### CONTRACT 

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

# mJ

us Army Corps

of Engineers 

### .ECC. 

# ,.,

ECC Certification for Property Closeout

OLSID Field Work Started 39829 

### Property Address 10/3/2007 

### Field Work Completed 6512N24 lh 

### St 1011112007 

### Summary: • The excavation was performed in compliance with the work plans and specifications. • B2 excavation depth was 3 inches below ground surfaces. • Drip zone excavation depth was 12 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: Per owners' requests: Flowers 

### (LIPl, 2'x 

### 4', 150ppm), Bush(LIP2, 2' x 2', 315ppm), Deck(LIP3, 4' x 6', 487ppm) were left in place.


### S(.<;tl-l D Jl-J,V 

### ECCOCM

# s#eA~ j Name Title Date Jeff Hubbard USACE Con Rep 

### 11- £l (,-07

# }«~1JJL-/~f Name Title Date Signature

### CONTRACT # 

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

# mJ

us Army Corps

of Engineers 

### .ECC.



# .,

Analytical Results Summary OLS#39829 6512 N 24 th 

## St

XRF Results Quadra.' Sample 

# i Depth 

# I Date Collected (ppm) (avg.) Type 10/3/2007 169 DE 

# I 82 

# I 3 10/3/2007 DE DZ 12 195 /2 

### 53 DE DE EA-E L1P1 

### 435 L1P2 315 DE L1P3 

### 487

SAMPLEIDSAM?LE ID 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 DE = During and ?ost 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 BI or 82 = 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 millionI 

## page 1 

## of_

## :3q~'L" Omaha Lead Site Omaha, NE Residential Yard Soils U.S. Environmental Protection Agency Region VII Environmental Restoration Services 

# ,. PROPERTY ACCESS (to be completed by property owner) Para**re~.blr** ES:c 'C r "3 en escanc ;::or f avc ' IJ.:e 31 i E.O,J 223 C:'42S 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 External Programs, at 1-800-223-0425. Property Access Granted By (Please Print Name)

Resident Name:

__

## 1<_b_~_~_rt 

# __**"'l----,-",..=...'\..:...~.......=.._N** _ owner 

# o renter Residence

### Address:,_~=-S-=------.:I,-""2 __ 

### rJ

__--,,2,,",---..[-,---­

_ (CITY) (STATE) (ZIP) Property Owned By:**S"~A""M.c:..Jl,...:s.** 

### _ Owners mailing address:,

_ Owner's telephone number
- Home:,

_ Work: 

## -------------41

ge of Home?

______ years How long have you lived here?

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

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

# o No

otal number of occupants:, <O::lE.

__ List Ages: 

## '2.. \

- .........**.....L.---"l.-=::....::~-------------_II** list ages of occupants under 6 years old who play in the yard for 5 or more hours per week:

_ Comments:

UTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS he 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 fOf in Section 104(e) of CERCLA, 42 U.S.C. 9604 (e), which provides entry for, "determining the need for response, or choosing Of aking any response action under this tiUe. Of otherwise enforcing the provisions of this title." Access Attempts: First: Second: : Third: :
_North Arrow Name:**1?~~Ui 1l..J.It7'!£c~**  Omaha Lead Site 

### Date: I 

### /.,/4 3 Address:**~;J.** /'I( C2 t( '5i­ Site Sketch Time: Phone: (¥() 'iC"J

- t I**,~** 

### Team 

### _-,C::;..:..'**_:.:./-,-'d~S,,--** __**OLS_--L-5...r::.~'£"'~6--** 

### XRF**Code----J2~7B~'I** 

### __ Lead 

### Concentration .J&.. 

### Date 

# ! I. 

## /0 3/67 

## /00**~pml**

"9 pm,,­ 

## ltlZ ppm! 

## !VJ9 ppm 

### Log Boo'i**~,** 

# ;tls ppm 

### 53 ppm 

## '13 ppm 

### 3/5

### ~pm**.~** 

## 'f8 

# 7 pm



### .. ----_----..-- ..--..-_.JWi!'_. i • • • .• • 

### i :. iii ! 1

: • I • • 

## i : ! : i : • • • , • • : : J : : ;"._.

__ .";

.. _._ ...**_~_._** .. 4--_.-i.---

...._ .. !-.-- j • 

## -+··--i··------: : i i l i i - t: : :

• I • • • I I • I • • • • • , I i : i i :. : 

## iiI**~._·····_·i---·-~-·-.....J··_-·** 

## ---···t'----i----L-- 

# -----4----. --;.-..-·-4

..... -- .. l 

### : : :: ,.... "n-J :. : : i ! : : !! u:**~,~** : J : : : : t 

## ! f ' . : : i : : i**~·--·-i-----fo----~_·-·** 

## .. - -.**--~---Ir__-.-f--i1~~rA:;n~ ----1---+··-1----··~**  ! : 

## i 

# rq5! f 

### 4: _J i 1 : : 

### ! i
• : I I' ::**~'** f"I1:,.., I\.U I:'. : 

# '1 t::..j:

# ' : 

# , : 

# , • • • r I**~.** I •**~----i--.-~--i-.-_** 

## .. -- .......**----~** .....r::---.--I-. _.**·~-··_·-i--··-":** • , ., I. I : I : : i i : i i. f '

• I,' I , : : : : . 11" t 1 : : I • • I J :**r.r--r~'r- [')~:**  ! : i



### .... - ... _+__- .•**-.~** 

### .. 

## --i---.-**··-i----~--J··- .rrr~Ir.--_I--··t--·---t-_J**  I • " •• I ..,., • • •• " I , , I , · , . i :: t • I i 1 '_ t J : Ii! • : : : : : ! : i : ;..:-----1··-·

..**·-~~** ... 

## ·-·-i---·**-~~~i::i,.,fffi~·~~I-f~···'t--l ~,.--,;**  

### ----,: : l : I : : : : : : : : : : • J i i ! i 

## i._.; l

.. 

# -_._!._-TJfP:.! -.-**-t------t----+~··~·--+_-.--i** : ; : 

# . . 

# . .
• .. • • , • I 

### i : 

## i**.f~:** 

### iii f 

### r ! : i i :

• • I • • • ... 

## t"·_··-r··---:-- : . 

## .,.--1----1--···-·: ,,1 : I : : , I J • • • I • I • I • : : : : a : : J I • I • • • • I : t •• --_•• j-_ : ••
_ : : _ • ..-.4e. : : : 

## : : •• -:-·.--·_··-:---..**~.tI.** 

## i .j f 

# ! iii i 

# t_

.._.l..

# .l.._:;~~i**~Adi1f:::::~~~~==t:==f~:t=~~~JL_.J** 

# ..._.J : : : ;1.,.**~/O~,** S ,i f : i 

## i.u..**'4~V"1.'** , • • : : : t'" :,...,U.;>tT • l I I 

### i i : : I :: 

## i I f I 

## r·-··-···i-----,--·-

.. --:-··-- --";'--+-H--t--.--r-._-**--~~----i:·--···:---r---···i** : : :: I 'I' :: • I I ' 

## : : :! r " : f : 'i , , • I' C/' ,:,' 

### ':"f./I J: \' " I :1 •• : : : I :..-.-.:._....**_.~._-----** --fi":'-
- ----- ... --- ---- .---- 

## ··t---·-t--;----1 

# ! I I I toO! 

# ! 

# I !tl L 

## i 

# I j 

## i : : : 

# It'" i ii' : i! :
• I • f • r :: ,.. t 

## -. , 

# .

Omaha Lead Site 46130

# -----



# --------- pg._of_ 

# List of Existing Conditions Property Address: DVD ID #


## Owner: Date:



## ----- BVID#

_

Ref: Photo # 

### Description 

## 6 \L

- 

# 1"0 '2.. t. al""\-C1

## ~t..""~**~6'** L 

# bN''\



# -**V~**



# - $ot> 

# \SA-<... K.. \



### Owner Signature ECC

## pri1&S~~ print&Si5**~~**

### Contract No. W912DQ-04-D-0017, Tasl( Order 

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

# I &2S7d- )./ 

## CJ. 

# Ii 

# S,- DVID 

## ..$> Cf'i{

### ~? 

## Cl NO Property Owner Is the Owner the Resident?

### rn~s 

## Ra8€t<T**~ffTSdN** 

### Compliance Statement: 

## u.s. Environmental Protection Agency (EPA) has contracted the U.S. Army Corps of Engineers (US ACE), 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/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 accordance with the**contra~t** 

### 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 CERTIFICATION Prashant Khanna or ECC Project Manager Charles "Skip"Milton Name Title Date Signature 

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

.



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



# ) J 

# ;.;)5-07 

# X\**K~** 

# Wr;::G 

# /L---- , 

### Property Owner's Signature Date 

# I

## Property Owner Satisfaction Survey Form Omaha 

## Lead Superfund Site Perfonnance-Based Contracting (PBC) Pilot Project
Remediation Contractor:**_--Io£~ce~=--** 

# _ Property Identifier Number:

_ Property BVID Number: 

## 3' 18' 

# 1 Property Address:

### ft,l..5/~ 

## tJ**.~** 

## If 

# .s 

# -r Property Owner's Name: 

# RO£€J! 

# r Wit IStJlJ (above infonnation to be filled out by remediation contIactor prior to delivery of fonn to Property Owner) 

## .  •••••••••••••••••••••••••••• **  ••••••••••••• * ••••••••••••••••••••••••••••• InstnJctions 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 of Engineers (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 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 return 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 1 

### Additional Comments from Property Owner (optional; continue on back of page if needed)

Property Owner's Signature: 

# X-**R~** lA 

# }aia w Date: 

# 11- dS:07 (