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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 32784 Property Address 3804 N 24th 8t 

Field Work Started 9/16/2007 Field Work Completed 9/17/2007 

Summary: 

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

• FI excavation depth was 8 inches below ground surfaces. 

• B1 excavation depth was 5 inches below ground surfaces. 

• F2 excavation depth was 8 inches below ground surfaces. 

• Verification samples confinned 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 

V"" $(<.>-1-1 ON'!"! ECCQCM lol'~/~ -1-

Name Title Date ature 

Jeff Hubbard USACE Con Rep 10/35/07 rii1J..W 

Name Title DateI SigIfia 
32784
 

Name: Omaha Lead Site Date: NOrth Arrow 

Address: Site Sketch Time: 

Phone: 

Team ---.'-"'........,;.D,~

Quadrant 

Fl 5" 

F2 $" 

Bl 5" 

B2 _ 

DZ _ 

_ OLS_L-..A~ILead Concentration 

p~: $' ppm 

I(5' pprn;;t.­ _ ~ppm

_____---Ippm 

_____---lppm 

_____--.rppm 

ppm 

XRF Code._St::::J.~= __ 

Date 

LogBook 

t: 

_....._... ·~ ... ····_..r·-----__--·...--·-·f"...······-··'lt··-··-·-···· · .

: .f . :

, .

: , • r I ,

I ,• .I , ., . , • I • 1 • I • • • I 

: :li'!l\.Tltn"&1ti~1): : ! : : : ! f..····........·.. 1~.J..:7i ....iL·..:e..I.~ti .. ..f....·····_-· I :-------i-·····-····r··.........-......i······-··-i
 •

, • •• "fI • ••• •

• I

, •

r •t • ,

! . I AUG 1 1tno Iiii· I 1 ! I - J... l s., ._ ,1 ••••••••_ L -1 . l J ~_._...... .. :-.. ·..···..--r··..···..·--1·--· ·"-·"'·r···--···_- --- ···..----r·....---i·..·-··-..--f..-···....···l·······----: 

! i : : : ~,:; i : i :

i l iiI j i : i : I I t I I I It. ; 

t·······..··..;..···..·..····-t·······--i-...···..·..··-t-_···- ...._......_.:,r:,>...._...... .......f--..--··....i····....··_..·t··....·..·····i.._··.....··--i
 

: : I 1 : : : ' : : • , , t f ••• • 

: : : : : :: I:

: : : : : : : : : i ·..······.. ~·· ···..·-·~_······-i-·_ ..··_·~ ···· ·· _ ..:::~, --- .-.~ .; _ _ -i _ : : : : : : : : : : 

: l : : : i : : i : 

i ! : f f ; ! iii t···..--- i·· ····..···t-··- -···i-····------t-:---·····... . _..-t- - ···..···_··r--··..-i··..· ··· t..··- ····-i· ·_..·_ ·; t 4 • • I !. , I • 4

: ! : : : l2E~! i : : : 

f iii ; V~! i : : i t-· ·..··· ·1--.._ ···, ··_····..·1-····..··..··;·· ·_ · _ ~--_ _._ -- _..__ .~ _..-.~_ __.-: •

I II I

, •

• •

• 4:5: •• :, 14 :

• • 

: : : : : I' • , • I 

: : :. : : ,: : : ; : 

!

: i .._ .:._ _ i _ l _ i :; :........... ::: :•••••••••- •• _·_···r· ········;_·· ······:·_ iii
 _···; _-..·_·.. I 

: ! ! : ! :' i i : : : 

: : : : i " = i ! : __ ~_ .._._ _~_ _ _._. _.__ t._.... __._t _.l.__ _.L.._ _ J"""" _ ..! 

: iii i it! i ! i : 

: : : ; i: ! i i : : : : : : :: I : : : 

:-: : .. ·········-~· ..··········~: :..···_·--1···· ···_·"'t:. ..-·..•·•· •.•::::::--- P· ·:------·-:-·- ·--~·_-..•• ··1·· _..--: , • • • • I 4' I • •
 t I • I • f' • • • '
 

f j i j i ~! iii i 

: : : : : iii i : :.._······_·1-.....···..........1·_..·······1·_···-····r···...._........· _·...-·..•..·1-······_·1·..···...·.......-:··..--...1..........·_·...-:
 : : : : = f : : : • • I j I • , • • •
 • • I • I • f • , I
 

: : : : f ' , • • : 

L J__ _ t__ _ l _ L.__ ! iii : : : 1 : : --·····r···..-·_·l--·····..-r-··..·..._--~..···-....···-..: 

: I : : ; ! ! i i s : : 1 : : ! : : : i _~ j i i _... .._ 1 _ ...••...: ..-:. 1 1 

: i i : t : : ; : i 

t iii : L ! : I : 

: : : : : l4A' _4 ! : : i i r·..·..···....··,.......···-·...··.. .......··..·...·_·i·...·_.._·.... : - ,. t .... - --: ·-··.........~····..••..···-:..._·... ·_····..1"..._·_..••..... ·"1
 , , I • 't'0A~f I • fl' • :

