CONTRACT # W912DQ~04~D·0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 29245 Property Address 2519 Corby St 

Field Work Started 9/24/2007 Field Work Completed 9/26/2007 

Summary: 

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

• F1 excavation depth was 13 inches below ground surfaces. 

• F2 excavation depth was 13 inches below ground surfaces. 

• B1 excavation depth was 13 inches below ground surfaces. 

• B2 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 

cdtbvrJ~ ECCOCM IO/rlel- .. ) ,,.,. •.r~--­ , Name Title 

, 

Date 

Jeff Hubbard USACE Con Rep JD-lS-cl 

Name Title Date 
29245 

exterior Paillt North A~row Owner Name: MARLA MWYNN Omaha lead SUe
 

Addftlss:2519 CORBY Site Sketch
 ST
 

Phone:_H_= w_; _
 ~:... Team =r: L..4l1e OLS_....I-...'~ XRFCode ~175

Quadrant Lead Concentration 

FI 1.3" 

F2 13"7:",,--­ ttl ~~:
 Bl Ik" ~/q ppm
 

B2 13" Z5lo ppm LogBook


DZ __-=-","~_---<ppm 2 EIt=---"'~~~""""--"""'O~''''''­-.-..ZI0 ppm _____-"ppm 

_____-"ppm 

ppm 

toJ;:l'!lfI::'IU. r I =: I'" ront !..ert, l""~ =f ron Right, 81 Back. Left, B2 = ~aeK Krgm u..:. - Ul11-' ,"Vll"'......... - .....~I ..Cjj, r" L - I"'~)'

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.ECC:. if1iIA

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

..,. 

Analytical Results Summary 

OLS#29245 

2519 Corby 

XRF Results Date Collected (ppm) (avg.) 

I DE II F1 II 13 11'=9===/2==2/==20==07===11======:"3=9==11 

I DE 

I 81

II F2 II 13 I 9/22/2007 761 

I DE 13 9/22/2007 719 

DE 13 9/22/2007 756 

DE =O~=ll==9=/2=2=/2= 216 

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 XR.F 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 

Bl or B2 - Back Yard One or Back Yard Two 

DZ = Drip Zone 

OA-Oarden 

PA Play Area 

EA .. Easement 

Depth describes the depth from which the sample was collected 

ppm" parts per million 
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) 

::-:l'(~ '·:,:.~'r E~:u '':;'l':: ~n ..::s;(~·~:. :;0' 'i:vc' '...: r ~.;:. ~·c:: :.:....: :.~:. . 

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

. District to conduct environmental restoration services for the Omaha Lead Site. USACE Omaha is wof1cing 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 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. 

Property Access Granted By 

:JJ)o7 

(Date) 

NOTE G f .. DOES NOT ./ . . ,. rt 'f! b d' t d tlh' f 

PROPERTY INFORMATION 

(to be completed by reSIdent and or property owner· Please PrInt) 

Resident Name: LoT (]...".;yner o renter 

Residence Address: :;s/f COR&Y St: (}/VtILLMt IlJI£ 

(CITY) (STATE) (ZIP) 

Property Owned By: rnAPLn W'IAJAJ 

Owners mailing address: W Ifl{ REf}/) Sf O/)t,!HM Ali: 

I kflSJ. 

Owner's telephone number - Home: IP:51- 'f(;,S? Work: 

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

Has the exteior been painted or cove~ed with siding since 1978? DYes o No 

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

iTotal number of occupants:. _ list Ages:---------------------11 

Ust 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 tille. or otherwise enforcing the provisions of this title." 

Access Attempts:
 

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

List of Existing Conditions
 

Property Address: d519 OJ)(b'l st DVD ID # dC1 g 4 S-


Owner: Date: 9 JLP ID'1 BVID#.Q9 d '-I-s
 

Ref: 

Photo 

# 

Description 

Owner Signature ECC 

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

Omaha Lead Site, Omaha, NE
 

Pronerlv Closeout Agreement
 

BVID r!). 9J- IfS Property Address 1 ~/CJ C-ORJ? If Sf 

Property Owner rn Yi RLr:+ it) '1AJA.J Is the Owner the Resident? DYes .~(J

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/USACEIECe 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 

Eee Project Manager 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction. 

.W Tagree that restoration is completed at my property, except as noted 

Comments (if applicable): 

---J 

. 1k171l(lAfJA 11ft Jf~1~ /

Pro;I'" OJ 'Uwner's Signature (/ Date 

/d-OS--tJ ') 
Property Owner Satisfaction Sunrey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: _--&.oEo:-:::L=:-'""C _ 

Property Identifier Number: _ 

Property BVID Number: _......:l;=...l~~..:...- _ 

Property Address: >:j&l CafR r ,a r 

Property Owner's Name: meeL4 wrAL.1? 

(above infonnation to be filled out by remediation contractor prior to delivery of fonn 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 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 

numerical rating (ranging from 1to 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 5 

9 4 

8 3 

7 2 

6 1 

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

Property Owner's Signature: Date: _