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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 33317 Property Address 3923 N 26th Av 

Field Work Started 8/17/2007 Field Work Completed 8/18/2007 

Summary: 

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

• B I excavation depth was 12 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 

Name 

S ..--t+ i)v"" J 

Title 

ECCQCM 

Date 

/()h/-o7­ ~~~ 

Name 

leffHubbard 

Title 

USACE Con Rep 

Date 

iC-aS-O 

Signature 

~,~ 
IW~I mil 1111 mn 1m alllill 33317 


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· . . 


Owner Name: LESTER SANDERS 

Address: 3923 N 26 AV 

Omaha Lead Site 

Site Sketch 

Exterior Paint North "'row 

o Good 

Phone: H: 4 5?. Jf~ ct 1 W: 

o Poor "c;--

0'Not paint 

Team C , Ch ' 

Quadrant

Fl_____ 

F2 

Bl-'''''Z,""'' jI'I-c.""~

B2,--____ 

DZ~...,__:____._-

EA ~ M.s-f Q jll'!, 

-

OLS'--'-=-ll>o~o!kU.,;~ XRF Code 2734 

Lead Concentration 

{51 ppm;; 

15ft? ppm* 

125 ppm 

12.0 ppm*, 

_----;::--_-'ppm 

70 ppm ____-'ppm 

____-'ppm 

ppm 

Date 

. . 

~/18/C>7 

LogBook "#/ 

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~~~--~~~~--~~~

,.....:...---;---'----;.----;~~---..,....... --... :-<-:: :--.;. · Q9 -,.;....-.,;~f~~ w~ sf .. : , . . . . . . ~ •• • • _ 1 _ • • _ • ~ _ •• • • ~ • • • •. '. • • . _ • '• .• • • . ~ • • • • • ~ •• • •• '•• • • _ • : • _ • •• ~ • •••• " _ _ .. ' .. .... ~ ... . . Omaha Lead Sit. 46130 
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE US Army Corps 

of Engineers 

Analytical Results Summary 

OLS # 33317 

3923 N26Av 

Quadrant Sample 

Type 

Depth Da te Collected XRF Results 

(ppm) (avg.) 

PX EA·W 0 B/17/2007 70 

DE B1 12 B/1B/2007 125 

SAMPLE 10-

SAMPLE ID is a particular residentiaJ property JO 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 ,.. Durmg 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 

BI or 82 " Back Yard One or Back Yard Two 

02 Drip Zone 

GA - Garden 


PA - Play Area 


EA =- Easement 


Depth describes the depth from which the sample was collected 

ppm = parts per million 
--

page 1 of_ 

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. 


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) 

Para 'c::;,:'I, es'a fe. 1'Cl,:r1 e;;:","l,J1 ::o~ 'aver IIJr,;:; 31 '·8::0-2 2: J.2:J 

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

IIDist,ict to conduct environmental restoration services for the Omaha lead Site. USACE Omaha is working with 

IIEnviro"menllal Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration 

IIs.,rvi(;els. Your cooperation is requested in giving EPNUSACElECC permission to access your property during the 

IIrem()valirelst(lralion phase. For further information please (;OOtact Don 8ahnke, EPA Project Manager at (913) 551­

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

Property Access Granted By 

(Please Print Name) 

I!ResidentName: /..E.$TEf? SItNDgS - VJ1CJJAJi t.o71:iJ...<w'ner o renter 

IIResidelnce Address: , ?'1d3 N &t:, /tV 

Owned By ~~S..L.L.8uM=..oE~ _ __~~~ _ _ _______~~_ 

11f"~n.o .. mailing address :~~~~~~~~~ ____________~~_~ __~~~~~_ 

1I0'NnE"'S telephone number - Home :_--''f,.p....s;:.lJSo.l -..J.~'''~:..:I{,L/'-___ Work: -----------11 

______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:___________________-il 

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

activities to be implemented by EPA under this agreement ate pursuant 10 Section 104 of CERCLA. 42 U.S.C. 9604. EPA's right of acce•• loll 

for in Section t04(e) of CERCLA, 42 U.S.C. 9604 (e). which provides entry for • "determining lhe need for response, or choosing or 

action under this i . or otherwise the of this title," 

First: ___________ Second: : ___________ Third: : ___________ 
pg._of_ 

List of Existing Conditions 


Property Address: 


Owner: I ~-\-f£ 6mc\v1o Date: ~\ I1JW BVID# 33~ 1"1 


Ref: 

Photo 

# 

Description 

Owner Signature ECC 

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


Omaba Lead Site, Omaha, NE 


Property Qoseout Agreement 


DVID 2 SSJ? Property Address I , ? <t."l, ~ N ~(g /1-11

Property Owner Lf-~n Je s/frJ]) [t.}" Is the Owner the Resident? DYes El..-No

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 EPAJUSACEJECC 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 Dahnke, 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. 

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

Comments (if applicable): 

8

~ 

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y-fd CYl <l- [)f 1';/­ //-() ?-o") 

Property Owner's Signature Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Dased Contradine (PDC) Pilot Project 

Remediation Contractor: ___....£C-=-Y"' ________________ 

Property Identifier Number: ________ 

Property DViD Number: _--,-I ?......... ?..... ?.... I...,i.?-_-


Property Address: , f'lJ- 5' tJ cJ-b A-V 

Property Owner's Name: /...t$Tftf 5Mb£l< (" 

(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 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. Army 

Corps of Engineers (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 performed on your property. 

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

numerical rating (ranging from) to )0) 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·\0 "excellent" 

7·8 


5-6 


)·2 "very poor" 

Property Owner's Satisfaction Rating regarding Contractor's Work 

10 & 

9 

8 

7 

6J (~ 

4 

3 

2 

) 

Additional Comments from Property Owner(optional; continue on back ohm ifneede4) 

Property Owner's Signature: