.. .ECC. 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

'IV 

ECC Certification for Property Closeout 

OLSID 25199 Property Address 2414 Indiana St 

Field Work Started 10/512007 Field Work Completed 10/5/2007 

Summary: 

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

• F1 excavation depth was 13 inches below ground surfaces. 

• F2 excavation depth was 13 inches below ground surfaces. 

• B1 excavation depth was 11 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 were conducted in compliance with the specifications and work plans. 

Comments: None 

ECCQCM () t·1J:.'l::'4 

Title Date 

Jeff Hubbard USACE Con Rep 

Name Title 
'.\ 

\ 

1m 25199 

OWner Omaha Lead Site r"/ame: Gl~IA JACKSQ!'l:.:.- _ 

Site Sketch Address. 2414 INDIANA ST 

r::r:=P::-h_on-::.::;:8;.=H:"~.=;_~:;'=_==:::::W::~ ~~=;;:~,- --=-=~~~~~~~ __1 

Team' Z42ve OLS ott XRFCode 2775 

Quadrant Lead Concentration 

Fl )3" ~O ppm 

F2 1311 .55 ppm 

Bl 1/1/ 30 ppm B2 ; tf7 ppmjf 

DZ. _ _____--1ppm 

____....:....-.lppm 

_____-1ppm 

_____-1ppm 

ppm 

LogBook

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Omaha Lead Site 46130 
1Stt 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

1m] 

us Army Corps 

of Engineers 

.Et:t:.

...' 

Analytical Results Summary 

OLS#25199 

2414 Indiana St 

Quadrant XRF Results Sample Depth Date Collected 

Type (ppm) (avg.) 

40 

55 

30 

SAMPLEID· 

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~

FI or F2· front Yard One or Front Yard Two 

BI 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 
page 1 of_ 

?-SI9'1 

Omaha Lead Site 

Omaha,NE 

u.s. Environmental Protection Agency Region VII Residential Yard Soils 

Environmental Restoration 

.,

Services

PROPERTY ACCESS (to be completed by property owner) 

;::ia:a re:.:Jlf €S~Ci ~C!'1'a £:;1 £~:i:·"C :;O~ 'ave' 'Jr:'e 81 1-EO·J 22:;<'~:::J

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 (EGC) to remove lead contaminated soil and provide subsequent restoration 

services. Your cooperation is requested in giving EPA/USAGE/EGC permission to access your property during the 

removal/restoration phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551­

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

Property Access Granted By 

(Please Print Name) 

omments: 

UTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

(ZIP) 

o renter 

o No 

o No 

(Date) 

_____years 

Work: -------------11 

List Ages:------------------;1 otal number of occupants: _ 

Owners mailing address:.-J-~_-L~_.....,.::""""""......II._~:-.....:;~_~r'- _ 

wner's telephone number - Home:_l.I;..:o~"J;...-_C....ol:.."""'-.-.._.L.-L-a.oI--''''--_

Resident Name:__....:..~.......~""""".......__.............. _ 

Residence Address:-.loi:;;;.......:.......;.-=;L.-..J:.~..:.....L......Io!=----I,,...::;;:.....::..l,..<~"':Y

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

ge of Home? years How long have you lived here? 

. '" l:r-r tL. Hil U 5: 

as the exteior been painted or covered with siding since 1978? 0 Yes 

Has the interior been painted or covered since 1978? 0 Yes 

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

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

akin any response action under this title, or otherwise enforcing the ovi_sions of ~his title," 

Access Attempts:
 

First: Second: : Third: : _
 
pg._of_ 

List of Existing Conditions
 

Property Address: dLfJL/ Ind iClOJ 56 DVD 10 # dSlQ 9 

Date: qLU /1>7 BVIDIt d51 q 9 I J Owner: 

Ref:
 

Photo
 

# 

Description 

Owner Signature ECC 

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 ~.sJ Cf i rJ.'1/'1 IJJh/I1NA

Property Owner Is the Owner the Resident? DYes !LJ-:Nl> (;"UJ 'f :5:/l<!..kSoJJ 

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 ofExternal Programs at 1-800-223-0425. 

Additional Comments by USACE and/or ECC: 

CONTRACTOR CERTIFICATION
 

Prashant Khanna or EeC Project Manager 

Charles "Skip"Milton 

Name Title Date Signature 

PROPERTY OWNER SECTION 

This agreement documents the completion of remedial/restoration efforts at the property to my 

satisfaction. 

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

Comments (if applicable): 

/i 

k/J)~ \L Cv(/Ji/In/\!1 ) 

Property Owner's Signature JV l".7 

Date; / /~(jl () 1 

I I ( I 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: £I:::::.....!ooC~C _ 

Property Identifier Number: _ 

Property BVID Number: ;lSI r? 

Property Address: D2 'fllf ;;J:I./D/ltNA 

Property Owner's Name: GLOR y 3"'/lCJ(50)./ 

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

*********.***••**••****•••*••**••***.*••*.**••**.*•••*.*.*.***.*.*•••*.*.**.** 

Instnlctions to Property Owner: 

lbis 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 vel)' interested in your opinion regarding the work performed 

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 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 V 5
 

9 4
 

8 3
 

7 2
 

6 1
 

Additional Commenu from Property Owner (optional; continue on back of page ifneeded) 

Property Owner's Signature: