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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

ECC Certification for Property Closeout 

BVID 28349 Property Address 1 530 Willis Ave 

Field Work Started 09/15/2006 Field Work Completed 09/27/2006 

Summary: 

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

• F2 excavation depth varied from 2 to 4 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 

Name Title Date 

Jeff Hubbard USAGE Con Rep 

Name Title Date 

•III 

Superfund 

40286533 
page 1 of. 

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 OF 

(Please Print Name) 

t 

(PropeTfy Owner Signature) / 7 -(Date) 

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

PROPERTY INFORMATION 

(fo be completed by resident and'or property owner • Please Print) 

Resident Name: > 08 owner renter 

Residence Address: (jj\ l\\$ 

(CITY) (STATE) (ZIP) 

Property Owned By: > 

Owners mailing address: 

Owner's telephone number - Home: fo2.- *-5~>8O Work: 

Age of Home? //O o years How long have you lived here? years 

Has the exteior been painted or covered with siding since 1978? LJ Yes 

Has the interior been painted or covered since 1978? LJ Yes 

Total number of occupants:_ List Ages: (/) 

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

omments: 

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 ol access to 

he property 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 

akmg 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: /53Q DVD ID # 

Owner: CA^l

^ 

Ref: 

Photo 

# 

Description 

 of Date: O?fr/o BVID# 

OwnerSiature ECC 

Print Print & Sign 
CONTRACT # W912DQ-04-D-0017, T.O. DK03

 

Environmental Chemical Corporation 

Omaha US Army Corps Lead Remediation, Omaha, NE of Engineers 

Analytical Results Summary 

BVID # 28349 

1530 Willis Ave 

Sample 

Type 

DE 

PX 

Quadrant 

F2 

EA-S 

Depth 

4 

0 

Date Collected 

9/25/2006 

9/25/2006 

XRF Results 

(ppm) (avg.) 

21 

60 

Lab Results 

ppm (avg.) 

N/A 

N/A 

BVIDBVID is a particular residential 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 

PE = Pre-Excavation laboratory sample 

DE = During and Post Excavation 

- Quadrant describes ihe 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 
eg]

 

^ North Arrow Omaha Lead Site Owner Name: ^-Offf }~ Cr/v en Orw Site Sketch Address: l^t>

 

Phone: HiG/cj) ^^'- S/£?G ((ha-;

 r 

Sample Number 

RYASCPXARYBSCPXARYCSCPXARYDSCPXApj-N-roppyA 

RP7SCPv/\ 

F1

F2

B1

B2

LJji. 

6v 

P7 

Lead 

Concentration 

 2/7 pom 

/ 7&O _ Ppm 

 ^/^7 nom 

 "97<^ 

ppm 

_ Ppm 

_ ppm 

Number of Samples 

Sample Samples Collected 

Collected Firm: /t/^J 

Ef D Date: S'S"-o<y 

LT

0"

0"

 D 

n 

D 

Time: /^ ;<:/^ 

Samples Analyzed 

n n XRF Unit: ^^^ Book: £& 

D n Date: 

n n Time' 

r

7l i. 1 i i

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 . ..! 

Staff: 

Z-M 

Ornaha Lead Site 46130 
Contract No. W912DQ-04-D-0017, Task Order DK01

 

Omaha Lead Site, Omaha, NE 

Property Closeout Agreement 

BVID Property /\QOrcSS / ^>- .^^5 t *t i ( f cTM / '^•o^ is \/ i ^"*s

-L-^ 

_^_ _ cirf OF 6>h#H0 , , _ Property Owner 7^r$v-—+j+LL4£. Tier the Resident? D Yes D No 

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 USAGE and/or ECC: 

CONTRACTOR CERTIFICATION 

Prashant Khanna or ECC Project Manager 

Charles "Skip"Milton 

Name Title DJl

'Y/?£

 s!Kr, li 

PROPERTY OWNER SECTION 

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

satisfaction. 

I-U^^'^I agree that restoration is completed at my property, except as noted 

Comments (if applicable): 

XT^L-U^^^L.^c / /- *>- ot 

Property Owner's Signature

 f Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Performance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: 

Property Identifier Number: 

Property BVID Number: 

Property Address: J' ^'3"0 

Property Owner's Name: Q /Tf 

(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 

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: 
Property Check Lists QC 

Location 

BVID 

Dates 

Excavation check list XRF check list Backfill check list 

have easement map have easemet map (1) reconstruction map 

have site map have site map (3) positive drainage from house 

home owner agreement easements sample NO low spots 

line locator F1 samples NO Rake Gaps 

access log F2 samples lawn even 

decon station B1 samples soil compacted 

tape barricade B2 samples sidewalk 1" cuts 

garden hose DZ samples smooth transition from walks 

reconstruction map for buildback AS-Built area free of debris 

fences map corrected fences repaired 

sod areas shots mapped damage to property? 

mulch concrete mapped damage list 

gravel trees marked punchlist filed 

notes LIP marked/noted 

name and date name 

date 

easement mapped 

window wells mapped 

ac mapped 

Log book up to date 

C ­-<_ 

QC Notes 
/^ f •\

 

North Arrow iha Lead Site Owner Name: -~&tfrh C_-T( y C>~ site Sketch Address: /T3O Lj.'itn AJ

 

Phone: H: (^09) 44t/ - *>y>CjO fo^

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Sample Sample

 Samples Collected Number

 Lead LAB Concentration Collected Firm: ,AAB^ 

RYASCPXA- F1 2/7 DDm n Date: s-S"-oc

/ 

RYBSCPXA- F2 / Z^^ ppm D Time: ^:

^O 

RYCSCPXA- B1 >^f^l ppm n '— 7X"i

 Samples Analyzed RYDSCPXA- B2 3' /c-' ppm 

RD^CD B.TZ— £. _ PPm D n 

6

XRF Unit: ^'^ Book: £& V ppm D n Date: 

RP"7CCPVA P7 ppm D Time' 

i— ; Staff: Number of Samples ~ i t i 

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Omaha Lead Site 46130 
BVID*

 

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 Omaha Lead Site Owner Name: ~&tffr Ofy

Address: <Kt> Lj^J Av, S.te Sketch 

Phone: H:^.).^' - S"^"O ( O^/'S\ 

Sample Number 

RYASCPXARYBSCPXARYCSCPXARYDSCPXA­

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Concentration

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Omaha Lead Site 46130 
Map Output Page 1 of 1

 

1530 Willis Ave/40x95 

http://webarc.co.douglas.ne.us/servletycom.esri.esrimap.Esrimap?ServiceName=TestAerial... 9/21/2006 
Owner Name: — &tf~f h Cr/v cr 

:

o^U0m£ iha Lead Site 

site Sketch Address: /">?£?

 

Phone: H.^/o>) W - 57tfo CckjU-s^

 

Sampl Lead Sample e Number LAB Concentration Collected 

RYASCPXA- F1 2/7 com tf n 

RYBSCPXA- F2 / 2*3 O pom 0" n 

RYCSCPXA- B1 ^r/^f Dpm n 

B

1-1 /*> RYDSCPXA- B2 3' /<-S Dpm n .7

^

— pom D n

6V Dom n n DO"7O^NpVA — PZ- DDm n n 

Number of Samples ~ i \ 

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r 

Samples Collected 

Firm: AAB^> 

Date: <;-S-o<-f 

Time: -f° '**£> 

Samples Analyzed 

XRF Unit: fft?^ Book: ^<^ 

Date: 

Time' 

Staff: 

Omaha Lead Site 46130