TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID: 20208 Date: 12/26/2008 

Address: 1320 TURNER BLVD 

Stabilization Contractor: Prudent Technologies Year: 2008 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) ' 

Executive Siimmary 

Signed Access Agreement for subject property 

Painting Agreement > 

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

u Photographs 

u Satisfactory restoration signed by Property Owner 

D Property close-out check list signed by EPA 

Property information from Douglas County Assessor's Office 

D 

D 

D 

SiiL Signature / ^ ^ 

40312902 

iilMlii 

Superfund 
PROPERTY SUMMARY 

Date: 12/27/08 LBP STABILIZATION EPA CONTRAT EP-R7-08-07 Month of: December 

Property Address: 1320 TURNER BLVD SAID: 20208 | 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: Property will need to be finished in Spring of 2009. 

A2 Issues Resolved: 

A 3 Unique Findings: NONE. 

A.4 Other Relevant Information: 

Access Date: 11/15/08 

Work Began: 11/23/08 

CloseoutDate: 11/28/08 

Enclosures: 

1. Pre-Video 

2. Post-Video 

3. Property Status Form 

4. Signed Access Agreement 

5. Pre-Renovation Form 

6. Paint Match Form 

7. Tracking Form 

8. Douglas County Assessor Property Information Page 

9. EPA Property Closeout form 

10. Property Completion Agreement 

TECHNOLOGIES, INC. 
ENVIRONMENTAL & 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

_ Property Status Form 

Address: / 3'? 0 l^^rns^if f5Wc(- Date: //V ^ ' <^^ 

Phone: , , ^ _ ^-7 BVID: 20'20 3 

ce// m^^fz-^lf^ 

Plant & Permanent Landscaping To Remain In Place 

Item# 

Description and Location ,

On Map 

Pre-Existing Condition of Structures 

Does your Basement have a history of leaking? Yes -— No - ~ 

Item# Description & Location 

On Map 

Property Owner Prudent Employe imploye e 

Signaturer>^^ ..,, ^ . . Signature: ^Zz^;^ /ty^Z^^^i^^i^ 

8080 Ward Parkway, Sidte 405 2505 N. 24"^ Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402)504-1004 DK.<«n*. I'iAIW Oi l n«s a 
2C20? 

Prudent Technologies, Inc. (Prudent) is under contract (Contract # EP-R7-08-07) with the U. S. 

Environmental Protection Agency (EPA) to stabilize Lead Based Paint (LBP) at a number of properties 

located in Omaha, Nebraska, including the property located at I ^Z70 TZx-fr^f f2\\j(\. 

The EPA requests your permission to allow Prudent to perform LBP Stabilization at this property. By 

signing this form, the property owner grants permission to Prudent to perform activities related to LBP 

Stabilization including scraping paint and painting of the referenced property. Further, the owner/tenait 

verifies that they have received die LBP pamphlet "Renovate Right." 

If you have any questions about the LBP stabilization planned for your property, please contact Prudent's 

Administrative Clerk for the Lead Based Paint Stabilization, Mrs. Deborah Akereie-Johnson. 

at (402) 504-1004. General questions about the Omaha Lead Site cleanup can be directed to the EPA 

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

office). ^ \ 

Property Access GrantediBv: I / z^rynk ->'•- R[:Zy2iLUo ^ (Please ?rint Name) < ^ _ . ­ // ^7 

Property Owner Signalure: 

• tZ l ////^/^. ^ 

(Signature) ../ / '(Date) 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner - please print) 

RESIDENT NAME: Owner Renter 

RESIDEm* ADDRESS: Z370 lyrnCZ 0/jc^. 

IF RENTAL, PROPERTY OWNED BY: •fzank J ^ /l^^^cA) 

OWNER'S MAILING ADDRESS; /^ ^ Zl/ZZl^T ^M ' , CMokc^^, /Vz f Zy^/O f 

£fl M,ui-lrA WORK: J

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER: 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: 

COMMENTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS, ENTRY GATES, ETC.) 

OWNER'S TELEPHONE NUMBER - hiOlBlE: _ i L 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented by EPA under this agreement are pursuant to Section l-M 

of CERCLA, 42 U.S.C. 9604. EPA'S right of access to the property is provided for in Section 104(e) of CERCLA, 42 U.S. C 9605(e), which provides entry 

for "determining the need for response, or choosing ortaking any response action under this title, or otherwise enforcing the provisicns of the tide." 

4242 Medical Drive, Suite 4250 2505 N. 24* Street, Suite 308 :0 Ward Parkway, Suite 405 

Omaha San Antonio, TX 78229 , Nebraska 68110 isasCity, MO 64114 Phone: (210) 822-95SR Phone: (402)504-1004 jne: (816) 363-3703 
Current Sample Pre-Bfenovation Form 

Effective until April 2010. 

Confirmation of Receipt of Lead Pamphlet 

• I have received a copy of the pannphlet, Renovate Right: Important Lead Hazard 

Information for Families, Child Care Providers and Schools informing me of 

the potential risk of the lead hazard exposure from renovation activity to be 

performed in my dwelling unit. I received this pamphlet before the woi1< began. 

PrintedigriiejBf recipient "~)..^T ^ .^ Date 

/ ,^iy ^ >-y^z>^y; ^ 

Signature of recipient 

Self-Certification Option (for tenant-occupied dwellings only) — 

If the lead pamphlet was delivered but a tenant signature was not obtainable, 

you may check the appropriate box below. 

• Refusal to sign — I certify that I have made a good faith effort to deliver the 

pamphlet. Renovate Right: Important Lead Hazard Infonnation for Families, 

Child Care Providers and Schools, to the rental dwelling unit listed below at the 

date and time Indicated and that the occupant refused to sign the confirmation 

of receipt. I further certify that I have left a copy of the pamphlet at the unit with 

the occupant. 

• Unavailable for signature — I certify that I have made a good faith effort to 

deliver the pamphlet, Renovate Right: Important Lead Hazard Information for 

Families, Child Care providers and Schools, to the rental dwelling unit listed 

below and that the occupant was unavailable to sign the confimnation of receipt. 

I further certify that I have left a copy of the pamphlet at the unit by sliding it 

under the dMfc ^ 

Printed name of person certifying Attempted delivery 

^ y date and time 

" ^ lead pamphlet delivery 

Signature of persorfcertifyin delivei iOnrcertityingg lea leadd pamphle pamphlet

t deliverv 

/ S o^O JlZy/yieZ^ side ) 

Z^Z\^<LhcLy /^ ^ 

Unit Address 

Note Regarding Mailing Option — As an alternative to delivery in person, you 

may mail the lead pamphlet to the owner and/or tenant. Pamphlet must be mailed 

at least 7 days before renovation (Document with a certificate of mailing from the 

post office). 

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paint match form' /(af^nc c^ 

Paint matching form: ^ — ^ 

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BVID: ^dSZO^ . V 

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ACCESS lMPORf^z\TioNTRAQKING SHEET 

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Cell: 4^^ -^^/ - ;?7^ ^ F^, 

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DURE I TIME I f fioessor Ccur/C r DETAIL 

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Douglas County Accoimt Inforowtio Tjl^ n Page 1 of 2 l 

Douglas County, Nebraska Property Record - R1220730000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 90th St - Vje w On Ma p Information is valid as of 2008-9-4 Treasurer's Tax Report 

New Feature ->-»-> Auto Sales Search 

Owner 

RIZZUTO FRANK J 

ETAL 

1326 TURNER BLVD 

OMAHA NE 68105-0000 

Property Information 

Key Number: 2073 0000 12 

Account Type: Multiple Res 

Parcel Number: 1220730000 

Parcel Address 1320 TURNER BD 

OMAHA NE 68105-0000 

Legal Description: GRIFFIN & SMITHS 1ST SUB LOT 4 BLOCK 2 62 X 116.7 

Value Information 

Land Improvement Total 

2008 j $6,800.00 $143,200.00 $150,000.00 

2007 $6,800.00 $143,200.00 $150,000.00 

2006 $6,800.00 $142,900.00 $149,700.00 

2005 $6,800.00 $159,600.00 $166,400.00 

2004 $6,800.00 $61,300.00 $68,100.00 

2003 $6,800.00 $61,300.00 $68,100.00 

Sales Information 

Sales Date: 2001-12-22 

Deed Type: QC Book: 2199 Page: 356 

Price: $i.00 

Grantor: 

Grantee: 

Valid/Invalid: invalid 

Exclusion Reason: NQH Bono with Doc Stamps 

Land Information 

Acres ' SF . Units Depth Width Vacant 

0.16 7192.0 1.0 116.0 62.0 No 

Improvement Informatio n 

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Douglas County Account InforjMtion Page 2 of 2 rjMii 

Building 1 

:>ai , 

1ZMQW I! 

2 STORY 

•;'•!)C m ' 

CUCK TO ENLARGE IMAGE CUOK JO E N LA RGE IMAGE 

Square Footage: 2642.0 Percent Complete: 100 0% 

Perimeter 0.0 Quality: Average 

Unit Type: End Condition: Fair 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 8.0 

Exterior: Frame Siding Units: 2.0 

Interior: Plaster Baths: 3.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Hip Stories: 2.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0 0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1910 0 0% 1910 98 

Deta/7 Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Appliance Fireplace Masonry 1.0 

Basement Bsmnt Block 8 ft 1260.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 3.0 

Porch Slab Roof Ceil 308.0 

Porch Slab Roof Ceil 66.0 

User Apartments 2.0 

User C/A units 2.0 

User Furnace 2.0 

User Meters (Elec.) 2.0 

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