### TRANSMITTA L o f OMAH A LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R SAID# : <?m?> l Date : ^-'^C^-Q ^ 

# Address : MS^ U T>raVu r S]
- Remediatio n Contractor : PROFESSIONA L ENVIRONMENTAL ENGINEER S Year : 200 9 PAINT STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S Q^' ^ Vide o ofpropert y (DVD ) B Executiv e Siunmar y S<^ ^ Signe dAcces s Agreemen t fo r

subjec t propert y
• Q"" ^ Painting Agreemen t D Settlemen t document s (i.e. , fo r

dtoiag e o r

t

o replac e plants , etc. ) 0 - ^ Photograph s flajfiriL,/^Jl dQ(P / S"^""^ Satisfactor y restoratio n signedb y Propert y Owne r B^^ ^ Propert y close-ou t chec k

lis t signedb y EP A ^y' ^ Propert y information fro mDougla s Count y Assessor' s Office ^sy" ^ confirmation tha t lea dpamphle t "Renovat e Right " was receive dby P0 _ D '- ' 3020385 2 D Superfun d


### Professiona l Environmenta l Engineer s Signatur e Dat e250 5 Nort h 24* , Suit e 21 9 Omaha , N E 6811 0 (402 ) 504-468 8 Fa

x(402 ) 504-328 1 

## PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC
. "Providin g cost-effectiv e environmenta l solutions " Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc y Respons e



### LeadBas e Stabilizatio n Omaha , N e Clos e Ou t Report 200 9 SAID#8143 1 452 6 Decatu r S t

•Date s worked : 06/1 7 t o 06/1 9 200 9 •Pr e propert y condition : Hous e wa s i n fai r conditio n wit h flaking pain t o

f

soffl t area s an dgarage . •Problem s encountered : None •Owne r request/concerns : Garag e wa s th e only thin g owne r wante dpainted . •Inspection/closeou t dates : Owne r signe d07/1 4 EP A 7/17/0 9 N o issue s

## PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC
. "Providin g cost-effectiv e environmenta l solutions " Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc y Respons e 

### EP A Close-Out For m (Lead-BasedPain t Stabilizatio n EP A Contract EP-R7-08-06 ) SAID : gM?^ \ Propert y Address : M^^^l o T>e.Ci?vTli r L^-^ ^ Owner'sName : T^ D fxa l d l "Ttm^ ^ Performanc e Standards/Close-Ou t Criteri a 250 5 Nort h 24 ^ Suit e 21 9 Omaha , N E 6811 0 (402 ) 504-468 8 Fa

x(402 ) 504-328 1

YE S N O 1 . Wa s th e entir e structure(s ) painte dwith th e exceptio n ofth e stated , exclude d areas ? Thi s woul dinclud e paintin g o f othe r associate dfeature s includin g fascia , eaves , siding , al l trim , porches , bo x beams , columns , rails , an dexterio r surface s o f l / garages . 2 . Wa s al l scrapin g an dotherpreparatio n wor k

complete dsatisfactorily ? 

# y 3 . Were al l require darea s ofth e structure(s ) prime da s neede dan dpainte dwith tw o to p coats ? 

# \ y 4 . Wa s th e pain t product s utilize dequivalen t t o a3 0 year product/quality ? 

## y 5 . Ar e al l ofth e area s wher e contaminate dmaterial s hav e bee n spille dthoroughl y vacuumed / cleaned ? 

# y 6 . Di dth e contracto r collect/vacuu mal l fallin g an dscrape dpain t chip s o n th e entir e property , roadways , alleyways , publi c acces s area s an dals o remov e an y 

# y othe r generate ddebris ? 7 . I s th e gras s are atha t surround s th e structure(s ) i n reasonabl y goo dcondition ? \ ^ 8 . Ar e al l item s suc h a s polyethylen e sheeting , ladders , pain t brushes , cones , barrie r tape , etc . properl y removed ? y ^ 9 . I s ther e an y evidenc e ofpropert y damag e tha t was don e b y th e contractor ? An y property damag e need s t o b e complete dprio r t o th e EP A Close-Out . 

## \ y 10 . Ar e ther e an y property item s tha t wer e temporaril y re-locate db y th e contracto r l y tha t nee dt o b e move dback ? 11 . Ar e ther e an y (known ) lingerin g issue s with th e property owner(s ) tha t hav e bee n lef t unresolved ? 

# y Othe r Considerations/Property Owne r Discussions/Additiona l Wor k

tha t i s Required :


# ayJy?!/uj6^^^usX ^ EP A CO RSignatur e

## PROFESSIONA L 250 5 Nort h 24 ^ Suit e 21 9 

## ENVIRONMENTA L ENGINEERS , INC
. Omaha , N E 6811 0 (402 ) 504-468 8 "Providin g cost-effectiv e environmenta l solutions " Fax (402 ) 504-328 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc y Respons e 

### Propert y Owne r Close-Ou t For m (Lead-BasedPain t Stabilizatio n EP A Contract EP-R7-08-06 ) SAID : '^m'g>\ Propert y Address : L ^ '^'^ l (^ T^f^rr^hjr .^rf
Owner'sName : I^nc i I cf e . I g^rvO. S Performanc e Standards/Close-Ou t Criteri a YE S N O 1 . Was th e entir e structure(s ) painte dwit h the exception ofth e stated , excluded areas ? Thi s wouldinclude paintin g o f othe r

associate dfeature s includin g fascia , eaves , siding , all trim , porches , box beams , colunms , rails , an dexterior surface s of garages . 

# x 2 . Was all scraping andothe r

preparatio n wor k

completedsatisfactorily ? 

## J L 3 . Wer e all require darea s ofth e structure(s ) primeda s neededandpainte dwit h tw o top coats ? 4 . Was th e pain t product s utilize dequivalen t to a3 0 yea r

product/quality ? ^ 

### 5 . Ar e all ofth e area s wher e contaminate dmaterial s hav e been spille dthoroughly vacuumed / cleaned ? 

# X 6 . Didthe contractor collect/vacuumall falling andscrapedpaint chip s on th e entir e property , roadways , alleyways , publi c acces s area s an dals o remov e an y 

# A othe r

generateddebris ? 7 . I s the gras s are atha t surrotmd s th e structure(s ) in reasonably goo dcondition ? 

## J C 8 . Ar e all item s suc h a s polyethylene sheeting , ladders , paint brushes , cones , barrie r

tape , etc . properly removed ? 

## X 9 . I s ther e an y evidenc e ofpropert y damag e tha t wa s done by th e contractor ? An y < ^ ^ 

# K propert y damag e need s t o b e complete dprior to th e EP A Close-Out . 10 . Ar e ther e an y propert y item s tha t wer e temporarily re-locate db y th e contractor 

# K tha t needto b e movedback ? 11 . Ar e ther e an y (known) lingerin g issue s wit h th e propert y owner(s ) tha t hav e 

# X bee n lef t unresolved ? Comments : 

# /5^ . z^^ y Propert y Owne r 

# y-zv-o ? Professiona l Enviromenta l Engineer s Representativ e Dat e

## Z . 

## ^^' ^ 

# CONSEN T OF R ACCES S T O PROPERT Y OMAHA LEAD SIT E REMEDIA L ACTIO N - LEAD-BASE D PAIN T STABILIZATIO N PROPERT Y ID : ^|L|^ ) PROPERT Y ADDRESS : VS^ C Pec^i-C4,<r
- ^ OWNE RNAM E uwr<ib K PiAraiJ/ : / / 

### \ r^Cy^Xr V

"t^OC\P ^ DAYTIM E PHONE : i ^ O j J " O f <^ 7 CELLPHONE : E-MAIL : OWNER' S ADDRES S I FDIFFERENT : TENANT' S NAME I FAPPLICABLE : DAYTIM E PHONE : CELLPHONE : E-MAIL : Professiona l Environmenta l Engineers , Inc . (PE ) i s unde r contrac t (#EP-R7-08-06 ) wit h th e U.S . Environmenta l Protectio n Agenc y (EPA ) t o stabiliz e lea dbase dpain t (LBP ) on residentia l structure s a t anumbe r o

