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

Environmenta !•/!{ l Chemical Corporation 

Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

ECC CertHication for Propertv Closeout 

OLSID 35567 Property Address 2432 Larimore St 

Field Work Started 8/30/2007 Field Work Completed 8/30/2007 

Summary: 

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

• Bl excavation depth was 18 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 was conducted in compliance vdth the specifications and work plans. 

Comments: None 

-Sco-/-/ hjAAl ECC QCM 'A Name Title ate Sjfgaature , Date 

Jeff Hubbard USACE Con Rep 

Name Title Date 

30047898 

Superfund 
35567 

Omah Exterior Paint North Arrow Owne a Lead Site r Name: JERRINE L BURGE 

Sit • Good e Sketch Address: 2432 LARIMORE AV • Poor 

Phone W: : ^'• 

n Nol paint 1

Team R UjgSserv OLS f^ft- XRF Code S^^^ X 

Quadrant 

Fl 

F2_ 

Lead Concentration 

SSLJpm^ 

33 1 ppmaj* 

Date 

7-93-01 

Bl_ 

B2 

DZ" 

I'f! IJMJ ^ MS^

-^^

 ppm 

 ppm» 

_ppm 

Log Book 

}lhP^ K/ -Oo^o^ ^ 

ppm 

ppm 

ppm 

c7! "XT ?T^TS T^ J?^ ' 

Omaha Lead Site 46130 
Jo. 1078 P. 3 Aug.14. 2007 11:57AM ECC Omaha Lead Site 402 932 1461 


page 1 of. 

K«»«'38 Omaha Ua d 8lte 

Omaha. NE 

U.S. Environmental Protection Agency Region Vll RMidenUalYarctSdls 

Envfronmental Roitoratlon 

Seivieea 

'ROPFRI Y ACCESS 

|U.S. Environmdntai Protaefion Agency (EPA) has contracted the U.S. Amty Cops of Engineers (USACE). Omaha 

Xstrtct to eonduol mvironmental restoration sefvioes for the Omaha Lead Site. USACE Omaha b woffcing with 

Environmantal Chemical Corporation (ECC) to remove lead contamlneted soil and provide iubaequent restoration 

arvioes. Your cooperation is requested in giving EF^AAJSACE/ECC pennission to aooess yoiK property during Ihe 

tmoval/resioration phase. For further Nbmiatton please contact Don Bahnke, EPA Project Manager st (S13) 551« 

r003 or the Office of External Pregrams, at 1-€00-223-0425. 

Property Access Grantott By ^/7?, 'f/^' ^ /B ^ A^AA-AV7//9 

(PltaM Print Nsn^ T 

Vi^^^^ ^ If ^ ^ /^oi.,^"^ 

i/QTE; G/aritin nlsshn DOES NOT M ^ wai be rBtm0itt9d af thto Uitm, 

Resident Name: ^A'C-^/O T l-FTT D owrter D renter 

Residence Addntsa: o^VcfA U^^JAAMI F 0ASI4/A^^ A/P 

(OP) 

IPraperty Owned Bv: COJ^^FFbAl CLfirSl/AL P/^/SPFJ^rf£^ 

Owners mailir« addreaa; V/^ ^ ^ ^ £1 AFT/J^H/ Y t>F FLbG-'^ ^ ^OFoJ^F^^C/3 . 700tt f 

Owo«r*8 telephone number - Home: ^C ^ * ^/^"^ifit ^ Woric ^_______,.^____^ ^ 

Age of Home? /////L ^ yeers How long have you lived here? /l//^b > years 

Has the exteior been painted or oovered with Biding sinoe 10787 D Yes 0 No 

las the interior t>een panted or cowered since 1978? Q Yes 0 No 

•otet numbar of ocouBflntK X//^i ^ Ust Ages; <^A/^ ­

lat ages of occupants under e

"7 

 years old who play in the yard for 5 or mor T « hours per wMk:, jm. 

Comments: 

^UTtiORITY FOR ENVIftQMMENTAL RESPONSE ACTIONS 

rheadhriilMtobebnplwnmiarfbyEPAundwtMtisresmentMpurMSMtsSedieniOtorC^ EPA's ilgM at« » 

irw propertyftr in S«ctlen 104(e) of CERCLA 42 U.S.a 9 ^ (e). wMGh ITCVMM Mfeytar. Mt^ ^ Minsar u 

Access Att^^^^^TM^^^^^TM^TM**"""'"^^^^TM""'*"''^TM""^^TMTM'*""^^^"' ^ 

First- Second: Third:: 

