TRANSMITTAL of OMAHA LEAB SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: 2^\l&fS M Date: ^/sjaO 

^ 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video ofproperty (DVD) ' 

Executive Summary 

Signed Access Agreement for subject property 

0 " Painting Agreement 

ettlement dociunents (i.e., for damage or to replace plants, etc.) 

Photographs Dfefcrg, ^A n I

0^ Satisfactory restoration signed by Property Owner 

0 ^ Property close-out check list signed by EPA 

Property information from Douglas Coimty Assessor's Office 

0^ confirmation that lead pamphlet "Renovate Right" was received by PO 

D 

D 

D 

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ProtessidiM hnvnoitokentaf Engiheers S ignature 

iPA Sigiiature 

30054618 

J l """""'• 

Superfund 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. ^'°' ''omr NE eofio 

"Providing cost-effective environmental solutions" ^ i^^| ^^t^! 

^ F£ix (402) 504-3281 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 21654 

1018 S. 25*" Ave 

• Dates worked: 09/21 to 09/21 2009 

• Pre property condition: House has mostly vinyl siding and painted foundation in poor 

condition. Garage has painted wood siding in poor condition with flaidng paint. 

• Problems encountered: None 

• Owner request/concerns: N/A 

• Inspection/closeout dates. Owner signed 09/28 2009. EPA signed 11/17/09 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

EPA Close-Out Form 

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

SAID: _2iijS!4 . 

PropertyAddress: lO/ o ^ Z>0> fW ^ 

Owner's Name: Ql'iAQVi M ^^t^ Q 

Performance Standards/Close-Out Criteria 

2505 North 24*, Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 604-3281 

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 

garages. A

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 

vacuimied/ cleaned? A 

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 A 

other generated debris? 

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

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, y barrier tape, etc. properly removed? 

9. Is there any evidence ofproperty damage that was done by the contractor? Any y property damage needs to be completed prior to the EPA Close-Out. 

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 y been left unresolved? 

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

llll l ib'^ JSi.. 

EPA COR Signature 
ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design » Remediation»Abatement» Emergency Response 

Property Owner Close-Out Form 

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

SAID: 7.11 oSM 

Property Address: 

Owner's Name: 

Performance Standards/Close-Out Criteria 

2505 North 24% Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

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, colunms, rails, and exterior surfaces of y garages. 

2. Was all scraping and other preparation work completed satisfactorily? 0 

3. Were all required areas ofthe structure(s) primed as needed and painted with 0 two top coats? 

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

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

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

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

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

that need to be moved back? A 

11. Are there any (known) lingering issues with the property owner(s) that have \) been left unresolved? 

Comments: 

J ^ -A7^ 

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Property Owner Signature Dat 

-^? ^ 51 '^-o r 

9-^A~^ 9 

Professional Enviromnental Engineers Representative Date 

7 
OMAMA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: 27 \ U5 ^ PROPEI ITY ADDRESS: ?0) ^ 

OWNER NAME! ,A \ -v ^ 

DAYTIMEPHONE: _ 

CELLPHONE: W^^?' 3/f'/fJ^/ ^ E-MAIL: 

OWNER'S ADDRESS IF DU'VERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIMEPHONE: 

CELL PHONE: 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 tocated 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 ofa prime coat and two 

(2) coats of paint. Moving parts of windows and doors arenot 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 contractbi; to conduct a soil cleannp 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. 

Yes, I havp-raad and understand the paragraph above. 

Slgnahire of Property Owner Date 

I frilly understand that by signing this Consent for Access, (1) 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 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 the LBP stabUization 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, WiUie Clay At 402-S04-4688. General questions about the Omaha 

Lead Site cleanup can be directed to Pauletta France-lsetts, 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). 

lawYes e , I giant access to my property and was given the pamphlet D No, I do not grant access to my property and! was 

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

Care Providers, and Schools." Information for Families, Chllde Care Providers, and Schools." 

% A...y^. /Tyj. f'/r^^ T 

Slgnahire Date Signature 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
1 t 

PAINT STABILIZATION PRE-PROPERTY 

PAINT MATCH ASSESSMENT 

cj.^q.QC^ PROPERTYADDRESS: )0\Fi 7\ Z S •ft7 ^ DATE: 

BVID: 

AREA(S) TO BE PAINTED: 

HOUSE PROPER: COLOR: /' ? ^^ 7 1^ ^ 

HOUSE TRIM: vJW»^ COLOR: hir:\.)r/l^^ AA^Vrd-^ ' 

1 

GARAGE: \|^< ? COLOR: «-|-W ACUS ^ 

GARAGE TRIM: ^ ^ COLOR: h maOTik "(H^ft U^SP. 

PORCH: COLOR: 

PORCH TRIM: COLOR: 

(COMPLETE ALL SECTION, YES, NO, OR NONiJAPPLICABLE) -

I AGREE TO THE COLORS LISTED ABOVE. ONCE THE PAINTING 

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

PROPERTY OWNER SIGNATURE: PE ACCESOR SIGNATURE: 

J ^ ^ ^ 
Douglas County Account Information Page 1 of2 

c5i6s-q 

Douglas County, Nebraska Property Record - R1714100000 

Print Reoort 

NEW Feature - Parcel Dimensions availalHe m scale 0-50 ft west of 52nd St - ViO W OO Ma D Information is valid as of 2009-9-3 Treasurer's Tax Reoort 

New Feature -•-•- • Auto Sales Search 

Owner 

ALEJO SR JUAN M 

ETAL 

1018 S 25 AVE 

OMAHA NE 68105-0000 — -

Property Informatio n 

Key Number 1410 0000 17 

Account Type: Residential 

Parcel Number: 1714100000 

Parcel Address: 'l018S25AVi 

'^OMAHANE 68105-0000 

Legal Description: MARSHS ADD LOT 5 BLOCK 8 8 13 5/12 FT LT 4 & N 25 7/12 FT 39 X 124.5 

Value Informatio n 

Land Improvement Total 

2009 $4,300.00 $93,900.00 $98,200.00 

2008 $4,300.00 $93,900.00 $98,200.00 

2007 $4,300.00 $93,900.00 $98,200.00 

2006 $4,300.00 1 $83,000.00 $87,300.00 

2005 $4,300.00 1 $83,000.00 $87,300.00 — 2004 $4,300.00 $83,000.00 $87,300.00 

Sales Informatio n 

Sales Date: 1988-01-07 

Deed Type: WD Book: j 2006 Page: 017922 

Price: $0.00 

Grantor: Juan M Alejo 

Grantee: Juan M Alejo Sr etal 

Valid/Invalid: Invalid 

Exclusion Reason: Family Sale 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.11 4836.0 1.0 124.0 39.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl7... 9/11/2009 
Douglas County Account Infomiation Page 2 of2 

Building 1 

1 1/2 STORY FINISHED 

.. . e...3.i». 

u 2007 DOUGLAS COUNTV ASS 

CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1728.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: i Average 

Built As: , 1 1/2 Story Fin Condo Square Footage: : 0.0 

HVAC: Central Air to Air Rooms: 8.0 

Exterior: Frame Vinyl Units: 1.0 

Interior: Drywall Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: 4.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1920 1920 

Detail Type I Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 988.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

Garage Detached 216.0 

Porch End Screen 42.0 

Porch End Screen 42.0 

Porch End Screen 208.0 

User May be 2 apt 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R17... 9/11/2009 
IGIT 

PropertyAddress

start Date 

Prime (Gallons) 

Poly (Boxes) 

Paint (Color) 

Paint (Color) 

Paint (Color) 

Paint (Color) 

Paint (Color) 

lol ^ S e3 S> A 0 V_ te ql?.\jf)9 

End Date 

Amount Of Prime And Paint Used 

^ft<^>^p ^ 

6A^3. 

M l 

Amount (Gallons) 

Amount (Gallons) 

Amount (Gallons) 

Amount (Gallons) 

Amount (Galtons) 

i s gd/