TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: IM^K<3 Date: ^-'QC^'C ^ 

Address: .^00 1 S ^^" ^ S f 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS 

Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Q ^ Video of property (DVD) 

y Executive Summary 

Q^""'^ Signed Access Agreement for subject property 

y ^ Painting Agreement 

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

[F Photographs J^fV>^ a.iA p^ T 

y ^ Satisfactory restoration signed by Property Owner 

y ^ Property close-out check list signed by EPA 

Zy ^ Property information from Douglas County Assessor's Office 

^ y _confirmation that lead pamphlet "Renovate Right" was received by P0_ 

D 

D 

D 

Professional Environmental Engineers Signature Date 

"El^A Signature Da?e ' 

30094382 iiiiii 

Superfund 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. ''' ' 'omarNE'eafio 

"Providing cost-effective environmental solutions" ^ i^°^| c^llo!? 

^ Fax (402) 504-3281 

Consulting • Engineenng Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2U09 

SAID# 14882 

3001 S 34 St 

• Dates worked: 07/02/09 to 07/06/09 

• Pre property condition: Wood siding was in fair condition in many areas with few 

areas that were poor. Owner has replaced many wood boards, Vines were covering 

areas and had to be removed prior to stabilization worii began. Prior paint splatters on 

sidewall( areas. 

• Problems encountered: None 

• Owner request/concerns: N/A 

• Inspection/closeout dates: Owner signed 07/08, EPA 07/09/09 No issues. 
PROFESSIONAL 

2505 North 24'^ Suite 219 ENVIRONMENTAL ENGINEERS, INC. Ornaha, NE 68110 

(402) 504-4688 "Providing cost-effective environmental solutions" Fax (402) 504-3281 

Consulting • Engineenng Des.gn • Roaied'Otior, • Abatament • Emeigency Respon'='e 

EPA Close-Out Form 

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

SAID: iMRR a 

Property Address: r^DD) *S. 9^" ^ S-\­

Owner'sName: M\|CD . |V\ r.&) I i \ f-^ 

Performance Standards/Ciose-Out Criteria YES NO 

1. Was the entire struclure(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 

garages. y

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? 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 

other generated debris? y 

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 of property damage that was done by the contractor? Any 

property damage needs to be completed prior to the EPA Close-Out. y y 

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 owner(s) that have 

been left unresolved? 

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

yf'/^f - // a /SJ-uejs 

yM^x^^j^j^^^^^j/'^y^ 

EPA COR Signature ' Date 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineenng Design • Remediation • Abatement • Emergency Response 

Property Owner Close-Out Form 

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

SAID: iM^a a 

Property Address: ?S&Ol S . ?.Q ^ Sf -

Owner'sName: M'l lcj& f\/[r RMA ) f^^ 

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 / 

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? v/ 

4. Was the paint products utilized equivalent to a 30 year product/quality? v/ 

5. Are all ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? y 6. Did the contractor collectyvacuum all falling and scraped paint chips on the 

entire property, roadways, alleyways, public access areas and also remove any 

other generated debris? y 

7. Is the grass area that surrounds 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 of property 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? / 

Comments: 

7/ ^ ^ 'y Property Owner Signature Datt 1

7 ' t ' ? 

Professional Ei ental Engineers Representative Date 
,W\/ 

CONSENT OFR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION ~ LEAD-BASED PAINT STABmiZATION 

2. 

PROPERTY PROPERTY ADDRESS: jofi] 5 . 3 4 * M/tc t ID: lU'X?)^ -

OWNER NAME: 

]Ai\^t.H'G->^ DAYTIME PHONE: V^^-^^''^^^ ^ 

CELL E-MAIL: rv\ll<e<v\QWtAA.<v5it.^Fa.Js. ft ^ PHONE: V^S - S ^^ 1- 0 i Q 2 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE; 

DAYTIMEPHONE: 

CELLPHONE: E-MAIL: 

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

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

Nebraska. The paint stabllizatbn 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 bc addressed. 

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

tfae purpose of stabilizing lead -based paint as outlined on the properly 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 stabilisation 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 

concerns that I, as the property owner, may have regarding soil cleanup at my property. 

I fully understand tbat by signing this Consent for Access, (I) this access wUl remain iu effect until the work has been 

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

Devekipmont (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 bc painted, (4) will 

abide by health and safety guidance provided by EPA, (5) will allow photography of property 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 flnal 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 40^991-9S83 (Norfli Omaha office) or 402-731-3045 (South Omaha office), 

y Yet, I grant acceu to my property and wat given tht pamphlet D No, I do not grant access to my property and I was 

Renovate Right, Important Lead InfoHnadon for Famlllas. Child gIvan the pamphlet "Ranovate Right, Important l^ad 

Care ProvMera, and Schooli.'' Information for Famillea, Childe Care Providart, and Schooli." 

