## TRANSMITTA Lo f

OMAHA LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R SAI D # : ^11-^ 4 Date : ^ - ^ D ^ O ^ 

# Address : lOD. ^ Tur\y e T V^\\lc \ Remediatio n Contractor : PROFESSIONA L ENVIRONMENTA L ENGINEER S Year : 200 9 PAIN T STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S y ^ Vide o o f property (DVD ) ^y ^ Executiv e Summary B"

— Signe dAcces s Agreemen t fo r subjec t property iy" ^ Paintin g Agreemen t D Settlemen t document s (i.e. , fo r ddmag e o r t o replac e plants , etc. ) C

K

Photograph s pHZ - IP!A. ^ p^g T ^y^ ^ Satisfactory restoratio n signe dby Property Owne r fi"* Property close-ou t chec k lis t signe db y EPA B-''^^Propert y informatio n fro mDougla s Count y Assessor' s Offic e B-"" ^ _confirmatio n that leadpamphle t "Renovat e Right " wa s receive db y P0 _ D " D



### Professional Environmenta l Engineer s Signatur e Dat e

EPA Signatur e Date ^ ^ 

# llii i Superfun d

## PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC . ''°'''ol' t NE6'8 m "Providin g cost-effectiv e environmenta l solutions " ^ |^°^ | c«1"oo! ? ^

Fax(402 ) 504-328 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc yRespons e



### LeadBas e Stabilizajtion Omaha , N e Clos e Ou t Report 2009 SAID#21724 100 3 Turne r Blvd

•Date s worked : 07/0 1 to 07/0 3 2009 •Pr e propert y condition : Owner s hadtrie dto pain t porc harea s before ; ther e wa s a hug e mes s on th e porc h fro mowner s pain t materials . Porc h wa s th e only painte dare a tha t wa s stabilized . Pain t wa s i n poo r condition . Hous e an dgarag e area s ha dviny l siding . •Problem s encountered : N/ A •Owne r request/concerns : None •Inspection/closeou t dates : Owne r 07/08 , EP A 07/14/09 . N o issues .

# PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC . "Providin g cost-effectiv e environmenta l solutions " Consultin g « Engineenn g Desig n • Remediatio n • Abatement » Emergenc yRespons e 

## EP A Close-Out For m (Lead-BasedPain t Stabilization EP A Contract EP-R7-08-06 ) 

# SAID : a^>a ^ Propert y Address : \(7>t ^ "Y ^ X\^r\'^ r '^\\ l A Owner' s Name : ^N^g n k \J[C.B\rAne ^ Performanc e Standards/Close-Ou t Criteri a 250 5 Nort h 24"' , Suit e 21 9 Omaha , N E 6811 0 (402 ) 504-468 8 Fa

x(402 ) 504-328 1



### YE S N O 1 . Wa s th e entir e structure(s ) painte dwith th e exceptio n ofth e stated , exclude d areas ? Thi s woul dinclud e paintin g o f othe r associate dfeature s includin g fascia , eaves , siding , al l trim , porches , bo x beams , columns , rails , an dexterio r surface s o f 

### y garages . 2 . Wa s al l scrapin g an dothe r preparatio n wor k

complete dsatisfactorily ? y 

### 3 . Were al l require darea s ofth e structure(s ) prime da s neede dan dpainte dwit h tw o to p coats ? y 4 . Wa s th e pain t product s utilize dequivalen t t o a3 0 year product/quality ? t y 

### 5 . Ar e al l ofth e area s wher e contaminate dmaterial s hav e bee n spille dthoroughl y vacuumed / cleaned ? ^ t 

### 6 . Di dth e contracto r collect/vacuu mal l fallin g an dscrape dpain t chip s o n th e entir e property , roadways , alleyways , publi c acces s area s an dals o remov e any othe r generate ddebris ? y 

### 7 . I s th e gras s are atha t surround s th e structure(s ) i n reasonabl y goo dcondition ? y 

### 8 . Are al l item s suc ha s polyethylen e sheeting , ladders , pain t brushes , cones , barrie r tape , etc . properl y removed ? 

# y 9 . I s ther e an y evidenc e o f property damag e that wa s don e b y th e contractor ? An y property damag e need s t o b e complete dprio r t o th e EPA Close-Out . y 

### 10 . Ar e ther e an y property item s that wer e temporaril y re-locate db y th e contracto r that nee dt o b e move dback ? l y 

### 11 . Ar e ther e any (known ) lingerin g issue s wit h th e property owner(s ) that hav e bee n lef t unresolved ? 

# y Othe r Considerations/Property Owne r Discussions/Additiona l Wor k

tha t i s Required :



# /ltJ./!fUj^Jly.U^^J^ ^ 

# 1 

# 1/4 I 1^ 9 EP A CO RSignatur e 'Dat e

# PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC . "Providin g cost-effectiv e environmenta l solutions " Consultin g <• Engineenn g Desig n • Remediatio n • Abatemen t • Emergenc yRespons e 

## Propert y Owne r

Close-Out For m (Lead-BasedPain t Stabilizatio n EP A Contract EP-R7-08-06 ) 

## SAID : _^LBl2 i Propert y Address : )€^' ^ 'Jljrryrr 1M \/ 4 Owner' s Name : ^>JAt aK ^c£]rZi.O ^ Performanc e Standards/Close-Ou t Criteri a 250 5 Nort h 24 ^ Suit e 21 9 Omaha . NE 6811 0 (402 ) 504-468 8 Fa

x(402 ) 504-328 1



### YE S 1. Wa s th e entir e structure(s ) painte dwithth e exceptio n ofth e stated , exclude d areas ? Thi s woul dinclud e paintin g of othe r associate dfeature s includin g fascia , eaves , siding , al l trim , porches , bo x beams , colunms , rails , an dexterio r surface s of garages . 2. Wa s al l scrapin g an dothe r preparatio n wor k

complete dsatisfactorily ? / 

### 3. Were al l require darea s ofth e structure(s ) prime d as neede dan dpainte dwith 

# y tw o to p coats ? 4. Wa s th e pain t product s utilize dequivalen t to a 30 yea r product/quality ? 

# J 5. Are al l ofth e area s wher e contaminate dmaterial s hav e bee n spille dthoroughl y / 

### vacuumed / cleaned ? 6. Di dth e contracto r collect/vacuu mal l fallin g an dscrape dpain t chip s on th e entir e property , roadways , alleyways , publi c acces s area s an dals o remov e an y / 

### othe r generate ddebris ? 7. Is th e gras s are atha t surround s th e structure(s ) in reasonabl y goo dcondition ? 

## 1/ 8. Are al l item s suc h as polyethylen e sheeting , ladders , pain t brushes , cones , barrie r tape , etc . properl y removed ? 

# 1/ 9. Is ther e an y evidenc e of propert y damag e that wa s don eby th e contractor ? An y property damag e need s to be complete dprio rto th e EP A Close-Out . 10 . Are ther e an y property item s tha t wer e temporaril y re-locate dby th e contracto r tha t nee d to be move dback ? 11 . Ar e ther e an y (known ) lingerin g issue s wit h th e property owner(s ) tha t hav e bee n lef t imresolved ? Comments : 

# 7r- f ^ 

### Propert y Owne r

Signatur e Dat e NO



# J J / 

## \l

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### Professiona l l Envifonmenta l Engineer s Representativ e jssiona Environ Dat e

# /2. ^ 3AQU ^

CONSEN T OF RACCES S T O PROPERT Y OMAH A LEAD SIT E REMEDIAL ACTIO N - LEAD-BASE D PAIN T STABILIZATIO N PROPERTY ID : ' K I 7^^ / PROPERT Y ADDRESS : iHOJ i Tur^a r GLr l OWNE RNAME : 

### Ryo ^ l< J 

### M rG r^ ^ DAYTIMEPHONE : ^ U f 7 " O^/S ^ 

### CELLPHONE: 1.VL-^\CT L E-MAIL : OWNER' S ADDRES S D FDIFFERENT : 

# i ^

(TA Wqya^- Kp:!//^-^^ ^ TENANT' S NAM E I FAPPLICABLE : DAYTIME PHONE : CELL PHONE : E-MAIL : Professiona l Environmental Engineers , Inc . (PE ) i s unde r contrac t (#EP-R7-08-06 ) wit h th e U.S . Environmental Protectio n Agenc y (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 di n Omaha , Nebraska . Th e pain t stabilizatio n wor k

i s bein g don e t o protec t th e soil cleanup s tha t were performe db y EP A contractors . Pain t stabilizatio n activitie s wil l include : scrapin g ofcracke do r flaking LB P fro mstructures , applicatio n ofaprim e coat an d tw o (2 ) coat s o f paint . 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 giving 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 fo r th e purpos e o f stabilizin g lea d-base dpain t a s outline do n th e property identifie dabove . By signing thi s documen t I agre e t o allo w a n EP A contracto r t o conduc t asoil cleanup a t m y property followin g completio n o f lead-base dpain t stabilization . I understan dtha t th e stabilizatio n contracto r ca n no t provid e assurance s tha t th e soil cleanu p contracto r wil l b e boun dto. I furthe r understan dtha t th e soil 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 by signin g thi s Consent for Access , (1 ) thi s acces s wil l remai n in effec t unti l th e wor k

ha s been satisfactorily completed , (2 ) tha t th e Property Owner o r Tenant , i f applicable , wil l b e give n th e Housin g an dUrban Developmen t (HUD ) an dEP A pamphlet , "Renovat e Right , Importan t LeadHazar dinformatio n for Families , Da y Car e Providers , an dSchoob" , (3 ) th e Propert y Owner o r tenan t will remov e al l obstruction s fro msurface s t o b e painted , (4 ) wil l abid e b y healt h an dsafet y guidanc e provide dby EPA , (S ) will allo w photograph y o f property befor e an dafter th e pain t stabilizatio n work , (6 ) will b e contacte dby aPE representativ e approximatel y 4 8 hour s i n advanc e o f startin g work , (7 ) agre e no t to obstruc t o r tampe r wit h an y ofth e LB P stabilizatio n actions , an d(8 ) will participat e in final property inspectio n an d sign th e Completio n Agreement an dPropert y Owner Satisfactio n Survey . Shoul dyo u hav e an y question s abou t th e plane dLea dBased-Pain t stabilizatio n activitie s for you r property , pleas e contac t Professiona l Environmental Engineers , Inc . Projec t Manager , Willi e Cla y A t 402-504-4688 . General question s abou t th e Omah aLea dSit e cleanup ca n b e directe dt o Paulett aFrance-Isetts , EP A Remedia l Projec t Manage r 402-731-2454 , o r th e EP A Publi c Informatio n Center s a t 402-991-958 3 (Nort h Omah aoffice ) o r 402-731-304 5 (Sout h Omah aoffice) . S ^

Yes , I gren t acces s t o m ypropert yan d «M S give n th e pamphle t D No , I d o no t gran t acces s to m ypropert yan d I wa s 'Renovat e Right , Importan t Lea d Informatio n fb rFamilies , Chil d ghre n th a pamphle t 'Renovat e Right , Importan t Lea d Car e Providers , an d Schools. ' Informatio n fb rFamilies , Chlid a Car e Provlderi , an d Schools. ' 

# vyf.^p\cQ?^A^ ^'13'^ Slgnahir e Dat e ' slgnahir e ' Dat a

SPECIA L INSTRUCTION S AN D CONSIDERATION S

# 'o@iii)SFBifii§itto@[n i © f l^®(g®Dpf t © f L©iid l Fgnnroplhilgf i PROPi m ADDKis s IfX)! ^ Turne rB l Vei l a p CODE . iPROPem YADDRES S O F OVVNE R I F DIFFEREN THHA N PROPERT YBEIN G PAINTED : IPROPERTYADDRES S ZI P COD E 

# J I hav e iBoelva d a oop yo f th e pamphlet , Rmmt a Righ t Impoitan t Laa d Ham d Infomatio n Fo rFamlUos , Chl U Car a PmvUar a An d School a informin g m e o f th e potentia l risk o f th e lea d hazar d exposur e fro m renovatio n activil yt o b e perfonne d o n dwellin g uni t I leoeh/e d thi s pamphte t betbr e th e wori cbegan . 

# A i PRINTE D NAMEOFREaPIEN T^ OAT E 

# yyty^ ^ XA///,r)^..^-^ ^ IIGNATUR E O F MClPIEN r 8elf*CerflflcBtlo n Optto n (Fo rTenantOcciiple d Dimlllng s Only ) I f fh e lea d pamphle t wa s delivere d bu t a tenan t signalur e wa s no t obtainable , yo u ma ychec k th e appropriat e bo x below : \ j Rafusa l T o Sig n - 1 ouVXt / tha t I hav e mad e a goo d faH h eflbr t b delhra rth e pamphlet , renovate right importan t lea d haian l Infbnnatto n fo rfamilies , chl M car e provlder a an d schools ; t o fh e rental dwellin g uni t liste d ebov e a t th e dat e an d tim e Indicate d an d tha t th e occupan t lefuse d t o sig n th e oonflnnatio n o f leoelp L I furthe rcertif ytha t I hav e lef t a oop yo f th e pamphle t a t th e unt t wit h oooupan L 

# n UnavallaU a Fo rSignatur a - 1 certif ytha t I hav e mad e a goo d fait h effor t to delive rth e pamphlet , renovets right; Importan t lea d hazar d infonnaln n fb rtamiltas , chl U car e pravldar a an d sbhools , to th e rental dwellin g unt t liste d behn van d tha t th e oocupan t wa s unavaDabl e to sig n th e oonflnnatio n o f teoelp L I furthe rcertif ytha t I hav e lef t a oop yo f th e pamphle t a t th e unt t b yslidin g tt unde rth e doo ro rsomewher e o n th e premises .

