OLSID 29593 Property Address 2629N/ St 

Field Work Started 10/412007 Field Work Completed 10/412007 

Summary: 

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

• B2 excavation depth was 13 inches below ground surfaces. 

• Verification samples confinned 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 

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

Environmental Chemical Corporation 

Omaha Lead Remediation; Omaha, NE US Anny Corps 

of Engineers 

ECC Certification for Property Closeout 

/ 

Name 

S,-uN !2.;..,,v 

Title 

ECCQCM / 

Date 

II&O.J. ~ -~ 

Name 

Jeff Hubbard 

Title 

USACE Con Rep 

Date 

1I / ,;Wl ;;V
lml l~ 111lB IIIIID I~ lUI 29593 


OWner Name: ______ S BRUNKEN ___ _ M 

Address: 2629 N 15 ST 

Omaha Lead Site 

Site Sketch 

Phone:!'.:..3..!1~ -111~ ---= --:'_____..._ 

Exterior Paint 

o Good 

o Poor 

!Zf Not paint 

North Arrow 

Team r.~.L~' o!.!!l/~e~ . ___ OLS_..L.J<UL_ __XRF Code Z77,,5"

Quadrant Lead Concentration Date A.I 

Fl:_ _ ____ ttl, ppm ;# IfJY/(lZ 

F2.___ ___ Z9t ppm~ 

Bl__~-- 137 ppm,( 


B2 \3" W ppm LogBook 

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page 1 of_ 

c!).CfSys 

Omaha Lead Site 

Omaha,NE 

Residential Yard Soils 


Environmental Restoration 


Services 


U.S. Environmental Protection Agency Region VII 

• PROPERTY ACCESS (to be completed by property owner) 

;::J,~ _':~ ~~,,'C:: "c10S;:<'(, ~J '<.J,C:' l'__ ' _L"': 

Environmental Protection Agency (EPA) has contracted \he U.S. Army Corps of Engineers (USACE), Omaha 

lIOi"II;'" to conduct environmental restoration services for the Omaha Lead Site. USACE Omaha is working w~h 

\lEnvirorlmenllal Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration 

Your cooperation is requested in giving EPAIUSACEJECC permission to access your property during the 

lIremc)val/relstc"al.ion phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551· 

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

Property Access Granted By 

(P5ease Print Name) 

IResident Name: V!J.C/Wr /...()T W owner o renter 

DResideince Address: d. (P Iiq N Is S.T 

IIPr<>Dertv Owned By: S8/JI>IM 8 RVUk.£.tV 


IIOwners mailing address:---'01""-'52.... ~"-.;,?:....-...LN-"----..l./,""'0'-'=ST<.L._----"O<..l./I1~tl!hIltJUL...__'M.!.<&:!It._.>!:(p,"'8J"''II.'"()~____


I Ov,"e,"s telephone number • Home:-f,k"-~3"-Lr....:s=:.......L-J.LIj.L'i'7L_ ___ Work: --------------~I 

______years How long have you lived here? _____years 

the exteior been painted or covered with siding since 1978? DYes o No 

the interior been painted or covered since 1978? DYes o No 

number of occupants: 
_ _ ___ List Ages:___________________-11

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


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 

pro"",ty 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 

action under , or otherwise . the . i of this title." 

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


Omaha Lead Site, Omaha, NE 


Property Closeout Ar;reement 


BVID d1sc Property Address ls I AhJ-9 N IS S F 

Property Owner Is the Owner the Resident? DYes UJ....t.W 5t1NbM ~~vf{/<€f\) 

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 EP AlUSACElECC 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. 

Ifyou 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 . 


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


Comments (if applicable): 


~ A -fA -<J gA ","" .A{, , '" 

IX"7n~/ hi -' 5 ~~. /LA...?,?A /:?- - /;:L - ~CJC7 > 

Properly Owner's Signature DatI" 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnanc:e-Dased Contradln& (PDC) Pilot Projed 

Remediation Contrador: __...:£::::..:C::::..:c.=-_______________ 

Property Identifier Number: ________ 

Property DViD Number: ~ <[Sf..r 

Property Address: (). &.;).1 N IS- ~ T 

Property Owner's Name: --=::..:..< J9""''-" tJ IJ'-"~""I4"__...::4'~.(l..:;.:..: /IJ""'...."_''O'''__ ________ 

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

Instruc:tions to Property Owner: 

This fonn is provided to you as a means oftrying to capture your level of satisfac:tion 

with the work ofthe above-identified Remediation Contrac:tor, 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 vel)' 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 perfonned on your property. 

Please indicate your level ofsatisfaction with the Contrac:tor's work by selecting a 

numerical rating (ranging from I to 10) using the following rating scale, then please sign & date 

the fonn and retum it to USACE in the attac:hed self-addressed & stamped envelope. (Additional 

comments may also be provided in the space provided, at the option of the property owner.) 

very good" 

5-6 "acceptable" 

3-4 "poor" 

1-2 "very poor" 

Property Owner's Satisfadlon Rating mardin, Contractor's Work 

10 5 

9 4 

8 3 

7 2 

6 1 

Additional Comments from Property Owner (optional; c:ontinue on back of page ifneeded) 

Property Owner's Signature: KK z:;;;~ Date: 

•

/::L- - /.:L- .....cf 7­

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#29S93 

2629 N ISth St 

Quadrant Sample 

Type 

Depth Date Collected XRF Results 

(ppm) (avg.) 

DE 82 13 10/4/2007 48 

DE II EA-W 0 10/4/2007 19 

II I 

II I 

II II I 

II II I 

I 

I 

SAMPLEID· 

SAMPLE ID is a particular residentiaJ property ID from which the sample is collected. 

The sample type identifier (with sequential sample number for that location) as fol1ows ~ 

PX = Pre-Excavation XRF sample 


DE = During and Post Excavation 


Quadrant describes the sampling location (with sequential sample number for that location) as follows; 

Fl or F2 = Front Yard One or Front Yard Two 

Bl 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