# aiD. .ECC. 

### CONTRACT 

### # W912DQ-04-D-0017, T.O. DK04 Environmental Chemical Corporation Omaha Lead Remediation, Omaha, NE 

# m

us Army Corps

of Engineers 

# V'

ECC Certification for Property Closeout

OLSID 38775 

### Property Address 2440 Crown Point Av 

### Field Work Started 9/11/2007 9/13/2007 

### Field Work Completed Summary: 

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

... 

# • F1 excavation depth was 7 inches below ground surfaces. 

# • F2 excavation depth was 7 inches below ground surfaces. I 

# • B1 excavation depth was 8 inches below ground surfaces. 

# • 82 excavation depth was 8 inches below ground surfaces. 

# • Drip zone excavation depth was 12 inches below ground surfaces. 

# • Drip zone garage excavation depth was 12 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: None 

# SLed" tAJ<t!tJ ECCQCM 

# let**l~fcJ**

# ~~~. Name Title Date ture Jeff Hubbard USACE Con Rep iO-()5 -07 

### Name Title Date

# 38175

NorthArrrm Omaha Lead Site 

### Dale: 

# 1112fJIO 3

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### Lead Concentration Quadrant 

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maha Lead Site 46130

### CONTRACT 

### # W912DQ-04-D-0017, T.O. DK04 Environmental Chemical Corporation Omaha Lead Remediation, Omaha, NE 

# m

us Army Corps

of Engineers 

### .ECC. 

# ."

Analytical Results Summary OLS #38775 2440 Crown Point Av

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

### 83 61 66 

### 79 57 155 

### 86

SAMPLE 10- SAMPLE 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 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 Bl 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 million-- - - -- - - -- 

## page 1 

## of_ 

# S- Omaha Lead Site Omaha, NE Residential Yard Soils Environmental Restoration Services U.S. Environmental Protection Agency Region VII



# . PROPERTY ACCESS (to be completed by property owner) I**~ara fe~.JI{** **es~a** fC::113 en es;;a'lOI ::::or favor**dJr.~e** al -600·223·'2425 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 working with Environmental Chemical Corporation (ECG) to remove lead contaminated soil and provide subsequent restoration

ervices. Your cooperation is requested in giving EPAlUSACElECC 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. Property Access Granted By (Please Print Name)

Resident Name: 

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# r**mOd~r** Residence Address: 

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## fa /112 

# r**~er** 

# o renter

(ZIP) Property Owned**By:._---.,;S~/trYt~...;",;,..,j("'--** _ Owners mailing address:.

_ Owner's telephone number
- Home: 

## JjSl- 

# J 

# b6 

# '1 Work: 

## ------------fl

geofHome?

______ years How long have you lived here?

_____ years Has the exteior been painted or covered with siding since 1978? DYes 

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

# o No

otal number of occupants:.

_ List Ages:. -111 list ages of occupants under 6 years old who play in the yard for 5 or more hours per week:

_ Comments:

UTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS
e activities to be implemented by EPA under this agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to he property for in Section 104(e) of CERCLA. 42 U.S.C. 9604 (e). which provides entry for. "determining !he need for response, or choosing or aking any response action under this title, or otherwise enforcing the provisions of this title." Access Attempts: First: Second: : Third: :
_**pg.~of_** 

# List of Existing Conditions Property Address: 

# ¥iftJ C,eo 42JJ**f~IIJT** 

### Ift/ 

## DVD 10 

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_ Owner: 

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## Date: 

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### Owner Signature

# ~1na ' ?t;&dL

### Contract No. W912DQ-04-D-0017, Task Order 

### DKOI Omaha Lead Site, Omaha, NE Property Closeout Agreement
DVID 

## ,?%'? 

## 7-.s- Property Address 

# I --1IfJf() 

### rpatJI'J 

## PO/lvr Property Owner 

## W£S LE I(

### (J)()()/2~ Is the Owner the Reside nt?

## ~s 

## 0 No Compliance Statement: 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 working with Environmental Chemical Corporation (BCC) to remove lead contaminated soil and provide subsequent restoration services. Your cooperation in giving EP AlUSACElECC 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 ofExtemal Programs at 1-800-223-0425. 

### Additional Comments by USACE and/or ECC:

CONTRACTOR CERTIFICATION Prashant Khanna or ECC Project Manager Charles "Skip"Milton Name Title Date Signature 

## PROPERTY OWNER SECTION This agreem ent documents the completion of remedial/restoration efforts at the property to my sati sf action. 

# I1J/ I agree that restoration is completed at my property, except as noted Comments (if applicable):

# /~**~o/tJ7**

# X//AL1/tL~t?**~~** Date Property 8"'ner's Signature

## Property Owner Satisfaction Survey Form Omaha Lead Superfund Site**Perfonnanc~Based** 

### Contracting (PBC) Pilot Project
Remediation Contractor:**_----I:£...:~:.:::C::::~=_** 

### _ Property Identifier Number:

_ Property OVID Number: 

# c.? g 

## 7 7.s' Property Address: 

# d.. 

# y YO 

## CRt) LiJ 

### IJ 

## PtJ/ tJ T 

## It 1/ Property Owner's Name: 

## W€'-SI-f(**m~()Rf** (above infonnation to be filled out by remediation contractor prior to delivery of form to Property Owner) 

## ** •••••••••••• ********* ••••••••••• *** ••••••  .**  ••••••••• *******.* •• 

# ** •••••• Instnlctions to Property Owner: 

### This fonn is provided to you as a means of trying to capture your level of satisfaction with the work of tile 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 of Engineers (US 

### ACE) are 

### very interested in your opinion regarding the work perfonned by our contractors. This fonn is intended to provide an easy 

### means for you to express your opinion about the work perfonned on your property. Please indicate your level of satisfaction with the Contractor's work by 

### selecting a numerical rating (ranging from I to 10) using the following rating scale, then please sign & 

### date the fonn 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 

# g 3 7 

### 2 6 1 

### Additional Comments from Property Owner (optional; continue on back ofRge ifneededl

Property Owner', Signature:

# ~a**Date:f40~7**