TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: lo&Mq 3 Date: ^'Ql't)" ^ 

Address: Pl\^9 . ^ \ U S A/e . 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

^^^Vide o ofproperty (DVD) 

[j Executive Summary 

'GT Signed Access Agreement for subject property 

B ^ Painting Agreement 

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

O/^I^hotographs oAftrt^ iUo CipUr' ^ 

D ^ Satisfactory restoration signed by Property Owner 

M y Property close-out check list signed by EPA 

M Property information from Douglas County Assessor's Office 

^ confirmation that lead pamphlet "Renovate Right" was received by P0_ 

D 

• 30203893 

0 ^ : liUIIIHUI 

Superfund 

ProfessionalfihvirOnmental Engineers Signature * Date 

M'M^^^^-^— -^#^ 
2505 North 24^ Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 63493 

2448 N 45 Ave 

• Dates worked: 07/15 to 07/15 2009 

• Pre property condition: House had vinyl siding with wood trim areas around the 

basement windows. Paint on windows was flaking off. Garage was in very poor 

condition with many structure problems and paint was bare in areas and was flaking 

off all over. There were many vines that needed to be removed on the garage prior to 

work starting. 

• Problems encountered: Vines 

• Owner request/concerns: Color change to garage and trims areas on the house. 

• Inspection/closeout dates. Owner signed 07/16, EPA signed 07/17 2009 No issues. 
PROFESSIONAL 

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

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

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

EPA Close-Out Form 

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

SAID: [D3U^C ^ 

Property Address: rOMU^ W M 6 ;^e ^ 

Owner's Name: T^eSl^g^ 1^^^ > ^^ ^ 

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, columns, rails, and exterior surfaces of 

t ^ 

garages. 

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

3. Were all required areas of the structure(s) primed as needed and painted with 

two top coats? l y 

4. Was the paint products utilized equivalent to a 30 year product/quality? xy ' 

5. Are all of the areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? U ^ 

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 \ y other generated debris? 

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

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

barrier tape, etc. properly removed? U ^ 

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. 1^ 

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

that need to be moved back? 

11. Are there any (known) lingering issues with the property owner(s) that have 

l y been left unresolved? 

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

^yd^tt^kj ^J^i^ ^ 

EPA COR Signature 

LX 
PROFESSIONAL 

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

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

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Property Owner Close-Out Form 

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

SAID: Ug^U^' ^ 

Property Address: rOMH ^ K l M^S /V ^ 

Owner's Name: ^-PSK^T X \^ \ fer 

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, columns, rails, and exterior surfaces of \ / 

garages. 

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

3. Were all required areas of the structure(s) primed as needed and painted with 

two top coats? i ^ 

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

5. Are all of the areas where contaminated materials have been spilled thoroughly 

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 X 

other generated debris? 

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

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

barrier tape, etc. properly removed? -y 

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. I/" 

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

that need to be moved back? y

11. Are there any (known) lingering issues with the property owner(s) that have ^ ^ 

been left imresolved? 

Comments: 

1/A iCAg "^-{(^m 

Profession) ngmeers Representative Date ional Environmentrfcngi 
CONSENT OFR ACCESS TO PROPERTY 


OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: ^'^^^li b PROPEI ITY ADDRESS: ^^^9 < M Q ^ /Que . 

1 OWNER NAME: 

DAYTIME PHONE: ^^2 " W'^ ^ 

CELLPHONE: _ E-MAIL: 

OWNER'S ADDS t£SS IF DUITERENT: 

TENANT'S NAM E 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 were performed by EPA contractors. 

Paint stabilization activities will include: scraping of cracked or flaking LBP from structures, application of a prime coat and 

two (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 above. 

By 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. 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. 

I fully understand that by signing this Consent for Access, (1) this access will remain in eflfect until the work has been 

satisfoctorily completed, Q) that the Property Owner or Tenant, if applicable, will be given the Housing and Urban 

Development (HUD) and EPA pamphlet, "Renovate Right, Importent 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 m advance of starting work, (7) agree 

not to obstruct or tamper with any of the 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 At 402-504-4688. General questions about the 

Omaha Lead Site cleanup can be directed to Pauletta France-Isetts, EPA Remedial Project Manager 402-731-2454, or the 

ERStWj. A Public Information Centers at 401-991-9583 (North Omaha office) or 402-731-3045 (South Omaha office). 

