### CONTRAC T # W912DQ-04-D-0017 , T.O . DK0 3 Environmenta l Chemica l Corporatio n Omah a Lea d Remediation , Omaha , N E U S Arm yCorp s o f Engineer s 

### EC C Certificatio n fo r Propert y Closeou t BVI D 2771 4 Propert y Addres s 4 3 1 6 Gran t S t Fiel dWor k Starte d 08/26/200 6 Fiel dWor k Complete d 09/01/200 6 Summary : •Th e excavatio nwa s performe di n complianc e wit hth e wor k plan s an d specifications . •F l excavatio ndept h varie dfro m2 t o 4 inche s belo w groun dsurface . •F 2 excavatio ndept h varie dfro m2 t o 4 inche s belo w groun dsurface . •B l excavatio ndept h varie dfro m2 t o 4 inche s belo w groun dsurface . •Dri p Zon e excavatio ndept hvarie d fro m1 2 t o 1 4 inche s belo w groun d surface . •Verificatio nsample s confirme dtha t cleanu p standard s wer e met . •Th e sit e wa s backfille dwit hmateria l whic hmeet s th e contrac t specifications . •Th e backfil l wa s compacte dt o acceptabl e standards . •So dplacemen t an dsit e restoratio n wer e conducte di ncomplianc e wit h th e specification s an d wor k plans . Comments : None . 5 \Cv\p tAxV WEC C Projec t Manage r k)'1~<)< r Nam e Titl e Dat e Jeff Hubbar d USAG ECo n Re p Nam e Titl e Dat e

4028605 5 

# Pil l Superfun d

### Name : Ol-WlleS , L\( i hoes T Omah a Lea d Sit e Date : | \ 

### Z ^ Nort h Arro w 

### ^ _ Address : Ll^lto G>t2AHT'*' ' Sit e Sketc h Time : 

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### Phone : —k/A— 

### ( V&A4S2 > - ^/ o ~}£~ ~

Omah aLea dSit e 4613 0

## pag e 1 of . 

# ??/ v Omah a Lea d Sit e Omaha . N E Residentia l Yar d Soil s U.S . Environmenta l Protectio n Agenc yRegio n VI I Environmenta l Restoratio n Service s PROPERT Y ACCES S (t o b e complete d b ypropert yowner ) n e a l i-£00-222-Oi: i U.S . Environmenta l Protectio n Agenc y(EPA ) has contracte d th e U.S . Arm yCorp s o f Engineer s (USAGE) . Omah a Distric t t o conduc t environmenta l restoratio n service s fo rth e Omah a Lea d Site . USAG E Omah a i s workin g wit h Environmenta l Chemica l Corporatio n (ECC ) t o remov e lea d contaminate d soi l an d provid e subsequen t restoratio n services . You rcooperatio n i s requeste d i n givin g EPA/USACE/EC C permissio n t o acces s you rpropertydurin g th e removal/restoratio n phase . Fo rfurthe rinformatio n pleas e contact Do n Bahnke , EP AProject Manage rat (913 ) 551 ­ 700 3 o rth e Offic e o f Externa l Programs , a t 1-800-223-0425 . Propert yAcces s Grante d By (Pleas e Prin t Name ) (Date ) NOTE : Grantin g permissio n DOE S NO T necessarilyimpl yyou rpropert ywil l b e remediate d a t thi s time . PROPERT YINFORMATIO N (f o b e complete d b yresiden t and.-'o rpropert yowne r• Pleas e Print ) Residen t Name : \Q o owne rL J rente r Residenc e Address : M ^ I [ 0 C l rrvn4 " (CITY ) (STATE ) (ZIP ) 'ropert yOwne d By . 

### r- ^ Owners mailin g address : > ^ Owner' s telephon e numbe r- Home : 

### 75 ~ Work : Ag e o f Home ? /D & year s Ho wlon g hav e yo u live d here ? year s Ha s th e exteio rbee n painte d o rcovere d wit h sidin g sinc e 1978 ? Ye s L J N o Ha s th e interio rbee n painte d o rcovere d since 1 978 ? Ye s L J N o Tota l numbe ro f occupants : ft**. /



### - 

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### -£- 6 - / 7 *

- Lis t Ages : ~ "• -- Lis t age s o f occupant s unde r6 year s ol d wh o pla yi n th e yar d fo r5 o rmor e hours pe rweek : ->2 . /o

_- / / Comments : AUTHORITYFO R ENVIRONMENTA L RESPONS E ACTION S h e activitie s t o b e implemente d b yEP Aunde rthi s agreemen t are pursuan t t o Sectio n 10 4 o f CERCLA , 4 2 U S. C 9604 . EPA' s righ t o f acces s t o h e propert yfo ri n Sectio n 104(e ) o f CERCLA , 4 2 U.S.C . 9604 (e) , whic h provide s entr yfor , "determinin g th e nee d fo rresponse , o rchoosin g o r akin g an yrespons e actio n unde t thi s title , o cotherwis e enforcin g th e provision s o f thi s title. " Acces s Attempts : First : Second : : Third : :

### Contrac t No . W912DQ-04-D-0017 , Tas k Orde r DK0 1 Omah aLeadSite , Omaha , N E Propert y Closeou t Agreemen t BVTD Propert y Addres s 

# a')'?/ 1 

# / H i f b r^wt Propert y Owne r I s th e Owner th e Resident ? D Ye s D N o 

# Gfi M M\JT H Complianc e Statement : U.S . Environmenta l Protectio n Agenc y (EPA ) ha s contracte dth e U.S . Arm y Corp s o f Engineer s (USACE) , Omah aDistric t t o conduc t environmenta l restoratio n service s fo r th e Omah aLea dSite , USAC EOmah ai s workin g wit hEnvironmenta l Chemica l Corporatio n (ECC ) t o remov e lead contaminate dsoi l an dprovid e subsequen t restoratio n services . You r cooperatio n i n givin g EPA/USACE/EC C permissio n t o acces s you r propert y durin g th e removal/restoratio n phas e i s sincerel y appreciated . Thi s documen t certifie s tha t al l wor k performe da t thi s propert y wa s complete di n accordanc e wit hth e contrac t specification s an dEP A requirements . I f

yo u hav e question s o r nee dadditiona l informatio n pleas e contac t Do n Bahnke , EP A Projec t Manager , at

(913 ) 551-700 3 o r th e Offic e o f External Program s at 1-800-223-0425 . Additiona l Comment s b y USAC Eand/o r ECC :

CONTRACTO RCERTIFICATIO N Prashan t Khann ao r EC C Projec t Manage r Charle s "Skip"Milto n Nam e 1 

### Titl e Dat e • | - 

### Signatur e \.



# M ) iV X PROPERT Y OWNE RSECTIO N Thi s agreemen t document s th e completio n o f remedial/restoratio neffort s a t th e propert y t o m y satisfaction . L 3 I agre e tha t restoratio n i s complete da t m y property , excep t a s note d Comment s (i f applicable) :

Propert y Owner' s Signatur e Dat e

## Propert y Owne r Satisfactio n Surve y For m Omah aLeadSuperfim dSit e Performance-Base dContractin g (PBC ) Pilo t Projec t Remediatio n Contractor : Propert y Identifie r Number : Propert y BVI D Number : Propert y Address : */JV£ 

### Property Owner' s Name : (abov e informatio n t o b e Fille dou t b y remediatio n contracto r prio r t o deliver y o f for mt o Property Owner ) 

### Instruction s t o Property Owner ; Thi s for mi s provide dt o yo u a s amean s o f tryin g t o capture you r leve l o f satisfactio n withth e work o f th e above-identifie dRemediatio nContractor , a s applicabl e t o th e soi l cleanu p actio na t you r property . Th e U.S . Environmenta l Protectio nAgenc y (EPA ) an dth e U.S . Army Corp s o f Engineer s (USAGE ) ar e ver y intereste di nyou r opinio nregardin g th e work performe d b y ou r contractors . Thi s for mi s intende dt o provid e a neas y mean s fo r yo u t o expres s you r opinio nabou t th e work performe do nyou r property . Pleas e indicat e you r leve l o f satisfactio nwithth e Contractor' s wor k b y selectin g a numerica l ratin g (rangin g fro m1 to 10) usin g the followin g ratin g scale , the npleas e sig n& dat e th e for man dretur ni t t o USAG Ei nth e attache dself-addresse d& stampe denvelope . (Additiona l comment s may als o b e provide di nth e spac e provided , at th e optio no f th e property owner. ) 9-1 0 "excellent " "very good " 5- 6 "acceptable " 3- 4 "poor " 1 - 2 "very poor " Propert y Owner' s Satisfactio n Ratin g regardin g Contractor' s Wor k 1 0 5 9 4 8 3 7 2 

### 6 1 

### Additiona l Comments fro mPropert y Owne r (optional ; continu e o n bac k o f pac e i f needed )

/ / / r/t S —I I _ ^ 

### Propert y Owner' s Signature : - V ^ //fl/* - /l/b/Sp } Date : / /" " £) " f ] 6 -r \/ >r~t~ * t V_ X

### CONTRAC T # W912DQ-04-D-0017 , T.O . DK0 3 Environmenta l Chemica l Corporatio n Omah a Lea d Remediation , Omaha , N E U S Arm yCorp s o f Engineer s

Sampl e

Typ e

D E D E D E D E P X 

## Analytica l Result s Summar y BVI D #2771 4 431 6 Gran t S t

XR F Result s Quadran t Dept h Dat e Collecte d (ppm ) (avg. ) B 1 4 8/26/200 6 21 3 D Z 1 4 8/26/200 6 7 9 F 1 4 8/26/200 6 16 4 F2 4 8/25/200 6 8 1 EA- S 0 8/25/200 6 5 3 La b Result s pp m (avg. ) N A N A N A N A N A



### BVID BVI D i s aparticula r residentia l propert y I D fro mwhic hth e sampl e i s collected . Th e sampl e typ e identifie r (wit hsequentia l sampl e numbe r fo r tha i location ) a s follows ; P X = Pre-Excavatio nXR Fsampl e P E= Pre-Excavatio n laborator y sampl e D E= Durin g an dPos t Excavatio n Quadran t describe s th e samplin g locatio n(wit hsequentia l sampl e numbe r fo r tha t location ) a s follows ; F l o r F 2 = Fron t Yar dOn e o r Fron t Yar dTw o B I o r B 2 = Bac k Yar dOn e o r Bac k Yar dTw o D Z= Dri p Zon e G A = Garde n P A = Pla y Are a E A = Easemen t Dept hdescribe s th e dept hfro mwhic hth e sampl e wa s collected , pp m= part s pe r millio n

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# ( PROPERT Y ACCES S (f o b e complete d b ypropert yowner ) Par a recibi rest a fcr.-n a e n esparto i 'po rfavo rNam e al 1-600-223-042 5 U.S . Environmenta l Protectio n Agenc y(EPA ) ha s contracte d th e U.S . Arm yCorp s o f Engineer s (USAGE) , Omah a Distric t t o conduc t environmenta l restoratio n service s fo rth e Omah a Lea d Site . USAG E Omah a i s workin g wit h Environmenta l Chemica l Corporatio n (ECC ) t o remov e lea d contaminate d soi l an d provid e subsequen t restoratio n services . You rcooperatio n i s requeste d i n givin g EPA/USACE/EC C permissio n t o acces s you rpropertydurin g th e removal/restoratio n phase . Fo rfurthe rinformatio n pleas e contact Do n Bahnke , EP AProject Manage ra t (913 ) 551 ­ 700 3 o rth e Offic e o f Externa l Programs , at 1-800-223-0425 .

