CONTRACT # EP-R7-06-04

 

ASW Associates Inc. 

Omaha Lead Site Remediation, Omaha, NE 

ASW Associates Inc Certification for Property Cioseout 

BVID 22790 Property Address 3910 Dewey Ave 

Field Work Started 19-Oct-06 Field Work Completed 28-Oct-06 

Summary: 

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

The F1 quadrant was excavated to a depth of 6 inch. 

The B2 quadrant was excavated to a depth of 6 inch. 

The drip zone was excavated to a depth of 12 inch. 

Verification samples confirmed that the cleanup standards were met. 

Verification samples were taken from bottom of excavation. 

The site was backfilled with materials which meets contract specifications. 

The backfill was compacted to acceptable standards. 

Sod placements and site restorations were conducted in compliance with work plans and 

specifications. 

Analytical data provided is post excavation at the bottom of the excavation for confirmation

 

purposes. 

40261726 

Comments: 

None. SUPERFUND RECORDS 

Jan Prawdzik ASW Project Manager

 

Name Title Date

 

KD feftdiSf Y\n~lo 

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CONTRACT # EP-R7-06-04

 

ASW Associates Inc. 

Omaha Lead Site Remediation, Omaha, NE 

EPA 

Analytical Result Summary 

OLS ID: 22790 

Property Address: 3910 Dewey Ave 

XRF Results Lab 

Sample ID Avg. Results 

(ppm) (ppm) 

22790-DE-F1-06 47.2 ±45.6 NA 

22790-DE-B2-06 198.3 ±43.6 NA 

22790-DE-DZ-12 123 ±38 NA 

Jan Prawdzik ASW Project Manager 

Name Title Date Signature 

Sample Designation 

OLSID-DE-Location-dd 

OLSID is a particular residential property ID from which the sample is collected. 

DE = During and Post Excavation 

Location of the sample as follows; 

Fl = Front Yard (1" Quadrant) 

Bl = Back Yard (I" Quadrant) 

F2 = Front Yard (2nd Quadrant) 

B2 = Front Yard (2nd Quadrant) 

DZ = Drip Zone 

PZ = Play Zone 

GA = Garden 

EA = Easement 

dd describes the depth from which the sample was collected. 

NA = Not Applicable 
&EPA 

Remediation/Excavation Contract (ASW) 

EPA Property Close Out Form 

Property #: 72 7 Property Address: 10 

Date/Time: Owner's Name: 

Quads Excavated: Contractor Group 

Excavation General Yes No 

] . If necessary, were the correct quadranl(s) excavated and restored? 

2. If necessary, were the correct areas of drip zone excavated and restored? 

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter of the house in excavated areas generally slope away 

./ from the house? 

2. Has sod been laid in all areas that were excavated? S' 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time period) S

4. Are sodded areas generally firm and evenly graded? S 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day i/ lime period) 

6. Was (he property graded such that water will not pool on the property? </ 

7. Was damage to landscaping or plant materials avoided? iSGates, Fences and Retaining Walls

 Yes No 

1 . Do gates open and close freely? (If applicable) 

• 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) S 

3. Was damage to gates or fences avoide:d? (If applicable) L^ 

4. Was damage to retaining walls avoided? (If applicable) *x 

Foundation, Siding and Gutters Yes No 

1. Was damage to the siding or trim avoided? 

^ 

2. Was damage to the foundation avoided? c/ 

3. Was damage to windows avoided? IS 

4. Was damage to windows or door screens avoided? IS5. Was damage to downspouts or downspout extensions avoided? ^ 

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? ^ 

2. Was damage to walkway surfaces avoided? ^ 
Owners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative £^j$J-~, Date: ///>y/i?6 
0002/00 3 12/07/2006 THU 13:26 FAX 712 792 5893 Community Oil Co.
 

Contract No: EP - R7 - 06 - 04 

Property Closeout Agreement 

Omaha Lead Superfund Site 

OLSID Property AJdrcai 

Properly Owner 1s the Resident the Owner D Yes D No 

ToOO 

Compliance Statement: 

U-S. Environmental Protection Agency (EJ*AJ or its authorized representatives, (or its contractors), to ontcr 

and conduct environmental restoration services for the Omaha Lead Site. 

Your cooperation in giving EPA/ASW 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 contact specifications and EPA requirements. 

If you have questions or need additional information please contact tfoe EPA Public: Information Centers al 

(402) 731-3045 or (402) 991-9583 or ihc EPA Office of External Programs at 1-800-223-0425. 

Additional Comments by EPA and/or A.'SW: 

CONTRACTOR CERTIFICATION 

Jen Prawxlzik ASW Project Manager 

Name Title Date Signature 

Property Owner Section 

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

O I agree that restoration is completed at my property 

D I Do Not Agree: Comments: 

\ 

Property Owner's Signature Date 

Signature Date 

•ou| 'ee)B(ooeev MSV 90 90 "°N 
List of existing Conditions pg. _ of 

Property Address:

Owner: 

Description: 

7 7/0 

P Date: /p - OLSID # : Z2- 7 

74 

Owner Signature: ASW Associates Inc. 

Print & Sign -"Print & Sign 
Name: Omaha Lead Site Date: North Arrow 

Address: g *t i fi Oewc-V Site Sketch Time: 

Phone: ~7i7_-Ti7 ^-ilc1 

Team BV1D # T.t/?**'? XRF Code 

Sample Number Lead Concentration Confirmation Sample 

ppm 

ppm 

/^/Yes No El 

No El 

No 0 

ppm No B 

ppm No EL 

ppm Yes No D 

ppm Yes No D 

&+1 AJff fasc 5. i 

£ V 

Omaha Lead Site 46130