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 

OLSID 24631 Property Address 4024 Cuming St 

Field Work Started 9/1112007 Field Work Completed 9/14/2007 

Summary: 

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

• F2 excavation depth was 12 inches below ground surfaces. 

• B I excavation depth was 12 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:None 

5" o"t+ DJ'w.i ECCOCM I.;;Lzz ,

Name Title Date 

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Jeff Hubb

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USACE 

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Signature 

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Owner Name:..eeORall! I T!!N"ER' Omaha Lead Site 

Address: 4024 CUMING ST Site Sketch 

Phone: H: 42-934-7399 W: 402-612.1144 

24631 Illrut ~ 111111111 ~~ IIH ~II 

Exterior Paint 

D G7 

oor -~ .. 

Team g !J ESSOP OLS £pI'. XRFCode 3Wl 

Quadrant 	 Lead Concentration 

F1 	 ____-lppm

F2---''Z,,....,,.. ·· ­ -­ _....,.1,...9....(,."--_-1ppm B1 rz ff _-"Z.:..:.I.=O__JPpm 

B2 _ ..!.I!I! ie;t4__Jppm ". DZ=----'Z,....--- ­ _.LlIul..,"--_ --,ppm 

£A.S 0" 	 _..J3~OO5Z....._-lppm 

____-lppm 

_ ___ -1ppm 

ppm 

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Omaha l.<:ad Site 	 46130 
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page 1 of_ 

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Omaha 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) 

;::::J,JI(.~b,e"'",;c 1 1, ,._ ",l~ ,:)"",(:- IJ~e=1 E::::-: '.-:; 

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 

ervices. Your cooperation is requested in giving EPAIUSACElECC 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 Offoce of External Programs, at 1-800-223-0425. 

Property Access Granted By -=G"-"......-:..<-'-"=_-L--""'."-'"..."-'-"'-______~ (Please Print Name) 

ate) 

NOTE G • • DOES NOT f • ., . 11 b d' d thO 

PROPERTY INFORMATION 

(to be completed by '('~I(i!'lIl.l(ld or property owner - Please Print) 

Resident Name: Gu STl9vo ELo/~ES IIJ..-ijwner 0 renter 

Residence Address: 'I (),;J Y Co (.1m / n (j. ()MfJlM N~ (CITY) (STATE) (ZIP) 

Property Owned By: __-"S"'-LB'-'fhUJ..J;F'--_____________________ 

pwners mailing address: ________________________________ 

pwner's telephone number - Home: £('J c.j - illC/ (., Work: L/ 9(. - gS-t!J (') 

IA-ge of Home? ______ years How long have you lived here? _--J:' __years

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


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


Total number of occupants: __l,-__ List Ages:___________________-I


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 act1viti&s to be implemented by EPA under this agreement are ptXSuant 10 Section 104 of CERClA, 42 U.S.C. 9604 EPA's right of access 10 

he property fOf in Section 104(e) of CERCLA, 42 U.S.C. 9604 (e), which provides entry for, "determining the need fOf response, Of chooSlOg Of 

akll'lg any response action under this litle, or othefwise enforcing the provisions of this title: 

Access Attempts: 


First: __________ Second:: ___________ Third:: ___________ 


I 
pg._of_ 

List of Existing Conditions 


Property Address: !.-/OJ,/{ CUmlll6: s r DVD ID # _____ 

Owner: _________ Date: ? -/.) ~o? BVID# f) Lf~ S / 

Ref: 

Photo Description 

# 

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().) =eN If j RtPLaCE IN Ir/l ~()Ck ~J(C';PT cJAI IA/€

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C.LcJT/f€.s t../A/€ Po~;; 

Owner Signature 

Print & Sign 

d.u1,? 	A?- .~• 
Contract No. W912DQ-04-D-0017, Task Order DKOI 


Omaha Lead Site, Omaha, NE 


Property Closeout Agreement 


DVID :Jlffos J Property Address I L//L11.f CtJMIN(j­sr 

Property Owner IGUSTMO P/..O~€S Is the Owner the Resident? ~s D No 

Compliance Statement: 

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

(US ACE), 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. 

Ifyou have questions or need additional information please contact Don Bahnke, EPA Project Manager, 

at (9\3) 55\-7003 or the Office ofExternal Programs at \-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or 

Charles "Skip"Milton 

ECC Project Manager 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction. 

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

Comments (if applicable): 

)G11...;/;,.­ :1fir-...­//-()8"~tJ' Property Owner's Signature Date 
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Performance-Based Contractin!: (PBC) Pilot Project 

Remediation Contractor: __-"£.::::::.Joc.c..=-_______________ 

Property Identifier Number: ________ 

Property BVID Number: ..2 ¥(PS I 

Property Address: IftJ,).1( C-oMltJG- S r 

Property Owner's Name: Gus a{lt? Fb2A£~ 

(above infonnalion to be filled out by remedialion contractor prior to delivery of fonn to Property Owner) 

Instructions to Property Owner: 

This fonn is provided to you as a means of trying 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. Anny 

Corps of Engineers (USACE) are very 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 performed on your property. 

Please indicate your level ofsatisfaction with the Contractor'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 US ACE 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" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

1-2 "very poor" 

Property Owner's Satisfaction Ratinl! regarding Contractor's Work 

10 5 

9 4 

8 3 

7 2 

6 I 

Additional Comments from Property Owner (optional; continue on back ohage ifneeded) 

Property Owner's Signature: Xltah )~ Date: 1/-o~~()2 
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

01 Engineers 

Analytical Results Summary 

OLS#24631 

4024 Cuming St 

Quadrant Sample 

Type 

Depth Date Collected XRF Results 

(ppm) (avg.) 

DE F2 12 9/8/2007 196 

DE 81 12 9/8/2007 210 

DE DZ 12 9/8/2007 116 

I DE I EA-S 0 9/8/2007 300 

I I 

I I 

I I 

II 

SAMPLEIDSAMPLE 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 


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 

B I or B2 = Back Yard One or Back Yard Two 

DZ-DnpZone 

GA-Garden 


(lA - Play Area 


EA = Easement 

Depth describes the depth from which the sample was collected. 

ppm =parts per million