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. 

s\..~~ \V\~ )\01\ ECC Project Manager 1I'll'J"O& 

Name Title Date Sign ture 

Jeff Hubbard USACE Con Re12 ../ ) I~ - /)-0' \ jIJ ){'IJ ,U j 

Name Title Date 
r ,.sh--. . ± oc] 2'f_ob ~ () 

(,. (fIle. 5.",;+1,., 6. -\ ~ \\ \J.1 

Name: Omaha Lead Site Date: 0'-/7-0'7' North Arrow 

Address: ttl! s ,II1ep/, S/o Site Sketch Time: B:t/ z. t I 

Phone: 

Team ~ (b-I ~ /-kfW!l!h (#) BVID # ...:Z=1!,..;:y:-:Y-l-'i_____ XRF Code 8,16 

Sample Number Lead Concentration Confirmation Sample 

1 

2 

3 

4 

5 

6 

7 

.-_'2-"IS;4>'f' 

~ -

-~r ZCfS 

z5LJ. 

/o'f i-js13 

Iblf7 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

. 

f'lYes 0 

-rz Yes 0 

B( Yes 0 

No G13'- Yes 0 No Er 

Yes 0 No 0 

Yes 0 No 0 

Yes 0 

No E:J 

No @" 

No 0 

r....--..----.... l.... --.. -;..--;; .... r-;.-.;··-,.;-----l·------.;.---~-r .;. ....-.;;..-;.---:;.;..1,;,;--.. --------[;......;. ....--.. --1,;;;.-------.;;;...-;.:-;. r;;~ -,;,---...:-... --.. --... ----[--------......1-..... -----....... -[---.. --.. ----1""-----------: 

I ! , iii I , , I i~' I : : : : I 1" I , ," -, iii I I I I _ I I I I I I I I I , , , I 

i 

1 B1 ttl f::, I I I I·· I I I I " - I I • I 

~-----------~--------- .. --~ .. --..-....-...... ~ .. -... -........--..-~-- ....--..-.. --~--..-....-.......... -- ---....-l...........---.. -__ ~--...----......._~.. _-....--.. __ ... _}--_-.. _....-.. -4............--......--..~ ....-.....-......-.. 4--..'~- .. --...---;
 : B I I : I : : I : ": : : I : :

, "'1- I I I I ~I I , I I I I I I I "'" __ I I I, I I I I I I 1 I 

: :::: I L:15 : : I I : I I I I I I I I I I I I I I I I , I I I , I I I 1 I 


I I I I I I I I "I' I 
 r.... -....-....--.. ~ ....-..--' I I I I __ ,-~... ________ ' - .. ­ .. ------r-.. ---....-.... -i----... -------l 

: : : : : , , I I I 

: : I ! : : , I I I I I I , I 


I I I I I I I I I 
 I I I I I I , t I I
 t.. -.... -.... ----l------------t-----------1------------r-----.... ---- .. -.................... ...................... I ---..--.. --....f...;-:~ ..---... --l-......... -----.....1
 I I I I I I I I' I 
 I I • • I' • I" I 
 I • I • I I • I • I 


I • I I I I I I 


! ! ! : : : i 'Jan! I I I I I I I ~~ 

~-----------~------------~-.---------~----.------.~----------- ------------ --- - --_..----- -----------~------ ' I I I 1 I I 


, I I I I I 8,'


, , I I , I ~' I , I ,I 5" ' , I , 1 I I 
 I , , I 


: : : I : : 

~ ..... -...--~----.---....~.-.-.-.- ._p' __~t_ .___~--.-------- ______.____. __ -----...-..~----.- ...-.~-----.-.--.-i , ,I 1 I I I 
 , I I I I I I 


: ! ! ! I ! ! ! 

I ! ! ! I 

I • I I ! I '1 : : 1 , !I 

~--- -----.. -.. -:---------.. -.. t-----.. .... --....~ .... --... -......--..~\~- -......- ..--..----...... ..-.... --.. ---.. ~ .......-..--... -... -1--......-.. ---....: 
 I I I I ,:v . 1 I I I I , , I I I 


I , 1 , I I I I 
 , I I I I • I , 
 , I I I I I I I 


I I I I I I I I 


! ! I : ! : ! : t...... -.... -........ T----.. --..---r-.. -----..---"t"-.. --------.. t---....------ ..-.. -.. -.... --.. r........... -----.. "t" ....---..--.....-; 
 I I I I 1 I I , I 


, I I I" I I I 


~~ 

I I , I I I , I , 

:-: ~ I ~ :---! 

