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&- CONTRACT # W912DQ-04-D-0017, T.O. DK02 -

EzssZz- Environmental Chemical Corporation ~ECCHG- Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

ECC Certification for Property Closeout 

BVID 35216 Property Address 2016 Fowler Ave 

Field Work Started 07/18/2006 Field Work Completed 07/26/2006 

Summary: 

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

0 B2 excavation depth varied from 4 to 6 inches below ground surface. 

0 Drip Zone excavation depth varied from 12 to 14 inches below ground surface. 

0 Verification samples confirmed that cleanup standards were met. 

0 The site was backfilled with material which meets the contract specifications. 

0 The backfill was compacted to acceptable standards. 

0 Sod placement and site restoration were conducted in compliance with the specifications and 

work plans. 

Comments: 

None. 

Skip Milton ECC Proiect Manager 7-1 ~i-ob bh \-J,J. 

Name Title Date Si ture R 

Jeff Hubbard USACE Con Rep 9-
1 -a l

Name Title Date 

page 1 of -

Omaha Lead Site 

Omaha, NE 

U.S. Environmental Protection Agency Region VII Residential Yard Soils 

Environmental Restoration 

Services 

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 EPNUSACEIECC 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. 
 I 

perty Access Granted By 

Resident Name 

Residence Address: 

IIProperty Owned By: 11 

Owners mailing address: 

Owner's telephone number - Home: 

ge of Home? years How long have you lived here? 

exteior been painted or covered with siding since 1978? 

interior been painted or covered since 1978? Wyes NO 

number of occupants: 4 

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

The activities to be implemented by €PA under this agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to 

the properly 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 

taking any response action under this fiUe, or ofherwise enforcing the provisions of this title." il 

Access Attempts: 

First: Second: : Third: : 
Contract No. W912DQ-04-D-0017, Task Order DKOl 


Omaha Lead Site, Omaha, NE 


Pro~ertv Closeout Apreement 

ha is working with Environmental Chemical Corporation (ECC) to remove lead 

soil and provide subsequent restoration services. 

omments (if applicable): 
Property Owner Satisfaction Survey Form 

Omaha Lead Superhd Site 

Pedomance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: ~CC 

Property Identifier Number: 

Property BVID Number: 3 L[A 

Property Address: 22?/& &&- byProperty Owner's Name: <Z& 

(above information to be faed out by remediation contractor prior to delivery of form to Property Owner) .............................................................................. 


Instructions to Propertv Owner: 

This form is provided to you as a means of trying to capture your level of satisfaction 

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 @PA) and the U.S. Army 

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

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 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 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" 

Prouertv Owner's Satisfaction Rating repardinp Contractor's Work 

Additional Comments from Propertv Owner (optional; continue on back of pape if needed1 

Property Owner's Signature' 
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--- CONTRACT # W912DQ-04-D-0017,T.O. DK02 -

IECCM Environmental Chemical Corporation -=z- -= 

- Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

BVID #35216 

2016 Fowler Ave 

BVID-


- BVID is a particular residential property ID from wliich the sample is collected. 

-	 The sample type identifier (with sequential sample number for that location) as follows; 

PX = Pre-Excavation XRF sample 

PE = Pre-Excavation laboratory 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 

B1 or B2 =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