TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: [QQIZ^IZ . Date: ^/MJO^ 

Address: L| P^^l ^ F^sf a Q ^ ?s-h 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video ofproperty (DVD) 

ta^. Executive Summary 

Q--^ Signed Access Agreement for subject property 

D—" Painting Agreement 

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

^ Photographs be^tCtd ^ Qjl^X' 

^r Satisfactory restoration signed by Property Owoier 

D Property close-out check list signed by EPA 

•U"-^ Property information from Douglas County Assessor's Office 

(B.^'^ confirmation that lead pamphlet "Renovate Right" was received by P0_ 

D 

• 30203855 

D Superfund 

ProfessionaFEnviianmental Engineers Signature 

^<g<^//AjL'.^Q ^ ^ Ignature 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC.

"Providing cost-effective environmental solutions"

 ''° ' ""o X NE earn 

 ^ ^ J^gl 504-3281 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Ne 

Close Out Report 

2009 

SAID# 69212 

4827 Erskine St 

• Dates worked: 07/24 to 07/25 2009 

• Pre property condition: Only garage and porch were painted, the rest ofthe house 

areas were not painted and were covered with siding. Painted areas were in poor 

condition with paint flaking off 

• Problems encountered: None 

• Owner request/concerns: N/A 

• Inspection/closeout dates. Owner signed 07/27, inspected by PE project manager. 
•-• •rAH t y L.V " c - n i)H: . ^:. IbV '2 

PROFESSIONAL 

2506 North 24^SUle 21ft

ENVIRONMENTAL ENGINEERS, INC. Oamei, ^4E est io 

(402) 5C4-48aB

"Providing cost-effective environmental solutions" Fan (ooayoeiiiaaoi:; 

Con»u;i|fHJ • En5lft««f(i^g Dftiign * n»m*Cliauon • Al>m«nieiH • Ern»rs»r»cy fl«iipPO«« 

Property Owner Close-Out Form 

(Uad-Based Paint StabiliMtion EPA Contract EP-R7 08-06) 

SAID: b^ZlZ 

Prc.pat> Address: S$?Z > fe'nskin^ '^]r 

Owner'sName: Rnnm't ^ 5^ ( >/flcj n <11^ 

F«rjtorm«ac« St«nd«rda/Clo>e-Out Criteria VES NO 

\. WM the ©mire stiucture(5) painted withtfioexception ofthe stated, excludixJ 

areas? This would include painting of other associated features including fascia, 

CAves, 3idingfftlltritn, porches, box beams, colunms,rails, and OKterlor surfaces of 

jaxages. 

2. Wa s all scraping atid other preparation work completed satigfectoriJy? 7^ 

3. Wer e all requre d areas ofth e structures) prime d as needed and painted witli 

t w o top coats ? 

4. W&> the paint products utilized e<juivalent to a 30 year product/quality? -r 

5. Ar e all ofth e areas wher e contatninated materiftls have been spilled thoroughly 

vacuumed / cleaned? 

$. Di d th e contractor colIect/Vftcuum all falling and .scraped pamt chips o n the 

entire property, roadways, alleyways, publi c access areas and also remov e an y 

y

other gttierated debris? 

7. Is the grass are a tliat smrounda the s<ructure(3) in reasonably goo d co<idition? ^di ^ r^sl *trt­ 8. Ar e all items such as polyethylene sheeting, ladders, paint brushes, cones, y ' 

barrier tape , etc. properly removed ? 

9. Is thet e acky evidenc e ofproperty damag e that wa s done b y tlw contractor? An y 

property damag e need s to be completed prior to tho EP A Close-Out. 

10. Ar e there any property items that v>we temporarily re-located b y the contractor y that need t o bo move d back? 

1 1, Ar e there any (known ) lingering jjsuc s with The property owner(s) tha t hav e 

y been left unresolved? 

