TRANSMTTTAL of OMAHA LEAD STTE 

PAINT STABILIZATION FILE FOLDER 

SAID#: 2Sn^ ^ Date: l/^l/c^ 

Address: /JT/ V A / ^ D S t 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2008 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

\Y

M

D

D

M

S ^

M

M

Video of property (DVD) 

 Executive Summary 

 Signed Access Agreement for subject property 

 Painting Agreement 

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

 Photographs 

 Satisfactory restoration signed by Property Owner 

 Property close-out check Ust signed by EPA 

 Property informationfix>m Douglas Coimty Assessor's OfBce 

^ dAj'^ss ir>firmQJI^A -{rackiA^ i\)eid 

u 

^ ^ ^ 

40318281 ill 

Superfund 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design » Remediation • Abatement • Emergency Response 

2505 North 24'^ Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

Lead Base Paint Stabilization Omaha, Ne 

Close Out Report 

SAID#25799 

1514 N 40 St 

• Dates worked 10/14 to 10/16 2008 

• Some damaged area to trim on bottom of house, Overall house was in good condition, 

Garage looks newer and in good condition, no issues during stabilization process 

• Inspected 11/05 no issues. 
p.2 Nov 05 08 05:32p Devin J. Faulkner 402-289-9740 

PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Provicfing cost-effective environmental solutions" 

Consulting ' Engineering Ooiiqn •flfcoiodpeiion• Abatemem • Emergsncy Responsa 

Property Owner Close-Out Form 

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

SAID: ;2siq q 

Property Address: /&t q A) ^ O S t 

Owner's Name: 0?.o '.XA pQ_u\Kr^x 

Performance Standards^Close-Out Criteria 

1. Was the entire structure(s) painted with vhe exception ofthe stated, excluded 

areas? This would include psiinting of other associated features including fascia, 

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

garages^ 

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

3, Were all required areas ofthe strucnire(s) primed as needed and paiated 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 tbe 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 sunrounds tlie structure(s) in reasonably good condition? 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, 

banier tape, etc. properly removed? 

9. Is there any evidence of property daniage that was done by the contractor? Any 

property damage needs to be completed prior to the EPA CIose-OuL 

10. Are there any propert> itenis that were temporarily re-located by the contractor 

that need to be moved back? 

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

been left unresolved? 

Comments: 

A 

Xny^Ar*­

Propcrt crtyy Owi Owner Signature Date 

2505 North 24* Suite 213 

Omaha, NE 68110 

{402} 504-4668 

Fax (402)504-3261 

YES NO 

if 

.K. 

K 

i:iK 

X 

s: 

% 

K 

^ 

A 

Aoy^9/^ k 

Professional .3*lvironineiital Engineers Representative Date 

ES.'SB asvd Sa33NI9N3 aiAN3 JOdd e9Bax€SfT£ i}\-m sees/ei/se 
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 

EPA Close-Out Form 

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

SAID: 3S79q 

Property Address: AS/'A A) WA) ^ ^ 

Owner's Name: P^ U c f\ /Po,^ ) ^Oe c 

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, colimms, rails, and exterior surfaces of -

garages. 

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

u ^ 

3. Were all required areas ofthe structiu-e(s) primed as needed and painted with ^ two top coats? 

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

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

vacuimied/ 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 ^y 

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 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 

L ^ that need to be moved back? 

11. Are there any (known) lingering issues with the property owner(s) that have / been left imresolved? 

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

AUAMZ^ 

PA COR Signature 

'Date 
Access iNFORmnoN TRACKHUG SHEET 

pROPEmn r 4-r,'7H 

/s/4 a 4/) ^</­

« * - • 

noma: 

^ ^ ^ /r^.']0^j2^ ^ 

^eeSNCOfttBGlOR 

OKIE 11HE COf^Cr DETAIL 

• O^A^^V^f ^^c\p \L 

Sf^'QAM ^ 

C-~.^x^ ^ ­
402-289-9740 p.l Sep 26 08 03;56p Devin J. Faulkner 

AiAK - • *«•«"»•«•• « • « « r*-p« « ar" ! '« ^ » z 

1 ftAi»A*ff-±4 .:fc«WM'n.«-.aiAi-r &j»r-f-|tii-»s.Mi( , 

............. ^/3-^^^ f : 

. —.—-.-J- J •....7.> * 

;. .. ... . . ....„ , , .^— i.i^.' vw:..-.^..'. ....lii^wi WIM4iiiij JlinoUBpaafaiteation jBtrviiwiiorequtpmantusadip 

pefomi a v LBP actions. (3) wOl participaiii in l!fi^ p*o<»ei1y .'tisppO'OM SiJ itgii Ite Ctsuii'uuvi; /v-viir -' .;:.;• ".;.;>-:,:; ~... v 

iralifitartinnSunrey. 

ShoJd you have aiy ques^ons ^bouttheplanwj 1>MJ Baiaii-PainttaMazrtow aclMBesfcf jfouf pioperty. ;)tease contact BrdieaatoMl 

eroiiunmBnttl Snoineeis, inc. Pnojsct Mmsar. Hvm n Hamer tf 40^884-1185. General quesfions abad the Oinaha Ijead Site 

deanup can be directBd to Pauletta FraiK»4seiis. B>A Remedial Projact Managar 4 ^ 

at (40^ 991-9583 (Nortii Omaha office} w (402) 731-3045 (Sotfk Oinaha offioe). 

r^jYa*, I inet UM U to 19 ptoftftr and «M glwan [^No , I dft not grmtMcen to my prapvty and I WM 

JKiHnpiiM •llemntB RigK ta^Htnt Lead KBMd BiMn 0w paaphTaritanomle MgM, Inportant Laad Infbmitfoa 

%r FanllM. O M Ca« nwvidtn •nd Sdwote. Hsifd biltonnaliantor Fanlas, CMU Cam PKOvidtfs and 

Sehoola. 

SiBBat«t« Date 

SPECIAL INSTRUCnONS ANDIOR CON8DERA7K3NS: 

2 d 9a99-S0S-Z0V 
Douglas Coimty Accoimt Informatl t Page 2 of2 

.* n •u*^..*rf1H_«.*»r1 1/2 story Fin 1514 N 40 St 

o 

CLICK TO ENLARGE IMAGE 

Square Footage: 

Perimeter 

Unit Type: 

Built As: 

HVAC: 

Exterior: 

Interior: 

Roof Cover: 

Roof Type: 

Floorcover: 

Year Built 

1915 

Detail Type 

Add On 

Appliance 

Basement 

Fixture 

Fixture 

Fixture 

Garage 

Garage 

Porch 

1040.0 

0.0 

1 1/2 Story Fin 

Central Air to Air 

Frame Siding 

Drywall 

Composition Shingle 

Gable 

Allowance 

Year Percent 

Remodeled Remodeled 

0% 

Detail Description 

Fence Chain Link 

Allowance 

Bsmnt Block 8 ft 

Additional Fixtures 

Base Fixtures 

Bath Full 

Detached 

Detached 

End Solid Wall 

Fvsftoor » • Hff daLATdRuf 4III0Sl|n 

e.(i»iHmi< 

OiTTrt tkc i 1^ It 9C0?qC i 

CLICK TO ENLARGE IMAGE 

Percent Complete: 

Quality: 

Condition: 

Condo Square Footage: 

Rooms: 

Units: 

Baths: 

Bedrooms: 

Stories: 

Foundation: 

Sprinkler Square Footage:

Adjusted Year 

100.0% 

Average 

Average 

0.0 

7.0 

1.0 

1.0 

3.0 

1.5 

Block 

 0.0 

Physical Age Built 

1915 91 

Units 

1.0 

1.0 

640.0 

1.0 

1.0 

1.0 

192.0 

264.0 

144.0 

http://dougIasne.mapping-onlme.com/DouglasCoNe/static/accountinfo.jsp?accountno=R1921300000 7/8/2008 
Douglas County Account Informati Page 1 of2 

^ Douglas County, Nebraska Property Record - R1921300000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 90th St - Vie W O n Ma p Information is valid as of 2008-6-19 Treasurer's Tax Report 

New Feature -•->- • Auto Sales Search 

Owner 

FAULKNER DANIEL J 

ETAL 

8115 8 42 ST 

BELLEVUE NE 68147-0000 

Property Informatio n 

Key Numtier: 2130 0000 19 

Account Type: Residential 

Parcel Number: 1921300000 

Parcel Address: 1514 N 40 ST 

OMAHA NE 68111-0000 

Legal Description: ORCHARD HILL LOT 22 BLOCK 4 S 44 FT LTS 21 & 44 X 90 

Value Informatio n 

Land Improvement Total 

2008 $2,200.00 $47,400.00 $49,600.00 

2007 $2,200.00 $47,400.00 $49,600.00 

2006 $2,200.00 $47,400.00 $49,600.00 

2005 $2,200.00 $45,300.00 $47,500.00 

2004 $2,200.00 $45,300.00 $47,500.00 

2003 $2,200.00 $45,300.00 $47,500.00 

Sales Informatio n 

Sales Date: 1995-11-03 

Deed Type: Sooilr: 2021 Page: 007 

Price: $38,000.00 

Grantor: 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.1 4356.0 1.0 99.0 44.0 No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl 921300000 7/8/2008