# 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 29544 Property Address 2015 Maple St 

# Field Work Started 

# I 09/29/2006 

# I Field Work Completed 10/03/2006 

# Summary:

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

.. B 1 excavation depth varied from 4 to 6 inches below ground surface.

.. B2 excavation depth varied from 4 to 6 inches below ground surface.

.. Verification samples confirmed that cleanup standards were met.
e 

## 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.

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## Jeff Hubbard USACE Con Re12 )

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laha Lead Site 46130

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U.S. Environmental Protection Agency Region VII Omaha lead Site NE Residential Yard Solis

S. Environmenlal Protecllon Agency (EPA) has contracted the U.S. Army Gorps of Engineers (USAGE), Omaha to conduct environmental restoration services for (he Omaha Lead Site. USAGE Omaha is wol1dng with IIFnvironmenlaJ Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration cooperation is requested in gilling EPAIUSACEJECC permission to access your property during the Ilremovallresloration phase. For further information please 

### conlact Don Bahnke, EPA 

### Project Manager at 

### (913) 551­ or the Office 

### of External Programs, 

### at 1-800·223-0425.**~perflt':lJ.ccess** Granted By

nRp"irlpnl Name: 

# Vttc--frNT LOt Downer IIResidence Address:**~,,-** - ,.."r 1-,/-" r. ­ .• -'
IIPr"""rt" Owned By: '--of < '-- (;..J**~l** OF 

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_ \. .7'-" r**~** l { Y ..", lIuwners mailing address: _/.,,/ LA. ':...1

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### ,f.**(\£I~'-'** "(:?""

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### v.... :rp telephone number· Home:

_______ years How long have you lived here? Ihe exteior been painled or covered wilh Siding since 1978? the inlerior been painted or covered since 1978? 

# o Yes DYes f'" , .. ...., , 

# 'II/

_____ years 

# o No 

# o No List Ages:

____________________-fI ages of occupanls under 6 years old who play in the yard for 5 or more hours per week:

________

10 be implemented by EPA unde< this agreemenl are pulsuant 10 Section 104 01 CERCLA, 42 U.S.C. 9604. EPA"s righl 0' access 

# '0< in Sec!ion 104{e) 01 CERCLA, 42 U.S.C. 9604 (e), which provides enl'Y (or, -<felermining the need for response. or choosing or undCf this Iitle. Of olhelv.;se enfOltina lhe mmrisions oflhis liUe." 

### Cr7J..l II-CJU]·-f111 First: 

### C.ffECIC**r-a~** SO't) Second::

___________ 

### Third: :



### page 1 

### SEP 21,2006 02:54P

## Contract No. W912DQ-04-D-0017, Task Order DKOI Omaha Lead Site, Omaha, NE Property Closeout Agreement DVID**).7~q.'f** 

## Property Address 

# 1;20 1 ;;­ (hAp 

# IE 

# :Jf Property Owner 

# c..£cE\{ 111 

# 5 I1\.

# ~ft1. Is the Owner the Resident? DYes**~** 

## 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 EPA/USACEIECC 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 Prashant Khanna or ECC Project Manager Charles "Skip"Milton Date Title

# ~1rV\

# ~natuA·A

# NaSK~() t\;

# \~Jt\ lI-Zq,O& 

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# PROPERTY OWNER SECTION This agreement documents the completion ofremedial/restoration efforts at the property to my satisfaction. 

# Wr I agree that restoration is completed at my property, except as noted Comments (if 

## applicable): 

# ;;:1 (-\**I~** / 

### / 

# II

# P-cfJ~()Oh

# ~//dhe1~1J,ut~ Propt"rty Owner's Sigmlture Date

# Property Owner Satisfaction Survey Form Omaha Lead Superfund Site Performance-Based Contracting (PBC) Pilot Project
Remediation Contractor: 

# IE C 

# C**----~-------------------------------** 

## Property Identifier Number:

________ Property BVID Number: 

# d 75'4,/ Property Address: 

# :1.0 i

# ~ mAp 

# IE 

# s+ Property Owner's Name: 

# UCEdli4 

# SvYL.l'-flt (above infonnation to be filled out by remediation contractor prior to delivery of fonn 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 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 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 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" 

## 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 if needed)



# / / 

## /
/1 

# -:-Ill Propel'iy**Owner'~** 

## Signature. 

# IlWu

# Date:Nl<b~ I

## CONTRACT 

# # W912DQ-04-D-0017, T.O. DK03 Environmental Chemical Corporation Omaha lead Remediation, Omaha, NE US Army Corps of Engineers 

# Analytical Results Summary BVID #29544 2015 Maple St

Sample

Type



# o Quadrant 

## II Depth II Date Collected XRFResults (ppm) (avg.) 

## 74 63 

## 209 Lab Results ppm (avg.)



# 1

BVIDBVlD 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 the sampling location (with sequential sample number for that location) as follows; FI 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

### 4029321461 SSP 16,2006 02:44P page 4 

### pg._of 

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page 2 SEP 21,2006 02:54P