TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: ?^^' \ Date: ^ \ OO | O ^ 

Address: o?M 3)5; j^^^lSa S Aj ^ 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS 

Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

B^^ Video of property (DVD) 

W ^ Executive Summary 

Vr Signed Access Agreement for subject property 

0 ^ Painting Agreement 

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

B ^ Photographs bejn( ^ ^.p d a^ ^ 

B ^ Satisfactory restoration signed by Property Owner 

D ^ Property close-out check list signed by EPA 

B ^ Property information from Douglas County Assessor's Office 

M confirmation that lead pamphlet "Renovate Right" was received by P0_ 

D 

D 

D 

Professional Environmental Engineers Signature Date 

^/;^//o 

ignatw-d Date' 

30056199 nnMnii 

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# 38899 

2435 Kansas Ave 

• Dates worked: 06/15 to 06/17 2009 

• Pre property condition: paint on window trims and garage were in very poor condition 

with flaking paint. Junk and remodeling items in property that had to be removed 

prior to stabilization process. Garage door badly damaged and structure was unstable. 

• Problems encountered: None 

• Owner request/concerns: N/A 

• Inspection/closeout dates: Owner signed 07/17, EPA 07/14/09 No issues. 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

EPA Close-Out Form 

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

SAID: Si^fe^' ^ 

Property Address: 9^43 5 VTrinSClS AV ^ 

Owner's Name: '^CXC\^OirO^ (l/lYV\p\^^\[ 

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 of the 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 work completed satisfactorily? i ^ 

3. Were all required areas of the structure(s) primed as needed and painted vdth 

u ^ two top coats? 

4. Was the paint products utilized equivalent to a 30 year product/quality? i ^ 

5. Are all of the 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 ^ 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, i 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. t — 

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

1^ that need to be moved back? 

11. Are there any (known) lingering issues with the property owner(s) that have ^ been left unresolved? 

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

( Ei»A COR Signature 'Date' 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Property OAvner Close-Out Form 

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

SAID: 38&3^ 

Property Address: SjOj^ S jChrtSQ S /JV-L 

Owner's Name: feart^rTV T/St t^:p>|V&|l 

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 of the 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. X 

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

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

two top coats? 7 

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

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

vacuumed/ cleaned? X 

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? H^ 

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

barrier tape, etc. properly removed? ^ 

9. Isthereany 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? •f 

11. Are there any (known) lingering issues with the property owner(s) that have ^ been left unresolved? 

Comments: 

Jwner Signature Date 

Professional Envifonmenta ivifonmen l Engineers Representative Date 
CONSENT OFR ACCESS TO PROPERTY 


OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED FAINT STABILIZATION 

PROPERTY ID: ^^^'j ^ PROPERTY ADDRESS: c^V J S " '/^/?S^ ^ /9 U 

OWNERNAME: 

>6^y6a-ro ^ Cj)r\o\^\\ DAYTIME PHONE: 4^S h ^OS'ST 

CELLPHONE: ^__ ^ E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 

CELLPHONE: E-MAIL: 

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

Agency (EPA) to stabilize iead 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 were 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. I understand that the stabilization contractor can not provide assurances that the soil 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 my property. 

I fully understand that by signing this Consent for Access, (1) thb 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 of the LBP stabilization actions, and (8) will participate in final property inspection and 

sign ttie 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). 

Yes, I grant access to my propeity and was given the pamphlet D No, I do not grant access to my propMty and i was 

Renw^tarli ^ Important Lead Infomiation for Families, ChIM given the pamphlet "Renovate RigM, Important Lead 

Information for Famliles, Chlide Care Provlden, and Schools.' 

. INSTRUCTIONS AND CONSIDERATIONS 
(D@[jiiffl[fwasitio@ini @f (^@©(s6plt ©if L®iidl FiioinipIhiDdfi 

j^a^ppimADDRESS Z^:^ s V^r\nsas frV^v OPCODE 

PROPERTVADDRESS OF OWNER IF DIFFERENT THAN PROPERTY BEING PAINTED; 

PROPERTY ADDRESS ZIP CODE 

I havB reoavBd a copy of ihe pamphlet. Ranoi/ala Righ t hnportant Laad Haaaid Infonnadon For Famlllaa, 

ChBd Ca n Piwhh n An d Schoola informing me of ttie potential risic of the lead hazard exposure from 

renovation activity to t e perfomied on dwelling unit I leoeived this pamphlet before the work began. 

^^LL^t^hsJC 

j%,^2k£­

Seff-CartMcallon Opdon (For TonantOixtip M DweHings Only) 

if the lead pamphlet was deliveiBd but a tenant signature was not obtainable, you may chedt the appropriate 

beloMT 

~l RBhisal To Sign- 1 oertiiy that I have made a good faith elfort to deliver the pamphlet, renovate right important 

tead hazaid infomiatfon for fenriltes, child care provideiB and sehoote; to the rentd dwelling unit lis M 

date and time indicated and that the occupant refused to sign the conflnnatlon of reoelpL I further oertHy that I 

h a w toft a copy of the pamphtet at the unH wRh occupant 

D Unavdtabte For SHinaliiiB - i certify that I have made a good f&dth effort to delivar the pamphtet. renovate I 

important tead hazanl infomiation for fiamiHes. chHd care pravMers and sehoote, to the rental dwsHing unit listed 

below and that the occupant was unavaOabto to sign fhe oonflnnallon of receipt I further certify that I have teft a 

copy Gf the pamphtet at the unit by sliding it under the door or somewhere on fhe premises. 

PRHTGDNAMEOFmONCERnFYMQ ATTEMPfED DEUVEmr DATE AND TME LEAD 

PAMPHLET DBJVERY 

8»IUTIIi ATUREORffiRSO E dli^ERSON CERTFVIN CERHFYINO LEA LEADD PAMPME PHU T DEUVERY:

Note Rsginflns BflaHIng Option - as an altomaliwB to delvery in person, you may rnafl itts totd psmplM to the owner 

andfor brunt P&npMst must be maHsd attoast7 days before renovflHon. (CkiGumentwIlhaGarttcBteofinaBiigfiraiittiepost 

oiflos). 

OONnRMATKlNOFReCEIPrOFLEAOPAMPHLET 0M» 
pmm MMm kmEmmi 

. 9^?^ ^ Ya^sa ^ fW ^ DA1E (-•inr'^gi 


BVID -

AREA(S)TO BE inmncDs 

HOUSE PROPER: .G0IJ08L 

HOUSE TRIM. .COLOR, 

GARAO^ JOOUML 

GARAfiBIRIM. GOLOR 

T 


PORCH. 


PORCH TRIML GOLOR_ 


IMREE TO THE CXILORS USTED ABOVE ONCE PAnmNG BEGIIiSip I 

UNDERSTAND I CAN NOT CHANGE THE ABOVE SELECTED GOLORS: 

pMSftaATBHraeeaeem 
Douglas County Account Information Page 1 of2 

Douglas County, Nebraslca Property Record - R0600770000 

Print Report 

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

New Feature -•-•- • Auto Sales Search 

Owner 

CAMPBELL BARBARA J 

ETAL i^^l '^^^s 

6129 N 24 ST 

OMAHA NE 68110-0000 ft»^^W 

Property Informatio n 

Key Number 0077 0000 06 UocA nnorA)t^ 

Account Type: Residential 

Parcel Number 0600770000 

Parcel Address: 2435 KANSAS AV 

OMAHA NE 68111-000 

Legal Description: BELLE ISLE LOT 10 BLOC 

Value Informatio n 

Land Improvement Total 

2009 

2008 

2007 

2006 

$2,500.00 

$2,500.00 

$2,500.00 

$2,500.00 

$80,400.00 

$80,400.00 

$68,600:00 

$68,600.00 

$82,900.00 

$82,900.00 

$71,100.00 

$71,100.00 

2005 $2,500.00 $68,600.00 $71,100.00 

2004 $2,500.00 $36,400.00 $38,900.00 

Sales Informatio n 

Sales Date: 2005-10-01 

Deed Type: QC Book: 2005 Page: 124390 

Price: $0.00 

Grantor BARBARA J CAMPBELL 

Grantee: BARBARA J CAMPBELL ETAL 

Valid/Invalid: Invalid 

Exclusion Reason: Family Sale 

Land Informatio n 

Acres SF -U 

Units Depth Width Vacant 

0.14 6120.0 1.0 136.0 45.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R060... 6/8/2009 
Douglas County Account Information Page 2 of2 

Building 1 

2scr 

16,0? 

i2or izcr 

SO' 

•34.0^ 

1 Ui.Q 

34 0' 28,0' 

2B.S TWO^STORY 

iS.ff 280' §.0; EnclS«SdW^ 1144.0 

CLICK TO ENLARGE IMAGE 

Square Footage: 2096 0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Fair 

Unit Type: Condition: Average 

BuiitAs: 2 Story Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 9.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 1.0 

Roof Cover: Composition Shingle Bedrooms: 4.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1918 0 0% 1918 90 

Detail Type Detail [description Units 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 1144.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Garage Detached 432.0 

Porch End Screen 224.0 

Porch Open Slab 168.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R060... 6/8/2009 
IGIT 

PropertVAddress A l 3 S KAKCC ^ <; AV^ . Date O^//fl/c ^ 

StartDate ig^\ S "0 ^ End Date U " W " 0 M 

Amount Of Prime And Paint Used 

Prime (Gallons) 

6^ (^(71 

Poly (Boxes) 

r??. 

Paint (Color) Amount (Gallons) jS^^ ^ CL (

L^i n (Mg 

Paint (Color) ^^f^ Amount (Gallons) ^^ <^<?/ 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 
PROFESSIONAL ENVIROMENTAL ENGINEERS,INC. 

REUNION DIARIA DE SEGURIDAD 

Feclia: 0^/J3/0 9 

Proyecto: Omaha paint stabilization project 

Lugar: 

Sitio de actividad: :o?45SKiHSas

Tareas dianas: 

1. Site preparation/scrying. 

2. Pai nting. 

3.Clean-up. 

PrimordiaJ/Peligros Potenciales: 

1. Personal lead contamination 

2. Site lead contamination. 

Herramientas de trabajo: 

1. Step letter.. 

2. Knife. 

Practicas de Trabajo/Acciones Correctivas: 

1. 

2. 

Llamadas Previas: 

1. 

2. 

Firma de registro del Empieado: 

 A^'^ ^ ^ 34o2Biv^^ioH^ f 

S.Eletricity. 

4.Falls. 

3. Paint spry machines. 

4. Others. 

3. 

4. 

3. 

4. 

1. :v.a.u.d.'a.(.f.eA;..s.^C.^..e£i-;:.i;.... n.. 

2. di^z^^i^..,0^ff<i,:i:yj:}..^

3...£,e...<S'v+9...^.^.4-"'.?-<^<^^^^^^' 4...^\i\)&..!^;:fe .^..... 

^..:Hlia:i£iJ....lc,l^ ^.£^as.d.

i...u/J.ciUf^^ SmlC/5e.2-.

9..me».fcfix.J?'.lfe.v(..fcM...CAl^MS:.x.... 10

11

12

 12.. 

 13.. .14.. 

 16., 

 17.. 

 19., 20., 

 21.. 

 22.. 

.cU-OhS 

Fiima de salud del Sitio Fecha 
# 

PROFESSIONAL ENVIROMENTAL ENGINEERS,INC. 

REUNION DL\RIA DE SEGURIDAD 

Fecha;daWeWe9^-4 I ^ ^ 

Proyecto: Omaha paint stabilization project 

Lugar: IHci^^'^ 9i~ 

Tareas dianas: 

1. 

2. 

Primordial/Peligros Potenciales: 

3. 

4. 

1 

2. 

Herramientas de trabajo: 

3. 

4. 

1. 

2. 

3. 

4. 

Practicas de Trabajo/Acciones Correctivas: 

1. 

2. 

3. 

4. 

Llamadas Previas: 

1. 

2. 

3. 

4. 

Firma de registro del Empieado: 

A.^.i2{?ir...i!Mfyziiiyc^^ 14 

6...)MUlifti^..5tolBPf.\li«.l5LJIs^ 16, 

i.Qq(^.X.oJS....,.S>.aX\aiE^ n. 8.....fe/c7^^./<?f/.r.....^.^<jr<::.^.^ia/^-:i8, 9 19, 

10 20, 

11 21, 

12 22 

Firma de salud y Sej 

.0.W/i/Q..3 

Fecha