CONTRACT # W912DQ-04-D-0017, T.0. DK04

Environmental Chemical Corporation

Omaha Lead Remediation, Omaha, NE

ECC Certification for Property Closeout

US Army Corps

of Engineers

OLSID 00671 Property Address 2557 Fowler Ave

Field Work Started 9/27/2007 Field Work Completed 10/19/2007

Summary:

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

• Fl excavation depth was 4 inches below ground surfaces.

• B1 excavation depth was 5 inches below ground surfaces.

• F1VIC excavation depth was 7 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.

• Site restoration was conducted in compliance with the specifications and work plans.

Comments: None

ECCQCM Ow NoJo') ;.-..-...

Name Title Date S aturewJ

Jeff Hubbard VSACE Con Rep 11- ;'-07 S. »if Name Title Date Ignature
.4St..

CONTRACT # W912DQ-04-D-0017, T.O. DK04

.ECC:. Environmental Chemical Corporation II!!)] ,."

Omaha Lead Remediation, Omaha, NE us Army Corps

of Engineers

Analytical Results Summary

OLS#00671

2557 Fowler Ave

Sample IQuadrant IDepth I Date Collected XRF Results

Type (ppm) (avg.)

I DE II F1 II 4 II 10/12/2007 II 225 I

I DE II 81 I 5 10/12/2007 I 269 I

I DE II EA-N I 0 10/12/2007 I 109 I

I DE II F1U/C I 7 10/1212007 I 128 I

I I

I I

SAMPLEIDSAMPLE 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 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

BI or 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
1111[1111[111111111111111 671

OLS EPA

t

Exterior Paint North Arrow

o Good

o Poor

o Not paint

XRFCode 2775

Omaha Lead Site

Site Sketch

Owner Name: IX Vel # "'ILJ..f/tl!1$

Address: 2557 FOW.:....:.=LE:;:...:R:.:...:A~V _

Phone:H:~~3~-J~J~~~r~w~;~ __

Quadrant

Fl ~ll

F2. -.-- _

Bl 5/1

B2 _

DZ..,.....---,-__,--_

£ll-N 0 1

/

Lead Concentration

7-25 ppm

_ -Ippm

___..,....-_-Ippm

26 q ppm

__.....,.....,.:-=:---Ippm

{oq ppm

r;?8 ppm

_____....lppm

ppm

Date

10/ /2/07

LogBook

Z

\·-/1· - ._.- '-·""1 --

ev4 G46141.0123
Omaha lead Site

Omaha, NE

Residential Yard Soils

Environmental Restoration

Services

u.s. Environmental Protection Agency Region VII

page 1 of_

&7

•

PROPERTY ACCESS (to be completed by property owner)

......· .. · .... ··l·:.··~.·. ,,';_ ..... : .... \~:. ~·,P't..J '::::_:~_'~.:::.

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

ervices. 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-

003 or the Office of External Programs. at 1-800-223-0425.

Property Access Granted By

Resident Name:_--4.:~~~:--_~e...r:~[.J..L.~!....- _

(Please Print Name)

o renter

Residence Address:_--Ioil::";::~::;""-!-,"""",_-=-':""=_-I...J'...,;V~- (STATE) (ZIP)

Property Owned By:__S.;;;;...;.A.:;..;IYt~E_· ~-------- _

Owners mailing address: _

Owner's telephone number - Home:_..l..,;:'O:":"O:"_.....:.::;...J;,O:;;;':;~ _ Work:-----------11

geofHome? ______years How long have you lived here? _____years

Has the exteior been painted or cove~ed with siding since 1978?

Has the interior been painted or covered since 1978?

DYes

DYes

o No

o No

otal number of occupants: _ list Ages:·_-----------------11

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

Comments:

UTHORITY FOR ENVIRONMENTAL RESPONE 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 for in Section 104(e) of CERCLA, 42 U S,C 9604 (e). wtlich provides entry for. "determining the need for response, or choosing or '

kin. an,. response action under thiS tiue. or otherwise enforcing the provisions of this title."

Access Attempts:

First _ Second: : _ Third: ; _
pg._of_

list of Existing Conditions

Property Address: c?SS') hJ4J&E"~ 11=(/ DVD ID # -----

Owner: RV!?/J.I WILI...Jj}MS Date: q -.) ') ~(J 2 BVID# _&~'7.:....-J__

Ref:

Photo

#

Description

J\ )If) ]) Z

:;) LIP !tLL t="l.£IU) t:Jf Rf".P c- t L/1/IJJ)scltPJ)/r::-

3\ mf}1( R£~UIRE A IIMl> Dlf,;.- IN ,R/Y'.k

Owner Signature E~C ~.Sib/ !j). U/,)--.J>,)/

_pr_in_t_&_S.....,i9t:J:f,.~~- '.e.Nt :i:l024· ~.-.5::::L~::::=::::::::::.- Pnnt ~.aAA-
Property Owner Satisfaction Survey Form

Omaha Lead Superfund Site

Perfonnance-Based Contracting (PBC) Pilot Project

Remediation Contractor: __E:.;CI",..<:;....looC",-- _

Property Identifier Number: _

Property BVID Number: _-=fo'--'7..:......:..../ _

Property Address: .2SS2 ErJwL£(( It tI

Property Owner's Name: RU..gIII WILL-111M S

(above infonnation to be filled out by remediation contractor prior to delivery ofform to Property Owner)

******************************************************************************

Instnlctions to Property Owner:

This form is provided to you as a means oftrying to capture your level ofsatisfaction

with the work ofthe 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 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 ofsatisfaction with the Contractor's work by selecting a

numerical rating (ranging from I 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 ofthe 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

9

8

7

6

5

4

3

2

1

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

PropertyOwner'.Signature: ~£.J1c/~Date: /1-;9--0 7
Contract No. W912DQ-04-D-0017, Task Order DKOI

Omaha Lead Site, Omaba, NE

Property Closeout Agreement

DVID (P7/ Property Address I .:2.SS? f7J l.tJl£((

Property Owner Rug/II iU/LLIItM > Is the Owner the Resident? 0 No

Compliance Statement:

U.S. Environmental Protection Agency (EPA) has contracted the U.S. Anny 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 EPA1USACEIECC 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:

CONTRACTOR CERTIFICATION

Prashant Khanna or ECC Project Manager

Charles "Skip"Milton

Name Title Date Signature

PROPERTY OWNER SECTION

This agreement documents the completion ofremedial/restoration efforts at the property to my

satisfaction.

~gree that restoration is completed at my property. except as noted

Comments (if applicable): J AU.R.-....d....

A.::r d zh-/~ ~_A?/1/ :~/

jJ!;.dJ~~ .~ , ~Jr·~·nn 1IU_.A'OA~n_-~'l ~~

A

K~~W~' - !Property Owner's Signature Date 1/- / 9- () 7