## TRANSMITTA L o f

OMAHA LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R SAID#: RU'yi ^ Date : Q '.^'0< ^

Remediatio n Contractor : PROFESSIONA LENVIRONMENTALENGINEER S Year : 200 9 PAIN T STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S ide o ofpropert y (DVD ) ' * 

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

subject propert y W" ^ Paintin g Agreemen t D ^Settlemen t document s (i.e. , fo r

damage o r

to replac e plants , etc. ) xC K

Photograph s b^e

_On dQ^^ T ^i^ y Satisfactor y restoratio n signedby Propert y Owne r B ^ Propert y close-out check lis t signedby EP A W" ^ Propert y information fro mDougla s Count y Assessor' s Office ^Q r

confirmation tha t lea dpamphle t "Renovat e Right " wa s receive dby P0 _ D D D 

# M ^

^ignatw e ^ D^ e 

# y^'4^id''^-'- ^ - ^ 3005506 9 

# iimn i Superfun d250 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 yResponse



### Lea dBas e Stabilizatio n Omaha , N e Clos e Ou t Report 200 9 SAID#8470 5 295 8 Fontenell e BD .

•Date s worked : 08/2 2 t o 08/2 2 200 9 •Pr e propert y condition : Hous e ha s viny l sidin g an dtrim s an dsoffits ar e al l enclosed . Garag e ha s painte dwoo dsidin g tha t wa s i n poo r conditio n prio r t o work starting . •Problem s encountered : Non e •Owne r request/concerns : N/ A

• Inspection/closeou t dates : Owne r signe d08/22/09 , Inspecte dby EP A 08/28/0 9

# PROFESSIONA L 250 5 Nort h 24* , Suit e 21 9 

# ENVIRONMENTA L ENGINEERS , INC
. Omaha , N E 6811 0 (402 ) 504-468 8 

### "Providin g cost-effectiv e environmenta l solutions " Fax (402 ) 504-328 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc yRespons e 

## EP A Close-Ou t For m (Lead-BasedPain t Stabilizatio n EP A Contract EP-R7-08-06 ) 

## SAID : ^M^Q S Propert y Address : Owner' s Name : Performanc e Standards/Close-Ou t Criteri a YE S N O 1 , Wa s th e entir e structure(s ) painte dwit h th e exceptio n ofth e stated , exclude d areas ? Thi s woul dinclud e paintin g o f othe r associate dfeature s includin g fascia , eaves , siding , al l trim , porches , bo x beams , columns , rails , an dexterio r surface s o f 

# y garages . 2 . Wa s al l scrapin g an dothe r preparatio n wor k

complete dsatisfactorily ? 

# y 3 . Were al l require darea s ofth e structure(s ) prime da s neede dan dpainte dwit h tw o to p coats ? i ^ 

### 4 . Wa s th e pain t product s utilize dequivalen t t o a3 0 year product/quality ? 

## y 5 . Ar e al l ofth e area s wher e contaminate dmaterial s hav e bee n spille dthoroughl y vacuumed / cleaned ? 

# y 6 . Di dth e contractor collect/vacuu mal l fallin g an dscrape dpain t chip s o n th e entir e property , roadways , alleyways , publi c acces s area s an dals o remov e an y 

# y othe r generate ddebris ? 7 . I s th e gras s are athat surround s th e structure(s ) i n reasonabl y goo dcondition ? 

# y 8 . Ar e al l item s suc h a s polyediylen e sheeting , ladders , pain t brushes , cones , barrie r tape , etc . properl y removed ? y y 

### 9 . I s ther e an y evidenc e ofpropert y damag e tha t 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 . 

# y 10 . Ar e ther e an y property item s tha t wer e temporaril y re-locate db y th e contractor 

## y that nee dt o b e move dback ? 11 . Ar e ther e an y (known ) lingerin g issue s wit h th e property owner(s ) that hav e bee n lef t unresolved ? 

# . y Othe r Considerations/Property Owne r Discussions/Additiona l Wor k

tha t i s Required :



### EP A CO RSignatur e250 5 Nort h 24 * Suit e 21 9 Omaha
. N E 6811 0 (402)504-468 8 

### "Providin g cost-effectiv e environmenta l solutions ' Fa x(402 ) 504-328 1 mr/iiHWHiM n ConsuWn g • Engbwertn g I)es ^ « RemecBafla n cAbetemen t • Emeigenc yRrapons e 

## Property Owne r Close-Ou t Fon n (Lead-BasedPaint Stabilizatio n EP A Contrac t EP-R7-08-06 ) SAID ' ^ T ^0.. 5 

# Pmp^tvAddn^rJg.^; ^ fr)v\\e\APllp.Q>l\j A Owner' s Name : )iy\c^-i r A . C mLOOX<k d - Perfomuuic e Standards/dose-Oii t Ciitoi a YE S N O L Was th e oitir e stnictiiie(s ) painte dwit hth e exceptio n o f tiie stated , exclude d areas ? Thi s woul dincliide jMuntin g o f otiie r

assodale d features includin g fescia, eaves , siding , al l trim , pordies , bo x beams , columns , rails , an dexterio r surfece s o f £ / 

### 2 . Was aUscrapip g aa dotiierprqMrationworicconiplete dsatisfactorily ? # 

### 3 . Wer e a U require darea s o f tiie striicture(s ) prime da s neede dan dpainte dwit h tw o to p coats ? 

## V 4 . Was th e paint product s utilize dequivalen t to a3 0 yea r

product/quali ^ 

# H S . Ar e a U o f th e area s where contaminate dniatexial s hav e been spille dtiunou^y vacuumed / cleaned ? \ / 

### 6 . Di d tiie contractor collect/vacuumal l felling an dsrareqie dpaint diip s on tiie entir e property , roadways , alleyways , publi c acces s area s andals o remov e any othe r

geuCTate ddebris ? 7 . I s th e gras s are a tiiatsucrotmd s tiie structure(s ) i n reafmoabl y goo dcondition ? 1 / 8 . Ar e al l itoii s sticha s polyelhyleii e sheeting , ladders , paint brushes , coties , barrie r

tape , etc . properly removed ? 9 . I s tiiere an y evidenc e ofpropert y damag e tiiatwa s dtna e b y tiie contractor ? Ass y 1 / propert y damag e need s to b e conqilete dprio r to th e EP A Close-Ou L 10 . Are tiiere an y propert y hem s tiiat were temporarily re-locate db y Ihe contractor tiiat need to b e move dbadk ? 11 . Ar e there any Oaiown ) lingerin g issue s wit h th e propatyowiier(s ) tiiathav e bee n lef t unrwolved ? l / Comments : g,^[}^i^\^6 ^ l^ S fb t ^ ^ ^ '^9aW( ^ - K^-UU . i ^ ^<:^^M^U'i4K( ^ C^^UPU T 5>«^ot o

Dat e 

# M > ^ f. ^ ^ .-2_-l-oJ ^ m S Profession s Environmenta l l^ngiii^ ^ Representativ e Dat e

# 1 CONSEN T FO RACCES S T O PROPERT Y OMAHA LEA D SIT E REMEDIA LACTIO N - LEAD-BASED PAIN T STABILIZATIO N PROPERT Y ED : y ^ 1^"5 " PROPERT Y ADDRESS ; Cs}. ^ S^ ^ ^~<~)'^^ ^ k ^ 61/ ^ 

# 3mc [ OWNERNAME : i _ DAYTIME PHONE : CELLPHONE : E-MAIL : OWNER' S ADDRES S I FDIFFERENT : TENANT' S NAM E I FAPPLICABLE : 

### DAYTIM E PHONE : CEL L PHONE : E-MAIL : Professiona l Environmental Engineers , Inc . (PE ) i s unde r contrac t (#EP-R7-08-06 ) wit h th e U.S . Environmental Protectio n Agency (EPA ) t o stabiliz e leadbase dpain t (LBP ) on residentia l structure s a t anumbe r o

f propertie s locate di n Omaha , Nebraska . Th e pain t stabilizatio n work b bein g don e t o protec t th e soil cleanup s tha t ar e bein g performe db y EP A contractors . Pain t stabilizatio n acth^itie s wil l include : scrapin g of cracke do r flaking LB P fromstructures , applicatio n o f aprim e coat an dtw o (2 ) coat s o f pain t Moving part s o f window s an ddoor s ar e no t include dan dwil l no t b e addressed . Your cooperatio n i s requeste di n givin g permissio n t o thi s EP A contracto r (PE ) t o ente r an dhav e acces s t o thi s propert y for th e purpos e o f stabilizin g lead-base dpain t a s outline do n th e propert y identifie dabove . ^- ' B y signin g thi s document I agre e t o allo w a n EPA contracto E t o conduc t asoi l cleanu p a t m y propert y following completio n o f lead-base dpain t stabilization , i f th e soil cleanu p ha s no t alread y been performed . I understan dtha t th e stabilizatio n contracto r ca

n no t provid e assurance s tha t th e soi l cleanup contracto r wil l b e boun dto . I furthe r understan dtha t th e soi l cleanu p contracto r wil l make al l reasonabl e effort s t o addres s concern s tha t I , a s th e propert y owner , ma y hav e regardin g soi l cleanu p a t m

y property . 0 1 Ye» , I hav e read an d underet^n d th e paragrap h 

# ma f Signatur e o f Propert yOwne r Dat e I full y understan dtha t b

y signin g thi s Consen t for Access , (1 ) thi s acces s will remai n in effect unti l th e wor k

ha s been satisfactorily completed , (2 ) tha t th e Propert y Owner o r Tenant , i f applicable , will b e given th e Housin g an dUrba n Development (HUD ) an dEP A pamphlet , ''Renovat e Right , Importan t Lea dHazar dinformatio n for Families , Da y Car e Providers , an d Schools" , (3 ) th e Property Ovmer o r tenan t will remov e al l obstruction s fromsurface s t o b e painted , (4 ) will abid e b y health an d safet y guidanc e provide dby EPA , (5 ) will allo w photograph y ofpropert y before an dafte r th e pain t stabUizatio n work , (6 ) wil l b e contacte db y aP E representativ e approximatel y 4 8 hour s i n advanc e o f startin g work , (7 ) agre e no t t o obstruc t o r tampe r wit h an y ofth e LB P stabilizatio n actions , an d(8 ) will participat e i n final propert y inspectio n an dsign th e Completio n Agreemen t an d Propert y Owner Satisfactio n Survey . Shoul dyou hav e any question s abou t th e plane dLeadBased-Pain t stabilizatio n activitie s fo r you r property , pleas e contac t Professiona l Environmental Engineers , Inc . Projec t Manager , Willi e Cla y A t 402-504-4688 . Genera l question s abou t th e Omah a LeadSite cleanup ca n b e directe dt o Paulett aFrance-Isetts , EPA Remedial Projec t Manage r 402-731-2454 , o r th e EP A Publi c Informatio n Center s a t 402-991-958 3 (NorthOmah aoffice) o r 402-731-304 5 (Sout h Omah aoffice) . E Yes , I gran t acces s t o m ypropert yan d wa s give n th e pamphle t U No , I d o no t gran t acces s t o m ypropert yan d I wa s "Renovat e IVght , Importan t Lea d Infbrmatio n fo rFamilies , Chil d give n th e pamphle t "Renovat e Righ t Importan t Lea d Car e Provldere , an d Schools. " Infonnatlo n fo rFamilies , Chlld e Car e Provldere , an d Schools. " 

# I^A^ ^ .^Mr ^ Slgihi|u|t f ' Dat e Signatur e Dat e SPECIA L INSTRUCTION S AN D CONSIDERATION S

## A PAIN T STABILSZATIO N PRE-PROPERT Y PAIN T MATC H ASSESSMEN T PROPERT Y ADDRESS^: ? 9 5 2 few4(^.A)d/g f^lilr f DATE: BVID :

AREA(S ) T O B E PAINTED : HOUS E PROPER:
. \y^ ^ COLOR : <^jky ^
HOUS E TRIM : 1/^ ^

COLOR : I^A ^

.-Ir,
. GARAGE : COLOR :
GARAG E TRIM : _ COLOR :
PORCH : COLOR :
PORC H TRIM : L / e ^ COLOR : -f; ^ f^Q , ^ , fe
. y (COMPLET E AL L SECTION , YES , NO , O R NON-APPLICABLE )

I AGRE E TO TH E COLOR S LISTE D ABOVE
. ONC E TH E PAINTIN G BEGINS , I UNDERSTAN D I CA N NO T CHANG E TH E ABOV E SELECTE D COLORS : PROPERT Y OWNE R SIGNATURE : P E ACCESO R SIGNATURE :

^^^^^^^^-^r^^C^ ^

### Douglas Cotuit y Accoun t Information Pag e 1 of 2

• 3
. 

# ^M-^O S Dougla s County , Nebrask a Propert yRecor d - R240197000 0 Prin t Repor t NE W Featur e - Parce l Oimenaion s availabl e & scal e 0-5 0 ft wes t o f S2n d S t - Vle W O O Ma O Informatio n i s vali d a s o f 2009-8- 3 Treasurer' s Ta xReoor t Ne w Featur e - ^ - ^ ' ^ Aut o Sale s Searc h Owne r MARASC O LOUI S R 295 8 FONTENELL E BLV D OMAH A N E 68104-000 0 Propert yInformatio n Ke yNumbe r 019 7 000 0 2 4 Accoun t Type : Residentia l Parce l Number : 240197000 0
. ParcelAddress:; ^ 295 8 FONTENELL E B D KiLr^ " LD'^UV ^ I ^ -OMAHA-N E 68104-000 0 ' Lega l Description : VINELAN D LO T 1 BLOC K1 N 1/ 2 LT 2 & AL L 6 0 X 12 5 Valu e Informatio n Lan d /mproi^e/nen t Tota l 200 9 $6,900.0 0 $67,600.0 0 $74,500.0 0 200 8 $6,900.0 0 $89,900.0 0 $96,800.0 0 200 7 $6,900.0 0 $89,900.0 0 $96,800.0 0 200 6 $6,900.0 0 $89,900.0 0 $96,800.0 0 200 5 $6,900.0 0 $59,100.0 0 $66,000.0 0 200 4 $6,900.0 0 $53,700.0 0 $60,600.0 0 Sale s Informatio n Sale s Date : 2008-09-1 8 Dee d Type : W D SooAc : 200 8 Page : 09579 1 Price : $75,000.0 0 Granto r Whit e Rosali e M Eta l Grantee : Marasc o Loui s Rober t 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 7 7500. 0 1. 0 125. 0 60. 0 N o Improvemen t Informatio n 

### http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accountno=R24.. . 8/1 1 /200 9

### Dougla s County Accoun t Informatio n Pag e 2 of 2
Buildin g 1

,.'1. . Emi^'tf . 2H » POmENELL E 80

no * (2 a "V 

# 1^^ ^

I, R r * Floa r 1158. 0 Mt It 876. 0 «i t 1 1/ 2 STOR Y tii r MO BxnrtaiKkll l 11 » 11M0M. * i^Si '
. '"I^^^H^ c ^^^^H.^'. - ••^ ­ 

# ^3lHH B

I CLIC K TO ENLARG E IMAG E | CLIC K TO ENLARG E IMAG E Squar e Footage : 1470. 0 Percen t Complete : 100.0 % Perimete r0. 0 Quality : Averag e Uni t Type : Condition : I Averag e

Buil t As : 1 1/ 2 Stor yFi n Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai r to Ai r Rooms : 7. 0 Exterior : Fram e Viny l 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 : | 1. 5 Floorcover : ' Foundation :

• Allowanc e 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 0 0% 

### 192 0 90 Deta/ 7 Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 

### 1. 0 Applianc e Fireplac e Masonr y 

### 1. 0 Basemen t Bsmn t Bloc k 8 ft 

### 1152. 0 Basemen t Minima l Finis h 

### 400. 0 Fixtur e Bas e Fixture s 

### 1. 0 Fixtur e I Bat h Ful l 

### 1. 0 Garag e Detache d 288. 0 Porc h En d Scree n 

### 96. 0 Porc h Kne e Wal l 24. 0 Use r ML S UPDAT E 

### 1. 0

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R24. . . 8/11/200 9Prim e (Gallons ) Pol y(Boxes ) Pain t (Color ] Pain t (Color ! Pain t (Color ] Pain t (Color ] Pain t (Color ] 

## IGI T

En dDat e 

### im e An d Pain t Use d

Amoun t (Gallons ) Amoun t (Gallons ) Amoun t (Gallons ) Amoun t (Gallons ) Amoun t (Gallons )