CONTRACT # W912DQ-04-0-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

.Et:t:•

.. 

ECC Certification for Property Closeout 

OLSID 29248 Property Address 2517 Corby St 

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

Summary: 

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

• F1 excavation depth was 5 inches below ground surfaces. 

• F2 excavation depth was 11 inches below ground surfaces. 

• Verification samples confinued 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 

ECCOCM 

Name Title 

Jeff Hubbard USACE Con Rep 

Name Title 

LD<d5-e7 

Date 
29248
 

Owner Name: MARLA M WYNN 

Address: 2517 CORBY ST 

Phone:~\=%JJow~'-

Omaha Lead Site 

Site Sketch 

Exterior Paint 

o Good 

o Poor 

ifNotpainl 

North Arrow 

Team __..L-~=~'==-----

OLs__A~?2.....:;.'R-,--__ XRF Code,_-=e~7ZIl:::o_5~_

LogBoo~ L

Lead Concentration Date

1/1 ppm 

J!(J'I ppm 

~50 ppm~

/!6/ ppm+ __---",........,...__-'ppm 

_---l~~~~_----'ppm

_____---Jppm 

_____---'ppm 

ppm 

Quadrant 

Fl 5" 

F2 U'· 

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B2, _ 

DZ lU,)."",~ ..~~

Ph~-()I( Ic{zsltJ "f­

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y 

r ••••••••••• , _ ••••••••••••~R.~~rant-s ate'as viewed from the s1reet. fa -"'9 property * · . . ., I -~ :..'. 

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. . .........:..;.......,:..:..:-:..~;:,..;. • .;!..,'';;''':'~''':''':'''''''-''': _ • • • • • • • • • • 046141,012.1 

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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 

_Eec.

.. 

Analytical Results Summary 

OLS #29248 

2517 Corby St 

Quadrant Sample Depth

Type 

I DE F1 5 

DE F	 11 

DE EA-$A. 0 

I 

I 

I 

I 

II
 

II
 

II 

XRF Results Date Collected (ppm) (avg.) 

12007 117	 I

9/20/2007 204	 I 

9/20/2007 86	 I 

I 

I 

I 

I 

I 

SAMPLE 10-

SAMPLE ID is a particular residential property 10 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 

81 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_ 

e!). CfJ ¥~

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) 

::-21'2 ',':~.~ t=~::l '~. ~~J -:;:1 ~2'S;(: ~c ~~~. '2J,JC'; Jr~~t:j ;·~c·:; ::22 .:~:~

. • 

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 

ervices. Your cooperation is requested in giving EPAlUSACElECC permission to access your property during the 

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

. U03 or the Office of External Programs. at 1-800-223-0425. 

Property Access Granted By 

./ . OTE G f DOE$NOT rt '/1 be (j,' t d tth' f , - -' _-_' , -. _ . - - - - -- J 

PROPERTY INFORMATION 

(to be completed by reSident and or property owner· Please Pflnt) 

Resident Name: VltCPtNT Lo r Xowner o renter 

Residence Address: 

Properly Owned By: 

.:5"-, ? 

IhM Lit 

e.tYO& r s: r 

telYAJIJ 

(CITY) (STATE) (ZIP) 

Owners mailing address: (p(J.1{ y RElY/> S T 

Owner's telephone number - Home: Wr-rIPS? Work: -------------11 

Age ______years of Home? 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
 

Irotal number of occupants:.~ _ List Ages: -------------~---_n

List ag.~s of occupants under 6 years old who play in the yard for 5 or more hours per week: _ 

Comme.n~;

~UTH0Rr;tV FOR ENVIRONMENTAL RESPONSE ACTIONS 

[tJe al;bvilii:s (6 be implemented by EPA under this agreemenl are pursuant 10 Seellon 104 or CERCLA. 42 U.S.C. 9604. EPA's righ1 of access to 

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

aktng any response actIon under this tille, or othelWise enforcing the provisions of Ihls Iltle." 

Access Attempts:
 

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

List of Existing Conditions 

Property Address: ;)5 11 Ctx bl4 'Qt, 

Date: q1& /07

r I 

Ref:
 

Photo
 

# 

Description 

Nonp 

Owner Signature ECC 

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

Omaha Lead Site, Omaha, NE
 

ProQertI Closeout Agreement 

BVID Property Address 1 ::J..q~4Y? - ,!L~/'J Co/2/( 'f 

(]....NO Property Owner Is the Owner the Resident? DYes '/vi A /(J LA tAl 'I AI iii 

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 EPA1USACEIECC 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
 

ECe Project Manager
 

Name Title Date Signature

PROPERTY OWNER SECTION 

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

satisfaction.
 

ragree that restoration is completed at my property, except as noted
 

Comments (if applicable):
 

/' 

-

:Kh'~CfJI1J!laA A~ Propt~lI Owner's Signaturr(j Date

/,).- OS-0 I) 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: _--+~...---,c.==:::...JC _

Property Identifier Number: _ 

Property BVID Number: _--l.,;iI::;.....(,,~..J-lojI-__ 

Property Address: :..::J:..;:S:=:...L.I-'2_C-=O;.,a,f...RI.....oI...Y_-s:I-T'-- _ 

Property Owner's Name: .. _.....L..tnL...l.'.aIJ.R._,.Qbll;Lj.....~WU!l_-'r~I,jx"gM'- ........ _
 

(above infonnation to be filled out by remediation contractor prior to delivery offonn to Property Owner) ••••••••••••••*••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Instnlcdons to Property Owner: 

This fonn 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 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 ofthe 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 or page irneeded)