TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: SlSP ^ Date: 1-'Q.O'0 ^ 

Address: Q^-Df i S ^ <A^= ^ AjQ ^ 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS 

Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

0^^ Video of propeny (DVD) 

tJ' Executive Summary 

Q ^ Signed Access Agreement for subject property 

•Q''''^ Painting Agreement 

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

^ Photographs 

E-y ^ Satisfactory restoration signed by Properly Owner 

Uy""^ Property close-oul check lisl signed by EPA 

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

[ly''^ _conrimiation thai lead pamphlet "Renovate Right" was received by P0_ 

B"^^ " ' lAuAuT 

D 

n 

Professional Environmental Engineers Signalure Dale 

hPA Signature Dale ' 

0 

Superfund /\ ' 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. ''' ' Ta' t NE'?8?!O 

"Providing cost-effective environmental solutions " ^^^ jj° | H^Hf^ 

Consulting • Engineering Design • Remedialion • At.iaternent • Emeigency Response 

Lead Base Stabilization Omalia, Ne 

Close Out Report 

2009 

SAID#2128 

2708 N 45 Ave 

• Dates worlied: 07/07/09 to 07/09/09 

• Pre property condition: Wood siding witli paint in poor condition, paint chips around 

tiie iiouse and garage areas. 

• Problems encountered: None 

• Owner request/concerns: N/A 

• Inspection/closeout dates: Property owner signed on 7-10, EPA on 7/14/09. No issues 
PROFESSIONAL 

2505 North 24'", Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE68110 

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

ConsLiltinQ ' Engineeriiig Design • Rcn"iedijition • Abaterrent' Enio^gency Responr.e 

EPA Close-Oul Form 

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

SAID: Q\S); ^ 

Property Address: 3(^0 ^ |Vl M 5* ^ A/€ ^ 

Owner's Name: Scoi V /\\\ \ ^'^^^^^-

Performance Standards/Ciose-Out Criteria YES NO 

]. Was the entire slructure(s) painted with the e.xception ofthe stated, excluded 

areas? This would include painting of olher associaled features including fascia, 

eaves, siding, all trim, porches, box beams, columns, rails, and exterior surfaces of 

^ 

garages. 

2. Was all scraping and other preparalion work completed satisfactorily? ^ 

3. Were all required areas of the struclure(s) primed as needed and painted with 

iX two top coats? 

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? 

ty ^ 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, ^ barrier tape, etc. properly removed? 

9. Is there any evidence of property damage Ihat was done by the contrador? 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 

y been left unresolved? 

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

%J7/U 

mk-

EPA COR Signature 
PROFESSIONAL 

2505 North 24'^ Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE68110 

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

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Property Owner Close-Out Fonn 

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

SAID: ?.|?ft -

Property Address: ^. ^ C^^ t^ y 9 H ^ ' V^ ^ 

Owner's Name: ^SjQrVlT _ ^^j.^.ri. 

Performance Standards/Close-Out Criteria YES NO 

1. Was the entire structure(s) painted with the exception ofthe staled, 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) prlined as needed and painted with 

two top coats? •ty 

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 y

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 v/ 

other generated debris? 

7. Is the grass area that surrounds the structure(s) in reasonably good condition? i ^ 

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 lo be completed prior to the EPA Close-Out. y 

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

that need to be moved back? ly 

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

been left unresolved? 

y

Comments: 

n /) c 

Proper|y^0wner Signature Date 

y-Jo -o p ild4. 

Professfona'l Environmental Engineers Representative Date 
^2-.49 17p.m 06-18-2009 1 M 

AVANTAS dO.^-71''-7, 

o2 5^ 4 

CONSENT OFR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTVrD; ^ I j ^ PROPERTY ADDRESS: 2-^0 9 M- H 5 "^ AVe. 

OWNER NAME: 

SoiVr ^\\;soA DAYTIME PHONE: ^ 8 0 " W 2 Z j 

TELL PHONE: "SS f) " 4 2-L 1 E-MAIL: ^ LO^ Y 6-at.\\\'Loi\^ ^^Wo . Com 

OWNER'S ADDRESS IF DIFFERENT; 

TENANT'S NAME IF APPUCABLE: 

DAYTIME PHONE: 

rRMPHONR: E-MAIL: 

ProfeMtoiuI EBvlroameutsl Engineer*, la c (PE) is undtr contract (#£P-R7-08-0^ with the U.S. EaviraumenUl Protectioa 

Agency (EPA) to stAbUize lend based paint (LBP) on residentU) ctructurct At a nuniber of properties loeitnl in Omaba, 

Nebraska. The paint stabilization work is being done to protect tbe soil cleanups that were performed by EPA contractors. 

Paint stabilisation activities will include: scraping of cracked or finking LBP Drom structurea, application of a priq«e coat and 

two (2) coats of paint Moving parts of windows and doors are not iuclnded and will not l>c addrtssad. 

