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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE us Anny Corps 

of Engineers 

ECC Certification for Property Closeout 

OLSID 28403 Property Address 2018 Willis Ave. 

Field Work Started 9/20/2007 Field Work Completed 9/22/2007 

Summary: 

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

• Fl excavation depth was 8 inches below ground surfaces. 

• Drip zone excavation depth was 0 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: Per owners request Bushes (LIPI, 2', 432ppm) were left in place. 

5<.-c-N OVoV.J ECCOCM tcJL3Ulo+ vName Title Date 

re J?Jd 

Jeff Hubbard USACE Con Rep II 

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IJ 1m 

Name Title Date SignW 
28403 

Owner Exlerior Paint Name~ PLEASANT GREEN 8A?T1ST Omaha Lead Site 

Site Sketch o Good Address: 2018 WJLLIS AV o Poor Phon~ ~~

~pa'nl 1

Team .........:!:u~~~.L.... __ OLS--!F~A-~ XRF Code 31f+~
 

Quadrant
 

Fl ~.~
 

F2 _ 

Bl _ 

B2------

DZ Jr wk-­

a& So -(J' l.Nk-> 

Lead Concentration 

b1ppm 

...3d.3 ppm¥­

37'7 ppm... 

?>05 pp~

~pm

~J.7 ppm 

_____--lppm 

_____--lppm 

ppm 

Da~-,;<tJ. -07 

LogBook 

#5 

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Omaha Lead Sjle 46130 
4S'&. CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Anny Corps 

of Engineers 

.,

• ECC:. 

Analytical Results Summary
 

OLS#28403
 

2018 Willis Ave
 

Quadrant Sample 

Type 

DE F1 

DE DZ 

DE EA-S' 

I 

I 

I 

I 

I
 

Depth 

8 

0 

0 

II 

II 

II 

II 

II
 

Date Collected 

9/22/2007 

9/22/2007 

9/22/2007 

I 

I 

II 

II 

II 

XRF Results 

(ppm) (avg.) 

67 

154 

217 

I 

II I 

II I 

SAMPLEIDSAMPLE 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 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 
pg._of_ 

List of Existing Conditions
 

Property Address: ~Q12 l<)lflj 42 Avf.- DVD 10 # d 8403 

l-ecfflf)'t 0~

Owner: ~OS±(){ W exuats Date: JJ - -- ()-:! BVID# cQ~l)D 2> 

Ref:
 

Photo
 

# 

Description 

Owner Signature ECC 

Print & Sign Print & Sign 
page 1 of_ 

2t34D 

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) 

;::,ara ~E~ bl{ es:a rc~"'~a en es;:a~vl ::Jf favor 1iJr~,:e 21 &OJ 223 ~'a:S

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. 

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

USACE Omaha is working with 

(Please Print Name) 

1-0Z-0? 

(Date) 

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

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

7003 or the Office of External Programs, at 1-800-223-0425. 

Property Access Granted By 

,8.(, 

NOTE G f • • DOES NOT 1 . ___________ __ ~___ _ _ • __ _ •• __ 11 _ "/be 

__ d' t d tth' _ _ r _ __ __ J 

PROPERTY INFORMATION
 

(to be completed by res/dent and or property owner· Please PriM)
 

, ( list Ages:----------------------11 

Owner's telephone number - Home: ijiJ,2 ­ 3<1~ -&q,27 Work: _ ........'O"";;';~.;..&-~

Age of Home? ~, c50 years How long have you lived here? 

Has the exteior been painted or covered with siding since 1978? 

Has the interior been painted or covered since 1978? at' Yes 

Irotal number of occupants: (1L.~

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

Comments: 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS 

The 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 

aking any response action under this tllle. or otherwise enforcing the provisions ofthis title." 

Access Attempts: 

Resident Name: P1~ Gre~ &"h~ l: ~J ~wner o renter 

'A 

Residence Address: H~ uJ,IIr'~ /1V~ (!)rna)UJ AJ£ t:,~/~.z -;::(C~ITY~)"":;':;'=...L.:z....--"":"'=::(S:::':T=-=A-:::T=E):---:::""'-~(Z:::lp::-)--fI

<'/J1YJlf, Property Owned By: (,)_' ~~~~~~~~~_~~~ _ 

First: Second: : Third: : _ 

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

Omaha Lead Site, Omaha, NE
 

BVID Property Address I ~~s.;{)s r-2 r11 f ltJILL/r;; A-Ll

g ItrTIS'I C-HUIc.c IlProperty Owner ls the Owner the Resident? DYes Ul.-No [7Lftf.5lftJrc;f[E)/ 

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
 

PrllSftant Khaftft8 eT _ CL _1 " ....1·",. I~I, n ,........ ........ .....ut' .0£••.....,.
 

Name fJ G/ JON\P<; )('W L I Q 

ECC Pwject Nllliagel 

TitleEGQ.. (.fOJ{~ Date Signature

::5W1PyI nt2.n lUI 

PROPERTY OWNER SECTION
 

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

satisfaction. 

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

Comments (if applicable): 

XM~()gL . I tPropertfOwnfr's Signature Date 

Jj- e:lS--d7 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: ECc ----==-=-=""""-----------------

Property Identifier Number: _ 

Property BVID Number: .Jgto~

Property Address: ;).()/8" lUll-LiS. !lv 

Property Owner's Name: P/"fI}SftNr fi/2U)1 88? nSf CIt 'fe-II 

(above information to be filled out by remediation contractor prior to delivery offonn 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 of Engineers (USACE) are very interested in your opinion regarding the work perfonned 

by our contractors. This 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 of satisfaction 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 fonn 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 2 

6 1 

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

Property Owner's Signature: f~-- Date: 1/-25"-0'7