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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE us Army Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 40299 Property Address 2445 Mary St 

Field Work Started 10/6/2007 Field Work Completed 10110/2007 

Summary: 

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

• FI excavation depth was 3 inches below ground surfaces. 

• F2 excavation depth was 2 inches below ground surfaces. 

• B I excavation depth was 3 inches below ground surfaces. 

• B2 excavation depth was 3 inches below ground surfaces. 

• Drip zone excavation depth was 13 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. 

• Sod placement and site restoration were conducted in compliance with the specifications and 

work plans. 

Comments: Per owners' request: Flowers (LIPI, 2' x 5' , 57ppm~ were left inplace. 

5, ...1+ ",~N ECCQCM 

Name Title Date 

D'5 rJ"J 0 j- ~ 

leffHubbard USACE Con Rep /1- 0(,- G7 Sig;M ~ 

Name Title Date Signature 
t./IJJ 19 


Name: Omaha Lead Site Date: J)};;20/0 :z, dd ess~: ~~~~~ Site Sketch Time: 

Phone: ---':jb.!;....::...;~~ L

XRF Code t:775 OLS r.v" Team "/'" L<1vrt/:,. 

Lead CpJcentration Dat~27 Quadrant //7/ fJ7 q'{J ppm Fl :Jb 7( ppm F2 '1!II 

B1 ;,II 

B2 ?/f 11 ~~: 1-7 ppm DZ /$" 57 ppm L,it;- I 

MoMh - 0" ___~ppm

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ppm 

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Omaha l ead Sil' F/()Nel(..S 46130 
page 1 of_ 

l/oC).Cftj 

Omaha Lead Site 

Omaha,NE 

Residential Yard Soils 


Environmental Restoration 


Services 


U.S. Environmental Protection Agency Region VII 

• 

PROPERTY ACCESS (to be completed by property owner) 

_ • _ ,_ • _ • _ • ,r _ " : .:.::.. 

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

10istrict to conduct environmental restoration services for the Omaha Lead Site. USACE Omaha is working with 

IElnviror.m1ent.al Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration 

Your cooperation is requested in giving EPAlUSACElECC permission to access your property during the 

Iremc'vail/re,sto~ation phase. For further information please contact Oon Bahnke, EPA Project Manager at (913) 551· 

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

Property Access Granted By 

OResident Name: S" dEeR:;: bt21.L 

IResidE!nce Address: J INS' (nit/? If oS r 

(Please Prinl Name) 

Itl--ner o renler 

IIPr<)per1y Owned By:___=..flCLL..<"-<..o F.. _________________ ____ 

IIn".'n'Q'~ mailing ad,dre'ss:__________________~.,."r+-_:=_;_;,;c-....,_ro;_=:o__ 

HOvme,r's telephone number· Home: LjSS- cl r4~ 

______years How long have you lived here? 

the exteior been painted or covered with siding since 1978? 

the interior been painted or covered since 1978? 

o Yes 

o Yes 

_____years 

o No 

o No 

number of occupants: _____ List Ages:.______________ ____-l 

l 

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

activities to be implemented by EPA under this agreement are pursuant 10 Section 104 of CERCLA. 42 U.S.C. 9604. EPA's right of access 

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 

First: ___________ Second:: __________ Third: : __________ 
List of existing Conditions pg._of_ 

Property Address: ;) '-I 'is m1M r sr 


Owner: S/tEM:x Dol..L Date: 9-~8"-t:'2 OLSID# : _ _ _ 


Description: 


i) .DIG t9R()()vj) ROSe gVSH L?r ¢ UNI' 

3) I....L f, &(tSf tw(Uvr 

REIn(}!I~ -17J1}J) RE-S£T IN F~t1AIT /) Z 


Print & Sign 

~/~_fc:L/S
ECC 


OWNER CHANGE R~QUEST FORM 


PROPERTY ADDRESS ~1 O "\f\/

7 

OWNERNAME ________--------------------

CHANGES REQUESTED: 

.Lea //C' e,-q c fs I;"" -2)n e <:.V '" /.:u £'xc Lc~. r.J' '€. 

tor o)Vcreie pa.N~ L ;N C~{! tJcdk 

OWNER SIGNATURr;;;"'7.aJ,..,,:"""'-" L:.~~~-:&=1.!..---

ACTION TAKEN: 

SUPERVISOR INITIAL --12.4 

Contract No. W912DQ-04-D-0017, Task Order DKOI 


Omaha Lead Site, Omaha, NE 


Prooertv aoseout Agreement 


DVID t{() J.. 'l''l Property Address I SIf£JeK[:. baLiProperty Owner Is the Owner the Resident? lLJ....>res 0 No .;11{I{S- fnl#·R.'1 57 

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 EPAlUSACElECC 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 ECC Project Manager 

Charles "Skip"Milton 

Name Title Date Signature 

PROPERTY OWNER SECTION 


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

satisfaction. 

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

Comments (if applicable): 

,,--..,. A • 

xX l)V{A 1/- 08- 0')

,f>ro'p{rty Owner's Signature Date 
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Dased ContractinE (PDC) Pilot Project 

Remediation Contractor: __....,,{3'--c.=C............_____________ 


Property Identifier Number: ________ 

Property DVID Number: t.t()cA l'Cf 

Property Address: J.I{I{S maRI( S r 

Property Owner's Name: S tfugr DoLL 

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

Instructions to Property Owner; 

This fonn is provided to you as a means oftJying 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. Anny 

Corps of Engineers (USACE) are very interested in your opinion regarding the work performed 

by our contractors. This form is intended to provide lin 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 \ to \0) using the following rating scale, then please sign & date 

the fonn 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-\ 0 "excellent" 

7-8 "very good" 

5-6 "acceptable" 

3-4 "poor" 

\-2 "very poor" 

Property Owner's Satisfaction RatinE mardlnE Contractor's Work 

\0 ~ 5 

9 4 

8 3 

7 2 

6 \ 

Additional Comments from Property Owner (optional; continue on back of pm ifneeded) 

Date: //-O¥"-cJ'l 
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 #40299 

2445 Mary St 

Quadrant Sample 

Type 

Depth Date Collected XRF Results 

(ppm) ( ••g.) 

DE F1 3 10/9/2007 40 

DE F2 2 10/9/2007 4 

DE B1 3 10/9/2007 46 

DE 82 3 10/9/2007 97 

DE OZ 13 10/9/2007 27 

DE LlP1 0 10/9/2007 57 

SAMPLE 10· 

SAMPLE ID is a particular residential property ID from which the sample is collected. 

The sample type Identifier (with sequential sample number (or tlUlI location) as follows ; 


J>X = Pre-Excavation XRF sample 


DE - During and Post Excavation 


Quadrant describes the sampling location (with sequenllal sample number for that location) as follows, 

FI or F2 = Front Yard One or Front Yard Two 

D I or B2 - Back Yard One or Rock Yard Two 

DZ - Drip Zone 

GA · Garden 

PA - Play Area 


EA = Easement 


Depth describes the depth from which the sample was collecte(j 

ppm - parts pcr million