# .4iiiia\ .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 

## lelL,r}7­

# ~ Name Title Date JeffHubbard USACE Con Rell 

### 1 0- 

### 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 millionI lilli' 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

.• - ••**~** ....... , .... -.**IVII~ 1"~IIl,**  D. - ccn..1\ Lt:fl, U ... - .......... ".**"~** ••• __ _ • .**.-~** • •..••• _ • • • • • • • • •• . All quadrants are as viewed from the street, facing property ., •.... , ..... ,..... I . .... , ........... , ..... , . ... . . I :



### · ... .... " . ... . . .. : ..... : .. " . : . . . . . : I : . 

# ENTE'**~:** 

# , . , ., "" .. " ... "" . ""':'" REv"':

• I • , • 

# · . ... . .. . .. . .. - 

### . ..... .. ...... .

, 

## . 

# . "

.. . . 

## . , 

### . . . , 

### ....... . . .. . .

## -.. .. . ... .



## . . . . . 

## : ., . . . 

## : ..... 

## : ...... ... ........ , 

### .... . 

## · 

# . . . . 

## . . 

## .

# . . . . 

### . . , 

### ..... , 

### .......... .



### . 

## . . . . . 

### : ..... 

## : .............. . ..... .. ...... . · 

# . . . : .. . .. , 

### ... . ......................... . 

### · 

## . . . , 

### .

' 

### ... . ........... . . , 

### ....... .. ... . ... .



## . . . . 

## . 

# . . . . . 

### . 

# . . . . 

## . . 

# . . 

### . 

## . . 

### . 

# . . . . . . 

# . . . . .

## ... . 

### . . . 

### · . 

## . . ; ..... : . . . .. : .r ... : .. t .. ; .... . : ..... 

# , ' . 31**X/~O**
. '"**~** 

### .. . ..**~** . 

### . . . 

### . 

# . . 

### . . . . 

# . . 

### . . 

### . . , . . 

### . . . 

# . . . . 

### . .

# ~:I.G~ . .: . .

# ~/~ .. I . 

# ...tL: .. ! . . 

## : $1... I : :

### ~l. : "" 

### .... (" 

# .... " : I : 

### : I : " 

### ....

## : . . 

## , ":

. . .. . 

### I , 

### . , 

## · nCT 

## 0:3 2006 ' · 

### .... , 

### . - 

### .. ', , ..... , ..... , 

### ..... . 

## · . . 

# . , 

### · ... . . .. .. . .. . - 

### ........ , 

### ..... . 

## · 

## . . 

## . · 

### ................**~** 

### .......... . 

## · , 

# . . · ..... . ....**~** 

### ........... , 

### .... . 

## · , 

## . . . 

# - ._.,... . 

### ............................ . · . . 

# . . · ......**~** 

### . ...... . ....... , 

### ..... . 

## · 

# . . 

## . . · .... , 

### ... . .................... . 

# · . . 

## . . · ...................... , 

### ..... . 

## ..1'13.. 

## · 

# . . . . · .... , 

### ........ . ... . ........ .. . · 

## . . . 

## . ........ ... . . . . . . .... . ........ 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!..!1**z.",,------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 Services**~~-~.-~ ~**  PROPERTY ACCESS (to be completed by property owner) ;:'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 GrantedBy

HR'!Sidlent Name: 

### R6f;{JHr 

### VItCMT 

# 1-or IIReside,nce**Address: _-'** **~=.LL** ull--'@.oLl!n.uJ'f..,N'-lr'----' S"'-'-T __ \ Owned By 

## RaiJ NIl!**~** 

## rE. 3"

## Ilm£S**IIn,un~.'** mailing address: 

### .11 QI{ 

### PR

### IiAI 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 

# JIG 

# ran

# ± 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 

### Property Address 

# I c). 

## J If 

## G-t?/tNi**~** 

## ?1(P 

# 'J 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 orthe 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 (ifapplicable): 

# fd

,", 

## 11 

# /0/0&

# jrn X ..:: <0 

### / I 

### Date PropertY

# tw1s**~** 

### 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../ .... .... 1 _""S.J.T'--

________ /I<---'=G:....&""-L<J9C.<J/lJI<,.- 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 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. 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)



## /1J

# Iv/()/ Date: 

# , )