I ! ! 1: :, i : ~----- .. ---.. -~ .... ----------~- .. ------.. -.. -: .. -.. -----..... --~ ....-.. -..........- .. --_ .. -----.. ..........--....-.. t--...-....-.. -... --~ ........-- I I ----------- ---................-:-....-----... - --:


! 

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

i! i: 

I I 

, , I I I I I I I q " , , I I. I, I I I I , , , " I I I I I 'r-" I I I L~ "I I I , I , I , I , I

~----..---..--_:-.. --..-..--.. -..r....-.. --....-.... i--....--.. -... -....~ ...... --..................-.........-.... -_......-...... --t2'...«Z.- ....-r..........l--......1..... -.....-..... - --r--.. -----....- ...............--.. - ......----..---~-........-......-.. -1 

: ! ! l! i! I i f' 1. I: i 

I : : I I I \: I ' , ~\ I I I 

I I 

I I I I' I I I 

I I 

I I I I' 'I ,I 


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


: I 

, I 

! :! !!:! l :! I

I I, I

I I II 'II I' I I I I I 

1 

~ ____ ..___...._~-! : .. --.. -......_..... ~ ....-.. -....--.. -J!! ......__......._......:...__....... _... __........_........... _.. .. ....................i!!!: 1..... _......__..___:............ _....__ ~ ..........._..__ ....~ .. _...._______ I _ .... ____.. __ .. ____ .... __.. __

!! 

.:__...._____....... : 


, , I I I I I I I I I I 
 , 

, 

, , 

, 

I I 

I 

, 

I 

I 

I 

I 

I 

I 'I I 

I 

I 

I I 

I 

I ., 'I 

1 I I' 


I' 


• I 
 I , I I I I, I I I I I 
 I I I I' I f I I I I I 


: I I 

I I I 

:: 

I I 

I::: 

I I I I 

I ;: 

I I 
 , I 1 'I I, I I I I 
 ,._.........._.. -_...,_..... _..... _...-......,.---_.............."...........-............,.....-_..----...- ..-......... __ ......................... _-..... _...._.............-, 
 I I , I I I I I I I 


I I I I I I I I I I 


, I I I I Jaw I I I I
 I I I I I I' I I 

, , , , , I I I , I Sr' ". """'" - , It ",I I I I I I I I I I I 
 , I I I I I , I 
 I I , I I I I I I I • I I 
 I I I I I I I I I I I I • 
 ,.._ - _ .. - ___ ...... .,_ - _ .......... _ ...... po""" ___.._ - .. _ ..__ .. _______..... po_ - _ .... - _ ...... _.,. __ ......_____.._ ..... _ .. - ................................._ ...._ ...._ .._ ......... _ .. _ .. - ...... _ ..... __.._ .." ___....... ____ .. _ ... _ ..... _ ................_ .. - _ .......... __ .,. ................._ ...... 1 


I I , I I. I I ,I I' I 
 I I I I I I " I I I 1 I 
 I I I I I I I I I I I I I 
 I I I • I I I I I I I I I 


: I I I I I I I I I I I , I I I I M I ~I I I I I I

L_..._._.__1...________ .L_._._..._L_________.L________-L-----.---j-E"'S~~!!kr..L--7'0~tIf-~j.----!~-fit~~~----.-L-- _______ L ________ J 

laha Lead Site 46130 
p

g

~~ 4U;C~I.:J;CH.bJ. ~b,ZUUb UL:4~ 

C~ 4t~ 

page 1of_ 

Z-r5~Yy 

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 l _\. .7'-" r ~ l { Y ..", 

lIuwners mailing address: _/.,,/ LA. ':...1 ....... ,f. (\£I~'-' "(:?"" .... f 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;201;;­ (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

NaSK~() t\; \~Jt\ Title ~1rV\ ~natuA·A lI-Zq,O& ./'1 ( \ \ 

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~ / / 

~//dhe1~1J,ut~ IIP-cfJ~()Oh 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 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 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 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 p

g

pg._of 

list of Existing Conditions 


DVDID# _____ Property Address: :}CY/5' Aj&jJ/:=-' Y 

) 

/' . r 

Owner: L c::C€ /;0 0;'t,f:4. Date: 9 -/0 -.~~~ BVID# .;! 5-":;)51"'"7 

Ref: 


Photo 


# 

Description 

~Grt..k j)ef Nt? ?l,lJtViS --r;;4- ( ~ 6lJISil 're 

J}S' I RCC!.4t-c. ·S;ijet~··J· J/1t-'6AIJ-' 

-J-iw.,f: Vc37e 

9'1;1/ y'91 7b! 7(/ 

page 2 

SEP 21,2006 02:54P