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 31808 Property Address 3512 N 26th St 

Field Work Started 9/1112007 Field Work Completed 9/1212007 

Summary: 

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

• F 1 excavation depth was 5 inches below ground surfaces. 

• F2 excavation depth was 5 inches below ground surfaces. 

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

• B2 excavation depth was 5 inches below ground surfaces. 

• Drip zone garage excavation depth was 13 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. 

• Site restoration was conducted in compliance with the specifications and work plans. 

Comments: Per owners' request: seed only 

,£"H b.;.v"l ECCQCM II), '/~

leffHubbard 

Name Title 

USACE Con Rell 

Date 

i{J ·J.S-LI 

:J Name Title Date Sign'ile 
3fBOB 

Omaha Exterior Paint North ArrCIrN Lead Site Owner Name: (I) iTCH ELL- 781"'-'is. o Good Site Sketch Address: .3S{';:J. N ':<0 ST n Poor 

Phone: H: 4Q')· Q6'7;)... W: .:tS'D- bUP 

OLS_~F.!:::.?1-'.!W~___ XRF Code £775 

Lead Concentration 

S.e ppm 

1/5 ppm 

It?'i ppm 

165 LogBook ppm 

__::---r--JPpm ~ 

_--,U~¥~_--,ppm 

_~5.",-,'O~_--,ppm 

_____--'ppm 

ppm 

Legeno: ~1 " ~ront Len, ~2 " !-ront Right, B1 "Back left, B2" Back Right DZ" Drip Zone, GZ" Garden, PZ" Play 

All Quadrants are as viewed from the street, facing property ; .... . : ... .. : ... ..: ..... :.....: ..... : .....: ..... : .. ... : .. , .. : . , .. : ' ENTE'R~'D 

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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#31808 

3512 N 26th St 

Quadrant Sample Depth Date Collected XRF Results 

Type (ppm) (avg.) 

DE F1 5 9/11/2007 

DE 

DE 

DE 

DE 

DE 

52 

115 

103 

165 

50 

SAMPLEIDSAMPLE 10 is a particular residentiaJ 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 


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 

Bt or 82 - Back Yard One or Back Yard Two 

DZ • Drip Zone 

GA - Oarden 

PA - Play Area 


EA = Easement 


Depth describes the depth from which the sample was collected. 

ppm = parts per million 
Page 1 of _____ 

"'3J SOb 

Omaha Lead Site 

Omaha, NE 

U.S. Envirorunental Protection Agency Region VII 

Residential Yard Soils 

Environmental Restoration 

Services 

PRC)]>[ I{ I) \l ( I SS (tl1 be Ullllpk'lLd b) PlllPl'I!\ 0\\ 11l'1 ) 


1\11 d I <...l il~ll ("-..1.1 1,11111.1 L"ll,111(lI IWI 1.\\ llt I lell II 1.-' .11 1-8r)()-~~~-()-L~"" 

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

or its authorized representatives (or its contractors), the Grantee, to enter and perform certain envirorunental response 

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

Property Access Granted By ·'Yp:'TCMJf" (.k ,0 A-V I l> 

(Please Print Name) 

(Date) 


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


[,RO!'I RI,) I~I()R\I\IIO, 

(Iu bL' cUlllpkkd b) lL'''llillll .llld III pi lllJL'1t) O\\JlLJ Pk'.ht.' PI lilt) 

Resident Name: ________________ DOwner o Renter 

Residence Address: '3 S 1'2.. 11_ d- (5 s-;­

(CITY) (STATE) (ZIP) 

Property owned by: flJI TCH-/f. L OAl/.!:. > 

Owners mailing address: P. 0 eN:> '( 3 4LA IJ 

Owner's telephone number- Home: d SC!)- b'io'1«, Work: ___________ 


Age of Home? -'L"-l.OLT-'--______years How long have you lived here? _____ years 


Has the exterior been painted or covered with siding since 1978 DYES L?l NO 


Has the interior been painted or covered since 1978? DYES ~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: ____________________________________ 

AUTHORITY FOR ENVIORNMENTAL RESPONSE ACTIONS 

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

property for in Section I04(e} ofCERCLA, 42 U. S.C. %04 (e), which provides entry for, "determining 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: 3$/7- 1)& . ()b~ OVO 10 # _____ 


Owner: ~,~ .oA-~ 

Ref: 


Photo 


# 

Description 

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CLt;.M o ...'T ./1,..,.-:'",­ -Q4L~ r:;.£fc..~ eu~(..-C)!Sw/\ 

Js<s, /.<64<6 

{J,.~E~ 01-/#1"'" r~,, <+< .",........ ./}. . J . 

Own~~ 

Print 

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11-

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Sign 

Si 

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///lW'£411#;­-

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ECC 

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


Omaha Lead Site, Omaha, NE 


Property Closeout Agreement 


BVID :)JitJ8' Property Address I JSIJ. N ~"sr 

Property Owner /Yl (rNI'Pi L 1\ 11-111 ~ Is the Owner the Resident? DYes ~o

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. 

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

at (9\3) 551-7003 or the Office ofExtemal Programs at 1-800-223-0425. 

Additional Comments by USACE andlor ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or 

Charles "Skip"Milton 

ECC Project Manager 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction. 

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

Comments (if applicable): 

xiV J:tIujj tJ{IiI~ IO·~,2r-?J7 

Property Owner's Signature' Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: _-,£",,-~CC::::lo.________________ 

Property Identifier Number: ________ 

Property BVID Number: _ ......... 
 3,L/LJ8''''-'''tJ'-'?'--___

Property Address: _----".3."'-'.......
 ~L..t..c/:J."--...LN.L---"~""'(.'""o'---'=.s'_JT'__ _________ 

Property Owner's Name: mlTe.lff LL DI!IJI S­

(above infonnation to be filled out by remediation contractor prior to delivery of fonn 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 (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 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.) 

~ "excellent" 

W"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 

g 3 

7 2 

6 1 

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

Property Owner's Signature: X-M JcJltU ¢~ Date: