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 27592 Property Address 1504 Yates St 

Field Work Started 9/21 /2007 Field Work Completed 9/22/2007 

Summary: 

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

• Fl excavation depth was 5 inches below ground surfaces. 

• B2 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. 

• Site restoration was conducted in compliance with the specifications of the home owner. 

Comments: None 

ECCOCM I~Pc o+ diidh- Y' 

Title Date . ature 

Name 

Jeff Hubbard 

Title 

USACE Con Rep 

Date 

II to;) Itfl 

Si 

~ e 
_ .__.._..__.

275'12 

North Arrow Owner Name: &Kteenth ('it. Ltd Omaha Lead Site 

Address: Hm'l Yate9 de Parlner:ltrite Sketch 

Phone: H: ----- W:.3i5'- 7.3f[C 

Exterior Paint 

o Good 

o Poor 

Q( Not paint 

Team XLotle 	 OLS·_.J.-'.aL____ XRF Code tZ75" 

Quadrant Lead Concentration Date 


FI 5" 'I? ppm
 F2______ ~Z3 ppm*, 

B 1 __--,-,.,..-__ '1qf. ppm1f' 


B2 /2" .8 ppm logBook
 DZ.______ _____---'ppm 
 t _____.-lppm 

_____--1ppm 

_____.-lppm

I ppm 

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• • • • _ •••••• ••• ••• ~ • •••• '••• ••• ~ ••••• ~ • •••• ~ ••••• ~ ••• •• : ••••• ~ ••••• ~ ••• • • ~ ••••• ~ 046141 .01.2.3 
Page 1 of_____ 

Omaha Lead Site 

Omaha, NE 

u.s. Environmental Protection Agency Region VII 

Residential Yard Soils 

Environmental Restoration 

Services 

PI~( Jill R I" \l( I ~'" (It) bl' l(llllpklL,1 b\ PIOp....'ll\ ()\\ IlL!) 

jl 11 d II.. lib I I l"! I It)t 111.\ l "p.llh,] pt) It.\\ t) I ILl Ill\..' ,\ I I .. X(){) .. ~ ~ _~ .. (J 1:2" 

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 

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

Property Access Granted By !11 ;c\.,,,<l '* S"c. ~\'Z... (Please Print Name) 

(Date) 

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

I'RO!'I RI\ 1,\1 (lI\\1 \ IIU,\ 


(Itl hL LUlll~'ktl'lllJ\ Il'''llkllt .lIlt! III )1ltll1l'tl) t)\\ 111..'1 " PI..',j"'.' PI lilt) 


Resident Name: _--UV:.LS"C....."'f!I.!>tV'-"yL-...!.J-.=OILLT_____ DOwner o Renter 

Residence Address: _/,--,Si""--"O"-'t-,-~'(Itu..LTl-",-,,.s,,--,,.:s<Jr,--_ (CITY) (STATE) (ZIP) 

Property owned by: j{pTiJ sTfCtCr LIM/UP PIM TN!/? S/fIP 

Owners mailing address:·_~.2.""-J"'-",Q."-I/'---'N"'--_"J"_'I_"---,,,,-,r'---_--'OL.LLJMUJ.t!<LJ.l.If11-'-7;q---"1\.J"-1E~--,h",,-,,,?.L'/JI..!()~_ 

Owner's telephone number- Home: __________ Work: __________ 

Age of Home? _________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 ofoccupants: _______ 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 under this agreement are pursuant to Section 104 ofCERCLA. 42 U.s.c. 9604. EPA's right of access to the 

property for in Section 104(e) ofCERCLA, 42 U.S.c. 9604 (e), which provides entry for, "determining 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: _________ 

List of existing Conditions pg._of_ 

Property Address: 150<4 ~Q+e:s 5+ 

owner:\Lo-5tree1 Umded Date:2)2:DlDloLSID#: Q159~ 

Description: 

DOQe< 

Owner Signature: ASW Associates Inc. 

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 /S7) I{ I(~TES 

Property Owner Is the Owner the Resident? 0 Yes lIJ.--1iio 

Compliance Statement: 

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

(US ACE), 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. 

If you have questions or need additional information please contact Don Bahnke, 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 

~~::: Jam~D!'!7\a/. ECC Project - -_!.II_a_g_er_-+-:::-____--t--::::---::>"'""f-,_~ ........""'....,.'--_--1 

Namf ~.'~~erintendent Date sr~IY . PROPERTY OWNER SECTION f' 

This agreement documents the completion ofremediallrestoration efforts at the property to my 

satisfaction. 

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

Comments (if applicable): 

Prolfefti Owner's Signature ~ Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Baseel Contracting (PBC) Pilot Project 

Remediation Contractor: __..J.E~C""CI.-_______________ 

Property Identifier Number: ________ 

Property BVID Number: ~ ?s9',J 

Property Address: /SOI.{ 'lltT££ 

Property Owner's Name: ItRTJ) sr~Ur '-IMITE/) PtttTNflcSIfIP 

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

****************************************************************************** 

Instructions to Property Owner: 

lbis 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. Anny 

Corps of Engineers (USACE) are very interested in your opinion regarding the work perfonned 

by our contractors. lbis 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 

numerical rating (ranging from I to 10) using the following mting 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" 

Pro e Owner's Satisfaction Ratin 

10 5 


9 4 


8 3 


7 2 


6 1 


Additional Comments from Property Owner (optional: continue on back or page ifneedeel) 
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 # 27592 

1504 Yates St 

Quadrant Sample 

Type 

Depth Date Collected XRF Results 

(ppm) (avg.) 

DE F1 5 9/19/2007 97 

DE B2 12 9/19/2007 53 

SAMPLEID· 

SAAIPLE 10 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 :a: During and Post Excavation 


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

FJ or F2 "'"' Front Yard One or Front Yard Two 

B I 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