~-

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

mJ 

us Anny Corps 

of Engineers 

., 

.EC:C:•

ECC Certification for Property Closeout 

OLSID 28295 Property Address 2403 N 29th St 

~:~."...., Field Work Started 2007 Field Work Completed 10/4/2007 

Summary: 

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

• FI excavation depth was 3 inches below ground surfaces. 

• B1 excavation depth was 12 inches below ground surfaces. 

• Drip zone excavation depth was 12 inches below ground surfaces. 

• Verification samples confinned 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. 

,.AJfi) 

Comments: Per owners' request: Flowers (LIPI, 3'x 5', 429ppm) ~~~ left in place. 

SC.o1-t D,.)f\)N ECCQCM oI ND~ O"":}- oN' 

Name Title Date 

Jeff Hubbard USACE Con Rep " -q.-G7 

Name Title Date itlJurtM Sign e 

Igna re 
28295 

Omaha ExteriorPaint lead Site r'l.er Name:~~~2§l~L.. __ Site Sketch 0'GoOd

Address: 2403 N29 ST l ~--_._- OP()¢;" Phone: H: 4:5~~"'1-n-{ Yt 

Team g,1,aJe,<;>$f}O OL8 

en 8= XRF Code _ 

LogBook 

1#3 

Lead Concentration 

lid. ppm 

1'tf5 pp~

9'* ppm 

t"13 . pprmtl'i'f ppm 

'£'3 ppm __ ----<ppm 

3/5 ppm 

4-49 Epm 

Quadrant 

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F2 -e im=c+w 

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B2 e ur-4 

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page 1 of_ 

.;18'~crsOmaha 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) 

;-:: ~.- .:':':~- . "-.__ .. ~._. ~r·:..J '.~_=~ .: ... : 

.S. Environmental Protection Agency (EPA) has contracted the U,S, Army Corps of Engineers (USACE), Omaha 

istrict to conduct environmental restoration services for the Omaha lead Site. USACE Omaha is wor1<ing with 

nvironmental Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration 

ervices. Your cooperation is requested in giving EPA/USACE/ECC permission to access your property during the 

emovallrestoration 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 

Resident Name::_~k19':18rt~z:afi~"jr;t~~6~JI):t:::TS::sIt!~~:tlJ rrr:'~t!l~~~~£ _ 

Residence Address:_-Sa:;~Lf"::;()""'h?oJ.....-....r.N~..JoJ.~'l~.s.-.+T _ 

o renter 

(STATE) (ZIP)
 

Property Owned By:__.....S.L.L.f}L.tvJ~~( _


Owners mailing address: _ 

. Owner's telephone number - Home: ttss- ..??8"6 Work:------------il 

geofHome? ______years How long have you lived here? years 

Has the exteior been painted or cove~ed with siding since 1978? DYes o No 

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

otal number of occupants: _ List Ages:----------------------tI 

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

Comments: 

UTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

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 tor in Section 104(e) of CERCLA, 42 U.S.C. 9604 (e). which provides entry tor, "determining lhe need for response. Of choosing Of 

aking any response action under this title. or othelWise enforcing the provisions of this title.· 

Access Attempts:
 

First: Second: : Third: : _
 
-----

pg._of_ 

List of Existing Conditions 

Property Address: ¥(),J N d=1 SI DVD 10 # 

SLIJ Z£ I~UE.J-() V€ 

Owner: KJ9nIL6€IJ ~/fJ41W~ Date: q-II-tJ? 

Ref: 

Photo Description 

# 

n /) d'r /)/6- ]) 

ECC {p/J--sJ-/S 

Print & SignGM 
Contract No. W912DQ-04-D-OOI7, Task Order DKOI
 

Omaha Lead Site, Omaha, NE
 

Property Closeout Agreement 

BVID r dfJ1s..­Property Address Id l(i[S . Ai ~'1 S,

Property Owner Is the Owner the Resident? I]..,¥es o NO I gf..»IJl .TJ2 tf[ Lb vt
 

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 (BCC) to remove lead 

contaminated soil and provide subsequent restoration services. 

Your cooperation in giving EPAlUSACEIECC 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 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 

V~f-rp~Ii~!~fl N /f~ vJ (;f- L{ tIl'fc )A--~ it/V)f---- I' +--'/0ot·-to C'{)I1f~ /Ji --. I I '--.. -

.... 'x5¥J!?// ~~ r ­Ai;j/ft(){ /-fJI'/ . ../ Jd-/~ ~()? ..sfi!r r 

1(.vIIY~ 'no Ignatllre Datt'
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: _---==£=C:;..'C:z..' _ 

Property Identifier Number: _ 

.-----


Property OVID Number: :9- J-7S 

Property Address: '10..3 JJ d-Cf ~rProperty Owner's Name: gLlf~€ r€II': La Vf 

(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 oftlying 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 of satisfaction with the Contractor's work by selecting a 

nwnerical 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 3
 

7

6 8

Additional Comments from Property Owner (optional; continue on back of page ifneededl 

Property Owner's Signa."'\.----Ar=~~
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 #28295 

2403 N 29th St 

Sample IQuadrant Depth I Date Collected XRF Results 

Type (ppm) (avg.) 

DE EEl 3 II 9/28/2007 162 

DE 81 12 9/28/2007 204 

DE DZ 12 9/28/2007 199 

DE EA-W 0 2007 213 

DE 82-U/C 0 315 

DE 0 29 

SAMPLE 10-

SAMPLE ID 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 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 

Blor 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