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

vrJYi 

Environmental Chemical Corporation JJLJ

 

Omaha Lead Remediation, Omaha, NE US Army Corps

 

of Engineers 

ECC Certification for Property Closeout 

BVID 28337 Property Address 1709 Willis Ave 

Field Work Started 09/15/2006 Field Work Completed 09/20/2006 

Summary: 

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

• F2 excavation depth varied from 6 to 8 inches below ground surface. 

• Bl excavation depth varied from 13 to 16 inches below ground surface. 

• B2 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. 

ECC Project Manager \\~1A-CH, 

Name Title Date 

Jeff Hubbard USAGE Con Rep 

Name Title Date 
28337

 . . v r. _—. . 

Site Exterior Paint North Arrow Owne AROBBINS Omaha Lead r Name: CLIFFORD 

D Good Site Sketc h Address: 1709 WILLIS AV

 

Phone: H: W;

 Ucl- i<? H ^/2-.r [g'Not paint - " •'•- b I ll/(

' 1 

Lead Sample Samples Collected Sample Number 

Concentration Collected LAB 

Firm: Fb/t T^ / ?-?^J

 

RYASCPXA-28337 F1 32.^) pom |Tf D Date: B.^G dS'

 

RYBSCPXA-28337 F2 # -3M Dom r^ D Time: }5'S'o

 

RYCSCPXA-28337 B1 "2.2.76 ppm [3^ D

 Samples Analyzed RYDSCPXA-28337 B2 ^7 oOO pom [Tf D 

RDZGGPXA MISS? -FV pom I I D Yf?C I Inil' 1 ft ^ 7 Rn^l^- 1 ~? *7 

ppm PI D Date: 9 - / - O b

 

RPZSoPXA-26337 HA "* ppm Fl

 D

 Time: /=*/*! 

Staff: ^-/4 Numbe " - \ r of Samples ~ \ \ \ 

Omaha Lead Site 46130 
page 1 of. 

I £5 17 

Omaha Lead Site 

Omaha. NE 

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

Environmental Restoration 

Services 

PROPERTY ACCESS (to be completed by property 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 (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 External Programs, at 1-800-223-0425. 

Property Access Granted By 

(Please Print Name) 

Signature) / / (Date) 

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

PROPERTY INFORMATION 

(to be completed by resident and-or properly owner • Please Print) 

Resident Name: V D owner renter 

Residence Address: 

(CITY) (STATE) (ZIP) 

Property Owned By: £- 1 < if 

Owners mailing address:_ 

Owner's telephone number ­ Home: 

/r $f 

IT­ /& / 7 Work: 

Age of Home? "~ ' years How long have you lived here? years 

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

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

Total number of occupants: 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 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 properly 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 

Bvro «2^7 Property Address WOI UlLl-iS 

Property Owner &LIFF Is the Owner the Resident? D Yes B-ftfo - Ro&e/us 

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 

Charles "Skip"Milton 

Name ... \ , Title n Date Signature \ . <Sk;A rVvY^UA Vw\ ll-M-01, A^v kK 

PROPERTY OWNER SECTION 

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

satisfaction. 

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

Comments (if applicable): 

— **—^ "jp i ?— f—t 

roperty Owner's Signature Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfimd Site 

Performance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: p. CL 

Property Identifier Number: 

Property BVID Number: £833 7 

Property Address: / /Pi lA/( bf~j -S 

Property Owner's Name: 

(above information 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" 

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 

X 3 

7 2 

6 I 

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

Property Owner's Signature: X (l^M/^lJ K frlHrfal^ Date: 

7 r—ff t7" x 
CONTRACT # W912DQ-04-D-0017, T.O. DK03 VFI" Y

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

BV1D # 28337 

1709 Willis Ave 

Sample 

Type 

DE 

DE 

DE 

PX 

Quadrant 

B1 

B2 

F2 

EA-N 

Depth 

16 

13 

7 

0 

Date Collected 

9/14/2006 

9/14/2006 

9/14/2006 

9/14/2006 

XRF Results 

(ppm) (avg.) 

75 

202 

238 

89 

Lab Results 

ppm (avg.) 

NA 

NA 

NA 

NA 

BVIDBVID is a particular residential property ID from which the sample is collected. 

The sample type identifier (with sequential sample numher 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 

BI or B2 = Back Yard One or Back Yard Two 

DZ. = Drip Zone 

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: /7^f ii/i//,$ ?^ DVD ID # 

Owner: d'.f /tMtf Date: f-//-a<£ BVID# 

Ref: 

Photo Description 

# 

Owner Signature ECC 

Print & Sign 
Property Check Lists QC 

Location 

BVID 

Dates 

Hr,<? a'//»\ 

2SOT i

 _- / , t i £7"* o /I L_ ^1 f ^ — / **S /"' **-i__I . -7 . T? ~ f ^ ' C/ A? 1 I1

 j / (1' w" T ' ^f 'i- L/ V.

