### C ONTRACT 

### # 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 25385 Property Address 2821 Hamilton St Field Work Started 8 /

8

/ 2007 Field Work Completed 8 11 7 / 2007 Summary: 

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

## • B I excavation depth was 5 inches below ground surfaces
. 

## • B2 excavation depth wa s 3 inches below ground surfaces. 

## • Drip zone excavation depth wa s 13 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: Per owners re quest Shrub (LIP I , 2 ', 391 ppm) were left in p lace
.

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# ~~ 1m Owner Name: MILDRED REED


# ---_._-------- Address : 2821 HAM I LTO N ST 

### Omaha lead Site Site 

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### 7 F2 ppm f.'i!L BI 

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### CONTRACT 

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

### Analytical Results Summary 

### OLS # 25385 2821 Hamilton St
Sample

Type Quadrant Depth Date Collected XRF Results (ppm) (avg.) 

### PX EA 0 8/8/2007 70 

### DE DE II 1 B2 5 3 8/16/2007 8/16/2007 30 75 

### I DE 

### II DZ 

### II 13 8/16/2007 13 DE L1P1 2 8/16/2007 391 

### I II I

SAMPLE 10- SAMPLE ID is a particular residentia1 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 = Ouring and Post Excavation Quadrant describes the sampling location (with sequential sample number for that location) as follows, Ft or F2

- Front Yard One or Front Yard Two Bt or 82 = Back Yard One or Back Yard Two DZ = Dr ip Zone GA · Garden PA = Play Area EA = Easement Depth describes the depth from which the sample was collected. ppm = parts per million

### page 1 

### of_ 

# c9S38'0' 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) Para f E;C , DI( Est a fC'"l12**~n €-~;:a~**  . .:. 1 :::or 'avo' I**J~1e** 31 i 800223 ';1.:::1 Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (USACE). Omaha UOistrict to conduct environmental restoration services for the Omaha Lead Site. USACE Omaha is working with IIE"vi,ror,m,ent
. al Chemical Corporation (ECG) to remove lead contaminated soil and provide subsequent restoration Ns"rviices . Your cooperation is requested in giving EPNUSACElECC permission to access your property during the IIremq,valliresto,rat · ion phase
. For further information please contact Don Bahnke, EPA Project Manager at (913) 551­ or the Office of Extemal Programs. at 1·800· 223 · 0425. Property Access Granted By (P1ease Print Name)

HResident Name : 

# .M**(t.J>~!/)** 

## 8. (f

### D**~ner** 

# o renter URes,idence Address :

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## jfntvtO
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## 1:
IIPrtlllf'rtv Owned By : 

# Om£ IIOwn,ersmailing address:

______ ___________ _ _____ _____ ____ II0v.oe'·'s telephone number - Hom e: 

## .? If!- 

# I0t21 Work : -----------11 

# R() -+­ years How long have you lived here? 

# SJ years the exteior been painted or covered with siding since 1978? the interior been painted or covered since 1978? 

# o No 

# o No number of occupants:
_ -+I

___ List**Ages :.** **_~f-I-LlJIL!"'I--------------_H** ages of occupants under 6 years old who play in the yard for 5 or more hours per week:.
_ ______

activities to be implemented by EPA under this agreemenl are pursuant 10 Section 104 of CERCLA . 42 U
. S
.C
. 9604
. EPA's right of access property for in Section l04(e) of CERCLA, 42 U
. S
. C
. 9604 (e), Ydlich provides entry for. "determining the need for response, or choosing or the of this .. First:
__________ Second :: ___________ Third :: _ _____ _____pg._of
_ 

## List of Existing Conditions Property Address: 

## r9%4! IfftMfl--LPII 

# s'C- DVD ID #

_____ Owner: 

## M/LDR'/> RfEf) 

### Date: 

# 7 -Jd.--tJ , 

# 2 BVID#**~Ssl?S** Ref: 

### Photo # 

### Description**}./()N~**

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### Owner Signature 

# ' LfY}.I1**~,,-j/ IfJ~~**  Print & 

### Si g n**.~** I**~** 

### Prin Si 

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## i>cJ IS­Contract No. W912DQ-04-D-0017, Task Order DKOI Omaha Lead Site, Omaha, NE Property Closeout Agreement DVID 

## .).S"sl1S Property Address 

# I ell?,) I ,JAI Il.- roN Property Owner fYll L ht?FI'>**RF-~n** Is the Owner the Resident? OYves 

## D No 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 EPAlUSACElECC 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 (9\3) 55\-7003 or the Office ofExtemal Programs at \-800-223-0425. Additional Comments by USACE and/or ECC:

CONTRACTOR CERTIFICATION PfllShwII KliaRA3 ilT ECC Project Manager 

## , " Name 

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# JGunps f)
. ")V1r(/1 Title 

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# )( PROPERTY OWNER SEC I l/ 

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### JolON 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 (if applicable):

# O~~~-+~**/~~~**
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# v 

# " rniJJJRAA'L Property OWner's**Signat~re** Date

## /~-tr;**()~**

## •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 

## Property Owner Satisfaction Survey Form Omaha Lead Superfund Site Performance-Based Contracting (PBq Pilot Project Remediation Contractor: 

### _-==C'-"'CC:...... , ________________ Property Identifier Number:

________ Property BVID Number: 

### _...."..1..""""'·S":"'-'='S""l?
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___ Property Address:

__**----'-'J"-'li':'-'~c..L.{** -J-/i8r1tu..1.:..t.L../**1..,..n:J~N"'-..::** 

### _________**:.Lr** Property Owner's Name: _..f.f'1:..u.I&I><.LI>IL&
....



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### D
.........___________ f;"" · (above infonnation to be filled out by remediation contractor prior to delivery of fonn to Property Owner) Instructions to Property Owner: TItis form is provided to you as a means oftrying to capture your level of satisfaction 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 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 form and retum 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 

# v 5 9 4 8 3 7 2 6 I Additional Comments from Property Owner (optional; continue on back of page if needed)

Property Owner's

# SignatureX7r;~**~,** Date: 

## /0 -()(, -tl')