.' 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

1m 

us Army Corps 

of Engineers 

.ECC:•

.. 

ECC Certification for Property Closeout 

OLSID 29288 Property Address 1410 Ohio St 

Field Work Started 10/412007 Field Work Completed 10/4/2007 

Summary: 

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

• F1 excavation depth was 5 inches below ground surfaces. 

• F2 excavation depth was 5 inches below ground surfaces. 

• BI excavation depth was 7 inches below ground surfaces. 

• B2 excavation depth was 7 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. 

• Site restoration were conducted in compliance with the specifications and work plans. 

Comments: None 

S'- o1-\- DJ,v~ ECCQCM ltJ13<)/01- Ii 

Name Title Date 

Jeff Hubbard USACE Con Rep I • 

I;) to /67 ~ture...p.t:::.=Il-_- . tJ1J

Name Title Date 
etiih 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

mJ 

us Army Corps 

of Engineers 

.ECC. 

'IF 

Analytical Results Summary 

OLS # 29288 

1410 Ohio St 

Sample Quadrant Depth XRF Results Date Collected 

Type
 (ppm) (avg.) 

DE
 F1 5 9/27/2007 67 

DE F2 5 9/27/2007 63 

7 I 9/27/2007 64 DE B1 I

DE I 82 7 II 9/27/2007 54 I 

DE I EA-S II 0 II 9/27/2007 111 " I 

I II I 

I II ij I 

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 

81 or 82" 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 
1r:-~~---:- --=--~:--::-:-:-_-.;:::~~~~.-:2=9.:28::8
 Exterior Paint NQr1h /Irrow Owner Name: BIl:.!:£.MCCORI'tICK Omaha Lead Site, o Good Addf'ess: 1410 OHIO_.2T.o-...-.____ Site Sketch n Poor 

Phone: i't _I.f~ 1. e-. W: 

OLS r~1I XRF Code ;!7?5

Team %Lt>ve 

Lead Concentration Date 1;, Quadrant 

11 67 ppm ~2ZPZ Fl 5 

F2 5/ 1 65 ppm

~t.( ppm Bl 7" LogBook 51/ ppm B2 7 1

' e 

DZ -­ __---'ppm

\I t ppm
 EA-5o<A.1}l -0'/ __---'ppm _____ppm 

ppm 

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Omaha Lead Site 46130 
----------------------------------

Page lof _ 

2~z82:>

Omaha Lead Site 

Omaha, NE 

U.S. Environmental Protection Agency Region VII 

Residential Yard Soils 

Environmental Restoration 

Services 

PROI'I· R I Y \CCf S', {1,1 b~' COll1pk-lc'd b: Plopell: OIl 1l~'1 )
 

1'~11 ,I Il'l'lbll l',I~1 t'll! 1l1,1 L"I' :llilll!1l11 ':1\ ('I rI:lll1l' :11 I-S(J('-::~~-()-I::'~
 

Grantor (the property owner), consents to and authorizes the United Sates Environmental Protection Agency (USEPA) 

or its authorized representatives (or its contractors), the Grantee, to enter and perform certain environmental response 

activities upon the following described premises. For further infonnation please contact EPA at )·800-223-0425. 

Property Access Granted By 1":>~ /Jcrt L /ht.-C/," ~~..... l/ _ '-oJ .... UoA-~

(Please Print Name) 

(Property Owner Signature) (Dale) 

NOTE: Granting permission DOES NOT necessarily imply your property will be remediated at this time. 

I'ROI'I 1\ I Y 1\1 OI\\I,\TIO\:
 

(hi bl' cLlll1pkted h: IC'llkl11 :Jill! (lJ prUpl'rt: llllilr:r-Pk:bc l'llllt)
 

Resident Name: L611fC _ ~Owner o Renter
 

Residence Address: ~~/-=O~4..;O~fh;o~,---"",, _ OmAf:t4-=------,/l 
 (CITY) (STATE) (ZIP)
 

Property owned by: ....;~:.JO'_~~(L'"""---<--==~=.....t.=.. _
 

Owners mailing address:-tl...1-::I""'D"'---==...:.::;,....;,,::..=,,"'-"<.--".::;......_-'-- _
 

Work: _ • Owner's telephone number-Hom_"'=---I-f~-+-_L.!:...~----'-'<..I:-"'-'oa.

Age of Home? ---"l-6~~rr:4_ years How long have you lived here? years 

Has the exterior been painted or covered with siding since 1978 DYES o NO
 

Has the interior been painted or covered since 1978? DYES o NO
 

Total number ofoccupants: _ List Ages: _
 

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

Comments:
 

AUTHORITY FOR ENVIORNMENTAL RESPONSE ACTIONS
 

The activities to be implemented by EPA under this agreement are pursuant to Section 104 ofCERCLA. 42 USc. 9604. EPA's right of access to the 

property for in Section 104(e) ofCERCLA, 42 U.S,c. 9604 (e), which provides entry for. "determining the need for response, or choosing or taking 

any response action under this tille, or otherwise enforcing the provisions of this title," 

Access Attempts:
 

First: Second: Third: _
 
pg._of_ 

List of Existing Conditions 

Property Address: 1Lt tOO ltxo ~1l.1fr:r DVD ID # l)(( 88' 

Owner: ~:JtL /YlCu)~ Date: 1-~/... 6'7
 

Ref:
 

Photo
 

# 

Description 

OU/)KIL ~A-l\ ~r /JdJflStyjl /l61U 86R 4~n \J I\u c> n.,11J wnr 

I I 

1~'ff4 ufl- ~'" It:l?f11t ~AI rv ,_A ~~~

Owner Signature ECC 

Print & Sign prinQ&~ tv~ /fIlcM 
Contract No. W912DQ-O....DM 0017, Task Order DKOl
 

Omaha Lead Site, Omaha, NE
 

Property Closeout Agreement 

DVID Property Address I ~q61~f /110 ell/ltl sr

Property Owner 1")lLL/Am MrJ~tLJt1~ Is the Owner the Resident? DYes ~o

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/USACElECC permission to access your property during the 

removal/restoration phase is sincerely appreciated. This document ce~ifies that all work performed at 

this property was completed in accordance with the contract specifications and EPA requirements. 

Ifyou 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 -

PraJames D, Garcia ECC Project Manager
 

Ch:


-

Na Superintendant Date I?~ure P---C 

v.. 

fJ PROPERTY OWNER SECTION 

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

satisfaction.
 

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

Comments (if applicable):
 

jO' d,5· X /f/ AtL °7

Property Owner's Signature Date 
Propert~ Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Proj~t

Remediation Contractor: __-I:g=-C=..:L _ 

Property Identifier Number: _ 

Property BVID Number: _-.:;l~Zu;;;:.i~8'~K'----

Property Address: __~/...... 't.... IO"____O'_"'_'H'"""/""''I2-S::....l.r-· _ 

Property Owner's Name: ----'W........I'-='L:..r.J...;:,t/u.ewLl",,;.j'----L-J\1
 .......e"""CA~;.f..l'R~M~/C"""""""k....._------

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

••••••••*********•••••**************************••************•••************* 

Instructions to Property Owner: 

This 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 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 ofsatisfaction with the Contractor's work by selecting a 

numerical rating (ranging from I 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"
 

PrnJlerty Owner's SatisfattioD Rating ReDding Co r'sWork

10 5 

9 4 

8 3 

7 2 

6 1 

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

Property Owner's Signature: K t1J;i, ;Ii:£' Date: )O· r;) t;. 0 7