• reRsoi i ATTEHPTE D DBJVEm rDAT E AN D TIM E LEA D PRINTB ) NAM E O F KR80 N CERTIFYIN O PAMPHLE TDBJVER Y ATURE^RffilSO N CBITIFYIN O LEA D PAMPH U Not e RsganUn g HiNIn g Optio n - a s a n dlBmatl w to dafiveryh person , yo u m ^ andtortanan L Pamphta t mus t bsmaJIs d a t Isas t 7 day s beior e renovafion. (Documentun i a caliBca b o f inedliH)Ira n H n pos t OONHRtaATIONOFRBCEIPrOFlEADPAtimjE TWO ik i 

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## I AfiRE E TO TH E CXILOR S USTE D ABOVE . ONC E UNDERSTAN D I CA N NO TCHANG E TH E ABOV E BEGIN S I GOLORS :

mBmrG9Mi»PORno8(D 8Dougla s Count y Accoim t Informatio n Pag e 1 o f 3 

# L l 

# ca\i ^ Dougla s County , Nebrask a Propert yRecor d - R172310000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e ® scal e 0-5 0 f t wes t o f 52n d S t - VlO W O H Ma p Informatio n i s vali d a s o f 2009-6- 3 Treasurer' s Ta xRepor t Ne wFeatur e -*-•- • Aut o Sale s Searc h Owne r MCGRAN E RYA N K ETA L 100 3 TURNE R BLV D OMAH AN E 68105-000 0 Propert yInformatio n Ke yNumbe r 231 0 000 0 1 7 Accoun t Type : Residentia l Parce l Number : 172310000 0 Parce l Address : 100 3 TURNE R B D OMAH A N E 68105-000 0 Lega i Description : MAYN E PLAC E LO T 2 6 BLOC K4 4 4 X 12 5 Valu e Informatio n Lan d Improvemen t Tote l 200 9 200 8 200 7 200 6 200 5 200 4 $5,900.0 0 $5,900.0 0 $5,900.0 0 $5,900.0 0 $5,900.0 0 $5,900.0 0 $132,700.0 0 $132,700.0 0 $132,700.0 0 $100,600.0 0 $100,600.0 0 $100,600.0 0 $138,600.0 0 $138,600.0 0 $138,600.0 0 $106,500.0 0 $106,500.0 0 $106,500.0 0 Sale s Informatio n Sale s Date : 2006-04-1 4 1 Dee d Type : W D Book : I 200 6 Page : 04318 8 Price : $ 147,000.0 0 Granto r Scot t A Morriso n eta l Grantee : Rya n KMcGran e eta l Vaiid/lnvaiid : Vali d Exclusio n Reason : Sale s Date : 2002-11-0 7 Dee d Type : W D Book : 223 0 Page : 62 7 Price : $ 111,900.0 0 Grantor . http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accountno=R172. . . 6/9/200 9

### Dougla s County Accoun t Informatio n Pag e 2 o f 3 Grantee : Valld/lnvalld : Vali d Exclusio n Reason : Sale s Date : 1999-11-2 9 Dee d Type : Book : 213 8 Page : 

### 65 3 Price : $87,000.0 0 Grantor : Grantee : Valld/lnvalld : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Untt s Dept h Widti i Vacan t 

### 0.1 2 5500. 0 

### 1. 0 125. 0 44. 0 N o Improvemen t Informatio n Buildin g 1 iuu.$iumer m »• > Ssoon d Floo r 7200SqF t ? "

J*H 21/ 2 STOR Y UNFINISHE D M l First Ftow 72O0S(>Ft »' i eac«ment(i«rApprais« r720$ ^ Bsmn t Rnis h No t included I n Uin g Are a 0 " j "iHftt ri -Jli" " «-..-%-.-»*- ­ 1 CLIC KT O ENLARG E JMAfi l 1 Squar e Footage : 

### 1440. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Ver yGoo d BuiitAs : 2 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai rt o Ai r Rooms : 

### 9. 0 Exterior : Fram e Viny l Units : 

### 1. 0 Interior : Plaste r Baths : 2. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 4. 0

Roo f Type : Hi p Stories : 2. 5 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=RI72. . . 6/9/200 9PROFESSIONA LENVIROMENTA LENGINEERS.INC . REUNIO N DIARI A D E SEGURIDA D Fecha.O ^ / 0 8 /o 9 Proyecto : Omah apain t stabilization project Lugar : Siti o d e actividad : dQ < ^ 3 'T O T T l ^ V 6 I \ / c J Tarea s dianas : 1 . Site preparation/scraping . 2 . Pai nting . 3.Clean-up . Primordial/Peligro s Potenciales : 1 . Personal leadcontaminatio n B.Eletricity . 4.Falls . 2 . Sit e leadcontamination . Herramienta s d e trabajo : 3 . Paint spr y machines . 1 . Ste p letter. . 4 . Others . 2 . Knife . Practica s d e Trabajo/Accione s Correctivas : 1 . 3 . 2 . 4 . Llamada s Previas : 1 . 3 . 2 . 4 . Firm ad e registr o de l Empleado : 1.1 . jKj..V^.cl.«f!.il..e.. v ^.^C. 7 

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