TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: ^3110* ^ Date: '^j'^olo ^ 

Address: -0 ^ 11 ^JDQW.- S ^ ^ 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS 

Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

[T Video of property (DVD) 

W ^ Executive Summary 

^y^"^ Signed Access Agreement for subject property 

o y Painting Agreement 

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

y Photographs p^Jor^- ^W^/ /s/ ^ 

^y ^ Satisfactory restoration signed by Property Owner 

CJ-^ Property close-out check list signed by EPA 

B^"^ 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 

JyhrA/^.^^^^^JU^ My/a 

signature EPA Signature Datfe ' 

30056267 

HWi 

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# 33167 

2811RuggiesSt 

• Dates worked: 06/25 to 07/01 2009 

• Pre property condition: Transit siding that was daimaged in areas, paint on wood areas 

was in poor condition with flaking paint, and garage had areas of damage to the door 

and siding areas. Garage paint was in very poor condition all over. 

• Problems encountered: None 

• Owner request/concerns: This home has a child residing with elevated blood lead. 

Owner did request color change on home. Extra precautions taken with paint chips. 

• Inspection/closeout dates: Owner signed 07/11 EPA 7/17/09 No issues 
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: :Re^iLD ^ 

PropertyAddress: ^jlBI 1 "^.U^Q^^ amies ^ <S\ 

Owner'sName: ZJ^SOt X 

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 siufaces of /

garages. 

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

3. Were all required areas ofthe structiire(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? 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? 

7. Is the grass area that surrounds the structure(s) in reasonably good condition? 6 

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. v ^ 

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: 

/y/yf. Date kk n 

Professio ,'hgineers Representative Date 
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: 3^111? ^ 

PropertyAddress: QP)\ \ '^QQlf^^ S 6 ^ 

Owner'sName: ~[?3ltShQ ^r\|e . 

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, 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? y 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? / 

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

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 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? 

y

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

.J^^^jyt^.a^t^'^J ^ 

ydL 'ol. EPA COR Signature I Datt 
PAGE 01 
 06/23/2009 13:50 4027382071 OCAC 


CONlteENT OFR ACCESS TO PROPERTY 

OMAHA LEAD SITE ^MEDU L ACTION - LEAD-BAS£D PAINT STABILIZATION 

WIOPERTY ID: ?^'^\CP 7 ' PROPERTY ADDRESS; 

OWNERNAME: | 

DAYTIMEPHONE 

CELLPHONE: (Q1^-^^) | E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT: _ 

TENANT'S NAME IF APPLICAB^: 

DAYTIME PHONE: 

CELLPHONE: E-MAIL: 

FrafemioiMt EnvtroamMtil EngtiHvni IBC (PE) ta u«der contract (tfEP'R7-4NMM) with flw U.S. Eaviroammtal ProtectioB 

Acency (EPA) to itabiUsee lead baied iMnt (LBP) on reddeatlal ctnicture* at a aanber of propcrtiH located In Omaha, 

Ncliraaka. The paint stabHlxatlon Woik l« bdng done to protect the toil cleanups that were pMfDraied by EPA contnwton. 

Paint •tabulation activitiet will indadi!: scraping of cracked or Halunf LBP from stmctures, applteathm of a prime coat and 

two (2) coats of paint Movhig parts of windows and doors usja ^ included and wfll not be addressed. 

Your cooperation k requested in giving permission to thto EPA contractor (PE) to c«ter and have accem to tliis property Ibr 

the purpose of stabilizinf lead -based ialnt as outUncd on the property identified above. 

By signing tills document I agree to allew an EPA eontractor to condnct a soH deannp at n ^ property fbUowIng oompletion of 

lead-based paiint smblHiatlon. I undeittand that the stabilizHtion contractor can not piovtde assnranea that the soil eleannp 

contractor will be bonnd to. I fhrth«r tnderstnnd that the soil eleannp contractor wiU make ail reasonable efforts to address 

concerns that I, as the property cmmee; may have regardbig soil eleannp at my property. 

I fully understand that liy signing thte Consent Ibr Accem, (I) thto accen WiU remain in effoet antfl tke wort has been 

•attoftactorily completed, (Z) that tlie Pijoperty Owner or Tenant, if nppHeable, wU be glvmi the Housing and Urban 

Devetopment (HUD) and EPA pamphi4t, "Renovate Right, Important Lead Hazard inforatatfou for Fiamilles, Day Care 

Pnividert, and Sdiools", ^ ) the Pr^eiity Owner or teiunt will remove all obitnictions flwM snrfiwM to be paiatad, (4) will 

abide by health and snf^ gnfalance prfvMed by EPA, (S) wiB alkiw photography of property b^r e and after die pUint 

BtabilintloB work, (C) wOl be contaetad by a PE represeatattvt approiiauitcty 48 hoot* In advMtt of staiHiig work, (7) agree 

not to obstract or tamper with any ef 4 " ^^ ^ stabilintton actions, and (8) wHl participate fai final property hispectioH and 

rign tlie Completion Agreement ••< Prbperty Ownnr Satisbction Survey. 

Shonid yon have any qnesttons abont tMe planed Lead Based-Paint atabilintikm activities for your property, pleaae contact 

Profesiianal Environmental Engineefa,iln(!. Projeet Mnnager. WHIie Clay At 4n-S04-4CW. General qnestkins about the 

Omaha Lead Site cleanup cnn be dIreciN to Panletta France-Isetts, EPA RemedUl Project Manager 4ai>731-a454, or the 

EPA J*ublic Information Cwters at 40|-991-9St3 (North Omaha oflice) or 402-731-3045 ^nti i Omaha ofOee). 

ITM, (grant aooam «D ny pmperty sad IMS ^l«en tke psaqMst D ||o,ldDaetflmntaoeaMtomyprapsi^«M[l«na 

gh^ fai^oitsiit Lasd InfBmMrtlon for Famnse, (»IM givsa Ihe psaipiust ^MOVSI B Mgli^ Inpoitint Lssa 

bibmititon for FamHea, (Mde Cam PreMsm, and Schools.'' 

(e~\^^'Of. I* / Dsts OignshMU 1MB 

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MSTRUCnONS AND CONSMRAHOH S 
06/23/2009 13:50 4027382071 OCAC PAGE 02 
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Douglas County Account Infomiation Page 1 of2 331(.7 ^A>^>y> /^ 

Douglas County, Nebraska Property Record - R1828770000 

Print Reoort 

NEW Feature - Parcel Dimensions available & scale 0-50 ft west of 52nd St - Vie W OH IMaD Information is valid as of 2009-6-3 Treasurer's Tax Reoort 

New Feature ••-•- • Auto Sales Search 

Owner 

BRYE TASHA L 

2811 RUGGLES ST O' ? O . <r<7 y < r fX* ^ 

OMAHA NE 68111-0000 ^^ ^ ->2>/ o \ A 3> 

Property Informatio n 

Key Number 2877 0000 18 

Account Type: Residential 

Parcel Number 1828770000 

Parcel Address: 2811 RUGGLES ST 

OMAHA NE 68111-0000 

Legal Description: MYERS RICHARDS & TILDENS ADD LOT 3 BLOCK 7 50 X 125 

Value Informatio n 

Land Improvement Total 

2009 $2,600.00 $22,300.00 $24,900.00 

2008 $2,600.00 $22,300.00 $24,900.00 

2007 $2,600.00 $22,300.00 $24,900.00 

2006 $2,600.00 $22,300.00 $24,900.00 

2005 $2,600.00 $13,100.00 $15,700.00 

2004 $2,600.00 $11,900.00 $14,500.00 

Sales Informatio n 

Sales Date: 2002-09-24 

Deec / Type: WD Book: 2222 Page: 487 

Price: $11,000.00 

Grantor 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant • 

0.14 6250.0 1.0 125.0 50.0 No 

Improveme r t Infor mation 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R182... 6/8/2009 
Douglas County Account Infomiation Page 2 of 2 

Building 1 

Square Footage:

Perimeter 

Unit Type: 

BuiitAs: 

HVAC: 

Exterior: 

Interior: 

Roof Cover: 

Roof Type: 

Floorcover: 

 826 0 

0.0 

1 1/2 Story Unfin 

Oil Fired 

Frame Siding 

Drywall 

Composition Shingle 

Gable 

Allowance 

Percent 

^-«"'' '

1900 

Detail Type 

Add On 

Add On 

Appliance 

Basement 

Fixture 

Fixture 

Garage 

Porch 

Porch 

User 

 Remtdeled Remodeled 

1993 0% 

Detail Description 

Fence Chain Link 

Unfinished Attic W/floor 

Allowance 

Bsmnt Block 8 ft 

Base Fixtures 

Bath Full 

Detached 

End Solid Wall 

End Solid Wall 

SOURCE 3 

t t H UNFfM 

CLICK TO ENLARGE IMAGE 

Percent Complete: 100.0% 

Quality: Fair 

Condition: Poor 

Condo Square Footage: 0.0 

Rooms: 5.0 

Units: 1.0 

Baths: 1.0 

Bedrooms: 2.0 

Stories: 1.5 

Foundation: Block 

Sprinkler Square Footage: | 0.0 

Adjusted Year Physical Age Built 

1900 109 

Units 

1.0 

874.0 

1.0 

874.0 

1.0 

1.0 

400.0 

54.0 

128.0 

1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl82... 6/8/2009 
Professional Environmental Engineers, Inc. 

SAFETY AUDIT 

Project Name: 

Date of Audit: 

Primary Health Hazards: f^/^f . ykcM^ , //^v / 

Primary tJOf ^ H & S Concerns: 

Dally Tasks: ';c/i/p-/1C 

2. p^A^^ 

3. fClf^^ 

Equipment Used at Jobslte: 

Hard Hat Ladder y 

Safety Glasses 

Steel Toed Shoes 

~ y Boom Lifts 

GFCI 

Work Gloves ^ ^ Safety Vests 

Generators Other 

Equipment Ready for Emergency Response at Immediate Disposal: 

Daily Safety Meeting Conducted 

First Aid Kit ^ 

Emergency Procedures y

V

y " Company Health and Safety Policy 

GFCI on-site 

Deficiencies: y/Hh 

plfi- Corrective Actions: 

Auditor: Date: 

Site Supervisor: yyy<^ -y^^x^­