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 29212 Property Address 1810 Ohio St 

Field Work Started 8/7/2007 Field Work Completed 8/9/2007 

Summary: 

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

• F2 excavation depth was 12 inches below ground surfaces. 

• B1 excavation depth was 7 inches below ground surfaces. 

• B2 excavation depth was 8 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: Owners requests: None 

ECCOCM
 M-/k-.-

Title
 

Jeff Hubbard USACE Con Rep Jo/p//f) 

Name Title Date Signature 
CONTRACT # W912DQ-04-D-0017, T.O. DK04 

Environmental Chemical Corporation 

Omaha Lead Remediation, Omaha, NE 

1m: IIAII 

us Army Corps 

of Engineers 

.., 

.EI::C.

Analytical Results Summary 

Sample ID # 29212 

1810 Ohio St 

Sample 

Type Quadrant IDepth I Date Collected XRF Results 

(ppm) (avg.) 

,l======"==px,,,===ll EA II 0 II 8/3/2007 228 

II=======D=E======l11===F2==== 12 ==8==/4:=/2==:0==07=====ll====1==36=====U 

1F====D=E===lF==B=2== 8/4/2007=~F===26=9======l1 DE B1 248 

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
 

PE '" Pre-Excavation laboratory 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 

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 
t;j 

Name: C , 4-j. J'0 r!,sl ha J 

Address: Ie /0 Ob, Q Sf .. 

Phone: 

North Arrow ISite Sketch Time: 

..­ Omaha Lead Site Date: 3);3/0'1 

<=t 16 A""\.. II' 

Team C· ('\..l(\tI~ OLS fD A~):)+!.s XRFCode t784 

Quadrant	 Lead Concentration Date 

FI	 ppm 

F2 \'l INtl4	 135 ppm 

BI \0 IJI)t~	 247 J ppm 

B2 to IN(,J.( Uo9 ppm	 LogBook p -er-	 ppm I 

EASEmeNt 2.27	 ppm
 

ppm
 

ppm
 

ppm
 

14 12De>1-

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Omaha Lead Site	 46130 
Omaha Lead Site 

Omaha, NE 

U.S. Environmental Protection Agency Region VII 

Residential Yard Soils 

Environmental Restoration 

SelVices 

!'RCJ!'f RTY ,\CCf.S\ It,) h..: t:Pll1pkkd b: 1'lop":l"1: (J\llh'l) 

IJ,II~llc,,'ihll c"t~1 f,'II11,1 C"I',1I"1I)1 P\)I' f,\I()1 il:lll1c' ~d 1"~(JlI-2:;:;-()-l2~

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 information please contact EPA at 1~800-223-0425.

Property Access Granted By J '" i?",.~ (Please Print Name) 

(Date) 

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

(ZIP) 

Residence Address: l'KiO oltto .s L aMlllH AlR 

:".. (CITY) (STATE) 

lO£oc) OM~ IffJ I [CogMJc- D€I/£/..tJPN£1IJT CelJrr~

Property owned by: ~'-~tL~~=~t::::.~¥t1th'f.!J.~....,.,..,........,..-=-----=-=~--=----------:r-=~..,-­ /11 

Owners mailing address:_-J~~~-'.2l1~~~~=­ .u~I1I.¥J1~~~_---'.~~~'!.­__ J.-/).~( N f91{ oS r 

Owner's telephone number-Home: _ Work: _ 

Age of Home? 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 ofoccupants 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 tmder this agreement are pursuant to Section 104 ofCERCLA, 42 V,S.c. 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 title, or otherwise enforcing the provisions ofthis title," 

Access Attempts: 

First: Second: Third: _ 
pg._of_ 

List of Existing Conditions
 

Property Address: Jg/O (bID :5+ DVO 10 # Q q;2/2--­

Owner: Q600", Date: ;;jaY/o7 BVID# d 9a:/J-


Ref: 

Photo 

# 

Description 

Owner Signature ECC 

Print & Sign Print & Sign 
Contract No. W912DQ·04-Dw 0017, Task Order DKOI
 

Omaha Lead Site, Omaha, NE
 

Pronertv Closeout Agreement 

BVID Property Address I c)9JJJ L8"/O Ofllo S/-

f1.W)- Property Owner Is the Owner the Resident? DYes CITY. OF oJ'vJ1?/111 

Compliance Statement: 

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps ofEngineers
 

(USACE). Omaha District to conduct environmental restoration selVices for the Omaha Lead Site.
 

USACE Omaha is, working with Environmental Chemical Corporation (ECC) to remove lead
 

contaminated soil and provide subsequent restoration selVices.
 

Your cooperation in giving EPA1USACElECC 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
 

ECC Project Manager
 

Name Title Date Signature 

PROPERTY OWNER SECTION 

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

satisfaction.
 

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

Comments (if applicable):
 

IX··· L 

/'II /1 >u J'l.-17/~ 7

Pr¢ty' Owner's Signature Datt 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfund Site 

Perfonnance-Based Contracting (PBC) Pilot Project 

Remediation Contractor: -_..::£:::::;..::ce~---------------

Property Identifier Number: _ 

Property BVID Number: _---.:et-"--'CJ...:::~~/L..I~.Ao.....__ 

Property Address: ----J/L...:l~/..III:IJ_=()..L.:'M..Lt={)_..r.::....rt.._ _ 

Property Owner's Name: _~C....::...t./~tY-I--......lI'O~F_-=O:;.&!Jl1.;...:IJ.J?.u.JfJ4.1...:-. _ 

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

Instructions to Property Owner: 

This form is provided to you as a means oftrying to capture your level ofsatisfaction 

with the work of the 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 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 3 

7 2 

6 1 

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

Property Owner's Signature: lL, k Dale: I '-L 7 Jd7