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., 

.ECC•

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Anny Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 27967 Property Address 2111 Grant St 

Field Work Started 9/10/2007 Field Work Completed 9/13/2007 

Summary: 

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

• F I 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: None 

5«.-11 [).;",,v ECCQCM 

Name Title Date 

lelL,r} 7­ ~ 

Jeff Hubbard USACE Con Rell 10- dS -G7 

Name Title Date 

S ature 
.ECC. ~ 

,., 

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

Environmental Chemical Corporation m1 

Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

Analytical Results Summary 

OLS # 27967 

2111 Grant St 

Quadrant Sample 

Type 

Depth Date Collected XRF Results 

(ppm) (avg.) 

I DE I F1 3 I 9/13/2007 79 

I DE I EA-S 0 I 9/13/2007 175 

I I 

I I I 

II I 

I I I 

I II II II 

II II II II 

SAMPLEID· 

SAMPLE 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 orF2 = Front Yard One or Front Yard Two 

Bl or 82 "" 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 
Ililli' 1111111111111111111"1111111 27967 

,- Owner Name: JAMES RONNIE 

Address:2111 GRANT ST 

Phone: H: 4023454681 

Omaha Lead 'Site Exterior Paint North Arrow 

Site Sketch 0 Good 

W: -~-JS? h rE ~t!J,M';"'- Not paint 

Team -I-L-~~ ____ OLS Ell XRF Code ;tZZ5 

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Quadrant 

FI 3 ' F2:______ 

BI___--'-_ 

B2::--:--_____ 

DZ::--:----=----,..,....--__ 

t)?-.f~o· 

Lead Concentration 

_---"7,.,,9b-_-'ppm

_-£:JIi",'3~----lppm ..1­ _-,t~I,1~~;--~pp",* 

_~4?C!..!1z.",,------lPPm.:f 

_----..=-="..---'Ppm

_~J,-,7,-,5=-_-,ppm 

____--'ppm 

____---lPpm 

ppm 

Date '1~~ c;:a, 7 

LogBook

Z 

pagel of_ 

d- ?16>7 

U.S. Environmental Protection Agency Region VII 

Omaha lead Site 

Omaha,NE 

Residential Yard Soils 

Environmental Restoration 

~~-~.-~ 

PROPERTY ACCESS (to be completed by property owner) 

Services 

~ 

;:'o3r2 'e(:,~ ES,,,, ' ~"1';; ,::-, (:)":03"01 ::;or 'ave' arlc al " SOJ 22:: -:~::J 

Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (USACE), Omaha 

Un;.t,;~t to conduct environmental restoration services for the Omaha lead Site. USACE Omaha is working with 

IIEnvirorlm.enllal Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration 

Your cooperation is requested in giving EPNUSACElECC permission to access your property during the 

IIremclval/re,stc"ation 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 

HR'!Sidlent Name: R6f;{JHr VItCMT 1-or 

IIReside,nce Address:_-'~=.LLull--'@.oLl!n.uJ'f..,N'-lr'----'S"'-'-T__ 

\ 

Owned By RaiJ NIl! ~ rE. 3"Ilm£S 

IIn,un~.' mailing address: .11 QI{ PRIi AI K L I II :s r 

II01NnE!r'S telephone number - Home: _ _-="""-______ _ 

(Please Print Name) 

Downer o renter 

O/Yl/U!t4-, AlE, cr/.4.. ~:~~~~~~---~I 

______years How long have you lived here? ____years 

the exteior been painted or covered with siding since 1978? 

the interior been painted or covered since 1978? 

DYes 

DYes 

o No 

o No 

number of occupants:._____ list Ages:___________________-iI 

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

activities 10 be implemented by EPA under this agreement ate pursuant to SecUon 104 of CERCLA. 42 U.S,C. 9604. EPA's right of access 

for in Section 104(e) of CERCLA. 42 U.S.C. 9604 (e), whtch provides entry for . -determining the need for response, or choosing or 

action under this i . or olhefwise the ' of this title." 

First: __________ Second:: _____ ______ Third: : ___________ 
pgo_of_ 

List of Existing Conditions 


Property Address: r::::2 I JIGran ± DVD ID # d7q (j 7 


Owner: ~onOIf) JOfY)es Date: q/t5/o1 BVID# cJ7Qu7 


Ref: 


Photo 


# 

Description 

Owner Signature ECC 

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


Omaha Lead Site, Omaha, NE 


Property Closeout Agreement 


DVID ~ ?1(P 'J Property Address I c). JIf G-t?/tNi

Property Owner Is the Owner the Resident? DYes ILJ..-No r:€

ROIllNJIC. 

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 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 (913) 551-7003 or the Office ofExtemal Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khaftfta Sf _ ECC Project Manager 

I Charles "Skio"Milton~ ('l 

Name . D. c::; Title 

1.:.r~r\Ak~ . ~ IA 

Da ~ 

10 2S" 167 

I ... 

rg~Jfe I. )L 

PROPERTY OWNER SECTION U 

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): 

fd 

,", 

11 X ..:: 
 <0 /0/0& jrn
 / 

Date I PropertYtw1s 

~ 

Signature 
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contractin& (PDC) Pilot Project 

Remediation Contractor: __!::E::....l::C""C.!.......______________ 


Property Identirler Number: ________ 

Property DViD Number: _--,:2""'--'ZL....!...9=.&>--,7f.--_ 

Property Address: __....l.?z:....t../.... /I<---'=G:....&""-L<J9C.<J/lJI<,.- .... 1 _""S.J.T'--________

Property Owner's Name: _L-E.....£.==-.--L:.&...,O"""AJ"'-<!tJ:....:/....f___________ 

(above infonnation to be filled out by remediation contractor prior to delivery of form to Property Owner) 

Instructions to Property Owper; 

TItis fonn is provided to you as a means oftrying 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 ofEngineers (USACE) are vel)' interested in your opinion regarding the work perfonned 

by our contractors. TItis fonn is intended to provide an easy means for you to express your 

opinion about the work perfonned 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 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" 

Propem Owner's Satisfaction Rating regardipg Contractor's Work 

10 5 

9 4 

8 3 

7 2 

6 I 

Additional Comments from Propem Owner (optional: continue on back of pm ifneeded) 

Date: /1J Iv /()/

, )