# TRANSMITTA Lo f

OMAH A LEA D StT E 

# SASDU : 7il£2£l . Date : J2mU^__
_
Remediatio nContractor : PROFESSIONA LENVIRONMENTA LENGINEER S Year : 200 9 PAIN T STABILIZATIO N PROPERT Y FIL EFOLDE RDOCUMENT S fe/^ Vide o ofpropert y (DVD ) . ' & " Executiv e Summar y E> ^ Signe dAcces s Agreemen t fo r subjec t propert y y Paintm g Agreemen t D ^Settlemen t document s (i.e. , fo r damag e o r t o replac e plants , etc. ) D Photograph s i>y ^ /?./J A

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/ Satisfactor y restoratio n signedby Propert y Owne r D Propert y close-out check lis t signedby EP A y Propert y informatio nfiromDougla s Count y Assessor' s Offic e y confirmatio ntha t lea dpamphle t "Renovat e Right " wa s receive db y P0
_ D D D



## Professiona l BnvuonmcKital Engineer s Signatur e IDat e

3005467 1 

# ni l Superfun d

## PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC
. "Providin g cost-effectiv e environmenta l solutions " 

## ''° ' Tm'a'h t NE 68?! o p ^ jj^g j 504^28 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc yRespons e



## Lea dBas e Stabilizatio n Omaha , N e Clos e Ou t Report 200 9 SAID#4053 0 613 7 Florenc e Blv d

•Date s worked : 10/1 3 t o 10/1 9 200 9 •Pr e propert y condition : Hous e an dgarag e hav e painte dwoo dsidin g tha t wa s i n poo r conditio n prio r t o stabilizatio n work begun . Owne r requeste dw e pain t insid e o f

porc h becaus e h e plan s on removin g th e sidin g an dexposin g th e porch . Pain t chip s in yard . •Problem s encountered : N/ A •Owne r request/concerns : Porc han dcolo r changes . •Inspection/closeou t dates . Owne r signe d10/1 9 2009 . Propert y inspecte dby P Eprojec t manager .250 5 Nort h 24 % Suit e 21 9 

## "Providin g cost-effectiv e environmenta l solutions ' Consultin g • Engineerin g Desig n • Remediation»Abatement « Emergenc yRespons e 

## Propert y Owne r Close-Ou t For m (Lead-BasedPaint Stabilizatio n EP A Contract EP-R7-08-06 ) 

# SAID : Hnss n PropertyAddress : I o\R'= t '^Ir^/^hTf ^ PJ\> 4 Owner'sName : 'J?J^'(Y\e S < A&S' ~ Performanc e Standards/Close-Ou t Criteri a 1. Was th e entir e structure(s ) painte dwit hth e exceptio n ofth e stated , exclude d areas ? Thi s wouldinclude paintin g of othe r

associate dfeature s includin g fascia , eaves , siding , all trim , porches , box beams , columns , rails , andexterior surface s of garages . 2. Wa s all scraping andothe r

preparation wor k

completedsatisfactorily ? 3. Wer e all require darea s ofth e structure(s ) prime d as neededandpainte dwit h tw o top coats ? 4. Wa s the pain t product s utilize dequivalen t to a 30 yea r

product/quality ? 5. Ar e all ofth e area s wher e contaminatedmaterial s have been spille dthoroughly vacuumed / cleaned ? 6. Didthe contractor collect/vacuumall falling andscrapedpaint chip son th e entir e property , roadways , alleyways , publi c acces s area s andals o remov e an y othe r

generateddebris ? 7. Is the gras s are atha t surround s th e structure(s ) in reasonably goo dcondition ? 8. Ar e all item s such as polyethylene sheeting , ladders , paint brushes , cones , barrie r

tape , etc . properly removed ? 9. Is ther e an y evidenc e ofpropert y damag e tha t wa s done by th e contractor ? An y propert y damage need s tobe completedprio r to th e EP A Close-Out . 10 . Ar e ther e an y propert y item s tha t wer e temporarily re-locate d by th e contractor tha t nee d

to be movedback ? 11 . Ar e ther e an y (known) lingerm g issue s wit hth e propert y owner(s ) tha t hav e bee n lef t unresolved ? Comments :


# -yp- ^ 

# 10 /¥ Propmy Owne r

Signatur e Dat e iona l l Environmentrf-fengi Dat e Professiona ngineer s Representativ e Omaha , NE 6811 0 (402 ) 504-468 8 Fax(402 ) 504-328 1



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# CONSEN T FO RACCES S OMAH A LEA D SIT EREMEDIA LACTIO N - LEAD-BASE © PAIN T STABILIZATIO N PROPERT Y ID ; ^C5^ ^ PROPERTYADDRESS: i c RrS | Yl'Cif'^Cjt y 'BlX/^ t 

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- DAYTIM EPHONE : ^1 ~ 85DP S CELLPHONE : E-MAIL : OWNER' S ADDRES S I FDIFFERENT : TENANT' S NAM EI FAPPLICABLE : DAYTIM EPHONE : CELLPHONE : E-MAIL : Professiona l Environmenta l Engineers , Inc . (PE ) i s unde r contrac t (#EP-R7-08-06 ) wit hth e U.S . Environmenta l Protectio n Agenc y (EPA ) t o stabiliz e lea dbase dpain t (LBP ) o n residentia l structure s a t anumbe r o f propertie s locate di n Omaha , Nebraska . Th e pain t stabiUzatio n wor k i s bein g don e t o protec t th e soi l cleanup s tha t ar e bein g performe db y EP A contractors . Pain t stabilizatio n activitie s wil l include : scrapin g o f cracke do r flakin g LB Pfro mstructures , applicatio n of aprim e coa t an dtw o (2 ) coat s o f paint . Movin g part s o f window s an ddoor s ar e no t include dan dwill no t b e addressed . You r 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 fo r th e purpos e o f stabilizin g lea d-base dpain t a s outline do n th e propert y identifie dabove . B y signin g thi s documen t I agre e t o allo w a n EP A contracto K t o conduc t asoi l cleanu p a t m y propert y followin g completio n o f lead-base dpain t stabilization , i f th e soi l cleann p ha s no t alread y bee n 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 cleanu p contracto r wil l b e boun dto . I furthe r understan dtha t th e soi l cleanu p contracto r will mak e al l reasonabl e eflbrt 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 . Ifliyiaragr B Yes , I havma dan du^erstan dtheparagrap habove . 

# 5^1

- yi > <^ 9 [natur e o f Propert yOwne r ~ ^ Dat e I full y understan dtha t b y signin g thi s Consen t fo r Access , (1 ) thi s acces s wil l remai n i n effec t unti l th e wor k ha s bee n satisfactoril y completed , (2 ) tha t th e Propert y Owne r o r Tenant , ifapplicable , will b e give n th e Housin g an dUrba n Developmen t (HUD ) an dEP A pamphlet , "Renovat e Right , Importan t Lea dHazar dinformatio n fo r Families , Da y Car e Providers , an d Schools" , P ) th e Propert y Owne r o r tenan t wil l remov e al l obstruction s fro msurface s t o b e painted , (4 ) will abid e b y healt han d safet y guidanc e provide db y EPA , (5 ) wil l allo w photograph y o f propert y befor e an dafte r th e pain t stabilizatio n work , (6 ) wil l b e contacte db y aP Erepresentativ 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 Pstabilizatio n actions , an d(8 ) wil l participat e i n fina l propert y inspectio n an dsig n th e Completio n Agreemen t an d Propert y Owne r Satisfactio n Survey . Shoul dyo u hav e an y question s abou t th e plane dLea dBased-Pain t stabilizatio n activitie s fo r you r property , pleas e contac t Professiona l Environmenta l Engineers , Inc . Projec t Manager , Willi e Cla y A t 402-504-4688 . Genera l question s abou t th e Omah a Lea dSit e cleanu p ca n b e directe dt o Paulett aFrance-lsetts , EP A Remedia l 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 (Nort hOmah aoffice ) o r 402-731-304 5 (Sout hOmah aofiice) . Q^es , I gran t acces s t o m y propert y an dwa s give n th e pamphle t D No, I d o not grant acces s t o m y propert y an dI was "Renovat e Righ t Importan t Lea dInfbnnatio n fo r Families , Chil d give n th e pamphle t "Renovat e Right , Importan t Lea d Car e Providers , an dSchools. " Infomiatio n fo r Families , Chlld e Car e Providers , an dSchools. ' ^ Signatur e Dat e Signatur e SPECIA L INSTRUCTION S AN D CONSIDERATION S• . - > » 

## PAIN T STABILIZATIO N PRE-PROPERT Y PAIN T MATC H ASSESSMEN T PROPERT YADDRESS : tj^?? A/hs/^AA7 £ DATE : AA A~ 7 ^(7^ ' BVID : yO^^—C y

AREA(S ) T O B E PAINTED : / / HOUS E PROPER : 

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## I AGRE E T O TH E COLOR S USTE D ABOVE . ONC E TH E PAINTIN G BEGINS , I UNDERSTAN D I CANNO T CHANG E TH E ABOV E SELECTE D COLORS : PROPERT YOWNE R SIGNATURE : P E ACCESQ R SIGNATUR E 

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## Dougla s Count y Accoun t Information Pag e 1 of 2 Dougla s County , Nebrask aPropert y Recor d- R194736000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e @ scal e 0-5 0 tt wes t o f 52n d S t - VJe W O O Ma P Informatio n i s vali d a s o f 2009-9- 3 Treasurer' s Ta xRepor t Ne wFeatur e ->->- + Aut o Sale s Searc h 

## Owne r 

# i)CiK-%^ ^ - LIES TJAIVIE S K 673 1 FLORENC E BLV D OMAH AN E 68112-000 0 

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- "i-ScA ^ 1 Propert yInformatio n Ke yNumbe r473 6 000 0 1 9 AccountType : 1 Residentia l Parce l Numbe r 194736000 0 Parce l Address : 673 1 FLORENC E B D OMAH AN E 68112-000 0 Lega l Description : PARKW00DL0T19B L OC K1 W 14 0 FTLO T1 8 & W 14 0 FT N 1/ 2 66.06X14 0 Valu e Informatio n Lan d Impr t ivemen t Tota f 200 9 $ 7,600.0 0 $ 54,300.0 0 $ 61,900.0 0 200 8 $7,600.0 0 $ 54,300.0 0 1 $ 61,900.0 0 200 7 $7,600.0 0 $ 51,000.0 0 $ 58,600.0 0 200 6 $ 7,600.0 0 $ 51,000.0 0 $ 58,600.0 0 200 5 $ 7,600.0 0 $ 51,000.0 0 $ 58,600.0 0 200 4 $ 7,600.0 0 $ 51,800.0 0 $ 59,400.0 0 Sale s Informatio n Sale s Date : 1997-08-2 8 Dee d Type : D Book : 207 8 Page : n o Price : $ 46,000.0 0 Granto r Grantee : • 1

f .
—. . Valid/Invalid : ^ Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.2 1 £ 1240. 0 1. 0 140. 0 66. 0 N o Improvemen t Info i matio n 

## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl9.. . 9/1 1 /200 9

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

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. CLIC KTO ENLARG E IMAG E Squar e Footage : 1480. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Fai r

Buil t As : 2 Stor y Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 10. 0 Exterior : Fram e Sidin g Units : 

### 1.0 ^ Interior : Drywal l Baths : 

### 1. 0 Roo f Cover : Compositio n Siiingl e Bedrooms : 3. 0

Roo f Type : Gabl e Stories : I 1. 5 Floorcover : Allowanc e Foundation : | Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 191 5 0 % 191 5 9 4 Detai l 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 Blocl < 8 ft 764. 0 Basemen t Fai rFinis h 60. 0 Fixtur e Bas e Fixture s 1 ^ Fixtur e Bati i Ful l 1. 0 Garag e Detaclie d 324. 0 Porc h En d Scree n 184. 0 Porc h Sla b Roof Cei l 30. 0



### http://douglasne.mapping-online.com/DougIasCoNe/static/accountinfo.jsp?accountno=R19. . . 9/11/200 9

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