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

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us Army Corps

of Engineers**II~C:C** • 

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ECC Certification for Property Closeout

OLSID 27884 

### Property Address 2208 Florence Blvd 

### Field Work Started 10/10/2007 

### Field Work Completed 10/1 0/2007 

### Summary: 

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

# • F2 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: None

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# DJ.v.J ECCQCM

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# 0+ Name Title Date Jeff Hubbard USACE Con Rep 

# _/I 11-07 

### Name Title Date 

## v---._ _ 

## 27884
No1 Alrow Exterior Paint 

### Omah,a L.ead Site Owner Name:**J~** E**FRE~N** 

# o Good 

### Site Sketc f\ Address: 2208 FLORENCE 

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## page 1 

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# c:J**7~** 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)**~a;a** tec.!)r es:a**fc;r~~a** en**es~a~10 ~~:**  'aver**,~r.~e.;]1 ~·60J-223<':25**  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 EPAIUSACElECC 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)
(Date)

(ZIP) Property Owned By: 

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Owner's telephone number
- Home: 

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# 7? 7 0 Sz, Work: 

### -----------il 7 ge of Home?

______ years How long have you lived here?

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

## )8" Yes 

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

# o No

otal number of occupants:'

__ 

# .LI
_ list Ages: 

### ----------------------ill Ust ages of occupants under 6 years old who play in the yard for 5 or more hours per week: 

### O

_ Comments:

UTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS e 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 this Iille, Of otherwise enforcing the provisions of this title." Access Attempts: First: Second: : Third: : _

## ~- CONTRACT # 

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

# m

us Army Corps

of Engineers 

### .ECC:. 

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Analytical Results Summary OLS #27884 2208 Florence Blvd
Quadrant Sample Type

F2 

# I EA-E 

# I Depth
3 0 

### DE

. DE


# I 

# I Date Collected 10/10/2007 10/10/2007



### II 

## II II /I XRF Results (ppm) (avg.) 50 39 

# I I

SAMPLE IDSAMPLE ID is a parllcular residellllal property ID from which lhe sample is collccled. The sample type idenlifier (with sequelllial sample numher for lhatlocalion) as follows; PX Pre-Excavation XRF sample DE During and Post Excavation Quadrant describes Ihe**~mpling** local ion (Wilh sequenlial sample number for lhatlocation) as follows; FI or r2 ronl Yard One or Front Yard Two 131 or R2 Back Yard One or Rack Yard Two DZ DnpZone GA Garden PA Play Area EA Casemenl Depth describes the depth from which lhe sample was collected. ppm parts per mIllion

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

### Task Order DKOI 

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



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### Compliance Statement: U.S. Environmental Protection Agency (EPA) has contracted the U.S. Anny 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 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. 

### Additional Comments by 

### USACE and/or ECC: 

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### CONTRACTOR CERTIFICATION ECC Project Manager**~..L.** ,

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### Name Title Date Signature 

## PROPERTY OWNER SECTION This ag reement documents the completion of remedial/restoration efforts a t the property to my satisfaction.

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### I agree that restoration is completed 

### at fRY"'property, except as noted 

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