Signtture Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 

QOCJ-N]sSNIfJN]H m :\V^i' £ 601177 I'l^ ^ 
0^[niimfi(£fl@[ni © f [^©©©opt ©f L©i©!) IPfio'&iiiplhii^il 

3oa| S.JH ^ S-fre.f.f ^PCOD|_Al!-££ -

PROPiRTY ADDRESS OF OWNER IF DIFFERENT THAN PROPERTY BEING PAINTED: 

PROPERTY ADDRESS _ m CODE 

J 

I havB lecGivad a oo()y of the pamphlet, Ruumt a SHifit ktiporlMt Laad HasartI lafonaaOon For Famllm, 

ChUd Cara Pm/hhi a And Schooli MiamUnq me of fhe potential risk of the lead hazard exposure fifom 

renovation activily to ba perfonned on dwelling unit I reoeived ihis pamphlet befbre the work began. 

rv/f^'iKc n^G^\r.t. -Ky lill^j 0 ^ 

\J n*Ti /-^WWITBttNAIIEOFRBaPIENT ^ DATE 

IGNATURE OF RECmENT 

SelNCeriificatton Option (For TenantOccupleil Dwrilinos Only) 

If the lead pamphlet was delivered but a tenant dlgnalute was not obtain^ , you may check the appropriate box 

bekm; 

Q RflfiMlTa Sign-1 ositify that I have inade a good faith effort to delhnr the pamphHre ^ 

lead hazad infomiation for femllies, chlkl caie provkiere and schools;to Ihe rental dwelHng unit listed above at the 

dale and time Indicafed and that the occupant refused to sign the oonflnnaflon of leoelpL I fuilher certify that i 

have left a copy of (ha pamphlet at the unit with occupant 

L l UmmltiMe For Stonatuni - 1 certify that I have made a goodferith effort to detiuer the pamphlet, renovate right, 

important lead hazard informatton forfamilieB, chlM caie providers and schools, to the lentBl dwallhg wi t listed 

bakiw and that the occupant was unavaOsMe to sign the confirmation of receipt. I further certify that I have left a 

oopy of the pamphlet at the unit by alkfing It under fhe door or somewhere on the premises. 

A 

PRMTEDNAIEOFFBaQNCERnFVINQ ATTaiPTEO DEUVBtlT DATE ANO TBiE LEAD 

PAMPHLET DBJVBiy 

aOHAnJRE OfvPEIiaON CERTIFYMO LEAD PAMPHLET DEUVEItY: 

Noto Rsgiidlng Miln o Opdon ~ as an eilBmaliweto delvery in person, you may ind th^ 

amVorlensnt. Pamphlst must be majiad attoast7 d^bafcrerenoMainn. (Daumentwiihaoirtilii^ofinaingfianlta 

OOW^MATfr^REC-g^^r^fjADRMmET (]CO^fl3s9fJifiH]H W^i- l ' 6:i(;l 71 ' m 
j) '. 

MOT iTA^UMTIIOlM «icPI%@PiKW 

1 .is/t /,/^ — 

£s 

HOUSE TKIM,. m .coLon )i^XLik:^ 

GMIMC. A/ .OOUNL. 

QiUMflemH. i d r>~'G'.v«_ • 7

V, 

_couiiL_£ r^ y 

MMCCHinil VJW^i . JDOiOR 

(ooMpme Aa secimi YO^ NQ^ OR NON-AmjcMU) 

I AfiREE TO THE GOLORS USTED ABOVE. ONCE PAINTING BGGINS^ I 

UNDERSTAND I CAN NOT CHANGE HIE ABOVE SEUECITCD GOLORS: 

PROFBHYOIIiHlMBNATURe: 

t 

5 'd 1815-ON QOOd-NlSDNii^NJH WV9£'S 5i;o7 / I ^.nl• 
Douglas County Account Information 

Page 1 of2 

r 

Douglas County, Nebrasica Property Record - R1942610000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52ncl St - VJeW Ofl Ma P Information is valid as of 2009-6-3 Treasurer's Tax Report 

Nevif Feature ••-•- • Auto Sales Searcii 

Owner 

MCGUIRE MIKE P "'^^^^^^^ZOT - 31>Q -2S"OQ ^ 

ETAL 

3001 S 34 ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number. 4261 OOOO 19 

Account Type: Residential 

J. ^ -

Parcel Number 1942610000 

Parcel Address: 3001 8 34 ST 

OMAHA NE 68105-0000 

Legal Description: PARKVALE LOT 14 BLOCK 4 40 X 130 

Value Informatio n 

Land Improvement Total 

2009 $5,800.00 $110,300.00 $116,100.00 

2008 $5,800.00 $110,300.00 $116,100.00 

2007 $5,800.00 $110,300.00 $116,100.00 

2006 $5,800.00 $94,100.00 $99,900.00 

2005 $5,800.00 $94,100.00 $99,900.00 

2004 $5,800.00 $94,100.00 $99,900.00 

Sales Informatio n 

Sales Date: 2001-11-02 

Deed Type: WD Book: 2196 Page: 504 

Price: $90,000.00 

Grantor: 

Grantee: 

Valld/lnvalld: 

Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Wtdth Vacant 

0.11 5200.0 1.0 130.0 40.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R194... 6/8/2009 
Douglas County Account Infomiation Page 2 of2 

Building 1 

KH 

fay 

1 1' 

Second Floor 6560sqn. I 

;'ta» 

TwoSlory 

«-tf %n>fe'MM>M*< 

9H?!^T9ifl^'^9^'fl!A9i 

Square Footage: 1737.0 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 Siding Units: 1.0 

Interior: Drywali Baths: 1.5 

Roof Cover: Composition Siiingle Bedrooms: 4.0 

Roof Type: Hip Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1921 0% 1921 87 

Detail Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 863.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Fixture Bath Half 1.0 

Garage Detached 198.0 

Porch Slab Roof Ceil 160.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R194... 6/8/2009 
IVIC Services, LLC 

Property Addre^rjOQI '=> C^l" ^ ?< ( Date 1 - 6 ­ 0 ^ 

Start Date ' / "^ / ~0 M End Date I ­ j g ~C) M 

Amount Of Prime And Paint Used 

Prime (Gallons) 

Poly (Boxes) 

Paint (Color) 

Paint (Color) 

\J 

9 

Gray Amount (Gallons) 

Amount (Gallons) 

10 

10 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons)