# .eta CONTRACT # 

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

# mJ

us Army Corps

of Engineers 

### .Eel: • 

# .,

ECC Certification for Property Closeout
OLSID 32736 

### Property Address 2572 Manderson St 

### Field Work Started 9/26/2007 

### Field Work Completed 9/26/2007 

### Summary: 

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

# • B2 excavation depth was 5 inches below ground surfaces. 

# • Verification samples confinned that cleanup standards were met. 

# • The site was backfilled with material which meets the contract specifications. 

# • The backfill was compacted to acceptable standards. 

# • Site restoration was conducted in compliance with the specifications and work plans.



### Comments: None 

## 5""

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# + b,},"",v Name ECCOCM Title 

### 16bO/o7 Date Jeff Hubbard Name USACE Con Rep Title 

### IJ/d./IJ7 Date

# a,:iL CONTRACT 

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

### .ECC:. 

# 't'fD7

Analytical Results Summary OLS#32736 2572 Manderson St.
Quadrant Sample Depth Date Collected XRF Results Type (ppm) (avg.) DE 

### 62 5

# ~~~ 22 DE EA-S 

### 0 61 

# I I 

# I I 

# I I

SAMPLEIDSAMPLE ID is a panicular residential property to 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; Fl or F2 = Front Yard One or Front Yard Two B 1 or B2 = Back Yard One or Back Yard Two Dl= Drip Zone GA -Garden PA - Play Area EA Easement Depth describes the depth from which the sample was collected. ppm = pans per million

## ----------- ----------- ----------- 

## page 1 

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# "136 Omaha lead Site Omaha, NE Residential Yard Soils Environmental Restoration Services U.S. Environmental Protection Agency Region VII

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 (ECC) to remove lead contaminated soil and provide subsequent restoration services. Your cooperation is requested in giving EPA/USACE/ECC 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 

# . PROPERTY ACCESS (to be completed by property owner) i=la.a re-:,bli Esta krona en es;:a:1 v l 80r favor! ar.\::: al**'·60·J·223·''>~25**

Resident Name: 

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### .;..:N~IIL.:....._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:_-----'--N'---LAO'----_ list Ages: 

# ---------------------11 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 he activities to be implemented by EPA under this agreement are pursuant to Section 104 of CERCLA. 42 U.S.C. 9604. EPA's fight of access to he property tor in section 104(e) of CERCLA, 42 U.S.C. 9604 (e). which provides enlfy for. "determining the need for response, or choosing 01" aking any response action under this tille. 01" otherwise enforcing the provisions of this title." Access Attempts: First Second: : Third: :

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### Contract No. W912DQ-04-D-0017, Task Order DKOI Omaha Lead Site, Omaha, NE

DVID 

### Property Address 

## seJ.'}s 

# 6 

# I ..1..5'1),..1 

# rna)/ /)FI2ScJ/\ 

### Property Owner 

### Is the Owner the Resident? DYes 

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### 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 A/USACElECC pennission 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 of Extemal 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 agreement docu ments the completion of remedial/restoration efforts at the property to my satisfaction. I agree that restoration is completed at my property, except as noted Comments (if 

### applicable):

## )(/?~. U 

# (cftl-­ jVW: 2.-0 1



### ,**~erty** 

### Owner's Signature Date

## Property Owner Satisfaction Survey Form Omaha Lead Superfund Site Perfonnance-Based Contracting (PBC) Pilot Project Remediation Contractor:

__ I3=....;C::::....lloC_'

_ 

### Property Identifier Number:
_ Property BVID Number: 

# .3 .) ').5 

## b Property Address: 

## .2s7c2 tnli/fJbf/.?stJAJ Property Owner's Name: 

## kRIS 

# ml LI-E 

## R (above infonnation to be filled out by remediation contractor prior to deliveJ)' of form to Property Owner) 

## ***********************. .** ***.******.********.** •• * ••• * ••• * •••••••••••• *. Instructions to Property Owner: 

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

### "vel)' good" 5-6 

### "acceptable" 3-4 

### "poor" 1-2 "vel)' poor" Property Owner's Satisfaction Rating regarding Contractor's Work 

### 10 5 9 

### 4 8 

### 3 7 2 6 1 

### Additional Comments from Property Owner (optional; continue on back of page if needed)

P
.... perty 

### Owner', Signatore: i-J.

# '(~ Date:

# ~; U 

### lJ;..7 

## 7