### TRANSMITTA Lo f OMAH A LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R SAID# : ^3110* ^ Date : '^j'^olo ^ Address : -0 ^ 1 1 ^JDQW.- S 

### ^ ^ Remediatio n Contractor : PROFESSIONA LENVIRONMENTALENGINEER S Year : 200 9 PAINT STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S [ T Video o f propert y (DVD ) W ^ Executiv e Summar y ^y^" ^ SignedAcces s Agreemen t fo r

subject propert y o y Painting Agreemen t D Settlemen t document s (i.e. , fo r

ddmage o r

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o replac e plants , etc. ) y Photograph s p^Jor^

- ^W^ / /s/ ^ ^y ^ Satisfactor y restoratio n signedby Propert y Owne r CJ- ^ Propert y close-out chec k

lis t signedb y EP A B^" ^ Propert y information fro mDougla s Count y Assessor' s Office \y ^ confirmation tha t lea dpamphle t "Renovat e Right " was receive dby P0
_ D D D



### Professiona l Environmenta l Engineers Signatur e Dat e 

# JyhrA/^.^^^^^JU ^ My/ a signatur e EP A Signatur e Datf e ' 3005626 7 

# HW i Superfun d250 5 Nort h 24 ^ Suit e 21 9 Omaha , N E 6811 0 (402 ) 504-468 8 Fa x(402 ) 504-328 1 

## PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC
. "Providin g cost-effectiv e environmenta l solutions " Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc yRespons e



### LeadBas e Stabilizatio n Omaha , N e Clos e Ou t Report 200 9 SAID#3316 7 2811RuggiesS t

•Date s worked : 06/2 5 to 07/0 1 200 9 •Pr e propert y condition : Transi t sidin g tha t wa s daimagedi n areas , pain t o n woo darea s wa s in poo r conditio n wit hflakin g paint , an dgarag e ha darea s of damag e t o th e doo r an dsidin g areas . Garag e pain t wa s in ver y poo r conditio n al l over . •Problem s encountered : None •Owne r request/concerns : Thi s home ha s achil dresidin g wit helevate dbloo dlead . Owne r di dreques t colo r chang e on home . Extr aprecaution s take n wit hpain t chips . •Inspection/closeou t dates : Owne r signe d07/1 1 EP A 7/17/09 N o issue s

## PROFESSIONA L 250 5 Nort h 24 ^ Suit e 21 9 

## ENVIRONMENTA L ENGINEERS , INC
. Omaha , N E 6811 0 (402 ) 504-468 8 

### "Providin g cost-effectiv e environmenta l solutions " Fa x(402 ) 504-328 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc yResponse Propert y Owne r Close-Ou t For m (Lead-Base dPain t Stabilizatio n EP A Contrac t EP-R7-08-06 ) 

### SAID : :Re^iLD ^ PropertyAddress : ^jlB I 1 "^.U^Q^^ ^ <S \ 

# amie s Owner'sName : ZJ^SOt X Performanc e Standards/Close-Ou t Criteri a YE S N O 1 . Wa s th e entir e structure(s ) painte dwithth e exceptio n ofth e stated , exclude d areas ? Thi s woul dinclud e paintin g o f othe r associate dfeature s includin g fascia , eaves , siding , al l trim , porches , bo x beams , colimms , rails , an dexterio r siuface s o f / garages . 2 . Wa s al l scrapin g an dothe r preparatio n work complete dsatisfactorily ? 3 . Wer e al l require darea s ofth e structiire(s ) prime da s neede dan dpainte dwith tw o to p coats ? 4 . Wa s th e pain t product s utilize dequivalen t t o a3 0 year product/quality ? 5 . Ar e al l ofth e area s wher e contaminate dmaterial s hav e bee n spille dthoroughl y vacuumed / cleaned ? 

# y 6 . Di dth e contracto r collect/vacuu mal l fallin g an dscrape dpain t chip s o n th e entir e property , roadways , alleyways , publi c acces s area s an dals o remov e an y othe r generate ddebris ? 7 . I s th e gras s are atha t surround s th e structure(s ) i n reasonabl y goo dcondition ? 

# 6 8 . Ar e al l item s suc ha s polyethylen e sheeting , ladders , pain t brushes , cones , barrie r tape , etc . properl y removed ? 

# y 9 . I s ther e any evidenc e ofpropert y damag e tha t was don e b y th e contractor ? An y property damag e need s t o b e complete dprio r t o th e EP A Close-Out . v ^ 10 . Ar e ther e an y propert y item s tha t wer e temporarily re-locate db y th e contracto r that nee dt o b e move dback ? 11 . Ar e ther e an y (known ) lingerin g issue s withth e property owner(s ) tha t hav e ^ bee n lef t unresolved ? Comments : 

# /y/yf
. Dat e 

# kk n Professi o ,'hgineer s Representativ e Dat e

## PROFESSIONA L 250 5 Nort h 24 % Suit e 21 9 

## ENVIRONMENTA L ENGINEERS , INC
. Omaha , N E 6811 0 (402 ) 504-468 8 

### "Providin g cost-effectiv e environmenta l solutions " Fax(402 ) 504-328 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc yResponse 

