CONTRACT # W912DQ-04-D-0017, T.O. DK03 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

ECC Certification for Property Closeout 

BVID 30047 Property Address 18 12 Locust Si 

Field Work Started 07/17/2006 Field Work Completed 07/28/2006 

Summary: 

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

• Fl excavation depth varied from 2 to 4 inches below ground surface. 

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

• 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. 

Skip Milton ECC Project Manager 

Name Title Date 

JeffHubbard USAGE Con Rep in -\o~o t 

Name Title Date Si 
Asft//// T•• fff i

Name: |*le.l\Aa fjer&S.e-k- Omaha Lead Site Date: D^ -• \ o *- 03 North Arrow -

Address: V3 \3. Lon^y- fiV Site Sketch Time: V^', iZOpm 

Phone: ^ /A 

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Team 9iVkv^x-^\?W4j>\Ux YSlooldB VI D# ?>OOM-3­ XRF Code 5~£TO H i /iikAirr a >a\u ji- -nej ^T-V 

Sample Number Lead Concentration Confirmation Sample 

p Tl F . Yes °/ No fO 1 RIBSC.PX.A " 30047 •4M ±23 p; ppf n R Yes W No §~^> t EY CS£PX A - 3 0047 Z05±ZO

n A, Yes CD No 0 7 o o> 4" 2. "^i ^' 

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6 . ppr n V Yesd No0 

7 Lab RYBSCPLft ,-30047 ppr n Yes D No D 

Result 37 3 ppm 

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Omaha Lead Site Uf-I-

46130 
page 1 of. 

Omaha Lead Site 

Omaha. NE 

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

Environmental Restoration 

Services 

PROPERTY ACCESS (to Jbe completed by properly owner) 

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

District to conduct environmental restoration services for the Omaha Lead Site. USAGE Omaha is working with 

Environmental Chemical Corporation (EGG) to remove lead contaminated soil and provide subsequent restoration 

services. Your cooperation is requested in giving EPA/USACE/ECC 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. 

Property Access Granted By *L \ V-MO 

(Please Print Name) 

l IQ- nu •

r - - \Date) \/n [Property Owner Signature) "

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

PROPERTY INFORMATION 

(to be completed by resident and'or property owner • Please Print) 

Resident Name: y, y C^_C>_\j j -\--L- LJ owner renter 

Residence Address: $ I DC U.S\- Ml Ulll 

(CITY) (STATE) (ZIP) 

Property Owned By: 

Owners mailing address: f^Cs 

Owner's telephone number - Home. {<- Work: 3Cil -

Age of Home? &Li_il years How long have you lived heje? years 

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

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

Total number of occupants:_ List Ages: 1 

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 

The 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 to 

:he property 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 

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

Access Attempts: 

First: Second:: Third: : 
Contract No. W912DQ-04-D-0017, Task Order DK01

 

Omaha Lead Site, Omaha, NE 

Property Closeout Agreement 

BVID Property Address 1#> V? 5^li WO- 5^54-

Property Owner W\£-Vv>iG^ Is the Owner the Resident? D Yes W No . [,«-s<«ty 

Compliance Statement: 

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

(USAGE), Omaha District to conduct environmental restoration services for the Omaha Lead Site. 

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

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPA/USACE/ECC 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 of External Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or ECC Project Manager tftfcn / ,^^^L~ 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. 

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

Comments (if applicable): 

Property Owner's Signature Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfimd Site 

Performance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: 

Property Identifier Number: 

Property BVID Number: ~$QQ 

Property Address: l^& f "^ ^— £? <^ L< 

Property Owner's Name: « V b^ I ^ ( £"l 

(above infonnation 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 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 (EPA) and the U.S. Army 

Corps of Engineers (USAGE) 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 1 to 10) using the following rating scale, then please sign & date 

the form and return it to USAGE 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" 

1-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1 -2 "very poor" 

Property Owner's Satisfaction Rating regarding Contractor's Work 

10 5 

9 */ 4 

8 3 

7 2 

6 1 

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

Property Owner's Signature: \Mu»4i Mu\ O w^yyo ^ Date: 
CONTRACT # W912DQ-04-D-0017, T.O. DK03

 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

BVID #30047 

1812 Locust St 

Sample 

Type 

Quadrant Depth Date Collected 

XRF Results 

(ppm) (avg.) 

Lab Results 

ppm (avg.) 

DE DZ 14 7/11/2006 101 N/A 

DE F1 4 7/11/2006 26 N/A 

PX EA-S 0 7/11/2006 224 N/A 

BVIDBVID 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 

PE = Pre-Excavation laboratory 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 

B1 or B2 = Back Yard One or Back Yard Two 

DZ = Drip Zone I GA = Garden 

PA = Play Area 

EA = Easement 

Depth describes the depth from which the sample was collected. 

- ppm= parts per million 
pg-__ot_

 

List of Existing Conditions 

Property Address: |gD LO<L(A£+-_ DVD ID # 

Date: -/- BVIDtf 

Ref: 

Photo Description 

Owner Signature ECC 

Print & Sign Print & Sign 

^ "^Vl 

/ 
Property Check Lists QC 

Excavation check list 

have easement map 

have site map 

home owner agreement 

line locator 

access log 

decon station 

tape barricade 

garden hose 

reconstruction map for buildback 

fences 

sod areas 

mulch 

gravel 

notes 

name and date 

(j(L

QC Notes 

XRF check list 

have easemet map (1) 

have site map (3) 

easements sample 

F1 samples 

F2 samples 

B1 samples 

B2 samples 

DZ samples 

AS-Built 

map corrected 

shots mapped 

concrete mapped 

trees marked 

LIP marked/noted 

name 

date 

easement mapped 

window wells mapped 

ac mapped 

Log book up to date 

 KT£-re. 

fif 

Backfill check list 

reconstruction map 

positive drainage from house 

NO low spots 

NO Rake Gaps 

lawrveven 

soil compacted 

sidewalk Toils 

smooth transition from walks 

area free of debris 

fences repaired 

damage to property? 

damage list 

punchlist filed 
v Omah

a Lead Site 46130 
Name: Mej\ A Q fjerf^J^ Omaha Lead Site Date: D1 - \ Q- 03 North Arrow 

Address: ^ \«a L Site Sketch Time: VS.', 3. o pr-\ -ofi^V- 5V- Phone: AV^ 

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Team ^W,* rt\^VrwVLa \SlDoViB VI D# ?>OOM^r- XRF Code S^T ) W 

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Sample Number Lead Concentration Confirmation Sample 

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"r i Yes d,

Fv Yes W

A, Yes d

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6 . n .. ,, PPm Yes d No dl 

7 Lab RYBSCP LA-30047 pom Yes d Nod 

Result 373 ppm 

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Omaha Lead Site 46130 

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Name: Kle(\AQ fjer&9>eJ)r- Omaha Lead Site Date: OQ - 1 o - 03 North Arrow 

Address: l<2\^ Lorju^y- &\- Site Sketch Time: \3.'. 5Opr^ 

Phone: ^ /A 

' t 

Team QWiirf XRFCode 

Sample Number Lead Concentration Confirmation Sample 

'r . Yes ^3, No t'n±II

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Fv Yes W No gycsgpxA - 3 oo*4-j zostzo ppm 

ppm gj Yes D No - 3004*7 ppm (yv-Yes n No 

ppm 0>-Yes No ^ 

ppm Yes d No D 

Lab RYBSCPLA-30047 ppm Yes D No C3 

Result

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Omaha Lead Site Pronl U-f-l- 1 46130 \o 
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