### CONTRACT 

### # W912DQ-04-0-0017, T.O. DK04 Environmental Chemical Corporation Omaha Lead Remediation, Omaha, NE 

# m

us Army Corps

of Engineers .Et:t: •



# ..

ECC Certification for Property Closeout
OLSID 29248 

### Property Address 2517 Corby St 

### Field Work Started 9/24/2007 

### Field Work Completed 9/26/2007 

### Summary: 

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

# • F1 excavation depth was 5 inches below ground surfaces. 

# • F2 excavation depth was 11 inches below ground surfaces. 

# • Verification samples confinued 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

ECCOCM Name Title Jeff Hubbard USACE Con Rep Name Title 

## LD<d5-e7 Date

## 29248 Owner Name: MARLA M WYNN Address: 2517 CORBY ST

### Phone:~\=%JJow~'- Omaha Lead Site Site Sketch Exterior Paint 

# o Good 

# o Poor ifNotpainl North Arrow

Team



## __**..L-~=~'==-----** OLs

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## __ XRF

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# L**LogBoo~** 

### Date Lead Concentration 

# 1/1 ppm 

### J!(J'I ppm**~50 ppm~**  

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# ... CONTRACT 

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

# mJ

us Army Corps

of Engineers 

## _Eec.



# ..

Analytical Results Summary OLS #29248 2517 Corby St
Depth Quadrant Sample Type

I DE F1 5 DE F 11 DE 

### EA-$A. 0 

# I I 

# I I II 

## II II XRF Results

Date Collected (ppm) (avg.) 117 

# I 12007 9/20/2007 204 

# I 9/20/2007 

### 86 

# I I 

# I I 

# I I

SAMPLE 10- SAMPLE ID is a particular residential property 10 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 81 or 82 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_ e!). 

## CfJ**¥~** 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) ::-21'2**',':~.~ t=~::l** **'~. ~~J**  -:;:1**~2'S;(: ~c** **~~~.** '2J,JC';**Jr~~t:j ;·~c·:;**  ::22**.:~:~**

. • 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

ervices. Your cooperation is requested in giving EPAlUSACElECC permission to access your property during the emovallrestoration phase. For further information please contact Don Bahnke. EPA Project Manager at (913) 551­

. U03 or the Office of External Programs. at 1-800-223-0425. Property Access Granted By

./ 

## . OTE G f DOE$NOT 

### rt '/1 be (j,' 

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, - -' _-_' , -. _ . - - - - -- J PROPERTY INFORMATION (to be completed by reSident and or property owner· Please Pflnt) Resident Name: 

## VltCPtNT 

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# r 

# X owner 

# o renter Residence Address: Properly Owned By: 

## .:5"-, 

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# M Lit 

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# YAJIJ (CITY) (STATE) (ZIP)
Owners mailing address: 

### (p(J.1{ 

# y RElY/> S 

## T Owner's telephone number - Home: 

# Wr- rIPS? Work: 

## -------------11

______ years Age of Home? How long have you lived here?

_____ years Has the exteior been painted or**cove~ed** with siding since 1978? DYes 

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

# o No Irotal number of**occupants:.~** _ List Ages:**-------------~---_n** List**ag.~s** of occupants under 6 years old who play in the yard for 5 or more hours per week:
_**Comme.n~; ~UTH0Rr;tV**  FOR ENVIRONMENTAL RESPONSE ACTIONS [tJe al;bvilii:s 

### (6 be implemented by EPA under this agreemenl are pursuant 10 Seellon 104 or CERCLA. 42 U.S.C. 9604. EPA's righ1 of access to "he property for in Section 104(e) of CERCLA. 42 U,S.C. 9604 (e). which provides enlry for. "determining the need for response, or choosing or aktng any response actIon under this tille, or othelWise enforcing the provisions of Ihls Iltle." Access Attempts: First: Second: : Third: : _

### pg._of_ 

# List of Existing Conditions Property Address: 

# ;)5 11 

# Ctx bl4 'Qt, Date: 

# q 1& /07 r I 

### Ref: 

### Photo 

### # Description 

# Nonp

Owner Signature 

### ECC Print & 

### Sign Print & 

### Sign

### Contract No.**W912DQ~04~D-0017,** 

### Task Order DKOI 

### Omaha Lead Site, Omaha, NE ProQertI Closeout Agreement Property Address 

# 1 BVID

### ::J..q~4Y? -

## ,!L~/'J 

## Co/2/( 

## 'f (]....NO 

### Property Owner Is the Owner the Resident? DYes 

## '/vi A /(J 

### LA tAl 

### 'I AI iii 

### 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 (ECC) to remove lead contaminated soil and provide subsequent restoration services. Your cooperation in giving EP A1USACEIECC 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 of External Programs at 1-800-223-0425. Additional Comments by USACE and/or ECC:

CONTRACTOR CERTIFICATION ECe 

### Project Manager Signature Date Title Name 

## PROPERTY OWNER SECTION This agr eement documents the completion of remedial/restoration efforts at the property to my satisfaction. ragree that restoration is completed at my property, except as noted Comments (if applicable):

/'

- 

# :K**h'~CfJI1** 

# J!laA**A~** Date**Propt~lI** 

### Owner's Signaturr(j 

### /,).- OS -0 I)

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

### ---,c.==:::...JC

_ ... 

### Property Identifier Number:
_ Property BVID Number:**_--l.,;iI::;.....(,,~..J-lojI-** __ 

### Property Address: 

### :..::J:..;:S:=:...L.I-'2_C-=O;.,a,f
... 

### RI.....oI...Y_-s:I-T'--
_ Property Owner's Name:
.. 

### _.....L..tnL...l.'.aIJ.R
.

_,.Qbll;Lj
.....**~WU!l_-'r~I,jx"gM'-** ........ _ (above infonnation to be filled out by remediation contractor prior to delivery offonn to Property Owner) 

## •••••••••••••• * ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Instnlcdons 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 

### "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 

### 3 7 2 6 1 

### Additional Comments from Property Owner (optional; continue on back or page irneeded)