### CONTRACT 

### # 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 23269 

### Property Address 131 N 32 nd 

### Av 

### Field Work Started 8/25/2007 

### Field Work Completed 8/25/2007 

### Summary: 

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

# • F2 excavation depth was 2 inches below ground surfaces. 

# • B1 excavation depth was 3 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: AI o 

### Nt..

ECCOCM

# lo!,llo~**~~~** Title Date 

# 07

# ~s[gn~ Jeff Hubbard USACE Con Rep Name Title Ignature

## 23269 Owner Name:**~ICHARD** I-l SLOSBUR.G R Address: 131 N 32 AV

Phone' H: W: 

### Omaha
. ead 

### Site 

### Site Sketch Exterior Paint 

# o Good 

### DPOOT**~':I'\J-oi:,..t** NortllNrw; ..A.
- 

### Team 

## L Ui'i. 

### OLS_-----tFt.....:;;t?, ........**W~** 

### XRF Code 

## £775 Quadrant 

### Fl

__ ----.",......­
_ F2 

## 0 1 ' 

### Bl**/~/(** 

### B2
_ 02.
_ 

## Clt.-west- -QH 

### Lead Concentration 

# 3"e**ppm~** 

# 5Jf**p~~**

_____ --.lppm 

# W

# p~~

_____ ---I'ppm

_____ -'"ppm ppm 

### Date 

### 1:% 

## 8#6ftZ Log Book 

## .&



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## page 1 

## of_ ,d,Jdf; Omaha Lead Site Omaha. NE Residential Yard Soils Environmental Restoration Services U.S. Environmental Protection Agency Region VII 

# • PROPERTY ACCESS (to be completed by property owner) r:'ara re: bl' t2:s:a !C{T3 en**es;:\:.~vl ~o:**  favor**l·J.~~t:** al**1·80'J·22J-C':~S** U.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 services. Your cooperation is requested in giving EPNUSACElECC permission to access your property during the removal/restoration phase. For further information please contact Don Bahnke. EPA Project Manager at (913) 551­ 7003 or the Office of**Ext~mal** Programs. at 1-800-223-0425. Property Access Granted By 

# \to t\**t"Je.~W** \. , 

# -

Resident Name: 

## V 

# fYc.!t tVr 

## Le'r Residence Address: 

# LSi /( 3.1 I}II (CITY) Property Owned By: 

### Y 

## R b**;p~ Vt~TMEtJT.5**  j Owners mailing address:

### Id(}lj~ 

## 1t6ft1lClf**C/~C/..E** 

### SV ITE 

## d-t't2 .owner's telephone number - Home: 

# 31/- 21t1d' Work: -----------11

ge of Home? 

## _.....:IV-=-I-t
.... 

## A-'---_ years How long have you lived here?

_____ years Has the exteior been painted or covered with siding since 1978? Has the interior been painted or covered since 1978? DYes DYes 

# o No 

# o No otal number of occupants:_---<.N.JL.+/
..... 

## A-L-- List Ages: --I I List ages of occupants under 6 years old who play in the yard for 5 or more hours per week:
_ Comments:

UTHORITY FOR ENVIRONMENTAL RESPQNS**A~** TIQNS e activities 10 be implemented by EPA under thIS agreement are pursuant 10 Section 104 of CERClA, 42 U.S.C. 9604. EPA's nght of access to he property for in Section 104(e) of CERCLA, 42 U-S.C. 9604 (e), which provides entry for, "determining !he need for response, or choosing or aki an response action under Ihls title, or olhelWise enforcin the provisions of Ihis title: Access Atlempts: First: Second: : Third: : _

# ----- pg._of_ 

# List of Existing Conditions Property Address: 1..31 AI**s~** 

# Av DVD ID 

## # 

# Date: ?-/:).·o , BVI D#**~J>o:.l** 

# b CJ Ref: 

### Photo Description 

### #

Owner Signature

# E~C**~~/"hj'.uS-** · 

## Print 

## & Sign I 

# ky Prlnt& I 

# X**~:l b,,~-\** .Et:t:. 

### CONTRACT 

### # W912DQ-04-D R 

### 0017, T.O. DK04 Environmental Chemical Corporation Omaha Lead Remediation, Omaha, NE us Army Corps of Engineers 

## Analytical Results Summary OLS # 

## 23269 131 N 32 nd 

## Ave

XRF Results Sample Date Collected 

# I Quadran' 

# I Depth (ppm) (avg.) Type

DE 

## I F2 

# I 2 8/17/2007 282 DE 8/17/2007 158 81 3 

### 0 

### PX**,_.~** EA-W 

### 44 

## I 

# I I 

# I I II 

# I

SAMPLE IDSAMPLE 10 is a particular residential property [0 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 = 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 Bl or B2 = Back Yard One or Back Yard Two DZ = Orip Zone GA=Garden PA = Play Area EA = Easement Depth describes the depth from which the sample was collected. ppm = parts per million

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

### Task Order DKOI 

### Omaha Lead**Sit~** 

### Omaha, NE Property Closeout Agreement BVID 

### Property Address 

# I l 

## '3 \ 

## N 

# 3.1 kv e... R.4PJ**r,.....;.<~~** LO 

### Is the Owner the Resident? DYes 

# .R! No 

### Compliance Statement: U.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 services. Your cooperation in giving EP A1USACEIECC 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.



### CONTRACTOR CERTIFICATION 

# ,**rn~** 

## I ECC Project Manager

## ~~~~Tit**le** Date Signature 

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

., I



### Priperty Owner's Signature Date