 (**^ 

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 

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 

Backfill check list 

reconstruction map 

positive drainage from house 

NO low spots 

NO Rake Gaps 

lawn even 

soil compacted 

sidewalk 1" cuts ///L-— smooth transition from walks 

area free of debris 

fences repaired 

damage to property? /(JO 

damage list tic) 

punchlist filed 
28337

 

Omah Exterior Paint North Arrow a Lead Site Owner Name: CLIFFORD A ROBBINS t Site Sketch Address: 1709 WU-US AV _

 

Phone: H: w. % / /s /k $^> \ 

Sample Number 

RYASCPXA-28337 F1 

Lead 

Concentration 

32 B ppm 

Sample 

Collected 

E3" 

LAB 

n 

Firm: 

Date: 

Samples Collected 

Fb/t T& / ??uJ 

&.flo -oS' 

RYBSCPXA-28337 

RYCSCPXA-28337 

RYDSCPXA-28337 

F2 

B1 

B2 

0 3M ppm 

"2. 2. "7^ ppm 

Q/' r-i/' 

0/ 

D 

n 

n 

Time: Jo Mo 

Samples Analyzed 

E") f"\ "7 C" '"* f""*v A 0000*7 .-. n7 ^^ L)pl 1 1 I l XRF Unit /t^ ^ / t3ook' / s* ^f 

ROZSe^XA-^&S^?— -6Z ppm D n Date: 9-/-^ s 

RPZSCPXA-2833T-­~PZ — PPm 

Number of Samples 

D 

rrtn 

i-Jii 

n 

.— _: 

— ^ 

Time: 

Staff: 

PW 

LA 

Omaha Lead Site 

-'*!• *• 

"t ••* 

46130 
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Legend 

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28337

 

r Owner Name: CLIFFORD A ROBBINS Omaha Lead Site 

Czjfo CzlfAffH Address: _1_ 709 WILLIS AV ° ORBW.II 

Phone: H: W: 

Lead Sample ..„ 

Concentration Collected 

Sample Number 

RYASCPXA-28337 F1 ?>2.?3 oom nr'" n 

RYBSCPXA-28337 F2 0 3M com fjl/ n 

RYCSCPXA-28337 B1 7.2.JO ppm [^ D 

RYDSCPXA-28337 B2 

RDZCOPXA 2833? 9£ ppm n n 

ppm | | ( 

RPZSCPXA-2fl337 PZ ppm n n ........ ..........^

 

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Exterior Paint North Arrow 

fj Good 

D PP°r 

[vf Not paint I 

Samples Collected 

Firm: F bK "7~& / ?-?uJ 

Date: 6 • ?O • oS' 

Time: |0- Ho 

Samples Analyzed 

XRF Unit: IO37 Book: /Zf 

Date: 9 - / - O b 

Time: /»/*! 

Staff: £/4 

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Omaha Lead Site 46130 
"Dedicated to keeping the world green

 

1st 30 days 

The first week following your sods 

Installation is the most critical for 

developing good root growth. 

The care of your new lawn will be our 

responsibility for 30 days. 

-Lots of water

 

-No foot traffic 

-No mowing before 20 days / pick up clippings 

-Don't cut grass more than 1A height of grass 

-No fertilizer / killers 

We will be around to make sure your yard is 

receiving enough water and check on its growth. 

We'll place sprinklers and activate them according to 

current weather conditions. 

We would like to ask that you please turn off the 

sprinklers in the evenings. Should you notice an area 

that needs some additional water please contact us 

or apply water as needed. 

After 30 days 

-Never mow more than 1" initially 

-It should be 2" - 21/2" 

-Leave your lawn height longer 

in the summer to reduce stress 

-A.M. watering helps deter diseased 

-You can fertilize your new lawn after 

the initial mowing 

-Remember lots of water is essential 

especially during the summer hot 

months. 

This Fall /Next Spring 

Aeration and power raking are 

both excellent methods of 

revitalizing your lawn before and 

after sprinkler. 

you should fertilize your lawn 

every 4-6 weeks (April - October). 

Be sure to follow the manufactures 

instructions for application. 

Along with a good weed control 

program and lots of water your 

lawn should be green for many 

years to come. 

ECC 

3322 Pinkney ST. 

Omaha, NE 68111 

402-932-1514