TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: gC^BS l Date: '^-30^0 ^ 

Address: \?^\ ^ ,5^ Q. ^ C^f 

Remediation Contractor: PROFESSIONAL ENVIRONIVIENTAL ENGINEERS 

Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUIVIENTS 

Video of property (DVD) 

D Executive Summary 

Qy ^ Signed .Access Agreement for subject property 

Qy"^^ Painting Agreement 

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

y ^ Photographs "^e^/iA p/)Sr 

H^y^^ Satisfactory restoration signed by Property Owner 

\iy^ Property close-out check list signed by EPA 

Wy^ Properly information from Douglas County Assessor's Office 

B^^ _confirmation that lead pamphlet "Renovate Right" was received by PO 

D 

Professional Environmental Engineers Signature Date 

y^,:/L,d^A6it- ./Vf/^ 

Ignature ^ EPA Signature Dat^ ^ 

30094411 

Superfund 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. ''' ' Trilaht" NE esno 

"Providing cost-effective environmental solutions" ^^^ JJ°^j 504:328, 

Consulting • Engineering Design • Remediation • Atiaternent • Emergoncy Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 20351 

1317 S 25 St 

• Dates worked: 07/10/09 to 07/10/09 

• Pre property condition: House had vinyl siding and some transit on areas ofthe house, 

garage was wood with very poor paint. Trim n north side needed painted due to it 

being exposed when storm blew off covering. 

• Problems encountered: None 

• Owner request/concerns: Color changes 

• Inspection/closeout dates: Owner signed 07/12 EPA 07/14 2009 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Cor.'siilt.ng • Engineering Dos.gn • Remerl tilir-n • Abaioment • En.Pi joncy R^ipnnse 

EPA Close-Out Form 

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

SAID: oiCy^'S \ 

Property Address: 1 3 1 '-^ "S cJ^5> ^ T 

Owner's Name: T?MJl\ CL loCePif"! ^ 

Performance Standards/Close-Out Criteria 

2505 North 24", Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

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 y 

garages. 

2. Was all scraping and other preparation woric 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 producl/quality? , y 

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 t^y other generated debris? 

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

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

barrier tape, etc. properly removed? y 

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

property damage needs to be completed prior to the EPA Close-Out. y 

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

t y 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: 

CUj;>t iliyc of 

EPA COR Signature Date 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineenng Dc-s.g'i • Remed'iition • Abatemont • Emergency Responso 

Property Owner Close-Out Form 

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

SAID: 303S1 

Property Address: 

Owner's Name: ml 1 C. Keen-e-r 

Performance Standards/Close-Out Criteria 

2505 Nor1h24'^ Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

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

garages

, siding

. 

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

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

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? X 

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? y 

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

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

barrier tape, etc. properly removed? X 

9. Is there any evidence of property 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? V 

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

been left unresolved? y Comments: 

T/U/ ^ 

Property Owner Signature Date 

7-^^-^ / 

Professio ifessional-tnvi^wm n nmenta i l Engineers Representative Date 
CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: ,^Ci2: S \ PROPERTY ADDRESS: i^in s ^.s ^-^ 

OWNER NAME 

PCUA. \ ^ rAcNfV^ V-ygjE-Opr DAYTIME PHONE: 

CE:EI3U L PHONE: *V\C\^CnnL p E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 

t^ouuuica\ ^ . ,_,, ., CELL PHONE: \QI^'-\\\D H 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 ofcracked or flaking LBP from structures, application ofa 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, ifthe soil cleanup has not already been performed. I understand that the stabilization contractor 

can not provide assurances that the soil cleanup contractor will be bound to. 1 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 

my property. 

^^L/es, I have read^nd undarstan^ the paragraph above. 

MAJA (o7^'7/o ^ 

ilgnature of Property Owner Date 

I fully understand that by signing this Consent for Access, (1) this acce.ss 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 of property 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 office) or 402-731-3045 (South Omaha office). 

M Yes, I grant access to my property and was given the pamphlet D No, I do not grant access to my property and I was 

"Renovate Right, Important Lead Information for Families, Child given the pamphlet "Renovate Right, Important Lead 

Care Providers, and Schools." Information for Families, Childe Care Providers, and Schools." 

Sianature Date Signature Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
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JOOLOIL 

(GONPUn AU. SBCnOI^ YEi^ n a OR NON-APmCASLC) 

I AfiREETO THE COLORS LISTED ABOVE. PAUniNG BEGINS^ E 

UNDERSTAND I CAN NOT CHANGE THE SELECTED GOLORS: 

PADwriaMiMranoowot 
4 Douglas County Account Information 

Page 1 of3 

c2)3r/ 

Douglas County, Nebraska Property Record - R2219480000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - ViC W O n Ma P Information is valid as of 2009-6-3 Treasurer's Tax Report 

New Feature «•-•" • Auto Sales Search 

Owner 

KEENER PAUL C 

ETAL y 

1317 S 25 ST 

OMAHA NE 68105-0000 -sqa-3-g-Jo 

Property Informatio n 

Key Numtier: 1948 0000 22 • 70 T (-^Ci*^/ 

Account Type: Residential 

Parcel Number 2219480000 

Parcel Address: 1317 S 25 ST 

OMAHA NE 68105-0000 

Legal Description: SHULLS 2ND ADD LOT 18 BLOCK 12 50 X 126 

Value Informatio n 

Land Improvement Totel 

2009 $4,900.00 $80,400.00 $85,300.00 

2008 $4,900.00 $80,400.00 $85,300.00 

2007 $4,900.00 $80,400.00 $85,300.00 

2006 $4,900.00 $79,000.00 $83,900.00 

200S $4,900.00 $79,000.00 $83,900.00 

2004 $4,900.00 $79,000.00 $83,900.00 

Sales Informatio n 

Sales Date: 2003-07-25 

Deed Type: WD Book: 2003 Page: 161249 

Price: $51,334.00 

Grantor: Galen R Myers ETAL 

Grantee: Paul C Keener ETAL 

Valld/lnvalld: Valid 

Exclusion Reason: 

Sales Date: 1996-06-06 

Deed Type: Book: 2039 Page: 550 

Price: $65,000.00 

Grantor 

http://dougIasne.mapping-onIine.com/DougIasCoNe/static/accountinfo.jsp?accountno=R221... 6/9/2009 
.i Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Land Informatio n 

Acres SF 

Valid 

1993-06-14 

$46,950.00 

Valid 

Untts 

0.14 6300.0 1.0 

Improvemen t Informatio n 

Building 1 

Square Footage: 

Perimeter 

Unit Type: 

Built As: 

HVAC: 

Exterior: 

Interior: 

Roof Cover-

Roof Type: 

Floorcover: 

1706.0 

0.0 

2 Story 

Central Air to Air 

Frame Vinyl 

Plaster 

Composition Shingle 

Gable 

Allowance 

Book: 1953 Page: 397 

Depth Widtii Vacant 

126.0 50.0 No 

ri^i 9iM vwM « » 

FIrK finer 

174.0 sq * 7 Second FlOM 

•a2(l<q. ft 

V ^ ^ 

2 STORY 

er->« BUCKS 11 

5i»:»>(a I! 

CUgjyjOENLARGEIJ^ 

Percent Complete: 100.0% 

Quality: Average 

Condition: Average 

Condo Square Footage: 0.0 

Rooms: 7.0 

Units: 1.0 

Baths: 3.0 

Bedrooms: 3.0 

Stories: 2.0 

Foundation: Block 

Sprinkler Square Footage: 0.0 

http://douglasne.mapping-online.eom/DougIasCoNe/static/accountinfo.j sp?accountno=R221... 6/9/2009 
MC Services, LLC 

Property Address

Start Date 

 \o \ | O /- O vTS r 

End Date 7-/o^0^ 

Amount Of P 

Prime (Gallons) 

Poly (Boxes) 

Paint (Coior) 

Paint (Color) 

Paint (Color) 

^ 

U/UV-Vf 

6,f(|4.i/X 

Amount (Gallons) 

Amount (Gallons) 

Amount (Gallons) 

i^ 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 
Professional Environmental Engineers, Inc. 

INTERVENCION DE SEGURIDAD 

Nombre del Proyecto: )o \ ( ^ Z O Q V 

Fecha de la Intervencion:'( ~ [ O ""VJ ^ 

Peligros de Salud Primordial: i^CXC 3 

Preocupaciones Primordiales de H & S:_ 

Tareas Diarias: 1 .pCWri^ kVYjA 

j.-Qmnm ^ 

Equipo Usado en el Lugar de Traabjo: 

Casco Duro y Escalera " ^ 

Gafas de Seguridad y Elevadores 

Zapatos GFCI ^ 

Guantes de Trabajo J^, . Chale'Cos de Seguridad 

Generadores ~y . Otro 

Equipo Listo para Respuesta de Emergencia a Disposicion Inmediata: 

Conducir Reunion Diaria de Seguridad — ^ 

Estuche de Primeros Auxilios 

Procedimientos de Emergencia 

Politico de Salud y Seguridad de la Compania 

GFCI en sitio y . 

Deficiencias: 

Acciones Corretivos: 

Interventor: Fecha: 

Supervisor del Sitio: Cc^c/o ^ ^-< ^^•w.-l:<gSJecha: f ' ^ 0 • O ^