TRANSMITTAL of OMAHA LEAB SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: S^q^ l Date: |-lCg-l Q 

Address 4135 £rsbn ^ St : 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video ofproperty (DVD) ' 

Exeoutive Simunaiy 

Signed Access Agreement for subject property 

X Painting Agreement 

a Settlement documents (i.e., for d^nage or to replace plants, etc.) 

X Photographs pre., /^r>fl p/^ 1 

X Satisfiu;tory restoration signed by Property Owner 

D Property close-out check list signed by EPA 

Property information from Doii^las Coimty Assessor's Office 

confirmation that lead pamphlet "Renovate Right" was received by PO 

D 

D 

D 

Date 

Sigoature 4 ^ 

30054403 

r 

Superfund 
2505 North 24^ Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 57951 

4735 Erskine St. 

• Dates worked: 08/28 to 08/29 2009 

• Pre property condition: House has painted transit siding with wood trim areas; garage 

had very poor flaking paint that was flaking ofT in the yard. Paint chips all over yard 

around garage 

• Problems encountered: None 

• Owner request/concerns: N/A 

• Inspection/closeout dates. Owner signed 08/3L Inspected by PE project manager. 
PROFESSIONAL 

2505 North 24% Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE 68110 

(402) 504-4688 "Providing cost-effective environmental solutions" Fax (402) 504-3281 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Property Owner Close-Out Form 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-06) 

SAID: ^Q\b \ 

Property Address: ^ 7 7^ ^ X^/ ^ <^>yl" ^ 

Owner'sName: 

Performance Standards/Close-Out Criteria 

1. Was the entire structure(s) painted with the exception of the stated, excluded 

areas? This would include painting of other associated features including fascia, 

eaves, siding, all trim, porches, box beams, columns, rails, and exteripr surfaces of 

garages. 

2. Was all scraping and other preparation work completed satisfactorily? 

3. Were all required areas of the structure(s) primed as needed and painted with 

two top coats? 

4. Was the paint products utilized equivalent to a 30 year product/quality? 

5. Are all of the areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? 

6. Did the contractor collect/vacuum all falling and scraped paint chips on the 

entire property, roadways, alleyways, public access areas and also remove any 

other generated debris? 

7. Is the grass area that smrounds the structure(s) in reasonably good condition? 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, 

barrier tape, etc. properly removed? .. 

9. Is there any evidence ofproperty damage that was done by the contractor? Any 

property damage needs to be completed prior to the EPA Close-Out. 

10. Are there any property items that were temporarily re-located by the contractor 

that need to be moved back? " ' 

11. Are there any (known) lingering issues with the property owner(s) that have 

been left unresolved? 

Comments: 

Professional E^ronmental Engineers Representative 
CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABIUZATION 

PROPERTY ED: S^ \ ^f S I PROPERTY ADDRESS: H ^ 3 S '^r^Z\\f ^ "K^-

OWNERNAME: , y ^^- X 7 

DAYTIME PHONE: <5 S'X-'^T)^ ^ 

CELLPHONE: E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 

CELLPHONE: E-MAIL: 

ProfessioDal Environmental Engineers, Inc (PE) b nnder contract (#EP-R7-08-06) with tiie U.S. Environmental Protection 

Agency (EPA) to stabilize lead liased paint (LBP) on residaitial gtrnctnres at a nnmiier of properties located in Omaiia, 

Nebrasloi. The paint stainlization woric is being done to protect the soO deannps tliat are lidng performed liy EPA contractors. 

Paint stabilization activities wOl indnde: scraping of cracked or fialdng LBPfirom stnictnres, application ofa prime coat and two 

(2) coats of paint Moving parts of windows and doors are not indnded and will not be addressed. 

Your cooperation is requested in giving permission to tlib EPA contractor (PE) to enter and have access to this property for tbe 

purpose of stabilizing lead -iMsed paint as outlined on the property identified above. 

By signing this document I agree to allow an EPA oontractor to condnct a sofl cleanup at my property foOowiag oompldion of 

I«id-based paint stabilization, if the soO deannp has not already been performed. I understand fliat tfae stabilization contractor 

can not provide assurances tfaat tfae soil cleanup contractor wiO lie bound txi, Iftirtfaer understand that the sofl deannp 

contractor will make all reasonable efforts to address concerns ttat I, as the property owner, may have regarding sofl deanup at 

my property. 

'^^Yes.lhmsread 

^-72^'7f'^ 

Date 

I fully understandtihat by signing thb Consent for Access, (1) this access wfll remain in effect nntfl the worit has been 

satisfactorily completed, (2) that the Property Owner or Tenant, if appUcable, wfll be given the Housing and Urban Devdopment 

(HUD) and EPA pamphk^ "Renovate lUght, Important Lead Hazard Infonnation for F^uiflies, Day Care Providere, and 

Schools", (3) the Property Owner or tenant win remove aU olAtructionsfit>m surfooes to be pahited, {fS) wfll abide by healfli and 

safety gnidance provided by EPA, (5) wiO aUow photography ofproperty before and after Ae pafait stabflization woric, (6) wfll be 

contacted by a PE representative approximately 48 hours bi advance of startfaig worit, (7) agree not to obstruct or tamper with 

any of the LBP stabflization actions, and (8) wfll partkJpate ia final propoty inflection and sign tfae Completfon Agreement and 

Property Owner Satisfoction Survey. 

Should yon have any qnestions about the pfaued Lead Based-Paint stabflization activitiea for yonr prvqierty, please contact 

Professional Envuronmental Engfaieers, Inc. Project Manager, Wfllie Oay At 402-504-4688. General questkms abont the Omaha 

Lead Site cleannp can be directed to Pauletta France-Isetts, EPA Rmnedud Project Manager 402-731-2454, or the EPA Public 

Information Centers at 402-991-9583 (Nortfa Omaha offlce) or 402-731-3045 (Skiutfa Omafaa office). 

QYYes ( , I grant access to my piopei^ and was gtvm the pamphlet D No,ldonotBr«itacoesttoinypniparfyandlwn 

'Renovate ngh^ Important Laad Infonnallop for FamBas, ChU gtmn the pamphM Itenovriereght, impoitant Lead 

CarePiov tafnmation Cor RunBea, OiBda (>Hs Piovidera. and Schools.' 

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PAINT STABIL8ZATB0N PRE-PROPERTY 

PAINT MATCH ASSESSMENT 

PROPERTY ADDRESS: M^V?^ ^ €fsL\ n t F ^ DATE: ^^ l-Xi^C ^ 

BVID: 

AREA(S) TO BE PAINTED: 

HOUSE PROPER: V^s, COLOR:m 

^ii\a^ wv\ik> 

HOUSE TRIM: \ | f j 1 _ CCOLOR: \VJK(W_ , 

GARAGE: COLOR

^ 

•• (pID O

GARAGE TRIM:M COLOR: ^'OO) 

PORCH: COLOR: 

PORCH TRIM: N^ ^ pC5\M - COLOR: vAslVt 

(COMPLETE ALL SECTION, YES, NO, OR NON-APPLICABLE) 

I AGREE TO THE COLORS LISTED ABOVE. ONCE THE PAINTING 

BEGINS, I UNDERSTAND I CAN NOT CHANGE THE ABOVE SELECTED COLORS: 

PROPERTY OWNER SIGNATURE PE ACCESOR SIGNATURE: 

at^^Ui^pX ^J.A'^^^Of ^ 
- -

Douglas Coimty Account Information Page I of2 

Douglas County, Nebraska Property Record - R0532380000 

Print Reoort 

NEW Feature - Parcel Dimensions available & scale 0-50 ft west of 52nd St - ViO W O n MS D Information is valid as of 2009-8-3 Treasurer's Tax Report 

New Feature -•-•• • Auto Sales Search 

Owner 

FITZLER LARRY L 

ETAL 

4735 ERSKINE ST 

OMAHA NE 68104-0000 

Property Informatio n 

Key Number 3238 0000 05 

Account Type: Residential 

Parcel Number: 0532380000 — Parcel Address: 4735 ERSKINE S T 

OMAHA NE 6810 4-0000 

Legal Description: BAKER PLACE LOT 10 BLOCK 2 50 X 128 

Value Informatio n 

Land Improve mont Total 

y 

2009 

2008 

2007 

2006 

2005 

2004 

$6,400.00 

$6,400.00 

$6,400.00 

$6,400.00 

$6,400.00 

$6,400.00 

$48,500.00 

$48,500.00 

$48,500.00 

$48,500.00 

$33,100.00 

$33,100.00 

$54,900.00 

$54,900.00 

$54,900.00 

$54,900.00 

$39,500.00 

$39,500.00 

Land Informatio n 

Acrss SF Units Depth Width Vacant 

0.14 6400.0 1.0 128.0 50.0 No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountao=R05... 8/21/2009 
Douglas County Account Information Page 2 of 2 

t *j »e 

•"W(if -

CLICK CLICK TO ENLARGE IMAGE TO ENLARGE IMAGE 

Square Footage: 844.0 Percent Complete: 100.0% 

Perimeter i 0.0 Quality: \ Fair 

Unit Type: Condition: Average 

Built As: 1 1/2 Story Unfin Condo Square Footage: 0.0 

HVAC: -r Central Air to Air Rooms: 5.0 

Exterior: Frame Siding Units: , 1.0 

Interior: Drywall Baths: ' 1.0 

Roof Cover: Composition Shingle Bedrooms: 2.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: i 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1918 0% 1918 92 

Oeta/7 Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 840.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Detached 212.0 

Porch Slab Roof Ceil 112.0 

Porch Wood Deck 100.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 8/21/2009 
MC Services, LLC 

Property Address \ 

Amount Of Prime And Paint Used 

Prime (Gallons) I 

Poly (Boxes) 

Paint (Color) M\\M1V ^ Amount (Gallons) 9 

Paint (Color) fn(Xv(jr\(JO^ n Amount (Gallons) [ ^ 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons)