TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID#: ^rS^M ^ Date: _J- ) M | Q^ 

Address: M l ^ B CaS S S f 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

y 

y Video of property (DVD) 

Executive Summary 

Signed Access Agreement for subject property 

Painting Agreement 

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

B ^ Piiotograpiis !prg- drA prST 

« > ^ Satisfactory restoration signed by Property Owner 

Q Property close-out clieclc list signed by EPA 

y^ Property information from Douglas County Assessor's Office 

y^ _confirmation that lead pamplilet "Renovate Right" was received by P0_ 

SJ^Li. OixAJr 

D 

D 

Professional Environmental Engineers Signature Date 

EPA Signature ^ ^ ^ 

30094428 

Superfund 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. ''''Tm'a'htNEe'sm 

"Providing cost-effective environmental solutions" ^ i^°S cn^lo!? 

^ Fax (402) 504-3281 

Consulting • Engineering Design • Remediation • Atjntenient • Emeigency Response 

Lead Base Stabilization Oinaha, Ne 

Close Out Report 

2009 

SAID# 23849 

4188 Cass St. 

• Dates worked: 07/02 to 07/13 2009 

• Pre property condition: House had transit siding that was painted and in fair 

condition. Wood trim Areas were in very poor condition. Paint chips in yard. 

• Problems encountered: None. 

• Owner request/concerns: N/A 

• Inspection/closeout dates. Owner signed 07/30 2009. EPA inspected on 08/05, 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 • Atjaicmenl • Enie^gency Response 

EPA Close-Out Form 

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

SAID: 0?>^q ^ 

Property Address: Ml ^ f^aS S S ^ 

Owner's Name: "firV^n^T/n ^ Tlv3-e.€dY 

Performance Standards/Close-Out Criteria 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, sidi'ng, all trim, porches, box beams, columns, rails, and exterior surfaces of y 

garages. 

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

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

two top coats? y 

4. Was the paint products utilized equivalent'to a 30 year product/quality? y 5. Are all ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? y 

6. Did the contractor col leet/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 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 of property 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 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: 

f ' I7D A nr\T > C:/inatiir o EPA COR Signature 'Date 
PROFESSIONAL 

ENVIRONMENTAL ENGINEERS, INC. 

"Providing cost-effective environmental solutions" 

Consulting • Engineenng Design " Remediation • AbiMement« Emeigency Response 

Property Owner Close-Out Form 

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

SAID: Q5^^ ^ 

Property Address: M i 8f t CjO^fJ S V 

Owner's Name: TSry^n fj I ina TJ^O-ecdy 

Performance Standards/CIose-Out Criteria 

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. 

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

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

two top coats? 

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

5. Are all ofthe 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 

other generated debris? 

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

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

barrier tape, etc. properly removed? 

9. Is there any evidence of property 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 by the contractor 

that need to be moved back? 

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

been left unresolved? 

Comments: 

2505 North 24'\ Suite 219 

Omaha, NE 68110 

(402) 504-4688 

Fax (402) 504-3281 

YES NO 

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y l-'^Ayna /'^ ^ —/0O(Z^- t^J^f Property Owner Signature Date ^ 

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Professiona :essionall "fenvifertmenta EnviS l Engineers Representative Date 
CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: 23^H3 [ PROPERTY ADDRESS: ^/9i<< C'^SS SiOWNER NAMJE: 

g^'pTo^T-^/v^ l/^^j2oJ^f DAYTIME PHONE: ^/d?j-'7y^9Q 

CELLPHONE ...„„«,.,«.. Lf/^X-^-^qn 0_ E-MAIL: f^U "ygf JSc^^-f-e/^J? ( \ ^K// ! / P/ ? . (f <S : ^/0?)-^y O /^"KD 

OWNER'S ADDRESS IF DIFFERENT 

TENANT'S NAME 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 residentiai structures at a number of properties located 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 ofcracked or flaking LBP from structures, application ofa 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, if the soil cleanup has not already been performed. I understand that the stabilization cont.'-actor 

can not provide assurances that the soil cleanup contractor will be bound to. 1 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. 

0^( es, I have/reai md understaiiti th1 paragraph above. 

y!ry\^_ ii.^77 QyA./^i -7^30 ? 

Signature of Property Owner Date 

I fully 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, (S) 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 ofthe LBP stabilization actions, and (8) will participate in Tmal 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 properly, 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 EPA Public 

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

i^^Yes, I grant access to my property and was given the pamphlet D No, I do not grant access to my property and I was 

"Innovate Right, Impoitant Lead Information for Families, Child given the pamphlet "Renovate Right, Important Lead 

_Care Providers, and Schools." Information for Families, Childe Care Providers, and Schools." 

IL^iiOf { I^ Q 

Signature Date Signature Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
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I AfiREE TD THE COUORS USTED ABOVE. ONCE PAIIfnNG BEGINS^ I 

UNDERSTAND I CAN NOT CHANGE THE ABOVE SEUBCTED COLORS: 

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r Douglas County Account Information Page 1 of3 

1 • * • ^ 2^^M ——— — »--^ - - — 

Douglas County, Nebraska Property Record - R2018130000 

Print Reoort 

NEW F^saturs - Parcel Dimensions available O scale 0-50 ft west of 52nd St - VlO W O n MB D Information is valid as of 2009-6-16 Treasurer's Tax Reoort 

New Feature -•••- • Auto Sales Search 

Owner 

TWEEDY BRYAN P 

ETAL 

4188 CASS ST 

OMAHA NE 68131-0000 

Property Information 5* 5 L D ­ ^ ^ ^ ^ 

Key Number: 1813 0000 20 

Account Type: Residential 

Parcel Number. 

Parcel Address: 

2018130000

4188 CASS ST 

OMAHA NE 68131-0000 

 f^O Q K / 

Legal Description: POPPLETON PARK LOT 11 BLOCK 11 50 X 123.81 

Value Informatio n 

Land Improvement Totel 

2009 $6,400.00 $94,900.00 $101,300.00 

2008 $6,400.00 $94,900.00 $101,300.00 

2007 $6,400.00 $81,000.00 $87,400.00 

2006 $6,400.00 $81,000.00 $87,400.00 

2005 $6,400.00 $81,000.00 $87,400.00 

2004 $6,400.00 $58,000.00 $64,400.00 

Sales Informatio n 

Sales Date: 2006-03-21 

Deed Type: WD Btiok: 2006 Page: 029777 

Price: $0.00 

Grantor Bryan Tweedy 

Grantee: Bryan Tweedy Etal 

Valld/lnvalld: Invalid 

Exclusion Reason: 

Sales Date: 1995-03-02 

Deed Type: D Sooft: 2000 i Page: 345 

i 

Price: $55,000.00 

Grantor 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R201... 7/8/2009 
Douglas County Account Information Page 2 of3 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Untts Deptii Width Vacant 

0.14 6150.0 1.0 123.0 50.0 No 

Improvemen t Informatio n 

Building 1 

21/2StOfy 4188 Cass St 

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imets^n. 

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9|.ICI^T9^N|^f^9f|^GE JgUCICrgJENLAR^^ 

Square Footage: 1686.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

BuiitAs: 2 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 6.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywali Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: 4.0 

Roof Type: Gable Stories: 2.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

YearBuitt Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Bum Physical Age 

1915 0% 1915 93 

Detail Type Deteil Description Unite 

Add On Fence Wood 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 768.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R201... 7/8/2009 
JC Painting 

Property Address ^1^ 9 CCiS:s <s T ' Date ^ ­ D ^ ­ O Cf 

Start Dato " H >- ^Q j ^ Q Q Complete Date ^ \ ­ 3 O — O C| 

Amount Of Prime And Paint Used 

Prime (Gallons) ^ <P't (^c y 

Poly (Boxes) ^ 

Paint (Color) "^ «-,i,^ voO V ft Amount (Gallons) jHPO ^-Cl.Q 

Paint (Color) g>>Aj

T'i<^ - ((?8(gCy? Amount (Gallons) /-• C? j . 

Paint (Color) S.y->^ ­ VQ^^* ^ Amount (Gallons) "pprc-iV. cj^j^t o 3 Cl 

Paint (Color) Amount (Gallons) 

Paint (Color) Amount (Gallons) 
PROFESSIONAL ENVIRONMENTAL ENGINEERS, INC. 

REUNION DIARIA DE SEGURIDAD 

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Professional Environmental Engineers, Inc. 

INTERVENCION DE SEGURIDAD 

Nombre del Proyecto" _^Z^' ^ .(7^^' > ^ _ ^- ^ 

Fecho de la Intervencion- C/a?/7^y _ y / y J'/0 _/ > 

Peligros de Salud Primordial: /Y/p y CZ 3X y 

Preocupaciones Primordiales de H & S: 

Tareas Diarias: 1. ^ ^^ L ^/j£>^ B . . 

Equipo Usado en el Lugar de Traabjo: 

Casco Duro y . Escalera y 

Gofos de Segundod y ._ Elevadores y 

Zopotos ^ . _ GFCI .j>^ 

Guonles de Trabajo XJ, Chalecos de Segundod .x C 

Generadores y Otro ^<1 

Equipo Listo para Respuesta de Emergencia a Disposicion Inmediata: 

Conducir Reunion Diaria de Seguridad 

Estuche de Pnmeros Auxilios 

Procedimientos de Emergencia 

Politica de Salud y Segundod de lo Compania 

GFCI en sitio 

Deficiencias: 

Acciones Corretivos: 

Inteiventoi : //'c/y. .^rr' y FechQ, :'^y^f y ^ 

Supervisor del Sitio cwi^i. Q,.bt^c Fprhn yy^7^/^ y