TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: SS^H ^ Date: _ llllA 'O^ 

Address: Qy^L O Q><C^y^cl /^Ol ^ 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

CK''^Video ofproperty (DVD) ' 

' y Executive Summary 

^y ^ Signed Access Agreement for subject property 

y Painting Agreement 

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

y ^ Photographs \^J^ e a/uL o/^iy 

V Satisfactory restoration signed by Property Owner 

i^^y ^ Property close-out check list signed by EPA 

^Q"' Property infonnationfirom Douglas County Assessor's Office 

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

D 

D 

D 

Professiona )nalErr^^r^ntalEngineer l s Signature ym 

4do_ ' Dute 

30055033 

n 

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# 35749 

2220 Grand Ave. 

• Dates worked: 08/24 to 08/24 2009 

•

 Pre property condition: House has vinyl siding with wood painted trim areas. Paint 

chips in the yard. Front porch also in very poor condition and has flaking paint. 

• Problems encountered: N/A 

• Owner request/concerns: N/A 

• Inspection/closeout dates. Owner signed by 08/27 2009. 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: 35>^ q 

Property Address: !2ai O Qntnnd i A/ g . 

Owner'sName: Ci^nCJe . rnJL^h.k! S 

Performance Standards/Close-Out Criteria 

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. 

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

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? 

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 surrounds the structure(s) m reasonably good i 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, • barrier , . y tape tape,etcetc.properl properlyremoved 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? 

Commedls

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"iUL

^fi^U^OS. Property Owner Si 

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Date Professional EnvironjjaamSl Engineers Representative 
08/14/2099 13:39 4023395287 SERVICEONE PAGE 02/03 


CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDUL ACTION-LEAD^BASDED PAINT STABILIZATION 

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08/14/2009 13:39 4023395287 SERVICEONE PAGE 03/03 


PAINT STABILIZATION PRE-PROPERTY 

PAINT MATCH ASSESSMENT 

AREA(S) TO BE PAINTID: 

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COLOR: wi:\ wwy 

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PORCH TRIM: ^ ^A/^i^ y COLOR: 

" ^ 

(COIVIPLETE ALL 8EC110N. YES, NO, OR NON>APPLICABLE) 

I AGREE TO THE COLORS USIED ABOVE. ONCE THE FAiNTING 

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

PE ACCESOR SIQNATURE: 

^yy 
Douglas County Account Information Page 1 of2 

SS'-^VMR 

Douglas County, Nebraska Property Record - R2004190000 

Print Reoort 

NEW Feature - Parcel Dimensions available ® scale 0-50 ft west of 52nd St - VlOW OH Ma D Information is valid as of 2009-8-3 Treasurer's Tax Reoort 

New Feature -^ •^ •^ Auto Sales Search 

Owner 

JUSTUS CONCIE E M 

???.0 GRAND AVE <r> ir \ ^ ^ . \ 

OMAHA NE 68110-0000 Ci[<X 'Cko \ \ 

Property Informatio n 

Key Number. 0419 0000 20 

Account Type: Residential 

Parcel Numtier. 2004190000 

Parcel Address: 2220 GRAND AV^' M^O O 

~OMAHA-NE-681-10-0000 

Legal Description: PATRICKS SARATOGA ADD LOT 7 BLOCK G64X125 

Value Informatio n 

Land Improve ment Total 

2009 $2,100.00 $49,500.00 $51,600.00 

2008 $2,100.00 $50,600.00 $52,700.00 

2007 $2,100.00 $50,600.00 $52,700.00 

2006 $2,100.00 $50,600.00 $52,700.00 

2005 $2,100.00 $21,800.00 523,900.00 

2004 $2,100.00 $19,800.00 521,900.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.18 8000.0 1.0 125.0 64.0 No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R20... 8/11/2009 
Douglas County Account Information Page 2 of2 

2220 GRAND AV 

'm-.rr 

First Floor second Floor S2t 0 sq. It 9a409<| ft. 

a-.-«Bkjri8ll 

1 1/2 STORY FN 

CLICK _CLICItTO_ENLARGEJMAg^ TO ENLARGE IMAGE 

Square Footage: 1512.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Fair 

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

HVAC: Central Air to Air Rooms: 7.0 

Exterior: j Frame Vinyl Units: 1.0 

Interior: | Drywall Baths: 1.0 

_—. 1 Roof Cover: Composition Shingle Bedrooms: ; 2.0 

Roof Type: ' Hip/Gable Stories: I 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: ; 0.0 

Year Built 

Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1905 0% 1905 104 

Detail Type Oeta/7 Description Units 

Add On Unfinished Attic W/floor 988.0 

/Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 984.0 

Fixture Base Fixtures 

Fixture Bath Full 1.0 

Porch End Solid Wall 32.0 

Porch Slab Roof Ceil 176.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R20... 8/11/2009 
MC Services, LLC 

property Address Ig^ H fi^OM W , Date 9)1^0 (0<\ 

Start Date 

Amount Of Prime And Paint Used 

Prime (Gallons) Z 

Poly (Boxes) \ 

Paint (Color) MAV\i\:€ ^ Amount (Gallons) 

^ 

Paint (Color) l^^OC M " Amount (Gallons) 

Paint (Color) ^^^m Amount (Gallons) 

j 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons)