### CONTRAC T# W912DQ-04-D-0017 , T.O . DK0 2 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 Closcou t BVI D 2579 9 Propert y Addres s 

## 151 4 N4 0 St . Fiel dWor k Starte d 06/12/0 6 Fiel dWor k Complete d 06/14/0 6 Summary : •Th e excavatio nwa s performe di ncomplianc e wit hth e wor k plan s an dspecifications . •F l excavatio ndept hvarie dfro m4 t o 6 inche s belo w groun dsurface . •F 2 excavatio ndept hvarie dfro m4 t o 6 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 nwer e conducte di ncomplianc e wit hth e specification s an d wor k plans .

Comments : None. . 

# H UV A EC C Projec t Manage r I'lQ-Qi s y Wv Nam e Titl e Dat e USAG ECo nRe p Nam e Titl e Dat e

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### U.S . Environmenta l Protectio n Agenc yRegio n VI I Residentia l Yar d Soil s Environmenta l Restoratio n Service s PROPERT Y ACCES S (t o b e complete d b ypropert yowner ) 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 . Propert yAcces s Grante d By 

# C T (Pleas e Prin t Name ) ;Profc€rty£>wne V Signature ) (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 (to be complete d byresiden t and-'o rpropert yowne r- Pleas e Print ) Residen t Nam e 

## D owne r 

### rente r Residenc e Address : X_5 / 7 A/O . (CITY ) (STATE ) (ZIP ) PropertyOwne d C <Lft/2 A Owners mailin g address: _ Owner' s telephon e numbe r- Home : - S 

# -7^y -f Work : Ag e o f Home ? ^£?C ? 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 ? Ii 3 Ye s D N o Ha s th e interio rbee n painte d o rcovere d sinc e 1978 ? L_ j Ye s D N o Tota l numbe ro f occupants : Lis t Ages : Lis t age s o f occupant s unde r6 year s ol d wh o playi n th e yar d fo r5 o rmor e hours pe rweek : Comments : 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 ar e 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 . 9604 (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 o f thi s title. " Acces s Attempts : First : Second : Third : :£"SBB d06/L 9 \rl LZO b V90 : I T VOOZ'Z ZNfl f OU N21,200 6 09:23 A 402932146 1 

## Property Owne r Satisfactio nSurve y Form Omah aLea dSuperfun dSite Performance-Base dContractin g (PBC ) Pilo t Projec t Remediatio n Contractor : Propert y Identifie r Number : Propert y BVI D Number : Property Address : _ Property Owner' s Name : (abov e mformnlio nl o b e fitte dou l b y remediatio ncontracto r prior t o deliver y o f formt o Property Owner) *»«+*»»+,»*,*»****»**#**+**»*»*»»***+«*»+»***•***++******•******»***»*****+** * Instruction s t o Property Owner : Thi s for mi s provide dl o yo u a s amean s o f tryin g l o captur e you r leve l o f satisfactio n wit hth e work o f th e above-identifie dRemediatio n Contractor , a s applicabl e t o th e soil cleanup actio nat you r property . Th e U.S . Environmenta l Protectio nAgenc y (EPA ) an dth e U.S . Arm y Corp s o f Engineer s (USAGE ) are ver y intereste di n you r opinio n regardin g th e wor k

performe d b y ou r contractors . Thi s for mi s intende dt o provid e an easy mean s fo r yo u t o expres s you r opinio nabou t th e work performe do nyou r property . Pleas e indicat e you r leve l o f satisfactio nwit hth e Contractor' s work b y selectin g a numerical ratin g (rangin g fro m1 l 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 USAC Ei nth e attache dself-addresse d& stampe denvelope . (Additiona l comment s may als o b e provide di n th e spac e provided , at th e optio no f th e propert y 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 M ) 5 7 2 Additiona l Comment s fro mPropert y Owner (optional ; continu e o n bac k o f pag e i f needed )

Propert y Owner' s Signature : Date :



### 9 0

### CONTRAC T# W912DQ-04-D-0017 , T.O . DK0 2 Environmenta l Chemica l Corporatio n U S Arm yCorp s 

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

## Analytica l Result s Summar y BVID #2579 9 151 4 N 40 th

## St . Sampl e

Typ e Quadran t Dept h Dat e Collecte d XRFResult s (ppm ) (avg. ) Lab Result s pp m(avg. ) 

### P X EA- E 

### 2 6/8/200 6 

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### BVID
BVI D i s aparticula r residentia l properl y 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 nlaboratory 1 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 o r G Z= Garde no r Garag e Zon e P A= Pla y Are a E A = Easemen t LlP=Lef t I nPlac e Pe r Propert y Owne r Reques t Dept hdescribe s th e dept hfro mwhic hth e sampl e wa s collected . pp m = part s pe rmillio n06/L 9 b£ LZQ\ r 

### gooz'z z Nn r pag e 3 402932146 1 JTJN21.200 6 09-.25 A Contrac t No . W912DQ-04-T>-OOI7 , Tas k Orde r DKO l Omah aLea dSite , Omaha , NE Propert y Closcou t Agreemen t BV1 D 

### Property Addres s Propert y Owne r F s th e Owne r th e Resident ? D Ye s 

### N o ^//r^ / O/f.^/ 1 

### Complianc e Statement : U.S . Environmenta l Protectio n Agenc y (EPA ) ha s contracte dth e U.S . Arm y Corp s o f Engineer s (USACE) , Omah aDistric t t o conduc t environmenta l restoratio n service s fo r th e Omah aLea dShe . USAC EOmah ai s workin g wit hEnvironmenta l Chemical Corporatio n (ECC ) t o remov e lead contaminate dsoi l an dprovid e subsequen t restoratio n services . You r cooperatio n i ngivin g EPA/USACE/EC C permissio n t o acces s you r properl y 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 property wa s complete di n accordanc e wit hth e contrac t specification s an dEP A requirements . I f

yo u hav e question s o r needadditiona l informatio npleas e contac t Do nBahnke , EP A Projec t Manager , a t

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

CONTRACTO RCERTIFICATIO N Prasltan t Khann ao r EC C Projec t Manage r Charle s "Skip"Milto n Nam e Titl e Dat e Signatur e J i 

### PROPERT Y OWNE RSECTIO N Thi s agreemen t document s th e completio n o f remedial/restoratio neffort s a t th e propert y t o m y satisfaction . V \\agre e tha t restoratio ni s complete da t m y property , excep t a s note d Comment s (i f applicable) :

e 

### /l.: U 9 0 2 2

### Contrac t No . W912DQ-04-D-0017 , Tas k Orde r DK0 1 Omah aLeadSite , Omaha , N E Propert y Closeou t Agreemen t BVID Propert y Addres s Propert y Owne r I s th e Owne r 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 . Arm y Corp s o f Engineer s (USAGE) , Omah aDistric t t o conduc t environmenta l restoratio nservice 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 propert y 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 AProjec t Manager , a t

(913 ) 551-700 3 o r th e Offic e o f Externa l Program s a t 1-800-223-0425 . Additiona l Comment s b y USAC 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 Titl e Dat e Signatur e 

## 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 . U I agre e tha t restoratio ni s complete da t m y property , excep t a s note d Comment s (i f applicable) :

Propert yOwner' s Signatur e Dat e

# Propert y Owne r Satisfactio nSurve y For m Omah aLeadSuperfun dSite Performance-Base dContractin g (PBC ) Pilo t Projec t Remediatio nContractor : Property Identifie r Number : Property BVI D Number : 

### Propert y Address : _ Propert y Owner' s Name : (abov e informatio nt o b e fille dou t b y remediatio ncontracto r prio r t o deliver y o f for mt o 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 nContractor , 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 nAgenc y (EPA ) an dth e U.S . Army Corp s o f Engineer s (USAGE ) ar e very intereste di nyou r opinio nregardin g th e wor k

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 wor k 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 npleas 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 , a t th e optio no f th e propert y owner. ) 9-1 0 "excellent " 7- 8 "ver y good " 5- 6 "acceptable" ' 3- 4 "poor " 1 - 2 "very poor " Propert y Owner' s Satisfaction Rarin g reeardin 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 needed )

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## Propert y Owne r Satisfactio n Surve y Form Omah aLea dSuperfun dSit e Performance-Base dContractin g (PB Q Pilo t Projec t Remediatio n Contractor : Property Identifie r Number : Property BV1 D Number : Propert y Address : Property Owner' s Name : (abov e informatio nto b e fille dou l b y remediatio ncontracto r prio r l o deliver y o f forml o Property Owner) *****«***»*******• •** ***********************+*************»**********»*** * 

### Instruction s t o Propert y Ovmer : Thi s for mi s provide dt o yo u a s amean s o f tryin g t o captur e you r leve l o f satisfactio n withth e work o f th e above-identifie dRemediatio nContractor , a s applicabl e t o th e soil cleanu p actio na t you r property . Th e U.S . Environmenta l Protectio nAgenc y (EPA ) an dth e U.S . Arm y Corp s o f Engineer s (USAGE ) ar e very intereste di nyou r opinio nregardin g th e work performe d b y ou r contractors . Thi s formi s intende dt o provid e aneasy mean s fo r yo u t o expres s you r opinio nabou t th e work performe do nyou r property . Pleas e indicat e you r leve l o f satisfactio nwit hth e Contractor' s wor k b y selectin g a numerical ratin g (rangin g fro m) l 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 USAC Ei nth e attache dself-addresse d& stampe denvelope . (Additiona l comment s may als o b e provide di nth e spac e provided , at th e optio no f th e property owner. ) 9-1 0 "excellent " 7- 8 "ver y good " 5- 6 ''acceptable " 3-<4 "poor " I- 2 "very poor " Propert y Owner' s Satisfactio nRatin g regardin g Contractor' s Work 1 0 5 9 4 7 2 IUZ Z f >I 

### Additiona l Comment s fi-o mProperty Owner (optional ; continu e o n bac k o f pag e i f needed )

Propert y Owner' s Signature : _ Date :

73 4 679 0 pag e 3 JU N21,200 6 01-.36 P~

### 402-734-679 0 p. 2 Ju n 2 1 0 6 01:48 p 

### pag e 3 4(32932146 1 JU N21,200 6 09:25 A Contrac t No . W912DQ-04-D-0017 , Task Orde r DKO I Omah aLea dSite , Omaha , NE Property Closeout Agreemen t 

### BV1 D Propert y Addres s Property Owne r I s th e Owner th e Resident ? D Ye s Complianc e Statement : U.S . Environmenta l Protectio n Agenc y (EPA ) ha s contracte dth e U.S . Arm y Corp s o f Engineer s (USAGE) , Omah aDistric t t o conduc t environmenta l restoratio n service s fo r th e Omah aLea dSite . USAC EOmah ai s workin g wit hEnvironmenta l Chemical Corporatio n (ECC ) t o remov e lea d contaminate dsoi l an dprovid e subsequen t restoratio n services . You r cooperatio n i n givin g EPA/U S ACE/EC C permissio nt o acces s you r property durin g th e removal/restoratio n phas e i s sincerel y appreciated . Thi s documen t certifie s tha t al l work performe da t thi s property wa s complete di n accordanc e wit hth e contrac t specification s an dEP A requirements . I f

yo u hav e question s o r needadditiona l informatio npleas e contac t Do nBahnke , EP A Projec t Manager , a

t (913 ) 55 1 -700 3 o r th e Offic e o f External Program s al 1 -800-223-0425 . Additiona l Comment s b y USAC Eand/o r ECC :

CONTRACTO RCERTIFICATIO N Prashan t Khann ao r EC C Projec t Manager Charle s "Skip"Milto n Nam e Titl e Dat e Signatur e 

# " 1 

# A PROPERT Y OWNE RSECTIO N Thi s agreemen t document s ch e completio n o f remedial/restoratio neffort s a t th e propert y t o m y satisfaction . v\agre e tha t restoratio ni s complete da t m y property , excep t a s nole d Comment s <i f applicable) :

pag e 2 40 2 73 4 679 0 JUN21,200 6 01:36 P

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