### CONTRAC T# W912DQ-04-D-0017 , T.O
. DKO £ 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 2327 8 Propert y Addres s 4 2 1 8 Davenpor t Fiel dWor k Starte d 06/06/0 6 Fiel dWor k Complete d 06/13/200 6 Summary : •Th e excavatio nwa s performe di ncomplianc e wit hth e wor k plan s an d specifications . • EA- S excavatio ndept hvarie dfro m4 t o 6 inche s belo w groun dsurface . •F l excavatio ndept h varie dfro m4 t o 6 inche s belo w groun dsurface . •F 2 excavatio ndept h varie dfro m2 t o 6 inche s belo w groun dsurface . •B 2 excavatio ndept h varie dfro m4 t o 8 inche s belo w groun dsurface . •G A excavatio ndept hvarie dfro m4 t o 6 inche s belo w groun dsurface . • Dri p Zon e excavatio ndept hvarie d fro m1 2 t o 1 4 inche s belo w groun d surface . •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 h th e specification s an d wor k plans . Comments : None .

Ski p Milto n EC C Projec t Manage r Nam e Titl e Dat e Signatur e Jef f Hubbar d USAG ECo nRe p Nam e Titl e Dat e

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### pag e 1 of . Omah a Lea d Sit e Omaha , NE 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 fr o be complete d bypropert yowner ) scano i po rtavo ' -600-222-04: 5 U.S
. Environmenta l Protectio n Agency(EPA ) ha s contracte d th e U.S
. Arm yCorp sof Engineer s (USAGE) , Omah a Distric t to conduc t environmenta l restoratio n service s fo rth e Omah a Lea d Site
. USAG E Omah a is workin g wit h Environmenta l Chemica l Corporatio n (ECC ) to remov e lea d contaminate d soi l an d provid e subsequen t restoratio n services . You rcooperatio n is requeste d in givin g EPA/USACE/EC C permissio n to acces s you rpropertydurin g th e removal/restoratio n phase . Fo rfurthe rinformatio n pleas e contact Do n Bahnke , EP AProject Manage r at (913 ) 551 ­ 700 3orth e Offic e of Externa l Programs , at 1-800-223-0425 . Propert y Acces s

/ (Date ) rmissio n DOE S NO T necessaril yimpl yyou rpropert ywil l be remediate dat thistim e

£/VA/70A / Residenc e Address : PropertyOwne d By : ^USf \

A/A/4 Owner s mailin g addres s Owner' s telephon e numbe r- Home : Ag e of Home ? tj\£ ) year s Ho wlon g hav e yo u live d here ? 

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# j;s ~ year s Ha s th e exteio rbeepfpainte d orcovere d wit h sidin g sinc e 1978 ? Ye s 

# n NO Hai s th e interio rbeeprrjainte d 05 covere d sinc e 1978 ? Ye s 

# n NO Tota l numbe r of occupants : Lis t Ages : 

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# / Js. t age s of occupant s unde r6 year s ol d wh o play in th e yar d fo r5 ormor e hour s pe rweek: _ ;omments : AUTHORIT Y FO R ENVIRONMENTA L RESPONS E ACTION S Th e activitie s to be implemente d byEP Aunde rthi s agreemen t ar e pursuan tto Sectio n 10 4 of CERCLA
. 42 U S C. 9604 . EPA' s righ tof acces s to he properl yfo r in Sectio n 104(e ) of CERCLA
. 42 U S C. 9604 (e) , whic h provide s entr yfor , "determinin g th e nee d fo rresponse , orchoosin g or akin g an yrespons e actio n unde rthi s title , orotherwis e enforcin g Ih e provision sof thi s titl e " Acces s Attempts : First : Second : : Third : :

### 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 ^ 2 > 2 . " 7 8 Propert y Addres s ^/^/O^^^ ^

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### Tier th e Resident ? !< D Ye s D N o Complianc e Statement : c 

### ~ / ' 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 property wa s complete di n accordanc e withth e contrac t specification s an dEP A requirements . I f

yo u hav e question s o r nee dadditiona l informatio npleas e contac t Do nBahnke , EP A Projec t 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 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 . . D a t e Signatur e 

# .%,'u p Mil- U9 nIL 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 . tf 

### I/Si . 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) :


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## 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 : Propert y Identifie r Number : Propert y BVI D Number : 3 ^ O Property Address : Propert y Owner' s Name : (abov e informatio nt o b e fille dou t b y remediatio n contracto r prio r t o deliver y o f for mt o Propert y Owner ) 

### Instruction s t o Property Owner ; 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 wor k o f th e above-identifie dRemediatio n Contractor , a s applicabl e t o th e soi l cleanu p actio n a 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 (U S ACE ) ar e very intereste di n you r opinio n regardin g th e work 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 n abou t th e wor k performe do n you r property . Pleas e indicat e you r leve l o f satisfactio n withth 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 n pleas e sig n & dat e th e for man dretur n i t t o USAG Ei n th e attache dself-addresse d& stampe denvelope . (Additiona l comment s ma y als o b e provide di n th e spac e provided , a t th e optio n o 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 Satisfaction Ratin g regardin g Contractor' s Wor k 1 0 5 X 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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### CONTRAC T# W912DQ-04-D-0017 , T.O
. DKO ? Environmenta l Chemica l Corporatio n Omah a Lea d Remediation , Omaha , N E U S Arm yCorp s o f Engineers 

## Analytica l Result s Summar y BVI D #2327 8 42 U Davenpor t St . Sampl e

Typ e Quadran t Dept h Dat e Collecte d XR F Result s (ppm ) (avg. ) La b Result s pp m (avg. ) D E B 2 8 6/3/200 6 7 3 N A D E G Z 6 6/3/200 6 14 7 N A D E F2 6 6/5/200 6 3 3 N A D E EA- S 6 6/5/200 6 17 6 N A D E F 1 6 6/6/200 6 8 9 N A D E D Z 1 4 6/6/200 6 26 7 N A



### BVIDBVI D i s a particula rresidentia l propert yI D fro m whic h th e sampl e i s collected . Th e sampl e typ e identifie r(wit h sequentia l sampl e numbe rfo rtha t location ) a s follows ; P X = Pre-Excavatio n XR F sampl e P E = Pre-Excavalio n laborator ysampl e D E = Durin g an d Pos t Excavatio n Quadran t describe s th e samplin g locatio n (wit h sequentia l sampl e numbe rfo rtha t location ) u s follows : F l o rF 2 = Fro m Yar d On e o rFron t Yar d Tw o B l o rB 2 - Bac k Yar d On e o rBac k Yar d Tw o D Z = Dri p Zon e G A= Garde n P A= Pla yAre a E A= Easemen t Dept h describe s th e dept h fro m whic h th e sampl e wa s collected , pp m = part s pe rmillio n

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Omah aLea dSit e 4613 0OMAH ALEA D SIT E COMPLAIN TDOCUMENTATIO N FOR M Complain t Recorde d By : Complain t Complain t Date : Time : Na m Person(s ) Issuin g Complaint:- ­ 0 / 

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### <^vU Q C Note s lo U — 

### XR F chec k lis t hav e easeme t ma p (1 ) hav e sit e ma p (3 ) easement s sampl e F 1 sample s F2 sample s 8 1 sample s B 2 sample s DZ sample s AS-Buil t ma p correcte d shot s mappe d concret e mappe d tree s marke d LI P marked/note d 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



## of Backfill chec k lis t reconstructio n ma p positiv e drainag e fro m hous e N O lo wspot 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 walks are a fre e o f debri s fence s repaire d N.A- . damag e t o property ? damag e lis t *^ punchlis t file d

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