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 30225 Property Address 2871 Wirt St 

Field Work Started 10/10/2007 Field Work Completed 10/20/2007 

Summary: 

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

• B I excavation depth was 12 inches below ground surfaces. 

• Verification samples confirmed that cleanup standards were rriet. 

• 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 

5 1 ..·H i)...,.;.1 ECCQCM 

Name Title 

Jeff Hubbard USACE Con Rep 

Name Title 

I{- / $ -,,1 

Date 
Imin~ID nmIII~lIl1m 30225 


Owner Name: FRANCIS E THOMASET Al 

Address: 2B71 WIRT ST 

Phone: H; 402·451-4466 VI; 

Omaha Lead Site 

Site Sketch 

Exterior Paint 

o Good 

OPoo< 

~rpa nt 

NOIUI ","ow 

.' 

l 

,

, 

~'. 

Team _..L..:-=::::...n>:....::.::Wh:::.:..:..__ OLS FPA 

Quadrant

FI_ _ ____ 

F2._ _ ~~--

Bl 12 //

B2_____ 

DZEA-: :'""'N-r-'O""""'d--

GZ 0" 

Lead Concentration 

I9 ,,2. ppm *' 

Iqk? ppm ~ 

t'ZZ :pm 

7Lpm '" __.,..,...,..---,ppm __.L! 1I....!,7__ppm 

___.3""OCL'_-lppm ;f ____--Ippm 

pm 

XRF Code :2775 

Date 

10/11/07 

-"'3--' •• - • •_ .... -_.... ~ - - I '\,II K . ,I!:f" ", "'" I - Ioo'D"'''' ..._......- _. ... 


All quadrants are as violYOd from the itfetlt. facing JKoperty
 :' .... : -,.- -;-. , - ': ... .. ;" .. ': ... . ':' ... ' : .... ': .... .: .. -.' : .. .. ': , .- .-;- -. . ': -. _ .. 

. , · .ENTERED : · 

, .. ... .'... ... : . ... .: . .... 372. 

.. .. ,.... 0.J.-:. . . 

...;...r.;..... ;..... : :3t)t: 

',KJ' ... .. ... . .:...... :.... . 

.z8~ w.;r:a:f 

. 

' .. ,.....:..s'~ 'i '7 mas'.. : ,.......,~,......,............,..,...;------,~=-+ 

• •• •• •t • ••• • : __ • • • :- • •• •• : • • - •• ~ . .... .. ... .. ~ ..... .. ...
 . . . . 


· . . 
 • • ••• \ •• • • • '\. •• ••• ~ • ••• • t •• • _ . · ~ . ... . ~ . . - .. . .... \ ..... · . . . . · ' . . 

· . ~ ... .. ~ .... .: ... .. ~ ... . . ·····: · ·· ··1·····: ·· ·· ·; ···· · 

· . · . • • • • _ 1 •• • • , ; .•••• ; ••• •• ; •• • • • : ~ . .. .. .....: ... .. : .... . . ... ..;.'1-'f$r. ... ;... ..;.. .. ~ ..... ; . . . .. : . .. ..: . · . . .

. 


:.. .. .. ;..~.If?r:... ;..... 
 ... .. ~ . .. ..: ..... : .. ...:.... . . . ...;.. ·ar"[ .....;..... · . . , 

~ .. ...... .. .. 1, • • ••• '. ••••• ..... .. .. '. ........ ...
 ..... : . .. . . ; .. ...; .. ... : .. ... . . · . . · . . · . . · . . · . . • • • •• ; • •• •• •• 6 • •• ; •• • •• ! •••.• : t •• •• • ,; . . ... . : ' .. . .. : • • •• , ...;"'1";'" ..;.. .. . · . 

· . . · . . 


~, . . .. ~ ..... ~ .. .. . ~ . .. .. .. .; .... .; ..... ; .....
 .. . .. ; .... .:.... ...; .... ,; ... .. . 


: : : r 


! .. . .. : .. . .. : . . . . ; . . .. . . . . . :; .. ... ; .... . : . . . {'Ito· .. .....;... ..:.... .:.... ....... i)tU)j-\ ~. FL . .. . ~ ..... : ... .. .. . ~ .. . . , . . .. ' , , . . .. . .. \ .. .. . ..... , .; ... .. : 


· . . .' ''''i : : : : . . : : 

· . . . : ®: lti!}::r-:@!: --:- \M-N6r+h : . . 't ~, t • • • • 1 ••••• ~ • •• , • '.•.••• ~ •••• • '• • •• •• 1 •• • •• '. ••••• : ••• , • '••••• • ~ •• ••••••• • • : • . • . • ~ IJ.!60H I.OI21 
--------------------------------------------------------------------------------------

page 1 of_ 

j'O~S

u.s. Environmental Protection Agency Region VII 

Omaha Lead Site 

Omaha,NE 

Residential Yard Soils 

Environmental Restoration 

Services 

PROPERTY ACCESS (to be completed by property owner) 

~a:a 'cC;.tH cs'", 'e'Ta en es;::a'101 t:Cl' :avo' nan t:; al .·50J 223-"::425 

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 (ECG) 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

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

Property Access Granted By 

(Please Print Name) 

.

