# ti8h CONTRACT 

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

# mJ

us Army Corps

of Engineers 

## .Eet: • 

# ..,

ECC Certification for Property Closeout

OLSID 28023 

## Property Address 2621 Grant 8t 

## Field Work Started 8/10/2007 

## Field Work Completed 8/20/2007 

## Summary: 

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

# • Fl excavation depth was 4 inches below ground surfaces. 

# • F2 excavation depth was 4 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.



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### Omaha Lead Site 46130

# aa. .ECC. 

## CONTRACT 

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

# m

us Army Corps

of Engineers 

# .,

Analytical Results Summary Sample ID # 28023 2621 Grant St

Sample Quadrant Depth

Type 

# I DE 

# :ffi I DE 

# I DE EA 

## 0 

# I I I II Date Collected 

## 8/10/2007 8/10/2007 8/10/2007 

# I 

# I II XRF Results (ppm) (avg.) 

# I 64 

# I I 85 

# I I 127 

# I II I II I II I

Sample IDSample 10 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 PE "" Pre-Excavation laboratory sample DE = 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 81 or 82· Back Yard One or Back Yard Two OZ Drip Zone GA=Garden PA = 

### Play Area EA 

### = Easement Depth describes the depth from which the sample was collected. ppm 

## =parts per million

### Page I 01

_
Omaha Lead Site Omaha, NE U.S. Environmental Protection Agency Region VII Residential Yard Soils Environmental Restoration Services 1'1\( )j'I.I{ 1"\ .\CCI S\ (I,) I',' (I'mpktcd 11: l'IOlll'J'1: (h\ 11,'11**I'~II"I** J'l','lbll C'(,I 1'11111l'll"P.lllI11 pOI 1;1\(\1 iI.ll11c.iI**I-S()()-=2~-IJ,L~:,** 

### Grantor (the property owner), consents to and authorizes the United Sates Environmental Protection Agency (USEPA) or its authorized representatives (or its contractors), the Grantee, to enter and perfonn certain environmental response activities upon the following described premises. For further infonnation please contact EPA at 1-800-223-0425. 

### Property Access Granted By

## B£~N/J Rf) 

## HORf;;LI-O

NOTE: 

### Granting permission DOES NOT necessarily imply yourproperty will be remediated at this time. I'!WI'I R I') 1'\ lOR \ 1\ 110'\ (to 

### Ih' CUlll pkkd 

### 11: I c'ldcII! .Ilhl ('I plllpCI I: (1\\ I1CI**l)k~I'c** 1'1 illt) 

### Resident Name: 

# V /tell- N ., 

# /..Or CJ Owner 

### CJ Renter Residence Address:

## ;),,~ ( 

# GRaNT 5 T 

# Nf (STATE) (ZIP) Property owned by: 

# lUI? AIdA.!> 

# Ma;t/.LO (CITY)

Owners mailing address: 

# II¥I ? 

# /tic kCJe.r 

# I> Owner's telephone number-Home: 

# IfdJ

# -..r "IJ- '"**M~** 

## l> Work:

_ Age of Home? years How long have you lived here? years Has the exterior been painted or covered with siding since 1978 DYES 

# o NO Has the interior been painted or covered since 1978? DYES 

# o NO Total number of occupants:
_ List Ages:

_ List ages of occupants under 6 

### years old who play in the yard for 5 or more hours per week:

_ Comments:

_ AUTHORJTY FOR ENVIORNMENTAL RESPONSE ACTIONS The activities to be implemented by EPA under this agreement are pursuant to Section 104 ofCERCLA, 42 V.S,c. 9604. EPA's right of access to the property for in Section 100(e) ofCERCLA, 42 V,S,c. 9604 (e), which provides entry for, "delennining the need for response, or choosing or taking any response action under this title, or otherwise enforcing the provisions of this title," 

### Access Attempts: First: Second: Third:

_

## pg._of_ 

# List of Existing Conditions Property Address: 

# Qto'J\ 

# Gro..n 

# -t- DVD 10 

# # 

# cQ 

# KC)(). 

# 3
Owner: 

# 6ocD0X'd 

# tDore.llo**Date:~** c1 

# KOJ--,] BVID# Ref: 

## Photo # 

## Description

Owner Signature ECC 

## Print & 

## Sign Print & 

## Sign

## Contract No. W912DQ-04-D-0017, Task Order 

## DKOI Omaha Lead Site, Omaha, NE Property Closeout Agreement

Date I agree that restoration is completed at my property, except as noted Comments (if applicable): Prashar James D. Garcia ECC Project lager**Charle~** 

## Name Superintendant DVID 

## Property Address Property Owner Is the Owner the Resident? 

# 0 Yes 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 (BCC) to remove lead contaminated soil and provide subsequent restoration services. Your cooperation in giving EPA1USACEIECC 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:

CONT,R ACTOR CF.RTlFIC' A TION



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