2012007 Field Work Completed 9/20/2007 

Summary: 

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

• F2 excavation depth was 3 inches below ground surfaces. 

• 82 excavation depth was 5 inches below ground surfaces. 

• Drip zone excavation depth was 13 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. 

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

work plans. 

Comments: None 

Sc..i+ OJ,v,J ECCOCM IDb-i L0+ • Name Title Date 

leff Hubbard USACE Con ReI! I ~ ,t 7 ur~~ Name Title Date Signature 
i 

• __•• ••_ •••c ...._ ••' _ _______ ___ _ 

•• VI'.~ ..........,......... ­

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I~IIII m~ 11111 m~ 1II 1111111 3417r 

Mn~r' D' N Omaha Lead Site ame: SANDRA KLASOVtCH _..~ ---- .- , Site Sketch Address: 3342 AMES AV 

., L-_	 _ 

Phone:.!'.:..q5~F~rlrw: :~~:, ". ""_

Ext~ Paln t 

(j" Good 

o Poor f o Not paint 

Team 7:Uite.. OLS £Y/A XRF Code L??.:5 

Quadrant 

Fl . 

Lead Concentration 

/j17 ppm ~ 

Date 

fk~7 F2 :J' 

Bl 

B2 5" 

DZ /3/1 

£;1­u 

M ~pm 

pm+­

if ~~: Log Book 

g 

So""t. S..A>/'D/L~4 3. ppm 

ppm 

ppm 

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Omaha Lead Site 	 46130 
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

OLS#34371 

3342 Ames Ave 

Quadrant Sample 

Type 

Depth Date Collected XRF Results 

(ppm) (avg.) 

DE II F2 3 9/19/2007 74 

DE II B2 5 9/19/2007 127 

DE II DZ I 13 I 9/19/2007 188 

I DE II EA-H'SII 0 I 9/19/2007 91 

I I 

I I 

SAMPLE ID· 

SAMPLE ID is a particular residentiaJ property ID from which the sample is collected. 

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


PX EI' Pre-Excavation XRF 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 

BI 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 

page 1 of_ 

S,/.sf)1 

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) 

;:::3 a 'ec.tw es:a fc'~'a en es;:a;,ol ;=:or 'avor I Jr..,2 ;:;11-6::::;·223 ~t.25 

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

lin;...,,,, to conduct environmental restoration services for the Omaha lead Site. USACE Omaha is working with 

IIElnviror.m,enl:al Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration 

Your cooperation is requested in giving EPAIUSACElECC permission to aocess your property during the 

IIremelval/re,sto,ration phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551­

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

Property Ac,~e,.s-G:ratllted By s 

IIResident Name: SIJIJMM U9S0V/(!.H @--Owner o renter 


IIReside,nce Address: 33'1..2 8ME.5 ltv 


IIPrcmArtv Owned By:_-'S=..t8:.r...:.cf)!"'£.."'=-_____________________ 


II01Nn,ersmailing address:----;---c:::-;.,-_____________==;-_______ _ _ _ 


IIOwller's telephone numbe~~:._L.J{S, _=..!'_-..LI_'9 '__"ZL..!'8 "'______ ht:'~: jJ'::''-2~~-"--=-="--___-I1 

______years How long have you lived here? 
 _____years

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


the interior been painted or covered since 1978? DYes o No 


number of occupants: ___ _ _ list 


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


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 

Dro'DerIY 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 

action under this I .. 

First: __________ Second:: ___________ Third:: ___________ 
pg._of_ 

list of Existing Conditions 


Property Address: 33'1.id &!Yle:$ av DVD ID # _____ 

Owner: SIll/DRO J.OSOV/CH Date: r-/.J-CJ? BVID# JI-/3 71 

Ref: 


Photo 


# 

Description 

/) N()#~ 

~~n#e(/) ECC ~ (,/.)-3c1IS

Pri~, Print&Si ' i~./(j#~ t7 / 
Contract No. W912DQ-04-D-0017, Task Order DKOI 


Omaha Lead Site, Omaha, NE 


Property Closeout Agreement 


DVID Sl/3 PI Property Address I ..?3¥0I. IfMt:S /ft/ 

Property Owner SnAJ6ifl /..t1sme.Jf Is the Owner the Resident? ~es 0 No 

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 EP AlUSACElECC 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 Dahnke, EPA Project Manager, 

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

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or 

Charles "Skip"Milton 

ECC Project Manager 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction. 

V-I agree that restoration is completed at my property, except as noted 

Comments (if applicable): 

/J r/7 

X- LA f ~A'd"L I/-()?-o '7 

JifOperty Ownei's'Signature Date 
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Dased Contractin& (PDC) Pilot Project 

Remediation Contractor: _~.,.E,,",CC~~_______________ 

Property Identifier Number: ________ 

Pro)lerty DVID Number: __:s..::::.....i'-3~'l'-'I'--_ 

Property Address: _----"3"-''5==----<t-'''c1'''----'If.CLL:.M...t~St:._.L<,4wtl'____________ 

Pro)lerty Owner's N_: S IJIID~d j, jfStN'{CH 

(above information to be filled out by remediation COIl\I1lCtor 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. Army 

Corps of Engineers (USACE) are vel)' 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 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 fonn and retum 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.) 

10 "excellent" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1-2 "very poor" 

Property Owner's Satisfaction Rating mardin!! Contractor's Work 

10 5 

9 4 

8 3 

7 2 

6 1 

Additional ComDlents from Property Owner (optional; continue on back of page If needed) 

Date: _____