TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID #: 4D&7 0 Date: M /^anU ^ ^0B> 

Address: JliTfJ^. X<d^:^ SrTejtJr 

Remediation Contractor: Enyironmental Chemical Corporation Year: 2007 

lAG with USACE 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

D Video of property (DVD) 

^ Executive Summary 

D EPA-provided property sketch 

^ Signed Access Agreement for subject property 

D Signed Access Agreement(s) for adjacent property 

M Restoration Agreement 

D Settlement documents (i.e., for damage or to replace plants, etc.) 

W Confirmation data 

D Photographs 

K As-built sketch 30047921 

W Satisfactory restoration signed by Property Owner 

D Property close-out check list signed by EPA Superfund 

5/ Description of areas not meeting ROD cleanup criteria 

D Utility clearances 

D Property informationfi'om Douglas Coimty Assessor's Office 

D 

D 

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

Environmental Chemical Corporation "?.M 

Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

ECC Certification for Propertv Closeout 

OLSID 40870 Property Address 2592 Ida St 

Field Work Started 9/27/2007 Field Work Completed 10/10/2007 

Summary: 

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

• B2 excavation depth was 7 inches below ground surfaces. 

• Drip zone 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. 

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

work plans. 

Comments: Per owners' request: Rosebush (LIPl, 2'x 2', 419ppm) were left in place. 

^c ^ iV^y ECC OCM 

Name Title Date 

Jeff Hubbard USACE Con Rep 

Name Title Date Signature' 
o 

^O^IO 

Name: Uji'/l/nivi U>-»»-kc?>> Omaha Lead Site 

Address: Z.S?^ T2/c ^ . Site SIcetch i

North Phone: «:/ys- on H 

Team (2c, ( ^,^>'U^ OLS TM. XRF Code qTy ^ 

Quadrant Lead Concentration Date 

/o - (. -0- 7 Fl / ^ 3 ppm*!^ 

F2 17F _ppm5i^ 

Bl S/il jjpmMt 

B2 Vlff Jjpm Log Book 

DZ 1 1 " nc# _ppm i­

<»2. Jjpm 

HCi Jjpm 

Jjpm 

Omaha Lead Site 46904.783-01 
CONTRACT #W912DQ-04-D-0017, T.O. DK04 

•ECC M Environmental Chemical Corporation •i " 

Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

Analytical Results Summary 

OLS #40870 

2592 Ida St 

Quadrant 

DE 

DE 

DE 

DE 

Sample 

Type 

B2 

DZ 

EA-S 

LIP1 

Depth 

7 

12 

0 

0 

Date Collected 

10/6/2007 

10/6/2007 

10/6/2007 

10/6/2007 

XRF Results 

(ppm) (avg.) 

118 

176 

92 

419 

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; 

Fl or F2 = Front Yard One or Front Yard Two 

BI or B2 = Back Yard One or Back Yard Two 

DZ = Drip Zone 

OA = Garden 

PA = Play Area 

EA = Easement 

Depth describes the depth from which the sample was collected. 

ppm = parts per million 
page 1 of __ 

Omaha Lead Site 

Omaha. NE 

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

Environmental Restoration 

Services 

PROPERTY ACCES S ito be completed by property oi 

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 EPA/USACE/ECC permis^on 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 U) I LL I AM U/ATSahJ 

(Please Print Name) 

(Propert Property C"OWfiJjargpatuB)^^ > (Date) 

NOTE: Granting permission DOES NOT necessarily imply your property will be remediated at this time. 

PROPERTY INFORMATION 

(/ G^ piopvfty O-' 

Resident Name: Lt)\LL l A M liJP'TS( ) N 

Residence Address: aiS'frC i "XhA -^ T <^AV\/)//t^ /Y f 

(CITY) (STATE) (ZIP) 

Property Owned Bv: 0/9A) ^ 

Owners mailing address: 

[owner's telephone numljer - Home: HS'S' " (p l ^ ^ Work: 

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

Has the exteior been painted or covered with siding since 1978? D Yes D No 

Has the interior been painted or covered since 1978? D Yes n No 

Total numt>er of occupants:_ List Ages: 

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

Comments: 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

Tlie activities to t>e implemented by EPA under ttiis aigreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to 

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

laking any response action under this litle, or otherwae enforcing ttie provisions of tNs title.' 

Access Attempts: 

First: Second: Third:: 
pg_of. 

List of Existing Conditions 

Property Adciress: cOs-^A 2'i>/> :^7- DVD ID # 

Owner: LJiLLim {.)frrS(/A/ Date: ^-qt-O l BVID# HOZHO 

Ref: 

Photo Description 

# 

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-OP—r:^k ^ - ^ yj ^ 

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- ? . ?^pl^^., UJ(4VA ^ ^ ^2= QM ^^.<;T 9^^e 

JCL E t4ovJ^< 

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C .^--"^ JlvV/ y (-pArixc^ <^ 

OwnerSignature ECC / / ^/J?-j^Ji/.^­

Print&Sign ^- . Print SrSlg^ /^7> ^ 
Contract No. W912DQ-04-D-0017, Task Order DKOl 

Oinaha Lead Site, Omaha, NE 

Property Closeout Agreement 

BVID HOE n o Property Address ^LS''^^ :I:M STProperty Owner LOIU-IAM lOl^Sd) U Is the Owner the Resident? B^ s D No 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers 

(USACE), Omaha District to conduct envirormiental 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 EPAAJSACE/ECC permission to access your property during the 

removal/restoration phase is sincerely appreciated. This document certifies that dl 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 of Extemal Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or ECC Project Manager 

Charles "Skip"Milton 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction. 

ILJ 1 agree that restoration is completed at my property, except as noted 

Comments (if applicable): , ^ Ux.Lo^ 

t^WwxDVO^ v3fi>v\ X^^4 ^ • _j ^ , \ 

Vvpu^\ 

YOoktoy^-A I (-30-01 

ature Date 
Property Owner Satis&ction Survey Form 

Omaha Lead Superfimd Site 

Performance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: ECC L 

Property Identifier Number: 

Property BVID Number: HOE^ O 

Property Address: SLS^C X ZCA A ST ^ 

Property Owner's Name: U)iLufnv) u)/ii-soA/ I JmiiivTM 1/)z?-k^r^ 

(above infomiation to be filled out by remediation contractor prior to delivery of form to Property 0\wier) 

Instructions to Prooertv Owner: 

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

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 veiy interested in your opinion regarding the woric performnl 

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 die following rating scale, then please sign & date 

the form and retum it to USACE in the attached self-addressed & stamped envelope. (Additional 

comments m ^ also be provided in the space provided, at the option ofthe property owner.) 

9-10 "excellent" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1-2 "very poor" 

Propertv Owner's Satisfaction Rating regarding Contractor's Work 

10 5 

9 4 

8 y ^ 3 

7 2 

6 1 

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

^aMvAauuJ -by 4W, -U^JLIAS:^ .^^QJ^U ^ jWlt^CZ u:akAi>^^ 

Property Owner's Signature: )wd ^ |i)i/3//V l Date: iiUJol . 

-lKai^5t^%>^W^ CXSSL ^^KiL VNO^ vc«^^^.