CONTRACT # EP-R7-06-04

ASW Associates Inc.

Omaha Lead Site Remediation, Omaha, NE

EPA

ASW Associates Inc Certification for Property Closeout

BVID

Field Work Started

406

31-Jul-OS

Property Address

Field Work Completed

2102 South 8th Street

21-Aug-06

Summary:

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

The F1 (YA) quadrant was excavated to a depth of 6 inch.

The F2 (YB) quadrant was excavated to a depth of 6 inch.

The B1 (YC) quadrant was excavated to a depth of 6 inch.

The B2 (YD) quadrant was excavated to a depth of 6 inch.

The drip zone was excavated to a depth of 6 inch.

Verification samples confirmed that the cleanup standards were met.

The site was backfilled with materials which meets contract specifications.

The backfill was compacted to acceptable standards.

Sod placements and site restorations were conducted in compliance with work plans and

specifications.

Analytical data provided is post excavation at the bottom of the excavation for confirmation

purposes

Comments:

The play zone was excavated to a depth of 6 inch.

Jan Prawdzik

Name

ASW Project Manager

Title

40259435

f Da'te Signature

rSite:CWii£.

ID

Break:.

Other:.

cn^Ji

SUPERFUND RECORDS
CONTRACT # EP-R7-06-04

ASW Associates Inc.

Omaha Lead Site Remediation, Omaha, NE

EPA

Analytical Result Summary

OLS ID: 406

Property Address: 2102 South 8th Street

Sample ID

406-DE-YA-06

406-DE-YB-06

406-DE-YC-06

406-DE-YD-06

406-DE-DZ-06

406-DE-PZ-06

XRF Results

Avg.

(ppm)

135 ±45.6

103 ±46.6

196 ±48

96.9 ± 39.6

153 ±47

173.6 ±48.3

Lab Results

(ppm)

NA

NA

NA

NA

142

NA

Jan Prawdzik

Name

ASW Project Manager

Title

Sample Destination

OLSID-DE-Locatioa-dd

OLSID is a particular residential property ID from which the sample is collected

- DE- During and Port Excavation

Location of the sample as follows;

Ft - Front Yard (1* Quadrant)

BI - Back Yard (1" Quadrant)

F2 - Prom Yard O" Quadrant)

B2 - Front Yard (21* Quadrant)

DZ-Drip Zone

PZ "RayZone

OA "Garden

EA- Easement

dd describes the depth from which the sample was collected.

- NA = Not Applicable
<vEPA

Remediation/Excavation Contract (ASW)

EPA Property Close Out Form

Property #:

Date/Time:

Quads Excavated:

Property Address: 2/02 5 8

Owner's Name: 3"tfTg t 8>otrZ9

Contractor Group

Excavation General Yes No

1 . If necessary, were the correct quadrant(s) excavated and restored?

2. If necessary, were the correct areas of drip zone excavated and restored?

c^-

L*-

*^

^-

Grading Sod and Vegetation Yes No

] . Does the grading around the perimeter of the house in excavated areas generally slope away

from the house?

2. Has sod been laid in all areas that were excavated?

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30

day time period)

4. Are sodded areas generally firm and evenly graded?

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day

time period)

6. Was the property graded such that water will not pool on the property?

7. Was damage to landscaping or plant materials avoided?

l^

I/

^

^

l^

s~

S

/

^

s

Gates, Fences and Retaining Walls Yes No

1 . Do gates open and close freely? (If applicable)

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable)

3. Was damage to gates or fences avoided? (If applicable)

4. Was damage to retaining walls avoided? (If applicable)

L--

L/

u/

u<

/

L/

S"

Foundation, Siding and Gutters Yes No

1 . Was damage to the siding or trim avoided?

2. Was damage to the foundation avoided?

3. Was damage to windows avoided?

4. Was damage to windows or door screens avoided?

S. Was damage to downspouts or downspout extensions avoided?

(S

t/

L/1

u/

S

\s

/

/' •

S

/

Sidewalks and Driveways (Concrete) Yes /No

1 . Was damage to driveway surfaces avoided?

2. Was damage to walkway surfaces avoided?

\/

L/

I
Owners comments:

V -„« a .-• I >r T

.••*. *

Inspection notes:

Removal and restoration activates complete including the 30-day sod warranty:

EPA Representativue PJj JCfr\
Contract No: EP - R7 - 06 - 04

Property Closeout Agreement

Omaha Lead Superfund Site

OLSID Property Address

Property Owner Is the Resident the Owner H^Yes D No

Compliance Statement:^

U.S. Environmental Protection Agency (EPA) or its authorized representatives, (or its contractors), to enter

and conduct environmental restoration services for the Omaha Lead Site.

Your cooperation in giving EPA/ASW 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 contact specifications and EPA requirements.

If you have questions or need additional information please contact the EPA Public Information Centers at

(402) 731-3045 or (402) 991-9583 or the EPA Office of External Programs at 1-800-223-0425.

Additional Comments by EPA and/or ASW:

CONTRACTOR CERTIFICATION

Jan Pnwdzik ASW Project Manager

Name Title Date Signature

Property Owner Section

This agreement documents the completion of remedial/restoration efforts at the property to my satisfaction

u/IaI agre i e mat restoration is completed at my property

O I Do Not Agree: Comments:

roperty Owner's Slgnati£p Date

EPA Representative Signature Date
Page 1 of_

U.S. Environmental Protection Agency Region VII

Omaha Lead Site

Omaha, NE

Residential Yard Soils

Environmental Restoration

Services

Grantor (the property owner), consents to and authorizes the United Sates Environmental Protection Agency (USEPA)

or its authorized representatives (or its contractors), the Grantee, to enter and perform certain environmental response

activities upon the following described premises. For further information please contact EPA at 1-800-223-0425.

Property Access Granted By iCZ.CC

(Please Print Name)

/B

(Proplfiy Owner Signature)' ^ 1] , JTJate) J

NOTE: Granting permission DOES NOT necessarily imply your property will be remediated at this time.

Residence Address:

Property owned by:

(CITY) (STATE) (ZIP)

Owners mailing address:

Owner's telephone number—Home: ^O2'&>5"/ - < (o (a 8 Work: W *-"•

/

? 7 /

years

D NO

D NO

Age of Home? I cAo years How long have you lived here?

Has the exterior been painted or covered with siding since 1978 H YES

Has the interior been painted or covered since 1978? M YES

Total number of occupants: .3 List Ages: L£f A-ViQ£/C3 '

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

Comments:

AUTHORITY FOR ENVIORNMENTAL RESPONSE ACTIONS

The activities to be implemented by EPA under this agreement are pursuant to Section 104 of CERCLA, 42 DSC. 9604. EPA's right of access to the

property for in Section I04(e) of CERCLA, 42 U.S.C. 9604 (e), which provides entry for, "determining the need for response, or choosing or taking

any response action under this title, or otherwise enforcing the provisions of this title."

Access Attempts:

First: 07//8/OG Second: Third:
List of existing Conditions Pg- of.

Property Address: ^l| O2~ . 8~~

Owner:

Description:

/j . &QU ~2. fl Date:: O7fB/°t O7[fB/ * OLSID#

ier Signature:

Print A Sign

ASW Associates Inc

PriAjf& Sign
406

Owner Name:

Address: 2102 S 8 ST

Phone: H: _

Omaha Lead Site

Site Sketch

W:

Exterior Paint

0 Good

D Poor

Q Not paint

North Arrow

t

Sample Number

RYASCPXA-406 YA

RYBSCPXA-406 YB

RYCSCPXA^OS YC

RYDSCPXA-406 YD

RDZSCPXA-406 DZ

RGZSCPXA-406 GZ

RPZSCPXA-406 PZ

Lead

Concentration

431.6 ppm

404 ppm

1149.6 ppm

420 ppm

940.8 ppm

ppm

(o'Lio ppm

Sample

Collected

0

D

D

LAB

a

a

a

a

0

a

a

Number of Samples - 5 1

Samples Collected

Firm: Sverdruo

Date:

Time:

Samples Analyzed

XRFUnit:

Date: 4/10/1999

Time: 10:32

Staff:

Book:

Legend: YA = Yard (NE), YB = Yard (SE), YC = Yard (SW), YD = Yard (NW), DZ = Drip Zone, GZ = Garden, PZ = Play

Rev 4 0461410)23