CONTRACT # W912DQ-04-D-0017, T.O. DK04 r:P'S':'Il 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 30575 Property Address 2201 Spencer St 

Field Work Started 10/3/2007 Field Work Completed 10/3/2007 

Summary: 

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

• F I excavation depth was 5 inches below ground surfaces. 

• F2 excavation depth was 5 inches below ground surfaces. 

• B2 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 

5~ c-H j).JfV:,J ECCQCM 01 NO'J C ':}­

Name Title Date 

Jeff Hubbard 

Name 

USACE Con Rep 

Title DateIII (:Xk) 

i 
1 

1II1111Wd100100 III flrl 30575
 

Omaha Exteri~r Pai'l NOJthArrow Owner. ame: rAARLA MWY lead Site o GOOd Addre$$~ Site Sketch 2201 SPENCER ST '" o Poor Phone- H: lJoZ c?r w: q{P'}(p @"Not paint 

Team T;lRve 

Quadrant 

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Lead Concentration 

.?rtI ppm-* 

€

37 ppm 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

OLS # 30575 

2201 Spencer St 

Sample Quadrant 

Type 

DE I F2 

I DE II 82 I 

DE I EA-N 

DE I EA:Mr 

DE I F1 

I
 

I
 

Depth 

0 

a 

5 

Date Collected XRF Results 

(ppm) (avg.) 

H 9/28/2007 37 

9/28/2007 150 

9/28/2007 I 209 I 

9/28/2007 I 308 I 

9/28/2007 I 217 I 

SAMPLE ID IS a particular rcsidelllial property ID from which the sample IS collected. 

The sample type identllier (with sequential sample number for that localion) as follows; 

PX = Pre-Excavation XRfo sample 

DE =During and Post Excavation 

Quadrant describes the sampling location (with sequential sample numher for lhat locallon) as follows, 

FI or F2 = Front Yard One or Fronl Yard Two 

BI or 132 =Back Yard One or l3ack Yard Two 

DZ'" Drip Zone 

GA = Garden 

PA = Play Area 

EA =Easement 

Depth describes the depth from which lhe sample was collected 

ppm =pariS per million 
----------- ----------- -----------

page 1 of_ 

30S~SOmaha 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) 

;':.' _ =- " ~. : : - . '+: '''';:' •. _ _ _' • _ • .-~ : ;. ~. r.'- _..:..: :,,::'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 wort<ing with 

Environmental Chemical Corporation (ECG) 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

(Date) 

(Please Print Na 

Property Access Granted By 

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

geofHome? ______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 D No 

olal number of occupants:, _ 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 aetlvibes 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 

e 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 an response actIon under thIS title. or otherwise enforcing the provisions of this title," 

Access Attempts:'
 

First: Second: : Third: :
 
pg._of_ 

List of Existing Conditions 

Property Address: ~l.,=.;~----:~f-Uo""-'--'L..-.:=~ _ DVD 10 # 3D575 

Date: BVID# ............~"'-'-.......__
 

Ref: 

Photo 

# 

ECC 

Print & Sign 

Description 

Owner Signature 

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

Omaha Lead Site, Omaha, NE
 

Pronerty Closeout Agreement 

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

Comments (if applicable): 

Proper~ Owner's SCgntrhlre U Datl" 

BVID Property Address I :J..J-tJ , sfJ€

C€It 

Property Owner fh L~ vil{ AJ AJ Is the Owner the Resident? 0 Yes IiJ-N'O 

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 EPNUSACElECC 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 

ECC Project Manager 

Name Title Date Signature

PROPERTY OWNER SECTION 

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

satisfaction. 
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Sunrey Form 

Omaha Lead Superfund Site 

Perfonnance-Dased Contrading (PDC) Pilot Projed 

Remediation Contrador: 

--"1'--......."""------------------


Property Identifier Number: _ 

Property OVID Number: IS OS'7..s: 

Property Address: .blOt.:s eErA} k,Et:. 

Property Owner's Name: InMU'l W LIAJ A) 

(above infonnation to be filled out by remediation contractor prior to delivery of fonn 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 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 I 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 Contrador's Work 

10 

9 

8 

5
 

4
 

3
 

7 2
 

6 1 

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

Property Owner's Signature: Date: IJ.--OS-()?