## TRANSMITTA Lo f OMAH A LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R 

# SAI D # : (0?SrSU M Date : ^j ^ 

# D a Address : 

## Remediatio n Contractor : PROFESSIONALENVIRONMENTALENGINEER S Year : 200 9 PAIN T STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S y JfXdQ O ofpropert y (DVD) 

# pr ^ Xy ^ Executiv e Summar y SignedAcces s Agreemen t fo r

subject propert y 

# y Paintin g Agreemen t ettlemen t documents(i.e. , fo r

damag e o r

to replac e plants , etc. ) Photograph s A/^^Y ^ 

# y Satisfactor y restoratio n signedby Propert y Owne r D 

## Propert y close-ou t chec k

lis t signedb y EP A 

# y Propert y information fro mDougla s Count y Assessor' s Office 

# sy confirmation tha t lea dpamphle t "Renovat e Right " was receivedby P0 _ 

# u D 3020385 9 D Superfun d



## Profession^Environmental Engineer s Signatur e

Zi^./l'-.Jt^Ja^Ttls^— 

# ^4k/ ^ Ignatur e250 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



### Lea dBas e Stabilizatio n Omaha , N e Clos e Ou t Repor t 200 9 SAID #6356 4 245 6 Fontenell e Blvd .

•Date s worked : 07/1 5 t o 07/1 6 200 9 •Pr e propert y condition : Hous e ha dbric k an dwoo dsidin g wit hflaking an dchippin g paint , woo dporc hfloors an dtri mare awa s al l i n poo r condition . Garag e i s al l woo d an dprio r pain t wa s i n poo r condition . Pain t chip s i n yard . • Problem s encountered : N/A . • Owne r request/concerns : Owne r di dcommen t abou t th e pol y killin g he r grass , bu t wa s no t concerne dbecaus e he r gras s wil l b e replaced . •Inspection/closeou t dates . Owne r signe d07/2 6 2009 . Inspecte db y P E projec t manager .07/27/200 9 MO M 8:4 3 PM SIOOl/00 2



# PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC . "Providin g co9t-&ffectiv e environmenta l solutions " CwMuSli v• EngVteaitn Q Oaslg n • Remedotlo n • Abaii«inen t • Errwrganc yR«spanB » 

### Propert y Owne r Closc-Ou t For m (Lead-Baae dPain t Stabilizatio n EP A Conuac t EP-R7-08-06 ) 

# SAID : (o^&ro M ^ ;_ - . . , ^_ , ^ Owner'sName : 

# i\g> n\M'>\^ams> . Performanc e Standard^/Cloae-Ott t Criteri a 250 5 Noitti24 % Suit e 21 0 Omaha , N E 6811 0 (402 ) 604-468 8 1^(402)504-328 1



## YE S N O 1 . Wa s A e entir e structure(s ) painte dwii hth e exceptio n o f th e stated , exclude d areas ? Thi s woul dinclud e paintin g ofothe r associate dfeature s includin g &scia , eaves , siding , al l trim , porches , bo x beams , columns * rails , an dextorio r sur&ce s o f 

# y 2 . Waaal l sciapin g an dotihe r preparatio n wor k

complie daatisfectorily ? WQLJf t 3 . Were oi l requite darea s ofth e stnicture(s ) prime da s neede dan dpainte dwid i tWDlPpwttta ? 4 . Wa s tb e pain t pioduct s utilize dequivalen t to a3 0 year product/quality ? 

### Ofl(30f 6 5 . Ai e B Uo f th e area s wher e contaminate dmaterial s hav e bee n sfAlU A thomu^ y vacuumed / cleaned ? / 

### 6 . Di dth e conuacto r collect/vacuu mal l fallin g an dscrape dpain t chip s o n th e entir e prepeity , roadways , alleyways , publi c acces s area s an dals o remove an y othe r gcaetate ddebris ? 

# s / 7 . l ath e gras s are atha t auiround s th e structure(5 ) i n fcasonabl y goo dcggdidon ? 8 . Ar e al l item s «ucha s polyethylen e sheeting , ladders , pain t Imishes , cones , banie r tye , etc . properi y removed ? / 

### 9 . I s ther e an y evidenc e ofpropert y damag e that wa s 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 EPA Close-Out . 

## 1 / 10 . Ar e Ther e an y property item s tha t were temporaril y re-locate db y th e contncto r tha t pee dt o b e roowdback ? • n . Ar e ther e an y Omown ) lingerin g issue s wit hth e property owner(3 ) diat hav e bee n lef t unresolved ? 

# y 

# y

Speit y Owne r Signatur e Date Professtoiu U Envjjitaenta l Engineer s Representativ e Dat e21001/00 2 .07/13/200 9 MO N 12:0 4 FA X 

# CONSEN T FO R ACCES S T O PROPERT Y " OMAH A LEA D SIT E REMEDLI LACTIO N - LEAIMIASE] ) PAIN T STABILIZATIO N PROPERT Y ED : G:^SG* i PROPERT Y ADDRESS : jlMb^ Q hOA-j^j^ . Y^^ 6 

## OWNERNAME : 

# ^(^^ ^ {MottS-

- »ATM«ETM0».:J/^dilM_M ) CELLrHO^fE : 

# 1= l/^^-4Ml( ^ EJ>iAn. , |<atCat1®aoi.u> ^ OWNER' S ADDRES S I FDIFFERENT : TENANT' S NAM EI FAPPLICABLE : DAYTIM EPHONE : CEixnaoNE : - — E-MAIL : Frofiisskiiial Envtranmeata l Engiaeen , luu . (PE ) i s unde r cootrae t (iV£P-R?<08-0ti ) wit hth e UJS . Envirounenta l Protectio n A^nc y (EPA ) t o stabiliz e lea dbase dpain t (LBE O o o residentia l structure * a t aaumbe r o f propertie s locate dI D Omaha , Nebnulu . Th e paio t gtabilizatiot i wor k i s bein g don e t o protec t th e noil cleanapi t tha t ar e bein g performe db y EP A cootractons . Pain t stabilizatio nactiviUe s wil l include : scrapin g o f cracke do r flaking LB P(ro mfltructures, applicatio no f aprim e coa t an dtw o (2 ) coat s o f pain t Movin g part s o f whidow s an ddoor s ar e no t inchide dan dwD I no t b e addressed . You r cooperatto nI s requeste di n givin g penaissiai i t o thi s EP A contracto r (FE ) t o ente r an dhav e aeees s t o thi s propert y fo r th e purpos e o f stabilizin g lea d-base dpain t a s outline do n tb e propert) " Identifie dabove . B y signin g tbi s documui t I agre e t o allo w a n EP A contracto r t o conduc t asoi l cleanu p a t m y propert y following cotnpletioi i o f lead-base dpain t vtabiUzation , ifth e soi l cleann p ha s no t alread y bee nperformed . I underirtaii dtba t tli e stablGaatio ncontracto r ca nno t provid e ussurance s tba t tb e soi l cfeanu p contracto r wil l b e bonn dto . I furttie r ondentaB dtha t th e soi l cleanu p contracto r wil l mak e al t reasonabl e eifort s t o addres s concern s tha t I , a s th e propert y owner > ma y hav e regardfai g soi l deanu p a t m y proper^ . ^Yes , I hav e rea dan dundetetan dth e paragnp hdMve . SiEpiBlor e o fPrepert yOwne r Dit e I Aill y understan dtha t b y signin g thi s Consen t fo r Access , (1 ) thi s acces s wi nremai ni neffec t nnt U th e wor k ha s bee n satiafoctoril y completed , (2 ) tha t th e Propert y Owne r o r Tenant , i f applicable , wB l b e give nth e Housin g an dUrba nDevelopmen t (HUD ) an dEP A pamphlet , "Renovat e Right , Importan t Lea dHazar dmfbrmatla nfiir F^iile* , Da y Car e Provider* , an d Schools" , (3 ) th e Propert y Owne r o r tenan t wil l remov e al l obstruction s fromsarfao u ( o b e painted , (4 ) wI B abU e b y healt han d safet y guidanc e provide db y EPA , (5 ) wi D allo w photograph y o f propert y befor e an dafte r th e pain t stabilisatio nwork , (ti ) wi U b e contacte db y aP Erepresentativ e approxbnatel y 4 8 hour s i nadvanc e o f startin g work , (7 ) agre e no t t nobstruc t o r tampe r wit h an y o f th e LB PstabilizAtia nactions , an d(8 ) wi U participat e i nfinal propert y inspectio nan ddg nth e Completio nAgreemen t an d Propert y Owne r Satisfisetio aSarvey , Shoul dyo u hav e an y question s abou t th e plane dLea dBased-Pain t stabilisatio nactivitie afo r you r property , pleas e contac t Professiona l Environmenta l Engineers , Inc . Projec t Manager , Willi e Qa y A t 402-Sft4-4<M . Genera l questton s abou t th e Omah a Lea dSit e cleanu p ca nb e directe dt o Paulett aFrance-Isetts , EP ARemedia l Projec t Manage r 402-731-24S4 , o r th e EP APttbli e Informatio nCenter s a t 402-991-958 3 (Norti i Omah aofDee ) o r 402-731'304 3 (Sout hOmah aoflice) . M Yes , I grant acces s t o n y propeity an dw agiv mth e pamphle t D No , I d o no t gran t acc8 H t o m y propeity an dI vn s ''^novat e RIgM , loftpoitan t Lea dInAxmatlon for Famffiss , Chil d ghm nth e pamphla t 'Tieoavsl ai^ht , Important Lea d Care PnnldBra , sp dSchools. * InfonnaSon(b r Famllfas , Chllde Cai e PRnlders , an dSehoote. " signatur e I Dai s Signahi n Dit s SPECIAL^NSTRUCTUN S AN D CONSIDERATION S 

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## Douglas Count y Accoun t Information Pag e 1 of 3 

# la36U 4 Dougla s County , Nebrask a Propert yRecor d - R081207000 0 Prin t Repor 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 - VJO W O H Ma P Informatio n i s vali d a s o f 2009-6-1 6 Treasurer' s Ta xRepor t Ne wFeatur e •*-•- > Aut o Sale s Searc h Owne r WILLIAM S KATHLEE N M 245 6 FONTENELL E BLV D OMAH AN E 68104-000 0 

# 551 " ^UU S Propert yInformatio n Ke yNumbe r 120 7 000 0 0 8 Accoun t Type : Residentia l Parce l Numbe r 081207000 0 Parce l Address : 245 6 FONTENELL E B D 

# 03 - Lc'^O D l> ^ OMAH AN E 68104-000 0 Lega l Description : CLAIRMON T LO T 1 BLOC K6 5 0 X 12 5 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $ 6,400.0 0 $ 45,400.0 0 $ 51,800.0 0 200 8 $ 6,400.0 0 $ 45,400.0 0 $ 51,800.0 0 200 7 $ 6,400.0 0 $ 45,400.0 0 $ 51,800.0 0 200 6 $ 6,400.0 0 $ 45,400.0 0 $ 51,800.0 0 200 5 $6,400.0 0 $ 76,800.0 0 $ 83,200.0 0 200 4 $6,400.0 0 $ 69,800.0 0 $ 76,200.0 0 Sale s Informatio n Sale s Date : 2007-07-2 5 Dee d Type : W D Book : 200 7 Page : \ 08561 7 Price : $ 108,210.0 0 Granto r Walke rCletti s R eta l Grantee : William s Kathlee n M Valid/Invalid : Vali d

- • • - - Exclusio n Reason : Sale s Date : 1994-10-2 5 Dee d Type : D Book : 199 6 Page : 16 4 Price : $64,900.0 0

..... . .. . - ­ - Granto r 

## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accoimtno=R081.. . 7/9/2009

### Dougla s County Accoun t Informatio n Pag e 2 o f 3 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 5 6534. 0 1. 0 0, 0 0. 0 N o Improvemen t Informatio n Buildin g 1 <^<i.* ' MS*f=<:«n&e.i.€e o

i*'i1J! ? S i ' »<!• S50. D »!( , i t I ' ^SO. Q «( i It .

» 0 5H< >

CLIC KT O ENLARG E IIVIAG E Squar e Footage : \ 1100. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Averag e

Buil t As : 2 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 7. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal l Baths : 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

Roo f Type : Gabl e Stories : 2. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 192 2 0 0 % 192 2 8 7 DeU/i l Typ e Detai l Descriptio n Unit s Ad d O n Fenc e Chai n Lin k 1. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 ft 550. 0 Basemen t Minima l Finis h 152. 0 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R081. . . 7/9/200 9