ti8h 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

mJ 

us Army Corps 

of Engineers 

.., 

.Eet:•

ECC Certification for Property Closeout 

OLSID 28023 Property Address 2621 Grant 8t 

Field Work Started 8/10/2007 Field Work Completed 8/20/2007 

Summary: 

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

• Fl excavation depth was 4 inches below ground surfaces. 

• F2 excavation depth was 4 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: None 

S<-v{4 I)""",,,,, ECCOCM ;1)/4/IQ ''1- M~ Name Title Date Signature 

Jeff Hubbard USACE Con Rep joAJ /rrJ • I 

Name Title Date 19nature 
~.-~-------.--- ---_..,----- ---_. --_._--~~~ .~------_.~~

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t 

2$02.3 

r- Name: 6 er!'la.,.,q h19r~IJo Address: .u;;...j <:8;9";,)" OS7 

Omaha Lead Site 

Site Sketch 

Date: 

Time: 

.,/(s/ds 

11:£0 

North Arrow 

Phone: 

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F2 Y 

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_____--Ippm 

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______Jppm 

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ppm 

Date 

81tO/07 

LogBook 

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Omaha Lead Site 46130 
aa. .ECC. 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

., 

Analytical Results Summary 

Sample ID # 28023 

2621 Grant St 

Sample Quadrant Depth 

Type 

I DE 

I DE :ffi

I DE EA 0 

I 

I 

I II 

Date Collected 

8/10/2007 

8/10/2007 

8/10/2007 

I 

I 

II 

XRF Results 

(ppm) (avg.) 

I 64 I 

I 85 I 

I 127 I 

II I 

II I 

II I 

Sample IDSample 10 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
 

PE "" Pre-Excavation laboratory sample
 

DE = 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 

81 or 82· Back Yard One or Back Yard Two 

OZ Drip Zone 

GA=Garden 

PA = Play Area 

EA = Easement 

Depth describes the depth from which the sample was collected. 

ppm =parts per million 
Page I 01 _ 

Omaha Lead Site 

Omaha, NE 

U.S. Environmental Protection Agency Region VII 

Residential Yard Soils 

Environmental Restoration 

Services 

1'1\( )j'I.I{ 1"\ .\CCI S\ (I,) I',' (I'mpktcd 11: l'IOlll'J'1: (h\ 11,'11
 

I'~II"I J'l','lbll C'(,I 1'11111l'll"P.lllI11 pOI 1;1\(\1 iI.ll11c.iI I-S()()-=2~-IJ,L~:,
 

Grantor (the property owner), consents to and authorizes the United Sates Environmental Protection Agency (USEPA) 

or its authorized representatives (or its contractors), the Grantee, to enter and perfonn certain environmental response 

activities upon the following described premises. For further infonnation please contact EPA at 1-800-223-0425. 

Property Access Granted By B£~N/J Rf) HORf;;LI-O 

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

I'!WI'I R I') 1'\ lOR \ 1\ 110'\ 

(to Ih' CUlll pkkd 11: I c'ldcII! .Ilhl ('I plllpCI I: (1\\ I1CI l)k~I'c 1'1 illt) 

Resident Name: V/tell- N ., /..Or CJ Owner CJ Renter 

Residence Address: ;),,~ ( GRaNT 5 T Nf 

(STATE) (ZIP) 

Property owned by: lUI? AIdA.!> Ma;t/.LO 

(CITY) 

Owners mailing address: II¥I ? /tickCJe.r I> 

Owner's telephone number-Home: IfdJ -..r"IJ- '" M~ l> Work: _ 

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

Has the exterior been painted or covered with siding since 1978 DYES o NO 

Has the interior been painted or covered since 1978? DYES o NO 

Total number ofoccupants: _ List Ages: _ 

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

Comments: _ 

AUTHORJTY FOR ENVIORNMENTAL RESPONSE ACTIONS 

The activities to be implemented by EPA under this agreement are pursuant to Section 104 ofCERCLA, 42 V.S,c. 9604. EPA's right of access to the 

property for in Section 100(e) ofCERCLA, 42 V,S,c. 9604 (e), which provides entry for, "delennining the need for response, or choosing or taking 

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

Access Attempts: 

First: Second: Third: _ 
pg._of_ 

List of Existing Conditions
 

Property Address: Qto'J \ Gro..n -t- DVD 10 # cQ KC)(). 3 

Owner: 6ocD0X'd tDore.llo Date:~ BVID# c1 KOJ--,]

Ref:
 

Photo
 

# 

Description 

Owner Signature ECC 

Print & Sign Print & Sign 
Contract No. W912DQ-04-D-0017, Task Order DKOI
 

Omaha Lead Site, Omaha, NE
 

Property Closeout Agreement 

Date 

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

Comments (if applicable): 

Prashar James D. Garcia ECC Project lager 

Charle~

Name Superintendant 

DVID Property Address 

Property Owner Is the Owner the Resident? 0 Yes 

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 (BCC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPA1USACEIECC 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: 

CONT,R ACTOR CF.RTlFIC'ATION 

PROPERTY OWNE
 

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

satisfaction.