### EP A Close-Ou t For m (Lead-BasedPain t Stabilizatio n EP A Contract EP-R7-08-06 ) 

## SAID : 3^111? ^ PropertyAddress : QP)\\'^QQlf^^ S 6 ^ Owner'sName : ~[?3ltSh Q ^r\|e . Performanc e Standards/Close-Ou t Criteri a YE S N O 1 . Wa s th e entir e structure(s ) painte dwithth e exceptio n ofth e stated , exclude d areas ? Thi s woul dinclud e paintin g o f othe r associate dfeature s includin g fascia , / eaves , siding , al l trim , porches , bo x beams , columns , rails , an dexterio r surface s o f garages . 2 . Wa s al l scrapin g an dothe r preparatio n wor k

complete dsatisfactorily ? 

# y 3 . Wer e al l require darea s ofth e structure(s ) prime da s neede dan dpainte dwith tw o to p coats ? 

# y 4 . Wa s th e pain t product s utilize dequivalen t t o a3 0 year product/quality ? 

# v / 5 . Ar e al l ofth e area s wher e contaminate dmaterial s hav e bee n spille dthoroughl y vacuumed / cleaned ? / 6 . Di dth e contracto r collect/vacuu mal l fallin g an dscrape dpain t chip s o n th e entir e property , roadways , alleyways , publi c acces s area s an dals o remov e an y 

# y othe r generate ddebris ? 7 . I s th e gras s are atha t surround s th e structure(s ) i n reasonabl y goo dcondition ? 

## y 8 . Ar e al l item s suc ha s polyethylen e sheeting , ladders , pain t brushes , cones , 

# y barrie r tape , etc . properl y removed ? 9 . I s ther e an y evidenc e ofpropert y damag e tha t was don e b y th e contractor ? An y property damag e need s t o b e complete dprio r t o th e EP A Close-Out . / 10 .Ar e ther e an y propert y item s tha t wer e temporarily re-locate db y th e contracto r ^ tha t nee dt o b e move dback ? 11 . Ar e ther e an y (known ) lingerin g issue s withth e property owner(s ) tha t hav e 

# y bee n lef t unresolved ? Othe r Considerations/Property Owne r Discussions/Additiona l Wor k

tha t i s Required :



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

# yd L 'ol . EP A CO RSignatur e I DattPAG E 0 1 06/23/200 9 13:5 0 402738207 1 OCA C 

## CONlteEN T OF RACCES S T O PROPERT Y OMAH A LEA D SITE ^MEDULACTIO N - LEAD-BAS£ D PAINT STABILIZATION WIOPERT Y ID : ?^'^\CP 7 

### ' PROPERT Y ADDRESS ; OWNERNAME : | DAYTIMEPHON E CELLPHONE : (Q1^-^^) | E-MAIL : OWNER' S ADDRES S I FDIFFERENT : _ TENANT' S NAM E I FAPPLICAB^ : DAYTIM E PHONE : CELLPHONE : E-MAIL : FrafemioiM t EnvtroamMti l EngtiHvn i IB C (PE ) tau«de r contrac t (tfEP'R7-4NMM) wit hflw U.S . Eaviroammta l Protectio B Acenc y (EPA ) t o itabiUse e lea dbaie diMn t (LBP ) o n reddeatla l ctnicture * a t aaanbe r o f propcrti H locate dIn Omaha , Ncliraaka . Th e pain t stabHlxatlo n Woi k l« bdn g don e t o protec t th e toi l cleanup s tha t wer e pMfDraie db y EP A contnwton . Pain t •tabulatio n activitie t wil l indadi! : scrapin g o f cracke do r Halun f LB P fro mstmctures , applteath mo f aprim e coa t an d tw o (2 ) coat s o f pain t Movhi g part s o f window s an ddoor s usja ^ include dan dwfll no t b e addressed . You r cooperatio n k requeste di n givin g permissio n t o thto EP A contracto r (PE ) t o c«te r an dhav e acce mt o tlii s propert y Ib r th e purpos e o f stabilizin f lea d-base dialn t a s outUnc do n th e propert y identifie dabove . B y signin g tills documen t I agre e t o alle w a n EP A eontracto r t o condnc t aso H deann p a t n ^ propert y fbUowIn g oompletio n o f lead-base dpaiint smblHiatlon . I undeittan dtha t th e stabilizHtio n contracto r ca n no t piovtd e assnrane atha t th e soi l eleann p contracto r wil l b e bonn dto . I fhrth« r tnderstnn dtha t th e soi l eleann p contracto r wi U mak e ai l reasonabl e effort s t o addres s concern s tha t I , a s th e propert y cmmee ; ma y hav e regardbi g soi l eleann p a t my property . I fully understan dtha t liy signin g tht e Consen t Ib r Accem , (I ) tht o acce nWi U remai n i n effoet antf l tk e wor t ha s bee n • attoftactorily completed , (Z) tha t tli e Pijoperty Owne r o r Tenant , if nppHeable , w U b e glvm i th e Housin g an dUrba n Devetopmen t (HUD ) an dEP A pamphi4t , "Renovat e Right , Importan t Lea dHazar dinforatatfo u fo r Fiamilles , Da y Car e Pnividert , an dSdiools" , ^ ) th e Pr^eiit y Owne r o r teiun t wil l remov e al l obitniction s flw M snrfiw M t o b e paiatad , (4 ) wil l abid e b y healthan dsnf ^ gnfalanc e prfvMe db y EPA , (S ) wi B alki w photograph y o f propert y b^r e an dafte r di e pUint Btabilintlo B work , (C) wO l b e contaeta db y aP E represeatattv t approiiauitct y 4 8 hoot * I n advMt t o f staiHii g work , (7 ) agre e no t t o obstrac t o r tampe r wit han y e f 4 " ^^ ^ stabilintto n actions , an d(8 ) wH l participat e fai final propert y hispectio H an d rign tli e Completio n Agreemen t •• < Prbpert y Ownn r Satisbctio n Survey . Shoni dyo n hav e an y qnestton s abon t tM e plane dLea dBased-Pain t atabilintik mactivitie s fo r you r property , pleaa e contac t Profesiiana l Environmenta l Engineefa,iln(! . Projee t Mnnager . WHIi e Cla y A t 4n-S04-4CW . Genera l qnestkin s abou t th e Omah aLea dSit e cleanu p cn n b e dIreci N t o Panlett aFrance-Isetts , EP A RemedU l Projec t Manage r 4ai>731-a454 , o r th e EP A J*ubli c Informatio n Cwter s a t 40|-991-9St 3 (Nort hOmah aoflice ) o r 402-731-304 5 ^nti i Omah aofOee) . ITM , (gran t aooa m « D n ypmpert ysa d IM S ^l«e n tk e psaqMs t D ||o,ldDaetflmntaoeaMtomyprapsi^«M[l«n a gh ^

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# 331(. 7 Dougla s County , Nebrask a Propert yRecor d - R182877000 0 Prin t Reoor t NE W Featur e - Parce l Dimension s availabl e & scal e 0-5 0 f t wes t o f 52n d S t - Vie W O H IMa D Informatio n i s vali d a s o f 2009-6- 3 Treasurer' s Ta xReoor t Ne wFeatur e ••-•- • Aut o Sale s Searc h Owne r BRY E TASH AL 281 1 RUGGLE S S T O' ? O
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->2>/ o \ A3 > Propert yInformatio n Ke yNumbe r 287 7 000 0 1 8 Accoun t Type : Residentia l Parce l Numbe r 182877000 0 Parce l Address : 281 1 RUGGLE S S T OMAH AN E 68111-000 0 Lega l Description : MYER S RICHARD S & TILDEN S AD D LO T 3 BLOC K7 5 0 X 12 5 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $ 2,600.0 0 $ 22,300.0 0 $ 24,900.0 0 200 8 $ 2,600.0 0 $ 22,300.0 0 $ 24,900.0 0 200 7 $ 2,600.0 0 $ 22,300.0 0 $ 24,900.0 0 200 6 $ 2,600.0 0 $ 22,300.0 0 $ 24,900.0 0 200 5 $ 2,600.0 0 $ 13,100.0 0 $ 15,700.0 0 200 4 $ 2,600.0 0 $ 11,900.0 0 $ 14,500.0 0 Sale s Informatio n Sale s Date : 2002-09-2 4 Dee c / Type : W D Book : 222 2 Page : 48 7 Price : $ 11,000.0 0 Granto r Grantee : Valid/Invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t

• 0.1 4 6250. 0 1. 0 125. 0 50. 0 N o Improveme r t Info r matio n 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R182.. . 6/8/2009Dougla s County Accoun t Infomiatio n Pag e 2 o f 2
Buildin g 1

Squar e Footage : Perimete r Uni t Type :

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HVAC : Exterior : Interior : Roo f Cover :

Roo f Type : Floorcover : 82 6 0 0. 0 1 1/ 2 Stor yUnfi n Oi l Fire d Fram e Sidin g Drywal l Compositio n Shingl e Gabl e Allowanc e Percen t ^-«"'' ' 190 0 Detai l Typ e Ad d O n Ad d O n Applianc e Basemen t Fixtur e Fixtur e Garag e Porc h Porc h Use r Remtdele d Remodele d 199 3 0 % Detai l Descriptio n Fenc e Chai n Lin k Unfinishe d Atti cW/floo r Allowanc e Bsmn t Bloc k 8 f t Bas e Fixture s Bat h Ful l Detache d En d Soli d Wal l En d Soli d Wal l SOURC E 3 t t H UNFf M

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Units : 1. 0 Baths : 1. 0 Bedrooms : 2. 0 Stories : 1. 5 Foundation : Bloc k Sprinkle rSquar e Footage : | 0. 0 Adjuste d Yea r Physica l Ag e Buil t 190 0 10 9 Unit s 1. 0 874. 0 1. 0 874. 0 1. 0 1. 0 400. 0

54. 0 128. 0 1. 0

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. SAFET Y AUDI T Projec t Name : Dat e o f Audit : Primar yHealt h Hazards : f^/^f
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