Yes, I gnnt access to my property and was ghren the pamphlet D No, I do not giant access to my property and I was 

Ranovate Right, Important Lead inlbnnaaon for Families, ChOd givan the pamphlet "Renovate RigM, Important Lead 

Care ProvMefs, and Schools." ( Infomiatlon for Families, Chllde Care ProvMeiB, and Schools.' 

t signature '^ Date* SIgnahire Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
0@[ftii!ni?BSififl@[ni @f (^®(g@Spit ©i? Lsnd l Faoinipfhii®^ 

PROPERTY ADDRESS ^pUM ^ /O . M S f)(^m P CQDE_ 

PROPERTY ADDRESS OF OWfN^ IF DIFFERENT THAN PROPERTY BEING PAINTED: 

PROPBCTY ADDRESS ZIP CODE 

I have received a copy of ttie pamphlet. Ramvsle Righ t Important Load Ham ^ inlmuilki n For Fanrilhs, 

ChUd Ca n PimUa n Am i Sehoob inlbmiing me of (he potential risk of the lead hazard exposure liom 

renovation activity to be peifbmied on dwelling unit I received this pamphlet before tiie vwoik began. 

•^ nan .PMNTGDNAIIEOFRBCIPIENT *^^ OATE 

CttGNATUREOFRECIFfEIIT 

SetfCefWIcalhNi Option (For TMiantOocuptod DnwHlnos Only) 

If flte lead pamphlet was deKvonsd biit a tmant signature was not obtidnabto, you may ch« ^ 

below: 

[ J RBfuaal To Sign- 1 t»ftifyttiat I haw male a good faHh effort I D (leiivBr the pamphlet, ran 

lead hazBid InfomiaHonforfemilies. dilM care piovldera and schools: to ttte rental dwelling unit 1 ^ 

date and time IndicaiBd and ttiat ttie occupant refused to sign ttw oonliimaUon of reoelpL i further certify ttiat I 

have left a copy ofttw pamphlet at ttie unit witti occupant 

D IJnavallabto For Signature - 1 cer% ttiat I have made a good fadtti effortto deliver tiie pamphlet renovate rig^^ 

important tead hazanl infonnation forCsmllleB, child care pravidera and schools, to ttie rental dwelling unit Hated 

below and ttiatttie occupant was unavaBabtoto atgn ttie oonlinnaHon of receipt i further certify ttiat I have toft a 

copy of ttie pamphlet at ttie unit by aiUing it under ttie door or aomevrfiere on ttie premises. 

PMNTeDNAMEOPreaOHCeRnFYi EOPreooHi m ATIBIPIB ) DBJVERy DATE AND TWE LEAD 

MMPHUETOaJVERY 

ATURE MR80 N CBntFYINO l£AO PAMPHLEI 

Note Ragsidlng lUttng Opflon - as an altemattMto dslwry in pereon. you may mail ttis load pamph^ 

andtortanant PannpMBt must be maiiad at taeit 7 days before ranovaflon. fDoomortviiihaoallllGatoofnialngfnomto 

OONHRMMTIONOFRBCBPTOFLEAOPAMPHLET 08106 
PMMTBim^LEMI^M mi#»re^ W M mwM 

WUm9LmmW'EmumiiSICMmQWMWB¥3iV& NO O ws m 

jj^^ ^ 

rae^qoBanie GONiniiQii^ip FOUNDimim 

NO •an I 1 vee I ' iF.VBftiBiUEDBt 

1 BOSnilS PAINT ON WDIDQWWi^DOOIIS^roUNIM^ 1 

YESU-J V^YISWHBRE: 

VnUAL DBKRIFnON OP niOPanY/STIIIICIUIIC/QAIIAa^ (I£ ^ 

V. 11 ..o\\ ^^Sn^JV 
PAINT STABILIZATION PRE-PROPERTY 

PAINT MATCH ASSESSMENT 

PROPERTY ADDRESS: 7i\^P) V Af) ^ 6 DATE: JldS_£ ^ 


BVID:C^A^ ^ 


AREA(S) TO BE PAINTED: 

HOUSE PROPER: V^ O COLOR: 

HOUSE TRIM: W ^ ^m\fMt \ COLOR: (QF\9Q M 

GARAGE: \W ^ COLOR:/iy ^'P ^ '^' ^ 

GARAGE TRIM: \/A S COLOR: ^5 3 2_ 

PORCH: t^\<=^ COLOR: 

PORCH TRIM: t^^ i COLOR: 

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

I AGREE TO THE COLORS LISTED ABOVE. ONCE THE PAINTING 

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

PROPERTY OWNER SIGNATURE: PE ACCESOR SIGNATURE: 
.Douglas County Account Information Page 1 of 3 

A« I -5 

Douglas County, Nebraska Property Record - R0811300000 

Print Report 

NEW Feature - Parcel Dimensions available (SI scale 0-50 ft west of 52nd St - ViO W O n Ma D Information is valid as of 2009-6-3 Treasurer's Tax Report 

New Feature -•-•- • Auto Sales Search 

Owner 

KEIFERDEBRAJ 

2448 N 45 AVE _ ^ ^ ^ ^^ ^ 

OMAHA NE 68104-0000 O S O ' 0^Z:/O ) 

Property Informatio n 

Key Number 1130 0000 08 

Account Type: Residential 

Parcel Number 0811300000 

Parcel Address: 2448 N 45 AV 

OMAHA NE 68104-0000 

Legal Description: CLAIRMONT LOT 8 BLOCK 3 50 X 125 

Value Informatio n 

Land Improvement Total 

2009 $6,400.00 $73,200.00 $79,600.00 

2008 $6,400.00 $73,200.00 $79,600.00 

2007 $6,400.00 $73,200.00 $79,600.00 

2006 $6,400.00 $73,200.00 $79,600.00 

2005 $6,400.00 $5 3,400.00 $59,800.00 

2004 $6,400.00 $4 8,500.00 $54,900.00 

Sales Informatio n 

Sales Date: 2006-11-30 • 

Deed Type: QC Sook: 2006 Page: 142005 

Price: $0.00 

Grantor Buckingham Debra J etal 

Grantee: Keifer Debra J 

Valid/Invalid: Invalid 

Exclusion Reason: Family Sale 

Sales Date: 1995-05-04 

Deed Type: D Book: 2009 Page: 295 

Price: $39,500.00 

Grantor 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R081... 6/8/2009 
.Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Valid 

Land Informatio n 

Acres SF 

0.14 6250.0 

Improvemen t Informatio n 

Building 1 

Units 

1.0 

Depth 

125.0 

Width 

50.0 

Vacant 

No 

J«SN45*V 

t 1C STORY 

BsmrlBlcKlitfl 

1D85.0»9,11,

'«r 

 5>ii ,f,y 589.0 K). ft.. 

|s» 

CLICK TO ENLARGE IMAGE 

Square Footage: 1694.0 Percent Complete: 1 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: 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 Batlis: 2.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

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 0 0% 1920 89 

Detail Type DetaiY Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 1029.0 

Fixture Base Fixtures 1.0 I 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R081... 6/8/2009 
MC Services, LLC 

Property Address ^^^^fP ) V > 4* 0 -fW g . Date H " \ 6 -^0 \ 

Start Date 

Amount Of Prime And Paint Used 

Prime (Gallons) 

Poly (Boxes) 

i 

Paint (Color) Y ? \\<r^-0 Amount (Gallons) ?S 

Paint (Color) ii Lb£ Amount (Gallons) 2_

. 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 
Professional Environmental Engineers. Inc. 

SAFETY AUDIT 

project Name: g^^ ^ V^ 4 D Kv ^ 

Date of Audit: f - \F>"~QH 

Primary Health Hazards: \PO^t ^ 

Primary H & S Concerns: 

Daily Tasks: .0£QtWl% 

5rvnpp\rQ) 

». paioVirC) 

Equipment Used at Jobslte: 

Hard Hat Ladder - ^ 

Safety Glasses ^-^•^•^ Boom Lifts 

Steei Toed Shoes GFCI ,3 ^ 

Work Gloves > ^ Safety Vests -^ ^ 

Generators ­ ^ Other _,ii,^j_ _ 

Equipment Ready for Emergency Riesponse at Immediate Disposal: 

Daily Safety Meeting Conducted 

First Aid <it ^ 

Emergency Procedures 

Company Health and Safety Policy 

GFCI on-site 

Deficiencies: 

Conrective Actions: 

Auditor: jAi//<?r C^^^^.c. Date:*7" I B ~0< ^ 

Site....^y^^myMii)/^^^,^. 7-|g-0C|