TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: <?m?> l Date: ^-'^C^-Q ^ 

Address: MS^ U T>raVur S]-

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS 

Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Q^'^ Video ofproperty (DVD) 

B Executive Siunmary 

S<^^ Signed Access Agreement for subject property 

•Q""^ Painting Agreement 

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

0 - ^ Photographs flajfiriL,/^Jld Q(P / 

S"^""^ Satisfactory restoration signed by Property Owner 

B^^^ Property close-out check list signed by EPA 

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

^sy"^ confirmation that lead pamphlet "Renovate Right" was received by P0_ 

D 

'-' 30203852 

D 

Superfund 

Professional Environmental Engineers Signature Date 
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# 81431 

4526 Decatur St 

• Dates worked: 06/17 to 06/19 2009 

• Pre property condition: House was in fair condition with flaking paint of sofflt areas 

and garage. 

• Problems encountered: None 

• Owner request/concerns: Garage was the only thing owner wanted painted. 

• Inspection/closeout dates: Owner signed 07/14 EPA 7/17/09 No issues 
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: gM?^ \ 

Property Address: M^^^l o T>e.Ci?vTlir L^-^^ 

Owner'sName: T^ D fxa l dl "Ttm^ ^ 

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 l / 

garages. 

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

two top coats? \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 surrounds the structure(s) in reasonably good condition? \ ^ 

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 

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 

l y that need to be moved back? 

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

been left unresolved? y 

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

ayJy?!/uj6^^^usX^ 

EPA COR Signature 
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: '^m'g> \ 

Property Address: L^ '^'^ l (^ T^f^rr^hj r .^rfOwner'sName: I^nc i I cfe . I g^rvO.S 

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, colunms, rails, and exterior surfaces of 

garages. x 

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

3. Were all required areas ofthe 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? X 

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 A 

other generated debris? 

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

barrier tape, etc. properly removed? X 

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. < ^ ^ K

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

that need to be moved back? 

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

been left unresolved? 

Comments: 

/5^. z^^y 

Property Owner 

y-zv-o? 

Professional Enviromental Engineers Representative Date 
Z. ^^' ^ 

CONSENT OFR ACCESS TO PROPERTY 


OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: ^|L|^ ) PROPERTY ADDRESS: VS^ C Pec^i-C4,<r- ^ 

OWNER NAME uwr<ibK PiAraiJ/: / / 

\ r^Cy^XrV "t^OC\P^ DAYTIME PHONE: i ^ O j J " O f <^ 7 

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 were 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. 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. 

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 Remedhil 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). 

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

"RenovotB Right. Important Laad hj^nraUon for Fandlies, Child given the pamphlet 'Rmovale RIgM, Important Lead 

^ (D^J M . / Informationfor Families, Chllde Care Provlden, and Schools." 

Signature / / Date ^ Signature Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
C@Mm^k'^®if^ ©if (^@(g®ipS ©f Lmi^ P&imphM 

PlK)PEinY ADDRESS OF OVVNiR IF DIFFEREirr im N m 

PROPERTY ADDRESS ___aPCOD E 

t have received a copy of ihe pamphlet. Aamwrts RI!BI«± IflVX ^ 

C h M C m Piwlth n And Seftoob Infomiing me of the potentia! risk of tha lead hazard exposure from 

renovation activjiy to be peribmied on dwelling unit i reoeived this pamphlet l)elbre the work l)egan. 

•£ 

/D^ifr9/J Ldo^eS s 

PROfTEDNAIIE OF RECIPIENT ^ DATE 

SsH^^erflllcalkm 0|«o n (ForT0iiant<)cciipM Di ^ 

If the toad pamphlet Mm (jMivered twt a tanant signalure was not obtainedito. you may Check the a^ ^ 

bekMR 

Q RfllUsal To Sign-I certify that I have made a good faith effort to deliver the panvhlatren ^ 

lead hazBid Infomiatkmfor families. dilM care provMere and schools; b therental dwe ^ 

dato and time Indicated and that the occupant refused to sign the oonfbmation of iBoeipL I forther certify that I 

have left a copy of the pamphlet at tiie unit with occupant 

U Uiwrailahl^orSlanature-loBrtifythatlhavemadeagoodfaihelforttodelW^ 

Important lead hazanl Infonnation for fomllles, chM care pravMere and achoQis, to the lenM d^ ^ 

bekiw and that the occupant was unavailableto aign the oonfirmatfon of iBOBlpL I further certify Ihat I have left a 

copyofthepamphletattheunitbyslUingltunderthedoororaomewhereonthfipramlses. 

