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

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us Anny Corps

of Engineers ECC Certification for Property Closeout OLSID 26765 Property Address 1809 N 25 th St Field Work Started 10 /

3

/

2007 Field Work Completed 10 /312 007 Summary: 

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

## • F I excavation depth was 8 inches below ground surfaces. 

# • B 1 excavation depth was 5 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

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# D I! rv(ll ECCQCM 

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# ~**~~** Name Title Date Jeff Hubbard USACE Con Rep 

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## 12 Lrn

# ~**r.Ji1l1** I • Name Title Date Signa e 

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# 2ft,7fo5 Exterior Pain! North Arrow Owner Name:

### ?J~~J/'1't~gpt 

# eM[ Oma.ha Lead Site 

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Phone:**5.7f'-n~~Q** W :**.9~e-** 

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## of_**L.~** 

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u.s. Environmental Protection Agency Region VII Omaha Lead Site Omaha,NE Residential Yard Soils Environmental Restoration Services PROPERTY ACCESS (to be completed by property owner) ;::il'2 'e-:**I** t:s:a '-:**~** a i;r**;:-s;:<:~** .... , ::C' 'ave' 1 'e a EO:- 22: ;4:5 Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (USACE), Omaha IIDistrict to conduct environmental restoration services for the Omaha Lead Site. USACE Omaha is working with IIE,nvilror,m•• ntal Chemical Corporation (ECG) to remove lead contaminated soil and provide subsequent restoration Your cooperation is requested in giving EPNUSACElECC permission to access your property during the liremolvail/restorat,ion phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551· or the Office of External Programs, at 1·800·223·0425.
(Please Print Name)

HR€!Sident Name: N / A Downer 

# o renter IRes'iden,ceAddress: . 

### 18Qq 

# N.**~** 

## QfIIP,rnr,pr1lv Owned By:_ . Omaha Economic DeveaJ.LOo.ppmmeenDLt-.LC..cOlIT'IP"OlIT:callt:.oiuollD'-

________________________ 1I0wners mailing address. 2221 North 24 Street DO,.,n.,r's telephone number· Home:_--"N 14 I.J;AL..

______________ Work: --'=='-""'-"--=='--

___-11

__________ years How long have you lived here? _________years the exteior been painted or covered with siding since 1978? the interior been painted or covered since 1978?

number of occupants: N / A

---- List DYes DYes 

# o No 

# o No
ages of occupants under 6 years old who play in the yard for 5 or more hours per week:,_N::....:./"'A'-

_______

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 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 I • First: __________ Second::
____________ Third: :

___________

### Contract No. W912DQ-04-D-OOI7, Task Order DKOI Omaha Lead Site, Omaha, NE Property Qoseout Agreement DVID 

### Property Address 

# I /laC( N

## ~.s- s. 

# r Property Owner Is the Owner the Resident? 

## 0 Yes

## ~o 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 EPNUSACElECC 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 ofExternal Programs at 1-800-223-0425. 

### Additional Comments by 

### USACE and/or ECC:

CONTRACTOR CERTIFICATION Prasl**Jame~.** yarcia ECC Project fanager I "\ -/ 

### Date 

### PROPERTY OWNER SECTION

# ~~: 

# LI--**~uperintendent**
This agreement documents the completion ofremediallrestoration efforts at the property to my satisfaction. 

# W-- I agree that restoration is completed at my property, except as noted 

### Comments (if applicable):

Prope,tf Owner's Signature 

# 0 Date

## Property Owner Satisfaction Survey Form Omaha 

### Lead Superfund Site Perfonnance-Dased Contracting (PDC) Pilot Project Remediation Contractor:

___ 

### 6"'C!.::..l.C_-

_______________ Property Identifier Number:

________ Property DVID Number: 

### _-,c9-::.....::.!P-,'7:..;:W::..;O:::....-__ Property Address:

__

### -2...I.=.8':.::..CJ-L1_!.-'Nc.-..>:t)..::..;S"==---_,s.:::...!..-;-

_________ Property Owner's Name: 

### _--'-O'-'E-""'-".I>"-'-C

________________ (above infonnation to be filled out by remediation conbaCtor prior to delivery of fonn to Property Owner) 

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

### lbis form 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 form 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 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.) 9-\ 0 "excellent" 7-8 "very good" 5-6 "acceptable" 3-4 "poor" 

### \-2 " very poor" Property Owner's Satisfaction Rating regarding Contractor's Work 

### 10 5 9 4 8 3 7 2 6 \ Additional Comments from Property Owner (optional; continue on back of page ifneeded)

Property Owner's Signature:

# (C**~~** Date: 

## It? -3 () - cJ 

# 7

### CONTRACT 

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

### Analytical Results Summary OLS # 26765 1809 N 25 th 

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

### DE 

### I F1 

### I 8 10/3/2007 

### 180 

### DE B1 5 10/3/2007 

### 112 

### DE EA-S 

### II 0 10/3/2007 

### 222 

### I II II I I 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 IDeati on) as follows; PX ,. Pre-Excavation XRF sample DE
- Duri ng and Post Excavation Quadrant describes the sampling location (with sequential sample number for that location) as follows ; F I or F2 -= Front Yard One or Front Yard Two Bl 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