[ » ] 
pg_of_ 

List of Existing Conditions 

Property Address: cQA-Pv^ [rVUTvnQnQ ^ DVD ID # ^Sob l 

Owner: CUfXnA o 0)rfeeS\O . Date: '^\\^ \ D l BVID# dfO'P 1 0^ 

Ref: 

Photo 

# 

Description 

tone>^ 

Owner Signature ECC 

Print & Sign Print & Sign 
Contract No. W912DQ-04-l)-00l7, Task Order DKOl 

Omaha Lead Site, Omaha, NE 

ivp^rt v Ckiieom Agreement 

BVID 3^s-i^9 Prepcrty Address Jiyj^J. IM/M^/Bf 

Property Owner CdLO^i^d cuiss/c Is the Owner the Resident? D Yes ^3^ 0 

Conpliftikcc Statemeat: 

U.S. Environincntal Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers 

(USACE), Omaha District to conduct environmental restoration services for the Omaha Lead She. 

USACE Omaha is, woridng with Hnviroomentsl Chemical Coiporation (ECC) to remove leed 

contaminated soil and provide subsequent restoration seivices. 

Your cooperation in giving EPAAJSACE/ECC permission to access your property during the 

removal/hestoration 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 infbrmation please contact Don Bahnlcc; EPA Project Manager, 

tt (913) SSI-7003 or the Office ofExtema] Programs at 1-80O-223-O42S. 

Additional Cemmcnts by USACE and/or ECC: 

CONTRACTOR CERTIFICATION 

ECC Project Manager 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfhction. 

-^ ^ Tagree that restoration is completed at my property, except as noted 

Comments (ifappUcaMe^: 

X'-hf.y^ ^ /i ^ i^in. Properly Owner's Signatare Date 

ed 1-588'199 «PJ0W ll!S deZi'W lOlioe a ZOf 
Property Owner Satbfiictioii Survey Form 

Omaha Lead Superfimd Site 

Perfbrmanca-Based Cbatracting (PBC) Pllat Projecl 

RemediatiaB Contradar: CC>C~ 

Property Idantifiar Number: ; 

PraperlyBVIDNiunben ^S'St^* } 

Property Address: A*t?J. LA^lM^fif 

PropertyOmier'sName: CCUki^ d CLASSIC PA^A/PFATIF S 

Cabo»cinIbnttrthwtoliegUBdoutbywm»<lkHiwtcottbwWpCMrtpd<iivqyoffa»t»P^ 

/[aatTMttiaat tg PrWHHlY QffTOC% 

Ihisform is provided to you as a means of tiying to capture your levd of sstisfacbon 

with the worlc ofthe above-identified Remedialion Contrsctor, as applicablB to tha soil cleanup 

aciioa at your property. Ihe US. Envinmmental Protection Agency (EPA) and the U.S. Anny 

Corps of BngineeiB (USACE) are ve^r interested in 3rour opinioa legaiding die woik peifermed 

by our oonttacton. This form is inlended to provide sn easy meansfor you to express yoar 

opinion about the work peifocmed on your propertjr. Please indicate your level of satisfoction with die Contractor's worlcfay selecting a 

numericalrating (rangingfrom1 to 10) using tbefollowing rating scale;tiien please sipi A date 

theform and letum It to USACE in die attached setf-addrRsed ft stamped aavdopa (Additional 

comments may also be provided in the space provided, at the optico of die property owner.) 

9-10 '^Bxcellenr 

7-8 "very good'^ 

5-6 "acceptaUe" 

3-4 "pool" 

1-2 'Veiypoor" 

yirfT"^"-"rr*1 ffi^fflflhrl^BatiBarwanifaa contractor's Wam 

10 ^ 5 

9 4 

8 3 

7 2 

6 1 

AddittenaLCammemsfnMnPniBerftrQinitrfatienal:eantlnaeanbaekofna«if 

Properly Owner's Sigiature: ^ j^^.^^^!g^?,/x^>^afe<. Daiat y^-^^-z/7 

3(j Le99ts5Z(» 8JJU0W ma dKWZO/loea 
• ECC B 

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

llil i Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE u s Army Corps 

or Engineers 

Analytical Results Summary 

OLS #35567 

2432 Larimore St 

Quadrant Sample Depth XRF Results Date Collected 

Type (ppm) (avg.) 

DE B1 18 8/28/2007 48 

DE EA-N 0 8/28/2007 106 

1 

1 

1 

1 

1 

SAMPLE IDSAMPLE 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 

B1 or B2 = Back Yard One or Back Yard Two 

DZ = Drip Zone 

OA = Garden 

PA = Play Area 

EA = Easement 

Depth describes the depth from which the sample was collected. 

ppm = parts per million