f propertie s locate din Omaha , Nebraska . Th e pain t stabilizatio n wor k

i s bein g don e t o protec t th e soi l cleanup s tha t were performe db y EP A contractors . Pain t stabilizatio n activitie s will include : scrapin g o f cracke do r flakin g LB P fromstructures , applicatio n of aprim e coat an d tw o (2 ) coat s of pain t Moving part s of window s an ddoor s ar e no t include dan dwill no t b e addressed . Your cooperatio n i s requeste din givin g permissio n t o thi s EPA contracto r (PE ) t o ente r an dhav e acces s t o thi s propert y for th e purpos e o f stabilizin g lea d-base dpain t a s outline do n th e propert y identifie dabove . B y signin g thi s documen t I agre e t o allo w a n EPA contracto r t o conduc t asoil cleanu p a t m y propert y following completio n o f lead-base dpain t stabilization . I understan dtha t th e stabilizatio n contracto r can no t provid e assurance s tha t th e soi l cleanu p contracto r wil l b e boun dto . I furthe r understan dtha t th e soil cleanu p contracto r will mak e al l reasonabl e effort s t o addres s concem s tha t I , a s th e property owner , ma y hav e regardin g soil cleanu p a t m y property . I full y understan dtha t b y signin g thi s Consen t for Access , (1 ) thi s acces s will remai n i n effec t unti l th e work ha s been satisfactoril y completed , (2 ) tha t th e Propert y Owne r o r Tenant , i f applicable , will b e give n th e Housin g an dUrba n Developmen t (HUD ) an dEPA pamphlet , "Renovat e Right , Importan t Lea dHazar dinformatio n for Families , Da y Car e Providers , an dSchools" , (3 ) th e Propert y Owne r o r tenan t will remov e al l obstruction s fromsurface s t o b e painted , (4 ) will abid e by healt h an dsafet y guidanc e provide db y EPA , (5 ) will allo w photograph y ofpropert y befor e an dafte r th e pain t stabilizatio n work , (6 ) will b e contacte dby aP E representativ e approximatel y 4 8 hour s in advanc e of startin g work , (7 ) agre e no t t o obstruc t o r tampe r wit h an y ofth e LB P stabilizatio n actions , an d(8 ) will participat e i n fina l propert y inspectio n an d sign th e Completio n Agreement an dPropert y Owne r Satisfactio n Survey . Shoul dyo u hav e an y question s abou t th e plane dLeadBased-Pain t stabilizatio n activitie s for you r property , pleas e contac t Professiona l Environmenta l Engineers , Inc . Projec t Manager , Willi e Clay At402-504-4688 . Genera l question s abou t th e Omah aLeadSit e cleanu p ca n b e directe dt o Paulett aFrance-Isetts , EP A Remedhi l Projec t Manage r 402-731-2454 , o r th e EP A Publi c Informatio n Center s a t 402-991-958 3 (Nort h Omah aoffice) o r 402-731-304 5 (Sout h Omah aoffice) . Yes , I gran t acces s t o m ypropeit yan d wa s give n th e pamphle t D No , I d o no t gran t acces s t o m ypropert yan d iwa s "Renovot B Right . Importan t Laa d hj^nraUo n fo rFandlies , Chil d give n th e pamphle t 'Rmoval e RIgM , Importan t Lea d ^

(D^ J M . / Informatio n for Families , Chlld e Car e Provlden , an d Schools. " Signatur e / / Dat e ^ Signatur e Dat e SPECIA L INSTRUCTION S AN D CONSIDERATION S

## C@Mm^k'^®if ^ ©i f

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PlK)PEin Y ADDRES S O F OVVNi R I F DIFFEREir rim N m PROPERTY ADDRES S ___aPCOD E t hav e received a cop yo f ih e pamphlet . Aamwrt s RI!BI« ±IflVX ^ C h M C m Piwlth n An d Seftoo b Infomiin g m e o f th e potentia ! risk o f th a lea d hazar d exposur e fro m renovation activji yt o b e peribmie d o n dwellin g uni t i reoeived thi s pamphle t l)elbr e th e wor k l)egan
. 

