TRANSMITTAL of OMAHA LEAEJ SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: ?j0'gnL D Date: 1^^^) ^ 

Address: 99C)7^ TrrAr)k\\7) f\^:. 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

'hyT^ Video ofproperty (DVD) ' 

tl Executive Summary 

y Signed Access Agreement for subject property 

f] Painting Agreement 

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

Q^^hotographs [)fi^c . AA/1 t?Jpkr 

QA^ Satisfactory restoration signed by Property Owner 

j y Property close-out check list signed by EPA 

QA" Property infonnation fiom Douglas County Assessor's Office 

my^ confirmation that lead pamphlet "Renovate Right" was received by P0_ 

D 

D 

D 

Professional f^yiroirtnu^Ial Engineers Signature mm^ 

*A Signature ^kk­ 30054639 

iinmiiii 

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# 26376 

2802 Franklin St 

• Dates worked: 09/18 to 09/19 2009 

• Pre property condition: House has wood siding. Paint on siding was in extremely poor 

condition and was flaking and peeling off all over on to the ground. Paint chips in yard. 

• Problems encountered: Paint chips. 

• Owner request/concerns: N/A 

• Inspection/closeout dates. Owner signed 09/22 2009. Property inspected by PE project 

manager. 
PROFESSIONAL 

2505 North 24^ Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE 68110 

(402) 504-4688 "Providing cost-effective environmental solutions" Fax (402) 504-3281 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

EPA Close-Out Form 

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

SAID 'Z-U'SILJO : 

PropertyAddress: '2-g>6'Z_ ^Fr7XY\\z\'\y^ 'S'V 

Owner'sName: '£>rehdc \ &el t 

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 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? A 

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

two top coats? A 

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

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

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 ^ 

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, t 7 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. .A ­

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

y that need to be moved back? 

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

been left unresolved? tA^ 

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

EPA COR Signature Date 
PROFESSIONAL 

2505 North 24% Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE 68110 

(402) 504-4688 "Providing cost-effective environmental solutions" Fax (402) 504-3281 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Property Owner Close-Out Form 

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

SAID: 7.l0y^U 

PropertyAddress: 29^U L JT^H^^ ^ Q ^f " 

Owner'sName: f^rf^Qcj a 1^ ( ^ ^ 

Performance Standards/Close-Out Criteria YES NO 

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

areas? TWs would include painting of other associated features including fascia, 

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

garages. • 

^ 

2. Was all scraping and olfaer preparation work completed satisfactorily? 

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

A two top coats? [ 

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

S. Are all ofthe areas where contaminated materials have been spilled thoroughly J 

vacutmied/ cleaned? 

6. Did the contractor collect/vacuimi all falling and scraped paint chips on the 

entire property, roadways, alleyways, public access areas and also remove any 

other generated debris? A 

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

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

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. C^ 

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

that need to be moved back? 

11. Are there any (known) lingering issues with the property owner(s) that have 7 

been left unresolved? 

Comments 

yx77 

Property Owner Signature 

Date 

Professional Enviiomnental Engineers Representative 

Date 

9 
CONSENT FOR ACCESS TO PROPERTY 


OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID 


: ?4P ^ "^^Q PROPERTYADDRESS: 2-80 Z fvZlA|r|,lA ^~ ~ 

'T^^LJS ^ DAYTIME PHONE: 

CELLPHONE: E-MAIL: 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 

CELL PHONE: i}i0^1^7l27A E-MAIL: 

] 'rofessional 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 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 foUowing completion of 

lead-based paint stabilization, if the 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. I further understand that the soil cleanup 

contractor will make all reasonable efiorts to address concerns that I, as the property owner, may have regarding soil cleanup at 

my property. 

jf^h^ 

Date 

I fully understand that by signing this Consent for Access, (1) this access will remain in effect untU 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 of flie 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-Pahit 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 cleannp 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). 

J^^ , I grant access to my property and w m given the pamphlet D No, I do not grant access to my property and I was 

(lj;Renovate Right, Important Lead Infbrmation fbr Families, Child given the pamphlet "Renovate Right, Important Lead 

Information for FamiUes, Chllde Care Provldere, and Schools." 

Slgnahire Date 

SPECIAL INSTRUCTIONS AND CGNSIDERATKMS 
PAINT STABILIZATION PRE-PROPERTY 

PAINT MATCH ASSESSMENT 

AREA{S) TO BE PAINTED: 


HOUSE PROPER: _ COLOR: 


HOUSE TRIM: COLOR: r^^^r^ vw* ^ ^' n.-^ 

GARAGE: COLOR: 
 \ 

GARAGE TRIM: _ COLOR: \ 

PORCH: COLOR: 
-4. U — 

PORCH TRIM: COLOR: 


(COMPLb 1 b ALL SECTION, YES, NO, OR NON-APPLICABLE) 


I AGREE TO THE COLORS LISTED ABOVE. ONCE THE PAINTING 

BEGINS, I UNDERSTAND I CAN NOT CHANGE THE ABOVE SELECTED COLORS: 

PROPERTY OWNER SIGNATURI PE ACCESOR SIGNATURE: 

X y 
Douglas County Account Information 

Page 1 of2 

c5C^T6 

Douglas County, Nebraska Property Record - R2212690000 

Print Report 

NEW Feature - Parcel Dimensions available @ scale 0-50 tt west of 52nd St - VJOW O n Ma P Information is valid as of 2009-9-3 Treasurer's Tax Report 

New Feature ->-*- > Auto Sales Searcii 

Owner 

BELL BRENDA J 

2802 FRANKLIN ST 

OMAHA NE 68111-0000 

Property Informatio n 

Key Number 1269 0000 22 

Account Type: Residential 

Parcel Number: 2212690000 r^oo M 

Parcel Address: 

2802 FRANKLIN ST 

OMAHA NE 68111-0000 

Legal Description:

Value Informatio n 

 SHINNS 2ND ADD LOT 12 BLOCK S S 67 1/2 FT 60 X 67.5 .J 

2009

2008 

2007 

2006 

2005 

2004 

^

Land 

 $1,000.00 

 $1,000.00 

$1,000.00 

$1,000.00 

$1,000.00 

$1,000.00 

Improvement 

$40,500.00 

$40,500.00 

$40,500.00 

$40,500.00 

$40,500.00 

$31,100.00 

Total 

$41,500.00 

$41,500.00 

$41,500.00 

$41,500.00 

$41,500.00 

$32,100.00 

Sales Informatio n 

Sales Date: 1992-12-31 

Deed Type: D Book: 1941 Page: 073 

Price: $22,620.00 

Grantor; 

Grantee: 

Valid/Invalid: valid 

Exclusion Reason: 

Land Informatio n 

Acres

0.09

 SF 

 4020.0 

Units 

1.0 

Depth 

67.0 

Width 

60.0 

Vacant 

No 

Improvemen t Informatio n 

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R22... 9/11/2009 
Douglas County Account Information Page 2 of2 

Building 1 

Two Slory 2802 Franklin St 

First Floor

M0.« s^.n. 

 /* * »>» IK'S'I!'? ? S»OS» F». " 

JUL 

SsimSlctkllR MJO'..|F l 

CLICK TO ENLARGE IMAGE 

Square Footage: 1100.0 

Perimeter 0.0 

Unit Type: 

Built As: j 2 Story 

HVAC: Central Air to Air 

Exterior: 

Interior: 

Frame Siding 

Drywall 

Roof Cover: Composition Shingle 

Roof Type: Hip 

Floorcover: Allowance 

Year Built 

1884 

year 

Remodeled 

Percent 

Remodeled 

0% 

Percent Complete: 100.0% 

Quality: Average 

Condition: Average 

Condo Square Footage: 0.0 

Rooms: 6.0 

Units: 

Batfis: 

1.0 

1.0 

Bedrooms: ', 2.0 

Stories: 2.0 

+ Foundation: ! Block 

Sprinkler Square Footage: { 0.0 

Adjusted Year 

Built Physical Age 

1884 124 

Detail Type 

/^pliance 

Basement 

Fixture 

Fixture 

Porch 

Porch 

Detail Description 

Allowance 

Bsmnt Block 8 ft 

Base Fixtures 

Bath Full 

Slab Roof Ceil 

Slab w/Steps 

Units 

1.0 

520.0 

1.0 

1.0 

24.0 

16.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R22... 9/11/2009 
PROFESSIONAL ENVlROMENTAL ENGINEERS,INC. 

REUNION DIARIA DB SEGURIDAD 

F«b.: oq jlQ l^lCCPj 

Proyecto: Omaha paint stabilization project 

Lugar 

Sitio de actividad: ^g( J ^ f^^S^K^^ /

Tareas dianas: 

1. Site preparation/scrying. 

2. Painting. 

3.Clean-up. 

PrimordisJ/Peligros Potenciales: 

1. Personal lead contamination 

2. Site lead contaminatioiL 

Herramientas de trabajo: 

1. Step letter.. 

2. Knife. 

Practicas de Trabajo/Acciones Correctivas: 

1. 

2. 

Llamadas Previas: 

1. 

2. 

Firma de registro del Empleado: 

i.0CiiiSN|^aS&l&..EZ-.' 1... 

4...^m^i^^...77^jS.loii.' 14.. 

5 15.. 

6 16.. 

7 17.. 

8 18.. 

9 19.. 

10 .20.. 12. 11, .22., 21.. 

 P ^ ^ 

3.Eletricity. 

4.FaUs. 

3. Paint spiy machines. 

4. Odiers. 

3. 

4. 

3. 

4. 

.Q±LA.ll.o°i 

Firma de del Sitio Fecha