CONTRACT # W912DQ-04-D-0017, T.O. DK04 


Environmental Chemical Corporation 


Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

ECC Cel·tification for Property Closeout 

OLSID 25030 Property Address 3165 Myrtle St 

Field Work Started 9/512007 Field Work Completed 9/8/2007 

Summary: 

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

• Fl excavation depth was 5 inches below ground surfaces. 

• B I excavation depth was 6 inches below ground surfaces. 

• B2 excavation depth was 7 inches below ground surfaces. 

• Drip zone excavation depth was 13 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. 

• Sod placement and site restoration were conducted in compliance with the specifications and 

work plans. 

Comments: Per owners request: Shrub (LIPI, 3' x 5', 34l ppm) was left in place. 

Sr .4<{ 

Name 

't>.!1II,'; ECCOCM 

Title 

1O/'1)or f , 

N

Jeff 

ame 

Hubbard 

Title 

USACE Con ReI:! 

Date 

Date 

Itl -.},5-o1 

Signature 

~ ~ 
North Arrow - Address: ?I?:S:A1<t1it?i2 Site Sketch Time: 

Phone: t7 

r- Name: U/d-orA1t1-;.J, T£.J~RJ€ e, Omaha Lead Site Date: 

Team C c..J..Jdds OLS £DA 

Quadrant Lead Concentration 

FI__.:>..S_"__ 5<e ppm 

. F2 

B1---:-"-,,",---­ 210 ppm .. 

131 ppm 

B2 "1 " IS! ppm 

DZ Ii,'> 

D! 61H'~' I~ " 

CfI -N Q " 

,(gc.[ ppm 

7 /3 ppm 

10 3 ppm 

IEJ4-W 0 h 7 0 ppm 

~~V""&1 crf) I 1>vs J.\ '~a, 3 1./ I ppm 

I(£t­ ";IJLI. nP. 

f­ -........+.......... f; /l•. Q! $:fV 

, ' , 

r/lJ&"b ',1-Ij<' 

UI: \XI . 

XRF Code. VB!! 

Date 

Log Book :J:I 

I 

Omaha Lead Site 46130 
'"Z.~O~b 

page 1 of_ 

Omaha lead Site 

Omaha,NE 

Residential Yard Soils 


Environmental Restoration 


Services 


U.S. Environmental Protection Agency Region VII 

• PROPERTY ACCESS (to be completed by property owner) 

~a a 'e:: J r 105'<1 'cr~a e~ es>::,r':' ;::0' 'ave ; )~ e a : cO] 22:: :>~::J 

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

IDistrict to conduct environmental restoration services for the Omaha lead Site. USAGE Omaha is working with 

IIE1,vi.ronlm.,ntal Ghemical Gorporation (EGG) to remove lead contaminated soil and provide subsequent restoration 

1Is,.rviices. Your cooperation is requested in giving EPA/USAGE/EGG permission to access your property during the 

Dre,movaIJfre~'toratic)O phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551· 

or the Office of External Programs, at 1·800·223·0425. 

Property Access Granted By 

IIResident Name: T£R~::r: W CJ m-/IIJ If/U 

IRes,idenceAddress: s/~ 11 y,€Tl..c 

(Please Print Name) 

[JJ....mvner o renter 

HPrc)pertv Owned By: __~~,-,--,fJ,-,-M-,-,-,f____________________ 

IIOwn'''~ mailing address:.________________________________ 

1I0vme,'s telephone number· Home:K 5'i'I-Q S~ t:f Work: -----------11 

of Home? q5 I years How long have you lived here? 

the exteior been painted or covered with siding since 1978? 

the interior been painted or covered since t 978? 

number of occupants: 3 (P list 

rn--Yes 

~Yes 

_1-!.LI__years 

o No 

o No 

ages of occupants under 6 years old who play in the yard for 5 or more hours per week:._______ 

activities to be implemented by EPA under this agreement are pursuant to Section 104 ofCERCLA. 42 U.S.C. 9604 EPA's right of access 

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 

action under this or olherNise the .. 

Access 

First: __________ Second:: ___________ Third:: ___________ 
pg._of_ 

List of Existing Conditions 

Property Address: 31fpS Ht/rTl-p DVD ID # _____ 

Owner: TeRRI /'v~RTt18N Date: ?-O:s-tJ ~ BVID# :lSOsO 

Ref: 

Photo 

# 

Description 

,\ ~ HV€. p£()AJ/ €.s IN 8-/ 

~) ~/f1/£ Rft$f'Bif~~Y f>L~NI..s t. y~ /VI tH7) n,f/NrS )-../_- ll-,;L 

::3 ~ f)e(MA·O A eevcA­ ~ *

d!Vu,e//h.LA

( 

1) '5:.'rftRT fA)dltk ff~r£R ItIJ;;.tJST &"71, Jot), 

Owner Signatu~ ECC ~-j>"'IS--

Print & Si9~ ___U Print & Sign ~ e

/---s 
Contract No. W912DQ-04-D-0017, Task Order DKOI 


Omaha Lead Site, Omaha, NE 


Property Closeout Agreement 


BVID Property Address .1 :J...s-Os> () ' ? / (p 0- ;n 'f	~ ,'-'IF 

Property Owner Is the Owner the Resident? ~ a NO TE/Uc:r uJtJfh1V1/'f1l 

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 EP AlUSACElECC 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 (913) 551-7003 or the Office ofEx tema I Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 


ECC Project Manager 

Name Title Date Signature

PROPERTY OWNER SECTION 


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

satisfaction. 

'~Iagree that restoration is completed at my propertY, except as noted . Comments (if icable): ;h; Uvv-L~ /~'7 Clw.-d ~;/~ aft:!1!~d' 

u.-d!d',yp s:r CI1A-c..eA-"-"7 ~ c-<-f­ 'h~ yrt~ ~ 

~ Iz~ 

X'\' i-"{A; taL . 

/.;0/~ C,7 7 Date f Property Owner's Signature f
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (pBC) Pilot Project 

Remediation Contractor: __J.C"'-"'C::.loC""-______________ 

Property Identmer Number: ________ 

Property BVID Number: _---'J.""""'S""-!<.O...::,s"---"O<--_ 

Property Address: __-'>>.lX.L,...... (iz~S::.L-__'_m..!...L.,;;'1u:&I.....T~t.. ....£=___!!I..L.:._r-C_=_____ 

(above information to be filled out by remediation contractor prior to delivery of form to Property O""er) 

Instmdions to Property Owner: 

This fonn 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 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 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 fonn and return 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 regardjng Contractor's Work 

10 5 

9 4 

8 3 

7 2 

6 1 

Additional Comments from Property Owoer (oPtional; continue on back of pm jfneedecll 

~':7J ttUj W I/ ;;~7 --Iv /LP(de~s;s !Zu; 

Property Owner's Signature: )(~!4E=-. Date: 

I 
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#25030 

3165 Myrtle St 

Quadrant Sample Type Depth Date Collected XRF Results 

(ppm) (avg.) 

DE F1 5 9/7/2007 56 

DE 81 6 9/7/2007 131 

DE 82' 7 9/7/2007 152 

DE DZ 13 9/7/2007 164 

DE DZ-G 13 91712007 713 

DE EA-N 0 9/7/2007 103 

DE EA-W 0 9/7/2007 70 

DE L1P1 0 9/7/2007 341 

SAMrLE 1))-

SAMPLE lD is 3 particular residential properLy ID from which the sample is collected. 

The sample type Identilier (with sequential sample number for that location) as follows; 


PX :2 Pre·Exc3v8lion XRF sample 


DE - During and Post ExcavatIOn 


Quadrant desCribes the sampling location (with sequcnllal sample number for thai location) as follows; 

Fl Or F2 - roTan! Yard One or Front Yard Two 


B 1 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 pcr million 
ECC 


OWNER CHANGE REQUEST FORM 


PROPERTY ADDRESS_---'-' (, :._'.ft'1 :.....:...:,'(.!...!..1/~t'________

CHANGES REQUESTED: 

G.(.+. cetflt~'1fe ,~ t~e tlMGIIlIT o(izoo.(jJ rOY p/a..rts Il.voe/ 

5~rvbs rCtv'o'vecl cllJrl~a e'Cc.'Ivtf,'"", , J I • \ , 

-n\.,'t, (e-th(,l~tt I ~ a ~'1"\41 q jrttlVlM+.\oor iar1e/:'C4ft- rcpa.'''S. 

/JJ; ~4A

.J~~ill.2!':INJATURE\~ IiJ.t. 

ACTION TAKEN: 

SUPERVISOR INITIAL ___