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 29382 Property Address 2615 N 15th Ave 

Field Work Started 9/20/2007 Field Work Completed 9/24/2007 

Summary: 

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

• B2 excavation depth was 12 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 

ECCOCM 'Qho.~1- Title Date 

Jeff Hubbard USACE Con Rep ll-).-{}

Name Title Date 
... -------- .. . -, _. 

1111111111111111111111111111111 /III 29382 

Owner Name: STEVE J HUBER 

Address: 2615 N 15AV 

Phone: H: 402-451-5153 

Omaha lead Site 

Site Sketch 

w; Sf0 - f(J;S If 

Exterior Paint 

o Good 

o Poor 

rv:rNot oaint 

North Arrow 

Team -R ll)esnOD . OLS EJ)A= XRF Code 3J.H!b

Quadrant Lead Concentration 

FI. _ 2./if ppm~ F2.	 _ t!175 ppJ1l>1i Bl	 _ 0(70 pp~

B2 101 ~~ ppm LogBook 

DZ '	 _____-'ppm #,:2 _____-'ppm 

_____-'ppm 

_____-"ppm 

ppm 

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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) 

D3ra (ec.bl~ Es:a ·C'"11? en est=ancl cor ~avor Ham.; al i·BOD·22J-':'42S 

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 EPNUSACElECC permission to access your property during the 

removal/restoration phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551­

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

Property Access Granted By 

(Please Print Name) 

I 

! Resident Name:---"S..........TL......>oo!;<..:II .....{_ JV...:.....:;.,V.... W.....£-.L:e.o.....----\:l,---L----'O:::;..-:.T....,,)<-- ~ner o renter


Residence Address:_=~:...I(p~1S ---=N-=---'I-"s:~L...It<-.:V'-- __ (STATE) (ZIP)
 

Property Owned By:._--==S=-T.L......>o£_V.=.....a..E--'II'-L-IotJ"-"~....I:""'"-L.te.:...­ _


: Owners mailing address: _ 

I Owner's telephone number - Home:__'i...L.:::S:::=....LI_----=:S:::...LI.:..5"'--='.s~ __ 

geofHome? ______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: _ 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 10 Section 104 ofCERCLA, 42 U.S.C. 9604. EPA's right of access to 

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

aking any response action under this title, Of otherwise enforcing the provisions of this title." 

Access Attempts:
 

First: Second: : Third: :
 
pg._of_ 

List of Existing Conditions
 

Property Address: ~(P15 ~.j~ A:...L...Y _ DVD ID # ~93 gJ-


Owner: diM. Date: 8!31/()'] BVID# a938~
 

Ref: 

Photo 

# 

Description 

Owner Signature ECC 

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

.,

.EI::I::. 

Omaha 

Environmental 

Lead Remediation, 

Chemical Corporation 

Omaha, NE us 

m

Army Corps 

of Engineers 

Analytical Results Summary 

OLS #29382 

2615 N 15th Ave 

Quadrant Sample I~pth Date Collected I Type 

DE 82 12 I 9/21/2007

II II 

I II II 

I I II 

I II 

I II 

I 

II I II I 

XRF Results 

(ppm) (avg.) 

236 

I 

I 

I 

I 

I 

I 

I 

SAMPLE IDSAMPLE 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; 

F1 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 
Contract No. W912DQ-04-D-0017, Task Order DKOI
 

Omaha Lead Site, Omaha, NE
 

Property Closeout Agreement 

BVID 

Property Owner 

Property Address 

Is the Owner the Resident? DYes ~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 (ECC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPA1USACElECC 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 ofExtemal Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

L.o+ 

CONTRACTOR CERTIFICATION 

Prashant Khanna or EeC Project Manager 

Charles "Ski "Milton 

NameJ Hel\ ~~uV'"er

PROPERTY OWNER SECTION 

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

satisfaction. 

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

ents (if applicable): 

Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Performance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: J_L_L. _ 

Property Identifier Number: _ 

Property BVID Number: "2, 9_3_~-=--2- _ 

Property Address: ZLLIS AJ I'5 t Ave VI ()e 

Property Owner's Name: SfeveVl Iiube V'"' 

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

****************************************************************************** 

Instructions to Property Owner: 

This fonn is provided to you as a means of trying 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. Anny 

Corps of Engineers (USACE) are very interested in your opinion regarding the work performed 

by our contractors. This fonn is intended to provide an easy means for you to express your 

opinion about the work perfonned on your property. 

Please indicate your level of satisfaction 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 fonn 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 I
 

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

Property Owner's Signature:· Date: