## ~- CONTRACT 

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

# mJ

us Anny Corps

of Engineers .EC:C: • 

# .,

ECC Certification for Property Closeout
OLSID 28295 

### Property Address 2403 N 29 th St**~:~."....,** 

### Field Work Started 2007 

### Field Work Completed 10/4/2007 

### Summary: 

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

# • FI excavation depth was 3 inches below ground surfaces. 

# • B1 excavation depth was 12 inches below ground surfaces. 

## • Drip zone excavation depth was 12 inches below ground surfaces. 

# • Verification samples confinned 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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### Comments: Per owners' request: Flowers (LIPI, 3'x 5', 429ppm)

## ~~~ left in place.


## SC.o1-t D,.)f\)N ECCQCM 

## o I**ND~** O"":}- oN' Name Title Date Jeff Hubbard USACE Con Rep 

## " -q.-G7 

# itlJurtM Name Title Date Sign e Igna re

## 28295 Exterior Paint 

### Omaha lead Site r'l.er**Name:~~~2§l~L..** __ 0'GoOd 

### Site Sketch Add ress: 2403 N 29 ST l**~--_._-** OP()¢;" Phone: H:**4:5~~"'1-n-{** Yt Team g,1,aJe,<;>$f}O OL8 

# en 8= XRF Code
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LogBook 

## 1#3 Lead Concentration lid. ppm 1'tf5**pp~** 

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## page 1 

## of_**.;18'~crs** 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)
;-::**~.- .:':':~-**  . "-.
__ ..**~._. ~r·:..J** **'.~_=~** 

### .: ... : .S. Environmental Protection Agency (EPA) has contracted the U,S, Army Corps of Engineers (USACE), Omaha istrict to conduct environmental restoration services for the Omaha lead Site. USACE Omaha is wor1<ing with nvironmental Chemical Corporation (ECC) to remove lead contaminated soil and provide subsequent restoration ervices. Your cooperation is requested in giving EPA/USACE/ECC permission to access your property during the emovallrestoration phase, For further information please contact Don Bahnke, EPA Project Manager at (913) 551­ 003 or the Office of External Programs, at 1-800-223-0425. Property Access Granted By

Resident

# Name::_~k19':18rt~z:afi~"jr;t~~6~JI):t:::TS::sIt!~~:tlJ**rrr:'~t!l~~~~£** _ Residence**Address:_-Sa:;~Lf"::;()""'h?oJ.....-....r.N~..JoJ.~'l~.s.-.+T** _ 

# o renter
(ST ATE) (ZIP) Property Owned By:

__ ..... 

### _**S.L.L.f}L.tvJ~~(** Owners mailing address:

_

. Owner's telephone number - Home: 

## ttss - ..?? 

## 8"6 Work: 

## ------------il geofHome?

______ years How long have you lived here? years Has the exteior been painted or**cove~ed** with siding since 1978? DYes 

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

# o No

otal number of occupants:
_ List Ages: 

# ----------------------tI 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 tor in Section 104(e) of CERCLA, 42 U.S.C. 9604 (e). which provides entry tor, "determining lhe need for response. Of choosing Of aking any response action under this title. or othelWise enforcing the provisions of this title.· Access Attempts: First: Second: : Third: : _

# ----- pg._of_ 

# List of Existing Conditions Property Address: ¥(),J 

### N 

## d=1 SI DVD 10 # SLIJ Z£**I~UE.J-()** V€ 

## Owner: KJ9nIL6€IJ**~/fJ41W~** 

## Date: q-II-tJ?

Ref: 

### Photo Description # 

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### ECC 

## {p/J--sJ-/S Print & 

### SignGM

### Contract No. W912DQ-04-D-OOI7, 

### Task Order DKOI 

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

### Property Address 

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# o NO Property Owner Is the Owner the Resident? I]..,¥es I 

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# v t 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 (BCC) to remove lead contaminated soil and provide subsequent restoration services. Your cooperation in giving EP AlUSACEIECC 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 of Ex tema I 

### Programs at 1-800-223-0425. Additional Comments by 

### USACE and/or ECC:

CONTRACTOR CERTIFICATION ECC Project Manager Name Title Date Signature 

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

. agree that restoration is completed at my property, except as noted

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### Ignatllre Datt'

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## Property Owner Satisfaction Survey Form Omaha 

### Lead Superfund Site Perfonnance-Based Contracting (PBC) Pilot Project Remediation Contractor: 

### _---==£=C:;..' C:z..'
_ 

### Property Identifier Number:
_ 

# .----- Property OVID Number: 

## :9- 

## J-7S Property Address: 

# '10..3 JJ 

## d-Cf**~r** Property Owner's Name:

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## Vf (above infonnation to be filled out by remediation contractor prior to delivery of fonn to Property Owner) 

## ••••••••••••••••••••••••••••••••••••••••••••••••••••••••• **.* ••••••••••••••••• Instructions to Property Owner: This form is provided to you as a means of tlying 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: 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 nwnerical 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 

# 8 6 

### Additional Comments from Property Owner (optional; continue on back of page ifneededl

Property Owner's**Signa."'\.----Ar=~~**

### CONTRACT 

### # W912DQ-04-D-0017, T.O. DK04 Environmental Chemical Corporation Omaha Lead Remediation, Omaha, NE US Army Corps of Engineers 

### Analytical Results Summary OLS #28295 2403 N 29 th 

### St

Sample 

# I Quadrant Depth 

# I Date Collected XRF Results

Type (ppm) (avg.)



### DE 

# EEl 3 

### II 9/28/2007 162 

### DE 81 12 9/28/2007 204 

### DE DZ 12 9/28/2007 199 

### DE EA-W 0 2007 213 

### DE 82-U/C 0 315 

### DE 0 29

SAMPLE 10- SAMPLE ID is a particular residential property 10 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 B lor B2 = 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 million