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 33919 Property Address 4304 N 40th Av 

Field Work Started 9/11/2007 Field Work Completed 9/12/2007 

Summary: 

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

• F1 excavation depth was 3 inches below ground surfaces. 

• Drip zone excavation depth was 13 inches below ground surfaces. 

• Drip zone garage excavation depth was 13 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 

s;. 0 0(1 1)v~UAJ ECCQCM 

Name Title 

Jeff Hubbard USACE Con Rep 

Name Title 

lO-(}S-C) 

Date 
Name:~ Omaha Lead Site Date:

Add~ss: Site Sketch Time: 

Phone: -

North Arrow 

OLS._--'----'=.L-J----- XRF Code 2775 Team _~'-!!.""",l.L'It.-::------

Quadrant Lead Concentration Date9lz&z

Fl J" F2-- ~.,----

Bl _ 

B2._-..",=,,",," _ 

DZ &{f o-Jild -0'/ 

LogBook

-z. 

f··········-i--·----····1-·····--·-r·····---1---·······- .....,-.•.....•._-. r······--r··_·······1 ...••...--·-r-·····l-----···r-·...···----,--····---·r··---...­ , t • • I : • • : • I : I • • 

: : : : : I : : : : I I : : : r··-·-··1·-··--r--·-t--t-··+--t--··-1-+-··1-+----J--l---··L....j : ! l Ii: ! i i ! ! ! I : ! • : : : : : : I I : : : : : : t-- ----.1 --~-.---- .•.-1 + _~ ------~ -,' __...: r ! I : ! i : i ! : ! I: -T-·······1······--t··..-···-~·-···· ..··4••_ ••••••••••••! 

: : : : Iii :!:'!: I 

: ! ! ' ! i i !' I !!! t - 1••••••.•.••• - .., ' : ! I ! :. .! ' +.--._------~••••••••_---....: : :'. ,I ! :• ..": : f :! '.':: .,

t···········~--------_· ! : 

: 

: : : : : ...._._--~._! ...-._.--.i: ! ····-·t······..···l.;....··......--·-r-····--i...-----.....-.-....•._... . . :: : : : . . . ! : ,: . . : ! : : 

L........ ! 1 1/Q)Zzzl i l ! I ! j '---r-'--''''I ·_···_--r-··-·-fJ··..---~---·-·1-···· .~-.--- .. --.j : : I ! I], I : : I :

: ! G! : ! : !! i! 

t.-•••••••-.~•••••• .•-. _. ••••• .:..:" I I i ! -r··..····-1··_···-+-- ·1··_··--t-·__···_·_~·_· --i- i ! i :! j ! : iii : _.._--:------····1 

:: :::: I:;::: I

r r..... ·········t······--i·---·····+--··..-t------ . --!.. ._~._-- __L--.__J._... i ! f !! I I IVd..r 4- "30 i l ! ! r··········r-·····_···!

: ! .: ::! r --r.- -- __ .J j 

: : i : ! : l . : i 

!.....•....•1........... i _+-._._..1 : .....:
I 

: ! i ! I 

L..t ! I 1 ! ! .t....... I I !
 

.

. 

•••••••

.~~~~~~~~~~L....l..~

: t----...;'i--L---­

! 

:

•.._- I· 

: : 

·

: .: 

: : 

·

: 

......._ -.

:
 

·

· . ······ ...... : . .....-_.._.,:....__..-­ ··

·, . 

.. : :

: : t...... ••••j 

Omaha Lead Site 46130 
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) 

?a:a re: blr cstc; fc'''''-'a er =s;:al~f ::0: ;a\1O' 13r.12 al i·CCfoJ·223·':~2S

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 

services. Your cooperation is requested in giving EPAIUSACEJECC 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 

(Please Prinl Name) 

NOTE G t" , , DOES NOT f •• ., . rt 1/ b ed' ted tth' f -_. ---_..- -- - ..._- ------- -- - ----- - . - _.- . - - ) 

PROPERTY INFORMATION
 

(to be completed by resident and or proper1y owner - Please PrInt)
 

Resident Name: :0/3M£S I1()OR E UJ...-owner o renter 

Residence Address: I-fSO't N YO ell 

(CITY) , (STATE) (ZIP) 

Property Owned By:__-"S=.L../lLJML:..!....IE _ 

Owners mailing address: _ 

Owner's telephone number - Home: _ Work: -------------41 

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

Has the exteior been painted or covered with siding since 1978? DYes o No 

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

Irotal number of occupants: _ list Ages:----------------------41 

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 

The activities to be implemented by EPA under this agreement are pursuanlto Section 104 of CERCLA. 42 U.S.C. 9604. EPA's right of access to 

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

aking any response action under this litle, Of otherwise enforcing lhe provisions of this litle." 

Access Attempts: 

First Second: : Third: : _ 
pg._of_ 

list of Existing Conditions
 

Property Add ress: _---!..'i.=s~O:.........ll(:....__L.:IN:....__J.t..L.lo()~It~VL...- _ DVD 10 # _ 

-SOMEs DzOM£ Date: F -cJr-o , BVID# 339/'1 

Ref: 

Photo 

# 

Description 

i) I2I'-MlJfI~ I}rJtI PI.JJN75/ S }f-~{)6'S / I?tJcl:s t /)tJ Nt!fT /;~f'tlJ~4"

Owner Signature ECC {pI~ -3~/.s prin~Sign Print 

~~fYl~ J 
Contract No. W912DQ~04-D-0017, Task Order DKOI
 

Omaha Lead Site, Omaha, NE
 

Pronerty Closeout Agreement 

BVID Property Address 14 ~? iiI/ N J..fi) Ift/

Cl NO 

....'?-.?rl'i 

Property Owner S/fJ\1&;<' m,/I/1~1C Is the Owner the Resident? ~s

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 EPA/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. 

Ifyou 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.
 

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

Comments (if applicable):
 

-

IX':· 6}£U/1// tJ.;I. 1J/?J1~ Pr0fj"iy Owner's Signature Date /j --)1-07 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Oased Contracting (POC) Pilot Project 

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

Property Identifier Number: _ 

Property OVID Number: 33 CfI cr 

Property Address: '-130 '1 N l./0 /} 1/ 

Property Owner's Name: 38 M €J moo8 £ 

(above information to be filled out by remediation contractor prior to delivery of form 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 

numerical 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 x. 3


7 2
 

6 1
 

Additional Comments from Property Owner (optional; continue on back of page ifneeded) 
CONTRACT # W912DQ·04-D-0017, T.O. DK04 

.Ec:C. 

Omaha 

Environmental 

Lead Remediation, 

Chemical Corporation 

Omaha, NE us 

m

Army Corps 

of Engineers 

Analytical Results Summary 

OLS #33919 

4304 N 40th Av 

Quadrant Sample Depth 

Type 

DE F1 3 

I DE I DZ 13 II 

I DE I EA-W 0 

I I DE DZ-G 13 II 

Date Collected XRF Results 

(ppm) (avg.) 

91712007 30 

91712007 179 

91712007 46 

917/2007 256 

SAMPLE 10-

SAMPLE 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; 

Fl or F2 = Front Yard One or Front Yard Two 

B1or 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