• • 

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 26745 Property Address 2620 Decatur St 

Field Work Started 8/17/2007 Field Work Completed 8/18/2007 

Summary: 

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

• F I excavation depth was 5 inches below ground surfaces. 

• B I excavation depth was 8 inches below ground surfaces. 

• B2 excavation depth was 8 inches below ground surfaces. 

• Drip zone 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. 

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

work plans. 

Comments: None 

Name 

.sL ,-+I D".v.-J 

Title 

ECCQCM 9{ 

Date 

l'J/-O't ~-~ ~ 

leffHubbard USACE Con Rep II LJ. 10. .ji(J&w 

Name Title Date Sig a e 
.ONe. J-I-;'-:iq"­

• 

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2b20 

.De.o.rrll~.. 

DZ=:748 

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Owner Name: ...L.tI/Ie G. B.eck 

Address:1:Geo.....J:K:12a.iUL c5'1' 

Omaha Lead Site 

Site Sketch 

Phone:.-'!..:LW -e7S5.....:.. W::... ' _____ 

Exterio, Pain, 

o Good 

. fSVPoo, 

o Not paint 

Nortn NIOW 

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Quadra~ • 

FI 'n c), 

F2 

BI ~ ;nc.Ji 

B2 ~ ill c~ DZ 1- il!"­

EIlr-SotMh () j.,,,l, 

OLS FDA 

Lead Coqcentration 

Z. 'f ~pm 2e&. :pm* 

(10 ppm

z.(p I ppm 

178' ppm 

Z.(Il~ ppm 

ppm 

ppm 

ppm 

XRFCode 2-775 

Date 

<6/17/07 

LogBOOkp-/ 

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--------------- ---------------

page 1 of_ 


,:)(P?f{.sOmaha 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) 

Pa,a 'ec.!:w eS~il 'C''T'a (>n ~~~(l'1v ;:or ';:l\J:;:r 3r' e al1-Se::; 22: ~.j:::S 

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

UDistri,ct to conduct environmental restoration services for the Omaha lead Site. USACE Omaha is working with 

UEI1vilro"'m.~ntal Chemical Corporation (ECG) to remove lead contaminated soil and provide subsequent restoration 

HSE,rvilces. Your cooperation is requested in giving EPNUSACElECC permission to access your property during the 

Urelmoval,lref,toratic)n 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 

Name: &XLI..:£E &t:ck ED-owner o renter 

Address: ;Jfer)O DtCt1TU~ 5r 

Owned By: Sf}M( 

1I0wners mailing address: ___________________ _ ________ ___ _ 

nOvvne,"s telephone number - Home: 2 1(1{- J 2.s-s= Work: __________-jJ 

______years How long have you lived here? _____years 

the exteior been painted or covered with siding since 1978? 

the interior been painted or covered since 1978? 

[lj/Yes 

l\;Vves 

o No 

o No 

list Ages:.___________________-II 

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

actjyijjes to be implemented by EPA under this agreement are pursuant to Section 104 of CERClA, 42 U.S.C. 9604. EPA's right of acceS$ 

for in Sectoo 104(e) of CERCLA, 42 U.S.C. 9604 (e) . which provides enky for. "determining the need for response, or choosing or 

action under this · or otherwise the " of this title: 

First: __________ Second: : Third: : 
pg._of_ 

List of Existing Conditions 

Property Address: Q (p.).O I>PQ.f}-TtJ/1 DVD ID # _____ 


Owner: I-- I til e. &e c f Date: I) -a-o'2 BVID# ~ (gtz Yo 


Ref: 

Photo 

# 

Description 

No{IJ~ 

£NTt~ THev IJ/.-,)"l'f 

.4iiIiifIt.

.,. 

.ECC.

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

Environmental Chemical Corporation 1m 

Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

Analytical Results Summary 

OLS#26745 

2620 Decatur St 

Quadrant Sample 

Type 

Depth Date Colleded XRF Results 

(ppm) (avg.) 

DE F1 5 8/17/2007 249 

DE B1 8 8/17/2007 110 

DE B2 8 8/17/2007 261 

DE DZ 13 8/17/2007 178 

DE EA-S 0 8/17/2007 269 

SAMPLE 10· 

SAMPLE ID is a particular residential property 10 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 ::::E During and Post Excavation 


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

FI or F2 - Front Yard One or Front Yard Two 

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


Omaha Lead Site, Omaha, NE 


Property Closeout Agreement 


DVID Property Address I ;). (P,}.() DECit n}f?' 5 7 

Property Owner Is the Owner the Resident? [D..-yes 0 No 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Anny 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 A/USACElECC 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: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or 

Charles "n . 

ECC Project Manager 

f 

Name 

~.~..... b. ~AA' Title DTate 

\b l2.d'2..b1 

Stgn"'re 

{ -.Afl 

, , v 

PROPERTY OWNER SECTION 

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

satisfaction. 

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

Comments (if applicable): 

1>ro~rty Owner's Signature 

k 

Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBe) Pilot Project 

Remediation Contractor: __..r::.w."",,,C _ _ _ ____________

Property Identifier Number: ________ 

Property BVID Number: _...I:J.......fo'-..J-'--"lf,""s:_ _ _ 


Property Address: __...IJ~(p:J;;d.~<--..!.. J)JJ:..;"'·ll.-,--l(},-,e ..........).. STL-_ _ ____
 ___ 

Property Owner's Name: --l. =.!:::l... 1 L. J.; r. o.JlC:>....- _______ _ ___

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

Instructions to Property Owner: 

This form is provided to you as a means oftrying 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 very interested in your opinion regarding 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 \ to \0) 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-\ 0 "excellent" 


7-8 "very good" 


5-6 "acceptable" 


3-4 "poor" 


\-2 "very poor" 


Pro e ner's Satisfacti n Ratin ardin ntractor's Work 

\0 5 

9 4 

8 3 

7 2 

6 \ 

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

Property Owner's Signature: ,x~ ~ Date: _____