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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

ECC Certification for })roperty Closeout 

OLSID 29190 Property Address 2713 N 261h St 

Field Work Started 10/5/2007 Field Work Completed 10/10/2007 

Summary: 

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

• B1 excavation depth was 5 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. 

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

Comments: None 

~J:v.J ECCQCM ~~cJor

Name Title Date 

Jeff Hubbard USACE Con Rep 11- J 3-d/ 

Name Title Date 
-------

29190
 

Oma Exterior Paint North Arrow Owner Name: MARLA MWYN .a Lead Site o Good Site Sketch Address: 2713 N 26 Sf o Poor NA 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

.Eec:. 

'" 

Analytical Results Summary 

OLS#29190 

2713 N 26th St 

Depth IQuad,.., ISample 

Type 

I DE I 81 5 

I 

I 

I 

I 

II 

I II IB' I I 

I I 

I I 

I II II II 

I II II II 

XRF Results Date Collected (ppm) (avg.) 

10/6/2007 111

I 

I 

II I 

I I 

I 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 describes 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 
page 1 of_ 

,;>.. CI/ CftJ 

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) 

;:-ZJ;~ '''':'::.:,)' CS:d '~f"'_~ e,::1 ':5;:Z::"C, .:~. ·Zl'.'C· ..... r:t. : E::.' :2:: ':'~:J

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 EPAIUSACElECC permission to access your property during the 

removallrestoration phase. For further information please contact Don Bahnke. EPA Project Manager at (913) 551­

7003 or the Office of Extemal Programs, at 1-800-223-0425. 

Property Access Granted By 

(Date) 

OTE G 1 . ! r • • DOES NOT . •• • rt 1/ b d' ted tth' r . 

PROPERTY INFORMATION 

(to be completed by rrsldent and or property owner· PleDse Pflnl) 

Resident Name:JIA~nAJ, LtJr X,owner o renter 

Residence Address: .:; ?/s N J" S'l: (J/u'thll11 

(CITY) (STATE) (ZIP) 

Property Owned By: roM LA W "INfI) 

Owners mailing address: bJ.lf1 R£IH> ST tJlrJlJ~ AIL 

Owner's telephone number - Home: fP3cr- r6S' Work: _~ -11 

, ~ge 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 

, Total 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 

trhe actlvities 10 be implemented by EPA under thiS agreement are pursuant to SeclJon 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, Q( chOOSing or 

~aklllg any response action under this llUe, or othel'Wlse enforcing the Dl'ovisions of Ihis tItle." 

Access Attempts:
 

First: _ Second: ; - Third: : _
 

I 
--

pg._of_ 

List of Existing Conditions
 

Property Address: ~7/3 N. 9.fp 36 DVDID# cJ9/9D 

Owner: ..I:.....I...-~~oa",....-~~.LL...I<--- Date: qjIJJ;o7 BVID# c2 2, 90

Ref:
 

Photo
 

# 

Description 

Owner Signature ECC 

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

Omaha Lead Site, Omaha, NE
 

Property Closeout Agreement 

BVID Property Address I :l q I ro ,.2 IIf. ? N j(o..s.,­

Property Owner Is the Owner the Resident? DYes a NO rn f} ~J--I] Wi/IIJj 

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. 

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
 

ECC Project Manager
 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction.
 

. T agree that restoration is completed at my property, except as noted
 

Comments (if applicable):
 

/ 

Im~A$~~A -

Properly Owner's Signature {/ Datt' 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: _---llI£-.Jo,C..::L~ _ 

Property Identifier Number: _ 

Property OVID Number: :J-r/9'tJ 

Property Address: p1 ?l:? N ¥a Sr 

Property Owner's Name: WORLh \N %" VAl 

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

••••••••••***••••••••••••••••**•••••*.**•••••*••••••**•••***.*****.**••••***** 

Instructions to Property Owner: 

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

with the work of the 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 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 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: Date: _