~>:'' 3 •••- • . . 1 ' Propert y Acces s Grante d B y. ' o • % i < .' v. ^ / ^

' <•- • T^ ­ (Pleas e Prin t Name ) // ' /?.-/ ) I ; j ? - • ' ' X / ,fa*- ' 

## 'f rA-7-..iX- ' y2/*2 > (PropertV.-Ownef^Signature)/' (Date ) 

# ( NOTE : Grantin g permissio n DOE S NO T necessaril yimpl y you rpropert ywil l b e remediate d a t thi s time . PROPERT Y INFORMATIO N (f o b e complete d b yresiden t and/o rproperl yowne r• Pleas e Print ) Residen t Name : O r < /* / £ • / I / < 7 A l^ J owne r L J rente r Residenc e Address : '-\ ^

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## M L (CITY ) (STATE ) (ZIP ) PropertyOwne d By : (—* , -= i ft \ j E ^ . ) 7 7 ji ' A Owner s mailin g address : / ' b / £= > f / -~- / ^

t / ^ T -J^ T . Owner' s telephon e numbe r- Home : ^/'- l 'V^3 ~ *~ / $ 7 5 Work : Ag e o f Home ? //.'x ^

year s Ho w lon g hav e yo u live d here ? / o year s Ha s th e exteio rbee n painte d o rcovere d wit h sidin g sinc e 1978 ? LJ " Ye s D N o Ha s th e interio rbee n painte d o rcovere d sinc e 1978 ? I_ J Ye s D N o Tota l numbe ro f occupants : r«.*•' / . s Lis t Ages : j ? V r;. " ^ ) - . 2 o 

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### ' x- / 'a . Comments : AUTHORITY FO R ENVIRONMENTA L RESPONS E ACTION S Th e activitie s t o b e implemente d b yEP A unde rthi s agreemen t ar e pursuan t t o Sectio n 10 4 o f CERCLA . 4 2 U.S.C . 9604 . EPA' s righ t o f acces s t o (fi e propert yfo ri n Sectio n 104(e ) o f CERCLA , 4 2 U.S.C . 960 4 (e) , whic h provide s entr yfo r. "determinin g th e nee d fo rresponse , o rchoosin g o r takin g an yrespons e actio n unde rthi s title , o rotherwis e enforcin g th e provision s o f thi s title. " Acces s Attempts : First : Second : : Third : : 1

## Propert yChec k Lists - ; 

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## XR F chec k lis t hav e easeme t ma p (1 ) hav e sit e ma p (3 ) . . ' • easement s sampl e F 1 . • sample s F2 sample s B 1 sample s B 2 sample s D Z sample s AS-Buil t ma p correcte d shot s mappe d concret e mappe d tree s marke d LI P marked/note d nam e dat e . easemen t mappe d windo wwell s mappe d a cmappe d • Lo g boo k u p t o dat e ' 

## Backfil l chec k lis t reconstructio n ma p positiv e drainag e fro m hous e N O lowspot s N O Rak e Gap s law n eve n soi l compacte d ' sidewal k 1 " cut s . ' smoot h transitio n fro m walk s are a fre e o f debri s fence s repaire d damag e t o property ? damag e lis t punchlis t file d'Name : ( \^t^^&L\ci^y2S T Omah a Lea d Sit e Date : J 

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### Hello , m y nam e i s Davi dBarajas . I work fo r AS Wacontracto r throug hth e EP A doin g leadsoi l remova l I nOrde r t o remov e th e lea dcontaminate dsoi l fro myou r yar dw e nee dyou r permissio n Thi s projec t i s asuperfun dsite , funde db y th e EP A an dthi s i s a t n o expens e t o th e owner , soil , an dso dwil l b e replaced . I f

yo u ar e no t th e owner , pleas e infor myou r landlor do f thi s attemp t s o tha t w e ar e abl e t o acquir e permission . Pleas e cal l m e at41L J JU l USS : M0£ - 7.15 " ­