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### # 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 26745 Property Address 2620 Decatur St Field Work Started 8 / 17 / 2007 Field Work Completed 8 / 18 /

2007 Summary: 

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

## • F I excav ation depth was 5 in ches below ground surfaces
. 

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

## • B2 excavation depth w as 8 inches below ground surfaces
. 

# • Drip zone excavation depth was 13 inches below ground surfaces. 

## • Verification samples confinned 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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### page 1 

### of_ 

## ,:)(P?f{.sOmaha lead Site Omaha,NE Residential Yard Soils U.S. Environmental Protection Agency Region VII Environmental Restoration Services 

## • PROPERTY ACCESS (to be completed by property owner) Pa,a 'ec.!:w**eS~il** 'C''T'a (>n**~~~(l'1v** ;:or ';:l\J:;:r 3r' e al1-Se::; 22:**~.j:::S** Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (USACE), Omaha UDistri,ct to conduct environmental restoration services for the Omaha lead Site. USACE Omaha is working with**UEI1vilro"'m.~ntal** Chemical Corporation (ECG) to remove lead contaminated soil and provide subsequent restoration HSE,rvilces
. Your cooperation is requested in giving EPNUSACElECC permission to access your property during the Urelmoval,lref,toratic)n phase. For further information please contact Don Bahnke, EPA Project Manager at (913) 551­ or the Office of Extemal Programs, at 1-800-223-0425. Property Access Granted By

Name: 

### &XLI .. :£E 

## &t:ck ED-owner 

# o renter Address: 

### ;Jfer)O**DtCt1TU~** 

## 5r Owned By: 

### Sf}M( 1I0wners mailing address:

___________________ _ ________ ___ _ nOvvne, " s telephone number - Home : 

# 2 1(1{- 

# J 2.s-s= Work:

__________-jJ

______ 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? [lj/Yes l\;Vves 

# o No 

# o No list Ages:.

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

_______

actjyijjes to be implemented by EPA under this agreement are pursuant to Section 104 of CERClA, 42 U
. S
. C
. 9604
. EPA's right of acceS$ for in Sectoo 104(e) of CERCLA, 42 U
. S
. C
. 9604 (e) . which provides enky for. "determining the need for response, or choosing or action under this · or otherwise the " of this title:
First:

__________ Second: : Third: :pg._of_ 

## List of Existing Conditions Property Address: 

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### DVD ID #

_____ 

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# f Date: I) 

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### Description**No{IJ~**

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# .4iiIiifIt. .ECC. 

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

# 1m
Omaha Lead Remediation, Omaha, NE us Army Corps of Engineers 

### Analytical Results Summary OLS#26745 2620 Decatur St Quadrant Sample Type Depth Date Colleded XRF Results (ppm) (avg.) 

### DE F1 5 8/17/2007 249 

### DE B1 8 8/17/2007 110 

### DE B2 8 8/17/2007 261 

### DE DZ 13 8/17/2007 178 

### DE EA-S 0 8/17/2007 269

SAMPLE 10· SAMPLE 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 ::::E During and Post Excavation Quadrant describes the sampling location (with sequential sample number for that location) as follows : FI or F2

- Front Yard One or Front Yard Two Bt 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 millionContract No. W912DQ-04-D-0017, Task Order DKOI Omaha Lead Site, Omaha, NE Property Closeout Agreement DVID Property Address 

# I ;). (P,}.() 

## DE Cit 

### n}f?' 5 7 Property Owner Is the Owner the Resident? [D..-ye s 

## 0 No Compliance Statement: U.S. Environmental Protection Agency (EPA) has contracted the U.S. Anny 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 EPA/USACElECC 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 ofExtemal Programs at 1-800-223-0425. Additional Comments by USACE and/or ECC:

CONTRACTOR CERTIFICATION Prashant Khanna or Charles "n
. ECC Project Manager 

### f Name

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

# ~ agree that restoration is completed at my property, except as noted Comments (if applicable):**1>ro~rty** Owner's Signature 

## k Date

## Property Owner Satisfaction Survey Form Omaha Lead Superfund Site Perfonnance-Based Contracting (PBe) Pilot Project Remediation Contractor:

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### _ _ _ ____________**r::** Property Identifier Number:

________ Property BVID Number: 

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_ _ _ Property Address:

__**...I J~** **<--..!.. :..;** **-, --l** **(}** ........ ..)..L-
_ ____**(p :J;;d.~** **J)JJ "'·ll.** **,-, e**  S T
_ ___ Property Owner's Name:**--l. l...** **J.; r.** **o.J lC**  

### _ _ ___**=.!::: 1** **L. :>....-**  

### ______ (above information to be filled out by remediation contractor prior to delivery of form to Property Owner) 

### .****•••••••••••* ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Instructions to Property Owner: This form is provided to you as a means of trying to capture your level of satisfaction with the work of the 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 of Engineers (USACE) are very interested in your opinion regarding the work performed by our contractors. This 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 \ to \ 0) using the following rating scale, then please sign & date the form and return it to USACE in the attached self-addressed & stamped envelope. (Additional comments may also be provided in the space provided , at the option of the property owner . ) 9-\ 0 "excellent" 7-8 "very good" 5-6 "acceptable" 3-4 " poor" \-2 " very poor" Pro e ner's Satisfacti n Ratin ardin ntractor's Work \0 5 9 4 8 3 7 2 6 \ Additional Comments from Property Owner (optional: continue on back of page if needed)

Date:

_____ Property Owner's Signature:

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