TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: ;pgt^ ^ Date: (=^j^ l -5<b/n 

Address: j^f^-? Mir-rr^ /iv . 

Stabilization Contractor: Pruden t Technologies, Inc . Year: 2010_ 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

IS^ Video ofproperty (DVD) 

0^ Executive Stimmary 

m Signed Access Agreement for subject property 

M Pre-Renovation Form signed by Property Owner 

D Pre-Renovation Form for Occupant/Tenant, if applicable 

Sl Painting Agreement 

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

y Renovation Recordkeeping Checklist signed by Certified Renovator 

y Photographs 

M Satisfactory close-out check list signed by Property Owner 

y Property close-out check list signed by EPA 

y Property information from Douglas County Assessor's Office 

y Hazard analysis, if prepared 30260045 

D Safety Audit HWi 

D Other (describe): Superfund 

Prudent Technology, Inc. Signature ' Date 

P A CORSignature ^Dafe 

(after file folder review) 
TECHNOLOGIES,] 

Property Summary 

Date: 6/24/2010 LBP STABILIZATION EPA CONTRACT EP-R7-08-07 Month of: June 

Property Address; 1647 Victor Av. SAID #: 28155 

A. Executive Summarv; 

a. Issues Encountered: NONE 

b. Issues Resolved: NONE 

c. Unique Findings: NONE 

d. Other Relevant Information: 

i. Access Date: 04/01/2010 

ii. Work Began; 04/17/2010 

iii. Close-Out Date: 04/19/2010 

B. Enclosures: 

1. Pre-Stabilization Video 

2. Post-Stabilization Video 

3. Signed Access Agreement Form 

4. Advance-Notice Form 

5. Pre-Stabilization Video Agreement Form 

6. Access Tracking Form 

7. Property Access Assessment Form 

8. Neighbor Access Agreement Form 

9. Property Paint Match Form 

10. Pre-Stabilization Property Safety Assessment Form 

11. Work-Site Hazards Analysis Checklist 

12. Pre- Stabilization Property Hazard Assessment Photographs 

13. Douglas County Assessor Property Information 

14. Signed Property Completion Agreement Form 

15. Property Close-Out Check List Signed By EPA 
% 

.Jpffl ia£S5!^lNer 

Prudent Technologies, Inc. (Prudent) is under conti-act (Contract # EP-R7-08-07) with the U. S. 

Envirormiental Protection Agency (EPA) to stabilize Lead Based Paint (LBP) at a number ofpropcrties 

located in Omaha, Nebraska, including the property located at: 

j.^^ ^ y/cn:¥e znz. 

The EPA requests your permission to allow Prudent to perform LBP Stabilization at this property. By 

signing this form, the property owner grants permission to Prudent to perform activities related to LBP 

Stabilization including scraping paint and painting ofthe referenced property. Further, the 

owner/tenant verifies that they have received the LBP pamphlet "Renovate Right." 

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 aheady been 

performed. I understand that the stabilization contractor cannot provide assurances of which 

contractor will be boimd to the soil cleanup. I further understand that the soil cleanup contractor will 

make all reasonable efforts to address concems that I, as the property owner, may have regarding soil 

cleanup at my property. 

(V ] Yes, I have read and imderstand the paragraph above. 

-^-l-io 

Propertj/Owners Signature Date 

Ifyou have any questions about the LBP stabilization planned for your property, please contact 

Prudent's Customer Relations/Office Manager for the Lead Based Paint Stabilization, Mr. Chandra 

Shekar at 402- 504-1004 or 402-889-3821. General questions about the Omaha Lead Site cleanup can 

be directedto the EPA Public hiformation Centers at (402) 731-3045 (South Omaha ofifice) or (402) 

991-9583 (North Omaha ofifice). 

Propertv Access Granted By: 

•s^'e-y-z-ZtD 

Propertj^wnqirs Signature Date 

Please Prinint

t Name / 

8080 Ward Paricway, Suite 405 2505 N. 24*^ Street, Suite 308 4242 Medicai Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebrasica 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phona: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
% 

TBCHNOLOCIBS. IN€r ~ 

PROPERTY INFORMATION 

(To be completed by resident and/or property, owner ~ please print) 

RESIDENT NAME: K^Y Lzyirj As^eM) Tenant 

RESIDENT ADDRESS : /^^ 7 //c:// ^ Ji/ ^ 

IF RENTAL, PROPERTY OWNED BY: /l^ / ^y?y j /k^/^Z/ l 

OWNER'S MAILING ADDRESS: [s^ f /Z. 3^Sr~ 

OWNER'S TELEPHONE NUMBER: 

Home: ({Z)l^€hl,^fi] Work: ¥6 ^ ^l^^9/j 6 Cell: 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: 

TOTAL NUMBER OF OCCtJPANTS: 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS 

OR MORE PER WEEK: _ ^ 

COMMENTS OR SFECIAL INSTRUCTIONS (such as does, entrv gates, etc.); 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented 

by EPA under this agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right 

of access to the property is provided for in Section 104(e) of CERCLA, 42 U.S. C 9605(e), which 

provides entry for "determining the need for response, or choosing or taking any response action under 

this title, or otherwise enforcing the provisions ofthe title." 

Property Owner Signature: 

(Signagjte) (Z 

/2^j r "/-h/Cs 

Date 

8080 Ward Paricway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medicai Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
% 

TECHNOLOClBSklNC. 

PRE & POST PAINT STABILIZATION VIDEO AND PICTURES 

I understand that prudent Technologies (Prudent) will be coming out to shoot a PreStabilization video and to take pictures of my property. Prudent will use the videos and 

pictures to document the current property status/condition. Also, Prudent will shoot a video 

shot following the completion ofthe paint stabilization, i give permission to videos and 

pictures of my property. 

Please list any special conditions that Prudent employees need to be aware of before 

shooting a video (such as pets, prior notice, etc.). 

MV7 /y-/ ^ 

Property Address 

Owner's Name' Signature / / y Date 

ADVANCE NOTICE REQUIREMENT 

After signing the access you allow Prudent to begin Lead Based Paint Stabilization. All 

Plants, weeds and any vehicles or items on open porch (enclosed porches will NOT be 

stabilized) must be removed prior to stabilization. All Pets must be out of yard during 

stabilization. Please indicate below how much advance notice you need to have the abovementioned tasks completed. If you are a landlord you will need to contact the tenant as 

Prudent will only inform the property owners. 

Do you have any pets that reside in yard: " ^ /VC Z 

Notice needed: : ^ Z2>4Z 

Phone number to call to give notice: TO ^ QC/ ^ ^7A ^ 

Whom we are giving notice to: /% ^ 

8080 Ward Parkway, Suite 405 2505 N. 24"* Street, Suite 308 4242 Medicai Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebrasica 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
I

Current Sample Pre-Renovation Form 

Effective until April 2010. 

Confirmation of Receipt of Lead Pamphlet 

V I have received a copy of the pamphlet, Renovate Right: Important Lead Hazard 

infomnation fbr Families, Child Care Providers and Schools informing me of 

the potential risk of the lead hazard exposure from renovation activity to be 

performed in my dwelling unit. I received this pamphlet before the work began. 

Printed name oof redlpient recipient ' 7 / Date y Z 

Signature of recipient 

Self-Certification Option (for tenant-occupied dwellings oniy) — 

If the lead pamphlet was delivered but a tenant signature was not obtainable, 

you may check the appropriate box below. 

Q Refusal to sign — I certify that I have made a good faith effort to deliver the 

pamphlet, Renovate Right: important Lead Hazard Infomnation for Families, 

Child Care Providers and Schools, to the rental dwelling unit listed below at the 

date and time Indicated and that the occupant refused to sign the confinnatlon 

of receipt, I further certify that I have left a copy of the pamphlet at the unit with 

the occupant, 

Q Unavailable for signature — I certify that I have made a good faith effort to 

deliver the pamphlet, Renovate Right: Important Lead'Hazard infonmation for 

Families, Child Care providers and Schools, to the rental dwelling unit listed 

below and that the occupant was unavailable to sign the confirmation of receipt. 

I further certify that I have left a copy of the pamphlet at the unit by sliding It 

under the door. 

K± Z//i n Zl-sk&f,-) 

Printed name ooff p<person dertlfying Attempted delivery 

date and time 

lead pamphlet delivery 

£^e£ur 

Signature of pdreon certifying lead pamphlet delivery 

fZ^C/n iZ/cZzTy^ A/. Unit Address 

Note Regarding Mailing Option — As an alternative to delivery in person, you 

may mail the lead pamphlet to the owner and/or tenant. Pamphlet must be mailed 

at least 7 days before renovation (Document with a certificate of mailing from the 

post office). 
% 

2. TO BE FILLED OUT ONLY IF CHANGING COLOR 

PROPERTY ADDRESS : I0(Z1 lIcLr^v 

BVID; 

Pamt Paint Location 

Paint Description 

Yes No 

Siding y' A^S-fti CC^ . 

Soffit A^i; ^ Ay///y^ ^ 

y 

Fascia ^/y/z/y 

y 

Comer Trim 

\ y ^ 

Window Trims y 

Door Trims Mik 

^y 

Front Porch Ceiling WKA ^£x 

\ y 

Front Porch Ceiling Beams y 

Front Porch Floor y 

Front Porch Railings 

u ^ 

wot - p<?v*ryHc< Front Porch Steps y ^ 

Siding Baseboards r'^y forj"^ i^ixf^z,':? {- y 

Foundation 

SiX> y ^ (r,^^ r Z><)S//ias 

&7Ci>(yi 

su ) (z^^^SZ — CoS/HS^ \y 

W ^ 

^IA) (p5 ^ ^C6Siyr)S 

X^a.c\<- (pg>rgA S^a-tt^t. AS F — (pg>rrK y ^ 

• I AGREE TO THE COLORS INDICATED ABOVE. I UNDERSTANT THAT I CANNOT CHANGE THE 

SELEaED COLORS LATER ON AS PRUDENT WOULD HAVE PURCHASED THE PAINT SPECIFICALLY 

FOR THE REFERENCED PROPERTY. ALSO I UNDERSTAND THAT COLORS SELECTED MAY NOT 

LOOK EXAaLY AS IT IS SHOWN ON SWATCHES AFTER PAINTING ON MY PROPERTY. 

Homeowner signature : imxL iZiMijr\ (ly?,jir i>.t.: 3-^-/-Z n 

8080 Ward Parkway, Suite 405 2505 N. 24*^ Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
ACCESS ASSESSMENT FORM: \(^L( 1 H \

Is the property stucco or asbestos? 

If yes, is any of the stucco or asbestos damaged or 

cracked? 

If yes, stop as we can't stabilize this property. It 

requires special preparation techniques. It will be 

returned to EPA and they will assign at a later date. 

Does this property require lots of scrapping? 

Does this property require a lift or scaffolding to reach 

upper levels? 

Does this property have lots of plants or items in areas 

where painting is required? 

Does this property have any significant structural 

damage? If yes, EXPLAIN? 

Does this property have a garage? 

If yes, describe location of garage. 

Does this property have aluminum siding? If yes, is it 

original factory finish or has it been painted over? 

Does this property have any other type of structural 

components? (I.e. roof shingles as siding)? 

Ifyes, EXPLAIN? 

Is this property vacant or occupied? 

Are there any pets at this property? 

Are there any low hanging power lines? 

Do we need neighbor's access? If yes please explain 

and get neighbor's property address and owner 

Information. If possible, get signature from the 

neighbor. 

8080 Ward Parkway, Suite 405 2505 N. 24*^ Street, Suite 308 

Kansas City, MO 64114 Omaha, Nebraska 68110 

Phone: (816) 363-3703 Phone: (402)504-1004 

Fax: (816) 363-3707 Fax: (402)504-1005 

% 

 C^ C P^ ^ 

SUrccp r^?^ n<y •k^ 1 

> J <^ 

y^c^ 

y4 a 

-Y^O 

> S --J^^-^CoX 

\ i c 

(D 

Xo 

/<' $ 

^ i , 

4242 Medical Drive, Suite 4250 

San Antonio, TX 78229 

Phone: (210)822-9588 

Fax: (210) 5794577 
• 

TBCHNOLOGIES.1 

ACCESS INFORMATION TRACKING SHEET 

BVID: 
 PROPERTY ADDRESS: ^^^'Z y^C^'^^Zt ynyProperty Owned By: 

(If new property owner) 

Owners Phone No's: Home: Work: 

Cell: -- Fax: -

Access Contractor: ASW PDA MES PE Other (Prudent) 

DATE TIME ACCESSOR CONRACT DETAIL 

4-'yfrj .</^A^ Z"^^^ ' 

Comments: 

8080 Ward Parkway, Suite 405 2505 N. 24*^ Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 

Fax:(816)363-3707 

Phone: (402)504-1004 

Fax: (402)504-1005 

Phone: (210)822-9588 

Fax: (210) 579-6577 
(effective April 2010) 

% 

RENOVATION RECORDKEEPING CHECKLIST 

irm:fe^f^nfD S?^< ^ (C ^ UW< ^ 

Date and Location of Renovation: ^r t Hu-Jl^yi Q 

Brief Description of Renovation: ^C^Crx^Q^ \'^\v(\l\H (Jts^ ^\J^,^A^nf\A 

Name of Assigned Renovator: yj^^di r Q<if^J)^ 

Name(s) of Trained Workers: ^^ ^ ^li^e^l^iyXi^ 9iv?JSF)^UJ'^ ^PQ|tVwVA^gv>pi vkp>AJflp^ 

Name of Dust Sampling Technician, Inspector, and/or Risk Assessor, if used: 

Name of Firm 

Z^ Copies of renovator and dust sampling technician qualifications (training certificates, certifications) on file. 

j3 ' Certified renovator provided training to v*rorkers on (check all that apply): 

^Posting waming signs ^[Zaetting up plastic containment barriers 

^Maintaining contairmient -^ /D Avoiding spread ofdust to adjacent areas 

Zl Waste handling B' Post-renovation cleaning 

JH' Test kits used by certified renovator to determine whether lead was present on components affected by 

renovation (identify kits used and describe sampling locations and results: 

^ \ ^ 

0^ Waming signs posted at entrance to work area. 

^ Work area contained to prevent spread ofdust and debris. 

JS'Windows in and within 20 feet ofthe work area are closed 

ca'Doors in and within 20 feet ofthe work areas are closed and sealed 

[if Doors that must be used in the work area are covered to allow passage but prevent spread ofdust. 

B^Ground covered by plastic sheeting extending 10 feetfirom work area - plastic anchored to the 

building and weighted down by heavy objects. 

[ylf necessary, vertical containment installed to prevent migration ofdust and debris to adjacent 

property. 

D Waste contained on-site and while being transported off-site. 

Renovation Recordkeeping Checklist Omaha Lead Site 
(effective April 2010) 

% 

S'work site properly cleaned after renovation. 

yAll chips and debris picked up, protective sheeting misted, folded dirty side inward, and taped for 

removal. 

D Work area HEPA vacuimied to get paint chips from ground surface, if necessary. 

B^ Certified renovator performed post-renovation cleaning verification (describe results): 

Vt^'>\tC^^6 

[p I certify under penalty of law that the above information is true and complete. 

Name and Title Date 

Renovation Recordkeeping Checklist Omaha Lead Site 
TECHNOiLOGIlSi, INC 

Checklist for the Worksite Hazard Analysis 

Address: /^^ P .Izi^Cl^-^^r nr W 

Crew: ^ C hJ^ ^ Date:_yrv2rZ ^ 

Item OK? Hazard Corrective Action 

Overhead Lines 

In-transit Vehicle Clearance ~y ^ 

Levels around high wires 

Vehicle Clearance around 

high wires when working 

Phone lines 

Cable lines 

Gas Line z: 

Water Line 

Sewer Line 

Septic Tank ~ ^ 

Propane/Butane 

Access to/on Property 

Neighbor Access Required 

High Traffic Area 

Garage 's>iJ Avf^y /i<t^7^*^ al / t^y-^t-*^y 

structures 

Driveway 

Sidewalk 

Foundation 

Retaining Walb 

ly 

ly 

~iy 

^ ^ C£>/>i myj 

^I^^^?A^L : 

Fences 

Trees ~y \ 

Foliage 

General Condition of yard ^ 

Damaged Areas: sink 

holes/rotted wood 

Sprinkler System 

Pets 

Insects 

Weather Conditions 

Unsafe driving conditions 

Unsafe neiglfcorhood 

CrewF Subcontractor 

8080 Ward Pai 2505 N. 24^ Street, Suits 308 4242 Medical Drive, Suite i 

Kansas CityJMO 64)14 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-371 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
^p 

^MMH I t 

% 

ENVIRONMENTAL & CONSTRUCTION 

TECHNOLOGIES, EVC. SERVICES 

OMAHA LEAD BASED PAINT REMEDIATION 

Property Owner Close-Out Form 2010 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-07) 

SAID: oi^Sl^g" 

Property Address: lA^- i \i\^-rr^Ayl 

Owner's Name: |<Ay fcyW /kfcgw 

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 odier 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? ^ - ^ 

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 25 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? y 

7. Is die grass area that surroimds the structure(s) in reasonably good condition? y 8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, barrier tape, etc. y properly removed? 

9. Is there any evidence ofproperty damage that was done by the contractor? Any property y damage needs to be completed prior to the EPA Close-Out. 

10. Are you satisfied with the work performed? y 

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

y to be moved back? 

12. Are there any (known) lingering issues with the property owner(s) that have been left y imresolved? 

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

z ^ y ^z-2^ja^, f- 4^-/f~ /Q 

Proper^Owner Signature Date 

Prudent TScJmologies, Inc. Signature Date 

8080 Ward Parkway, Suite 405 2505 N. 24"* Street, Suite 218 4242 Medicai Drive, Suite 4250 

Kansas City, MO 84114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 

Fax:(816)363-3707 

Phone: (402)504-1004 

Fax: (402)504-1005 

Phone: (210)822-9588 

Fax: (210) 579-6577 
UMJE ENVIRONMENTAL & CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

OMAHA LEAD BASED PAINT REMEDIATION 

2010 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-07) 

EPA Close-Out Form 

SAID: ^S m 

Property Address: (i^/li \f:J ^ Av/' 

Owner's Name: 

Performance Standards/Close-Out Criteria YES NO 

1. Was the entire structure(s) painted with the exception ofthe stated, exchided 

areas? This would include painting of other associated features including fascia, y 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 25 year product/quality? y 

5. Are all ofthe areas where contaminated materials have been spilled thoroughly y 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 y property damage needs to be completed prior to the EPA Close-Out. 

10. Has the Property Owner signed the completion form? • - ^ 

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

• ^ that need to be moved back? 

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

y been left unresolved? 

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

^ 1EPA COR Signature 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 218 4242 Medicai Drive, Suite 4250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)504-1005 Fax: (210) 579-6577 
Douglas County Account Infoi inj^on Page 1 of3 

\ 

Douglas County, Nebraska Property Record - R2401940000 

Print Reoort 

NEW Feature - Parcel Dimensions available iB scale 0-50 ft west of 52nd St - Vie w Ofl Ma o Information is valid as of 2010-3-16 Treasurer's Tax Report 

New Feature -> *> «> Auto Sales Search 

Owner 

ASKEW KAY L ^ , >:^o | 

6509N36ST Wo3 - ol\ ^ ' *\n \ b 

OMAHA NE 68112-0000 ^ "^ 

Property Informatio n 

Key Number 0194 0000 24 

Account Type: Residential 

Parcel Number: 2401940000 

Parcel Address: 1647 VICTOR AV 

OMAHA NE 68110-0000 

Legal Description: VICTOR PLACE LOT 38 BLOCK 0 40 X 85 

Value Informatio n 

Land //nprovemenf Total 

2009 $1,900.00 $6,200.00 $8,100.00 

2008 $1,900.00 $6,200.00 $8,100.00 

2007 $1,900.00 $7,700.00 $9,600.00 

2006 $1,900.00 $7,700.00 $9,600.00 

2005 $1,900.00 $7,700.00 $9,600.00 

2004 $1,900.00 $6,400.00 $8,300.00 

Sales Informatio n 

Sales Date: 2008-02-11 

Deed Type: QCM Sooi^: 2008 Page: 012886 

Price: $0.00 

Grantor: FERGUSON JAY A 

Grantee: ASKEW KAYL 

Valid/Invalid: Invalid 

Exclusion Reason: Multiple Parcel Sale 

Sales Date: 2007-08-13 

Deed Type: QCM BooAr: 2007 Page: 092307 

Price: $0.00 

Grantor: PRIED MICHAEL JR 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R2401940000 3/23/2010 
Douglas County Account Info n^^o n Page 2 of3 

% 

Grantee: RRIED MICHAEL JR 

Valid/Invalid: 

Exclusion Reason: 

Invalid 

Multiple Parcel Sale 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

2003-06-04 

WD 

$10,000.00 

WALLY D ORTIZ 

KAY LYNN ASKEW 

Valid 

Book: 2003 Page: 106527 

Land Informatio n 

Acres 

0.07 

SF 

3440.0 

Units 

1.0 

Depth 

86.0 

Width 

40.0 

Vacant 

No 

Improvemen t

Building 1 

 Informatio n 

n< r »M 

1 4 * 

L • 

1647 Victor Ave 

jw

*u t 

 wflton 

1 1/2 Story Unftn 

•aaagBcKon ttooaq R 

CLICK TO ENUVRGE IMAGE 

Square Footage: 

Perimeter 

Unit Type: 

Built As: 

HVAC: 

Exterior: 

Interior: 

Roof Cover: 

Roof Type: 

Floorcover: 

978.0 

0.0 

Ranch 

Forced Air 

Frame Stucco 

Drywall 

Composition Shingle 

Gable 

Allowance 

Percent Complete: 

Quality: 

Condition: 

Condo Square Footage: 

Rooms: 

Units: 

Baths: 

Bedrooms: 

Stories: 

Foundation: 

Sprinider Square Footage: 

100.0% 

Fair 

Average 

0.0 

5.0 

1.0 

1.0 

2.0 

1.0 

Block 

0.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R2401940000 3/23/2010 
Douglas County Account Infoi irn^ion Page 3 of3 

% 

Year Built 

1917 

Detail Type 

Appliance 

Appliance 

Basement 

Fixture 

Fixture 

Fixture 

Garage 

Porch 

Porch 

User 

Year 

Remodeled 

0 

Percent 

Remodeled 

0% 

Detail Description 

Allowance 

Fireplace Masonry 

Bsmnt Block 8 ft 

Additional Fixtures 

Base Fixtures 

Bath Full 

Detached 

End Screen 

Slab w/Steps 

Needs new roof 

Adjusted Year Physical Age Built 

1917 93 

Units 

1.0 

1.0 

978.0 

1.0 

1.0 

1.0 

160.0 

192.0 

20.0 

1.0 

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R2401940000 3/23/2010 
% 

ENVIRONMENTAL* 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

March 25, 2010 

Kay Askew 

6509 N 36 St 

Omaha, NE 68112 

Re: 1647 Victoria Ave, Omaha, NE. 

Dear Kay Askew: 

Prudent Technologies Inc. (Prudent), is under Contract with the US Environmental 

Protection Agency (EPA), Contract # EP-R7-08-07, to conduct Lead Based Paint (LBP) 

Stabilization at up to 2000 properties in Omaha, Nebraska. EPA has tested the exterior 

paint of your property and has identified it as containing LBP. 

EPA has assigned us your property to conduct LBP Stabilization. The stabilization 

activity includes scraping loose and peeling paint, applying a coat of primer and painting 

the exterior of the house with latex paint. EPA has specified a very high quality of paint. 

The paint specified comes with a manufacturer's warranty of 25 years. Most 

importantly. EPA pays for all the costs associated with paint stabilization. That means 

there is no charge to you, as a homeowner. 

We need your permission to access your property to complete the LBP Stabilization. 

Therefore, please drop by our office between 9:30 AM and 5:00 PM to sign the access 

agreements. Our office is located in Omaha Small Business Network (OSBN) at the 

4 th intersection of 24'" & Lake Street in Omaha, NE. Our office address is: 2505 N 24'" St, 

Suite 308, Omaha. NE 68110. 

If you have any questions please feel free to call Mr. Chandra Shekar at 402-889-3821 

or call EPA Public Information Center at 402-991-9583. You can also visit the EPA 

website www.epa.qoy/lead/pubs/leadinfo.htm for additional information. 

Sincerely, 

^^k ^ 

Mr. Chandra Shekar, P.E. 

Project Manager 

Cell: 402-889-3821 

Email: cshekar(S)pru(Jentweb.com 

8080 Ward Parkway, Suite 405 2505 N. 24'" Street, Suite 308 4242 Medical Drive, Suite 7250 

Kansas City, MO 64114 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone:(816)363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax:(816)363-3707 Fax: (402)504-1005 Fax:(210)579-6577