# 4iIe I 

### CONTRACT 

### # 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 36448 

### Property Address 2408 Camden Ave 

### Field Work Started 9/26/2007 

### Field Work Completed 9/27/2007 

### Summary: 

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

## • F1 excavation depth was 13 inches below ground surfaces. 

# • B1 excavation depth was 5 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 was conducted in compliance with the specifications and work plans.



### Comments: None

DJ,vN jf}**/~f)/CY** 

## _S'''4+ ECCOCM Name Title Date JeffHubbard USACE Con Rep H 

### Ll. /t;l Name Title Date '----­

## 36448 , 1111111111111111111111111111111111 North Arraw Exterior Paint Owner Name: 

## C«.s

# tEt... R.Ekt- e;.Tlt''''(; Omaha Lead Site 

# o Good Address: 2408 CAMDEN AV Site Sketch 

# o Poor 

# r W: Phone:!!:.**?~1-372-5206 ~-'Not**  paint 

# 1 n Team....:r: LQI/<:" OLS 

### f=Olf XRFCode 

### [775 Quadrant Lead Concentration Date

# rItr.k 7 FI 

## 1%1. 3Z ppm F2 

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### 5 1l Bl ppm 

# '1 B2 

### :;t!o ppmif' logBook DZ ppm 

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# ----------- ----------- ----------- page 1 

## of_ 

# 3(i)lfff Omaha lead Site Omaha, NE Residential Yard Soils U.S. Environmental Protection Agency Region VII Environmental Restoration Services 

# • PROPERTY ACCESS (to be completed by property owner) ::£:;c:**"::~,:J.:** t?s:."**~C"~~C!** 211 t.S.:'t'1C1**~Q' :iJVC·liJ·~1~.:.J** **~·E':"J 22~** **:.~=:.** 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 wor1<ing with Environmental Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration services. Your cooperation is requested in giving EPAJUSACElECC 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. Properly Access GrantedBy (Please Print Name)

Resident Name: 

# VIJcI!/Vr La

# r Residence

### Address:_-lJ~I(.:.;:'()::.oo8,--_~~,q.L.:....!..fY1.!..JIJ {
..... ...........

### IIJ'----L.!It,-"V:-.- Downer 

# o renter
(ZIP) Property Owned By: 

## INr£G=/U1T£1> COMMefcII1L E:/VTmPtP.15£ Owners mailing address: 

## 1?t:J fJ

## L8/f)G:/f"~NC. IJ £uJTt1J1 

## & tt=S: 

### LAIIJ6"-!ltJf AJlE**~.** 1 Owner's telephone number - Home:
_

### Irt'~P Work: 

# ------------11 ge of Home?

______ years How long have you lived here?

_____ years Has the exteior been painted or**cove~ed** with siding since 1978? DYes 

## D No Has the interior been painted or covered since 1978? DYes 

# o No

otal number of occupants:.
_ list Ages:**--~--.----------------_n** List ages of occupants under 6 years old who play in the yard for 5 or more hours per week:
_ Comments:

UTHORITY FOR ENVIRONMENTA' RESPONSE ACTIONS

activities to be implemented by EPA under thiS agreement are pursuant to Secllon 104 of CERCLA., 42 U.S.C. 9604. EPA's righ1 of access to he property for in Section 104(e) of CERCLA, 42 USC. 9604 (e). which provides entry for. "determining the need for response. or chOOSIng or akl an response action under this tiUe. or olhelWlse enforCln the provisions of this title." Access Attempts: First. Second: : Third: :pg._of_ 

# List of Existing Conditions 

# Camden DVD 10 

## #

# ,3{P4l/~ Owner:

# ~~~--=---Il::~~........,uaPate: 

# 9.)JojP1 Property Address: BVIDIt 

# j&A

# lf~

Ref: Photo 

### # Description

Owner Signature 

### ECC Print & 

### Sign Print 

### & Sign

# ...

- 

### CONTRACT 

### # W912DQ-04-D-0017, T.O. DK04 Environmental Chemical Corporation Omaha Lead Remediation, Omaha, NE us Army Corps of Engineers .ECC. 

# ."

Analytical Results Summary 

### OLS#36448 2408 Camden Av
Quadrant Sample Type 

### DE F1 

### DE 61 

# I DE 

### II EA-tsl 

# I II 

## I II 

# I I XRF Results

Depth Date Collected (ppm) (avg.) 9/24/2007 13 32 9/24/2007 5 17 9/24/2007 0 

# I 155 

# I 

# I I I I 

# I II 

# I 

# I II 

# I

SAMPLE IDSAMPLE 10 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 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 millionContract No. W912DQ-04-D-0017, Task Order DKOI Omaha Lead Site, Omaha, NE Property Closeout Agreement DVID Property Address 

# I ,:ll/()&,**r-IJM/)~A)** M

### ,?~ 

## 1./¥8' Property Owner**C~M.** eJf€l b

Is the Owner the Resident? DYes ll1.-No 

### "£AJrE

- A -- 

### -J> 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 (BCC) to remove lead contaminated soil and provide subsequent restoration services. Your cooperation in giving EPA/USACE/ECC 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. Ifyou 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 Prash James 

### 0, Garcia CharI ECC Project :anager 

# fA /' Name Superintendant Date

# ~1)(~ 11 --vJii' 

## PROPERTY OWNER SECTION This agreement documents the completion ofremedial/restoration efforts at the property to my satisfaction. I agree that restoration is completed at my property, except as noted Comments (ifapplicable): 

# L"

# ~~ Property**Own6-~Signature** Date 

# Jz-!Zl/f))

## Property Owner Satisfaction Survey Form Omaha Lead Superfund Site Perfonnance-Dased Contracting (PDC) Pilot Project Remediation Contractor:

__**..J:e~-~c:;.;C,,-** 

## _ Property Identifier Number:
_ Property DVID Number: 

## S> (p 

## '1 '1 

## 8" Property Address: 

## l.J OK CAM/) £.)J 

### e.V Property Owner's Name: 

## IN rEG-fir-Ttl> • 

### COMl!1t&C alL 

## £Nut?fAt:S 

## f (above infonnation to be filled out by remediation contractor prior to delivery offonn to Property Owner) 

### ********.********** ••***********.*****•••••••***•• **.**********************.** Instroctions to Property Owner: 

### TItis 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. Army 

### Corps ofEngineers (USACE) are very interested in your opinion regarding the work performed by our contractors. TItis 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 1to 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 ofthe 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 ofpage ifnee4ed)

Property Owner's Signature: