### CONTRACT 

## # W912DQ-04-0-0017, T.O. OK04 Environmental Chemical Corporation Omaha Lead Remediation, Omaha, NE US Army Corps of Engineers


## ECC Certification for Property Closeout

OLSID 25437 

## Property Address 2429 Hamilton 8t 

## Field Work Started 8/20/2007 

## Field Work Completed 8/27/2007 

## Summary: 

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

# • B1 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. 

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



## Comments: None

# 5~'ti 

# DvN ECCQCM 

# 12 11 / 0 

# 1­ Name Title

## Dat~ Jeff Hubbard USACE Con Rep**-lO'-~-67** 

### Name Title Date**'~** 

# f ;. 

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## Omaha L.ead Site EX1$l1or Pail'll NoltllAlrow 

### 11/l/tI$ 

# o Good 

# WI1VFW Sfte Sketch 

# r " .'" 

# o Poor W: 

# --.**~.** 

### OLS 

# ED A s.Soci 

# ,r/'(s XRF Code 

### 34CjZ Lead Concentration Date 

## 15q ppm 

# * B//5/07 Z.IZ**ppm~** 

## ,**'1~** 

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## ISg ppm 

# * LogBook 

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# *3 ppm ppm ppm ppm OWl"I'erName; 

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### Fl F2 

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## DZ

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# .. CONTRACT 

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

# m

us Army Corps

of Engineers 

### • ECl:.



# .,

Analytical Results Summary OLS # 

## 25437 2429 Hamilton St



# I 

# I Sample Type



## DE Quadrant Depth
81 i 

### 12 

### XRF Results Date Collected (ppm) (avg.)



### 8/15/2007 196 

# I I I I 

# I I I I I I II 

## II II 

# I

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; Fl or F2 Front Yard One or Front Yard Two BI 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 millionPage I of

_ 

## Q.SIf.S> Omaha Lead Site Omaha, NE U.S. Environmental Protection Agency Region VII Residential Yard Soils Environmental Restoration Services l'Re )1'1 R I 'I \CCI S-, (1,1**b~'** ltllllpkkd**h~ IJI·tlP~'1** **{~** e 111 11c'l } l'.II,llc·CI),11 c',I,1 1"1111.1 \."I':111"llwr 1',tl<'1 IldlllL ,il**I·X[JlJ·~~_~·Il,I~:'** Grantor (the property owner), consents to and authorizes the United Sates Environmental Protection Agency (USEPA) or its authorized representatives (or its contractors), the Grantee, to enter and perform certain environmental response activities upon the following described premises. For further information please contact EPA at 1-800-223-0425. 

### Property Access Granted By 

### (Please Print Name) 

# >(

# ~~**6;Zf!?n~** f{-ot -0 , (Property Owner Signature) (Date) NOTE: Granting permission DOES NOT necessarily imply your property 

### will be remediated at this time. I'I{()I'I.R I Y 1\"1 OR\!.\ I ICY" (ttl hc' \.Ulllpkkd h: rC"ldCllt ,!llel 01**Plllpc'Jl~** UI\I1LT-I k,I>l? l'lll1t) ' Resident Name: 

# vee aNT 

### I-Or [J Owner 

## o Renter Residence Address: 

# J ¥ 

# '1 fltJ.m I/. 

## 7TJ IJ 5T 

## CJMAM. /1)( (CITY) r (STATE) (ZIP) Property owned by: 

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..... _ Owners mailing 

### address:-----J/'-'--{-L"

... 

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## 'I_'1f-­ Owner's telephone number-Home: LfdJ

- 

## -3**'I~** 

## -**~y ~O**  Work:

_ Age of Home? years How long have you lived here? years Has the exterior been painted or covered with siding since 1978 DYES 

# o NO Has the interior been painted or covered since 1978? DYES 

# o NO Total number of occupants:
_ List Ages:

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

_ Comments:**~-------_-** 

# --=- _ AUTHORITY FOR ENVIORNMENTAL RESPONSE ACTIONS The actiVIties to be implemented by EPA under this agreemenl are pursuanl to Seclion 104 ofCERCLA. 42 U.S.c. 9604. EPA's right of access 10 the property for in Section 100(e) ofCERCLA. 42 U.S.C. 9604 (e), which provides entry for. "detennining the need for response. or choosing or taking any response action under this lille, or otherwise enforcing the provisions of this title." Access Attempts: First: Second: Third:

_

### pg._of_ 

# List of Existing Conditions
Pro perty Add ress:

# ~~"""'....l..L.r"'.~....f...--~~..!:....J-I.~..J.-"'::::'~=---\- __ 

# Owner: Date: BVID# 

# 'by 

# 3J

Ref: Photo # 

## Description

Owner Signature 

## ECC Print & 

## Sign 

## Print & 

## Sign

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

## Task Order DKOI 

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

I • 

## Superintendant CONTRACTOR CERTIFICATION 

## Prasha**-.-~""';;;"'~""";;"""""":""""----:_--:_:-m-a-g-e-r ~--r-------...------------I**  

## Charle James D, GarcIa ECC Project Name 

# PROPERTY OWNER SEtTION {/

I agree that restoration is completed at my property, except as noted Comments (if 

## applicable):

't;;P'roperty Owner'lSignature Date 

# .

BVID Property Address 

# 1 /J lIJ-q

# ~/I.... flJltJ Property Owner

## le£~N1J~b**1Y\1J~£L.LlJ** Is the Owner the Resident? DYes**~o** 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 (Eee) to remove lead contaminated soil and provide subsequent restoration services. Your cooperation in giving EP A1USACE/ECC 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:



## This agreement documents the completion of remedial/restoration efforts at the property to my satisfaction.