: : : 1 : ; :~ ~: ! : r : : : • f , • • , • nat I II I • • I i _l t l _.._..l J _ _i_..!:'::'J..i.2r _t __.J t..M~ ~~€-~.~_N.Il_ .._ __f 

Omaha Lead Site 
Page 1 of _ 

Omaha Lead Site 

Omaha, NE 

U.S. Environmental Protection Agency Region vn 

Residential Yard Soils 

Environmental Restoration 

Services 

I'I{( )]'1 I{ [Y \C CI."" (1,1 b<: (llll1)'kktl 11: I'll1!lL'II: (hllll'(') 

1'.11;lll'llhll <:".11"1111.1 L'~P:\I'lllll'tll 1;\\('1 ,1;II11L':d [-~(JO-22.~-()-L:'

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

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

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

Property Access Granted By 'S""- -ill\. 13-f£,1h~FCl-,1 

(Please PrinrName) 

~-J./-07 (Date) 

NOTE: Granting permissi	 ply your property will be remediated at this time. 

)'I{U)'I R II 1,1 ()1{\lxr 10,
 

(Ill h~' (tlll1l'kkcl h\ 1<:,itk'111 .llld III 1'1 Up,'11: L1\II1,T I'k-.h<: 1'111111
 

Resident Name: ~Ci etv\' P't6~vJ	 towner o Renter 

Residence Address: 3 GC( 1'1. d i	 0t1lAt/A=


(CITY) (STATE) (ZIP)
 

Property owned by, 'Sll Wt (}'I Si2'iOwners mailing address: 7 5U I /l c: 

Owner's telephone number-Home: f-{'S7- 42.5] Work:	 _ 

Age of Home? ....;t.....~~=-_t_"__ years How long have you lived here? years
 

Has the exterior been painted or covered with siding since 1978 DYES o NO
 

Has the interior been painted or covered since 1978? DYES o 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 ENVIORNMENTAL RESPONSE ACTIONS 

The activities to be implemented by EPA Wlder this agreement are pursuant to Section 104 ofCERClA, 42 U.S.C. 9604. EPA's right ofaccess to the 

property for in Sectioo 100(e) ofCERClA, 42 U.S.C. 9604 (e), which provides entry for, "detennining 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: --=-S-=&-=-O_~~b1...:....... _')---l'1r.......- _ DVD ID # 3d. 7Bt 

Date: 15-':;> 1- d ": BVID# '377 g t 

Description 

V~c.. ~-v-r- LOl 

rr::er Signature ECC 

rint2Sign~ print&Si9~

J2<l'>' //Ve ~'J)ey' f:42s 
Contract No. W912DQ-04-D-0017, Task Order DKOI
 

Omaha Lead Site, Omaha, NE
 

Property Closeout Agreement 

DVID s~7JT1 Property Address I Slr()1 ;J.ifsr

Property Owner --;r'cJ}Iii /Ylt'25 L£ t( Is the Owner the Resident? DYes ~o

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 (BCC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPAlUSACEIECC 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 Bahoke, 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 Khanna or ECC Project Manager 

Charles "Skip"Milton 

Name Title Date Signature

PROPERTY OWNER SECTION 

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

satisfaction. 

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

Comments (if applicable): 

Ill/ 

~ff4 YJf&~ -

Property Owner's Signature t:7 Date //) /%.- /P ? 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Oased Contracting (POC) Pilot Project 

Remediation Contractor: __....Jj£~C=c..=- _ 

Property Identifier Number: _ 

Property OVID Number: c..Sd-7 s-i 

Property Address: 38'tJt{ II /).,'1 s r 

Property Owner's Name: -;S;OJfJ0 roos LEt{ 

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

•••••••••••••••••••••••••••••••••****••••••••••*•••••*••••••••••••*.*••••••••• 

Instructions to Property Owner: 

This 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. 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 perfonned on your property. 

Please indicate your level of satisfaction with the Contractor's work by selecting a 

nwnerical 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"
 

10 5 

9 4 

8 3 

7 2 

6 1 

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

Property Owner's Signature: 
dJb. 

.EI:C. 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

mJ 

us Anny Corps 

of Engineers 

." 

Analytical Results Summary 

Quadrant 

DE
 

Sample
 

Type
 

F1 

OLS#32784 

3804 N 24th St 

I Deptb I Date Collected 

I 8 I
 

DE I F2 II 8 II 

DE I 81 II 5 II 

9/14/2007 

9/14/2007 

9/14/2007 

XRF Results 

(ppm) (avg.) 

13	 I 

37	 I 

8	 I 

I 

I 

I 

I 

SAMPLE 10-

SAMPLE ID is a particular residential property 10 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 

BI or B2- Back Yard One or Back Yard Two 

DZ DripZone 

GA=Garden 

PA Play Area 

EA = Easement 

Depth describes the depth from which the sample was collected. 

ppm = parts per million