TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: ii3SVU _ Date: g- Z I • O ^ 

Address: 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

-B^ Video ofproperty (DVD) 

'^Q^ Executive Summary 

Signed Access Agreement for subject property 

\y' ^ Painting Agreement 

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

^(J/^Photographs b^tjfor^ ^^ A /?f ^ ,,,.., ^, 

y Satisfactory restoration signed by Property Owner 

0 Property close-out check list signed by EPA 

fi—^^^^^'^roperty information from Douglas County Assessor's Office 

\Z confirmation that lead pamphlet "Renovate Right" was received by P0_ 

D 

n 30203860 

0 HZZZZIZZ^ZII liliiii 

Superfund 

Professio ngineers Signature ^ - ^ ^ 

>ignature ^m^ 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. ''°'''oll^t NE^BI!o 

"Providing cost-effective environmental solutions" ^ i^°^| c^lto!? ^ Fax (402) 504-3281 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 63516 

2451 Fontenelle Bd. 

• Dates worked: 08/13 to 08/14 2009 

• Pre property condition: House had wood siding with wood trims flaking and chipping 

paint in very poor condition wood porch floors and trim area was all in poor condition. 

Paint chips in yard. Garage had cement and wood siding that is painted and in very 

poor condition. Many vines had to be removed on house prior to stabilization process. 

• Problems encountered: None 

• Owner request/concerns: N/A. 

• Inspection/closeout dates. Owner signed 08/14 2009. Inspected by PE project manager. 
\ •-» 

CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: ( OrVSllj) PROPERTY ADDRESS: ^^S \ Tr\r\\ry\^\\ t T\K// ^ 

!:RNAME: 

Tf^r-T^. V.anW\e.r DAYTIME PHONE: ^^^3 - I^DT b 

CELL PHONE: E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 


CELL PHONE: E-MAIL: 


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

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

Nebraska. The paint stabilization work is being done to protect the soil cleanups that are being 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 be addressed. 

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

purpose of stabilizing lead -based paint as outlined on the property 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, if the soil cleanup has not already been performed. I understand that the stabilization contractor 

can not provide assurances that the soii 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 

Signature o f Propert y Owner Date ^-Ib 

I fully understand that by signing this Consent for Access, (1) this access will remain in effect until the work has been 

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

(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 be painted, (4) will abide by health and 

safety guidance provided by EPA, (5) will allow photography ofproperty 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 final 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 402-991-9583 (North Omaha oflice) or 402-731-3045 (South Omaha office). 

I&^l Yes, Il grant access t o m y propert y an d wa s given th e pamphlet D No, I d o not gran t acces sto m y propert y an d I wa s 

"Renovate Right, Important Lead Infonnationfor Families, Child given th e pamphle t "Renovate Right, Important Lead 

Care Projtidefs, an d Schools.' Infonnationfor Families, Chllde Care Providers, an d Schools." 

SIgnahire Date 

SPECIAL INSTRUCTIONS AN D CONSIDERATIONS 
PAINT STABILIZATION PRE-PROPERTY 

PAINT MATCH ASSESSMENT 

AREA(S) TO BE PAINTED: 

HOUSE PROPER: y^s COLOR: i^i ^ M( 

HOUSE TRIM: 

^S COLOR: 7075 

^ 

GARAGE: i&S COLOR: B.y/0^, 

GARAGE TRIM: COLOR: 

PORCH: COLOR:: imf^ 7/Jg, 

PORCH TRIM: \ ^ COLOR: 7/97^-^ 

(COMPLETE ALL SECTION, YES, NO, OR NON-APPLICABLE) 

I AGREE TO THE COLORS LISTED ABOVE. ONCE THE PAINTING 

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

PROBERTYVDWNER SIGNATURE: PE ACCESOR SIGNATURE: 

