## TRANSMITTA L o f OMAH A LEA D SJT E PAIN T STABILiZATIO N FIL E FOLDE R SAI D # : ^,CQ3g . Date : 8>QQ0 ^ Address : 1"^ ^ S cQ ^ ^5i ~ Remediatio n Contractor

: PROFESSIONALENVIRONIVIENTA LENGINEER S Year : 200 9 PAINT STABILIZATIO N PROPERT Y FIL E FOLDERDOCUMENT S C r Video o f

propert y (DVD ) \ s y Executiv e Summar

y S y ^ Signe

dAcces s Agreemen

t fo r subject propert y u y Painting Agreemen

t D Settlemen

t document s (i.e. , fo

r damag e o r t o replac e plants , etc. ) y Photograph s pfg , A/ ^ bcS T [ y ^ Satisfactor

y restoratio n signe

db y Propert y Owne r ^ y Propert

y close-out

check. lis t signedb y EP A y Propert

y information fro

mDouglas Count

y Assessor' s Office [ y ^ _confirmation tha

t lea dpamphle t "Renovat e Right " was receivedb

y P0 _ D D D



## Professiona

l Envirorunenta

l Engineers Signatur

e Dat e 

## :L/UllUeJ<U7$t ' ASTgruitur

e 'Deft e 3009441 0 

# iiiin i Superfun d

# PROFESSIONA L

ENVIRONMENTA L ENGINEERS , INC
. ''°'''orhtNEe'sn o "Providin g cost-effectiv e environmenta l solutions " ^ J^°^ | !^^fof ? ^ Fa x(402 ) 504-328 1 Consultin g • Enginoenn g Desig n • Remediatio n • Atifitemcn t • EmergencvRfspoiis e



### Lea dBas e Stabilizatio n Omaha , Ne Clos e Ou t

Repor t 200 9 SAID #2022 8 132 2 S . 2 7 St .

• Date s worked : 07/3 0 t o 07/3 1 200 9

• Pr e propert y condition : hous e wit h stucc o sidin g tha t wa s unpainte dwit h painte d woo dtrims , hous e pain t wa s flaking of

f in som e areas , fron t

porc h stair s an d foundatio n wer e painted .

• Problem s encountered : Non e

• Owne r

request/concerns . N/

A

• inspection/closeou t

dates . Owne r

signe d08/08 , EP A signe d08/1 1 200 9 n o issues .

# PROFESSIONA L

ENVIRONMENTA L ENGINEERS , INC
. "Providin g cost-effectiv e environmenta l solutions " Consultin g • Engineerin g Dcsigi i • Remec'iaiio n « Ahtiionicii t • FiMF!ici.''ni. vHt'Cin^ii'i-: - 

## EP A Close-Ou t

For m (Lead-BasedPain

t Stabilization EP

A Contract

EP-R7-08-06 ) 250 5 Nort h 24'" , Suit e 21 9 Omaha , N E 6811 0 (402 ) 504-468 8 Fa < (402 ) 504-328 1



### SAID : 

# QpSi'59 , Propert y Address : |r^3 5 ^^ ^ gf ^ c"^-!

- Owner'sName : MldOnf. j E(^C.\ j

Performanc e Standards/Close-Ou t Criteri a I . 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 garages . 2 . Wa s al l scrapin g an dothe r preparatio n wor

k complete dsatisfactorily ? 3 . Wer e al l require darea s ofth e structure(s ) prime da s neede dan dpainte dwit h tw o to p coats ? 4 . Wa s th e pain t

product s utilize dequivalen t t o a3 0 yea

r product/quality ? 5 . Ar e al l ofth e area s wher e contaminate dmaterial s hav e been spille dthoroughl y vacuumed / cleaned ? 6 . Didth e contractor

collect/vacuu mal l lallin g andscrape dpain l chip s on th e entir e property , roadways , alleyways , publi c acces s area s an dals o remov e any othe r generate ddebris ? 7 . I s th e grass are athat

surround s th e structure(s ) i n reasonabl y goo dcondition ? 8 . Ar e al l item s suc h a s polyethylen e sheeting , ladders , paint brushes , cones , barrier tape , etc . properl y removed ? 9 . I s ther e an y evidenc e o f propert 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 to th e EP A Close-Out . 10 . Are ther e any property item s that wer e temporaril y re-locate db y th e contracto r tha t nee dt o b e move dback ? II . Ar e ther e an y (known ) lingerin g issue s wit h th e propert

y owner(s ) tha

t hav e bee n lef t unresolved ? YE S 

## i / 

# y i / 

# y 

# y i / 

# y 

# y N O



# y 

# y 

# y Othe r Considerations/Property Owner Discussions/Additiona l Wor k tha t i s Required :



## EP A CO RSignatur e Dat e

# PROFESSIONA L

ENVIRONMENTA L ENGINEERS , INC
. it^ l "Providin a cost-effectiv e environmenta l solutions " 250 5 Nort h 24 % Suit e 21 9 Omaha
. N E 6811 0 (402 ) 504-468 8 Fax(402 ) 504-328 1 Consultin g ' Engineenn g Desig n » Remediatio n »Abatemen t • Emeigenc yRespons e 

## Propert y Owne r Close-Ou t For m (Lead-Base dP?m t Stabilization EP

A Contrac t

EP-R7-08-06 ) 

# SAID:_

_....': : ^02P-^-

- Propert y Addresi . /

3 o^o i S ^S " T T H S ' Owner' s Name : J^iJ^f c I C y M- / ^ ^^^ ' ( •'^ ' ^/^ / Tf ^ Perforinanc e Standards/Ciose-Ou t Criteri a YE S N O 1 . Wa s the entir e structure(s ) paintedwat

hth e exception ofth e stated , excluded areas ? Thi s wouldinclud

e painting of

other associatedfeature s including fascia, eaves , siding , all trim , porches , box beams , columns , rails , an dexterior surface s o f garages . / 

# T 2 . Wa s all scraping an

dothe r preparatio n wor

k completedsatisfactorily ? 3 . Wer e al l requiredarea s ofth e structure(s ) primeda s neede dan dpainte dwit

h tw o top coats ? 4 . Wa s the pain t product s utilizedequivalen t t o a3 0 yea r product/quality ? 

## J L 5 . Ar e all ofth e area s wher

e contaminatedmaterial s have bee n spille dthoroughl

y vacuiuned / cleaned ? 

## 1 / 6 . Di dthe contractor

collect/vacuu

mall falling an

dscrapedpain

t chip s on the entir e property , roadways , alleyways , publi c acces s area s an dals o remov e an

y othe r generateddebris ? 

# 1 / 

# T 7 . I s the gras s are atha

t surround s the structure(s ) in reasonabl y goodcondition ? 8 . Ar e all item s suc

ha s polyethylene sheeting , ladders , pain t brushes , cones , barrie r tape , etc . properl

y removed ? 9 . I s ther e an y evidenc e of

propert y damag e tha

t was don e by the contractor ? An

y propert y damage need s t

o b e completedprior

to the EP A Close-Out . 10 . Ar e ther e an y propert y item s tha

t wer e temporarily re-locatedby the contracto r tha t nee dto b e movedback ? 11 . Ar e ther e an y (known) lingering issue s wit hthe propert

y owner(s ) tha

t have bee n lef t unresolved ? Conunents :

Professiona

l EnvirqpSfenta

l Engineers Representativ e •j 

# J

# CONSEN T FO RACCES S T O PROPERT Y

OMAHA LEA

D SIT E REMEDIALACTIO N - LEAD-BASE D PAINT STABILIZATIO N PROPERT Y ID : Q C>ol ^ ^ PROPERT Y ADDRESS : [r^7. ? 3 ^•^^ ^ ^\ ~ 

# lllir^nT [ T y £ r

.Icli- Y DAYTIM E PHONE : 

# y9 / 9^s / CELLPHONE

: 12]=:lA^ll^2^ 6 E-MAIL : OWNER' S ADDRES S I FDIFFERENT : TE;N/VNT' S NAM E I FAPPLICABLE : CELLPHONE : 

### /S^ O y Letc^jr^^ e r A^^^^

- j5 ^ //e\/C<e ^ JJ ) fc" ^^Go . 7 , DAYTIM E PHONE : E-MAIL : Professiona l Environmenta l Engineers , Inc . (PE ) i s unde r contrac t (^EP-R7-08-06 ) wit h th e U.S . Environmenta l Protectio n Agenc y (EPA ) t o stabiliz e lea dbasedpain t (LBP ) o n residentia l structure s a t anumbe r

o f propertie s locate din Omaha , Nebraska . Th e pain t

stabilizatio 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 ofcracke do r flakin g LB P fro 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 dwil l no t

b e addressed . You r cooperatio n i s requeste din 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 identifle dabove . B y signin g thi s documen t I agre e t o allo w a n EP A contracto r 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 , ifth e soi l cleanu 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

wil l mak e 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 . [ ^ Yes,|hav e rea d m d utu^rehin d H^eA^ragoip h above
.

Signatur e o f Propert yOwne r Dat e I fully understan dtha t

b y signin g thi s Consen t fo r Access , (1 ) thi s acces s wil l remai n in 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 , if

applicable , wil l 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" , (3 ) 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 ) wil l abid e b y healt h an d safety 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 E representativ e approximatel y 4 8 hour s in advanc e o f startin g work , (7 ) agre e no t t o obstruc t

o r tampe r with an y ofth e LB P stabilizatio n actions , an d(8 ) wil l participat e in flnal 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-Isetts , 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 h Omah aofflce ) o r 402-731-304 5 (Sout h Omah aofflce) .
^ Yes , I gran t acces s t o m ypropert yan d wa s give n th e pamphle t "Renovat e Right , Importan t Lea d Infonnatio n fo rFamilies , Chil d Car e Providers , an d Schools. "
. 

# y}<^/y j "^y. -^y

^ Signatur e / vyn ^ D No , I d o no t gran t access t o m

ypropert yan d I wa

s give n th e pamphle t "Renovat e Right , Importan t Lea d Informatio n fo rFamilies , Child e Car e Providers , an d Schools. " Signatur e Dat e SPECIA L INSTRUCTION S AN D CONSIDERATION S

## M 7 

# 132 2 S P? ^ (^St " BAT C - j 11,^" ^ O 

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# T PORCH
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(OOMMCT e JU L SecnOl i YE % NO ^ O R NON-APPUGAMLE ) 

## I AGRE E T O TH E COLOR S LISTE D ABOVE
. ONC E PAUniN G BEGIN S I UNDERSTAN D I CA N NO T CHANG E TH E ABOV E SEUECTE D COLORS :

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### Dougla s Coimt y Accoimt

Informatio n Pag e I o f 2 

# .±aoaas Dougla s County , Nebrask a Propert yRecor d - R123847000 0 Informatio n i s vali d a s o f 2009-6-1 6 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e @ scal e 0-5 0 ft wes t o f S2n d S t - Vle W O n Ma P Treasurer' s Ta xRepor t Ne w Featur e *•-•- • Aut o Sale s Searc h Owne r ECKLE Y MICHAE L J ETA L T R 150 7 LAWRENC E L N BELLEVU E N E 68005-000 0 

# 'SIO-^I'IV I • ^iH^-^^r^-3^^ ^ c^q|-%S- | Propert yInformatio n 

# S:-.pff ^



# - p ^ Ke yNumber : 384 7 OOO O 1 2 

# y

^ ^ ^ Accoun t Type : Parce l Number : Residentia l ^

123847000 0 ; ^ ' Parce l Address : 132 2 8 2 7 S T

OMAH A N E 68105-000 0 Lega l Description : HANSCO M PLAC E LO T 6 BLOC K1 4 5 0 X 152. 3 Valu e Informatio n

Lan d Improvemen t Tote l 

### 2009 $5,300.0 0 

### $64,900.00 $70,200.0 0 200 8 $5,300.0 0 

### $64,900.00 $70,200.0 0 200 7 $5,300.0 0 

### $64,900.00 $70,200.0 0 200 6 $5,300.0 0 $50,300.0 0 $55,600.0 0 200 5 $5,300.0 0 $50,300.0 0 $55,600.0 0 200 4 $5,300.0 0 $50,300.0 0 $55,600.0 0 Sale s Informatio n

Sale s Date : 2004-06-0 3 Dee d Type : WD M Soolr ; 200 4 Page : 07603 5 Price : $0.0 0 Granto r Michae l Eckle yEta l Grantee : Michae l Eckle yEta l Tr
. Valid/invalid : Invali d Exclusio n Reason : Famil ySal e Lan d Informatio n Acre s S F Untt s Dept h Widti i Vacan t 

### 0.1 7 7600. 0 1. 0 152. 0 50. 0 N o Improvemen t Informatio n 

### http://douglasne.mapping-online.com/DougIasCoNe/static/accountinfo.jsp?accoimtno=RI23.. . 7/8/200 9

## Dougla s Coimt

y Accoun t Information Pag e 2 of 2
Buildin g 1



### J^'-Tf e 

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# ^ J B Sgj^^^^^^^^^^^^^^^^^^ H

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.

1235, 0 0. 0 1 1/ 2 Stor yUnfi n Centra l Ai rt o Ai r Fram e Stucc o Drywal i Compositio n Shingl e Gabl e Allowanc e Yea r Remodele d 0 1 Detai l Typ e Ad d O n Ad d O n Applianc e Basemen t Fixtur e Fixtur e Porc h Porc h Use r t r

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Quality : Condition : Cond o Squar e Footage :

Rooms : Units : Baths : Bedrooms : Stories : Foundation : Sprinkle rSquar e Footage : Percen t Remodele d 0 % Adjuste d Yea r

Bu m 188 5 -INISHE D 1 100.0 % Averag e Averag e 0. 0 6. 0 1. 0 1. 0 2. 0 1. 5 Bloc k 0. 0 Physica l Ag e 12 2 Detei l Descriptio n Fenc e Chai n Lin k Unfinishe d Atti c W/floo r Allowanc e Bsmn t Bloc k

8 f t Bas e Fixture s Bat h Ful l En d Scree n Sla b Roo f Cei l Poo rroo f Unit e 1. 0 1235. 0 1. 0 1235. 0 1. 0 1. 0 25. 0 119. 0 1. 0



## http://dougIasne.mapping-online.eom/DouglasCoNe/static/accountinfo.jsp?accountno=R123.. . 7/8/2009

## IGI T Dat e

Propert yAddres s J 3^3 0 S ^^Jl/ l ^- T Star t Dat e O ^

/ '^o/o ^

En d Dat e Q 7 /

: \ d J O ^

Prim e (Gallons ) Pol y(Boxe s Pain t (Color ; Pain t (Color ; Pain t (Color ; Pain t (Colo r Pain t (Color ] 

## Amoun t O f Prim e An d Pain t Use d



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