NOTE G t" ., DOES NOT 1 . . . rt 11 b d· t d tth· t" -

PROPERTY INFORMATION 

(to be completed by reSident and or property owner - Please Print) 

Resident Name:___-"-V.I.,8,.,c"'IJl.LLN!L.LT_....I.."""'O....Tc-___ [B-owner o renter 

Residence Address: ___d:::....>8'L....!'7C!..I_ -""W",-,-,U"'-L9T--,cS",-,-1""__ (CITY) (STATE) (ZIP) 

Property Owned By:_ .....Fc..Rc..L8uJ},....C1"-"'S__L'-'-IM<-"'-LI'I1"'II-"->-S"---______ _________ 

Owners mailing address: tf"flft2 (M/t1,fr $ r 

Owner's telephone number - Home: '{Sf- 4'f1p6 Work: ----------------------il 

~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:.______________________________________-l 

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

Comments: 

It>.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 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, or choosing or 

aking any response action under this title, or otherwise enforcing the provisions of this title: 

Access Attempts: 

'lMJjJ~ First: __________ Second: : _________ Third:: (P/~- Sd-I.sl 
pg._of_ 

List of Existing Conditions 

Property Ad dress: _..I::cJ!i.!:J'c!......Ll'J1_&!:::I.!""J.ca~d..;/--.£.A.;I~.,-- ___ DVDID# _____ 

Owner: r~~ BVID# S()Ms:

Ref: 

Photo 

# 

Description 

i\[)~b ~ I/~- _ -. ..a~ ~>- 1/ ../J.... J.J r~ jtl.A~A/.D /'rn...

c7 7 ,. ,/ 

~\ P~A~ 
Contract No. W912DQ-04-D-0017, Task Order DKOI 


Omaha Lead Site, Omaha, NE 


Property Closeout Agreement 


BVID --?o~ J.<S"" Property Address I ()"F ~ I tU /!J, ' ~r 

Property Owner RI) rlf TH oIYIft s. Is the Owner the Resident? DYes ClJ...1«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. 

US ACE Omaha is.working with Environmental Chemical Corporation (ECC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EP AlUSACEIECC 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 ofremedial/restoration efforts at the property to my 

satisfaction. 

/' 

.CU/'l-agree that restoration is completed at my property, except as noted 

Comments (if applicable): 

,X" \--2 JL ~ . 

.J ,i, 

Property'Dwner's Signature ' Date 1:Z - 1...2 -0 7 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Performance-Based Contracting (PBC) Pilot Projed 

Remediation Contrador: __-'[I<:..lo.c,c~ . "'-______________ _

Property Identifier Number: ________ 

Property BVID Number: --""-'() J. J.:...=____ 

Property Address: ___...,f).<.:..II..&"-'2C1.1_-"Wl<.!..!. 1f( .... TL-....c,s::...!.... T_________ 

Property Owner's Name: _--I./?:..!..l!.. VTL.ulf_-J.T.....H- ""-p c.M'-L17<..;-S==-________ 

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

Instructions to Property Owner: 

Ibis 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 of Engineers (USACE) are very interested in your opinion regarding the work perfonned 

by our contractors. Ibis 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 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 fonn and retum it to US ACE 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 5 


9 4 


8 3 


7 2 


6 1 


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

' ld~~ ~ ~q~ ~ 

Property Owner's Signature: e~ -;,w Date: 

..I 
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 #30225 

2871 Wirt St 

Sample 

Type 

Quadrant Depth Date Collected XRF Results 

(ppm) (avg.) 

DE 81 12 10/11/2007 322 

DE EA-N 0 10/11/2007 117 

SAMPLE 10-

SAMPLE 10 is a particular residential properly ID from which the sample IS collected. 

TIle sample lype Identifier (with sequential sample number for that location) as follows; 


PX = Pre-Excavation XRF sample 


DE - Dunng and POSI Excavation 


Quadrant descnbt~:s the samphng location (with sequenl1al sample number for that location) as follows: 

FI or F2 · Front YDrd One or Front Yard Two 


131 or 02 - Oack Yard One or Back Yard Two 


DZ - Drip Zone 


GA :::E Garden 


PA " Play Area 


EA .2!- Easement 


Depth desCribes the depth from which the sample was collected 

ppm = paris per million 
ECC 


OWNER CHANGE REQUEST . FORM 


t 

.PROPERTY ADDRESS_'=:'-:.J<<3~7LI~JJ=-tL!.d...l...-___--'-____ 

OWNER NAME f<,vtl...1boi-?<''i I :fI'M*""'} f~QV>."; . 

CHANGES REQUESTED: 

$300 otten."} f'~r ~~ /0-';') of' ,I...rts qwr/ i1~~J,/e~ qt ZfJ71 W/r-t 

S.,...,,,-t J..d~ iolfll 07 ~: 00 .A.A 

,4<t:q.ft)OI!l(, or 1300, uC Is r.r .r.~fl ''is,.t't,,,,~.* ~" f(o,ltlle /os+. 

OWNER SIGNATUREl ' Q./Zd::t< :::r-~ 

ACTION TAKEN: 

SUPERVISOR INITIAL ___