### 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 23564 Property Address Field Work Started 8/24/2007 

### Field Work Completed 350 N 41 st 

### St 8/24/2007 

### Summary: 

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

# • B 1 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.



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## EVil Lead Concentration 

# lit ppm-l( 

### tOf ppm'l' 

### 36 ppm**_~=-_---,ppm J!.<f1~**  ppm**~**



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### ______________________________________________ _ 

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U.S. Environmental Protection Agency Region VII Omaha lead Site Omaha,NE Residential Yard Soils Environmental Restoration Services PROPERTY ACCESS (to be completed by property owner)**~ar;J** r::::J r eS',i 'C''l a**e~, es::~n;:;1**  ;:::x 'aver l'cI"lo2 21 1 cO] 22::**~425** 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 EPA/USACE/ECC 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 Extemal Programs, at 1-800-223-0425. Properly Access Granted By (Please Print Name) Property Owner Signature) (Date) NOTE G f rt 11 b d' 

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# . PROPERTY INFORMATION (to be completed by reSident and or property owner - Please Pont) Resident

## Name:--I**p'-'1f!L..LTJnR..LJIC'"'-.!>oK~k ~f./Jl./w)./"_.l:r:;**  ...

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# o renter Residence Address:
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## __**_'IfCLI_~_r** _=S"__Lr:_· (CITY) (STATE) (ZIP) Property Owned By:

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### -->5...LLfJ J.,/I1l..!.L,E Owners mailing address:

________________________-.,.

____________________________________ _ Owner's telephone number -

### Home:**_...::s:.>o!..::s""-'.r"'---_--'(p~&"'~'_'~"__** Work: 

## -- -----------11 Age of Home? 

# 'iJ7 years How long have you lived here? 

## ,!)0 years Has the exteior been painted or covered with siding since 1978?

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

## ~s 

# o No

### ~otal number of occupants:

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____ _ list Ages: 

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## U I... 

## T..s list ages of occupants under 6 years old who play in the yard for 5 or more hours per week:.

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_________ Comments: AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS The 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 to he 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 aking any response action under Ihis litle, or otherwise enforcing the provisions of this title." Access Attempts: First:
____________ Second: : ___________ Third: :

_______________

### pg._of_ 

# List of Existing Conditions Property Address: 

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## DVD ID #

_____ Date: 

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### Description 

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Owner Signature 

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### Contract No. W912DQ-04-D-OOI7, Task Order DKOI Omaha Lead Site. Omaha, NE Property Qoseout Agreement BVID 

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### 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 EP A/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 ac:c:ordance 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 ofExternal Programs at 1-800-223-0425 . Additional Comments by USACE and/or ECC:

CONTRACTOR CERTIFICATI ON nager

# =~~Projod /**~** 

### Name**~** 

### • Su rintendent Date

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

# V I agree that restoration is completed at my property, except as noted Comments (if applicable): 

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# Uvt.L**~** Property Owner's Signature V 

### Date 

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## •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Property Owner Satisfaction Survey Form Omaha 

## Lead Superfund Site Perfonnance-Dased ContractinE (PDC) Pilot Project Remediation Contractor:

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____________ Property Identifier Number:

________ Property DVID Number: 

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___ Property Address:**_----'..?""-'=;j'-'"{)~...JN:.!-__''Iu:/____'.s''''7'__**___________ Property Owner's Name: 

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## 61> '( (above infonnation 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 ofEngineers (USACE) are very interested in your opinion regarding the wolk 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 1 to 10) using the following rating scale, then please sign & date the form and retum 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.) 9-10 "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 I Additional Comments from Property Owner (optional: continue on back of page if 

### needed)



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### CONTRACT 

### # W912DQ-04-D-0017, T.O. DK04 Environmental Chemical Corporation US Army Corps 

### Omaha Lead Remediation, Omaha, NE of Engineers 

## Analytical Results Summary OLS#23564 350 N 41 st 

## St Quadrant Sample Type Depth Date Collected XRF Results (ppm) (avg.) DE 81 

### 3 8/22/2007 

### 36 DE EA-W 0 812212007 58

SAMPLE ID· SAMPLE 10 is a particular residential property 10 from which the sample is collected. The sample type identifier (with seque nual 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; Fl or F2
- Front Yard One or Front Yard Two BI or B2
- Back Yard One or Back Yard Two DZ "" Drip Zone GA-Garden PA = Play Area EA
- Easement Depth describes the depth (rom which the s ample was collected
. ppm - parts per million