4fIIbCONTRACT # W912DQ-04-D-0017, T.O. DK04 . Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

.., 

.ECC•

ECC Certification for Property Closeout 

OLSID 32073 Property Address 3611 N 30th St 

Field Work Started 9/24/2007 Field Work Completed 9/26/2007 

Summary: 

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

• F2 excavation depth was 3 inches below ground surfaces. 

• B2 excavation depth was 3 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: None. 

.5&..914 

Name 

bJJJrJ ECCQCM 

Title 

Jeff Hubbard 

Name 

USACE Con Rep 

Title 

IeI zi/0':/

F4 

Date 
32073
 

Owner Name: EXlarlor Paint KEITH A BATES Omaha Lead Site o Good Addr-ess: 3611 N30 ST Site Sketch 

q Poor PhOhe: "I: W: ,----~--­ o Nolpa' t 

Team C. C I 'tis OLs_--<-B.....:.~--=~~ XRF Code_......2=;7.!...!~~i/__ 

Quadrant Lead Concentration Date .

F1.__-=-.,..,- _ __-=-~,...---.Ippm 9lzz/dZ

F2 3 u 2'12 ppm
 

B1_--:.=-r. _ _ __~_----Jppm
 

B2 .3 }/ 17'1 ppm LogBook
 

DZ. _ __~=.------Jppm ~I

u/c. il 0" 277. ppm 

_____-.Ippm 

_____---rppm 

ppm 

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page 1 of_ 

3"Z.o =f~

. 

Omaha 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) 

~ara re::,bJr es:a !r:::~--;"'a en £s;::a;'Hj :::0: ~avcf 31i~e al i·eCIoJ·223<'425 

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. USACE Omaha is working with 

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

services. Your cooperation is requested in giving EPAlUSACElECC 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 

NOTE G 1 . r DOES NOT rt 'lib eJ,' t d tlh' f _. ~__ __ _. _ _ • ' , J 

PROPERTY INFORMATION 

(to be completed by reSident and or property owner· Please Pnnt) 

Resident Name:__---lo.oY1:~....Io:..-I-i=~---_------­ ~owner o renter 

Residence Address: 3b1/ '11« lJ)'"'Ii :s+'
 

Property Owned By: 1}i?1(+~ It £utc=s
 

Owners mailing address: 1« 0 I ti0 X' /I 1, fJht itA #; IVE

/I/)-

bOY) (
 

Owner's telephone number - Home: I/D¥t(5 2- S tfy:,-< Work:
 

ge of Home? c/J'r years How long have you lived here? -+-
years

Has the exteior been painted or covered with siding since 1978? 0 Yes .?( No 

Has the interior been painted or covered since 1978? 0 Yes J&f No 

otal number ofoccupants:+ list Ages: ~~

Ust ages of occupants under 6 years old who play in the yard for 5 or more hours per week:__-40~-+- _ 

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

aking any response action under this tiUe. or otherwise enforcing the provisions of this title." 

_11 

Access Attempts:
 

First: Second: : Third: :
 
pg._of_ 

List of Existing Conditions
 

Property Address: .3 uI J tJ. 80 5+ ovo 10 # ~Ot oJ "3
 

Owner: .!5eilli {6o:te:, Date: qJ/~D7 BVID# 3J.OJO
 

Ref: 

Photo 

# 

Description 

Owner Signature ECC 

Print &Sign Print & Sign 
Contract No. W912DQ·04-D-0017, Task Order DK01
 

Omaha Lead Site, Omaha, NE
 

Property Closeout Allreement
 

BVID -.?dO f)s Property Address I 5&/1' AJ so 5, 

Property Owner k e "TII &ftTrs Is the Owner the Resident? DYes 

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/USACE/ECe 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 

ECe Project Manager 

Name Title Date Signature 

PROPERTY OWNER SECTION 

This agreement documents the completion of remediallrestoration efforts at the property to my 

satisfaction. 

.dL--ragree that restoration is completed at my property, except as noted 

Comments (if applicable): 

'X"'~~4Ad:b
 /~-;J./--()~

Pro erty Owner's Signature Dat~
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Performance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: __~e~c~C=="","" _ 

Property Identifier Number: _ 

Property BVID Number: Sj.t? '7 ? 

Property Address: S(t,II Ii SO S r 

Property Owner's Name: _=-k;..=e;..l'u.T.....H.&...-.-'lJiw..&.<ll..LLF..r-...:S"'~ _ 

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

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

Instnactions to Property Owner: 

This form 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. Anny 

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 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 z 3 

7 2 

6 1 

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

Property Owner'. Signature:!\2 Date: IJ ..J-I-() 2 
4i&-. • ECC. 

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

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

m 

us Army Corps 

of Engineers 

... 

Analytical Results Summary 

OLS#32073 

3611 N 30th St 

[~ad~ntISample 

Type 

Depth Date Collected XRF Results 

(ppm) (avg.) 

DE F2 3 9/22/2007 242

DE 82 3 9/22/2 17 

I II I
 

SAMPLE 10-

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 XR.F 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 

B1 or 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