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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

mJ 

us Army Corps 

of Engineers 

., 

.Eel:•

ECC Certification for Property Closeout 

OLSID 32736 Property Address 2572 Manderson St 

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

Summary: 

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

• B2 excavation depth was 5 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 

5""....+ b,},"",v 

Name 

ECCOCM 

Title 

16bO/o7 

Date 

Jeff Hubbard 

Name 

USACE Con Rep 

Title 

IJ/d./IJ7 

Date 
a,:iL 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

.ECC:. 

't'fD7 

Analytical Results Summary
 

OLS#32736
 

2572 Manderson St.
 

Quadrant Sample Depth Date Collected XRF Results 

Type (ppm) (avg.) 

DE 62 5 

~~~ 22 

DE EA-S 0 61 

I I 

I I 

I I 

SAMPLEIDSAMPLE ID is a panicular residential property to 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; 

Fl or F2 =Front Yard One or Front Yard Two 

B1or B2 = Back Yard One or Back Yard Two 

Dl= Drip Zone 

GA -Garden 

PA - Play Area 

EA Easement 

Depth describes the depth from which the sample was collected. 

ppm = pans per million 
----------- ----------- -----------

page 1 of_ 

:] r}. "136 

Omaha lead Site 

Omaha, NE 

Residential Yard Soils
 

Environmental Restoration
 

Services
 

U.S. Environmental Protection Agency Region VII 

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

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

Property Access Granted By 

. PROPERTY ACCESS (to be completed by property owner) 

i=la.a re-:,bli Esta krona en es;:a:1v l 80r favor! ar.\::: al '·60·J·223·''>~25

Resident Name: Vii cON T 1-0 r ~er o renter 

Residence Address: clS? f\1/tJ.//)£e. soN s r £., 

(STATE) (ZIP) 

Property Owned By: S'=-'-'O.......M'---'--'E. _ 

Owners mailing address: '8:1()~ $ £. B YBe £ Ii L Vl> PtJRrJ....8IJD. ) OR, 

Owner's telephone number - Home: I 5(),s -1)5'f - "19 .;lj Work:------------il 

geofHome? __.;..:N~IIL.:....._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 

otal number of occupants:_-----'--N'---LAO'----_ list Ages:---------------------11 

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

Comments: 

UTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

he activities to be implemented by EPA under this agreement are pursuant to Section 104 of CERCLA. 42 U.S.C. 9604. EPA's fight of access to 

he property tor in section 104(e) of CERCLA, 42 U.S.C. 9604 (e). which provides enlfy for. "determining the need for response, or choosing 01" 

aking any response action under this tille. 01" otherwise enforcing the provisions of this title." 

Access Attempts:
 

First Second: : Third: :
 
pg._of_ 

List of Existing Conditions
 

Property Address: cQSi a rY)andersrn Sf OVD 10 # 3d:J>--1J
 

Owner: -KCl5 a1JJer: Date: 'ijl'i5j07 BVID# ,5d,]3U
 

Ref:
 

Photo
 

# 

Description 

Owner Signature ECC 

Print &Sign Print & Sign 
-~pf( 2 :1 2006: , . ,r : -:".& .. ; ; _ .. 

........ :•• _ ••• ........ !. ... - 1 " 1 : .......... : ......... 

_ \_­ - -:.­ .. • I .. 

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. . . . 

• I •• _'.. •••• I....... .., ... 1 ..... 1. ",_4 _ .'...... _. 

, ". 

. .. __ ;1 .... ·._~_ .• ; .... 1I_; ........ 

1 ...... ;.~ __ .... ~1 ~. ";." .... : ..... __ ;" ...... 

.... . ;C.D~ ..... ..... . . . 

.... 

_., 

3/ 

.F:1. . 

32736 

Exterior Paint 

o Good 

o Poor 

B'Notp~nt

Omaha Le$d Site 

Site Sketch 

Jearn _L...:;.-=;.......;""""­_ OLS_-L-R-Llt...----XRF Code_~~/:.L..Z..... 'S~-

Quadrant 

F2 

Fl------­_ 

Bl B2---..s=II"..----

DZ~ _ 

£/1- Satr!l1 72,r 

Lead Concentration Datef~ _~:nt~~_-rppmjL

___2._~f':Z-_~pprn;;V­

_.&.6...u.e~---fppmt­ LogBook _ .....2.=2.=-_-'"ppm 

__.....".....__-I"ppm 

_....(jI~"LJ-I-.:.--lppm

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ppm 

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

Omaha Lead Site, Omaha, NE
 

DVID Property Address seJ.'}s 6 I ..1..5'1),..1 rna)//)FI2ScJ/\ 

Property Owner kRIS ml'-.Lt"j( Is the Owner the Resident? DYes IY---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 (BCC) to remove lead
 

contaminated soil and provide subsequent restoration services.
 

Your cooperation in giving EPA/USACElECC pennission 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.
 

Ifyou have questions or need additional information please contact Don Bahnke, 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 ECC Project Manager 

Charles "Skip"Milton 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction. 

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

Comments (if applicable): 

)(/?~. U (cftl-­ jVW: 2.-01 

,~erty Owner's Signature Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: __I3=....;C::::....lloC_' _ 

Property Identifier Number: _ 

Property BVID Number: .3.) ').5 b 

Property Address: .2s7c2 tnli/fJbf/.?stJAJ 

Property Owner's Name: kRIS ml LI-ER 

(above infonnation to be filled out by remediation contractor prior to deliveJ)' 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 ofEngineers (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 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 "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) 

P....perty Owner', Signatore: i-J. '(~ Date: ~; U lJ;..7

7