### CONTRACT 

### # W912DQ-04-D-0017, T.O. DK03 Environmental Chemical Corporation Omaha lead Remediation, Omaha, NE US Army Corps of Engineers 

### ECC Certification for Property Closeout
BVID 32511 

### Property Address Field Work Started 09/0812006 

### Field Work Completed Summary: 3722 N 28 St 09/1512006

III 

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

### Fl excavation depth varied from 4 to 6 inches below ground surface. e 

### F2 excavation depth varied from 4 to 6 inches below ground surface. III 

### Drip Zone excavation depth varied from 12 to 13 inches below ground surface. e 

### Verification samples confirmed that cleanup standards were met. e 

### The site was backfilled with material which meets the contract specifications. III 

### The backfill was compacted to acceptable standards. III 

### Sod placement and siterestoration were conducted in compliance with the specifications and work plans.



### Comments: None.

## ~;'~**\\\I~~~** ECC Project Manager**lt~** 

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# S~tu7~~~ Name Title Date 

# I JeffHubbard USACE Con Reg 

## L? -I) -{jG Name Title Date• • 

## 32511 11111111111111111111111111111111111 

## ,.

## D~-Ol> Owner Name: FRANK S MURPHY Address: 3722 N 28 ST

Phone: H: W: Omaha Lead Site Site Sketch Exterior Paint 

# o Good 

# o Poor

### ~paint North Anow "'-.\ Samples Collected Lead Sample Sample Number LAB Concentration Collecteq Firm:

### ~.? Cl\T ['05.\.0 RYASCPXA-32511 F1**1.o7~** ppm 

### 0 Date: 

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## 7£e>L ppm

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# & Lab RYASCPLA-32511 ppm 

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## .f3- ?/-.t?9- Result 498 ppm ppm 

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## . . "" .... maha Lead Site 46130

## page 1 

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U.S. Environmental Protection Agency Region VII Omaha Lead Site Omaha. NE Residential Yard Soils Environmental Restoration

.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 Your cooperation is requested in giving EPNUSACElECC permission to access your property during the ovallrestoration 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. Property Access GrantedBy 

# \'S0 (Please Print

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Address:

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roperty Owned By: (' --­\ \

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# \ 00 years How long have you lived here7 the exteior been painted or covered with siding since 19787 the interior been painted or covered since 19787 III/Yes DYes 

# L}] years 

# o No

### D~o 

# \, List Ages:**~** \
... ' II ages of occupants under 6 years old who play in the yard for 5 or more hours per week:

_______

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 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 r"",nnn,, .. action under this title. or otherwise enforcina the provisions ofthis title." Access Attempts: First:

____________ Second: : Third: :

___________

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

### .3';J,s-Jj 

### Property Address 

# I .70..;l.1. 

### N 

### t:2? S

# r Property Owner 

## eLlS€. HIJRPH'1 Is the Owner the Resident? §-yes 

## 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 EPA/USACEIECC 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 Prashant Khanna or Charles "Skip"Milton ECC Project Manager 

### Name 

# Sk:lJ**~'t\~M** Title

# {>

# \fVl Date t{J-**Z~,O** 

### ((1**Si~n1l!ure ~'I** 



## . .AJ\r ,,-}J\, I 

## PROPERTY OWNER SECTION "T 

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

### ~gree that restoration is completed at my property, except as noted 

### Comments (if 

### applicable):

# ;l,~~~ Property Owner's

### Signatu~ '\: 

# 0) )tJ
- d.-O-()**~** 

### Date

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

## t!. Cc.**--~~~~--------------------------------** 

### Property Identifier Number:

________________ Property BVID Number: 

## -1.;)...SJ/ Property Address: 

## .3 2.).cl N**~!(** s/ 

### Property Owner's Name: 

### t; L I 

### 5 

## t:. 

## 11 u RPli 

# t (above information to be filled out by remediation contractor prior to delivery ofform to Property Owner) 

### ****************************************************************************** Instructions to Property Owner: This fonn is provided to you as a means oftrying to capture your level ofsatisfaction 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. Anny Corps ofEngineers (USACE) are very interested in your opinion regarding the work perfonned by our contractors. This fonn is intended to provide an easy means for you to express your opinion about the work perfonned on your property. Please indicate your level ofsatisfaction 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 return it to USACE in the attached self-addressed & stamped envelope. (Additional comments may also be provided in the space provided, atthe option ofthe property owner.) 9-10 "excellent" 7-8 "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 ofpage ifneededl

Property Owner's Signature:

# YD~D(**O~()G**

# ~~~6Date:

### CONTRACT 

### # W912DQ-04-D-0017, T.O. DK03 Environmental Chemical Corporation Omaha Lead Remediation, Omaha, NE US Army Corps of Engineers 

## Analytical Results Summary BVID#32511 3722 N 28 St

Sample 

## II Quadrant 

## II Depth 

## I Date Collected XRFResults 

## I Lab R"u)'"

Type (ppm) (avg.) ppm (avg.) 

### I DZ 

### II 1Ul 9/8/2006 

### II 175 

### I 59 244 9/8/2006 56 

### N/A N/A N/A N/A

BVID· BVID is a particular residential property ID from which the sample is collected. The sample type identifier (with sequential sample number for that location) as follows; PX = Pre-Excavation XRF sample PE = Pre-Excavation laboratory sample DE

### =During and Post Excavation Quadrant describes the sampling location (with sequential sample number for that location) as follows; Fl 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

### ----- pgo_ot 

# list of Existing Conditions

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