^r 

TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#:?.'Z\m Date: J2i2DUl 

Stabilization Contractor: Professional Environmenta l Engineers Year: 2DXl -

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

Executive Summary 

Signed Access Agreement for subject property 

Pre-Renovation Form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, if applicable 

Painting Agreement 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

Photographs 

Satisfactory close-out check list signed by Property Owner 

0 , Property close-out check list signed by EPA 

Property information from Douglas County Assessor's Office 

Hazard analysis, if prepared 

Q Safety Audit 

& Other (describe): 

W­ )ate 

AMMJ^ 

(after file folder review) 

40377565 

Superfund 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC.

"Providing cost-effective environmental solutions" ^

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

''° ' Tm'a't NEe's?!' 

^ ^t°^| !^1to!? 

 Fax (402) 504-3281 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2011 

SAID# 32104 

2570 Evans St 

• Dates worked: 9/26 to 9/28 2011 

• Pre property condition: House has mostly vinyl siding with painted wood trims and 

foundation areas. Garage is painted wood and in poor condition. Paint was flaking ofT 

in areas. 

• Problems encountered: None. 

• Ownjer request/concerns: N/A 

• Inspection/closeout dates. Owner 10/21/11 
PROFESSIONAL 

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

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

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 2010 

Property Owner Close-Out Form 

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

SAID: 3^i0 4 

Property Address: aS-7D ^\/A/\/S 

Owner's Name: X^^f^'^l<J ^ 6 A-g^ P<'f^.C>^ 

Performance Standards/Close-Out Criteria 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, colimms, rails, and exterior surfaces of garages. 

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

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

coats? 

4. Was the paint products utilized equivalent to a 25 year prodiict/quality? 1 

5. Are all ofthe 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? t 

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 ofproperty damage that was done by the contractor? Any property 

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

10. Are you satisfied with the work performed? X 

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

need to be moved back? y 

12. Are there any (known) lingering issues v/ith the property owner(s) that have been left 

uru-esolved? y 

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

rS'^./^ 

/ / Date 

Professional ental Engineers Signature 
Professional Environmental Engineers: EPA Paint Stabilization 2011 

3-. m m 

Property Address 96nc^ K.(yP) 3V 

Stories/ Siding type / / Z_ Transite Wood Vinyl Metal Stucco 

Garage? 

Date access sigr 

Yes ^ 

t^-^ 

n/lrr// 1 

No Painted? 

Where? 

Yes 

Siding 

Trim 

No 

Pre-video 

Post video 

Contractor Assigned 

Gate started 

Weather Conditions 

/l-Di^ryn^ /^/v^ ' 

f/2^6. A^ Date ended 9 A^/^ 

Paint used ^ ^ 

Prime used 

Poly used 

A. 

3^>d 

Problems/Issues 
i-'-'iscive April 2010,1 

RENOVATION RECORDKEEPING CHECKLIST 

Name of Firm: /k)^^ ^ t^y^fx^^^C^ 

Date and Location of Renovation; gl- 6 / ^ "" £^ O A-*' ^ 

Brief Description of Renovation: Sy ^ ^- ^ Z ^ ^ — 

Name of Assigned Renovator: C^ ^ ^^ ^^^^^ ^ 

Name(s) of Trained Workers: ^yj~d^ y ^^^^'"^ . LJQ C 6^*^ , $?U / ^^U,^>^ 

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

-- Copies of renovator and dust sampling technician qualifications (training certificates, cenifications) on tile. 

Certified renovator provided training to workers on (check all that apply) 

~. Posting warning signs 7 Setting up plastic containjrtent barriers 

Maintaining containment Z Avoiding spread of dust to adjacent areas 

'.' Waste handling '_ Post-renovation cleaning 

_ Test kits used by certified renovator to determine whether lead uas present on components affected b> 

rcno\ation (identify kits used and describe sam.plmg locations and result.^. ; 

Warning signs posted at entrance to work area. 

. Work area contained to prevent spread of dust and debris 

"I/Windows in and within 20 feet ofthe vvork area are closed 

.' Doors in and within 20 teet ot the work areas are closed and sealed 

/Doors that must be used in the uork area are co\ered to allou passage but prevent spread of dust. 

(^Ground covered by plastic sheeting extending IU feet from work area - plastic anchored to the 

building and weighted down bv heavy objects. 

Z Ifnecessary. vertical contain.ment installed to prevent m.igration of dust and debris to adiacen'. 

property. 

.Wasterontainedon-stte and vvhlle'beiha transported dff-sTte - - - • 
i-.-i^iL-iivc .Apri; 2UI0 l 

v 

^11 chips and debris picked up. protective sheeting misted, folded dirty side inward, and taped for 

^ Work site properl properly cleaned after renovation. 

-AWor v k area HEPA vacuumed to get paint chips from ground surface, ifnecessary, 

^Ce n ified renovator performed post-renovation cleanina verification (describe results) 

certify undeiypt?nalr> oria\<. that the above inforniation is true and complete 

'?(^f^. Name and Title Date 
3^ 

Douglas County , Nebraska Propert y Record ­ R210059000 0 

Information is valid as of 2011-7-29 

New Feature •*-•- > 

Print Report 

View Interactive GIS Map 

Treasurer's Tax Report 

Subdivision Sales Search 

Owne r 

BARFIELD DWAYNE 

ETAL 

2570 EVANS ST 

OMAHA NE 68111-0000 

Propert y Informatio n 

Key Number: 0059 0000 21 

Account Type: Residential 

Parcel Number: 2100590000 

Parcel Address: 2570 EVANS ST 

OMAHA NE 68111-0000 

Legal Description: REDICKS-CLARK-ADD LOT 22 BLOCK 2 46.23 X 124 

Valu e Informatio n 

2011 

2010 

2009 

2008 

2007 

2006 

Land 

$2,500.00 

$2,500.00 

$2,500.00 

$2,500.00 

$2,500.00 

$2,500.00 

Improvement 

$43,600.00 

$45,100.00 

$45,100.00 

$45,100.00 

$38,600.00 

$38,600.00 

Total 

$46,100.00 

$47,600.00 

$47,600.00 

$47,600.00 

$41,100.00 

$41,100.00 

Sales Informatio n 

Sales Date: 2003-12-02 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

WD 

$50,000.00 

Joy Jones 

Dwayne Barfield etal 

Valid 

Book: 2003 Page: 248508 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.13 5704.0 1.0 124.0 46.0 No 

Improvemen t Informatio n 
Building 1 

Two Story 2570 Evan* St 

fkMflUir /]< 

milieu 

BMraKfitoLkfi) mMlir.qFt 

CLICK TO ENLARGE IMAGE 

Square Footage: 1308.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 2 1/2 Story Unfin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 1.5 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Hip Stories: 2.0 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Percent Adjusted Year Year Built Physical Age Remodeled Remodeled Built 

1909 0% 1909 102 

Detail Type Oefa/7 Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement i Bsmnt Block 8 ft 684.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 1.0 

Fixture Bath Half 1.0 

Garage Detached 280.0 

Porch End Solid Wall 36.0 

Porch End Sdid Wall 160.0 
CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY II 3zm PROPERTY ADDRESS: O^'f O ^^/^ P ^ ^ 

OWNER NAME: A 

DAYTIiVIE PHONE: H/^ ^ - SO I -O^^g" ? 

CELL PHONE: 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 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 of a prime coat and twc 

(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 aboveBy 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, 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 efforts to address concerns that I, as the property owner, may have regarding soil cleanup at 

my property. 

S'Yes, I have read ani^ understand tlyaoiaragraph above. 

Signature oj Property Owner ' oa(e 

I fully understand thai by signing this Consent for Access, (I) this 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 guitianje 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 or Kelley Sanders At 402-504-4688. General questions 

about the Omaha Lead Site cleanup can be directed to Pauietta 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). 

9- Yes, I grant access to my property and viras given the pamphlet D No, I do not grant access to my property and I vras 

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

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

Signature / \ [fete Signature Date 

SPPCIAI INSTHIirTinwc Aun rnuciPiCDATinne 
PRE-RENOVATION FORiM - OWNER 

This form is to be used by the firms contracted by the Environmental Protection Agency-Region 7 to perfonn Lead-Based 

Paint stabilization activities at the Omaha Lead Site. Omaha. Nebraska 

Owner Confirmation 

Pamphlet Receipt 

SO have received a copy ofthe lead hazard information pamphlet. Renovate Riglii: Important Lead Hazard Infonuadonfor 

'Families, Child Care Providers and Schools, informing me ofthe potential risk ofthe lead hazard e.^cposure from renovation 

activit) to be performed in/on my dwelling unit. I received this pamphlet before the work began. 

Ow ner Acknowledgment 

G (A) 1 conrirm that 1 own and live in this propens. that no child under the age of 6 resides here, that no pregnant uoman 

resides here, and that this property is not a cliild-occupied facility. 

Note: A child resides in the primarv residence of his/her custodial parents, legal guardians, foster parents, or 

informal caretaker if the child lives and sleeps most of time at the caretaker's residence. 

Note: A child-occupied facility is a pre-197S building \ isited regularly by the same child, luider 6 years of age, on at 

least two different days within any week, for at least 3 hours each day, provided that the visits total at least 60 hours 

annually. 

J^iB) I understand that the renovation firm, contracted b> the F.n\ ironmental Protection .Agencv (F.PA). will be using leadsafe uork practices required h> HPA's Renovation, Repair and Painting Rule. 

Printed Name of Owner-Occupanl 

. ^ 9-^^'i^ 

Signature ofOwier-Occupanl / Date 
PAINT STABILIZATION PRE-PROPERTY 

PAINT MATCH ASSESSMENT 

PROPERTY ADDRESS: QJSl ^ i£ifM-/LS. DATE: ^ ' / 7-1 ^ 

BVID: ?^9.lOY 

AREA(S) TO BE PAINTED: 

CXuJCOL 

HOUSE PROPER: COLOR: 

HOUSE TRIM: "^^ J COLOR: <;<^ n^cT ^ -"^^ ^ 

GARAGE: COLOR: U) ^tt . 5V/* ^ 

GARAGE TRIM: COLOR: ^C9G>2 -

PORCH: COLOR: 

PORCH TRIM: COLOR: 

(COMPLETE ALL SECTION, YES, NO, OR NON-APPLICABLE) 

I AGREE TO THE COLORS LISTED ABOVE. ONGE THE PAINTING 

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

PROPERTY OWNER SIGNATURE: PE ACCESOR SIGNATURE: