### CONTRAC T# EP-R7-06-0 4 AS W Associate s Inc . Omah a Lea d Site Remediation , Omaha , N E EP A 

## AS W Associate s In c Certificatio n fo rPropert yCloseou t BVI D 2268 3 

### Propert yAddres s 53 2 S 26 t h Av e 

### Fiel d Wor k Starte d 24-Jul-0 6 

### Fiel d Wor k Complete d 5-Sep-0 6 

## Summary : Th e excavatio n wa s performe d i n complianc e wit h th e wor k plan s an d specifications . Th e F 1 quadran t was excavate d to a dept h of 1 2 inch . Th e B 1 quadran t wa s excavate d t o a dept h o f 1 2 inch . Th e 6 2 quadran t wa s excavate d t o a dept h o f 1 2 inch . Th e dri p zon e wa s excavate d to a dept h of 1 8 inch . Verificatio n sample s confirme d tha t th e cleanu p standard s wer e met . Verificatio n sample s wer e take n fro m botto m o f excavation . Th e sit e wa s backfille d wit h material s whic h meets contrac t specifications . Th e backfil l wa s compacte d t o acceptabl e standards . So d placements an d sit e restoration s wer e conducte d i n complianc e wit h wor k plan s an d specifications . Analytica l dat a provide d i s post excavatio n at th e botto m o f th e excavatio n fo rconfirmatio n purposes . / 

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### ^ 4025855 3 

## Comments : StPERFUN D RECORD S 

### None . Ja n Prawdzi k AS W Project Manage r

Nam e Titl e 

## Dat e

### CONTRAC T # EP-R7-06-0 4 

### AS W Associate s Inc . Omah a Lea d Sit e Remediation , Omaha , N E tee. 

### Analytica l Resul t Summar y OL S ID : 2268 3 Property Address : 53 2 S 26 th

### Av e XR FResult s La b Result s Sampl e I D 

### Avg . (ppm ) (ppm ) 22683-DE-DZ-1 8 147. 6 ±60. 6 

### N A 22683-DE-B1-1 2 

### 34 6 ± 

### 78. 6 N A 22683-DE-B2-1 2 386. 6 ± 86. 6 

### N A 22683-DE-F1-1 2 

### 58. 6 ±5 6 N A 22683-DE-F2-1 2 

### 25. 9 ±5 2 11 4

Ja n Prawdzi k AS W Projec t Manage r Nam e Titl e 'Daf e Sampl e Designatio n OLSID-DE-Location-d d OLSI D i s aparticular residentia l property I D fro mwhic hth e sampl e i s collected . D E= Durin g an dPos t Excavatio n Locatio n o f th e sampl e a s follows ; F l = Fron t Yar d(1 ° Quadrant ) B 1 = Bac k Yar d(1 ° Quadrant ) F 2 = Fron t Yar d(2" " Quadrant ) B 2 = Fron t Yar d(2n dQuadrant ) D Z= Dri p Zon e PZ = Pla y Zon e G A = Garde n E A = Easemen t

-d ddescribe s th e dept hfro mwhic hth e sampl e wa s collected . N A = No t Applicabl e

# &EP A Remediation/Excavatio n Contrac t (ASW ) EP A Property Clos e Ou t For m Propert y # : Propert y Address : Date/Time : 

## l2/fc/o 5 Owner' s Name : Le&\«j- j Quad s Excavated : Contracto r Grou p Excavatio n Genera l 1 .I f necessary , were th e correc t quadrant(s ) excavate dan drestored ? 2 .I f necessary , were th e correc t area s o f dri p zon e excavate dan drestored ? Gradin g So dan dVegetatio n 1 . Does th e gradin g aroun dth e perimete r o f th e hous e i n excavate darea s generall y slop e awa y fro mth e house ? 2 .Ha s so dbee n lai di n al l area s tha t were excavated ? 3 .Does th e so dappea r to b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 4 .Ar e sodde darea s generall y fir man devenl y graded ? 5 .Are th e joint s between th e so dstrip s generally tight ? (Onl y evaluat e i f inspecteda t a3 0 da y tim e period ) 6 .Wa s th e propert y grade dsuc h tha t wate r wil l no t poo l o n th e property ? 7 .Wa s damag e t o landscapin g o r plan t material s avoided ? Gates , Fence s an dRetainin g Wall s 1 .D o gate s ope n an dclos e freely ? (I f applicable ) 2 .Wer e al l gate s o r fence s take n dow n durin g restoratio n activitie s reinstalled ? (I f applicable ) 3 .Wa s damag e t o gale s o r fence s avoided ? (I f applicable ) 4 .

Wa s damag e t o retainin g wall s avoided ? (I f applicable ) i Foundation , Sidin g an dGutter s 1 .Wa s damag e to th e sidin g o r tri mavoided ? 2 .Wa s damag e t o th e foundatio n avoided ? 3 .Wa s damag e t o window s avoided ? 4 .Wa s damag e t o window s o r doo r screen s avoided ? 5 .

Wa s damag e t o downspout s o r downspou t extension s avoided ? Sidewalks an d Driveway s (Concrete ) 1 .Wa s damag e t o drivewa ysurface s avoided ? 2 .Wa s damag e t o walkwa ysurface s avoided ? 

### Ye s 

### N o 

### ^ ^ Ye s N o 

### S IS ^ ^ </ u / l

/ Ye s N o 

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/ </ Ye s N o 

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# / Ye s N o / /

## Owner s comments : 

# W s & £? , .c ?

Inspectio n notes :

Remova l an drestoratio n activate s complet e includin g the 30-da y so dwarranty : EPA Representativ e <&<» » ^ j Date :

## Owner s comments :

Inspectio n notes :



## Removal an drestoratio n activate s complet e includin g th e 30-da y so dwarranty : EPA Representativ e x9ox » & y Date :

# Lis t o f existin g Condition s pg . _

# o f Propert y Address : O.3 Z3 < (\\ft L Owner : Date : OL S # 

## Description : O2 . 

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# b y

Owne r Signature : AS WAssociate s Inc . Prin t & Sig n Prin t & Sigi f

# 2268 3 Owne rName : LEONAR D R RITT S * • *} 0 S Address : 53 2 S 2 6 A V

Phone : Lea d Sampl e Numbe r 

### Omah a Lea d Sit e Exterio rPain t Nort h Arro w Sit e Sketc h Gog . POQJ : [" ) Nu t pain t Sampl e (Sample s Collecte d Concentratio n Collecte d Firm : V . RYASCPXA-2268 3 Date : RYBSCPXA-2268 3 Time : RYCSCPXA-2268 3 Sample s Analyze d RYDSCPXA-2268 3 RDZSCPXA-2268 3

Numbe ro f Sample s = ! 5 " 

# ENTB 1 iflii i ) : b <:.. -

Omah aLea dSit e 4613 0