Comments: 

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Property O; < ^ Dat e 

7-^;^-op 

Professiona essional l i3nvi«5iu Sunenta i l Engineers Representative Dat e
^fc\y '^ ' CONSENT FOR ACCESS TO JPROPERTY 

OMAHA L£AD SITE R&MEDXAL ACTION - LEAD-BASED PAINT STABILIZATION 

FROPERTy ID: U? 9 3 \ '^ PROPERTY ADDRESS; V>^ ^ /^g^tf-^^ 
 tr 

NAME: 

i^t/jTr./^ * DAVTIME FBONE; ^<P ^ * v 3 7^7 ^ 

CEl^L PHONE: 

OWNKIl'S ADDRESS IF DIFFERENT: 

TENANT'S NAMB IF APPLICABLE: 

DAYTIME PHONE>: y 

CELLPHONE: _ X- PtvfcsslOMi EnviroiMnMiUil Knglaeer*! Inc. (PE) it under coirfnwet (^EP-R7-D8-0C) with tba U.S. Epvlronmonlal Prftttetioii 

Acaiey (EPil^ to ctabilize lead bsted paint (LBP) oa ntaidentlal stracturei nt a DHOibartff prapBrtiw lontad la Omalu, NebrnMka- The paint slBUIlntloii vrork U beias done t6 protect tbe toll clMUupi Uiat are being performed by SPA coittittetora. 

Paint stabiiiaeatloo actlvitia^ wUl Inolada: leraptng ofcratkad or flaking LBP from fflructurw, applieadon of a prime coat and two 

(2) coat> of paint Nfovtog parti of windowi aad doon ffrewtf Included and viriU not ba nddreased. 

Yopr cwpenitkin Is reipieated b givlne penatnion to tlita BPA oontraetor (PI) to enter and hav« nceui to tbls property fpr tbe 

purpose of 0taU])riRg lead -based paint as outlloed on ihe properly IdMtUled above. 

By tigalng tldi docuneut 1 agree io aUow ao EPA eoutntetor to conduct a soil cleannp at my property followinc conpletion of 

tead-based paint stabifimtton. If the soU cteAnup has not already been pedbrmed. I understand tbat tbe itabilizadoa coatractor 

ean not provide anuraacei tbat tbe eoU deanup contractor will be bound to. I further nnderstand that the lott deanttp 

contracior wIU make all reasonable elltorb to addreit conceme that I, as tbe property owner, may have regarding soil cleanup at 

my property. 

Q ^ 'ei.ib abevfti ]-\Vo' 

Dale 

I ftdly tindentand tbat Xgj slgolttg thie Conaent for Access, (I) this a«ces8 will rratalu In eCbct until the work haft been 

satisfactorily completed, (2) that the Property Owner or Tenant, If appUcfible, wlU be given Uie Hontins and Urban Dwidopmsnt 

(HUD) and EPA panpb H "Renovate Right, Inpariant Lead Hazard Infiornintiaa for Families, Day Care Provlden, and 

Schools", (3) the Property Owner or tenant will remove nil obltrocttons ftiun sntftces to be painted, (4) win abide by heatfb and 

taMy gnidance provided by EPA, ^ will aUow pbotography of property before and after the paint stabUlsntlon work, (£) wUl be 

contacted by a PE reprefentethre approxlfnatsly 48 hours in advHace of etarting work, (7) ^e e not to obstruct or tampaBr with 

aay of the LBP etabilteatton acttons, and (8) will participate in flnel property inspection and slga the Conpleiioa Agniement and 

Property Owner Sads&clion Sarvey. 

Sboold you bnve any questtons abont the planed Lead Based-faint scablliitatlon activities for year properly, please contact 

ProftsslonnI KBvlronmental K^aeers. Ine. Project Manager, wiDle Clay At 402-S04-4888, General qnesdons abont the Omaha 

Lead Site deanup w n be directed to Pauletta France-Isetts, EPA Remedial Priqect Manager 4a2-73ia454, or the EPA Pnbllc 

Information Centers at 402-99U9S83 (^orth Omaba office) or 402-7ai-304S (South Omaha oflice)^ 

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'llMHale nght, hnpertwt Leed hfennalleflfcr FnndilBS, CMd gbnn iiie fumphlet 'ReneMis RI^M, bepoituit Lead 

CBiePi«ytfsie,SMiSeboele.'' intomurtion fpr Runltfes, CMIde Cm PmvUen, and Sedooiiw'' 

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' Jul. 17/2009 12:16PM Quality Living - HR Dept. No. 7463 p. 5 

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Douglas Coimty Account Information 

Page 1 of3 

*tDqo\ Q 

Douglas County, Nebraska Property Record - R1204920000 

Print Report 

NEW Feature - Parcel Dimensions avaiiabie @ scale 0-50 ft west of 52nd St - VlO W O n Ma P Information is valid as of 2009-6-16 Treasurer's Tax Report 

New Feature •* ^ ^ Auto Sales Search 

Owner 

LITTLEJOHN BONNIE S 

ETAL 

^ - ^ 

4827 ERSKINE ST 

OMAHA NE 68104-0000 

Property In f ormation 

Key AT umber 0492 OOOO 12 

Accoun t Type: Residential 

ParcelN umber: 1204920000 ^ .^ ^ 

•^ 1S.A 

Parcel Address: 

4827 ERSKINE ST c^^\^ ^ » ^ 

OMAHA NE 68104-0000 

Legal Description: GRAMMERCY PARK LOT 25 BLOCK 2 42 X 128 

Value Informatio n 

Land ; Improvement Total 

2009 

2008 

2007 

2006 

2005 ,

2004

$5,900.00 

$5,900.00 

$5,900.00 

$5,900.00 

 $5,900.00 

 $5,900.00 

$75,400.00 

$75,400.00 

$75,400.00 

$75,400.00 

$63,100.00 

$57,400.00 

$81,300.00 

$81,300.00 

$81,300.00 

$81,300.00 

$69,000.00 

$63,300.00 

Sales Infornr lation 

Sales Date: 1996-09-24 

Deed Type: D i Book: 2046 Page: 089 __ . ..i. _ _ Price: $59,950.00 

Grantor 

Grantee: 

Valid/Invalid: Valid - Exclusion Reason: 

Sales Date: 1992-04-10 

Deed Type: D Boolr; 1925 

Page: 316 

Price: $35,000.00 - Grantor 

http://douglasne.mapping-online.coni/DouglasCoNe/static/accountinfo.jsp?accoiintno=R120... 7/8/2009 
Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/Invalid: valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units 

0.12 5376.0 1.0 

Improvemen t Informatio n 

Building 1 

TOBEIR 2005 - DOUGLAS COUNTY ASSESSOR 

CLICK TO ENLARGE IMAGE 

Square Footage:

Perimeter 

Unit Type: 

Built As: 

HVAC: 

Exterior: 

Interior: 

Roof Cover: 

 1057 0 

0.0 

1 1/2 Story Fin 

Central Air to Air 

Frame Aluminum 

Drywall 

Composition Shingle 

Roof Type: \ Gable 

Floorcover: Allowance 

Year Built 

1905 

Detail Type 

Appliance 

Basement 

Basement 

Fixture 

Fixture 

Year 

Remodeled 

0 

Percent 

Remodeled 

0% 

Deta/7 Description 

Allowance 

Bsmnt Block 8 ft 

Minimal Finish 

Base Fixtures 

Bath Full 

Depth Width Vacant 

128.0 42.0 

1 IS STORY FIN 

48ar ERSKINE ST 

ii.1 i&E«^liW.t ii ^ 

T3?,{!s<»,ft. ts * 

ii 

.Si 

11 n lift 

CLICK TO ENLARGE IMAGE 

Percent Complete: 

Quality: 

Condition: 

Condo Square Footage: 

Rooms: 

Units: 

Baths: 

Bedrooms: 

Stories: 

Foundation: 

Sprinkler Square Footage: 

Adjusted Year 

No 

100.0% 

Average 

Average 

0.0 

6.0 

1.0 

1.0 

3.0 

1.5 

0.0 

Physical Age Built 

1905 104 

Units 

1.0 

737.0 

200.0 

1.0 

1.0 

http://douglasne.mapping-online.comyDouglasCoNe/static/accountinfo.jsp?accountno=R120... 7/8/2009 
MC Services, LLC 

PropertyAddres/tf^") ^ fir.i^\>r\0 . Date 1 - 91 ~0 \ 

Start Date 1-2A-Cy\ End Date 7-?/^~0 q 

Amount Of Prime And Paint Used 

Prime (Gallons) 5 

Poly (Boxes) 

Paint (Color) \f\ J ptlrC ^ Amount (Gallons) ( J 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gaiions) 

Paint (Color) Amount (Gallons) 

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

INTERVENCI6N DE SEGURIDAD 

Nombre del Proyecto:^71 } '^l^XS) ] S\} . 

Fecha de lo Intervencion: I '^'/jl'^Cj ^ 

Pellgros de Salud Primordial: 

Preocupaclones Prirnordiales de H & S:U-€^ n 

Tareas Diarias: 1 ^Q^ffilll! 

2. pc\\Y^T^ 

3. Q^\efNV^\t\7)^ 

Equlpo Usado en el Lugar de Traabjo: 

Casco Duro Escalera 

Gafas de Seguridad Elevadores ± 

Zapatos y/ GFCI jK 

Guantes de Trabajo • S/) Chalecos de Seguridad ^!^___ 

Generadores Otro X) 

Equfpo LIsto para Respuesta de Emergencia a DIsposiclon inmedlata: 

Conducir Reunion Diaria de Seguridad X 3 

Estuche de Primeros Auxilios /W 

Procedimientos de Emergencia V j 

Politico de Salud y Seguridad de la Compania >^:: 

GFCI en sitio V.' 

Deficiencias: 

Acciones Corretivos:. 

Interventor: Fecha : ^;[?-D'^ 

supervisor dei Siy^^(//^^4^cha : l-^H^C) ^ 
Jul, 13. 2009 2:52PM Qual ity Living - HR Dept. No. 7439 P. 2 


My 13,209 

Hi Kelly, 

I have a ftw questions before I can complete the Paint Stabilization Pre-Property Assesmcnt 

forms accurately that I have received for the lead based Paint Stabilization for 4827 Erskine. 

It's a bit difficult to discuss on the phone &om work today so am using this venue to ask the 

following questions. 

This house was built in the 1920's. At some point, one ofthe owners had white metal siding put 

on the house. The siding has been painted over in some places where the white has worn off and 

the metal has shown through. I've done some touch ups and the previous owner had done some 

as well. My question: 

• Is any ofthe siding ofthe house to be painted? 

Then, a small wood stmporch w/ windows was added onto the back ofthe house prior to my 

taking ownership 13 years ago. Am guessing the sunporch is probably 20,25 years old. (The 

house itself was built in the I920's) and the sunporch has lead based paint on lhe inside as well 

as around the sunporch windows (the windows are set in; don't open). My question: 

• Is the inside and outside of the sunporch going to be painted? 

Andfinally, we do have afree-standmg garage on my property which was built when the house 

was built. It has never been sided, is chipping and we will need to do replace the wood around 

the 3 small windows before the scraping/painting of that structure begins. Have you any idea 

how soon this paint Stabilization at our home will begin? 

You are welcome to call me any other day to discuss these questions here at work,. .today is just 

a tough one. My phone # here is 573-3779. 

Thank you, Kelly. 

Bonnie Littlejohn 

4827 Erskine 

Omaha, NE 68104 
Jul. 13. 2009 2:52PM Quality Living - HR Dept, 
 No. 7439 P.


PiofessloiHiiliaflromHeBUiltnglBaefsJiic. 2^05 N. 2dtli Street T«b 40irS0^i6SB Toll-fieei 1888 7819999 

Omiiha,NB 66110 Fax: 402r50a-32dl wwwipe-engro.coin 

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