# •

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. dil M car e provMer e an d schools ; b th e rental dwe ^ dat o an d tim e Indicate d an d tha t th e occupan t refuse d to sig n th e oonfbmatio n o f iBoeip L I forthercertif ytha t I hav e lef t a cop yo f th e pamphle t a t tiie uni t wit h occupan t U Uiwrailahl^orSlanature-loBrtifythatlhavemadeagoodfaihelforttodelW ^ Importan t lea d hazan l Infonnatio n forfomllles, ch M car e pravMer e an d achoQis , to th e len M d^ ^ beki wan d tha t th e occupan t wa s unavailabl e to aig n th e oonfirmatfo n o f iBOBlp L I furthe rcertif yIha t I hav e lef t a copyofthepamphletattheunitbyslUingltunderthedoororaomewhereonthfipramlses
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. yo u ^ andtortanan t Pamphlst mus t b e mde d a t leas t 7 day s befor e renovafkm. (Dooument di h a (xrtBcdto o f iraflhgtia n th e post cAs)
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### I AGRE E T O TH E GOLOR S LISTE D ABOVE
. ONC E PAUniN G BEGUIS^ I UNDERSTAN D I CA N NO T CHANG E TH E ABOV E SELECTE D GOLORS :

PAgs«Tii9ATBHraneaa»MDougla s County Accoimt Informatio n Pag e 1 of 2 

# ^ 

# 14^ 1 Dougla s County , Nebrask a Propert y Recor d - R214709000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e (S i scal e 0-5 0 f t wes t o f S2n d S t - ViO W Oi l Ma D Informatio n i s vali d a s o f 2009-6- 3 Treasurer' s Ta xRepor t Ne w Featur e •••*- • Aut o Sale s Searc h Owne r JONE S DONAL D L O^M^W - r-^- ^ C~i00 4 

### ETA L T R V ^ ^ g 3 -3^ 1 ^t ^ 452 6 DECATU R S T OMAH A N E 68104-000 0 Propert y Informatio n Ke y Number : 470 9 OOO O 2 1 Accoun t Type : Residentia l Parce l Numbe r 214709000 0 Parce l Address : 452 6 DECATU R S T OMAH A N E 68104-000 0 Lega l Description : SAUNDER S & HIMEBAUGH S AD D LO T 1 5 BLOC KF E 5 0 F T L T 1 3 & 1 4 & S 1 E 50FTLT12&W15S10 1 F T Valu e Informatio n Lan d Improvemen t Tota l 200 9 200 8 200 7 200 6 200 5 200 4 $6,500.0 0 $6,500.0 0 $6,500.0 0 $6,500.0 0 $6,500.0 0 $6,500.0 0 $72,500.0 0 $72,500.0 0 $72,500.0 0 $72,500.0 0 $49,600.0 0 $49,600.0 0

• $79,000.0 0 $79,000.0 0 $79,000.0 0 $79,000.0 0 $56,100.0 0 $56,100.0 0 .

Sale s Informatio n

• • Sale s Date : 2006-08-2 3 Dee d Type : W D Book : 200 6 Page : 09749 1 Price : $0.0 0 Granto r Jone s Donal d L eta l Grantee : Jone s Donal d L eta l Trustee s Valid/Invalid : Invali d Exclusio n Reason : Famil y Sal e Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 5 6565. 0 1. 0 101. 0 65. 0 N o Improvemen t Informatio n http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R214. . . 6/9/200 9Dougla s Count y Accoun t Informatio n Pag e 2 o f 2
Buildin g 1

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&^4^ M CLIC KT O ENLARG E IMAG E CLIC KT O ENLARG E IMAG E Squar e Footage : 1604, 0 Percen t Complete : 100.0 % Perimete r0. 0 Quality : Averag e Uni t Type : Condition : Averag e

Buil t As : 2 Stor y Cond o Squar e Footage : 0. 0 HVAC : : Centra l Ai rt o Ai r Rooms : 8. 0 Exterior : Fram e Viny l Units : 1. 0 Interior : Drywal l Batlis : 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

Roo f Type : Gambre l Stories : 2. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 189 5 0 % 189 5 11 3 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Applianc e Fireplac e Meta l 1. 0 Basemen t Bsmn t Bloc k 8 f t 400. 0 Fixtur e Bas e Fixture s 1.0 Fixtur e Bat h Ful l 1. 0 Garag e Detache d 240. 0 Porc h En d Scree n 44. 0 Porc h Ope n Sla b 200. 0 Porc h Sla b Roof Cei l 140. 0

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R214. . . 6/9/200 9