PRMTEDNAMEOPffiRaONCERTIFYlN EOPffimONI Q ATTEMPIGD OEUVERY DME AND TIME LEAD 

nAMPHLETDeUVERY 

anHATUREOv^ERSONCERTIFYmO LEAD PAMPHLET DEUVERV: 

Nqto Rsgvdtag ItaHlns 0|4fon - as an aflsmallve to dfifiveiy h psfBon. you ^ 

andtortanant Pamphlst must be mded at least 7 days before renovafkm. (Dooument dih a (xrtBcdto of iraflhgtian the post 

cAs). 

CONRMMTIONOFRECEIPrOFtEAOPAUPHLET 08ne 
•I W ^ 

\M> ; 

F/s\BWSmiflL8I^TII©li^ rai^f'TOPi^TiT ^J mmT 

mE^oqaoEiNG ooNnmoH^ip rou^ 

MNO A I 1 VM I 1 nv.YES WHERE: 

EXISnm PAINT ON WINMMfS^ MORS^ roUND^^ 

VISUAL OeSCRIFnON OP nOPERTf/I i): (U K BACK m e v 

O f J - ^'^^^fr . . ^ £ 

PEAGeeeaeieMwawE 
I PMMf MMm A^ 

DATE 

AIU5A(5) TO BE PAINTED: 

HOUSE PROPERS. A ^ 

HOUSETRIM _ >1£.___^C0U)R__^ 

U^A - cxmm Am ^ 

QARMETRDi 

•nagHTMM Iv O .COLOR. 

I AGREE TO THE GOLORS LISTED ABOVE. ONCE PAUniNG BEGUIS^ I 

UNDERSTAND I CAN NOT CHANGE THE ABOVE SELECTED GOLORS: 

PAgs«Tii9ATBHraneaa»M 
Douglas County Accoimt Information Page 1 of2 

^ 14^1 

Douglas County, Nebraska Property Record - R2147090000 

Print Report 

NEW Feature - Parcel Dimensions available (Si scale 0-50 ft west of S2nd St - ViO W Oi l Ma D Information is valid as of 2009-6-3 Treasurer's Tax Report 

New Feature •••*- • Auto Sales Search 

Owner 

JONES DONALD L O^M^W - r-^- ^ C~i00 4 ETAL TR V^ ^ g 3 -3^1 ^t ^ 

4526 DECATUR ST 

OMAHA NE 68104-0000 

Property Informatio n 

Key Number: 4709 OOOO 21 

Account Type: Residential 

Parcel Number 2147090000 

Parcel Address: 4526 DECATUR ST 

OMAHA NE 68104-0000 

Legal Description: SAUNDERS & HIMEBAUGHS ADD LOT 15 BLOCK F E 50 FT LT 13 & 14 & S 1 E 

50FTLT12&W15S101 FT 

Value Informatio n 

Land Improvement Total 

2009 

2008 

2007 

2006 

2005 

2004 

$6,500.00 

$6,500.00 

$6,500.00 

$6,500.00 

$6,500.00 

$6,500.00 

$72,500.00 

$72,500.00 

$72,500.00 

$72,500.00 

$49,600.00 

$49,600.00 • 

$79,000.00 

$79,000.00 

$79,000.00

$79,000.00 

$56,100.00 

$56,100.00 

. 

Sales Informatio n 

• • 

Sales Date: 2006-08-23 

Deed Type: WD Book: 2006 Page: 097491 

Price: $0.00 

Grantor Jones Donald L etal 

Grantee: Jones Donald L etal Trustees 

Valid/Invalid: Invalid 

Exclusion Reason: Family Sale 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.15 6565.0 1.0 101.0 65.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R214... 6/9/2009 
Douglas County Account Information Page 2 of 2 

Building 1 

f/.it 

&^4^ M 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1604,0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: : Central Air to Air Rooms: 8.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Batlis: 1.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gambrel Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1895 0% 1895 113 

Detail Type Detail Description Units 

Appliance Allowance 1.0 

Appliance Fireplace Metal 1.0 

Basement Bsmnt Block 8 ft 400.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Detached 240.0 

Porch End Screen 44.0 

Porch Open Slab 200.0 

Porch Slab Roof Ceil 140.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R214... 6/9/2009