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 30064 Property Address 1614 Locust St 

Field Work Started 8/1/2007 Field Work Completed 8/17/2007 

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. 

• B1 excavation depth was 4 inches below ground surfaces. 

• B2 excavation depth was 4 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. 

• Site restoration was conducted in compliance with the specifications and work plans. 

Comments: None 

~<{+ b~,J~ ECCOCM 10&./() 1­ , Name Title Date 

Jeff Hubbard USACE Con Rep ]OIl/1m 

Name Title Date Signature 
( 

30064 · .. L,i "'t<:.~ ..... ,,~ F-


Owner Name: Et'h9f;h'E (:\i~SONS-li" . ...-.- Address: 614 LOCUST ST
 

Phone: H; 0 Z ~~ W: ({3~,
 t 

Team FBr()(.U,v OLS FD	 1HS6£i~1E5 XRF Code 

Quadrant Lead Concentration Date 

Fl 5 ,'t0uJ 2.72 ppm B-2-20=>+-

F2 3 irJCH 1'10 ppm 

Bl 'I iblClJ 2.15: ppm 

B2' y	 ppm LogBook "JCJ./	 J 3 Z. 

DZ	 ppm ~LEASEMef\J+ 185	 ppm
 

ppm
 

ppm
 

ppm
 

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Omaha Lead Site 46130 
page 1 of_ 

StJtJW 

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) 

Pai3 re~.~:)lf e$:2l ~C(:Ila en es~a;lvj :::or !avcr li'::W1t? 31 i-SOO 223 C4~5

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

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

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

services. Your cooperation is requested in giving EPAIUSACEJECC 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 1-600-223-0425. 

Properly Access Granted By 

(Please Print Name) 

(Date) 

NOTE G 1 . ____________ f ~_~ ~_ DOES 

- - NOT ._. rt 1/ b eel' t d tlh' t' .__ - - I 

PROPERTY INFORMATION 

(to be completed by resIdent and'or property owner· Please Print) 

Resident Name: NEW J..IP€ CHURCH of GOb ~ner o renter 

Residence Address: /6/1{ Lac...!)sr Si OMIJ/I/i Ne.. 

(CITY) (STATE) (ZIP) 

Property Owned By:_--=5~8t-/-L./YJ~€ _ 

Owners mailing address: _ 

Owner's telephone number - Home: liM 

= 

­ 3..1(6­- 1(3.5-.2 Work: ------------il 

IAge of Home? VIfC.lt..NT I- Or 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 1978? DYes o No 

Total number of occupants:_~ _ list Ages:---------------------41 

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 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, Of otherwise enforcing the prOVISions of Ihis ti1le." 

Access Attempts:
 

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

List of Existing Conditions
 

Property Address: DVD ID # :::IJ::Xp Y 

Owner: 1leJA2J...i£e,Cburt:bQf Date: '11~ 0'] BVID# 2ccxo~ &JO 

Ref: 

Photo 

# 

Description 

Owner Signature ECC 

Print & Sign Print & Sign 
---

Contract No. W912DQ·04·D-0017, Tasle Order DKOI
 

Omaha Lead Site, Omaha, NE
 

PronertY Closeout Agreement
 

DVID SO(} (; 'I Property Address I _/~ II{ IJJC'l/ST lfi -

Property Owner Is the Owner the Resident? DYes ~1)

AJ~w I..JFF C#IJR.C II 

Compliance Statement: 

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

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

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

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPAlUSACEIECC 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 ofExternal 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 of remedial/restoration efforts at the property to my 

satisfaction. 

Iil-/"ragree that restoration is completed at my property, except as noted 

Comments (if applicable): 

X/'tD 0(i)/I~;;A , 

102 -/t1 tff7-

Property (Jwner's""Signature Date 
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnan~Oased Contracting (POC) Pilot Project 

_--Io"'-=~ _ Remediation Contractor: £cc 

Property Identifier Number: _ 

Property OVID Number: --.;:s~a-'::.O...LI&~·..Lr _ 

Property Address: _~Jt;:;.l"/~'i&....-~L=tJ~C-=tJ5=...£.r_=S:....I&....- _ 

Property Owner's Name: ...I.M.LJ£~lsJ,---=L:aJlI.l-P...loE~C.o::::.l·If[,£..":...11R~C;:.Ljltl.--l()..:.IFi..........:G""';""'....IIt;:2.... 2b,-- _
 

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

Instnlctions 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 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 1to 10) using the following rating scale, then please sign & date 

the fonn 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 "vel)' good"
 

5-6 "acceptable"
 

3-4 "poor" 

1-2 "vel)' 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 ifneeded) 

Property Owner's Signature: >(L.ei<..R([)IJ A.2:A Date: J4 - /~ - (/J 1 
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

Sample ID # 30064 

1614 Locust St 

Sample Quadrant Depth 

Type 

I DE F1 6 

I DE F2 4 

I DE 81 5 

I DE 82 5 

I PX EA 0 

I 

Date Collected 

8/2/2007 

8/2/2007 I 

8/2/2007 I 

8/2/2007 I 

8/2/2007 I 

I 

XRF Results 

(ppm) (avg.) 

L.IL. 

190 

215 

133 

185 

Sample 10-

Sample ID is a panicular 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; 

F1or F2 • Front Yard One or Front Yard Two 

BI or 92 Back Yard One or Back Yard Two 

DZ DripZone 

GA = Garden 

PA = Play Area 

EA - Easement 

Depth describes the depth from which the sample was collected. 

ppm = parts per million