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 29471 Property Address 2806 N 26 St 

Field Work Started 9130/2007 Field Work Completed 10/11/2007 

Summary: 

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

• F1 excavation depth was 4 inches below ground surfaces. 

• B 1 excavation depth was 12 inches below ground surfaces. 

• B2 excavation depth was 4 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. 

• Site restoration were conducted in compliance with the specifications and work plans. 

Comments: None 

ECCOCM D2 IV,-'1I0 1

Title Date ature 

Jeff Hubbard USACE Con Rep - 07 51 J.J]?JlLj Name Title Sign~
>.: 

Omaha Exterior Paint Lead Site Owner Name: fita,../q t1 WYll n o Goqd Site ~!<etch Address: ~g~b JJ ::<17 Sr o Poor 

D~ .......a. H: W:
 ~.

Team f.6ro\NV1 OLS__-L..F.-::D:....L.Al.-__XRF Code-_---:.-!-=--- 7.5

Quadrant Lead Concentration Date 

FI II qq ppm IO/U / 07 

F2 Ihq ppm 

BI \2 11 ZSO ppm 

B2 if // /oer ppm LogBook

DZ __---;-~---I-ppm Z EA-~ 011 It.' ppm 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

1m 

us Army Corps 

of Engineers 

.ECC.

.. 

Analytical Results Summary
 

OLS #29471
 

2806 N 26th Sf 

Depth Date Collected XRF Results 

(ppm) (avg.) 

10/11/2007 I 99 I 

12 I 10/11/2007 I 250 I 

I 4 I 10/11/2007 I 109 I 

0 10/11/2007 1 121 I 

I 

Sample Quadrant 

Type 

DE F1 

I DE I 61 

I DE II 62 

I DE I EA-E 

I II 

I I 

SAMPLE 10-

SAi\1PLE ID 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 

DE = During and Post Excavation 

Quadrant describes the sampling location (with sequential sample number for that location) as follows; 

FI or F2 = Front Yard One or Front Yard Two 

Bl or B2 = Back Yard One or Back Yard Two 

DZ= Dnp Zone 

GA Garden 

PA Play Area 

EA Easement 

Depth descnbes the depth from which the sample was collected. 

ppm = parts per million 
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) 

~:. :. ''':' -: ::. S:.1 .c;' • -. ':.. ':... ,~. ~':"'. ~IC-' ,I ..·... . : C ~. .... ~::.

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

ervices. Your cooperation is requested in giving EPA/USACE/ECC permisSion to access your property during the 

emovallrestoration phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551­

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

Property Access Granted By 

Property Owner Signature) 

., . NOTE G f , . DOES NOT . ,. rt "II b eel" t d tth' f 

PROPERTY INFORMATION 

(to be complered by reSident iJnd or propf>r1y owner· Please Print) 

Resident Name: V!1cG NT Lt2r Downer o renter 

Residence Address:__.CI:;~8j~'tJ~6_~N!..--..l~_(P~sr~__ (CITY) (STATE) (ZIP) 

Property Owned By:_--L.rn&.+Lt4uR:lo.....bL<.Ld~-'lt~')'--yJ-LJI.N'--"J1)..IL...... _ 

Owners mailing address: tzJ. Jf¥ ((€lib .$r 

Owner's telephone number • Home:__--""S""--t)~J_---.:..,J.{~fR.~'J~t,'---

Age of Home? ______years How long have you lived here? _____years 

Has the exteior been painted or cove~ed with siding since 1978? DYes o No 

Has the interior been painted Of' covered since 1978? DYes o No 

lTotal number of occupants: _ List Ages:--------------------~I

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

Comments: 

[AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

Irhe activities to be implemented by EPA under this agreement are pursuant to section 104 of CERCLA, 42 U.S.C. 9604. EPA's right 0' access to 

he property for in section 104(e) of CERCLA, 42 U.S.C. 9604 (e). which provides entry for. "determining !he need 'or response, or choosing or 

aking any response action under this IiUe, or otherwise enforcing the provisions of this title." 

Access Attempts:
 

First ~-- Second: : Third: : _
 
pg._of_ 

List of Existing Conditions 

Property Address: --..loLl-~:...--~V-.,;;.;;:J~&~S~I-_- _ DVO 10 # d9'17/ 

Owner: . Date: _ aVID# drL/ 7j --+-~-""----'+-'-""--'---

Ref: 

Photo Description 

# 

/I/(J!\ JZ;;:- I ...... 

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 qlf / .1 )(Ot-J N 'rlt sr 

Property Owner Is the Owner the Resident? DYes Q...NO . fl)l4,() L W if,uA.1
 

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 EPNUSACElECC 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 ofExtemaI 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 of remedial/restoration efforts at the property to my
 

satisfaction.
 

Tagree that restoration is completed at my property, except as noted
 

Comments (if applicable):
 

. [x%/lA/At) ~?f!1crn A\ . / 

Properly Owner's Signature U Date 

/d--oo-O'J 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

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

Property Identifier Number: _ 

Property OVID Number: ~_~"':""L......I.~__~_

Property Address: J=;:;.:.~~O~~~... N:....-.-J__h 7tillLS".L..r: _ 

Property Owner's Name: ~_.::..m.L..L.lt3.L.' illl.e-'lJ...~8"",-.w;\N~V IJJ~U_· _ 

(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 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 ofsatisfaction 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 form 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 regarding Contractor's Work 

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: Date: I cd-- OS -tz '7