Your cooperation is reqaestod in giving penntssion to this EPA contractor ^E ) to enter and have access to tbb property for 

the pnrposc of stablUklng lead -baaed paint as outlined on the praperty identified above. 

By ligniog Uiis docuraent I agree to allow au EPA contractor to conduct a soil cleanup at my property following completioa of 

tead-bitsed paint sUbilization. I understand that the stabilization contractor can not provide assnranoea tlut the soli claauup 

contractor will be bound to. I ftirther understand that tbe soil cleanup contractor will nuke all reasonable efforts to address 

concems that I, AS (he property owner, may bave regarding soil cleanup «t my property. 

I fully understand that by siffning this Consent for Access, (1) this acxess will r«niBin in etbct until the work has been 

satisfactorily completed, (2) that the Property Owner or Tenant, if applicable, will be given tbe Housing and t/rbao 

Development (HUD) and EPA pamphlet, "Renovate Rigbt, Important Lead Hazard inEormation fbr Families, Day Cart 

Providers, and Schools", (3) the Property Owner or (coant wf li remove all obstructions from surfaces to lie 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 FE representative approximately 48 hours In advance of starting work, (7) agree 

not to obstmct or tamper with any of tiie LBP stabilization actions, MMI (8) wiQ participate in flul propfirty lospectlloii and 

sign the CompletioB Agreement aad Property Owner Satisfaction Survey. 

Should yon have any questions aboot the planed Lead Based^Palnt stabitizatioo activUks for yoor property, please contact 

Professional Envlronmeutal Engiaeers, Inc. Project Masagej-, Willie Clay At 402-504-4688. General questions about the 

Oinaha Lead SiU cleanup urn be db«cted to Panletta France-Isetts, EPA Remedial Project Manager 402-731-24S4, or tbe 

EPA Public Ittformatinn Centers at 40^991-9$8^ (North Omaha office) or 402-731-3043 (South Omsha ofHce). 

'efva. Yas. , I grant accost to my property and VMM Btven titt pamphiet D Noiidonotgrantaccaattomypfopaityindlwas 

"Remirate Mslrt, impoftint Laad InfonnatkHi for FamiRas, ChM glMf) tha psfflidilet "ftanovstt Right, Inipottant Lead 

MonnsUon far FtmiHei, Ctiftta Cara PrevMert, and Schools." 

/ ^^c ^ 4-l?-61 

shire DIIB Signtture 

)PECIAL (NSTRUCTONS AMD CONSOEHATIONS 

egaeiest'ie etiie 2002/68/0: 
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402-717-7788 AVANTAS 12:49:54 p.m 06-18-2009 2/4 

7,101 ^Hs' a,onnE (;p ^ 

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PftOPeiTY AP0RE8S OF OWNSt IF DffFeR0IT THAN PROJ^T Y BBNQ PA ^ 

PROPa?nr ADDRES _ . S flPCQOE 

have reosivsd a copy of tl)a patnptM Aworafe A ^ btiporttnt LM d Ikw d fahmathi i For FmBht , 

ChOd C M fVoWdws AIM I ScM t (nfonning me of the potentia! risk of the lead hazard exposure from 

renwaticinaiMy to be performed on dwetllns unit I recehradtNe pamphlet beibre the woilt bagan. 

-^nnrrcMilAllBrffBeMOIMr 0 nAm 'pnMiH)NAiiEOFRecfnair ^SAT E 

uiticoFReoinBir 

8alM:artiflcdian OpHon (ForTenuitOccupled DwelHngs Only) 

If (he iBsd pamphlet was dailvBred (Mlt a tanant signature was rwt obynabb. ytu 

below; 

Rahiaal To Sign - 1 ceitty (hat I have made a oood faXh e(f«t b deliver the pam ^ 

(aad hazard InlbrrMAon lor farnWeft, ohUd care pronrt ^ 

date and NnwIndlGalBd and that the oo(»pantifrfiaBd to eign the oontimia ^ i fudher oerWy that I 

have M l a copy oTlhe pamphM at (he unit MKh Quupatrt. 

- (JiuwaRMe For agiMtun-- 1 certify that I have made a good fallhef M to dal ^ 

invorlBnt lead hazard Infoimation for fmyiles. dtiU 

below ami (hat the occupant was iinavateble to aign lie GonftonaSonor recall I further oaitify that) hava (eft a 

copy of &» pamphlet at the unit by sliding it under the door or eomewham on the preinises. 

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Douglas County Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R0811660000 

Print Reoort 

NEW FeatufB - Parcel Dimensions availalile (31 scale 0-50 ft west of 52nd St - Vie W 0 0 IMaO Information is valid as of 2009-6-3 Treasurer's Tax Reoort 

New Feature ••-•- • Auto Sales Search | 

Owner 

ALLISON SCOTT D 

2708 N 45 AVE 

1 OMAHA NE 68104-0000 | 

1 Property Informatio n | 

Key Number: 1166 0000 08 1 

Account Type: Residential 

1 Parcel Number 0811660000 1 

Parcel Address: 2708 N 45 AV 

OMAHA NE 68104-0000 

1 Legal Description: CLAIRMONT LOT 12 BLOCK 4 N 45 FT 45 X 125 1 

Vaiue Informatio n 1 

Land improvement Total 1 

2009 

2008 

2007 

2006 

2005 

^2004 

$6,000.00 

$6,000.00 

$6,000.00 

$6,000.00 

$6,000.00 

$6,000.00 

$61,900.00 

$61,900.00 

$61,900.00 

$61,900.00 

$62,500.00 

$56,800.00 

$67,900.00 

$67,900.00 

$67,900.00

$67,900.00 

$68,500.00 

$62,800.00

 1 

1 

1 Sales Informatio n 1 

Sales Date: 2003-12-29 1 

Deed Type: WD Book: j 2004 Page: 010659 1 

Price. $70,000.00 1 

Grantor- BRIAN ELTZE ETAL i 

Grantee: SCOTT ALLISON | 

Validnnvaild. Valid 1 

1 Exclusion Reason: 

Sales Date: 1995-10-26 1 

Deed Type: D 1 Book: 1 2017 Page: 228 1 

Price: $50,600.00 1 

Grantor 

http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R081... 6/8/2009 
Douglas County Account Infomiation Page 2 of 3 

Grantee: 

Valid/invalid: 

Exclusion Reason: 

Valid 

Sales Date: 

Deecf Type: 

Price: 

Grantor 

1992-03-23 

$47,000.00 

Book: 1937 Page: 255 

Grantee: 

Valid/invalid: 

Exclusion Reason: 

Valid 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

1991-08-07 

$21,000.00 

Book: 1904 Page: 020 

Grantee: 

Vaiid/lnvaiid: 

Exclusion Reason: 

Invalid 

Invalid Sale 

Land Informatio n 

Acres SF 

0.12 5625.0 

Improvemen t Informatio n 

Building 1 

Units 

1.0 

Depth 

125.0 

Width 

45.0 

Vacant 

No 

?7ft«H<5Ai; 

WL 

^IP^JMP- ''^H 

21/2 STORY UNFIN 

' 6 ^ C Ui 8 

M4 

., ...Ma —.. 

^.:: ' .,^ $toona Floor 7440 Wl ft 

U i 

V^^^^^^B"" ***" 

1 CLICK TO ENLARGE IMAGE 1 

^yCmj^N^RgEJjMAgE^ 

Square Footage: 

Perimeter 

1533.0 

0.0 

Percent Complete:

Quality:

 100.0% 

 Average 

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R081... 6/8/2009 
MC Services, LLC 

Property Address 'Z^O b ^ ^ jS'^A^^ ^ Date T-^O-Q^ . 

Start Date ' ^ ~ 1 ~C)0 \ End Date ^ - ^ ^ Q ^ 

Amount Of Prime And Paint Used 

Prime (Gallons) ^ 

Q 

Poly (Boxes) '^ -

Paint (Color) '\J^.\\QO O Amount (Gallons) ' / y ^ 

" "w * 

Paint (Color) Amount (Gallons) I 

Paint (Color) \NV^\ W . Amount (Gallons) 5 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 
PirofessionaB Environmental Engineers, One. 

JNTERVENCION DE SEGURIDAD 

Nombre del Proyecto: t~TOo H 5 ^ h O 

Fecha de lo Intervencion: 1 I IO' \ O^X 

Peligros de Salud Primordial: CiSsT^'W^ ^XCL^C^JV:^ '( \ lo U G 

Preocupaciones Primordiales de H & S: 

Tareas Diarias: 1. ^:5<^i^^^^^^ ^ 

fp^>(=i^5;^c^ 2. 

3. t^^^^^^^t^VM^^I'^ 

Equipo Usado en el Lugar de Traabjo: 

Casco Duro Escalera £____ _ 

Gafas de Seguridad < ^ Elevadores 

Zapatos GFCI 

Guantes de Trabajo Chalecos de Seguridad 

Generadores Otro 

Equipo Listo para Respuesta de Emergencia a Disposicion Inmediata: 

Conducir Reunion Diaria de Seguridad 

Estuche de Primeros Auxilios 

Procedimientos de Emergencia 

Poli'tico de Salud y Seguridad de la Companio 

GFCI en sitio 

Deficiencies: 

Acciones Corretivos: 

Interventor: Vf{9(^C / (V C Fecha: 11 \\^\^ \ 

Supervisor del Sitio:^-^ Fecha: