### CONTRAC T# W912DQ-04-D-0017 , T.O . DK0 3 Environmenta l Chemica l Corporatio n Omah a Lea d Remediation , Omaha , N E U S Arm yCorp s o f Engineer s 

### EC C Certificatio nfo r Propert y Closeou t BVI D 2705 5 Propert y Addres s 1907N26S t Fiel dWor k Starte d 9/20/200 6 Fiel dWor k Complete d 09/28/200 6 Summary : •Th e excavatio nwa s performe di ncomplianc e wit hih e wor k plan s an dspecifications . •F l excavatio ndept h varie dfro m1 2 t o 1 4 inche s belo w groun d surface . •F 2 excavatio ndept h varie dfro m1 2 t o 1 4 inche s belo w groun d surface . •B I excavatio ndept h varie dfro m1 2 t o 1 4 inche s belo w groun d surface . •B 2 excavatio ndept h varie dfro m1 2 t o 1 4 inche s belo w groun dsurface . •Verificatio nsample s confirme dtha t cleanu p standard s wer e met . •Th e sit e wa s backfille dwit hmateria l whic hmeet s th e contrac t specifications . •Th e backfil l wa s compacte dt o acceptabl e standards . •So dplacemen t an dsit e restoratio n wer e conducte di ncomplianc e wit hth e specification s an d wor k plans . Comments : None .

Nam e JeffHubbar d Nam e EC C Projec t Manage r Titl e USAG ECo nRe p Titl e 

### ( \- I M - Q( g Dat e
Dat e

## pag e 1 of . 

# Z Omah a Lea d Sit e Omaha , N E Residentia l Yar d Soil s 

### U.S . Environmenta l Protectio n Agenc yRegio n VI I Environmenta l Restoratio n Service s 

### PROPERT YACCES S (t o b e complete d b ypropert yowner ) vo rllani e a i 1-600-223-042 5 U.S . Environmenta l Protectio n Agency(EPA ) ha s contracte d th e U.S . Arm yCorp s o f Engineer s (USAGE) , Omah a Distric t t o conduc t environmenta l restoratio n service s fo rth e Omah a Lea d Site . USAG E Omah a i s workin g wit h Environmenta l Chemica l Corporatio n (ECC ) t o remov e lea d contaminate d soi l an d provid e subsequen t restoratio n services . You rcooperatio n i s requeste d i n givin g EPA/USACE/EC C permissio n t o acces s you rpropertydurin g th e removal/restoratio n phase . Fo rfurthe rinformatio n pleas e contac t Do n Bahnke , EP AProject Manage rat (913 ) 551 ­ 700 3 o rth e Offic e o f Externa l Programs , a t 1-800-223-0425 . Acces s Grante d By A 0 (Pleas e Prin t Name ) Propert yOwne rSignature ) ~ \ ) (Date ) NOTE : Grantin g permissio n DOE S NO T necessaril yimpl yyou rpropert ywil l b e remediate d a t thi s time . PROPERT YINFORMATIO N (f o b e complete d b yresiden t and'o rproperl yowne r• Pleas e Print ) Residen t Name : owne r L J rente r Residenc e Address : 1 

# fe (CITY ) (STATE ) (ZIP ) PropertyOwne d By : .)<• * '{p\ ~ Owner s mailin g address: _ JJ - ~ 7 I * Owner' s telephon e numbe r- Home: _ Work : Ag e o f Home ? J-i3=£— - year s Ho wlon g hav e yo u live d here ? year s Ha s th e exteio rbee n painte d o rcovere d wit h sidin g sinc e 1978 ? D Ye s N o Ha s th e interio rbee n painte d o rcovere d since 1978 ? D Ye s N o Tota l numbe ro f occupants : Lis t Ages : _is t age s o f occupant s unde r6 year s ol d wh o pla yi n th e yar d fo r5 o rmor e hour s pe rweek: _ lomments : AUTHORITYFO R ENVIRONMENTA L RESPONS E ACTION S Th e activitie s t o b e implemente d b yEP Aunde rthi s agreemen t are pursuan t t o Sectio n 10 4 o f CERCLA , 4 2 U.S.C . 9604 . EPA' s righ t o f acces s t o h e propert yfo ri n Sectio n 104(e ) o f CERCLA , 4 2 U.S.C . 960 4 (e) , whic h provide s entr yfor , "determinin g th e nee d fo rresponse , o rchoosin g o r akin g an yrespons e actio n unde rthi s title , o rotherwis e enforcin g th e provision s of thi s title. " Acces s Attempts : First : Second : : Third : :

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# Lis t o f Existin g Condition s Propert yAddress : / / 

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## # Descriptio n

Owrje rSignatur e EC C

### CONTRAC T # W912DQ-04-D-0017 , T.O . DK0 3 Environmenta l Chemica l Corporatio n U S Arm yCorp s 

### Omah a Lea d Remediation , Omaha , N E of Engineer s

Sampl e

Typ e

D E D E D E D E P X 

## Analytica l Result s Summar y BVI D #2705 5

1907N26S t

XR F Result s Quadran t Dept h Dat e Collecte d (ppm ) (avg. ) B 1 1 4 9/20/200 6 41 5 B 2 1 4 9/20/200 6 10 0 F 1 1 4 9/20/200 6 19 8 F2 1 4 9/20/200 6 20 2 EA- W 0 9/20/200 6 25 0 La b Result s pp m (avg. ) N A N A N A N A N A

BVID
BVJ D i s aparticula r residentia l property I D fro mwhic hth e sampl e i s collected . Th e sampl e typ e identifie r (wit hsequentia l sampl e numbe r fo r tha t location ) a s follows ; P X = Pre-Excavatio nXR Fsampl e P E= Pre-Excavatio nlaborator y sampl e D E= Durin g an dPos t Excavatio n Quadran t describe s th e samplin g locatio n(wit hsequentia l sampl e numbe r fo r tha t location ) a s follows : F l o r F 2 = Fron t Yar dOn e o r Fron t Yar dTw o B 1 o r B 2 = Bac k Yar dOn e o r Bac k Yar dTw o D Z= Dri p Zon e G A= Garde n P A= Pla y Are a E A= Easemen t Dept hdescribe s th e dept hfro mwhic hth e sampl e wa s collected .

- pp m = part s pe r millio n

## • 2.705 5 Name : %>obbi< £ T><tvt s Omah a Lea d Sit e 

### Date : t/Sl/G* : Nort h Arro w Address : fj0 7 A/'S- G & 7 Sit e Sketc h Time : 2.- ' 3 o 

# n Phone : V02 . V& l Q81 ^ Tea m /tfSs/ ' ^sylx n BVID # 3 7V?5~ 6 Sampl e Numbe r Lea d Concentratio n o f?yS££AX/ 4 ~ 2.7 0 5"5 ~ * • ^?* ^ ^

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### Contrac t No . W912DQ-04-D-0017 , Tas k Orde r DK0 1 Omah aLea dSite , Omaha , N E Propert y Closeou t Agreemen t BVID Propert y Addres s 

## Pn.pertyO^ne r I s th e Owner th e Resident ? D Ye s N o 

### Complianc e Statement : U.S . Environmenta l Protectio nAgenc y (EPA ) ha s contracte dth e U.S . Army Corp s o f Engineer s (USAGE) , Omah aDistric t to conduc t environmental restoratio n service s fo r th e Omah aLea dSite . USAG EOmah ai s workin g wit hEnvironmenta l Chemica l Corporatio n(ECC ) t o remov e lea d contaminate dsoi l an dprovid e subsequen t restoratio nservices . You r cooperatio ni ngivin g EPA/USACE/EC C permissio nt o acces s you r property durin g th e removal/restoratio nphas e i s sincerel y appreciated . Thi s documen t certifie s tha t al l work performe da t thi s propert y wa s complete di naccordanc e wit hth e contrac t specification s an dEP Arequirements . I f

yo u hav e question s o r nee dadditiona l informatio npleas e contac t Do nBahnke , EP A Project Manager , at

(913 ) 551-700 3 o r th e Offic e o f Externa l Program s at 1-800-223-0425 . Additiona l Comment s b y USAG Eand/o r ECC :

CONTRACTO RCERTIFICATIO N 

### Prashan t Khann ao r EC C Projec t Manage r Charle s "Skip"Milto n Nam e K 

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# JPb v I ) PROPERT Y OWNE RSECTIO N Thi s agreemen t document s th e completio no f remedial/restoratio neffort s a t th e propert y t o m y satisfaction . 4sj p I agre e tha t restoratio ni s complete dat m y property , excep t a s note d Comment s (i f applicable) :

Propert y Owner' s Signatur e Date '

# Propert y Owne r Satisfactio n Surve y For m Omah aLeadSuperfun dSite Performance-Base dContractin g (PBC ) Pilo t Projec t Remediatio n Contractor : >- ^ <-^i j ^\ Propert y Identifie r Number : Property BVI D Number : <^ ~ j VS ^ I f

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### Propert y Address : / 7 Cy 7 /--A-gt^tjTrj^l < g : : Property Owner' s Name : (abov e informatio nto be filled out by remediatio ncontracto r prio r to deliver y of for mto Propert y Owner ) 

### Instruction s t o Propert y Owner : Thi s for mi s provide dt o yo u a s amean s o f tryin g t o capture you r leve l o f satisfactio n withth e wor k o f th e above-identifie dRemediatio n Contractor , a s applicabl e t o th e soi l cleanu p actio na t you r property . Th e U.S . Environmenta l Protectio n Agenc y (EPA ) an dth e U.S . Army Corp s o f Engineer s (USAGE ) ar e ver y intereste di nyou r opinio nregardin g th e work performe d b y ou r contractors . Thi s for mi s intende dt o provid e a neas y mean s fo r yo u t o expres s you r opinio nabou t th e wor k performe do nyou r property . Pleas e indicat e you r leve l o f satisfactio nwithth e Contractor' s work b y selectin g a numerica l ratin g (rangin g fro m1 t o 10 ) usin g th e followin g ratin g scale , the n pleas e sig n & dat e th e for man dretur ni t t o USAG Ei nth e attache dself-addresse d& stampe denvelope . (Additiona l comment s ma y als o b e provide di nth e spac e provided , at th e optio n o f th e property owner. ) 9-1 0 "excellent " 7- 8 "very good " 5- 6 "acceptable " 3- 4 "poor " 1 - 2 "very poor " Propert y Owner' s Satisfactio n Ratin g regardin g Contractor' s Wor k 1 0 ^ 5 9 4 

### 8 3 7 2 6 1 

### Additiona l Comment s fro mPropert y Owne r (optional ; continu e o n bac k o f pag e i f neede d1

Propert y Owner' s SiCTature:^fo^L * W t k^V^ L Date : I $ I

## Propert yChec k List s Q C Locatio n ."0' > A/ . 26' U j 

## BVI D ZToS. S 

## Date s °i / £ &oc ? S-J'i/dc^ v~e?£T'0£ > Excavatio n chec k lis t XR F chec k lis t hav e easemen t ma p hav e easeme t ma p (1 ) hav e sit e ma p hav e sit e ma p (3 ) . hom e .owne ragreemen t easement s sampl e lin e locato r F 1 sample s acces s lo g F 2 sample s deco n statio n B 1 sample s tap e barricad e B 2 sample s garde n hos e D Z sample s reconstructio n ma p fo rbuildbac k AS-Buil t 

### fence s ma p correcte d so d area s shot s mappe d mulc h concret e mappe d grave l tree s marke d note s LI P marked/note d nam e an d dat e nam e dat e easemen t mappe d windo wwell s mappe d a cmappe d Lo g boo k u p t o dat e 

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# lis t reconstructio n ma p positiv e drainag e fro m hous e N O lowspot s N O Rak e Gap s law n eve n soi l compacte d sidewal k 1 " cut s smoot h transitio n fro m walk s are a fre e o f debri s fence s repaire d damag e t o property ? damag e lis t punchlis t file d 

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# 2705 5 Name : &obk>i £ T^qvt s Omah a Lea d Sit e 

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### Time : 2- ' "S o Phone : f,72 . t/G l Q81* > 

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