TRANSMITTA L o f OMAH A LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R 

### SAID# : lo&M q 3 Date : ^'Ql't)" ^ Address : Pl\^9 . ^\U S A/e . Remediatio n Contractor : PROFESSIONAL ENVIRONMENTAL ENGINEER S Year : 200 9 PAINT STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S ^^^Vide o ofpropert y (DVD ) [ j Executiv e Summar y 'G

T SignedAcces s Agreemen t fo r

subject propert y B ^ Painting Agreemen t D Settlemen t document s (i.e. , fo r

damag e o r

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o replac e plants , etc. ) O/^I^hotograph s oAftrt ^ iU o CipUr ' ^ D ^ Satisfactor y restoratio n signedb y Propert y Owne r M y Propert y close-ou t chec k

lis t signedb y EP A M Propert y information fro mDougla s Count y Assessor' s Office ^ confirmation tha t lea dpamphle t "Renovat e Right " was receivedb y P0 _ D

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— -^# ^250 5 Nort h 24 ^ Suit e 21 9 Omaha , N E 6811 0 (402 ) 504-468 8 Fax (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 y Respons e

LeadBas e Stabilizatio n Omaha , N e Clos e Ou t Repor t 200 9 SAID#6349 3 244 8 N 4 5 Av e

•Date s worked : 07/1 5 t o 07/1 5 200 9 •Pr e propert y condition : Hous e ha dviny l sidin g wit h woo dtri marea s aroun dth e basemen t windows . Pain t o n window s wa s flaking off . Garag e wa s in ver y poo r conditio n wit h man y structur e problem s an dpain t wa s bar e in area s an dwa s flaking of

f

al l over . Ther e wer e many vine s tha t neede dt o b e remove do n th e garag e prio r t o wor k starting . • Problem s encountered : Vine s • Owne r request/concerns : Colo r chang e to garag e an dtrim s area s o n th e house . •Inspection/closeou t dates . Owne r signe d07/16 , EP A signe d07/1 7 200 9 N o issues .

## 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 " Fa x (402 ) 504-328 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc y Respons e EP A Close-Ou t For m (Lead-BasedPain t Stabilizatio n EP A Contract EP-R7-08-06 ) SAID : [D3U^C ^ Propert y Address : rOMU ^ W M 6 ;^e ^ Owner' s Name : T^eSl^g ^ 1^^ ^ > ^^ ^ Performanc e Standards/Close-Ou t Criteri a YE S N O 1 . Wa s the entir e structure(s ) painte dwit h the exception of th e stated , excluded areas ? Thi s wouldinclud e paintin g of othe r

associate dfeature s including fascia , eaves , siding , all trim , porches , box beams , columns , rails , andexterior surface s of t ^ garages . 2 . Was all scraping an dothe r

preparatio n wor k

completedsatisfactorily ? \ ^ 3 . Wer e all require darea s of the structure(s ) primeda s neededan dpainte dwit h tw o top coats ? l y 4 . Wa s the pain t product s utilize dequivalen t to a3 0 yea r

product/quality ? xy ' 5 . Ar e all of the area s wher e contaminate dmaterial s hav e bee n spille dthoroughl y vacuumed / cleaned ? U ^ 6 . Didthe contractor collect/vacuumall falling an dscrapedpaint chip s on the entir e property , roadways , alleyways , publi c acces s area s an dals o remov e an y \ y othe r

generateddebris ? 7 . I s the gras s are atha t surroimd s th e structure(s ) i n reasonably goodcondition ? I X 8 . Ar e all item s suc h a s polyethylene sheeting , ladders , paint brushes , cones , barrie r

tape , etc . properl y removed ? U ^ 9 . I s ther e an y evidenc e ofpropert y damag e tha t was done b y the contractor ? An y propert y damag e need s to b e completedprior to th e EP A Close-Out . 1 ^ 10 . Ar e ther e an y propert y item s tha t wer e temporaril y re-locate dby the contractor tha t needt o b e move dback ? 11 . Ar e ther e an y (known) lingerin g issue s wit h the propert y owner(s ) tha t hav e l y bee n lef t unresolved ? Othe r

Considerations/Propert y Owne r

Discussions/Additiona l Wor k

tha t i s Required :

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## ^J^i^ ^ EP A CO RSignatur e L X

## 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 " Fa x (402 ) 504-328 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc y Respons e Propert y Owne r Close-Ou t For m (Lead-BasedPain t Stabilizatio n EP A Contract EP-R7-08-06 ) 

### SAID : Ug^U^' ^ Propert y Address : rOMH ^ K l M^ S /V ^ Owner' s Name : ^-PSK^T X \^ \fer Performanc e Standards/Close-Ou t Criteri a YE S N O 1 . Was the entir e structure(s ) painte dwit h the exceptio n of th e stated , exclude d areas ? Thi s wouldinclude paintin g o f othe r

associate dfeature s includin g fascia , eaves , siding , all trim , porches , bo x beams , columns , rails , andexterio r surface s o f \ / garages . 2 . Wa s all scraping an dothe r

preparatio n wor k

completedsatisfactorily ? : ^ 3 . Wer e all require darea s o f th e structure(s ) primeda s neede dandpainte dwit h tw o top coats ? 

## i ^ 4 . Was the pain t product s utilize dequivalen t to a3 0 yea r

product/quality ? 5 . Ar e all o f the area s wher e contaminate dmaterial s have been spille dthoroughl y vacuumed / cleaned ? 6 . Didthe contractor collect/vacuumall falling an dscrapedpaint chip s o n th e entir e property , roadways , alleyways , publi c acces s area s andals o remov e an y 

# X othe r

generate ddebris ? 7 . I s the gras s are atha t surround s th e structure(s ) in reasonably goo dcondition ? 

# y 8 . Ar e al l item s suc h a s polyethylen e sheeting , ladders , pain t brushes , cones , barrie r

tape , etc . properly removed ? 

# - 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 propert y damag e need s to b e complete dprio r to th e EP A Close-Out . 

## I/ " 10 . Ar e ther e an y propert y item s tha t wer e temporarily re-locate db y th e contractor 

# y tha t needto b e movedback ? 11 . Ar e ther e an y (known) lingerin g issue s wit h the propert y owner(s ) tha t hav e ^ ^ bee n lef t imresolved ? Comments : 

# 1/ A iCA g "^-{(^ m Profession ) ngmeer s Representativ e Dat e iona l Environmentrfcng i

# CONSEN T OF R ACCES S T O PROPERT Y OMAHA LEAD SIT E REMEDIA L ACTIO N - LEAD-BASE D PAIN T STABILIZATIO N PROPERT Y ID : ^'^^^li b PROPE I IT Y ADDRESS : ^^^9 < M Q ^ 

## /Qu e . 1 OWNE RNAME : DAYTIM E PHONE : ^^2 " W'^ ^ CELLPHONE : _ E-MAIL : OWNER' S ADD S t£S S I F DUITERENT : TENANT' S NA M E I F APPLICABLE : DAYTIME PHONE : . CELLPHONE : . E-MAIL : Professiona l Environmenta l Engineers , In c (PE ) i s unde r contrac t (#EP-R7-08-06 ) wit h th e U.S . Environmenta l Protectio n Agency (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 din Omaha , Nebraska . Th e pain t stabilizatio n work i s bein g don e t o protec t th e soi l cleanup s tha t wer e performe dby EP A contractors . Pain t stabilizatio n activitie s will include : scrapin g o f cracke do r flakin g LB P fromstructures , applicatio n of aprim e coat an d tw 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 documen t I agre e t o allo w a n EPA contracto r 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 understan dtha t th e stabilizatio n contracto r can no t provid e assurance s tha t th e soi l cleanu p contracto r will 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 property owner , ma y hav e regardin g soi l cleanu p a t m y property . I full y understan dtha t b y signin g thi s Consen t fo r Access , (1 ) thi s acces s will remai n i n eflfec t unti l th e work ha s been satisfoctoril y completed , Q ) tha t th e Propert y Owne r o r Tenant , if applicable , wil l b e given th e Housin g an dUrba n Developmen t (HUD ) an dEP A pamphlet , "Renovat e Right , Importen t Lea dHazar dinformatio n for Families , Da y Car e Providers , an dSchools'* , (3 ) th e Propert y Owne r o r tenan t wil l remov e al l obstruction s fromsurface s t o b e painted , (4 ) will abid e b y healt h an dsafet y guidanc e provide db y EPA , (5 ) wil l allo w photograph y o f propert y before 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 madvanc e of startin g work , (7 ) agre e no t t o obstruc t o r tampe r wit h an y o f th e LB P stabilizatio n actions , an d(8 ) wil l participat e i n fina l propert y inspectio n an d sig n th e Completio n Agreement an dPropert y Owner Satisfactio n Survey . Shoul dyou 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 , In c Projec t Manager , Willi e Clay At402-504-4688 . Genera l question s abou t th e Omah aLea dSit e cleanup can b e directe dt o Paulett aFrance-Isetts , EP A Remedia l Projec t Manage r 402-731-2454 , o r th e ER A Publi c Informatio n Center s a t 401-991-958 3 (Nort h Omah aoffice) o r 402-731-304 5 (Sout h Omah aoffice) . StWj . Yes , I gnn t acces s to m ypropert yan d wa s ghre n th e pamphle t D No , I d o no t gian t acces s to m ypropert yan d I wa s Ranovat e Right , Importan t Lea d inlbnnaao n forFamilies , ChO d giva n th e pamphle t "Renovat e RigM , Importan t Lea d Car e ProvMefs , an d Schools. " ( Infomiatlo n forFamilies , Chlld e Car e ProvMeiB , an d Schools. '
t signatur e '^ Date * SIgnahir e Dat e SPECIA L INSTRUCTION S AN D CONSIDERATION S

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/O . M S f)(^m P CQDE _ PROPERT Y ADDRES S O F OWfN ^ I F DIFFEREN T THA N PROPERT Y BEIN G PAINTED : PROPBCT YADDRES S ZI P COD E I hav e received a cop yo f ttie pamphlet . Ramvsl e Righ t Importan t Loa d Ham ^ inlmuilki n Fo rFanrilhs , ChU d Ca n PimUa n Am i Sehoo b inlbmiin g m e o f (h e potentia l risk o f th e lea d hazar d exposur e lio m renovation activit yt o b e peifbmie d o n dwellin g uni t I received thi s pamphle t befor e tiie vwoi k began .

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### PAIN T STABILIZATIO N PRE-PROPERT Y PAIN T MATC H ASSESSMEN T 

## PROPERT Y ADDRESS : 7i\^P ) V Af ) ^ 6 DATE : JldS_£ ^ BVID:C^A^ ^

AREA(S ) T O B E PAINTED : HOUS E PROPER : V^ O COLOR : HOUS E TRIM : W ^ ^m\fMt \ COLOR : (QF\9Q M

GARAGE : \W ^ 

## COLOR:/i y ^'P ^

'^' ^ GARAGE TRIM : \/A S 

## COLOR : ^5 3 2 _ PORCH : t^\<= ^ COLOR :
PORC H TRIM : t^^ i COLOR : (COMPLET E AL L SECTION , YES , NO , O R NON-APPLICABLE )

I AGRE E T O 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 :.Dougla s County Accoun t Informatio n Pag e 1 o f 3 A « 

# I - 5 Dougla s County , Nebrask a Propert y Recor d - R081130000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e (S I scal e 0-5 0 f t wes t o f 52n d S t - ViO W O n Ma D Informatio n i s vali d a s o f 2009-6- 3 Treasurer' s Ta x Repor t Ne w Featur e -•-•- • Aut o Sale s Searc h Owne r KEIFERDEBRA J 244 8 N 4 5 AV E _^ ^ ^ ^^ ^ OMAH A N E 68104-000 0 O S O ' 0^Z:/O ) Propert y Informatio n Ke y Numbe r 113 0 000 0 0 8 Accoun t Type : Residentia l Parce l Numbe r 081130000 0 Parce l Address : 244 8 N 4 5 A V OMAH A N E 68104-000 0 Lega l Description : CLAIRMON T LO T 8 BLOC K3 5 0 X 12 5 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $6,400.0 0 $73,200.0 0 $79,600.0 0 200 8 $6,400.0 0 $73,200.0 0 $79,600.0 0 200 7 $6,400.0 0 $73,200.0 0 $79,600.0 0 200 6 $6,400.0 0 $73,200.0 0 $79,600.0 0 200 5 $6,400.0 0 $5 3,400.0 0 $59,800.0 0 200 4 $6,400.0 0 $ 4 8,500.0 0 $54,900.0 0 Sale s Informatio n Sale s Date : 2006-11-3 0

• Dee d Type : Q C Sook : 200 6 Page : 14200 5 Price : $0.0 0 Granto r Buckingha m Debra J eta l Grantee : Keife rDebra J Valid/Invalid : Invali d Exclusio n Reason : Famil y Sal e Sale s Date : 1995-05-0 4 Dee d Type : D Book : 200 9 Page : 29 5 Price : $39,500.0 0 Granto r http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R081. . . 6/8/200 9.Dougla s County Accoun t Informatio n Pag e 2 o f 3 Grantee : Valid/Invalid : Exclusio n Reason : Vali d Lan d Informatio n Acre s S F 0.1 4 6250. 0 Improvemen t Informatio n Buildin g 1 Unit s 1. 0 Dept h 125. 0 Widt h 50. 0 Vacan t N o

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