## CONTRACT # 

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


## ECC Certification for Property Closeout
OLSID 23139 

## Property Address 112 N 31 51 

### Ave 

## Field Work Started 10/10/2007 

## Field Work Completed 10/20/2007 

## Summary: 

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

# • Fl excavation depth was 6 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 

# D).·..; of.;; N
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# {)::J- ECCOCM Name Title Date Jeff Hubbard USACE Con Rep 

## ii-I**~-01** 

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# 23139**Omaq~** 

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## ad Site Owner Name: RfCHARO H SlOSBURG R 

### Site 

## Sketch Address,: 1 2 N 31 

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Phone: Ii; W'

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## XRF Code_:J;IiI,...7...£.
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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)**~~,~",::.~'t.~'..J·C·'** .. 2··
... ".**~,...,** 'oJ
.. s**.~r"** ... :-**:~.=_** U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (USACE). Omaha District to conduct environmental restoration senrices 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/USACEJECC permission to access your property during the removal/restoration phase. For further information please contact Don Bahnke. EPA Project Manager at (913) 551­

003 or the Office of External Programs. at 1-800-223-0425. 

### Properly Access Granted 

### By (Please Prinl Name)

Downer 

# o renter
(STATE) (ZIP) Resident 

# Name:--Y8cANT LOT Residence

## Addres~: 

# 11eJ.. N eX' !tV Property Owned By: 

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# c)sr Owners mailing address: / 

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# OMn/t4 Owner's telephone number - Home: 

# S 7/- I) 

# roo Work:

## ----------~I

ge of Home?

______ years How long have you lived here?

____ years Has the exteior been painted or cover:ed 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: 

## --------------------fI1 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 right of access to he property for in section 104(e) of CERCLA, 42 U.S.C. 9604 (e), which provides entry for. "determining the need for response, or choosing or aki any response action under this IiUe. Of othelWise enforcing the provisions of this title." Access Attempts: First: Second: : Third: : _ I

## CONTRACT 

## # W912DQ-04-D-0017, T.O. DK04 Environmental Chemical Corporation .ECC.



# ., Omaha Lead Remediation, Omaha, NE us Army Corps of Engineers 

# Analytical Results Summary OLS # 

# 23139 112 N 31 st 

# Ave

Sample

Type 

# I Quadrant 

# II Depth 

# I Date Collected 

# I DE 

# II F1 

# II 6 

# I 10/12/2007 

# I I DE DE 

# I EA-E 

# I 82 

# Ute 0 0 10/12/2007 

### 10/12/20007 

# I I 

# I I 

# I XRF Results (ppm) (avg.) 

### 68 

# I 168 

# I 66 

# I I II 

# II

SAMPLE 10- SAMPLE ID is a particular residential property ID from which Ihe sample is collected. The sample 'Ype identifier (with sequential sample number for that location) as follows; PX '"' Pre-Excavation XRF sample DE = During and Post Excavation Quadrant describes Ihe 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 million

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

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

## 23 \,:>q BVID 

## Property Address 

# I\ \?- tJ 3 \ 

# AN'­**»~'!** S\1)S**~j** Property Owner Is the Owner the Resident?

# ~~ 

# \N;;1 Compliance Statement: U.S. Environmental Protection Agency (EPA) has contracted the U.S. Anny 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 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: 

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. CONTRACTOR CERTIFICATION**5v..t?~~** 

## ECC Project Manager

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# l O<? Title Date Signature Name 

# PROPERTY OWNER SECTION This agre ement d ocu ments the completion of remedial/restoration efforts at the property to my satisfaction. 

# • I 

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## I agree that restoration is completed at m.y-property, except as noted Comments (if 

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