### 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 25117 Property Address Field Work Started 8/13/ 2007 

### Field Work Completed Summary: 3122 Myrtle 8117/2007


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

# • B I excavation depth was 9 inches below ground surfaces. 

## • Drip zone 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. 

# • Sod placement and site restoration were conducted in compliance with the specifications and work plans.

Comments : None 

# Sc.. .,-\-1 Dvl'l f'I 

### ECCQCM

## IOlz.itCl~ Name Title Date

# ~' Jeff Hubbard USACE Con Rep ill , 

### a l e I

# hJL Name Title Date Siga me

# AiIiiIl\ 

# ., CONTRACT 

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

# mJ

us Anny Corps

of Engineers 

### Analytical Results Summary 

## OLS # 

### 25117 3122 Myrtle

Sample

Type Quadrant Depth Date Collected XRF Results (ppm) (avg.) 

### PX EA 0 8/10/2007 116 DE 81 9 8/14/2007 72 

# E DZ 12 

### 8/14/2007 80 

# I I

SAMPLE IDSAMPLE 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 0:: Front Yard One or Front Yard Two BI orB2- Back Yard One o,Back Yard Two DZ

- Drip Zone GA = Garden PA

- Play Area EA 0:: Easement Depth describes the depth from which the sample was collected.. ppm - parts per million

## 25117 

## 1I IIIInlllllili

# ~II m 11111111 North AIrr>N Exterior Pain t 

### Omalia Laad Site Owner Name:**~~~** ___**~GYN!tIlA ~~LLO**  

# o Good 

### S ite Sketch Address: 3122**MYRTLE=A~V** __

Phnn'" H: 402-345-7663 W: 402 -451 -2622

# ~~~-**,- .**  XRFCode 

### 3 q Quadrant Lead Concentration Date 

### Fl
_ _____ _ ____.lppm 

## BJI4/Q1 F2 ppm**Bl -~** **9~ ---.,.** **LJ/** 

## 72 ppm B2

__:--

___ ppm LogBook 

### DZ 

### J'L 

## :):'AkJ./ 80 ppm

### ~3



### EliSpt?G1J1:

- !\ /l ID ppm ppm ppm ppm Legend : F1 " Front left, F2 " Fron t Righ t, B1 " Back left, B2 " Back Right DZ" Drip Zone, GZ 

# = Garden, PZ 

# = Play AU Quadrants are 3$ viewed from the street, facing property 

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### page 1 

### of_

U.S. Environmental Protection Agency Region VII Omaha lead Site Omaha,NE Residentiat Yard Soils Environmental Restoration Services PROPERTY ACCESS (to be completed by property owner) 2 a 'ac.J.<:",,,''"''I,,**~** .... v ':.,'·,l.C'_",;:; I -E-C)L, .:. 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 EPNUSACElECC permisSion to access your property during the emovaVrestoration 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 (Please Print Name)
ate) NOTE G f 

# . 

# . DOES NOT 

## . , . 

# . ,. rt ." be meet· t d tlh ' f**~ -~**  - . PROPERTY INFORMATION (to be completed by reSldC-1l1 ,1r1d or propeny owner - Please P"'1/) Resident 

### Name:_..u!1c:;'-"'ff'-'€'-'.&>-.T'--------"'C'-'-h.!..cJ..c:.'-:.;;.O"'-\.l""-U...,lli1"""'1_ [1]...-6w;,er 

# o renter Residence Address: 

# .s /,;).;J. )1

### ~ 

## V€ Nt
. (CITY) (STATE) (ZIP) Property Owned By:

__""S"-'t9:...<..:...M....:...>,.{

____________________ Owners mailing address:

________________________________ WOrk :

____________________ Owner's telephone number - Home: 

## .3 

# 'is'

- 7 (, t.J !Age of Home?

_______ 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 Irotal number of occupants:

______ list Ages:.

_____________________________________

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

_______ Comments :**~UTHORtTY** FOR ENVlRONMENTAl RESPONSE ACTIONS

he activ;ties to be impkmlented by EPA under thIS agfeemenl are pursuant to Section 104 of CERClA, 42 U
. S
. C
. 9604
. EPA's nght of access to the property for in Section 104(e) of CERCLA. 42 U S
. C
. 9604 (e) , which provides enlfy for . "determining the need for re&ponse, or dloosing or aking any response acbon under this litle, or othel'Wlse enforcing the provisions of this title." Access AHempts: First:

_______ _________ Second: :

_________ _________ Third: :

_______ ______ ___pg._of_ 

# List of Existing Conditions Property Address: 

## .sId,). f{ 

### y.eT/..£ 

## DVD 

## ID #

_____ Owner: j}/..86!T .terN/1t11l 

## CAu/) Date:**2-o~-o2** 

## BVID# .:lSI/Pj

Ref: Photo # 

### Description

Owner Signature

# ECC~ (p/.J--s.J/S Prin gn

## &~,.".....,

# pr()Jy)Jt~

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

## S"1 Property Address 

# I sl..ll (YJ /(!2 'rI.i" //-1/ 

### Property Owner 

# IIiJ.J?t'i ' CHL L/JIN'If 'f 

### Is the Owner the Resident?

## ~s 0 No Compliance Statement: U.S. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps ofEngineers (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 AlUSACElECC 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. Ifyou have questions or need additional information please contact Don Bahnke, EPA Project Manager, at (913) 551-7003 or the Office ofExtemal Programs at 1-800-223-0425. Additional Comments by USACE and/or ECC:

CONTRACTOR CERTIFICATION Prashant Khanna or Charles "Skip"Milton ECC Project Manager Name Title Date Signature 

## PROPERTY OWNER SECTION This agreement documents the completion ofremedial/restoration efforts at the property to my satisfaction. 

## [id/" I agree that restoration is completed at my property, except as noted Comments (if applicable):



### )to 

# dJ!lL2J 

# ( 1(//lrn./<./j,M //-og-c') 'property Owner's Signature 

## '/ Date

## Property Owner Satisfaction Survey Form Omaha Lead Superfund Site Perfonnance-Dased Contractin.: (PDC) Pilot Project Remediation Contractor: _--'E "'-=

(.l...C

________________ Property Identifier Number:

________ Property DVID Number: 

### .;).S 

## /I 

# '2 Property Address: 

## S J J:J- AI 1ft( 

### n.f 

## !til Property Owner's Name: 

# IlL ug r C 

### ft1.. 1.fJ WIN (above infonnation to be filled out by remediation contractor prior to delivery of fonn to Property Owner) 

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

### lbis fonn is provided to you as a means oftrying to capture 

### your level of satisfaction with the work ofthe 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 ofEngineers (US ACE) are very interested in your opinion regarding the work performed by our contractors . lbis 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 fonn and retum it to USACE in the attached self-addressed & 

### stamped envelope. (Additional comments may also be provided in the space provided, at the option ofthe property owner.) 

# Q " excellent" 

# W " 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 of pw if needed)

Property Owner's Signature: 

## K 

# Q**t~k rlt&~ate:**  II-tJ,?-t ' ?