1 
PROFESSIONAL 

2505 NkHth 24«<. Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE 68110 

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

miiamaaamm^emma^^mim^ammtammmmmmammimiimB/BmmaBmammmiaaaaKi 

Consulting • Engineering Design * Remediation • Abatement • Emergency Responso 

Property Owner Close-Out Form 

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

SAID: (p^B' l ( Q ^ 

Property Address: ?AB \ MllJO^^vS a K ^ 

Owner'sName: ^C\r^^$(\ilV " 

Performance Standards/Ciose-Out Criteria YES NO 

1. Was the entiie structure(s) painted with the excq)tion ofthe stated, excluded 

areas? This would include painting ofother associated ieatin«s including fiiscia, 

1 ^ 

eaves, siding, all trim, poicfaes, box beams, colimms, rails, and exterior surfaces of 

garages. 

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

3. Were all required areas of &e structure(s) primed as needed and painted with 

two top coats? 

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

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

vacumned/cleaned? 

6. Did the contractor collect/vacuimi allfidling 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 sunounds the structure(s) inreasonably good condition? y 

8. Are all items such as polye&ylene sheeting, ladders, paint brushes, cones, 

barrier tape, etc. properly removed? 

9. Is there any evidence ofproperty damage that was done by the contractor? Any 

property damage needs to be completed prior to &e EPA Close-Out 

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

that need to be moved back? 

11. Aretiiere any (known) lingering issues with the property owner(s) that have y been left unresolved? 

Comments: 

j'-'^/f^'" ) 

Date 

^yyy. _^y±-ap 

Date Professional En^nmiental Engineers Representative 
Douglas County Account Information Page 1 of2 

"1 ^__ua6iu 

Douglas County, Nebraska Property Record - R0811540000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - Vle W OH Ma p Information is valid as of 2009-6-16 Treasurer's Tax Report 

New Feature •*••- • Auto Sales Search 

Owner 

BANTNER JOHN S 

ETAL 

2451 FONTENELLE BLVD 

OMAH C^'b'^- l^OO A NE 68104-0000 

Property Informatio n 

Key Number 1154 0000 08 A L 

Account Type: Residential 

Parcel Number: 0811540000 
 LAJ^);) - CiX^-^^^ CJC^ 

Parcel Address: I 2451 FONTENELLE BD, 

-OMAHA-NE-68'1 W-OUOO 

Legal Description: CLAIRMONT LOT 32 BL0CKs3 50 X 125 

Value Informatio n 

Land Improvement Total 

2009 $6,400.00 $63,700.00 $70,100.00 

2008 $6,400.00 $63,700.00 $70,100.00 

2007 $6,400.00 $63,700.00 $70,100.00 

2008 $6,400.00 $63,700.00 $70,100.00 

2005 $6,400.00 $44,400.00 $50,800.00 

2004 $6,400.00 $40,400.00 $46,800.00 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.14 6250.0 1.0 125.0 50.0 No 

Improvemen t Informatio n 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R081... 7/9/2009 
Douglas County Account Information Page 2 of2 

;« 1 FCMEJ-tEil£ EO 

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£15 0 51?. i . ii StO' 

2STORY 

CLICK TO ENLARGE IMAGE 

Square Footage: 1439.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 5.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 1.5 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1915 0% 1915 94 

Detail Type Deta/7 Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 624.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Fixture Bath Half 1.0 

Garage Detached 240.0 

Porch End Screen 180.0 

Porch Slab Roof Ceil 192.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R081... 7/9/2009 
MC Services, LLC 

PrcpenvAddress %VS\^^'A^ . MM ^ Da.e ^H-Cf l 

Start Date 

Amount Of Prime And Paint Used 

Prime (Gallons) /„ 

Poly (Boxes) / 

Paint (Color) |L3 | W Amount (Gallons) ^ 

Paint (Color) K^^oif ) Amount (Gallons) /^c S 

Paint (Color) ^ Amount (Gallons) 

Paint (Color) Amount (Gallons) 

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