TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: ;^^O l Date: ^-^'Q ^ 

Address: D^c>^ IjxnmQr t Ave 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

y ^ Video of property (DVD) ppg ^ 

Q y Executive Summary 

[y ^ Signed Access Agreeriient for subject property 

^^ y Painting Agreement 

D Settlement documents (i.e., for damage or to replace plants, etc.) 

& ^ Photographs j)g^>/p n^prl /jp/i ^ 

ffl^^ Satisfactory restoration signed by Property Owner 

^ y Property close-out check list signed by EPA 

^y ^ Property information from Douglas County Assessor's Office 

HI— confirmation that lead pamphlet "Renovate Right" was received by P0 _ 

D 

D • 

D 

Professional Environmental Engineers Signature Date 

lo_ ^ EPA Signatur Ignature e Date

30056278

•01 

Superfund 
2505 North 24^80116 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# 35501 

2204 Larimore Ave 

• Dates worked: 07/24 to 07/27 2009 

• Pre property condition: House had vinyl siding and the only areas of paint were on the 

porch ceiling and soffit areas, all areas were poor with flaking paint. 

• Problems encountered: None 

• Owner request/concerns: N/A 

• Inspection/closeout dates. Owner signed 07/27 2009. EPA signed 08/07 2009. 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

EPA Close-Out Form 

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

SAID: 3550 

PropertyAddress: ^DO'A ^ I Cinmr^f-e . t\J e 

Owner'sName: ^\rhnrc \ TToOlYia S 

Performance Standards/Close-Out Criteria 

2505 North 24^ Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

YES NO 

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

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

eaves, siding, all trim, porches, box beams, columns, rails, and exterior surfaces of y garages. 

2. Was all scraping and other preparation work completed satisfactorily? y 3. Were all required areas ofthe structure(s) primed as needed and painted with 

two top coats? t y 

4. Was the paint products utilized equivalent to a 30 year product/quality? y 5. Are all ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? y 

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 y other generated debris? 

7. Is the grass area that surroimds the structure(s) in reasonably good condition? y 8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, 

barrier tape, etc. properly removed? y 

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

t y 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? t y 

11. Are there any (known) lingering issues with the property ovmer(s) that have y been left unresolved? 

Other Considerations/Property Owner Discussions/Additional Work that is Required: 

^y/^^yM^y< 

PA COR Signature 

Date 
2505 North 24^ Suite 219 

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: 3^^^/ 

PropertyAddress: ^-<^0 ^ LyXCc/ ^ O^Jt ^ Ar/Pt ^ 

Owner'sName: iSt ^QJX f\(2^L^ 'Tl^rOnAA- ^ 

Performance Standards/Close-Out Criteria YES NO 

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

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

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

garages. 

2. Was all scraping and other preparation work completed satisfactorily? y 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 ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? —I—: _ 

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 J other generated debris? 

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

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: 

jy^^y—yyn!iV^'-srf^ ^ f 

'roperty Owner Signature Date X ( 

—yy^ ^ 7 - ^ A ^J^ 

Date Professional Envipwunental Engineers Representative 
CONSENT FOR ACCESS TO PROPERTY 


OMAHA LEAD SITE REMEDIAL ACTION -LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: 3^^^ \ PROPERTYADDRESS: 0^0 ^ l^Cy^^Of- ^ ^Q ^ 

y\c\\oyyS^ "f^^pvYias DAYTIME PHONE: ^zSy^^^^ j 

CELLPHONE: E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 

CELLPHONE: E-MAIL: 

Professional Environmental Engineers, Inc. (PE) is under contract (#EP-R7-08-06) with the U.S. Environmental Protection 

Agency (EPA) to stabilize lead based paint (LBP) on residential structures at a number of properties located in Omaha, 

Nebraska. The paint stabilization work is being done to protect the soil cleanups that are being performed by EPA contractors. 

Paint stabilization activities will include: scraping of cracked or flaking LBP from structures, application of a prime coat and two 

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

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

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

By signing this document I agree to allow an EPA contractor to conduct a soil cleanup at my property following completion of 

lead-based paint stabilization, if the soil cleanup has not already been performed. I understand that the stabilization contractor 

can not provide assurances that the soil cleanup contractor will be bound to. I further understand that the soil cleanup 

contractor will make all reasonable efforts to address concems that I, as the property owner, may have regarding soil cleanup at 

my property. 

^ Yes, I hav&nad and understand the Daragra|$h above. 

signature of Property Owner Date 

I fully understand that by signing this Consent for Access, (1) this access will remain in effect until the work has been 

satisfactorily completed, (2) that the Property Owner or Tenant, if applicable, will be given the Housing and Urban Development 

(HUD) and EPA pamphlet, "Renovate Right, Important Lead Hazard information for Families, Day Care Providers, and 

Schools", (3) the Property Owner or tenant will remove all obstructions from surfaces to be painted, (4) will abide by health and 

safety guidance provided by EPA, (5) will allow photography ofproperty before and after the paint stabilization work, (6) will be 

contacted by a PE representative approximately 48 hours in advance of starting work, (7) agree not to obstruct or tamper with 

any ofthe LBP stabilization actions, and (8) will participate in final property inspection and sign the Completion Agreement and 

Property Owner Satisfaction Survey. 

Should you have any questions about the planed Lead Based-Paint stabilization activities for your property, please contact 

Professional Environmental Engineers, Inc. Project Manager, Willie Clay At 402-504-4688. General questions about the Omaha 

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

Information Centers at 402-991-9583 (North Omaha office) or 402-731-3045 (South Omaha office). 

4 Yes, I grant access to my property and was given the pamphlet D No, I do not grant access to my property and I was 

Renovate Right Important Lead Information for Famiiies, Child ghren the pamphlet "Renovate Right, Impoitant Lead 

Caffii Providers Providers,, anand Schools. Schools."" Infomiation for Families, Chiide Care Providers, and Schools." 

Signature Date Signature Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
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D«uglas County Account Information Page 1 of2 

Douglas County, Nebraska Property Record - R1133240000 

Print Report 

NEW Feature - FParcel Dimensions available ® scale 0-50 ft west of 52nd St - Vle W OH Ma D Information is valid as of 2009-6-16 Treasurer's Tax Reoort 

New Feature ->-•• • Auto Sales Search 

Owner 

THOMAS RICHARD 

2204 LARIMORE AVE 

OMAHA 9^ -?3g^  NE 68110-0000 

Property Informatio n 

Key Number 3324 0000 11 

Accoun t Type: Residentia 

ParcelN umber 11332400C 10 

Parcel Address: 2204 LARIMORE AV 

OMAHA NE 68110-0000 

Legal Description: FORDS SARATOGA LOT 14 BLOCK 0 E 1 FT LT 1 & ALL 44 X 135 

Value Informatio n 

Land Improvement Total 

2009 

2008 

2007 

2006 

2005 

2004 

$2,500.00 

$2,500.00 

$2,500.00 

$2,500.00 

$2,500.00 

$2,500.00 i 

$51,000.00 

$51,000.00 

$51,000.00 

$51,000.00 

$6,300.00 

$5,700.00 

$63,500.00 

$53,500.00 

$53,500.00 

$53,500.00 

$8,800.00 

$8,200.00 

Land Informatio n 

Acres \ SF Units Depth Width Vacant 

0.13 5940.0 1.0 135.0 44.0 No 

Improvemen t Info r mation 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accoimtno=R113... 7/8/2009 
D«uglas County Account Information Page 2 of2 

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Square Footage: ; 1835.0 Percent Complete: 100.0% 

Perimeter i 0.0 Quality: Fair 

Unit Type: Condition: Fair 

BuiitAs: \ 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 9.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Connposition Shingle Bedrooms: 4.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1900 0% 1900 109 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 1235.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Porch Slab Roof Ceil 48.0 

Porch Slab Roof Ceil 24.0 

Porch Slab w/Steps 9.0 

User Attic Full Finish 600.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R 113... 7/8/2009