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 23564 Property Address 

Field Work Started 8/24/2007 Field Work Completed 

350 N 41st St 

8/24/2007 

Summary: 

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

• B 1 excavation depth was 3 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: n~_ 

.s~j) 

B2 is covered with concrete. 

Name 

SL..Ht b;,.;,J 

Title 

ECCOCM IO

Date 

I {J' r 

lo+ ~h

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leffHubbard 

Title 

USACE Con Rep 

Date 

]QLII/61 . , Signature 

.;;J
North Arrow IAddress: '>0 IV. wZ!­ Site Sketch Time: ;, rt 

Phone: ~) - rrJ- 6t!2 J> 

Name: Im?t A" t<,,~,,"'V Omaha Lead Site Date: 9'//Z/ol 

Team I kVG 

Quadrant

FI_____ 

F2_---=.,.,..-__ 

BI $11 

B2 u,,,c 

DZ ffl/r_-:UIA"(4i/--r-_-O-I':-'-

OLS EVil 


Lead Concentration lit ppm-l( 

tOf ppm'l' 

36 ppm 

_~=-_---,ppm 

J!.<f1~ ppm ~ 

2% ppm 

____-'ppm 

____-'ppm 

ppm 

XRF Code t,77;' 

LogBook

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Omaha Lead Site 46130 
--------------------------------------------------------------------------------------

__ __ _ 

______________________________________________ _ 

page 1 of_ 


U.S. Environmental Protection Agency Region VII 

Omaha lead Site 

Omaha,NE 

Residential Yard Soils 

Environmental Restoration 

Services 

PROPERTY ACCESS (to be completed by property owner) 

~ar;J r::::J r eS',i 'C''l a e~, es::~n;:;1 ;:::x 'aver l'cI"lo2 21 1 cO] 22:: ~425 

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 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 Extemal Programs, at 1-800-223-0425. 


Properly Access Granted By 

(Please Print Name) 

Property Owner Signature) (Date) 

NOTE G f rt 11 b d' t d IIh' f - - - --

1 . .. - --- . -' ~-

PROPERTY INFORMATION 

(to be completed by reSident and or property owner - Please Pont) 

Resident Name:--Ip'-'1f!L..LTJnR..LJIC'"'-.!>oK~k ~f./Jl./w)./"_.l:r:;...!J'-yl--__ IiJ-.,wner o renter 

Residence Address:....;.S-=..c~='_'l><---"N_'____'IfCLI_~_r _=S"__Lr:_· 

(CITY) (STATE) (ZIP) 

Property Owned By:__-->5...LLfJJ.,/I1l..!.L,E 

Owners mailing address: ________________________-.,.____________________________________ _ 

Owner's telephone number - Home:_...::s:.>o!..::s""-'.r"'---_--'(p~&"'~'_'~"__ Work: -------------11 

Age of Home? 'iJ7 years How long have you lived here? ,!)0 years 


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


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


~otal number of occupants: __...:3=:...____ _ list Ages: Itj)UI...T..s 


list ages of occupants under 6 years old who play in the yard for 5 or more hours per week:.__fr-""-_________ 


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 Ihis litle, or otherwise enforcing the provisions of this title." 

Access Attempts: 


First: ____________ Second: : ___________ Third: : _______________ 

pg._of_ 

List of Existing Conditions 


Property Address: .5S(} N '-II ST DVD ID # _____ 

Date: 6-.). Cf-O') BVID# ____ 

Ref: 

Photo 

# 

Description 

I) OlJIIJU.. 1t£&cJ€F /...{) 0 t f-e. tfE!>s TO RE/>1/1-/N UNT1JUCIf£)) 

d') {({M() tit Pfrv€R. S IN g-/ .. PI/...E. NFXT TO fflvsc. " DO 

Nor 12£ f'LIt~f 

3,) LEA ~£ ROCke:. AUNt; i)f>lv'€. IW fLlf C(: 

Owner Signature ECC ~ 1#/,;-3.:1/S-­ print~ 

tC Itt. print&Sign~ 
Contract No. W912DQ-04-D-OOI7, Task Order DKOI 


Omaha Lead Site. Omaha, NE 


Property Qoseout Agreement 


BVID d.so(Prf Property Address I ..j>SO If 'W Sr 

Property Owner '" .A 

Kf~N&/)Y Is the Owner the Resident? [)...yes 0 No 

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 (ECC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPA/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 ac:c:ordance 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 ofExternal Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 

nager

=~~Projod / ~ 

Name ~ • Su rintendent Date I~~jl(. 

v 

PROPERTY OWNER SECTION 

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

satisfaction. 

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

Comments (if applicable): 

tr[ -fi-M·b€ IJR£~ elf j)~4JA) :; p()vr IN .f~(' k.. 

~ Uvt.L ~ yProperty Owner's SignatureV Date 

j/-(J/-()I) 
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Dased ContractinE (PDC) Pilot Project 

Remediation Contractor: ___....£'-'C::::..!:(!'--____________ 

Property Identifier Number: ________ 

Property DVID Number: _-"J.",s,,,,-;s-:""-!W.o<.....<'1___ 

Property Address: _----'..?""-'=;j'-'"{)~...JN:.!-__''Iu:/____'.s''''7'__ ___________ 

Property Owner's Name: Par 8tCk k£NN61> '( 

(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 ofsatisfaction 

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 ofEngineers (USACE) are very interested in your opinion regarding the wolk 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 ofsatisfaction 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 retum 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.) 

9-10 "excellent" 

7-8 "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 I 

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

.r . f~/ !C-,-)' Property Owner's Signature: ,f-~~_LLE.""""'::t;;;;,A.""_:=-=- _____-/?""'"'_ Date: //-o/-(} 2
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

OLS#23564 

350 N 41st St 

Quadrant Sample 

Type 

Depth Date Collected XRF Results 

(ppm) (avg.) 

DE 81 3 8/22/2007 36 

DE EA-W 0 812212007 58 

SAMPLE ID· 

SAMPLE 10 is a particular residential property 10 from which the sample is collected. 

The sample type identifier (with sequenual 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 

GA-Garden 


PA = Play Area 


EA - Easement 


Depth describes the depth (rom which the sample was collected. 

ppm - parts per million