## TRANSMITTA L o f

OMAH A LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R
SAID# : 

# 2±i£ x Date : / I j^jo ? 

# Add^ss:
. iq? 2 fiinrvpy f\] ^ Remediatio n Contractor : PROFESSIONA L ENVIRONMENTA L ENGINEER S
PAIN T STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S Vide o ofpropert y (DVD ) ' Executiv e Suitunar y 

# y^ SignedAcces s Agreemen t fo r

subject propert y 

# y

^ Paintin g Agreemen t D 

## Settlgmen t document s (i.e. , fo r

damag e o r

to replac e plants , etc. ) Photograph s heJ/pO , /?JL( L

## Opje^ ^ 

# y Satisfactor y restoratio n signedby Propert y Owne r D 

## Propert y close-out check lis t signedby EP A Propert y information fromDougla s Count y Assessor' s Office confirmation tha t lea dpamphle t "Renovat e Right " wa s receive dby P0
_ D D D



# 4j'I^M L 

# y^d^^J^'^" ^ Jat e

Year : 200 9

3005500 8 

# illNl l Superfun d250 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 yRespons e



## Lea dBas e Stabilizatio n Omaha , N e Clos e Ou t Repor t 200 9 SAID#34 8 192 2 Binney St
.

•Date s worked : 08/1 9 t o 08/2 1 200 9
•Pr e propert y condition : Stee l sidin g tha t ha dflaking pain t an dth e woo dtrim s on hous e wer e als o flaking off
. •Problem s encountered : None •Owne r request/concerns : Colo r changes
. •Inspection/closeou t dates
. Owne r signe d08/2 8 2009
. Propert y inspecte dby P E projec t manager .

# 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 yRespons e 

## Propert y Owne r Close-Ou t For m (Lead-BasedPaint Stabilizatio n EP A Contrac t EP-R7-08-06 ) SAID : 

# 34 8 Propert y Address : \0[22 ^ ^InQ^e^ f g?l ^ Owner' s Name : feri^n f > fH^jOl^^ t Performanc e Standards/Close-Ou t Criteri a 1. Wa s the entir e structure(s ) painte dwit h th e exceptio n ofth e stated , exclude d areas ? Thi s wouldinclude paintin g ofothe r associate dfeature s includin g fascia , eaves , siding , all trim , porches , bo x beams , columns , rails , an dexterior surface s of garages . 2. Wa s all scraping andothe r

preparatio n wor k

completedsatisfactorily ? 3. Wer e all require darea s ofth e structure(s ) prime d as neededandpainte dwit h tw o to p coats ? 4. Was the pain t product s utilize dequivalen t to a 30 yea r

product/quality ? 5. Ar e all ofth e area s wher e contaminate dmaterial s have been spille dthoroughly vacuumed / cleaned ? 6. Didth e contractor collect/vacuumall falling andscrapedpaint chip son th e entir e property , roadways , alleyways , publi c acces s area s andals o remov e an y othe r

generateddebris ? 7. Is the gras s are atha t surround s th e structure(s ) in reasonabl y goo dcondition ? 8. Ar e all item s such as polyethylene sheeting , ladders , pain t brushes , cones , barrie r

tape , etc . properly removed ? 9. Is ther e an y evidenc e ofpropert y damag e that wa s done by th e contractor ? An y propert y damag e need s to be completedprio r to th e EP A Close-Out
. 10
. Ar e ther e an y propert y item s tha t wer e temporarily re-locate dby th e contractor tha t needto be move dback ? 11
. Ar e ther e an y (known) lingerin g issue s wit h th e propert y owner(s ) tha t hav e bee n lef t unresolved ? Comments :

/ 3
. . . _ _ . _ .. _ 

### 250 5 Nort h 24* , Suit e 21 9 Omaha , NE 6811 0 (402 ) 504-468 8 Fax (402 ) 504-328 1



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# /I i\ y bate \^ T 

# M. ^y^ A g- - ^^yo ^ essiona EB^IT C 

## Professiona l l Eimronmental Engineer s Representativ e Dat e

# CONSIEH T FOll ^ ACCES S T O IPROPERTY OMAI-lE A LEA © SIT E RF^MEIillA L ACHO N - LEAD-BASE U PAiIN T STAUILFZATIO N PROPERT Y ID : _.3MtL l PROPERT Y ADDRESS : \^\? 7 p ^ j K > H-e y [ ^ OWNE RNAME : . , / / , , . DAYTIM E PHONE : ^<^^-3^ l ^ E-MAIL : 

## CELLPHONK:4^MiillH t OWNER' S ADDRES S I FDIFFERENT : TENANT' S NAM E I FAPPLICABLE : DAYTIM E PHONE : CELLPHONE : E-MAIL : Professions l EnviroQmeiitB l Engluoeni , Inc
. (PE ) b apdo r contmc t (ffEP-R7-08-Ofi ) wit h th e U.S
. EuvirDnmcntal Protectio n Agenc y (EPA ) t o 9tHbiIiz D lea dbafc dpaio t (LBT ) o n raiidcntiiil litructurei ! « t animbe r of propertie s locaU» l I n Omaha , Nebraska
. Th e paia t Atabiliioitia n wori c i n bein g don e t o protec t th e wi t cleanup s tlin l ar c bcin e performe db y EP A contructoni
. Pain t siabilteatio n activitie s wil l include : scrapin g o f cracke do r tiakin e LB P firomaiructureR , applicatio n of aprim e eou t an dtw o (2 ) coat s of paint
. Movln) ; part s o f wuidow.< i an ddoo mar c no t inclnde dan dwil l no t b e addrcmed
. You r Goopcntlo n i n requcHts dI n givin g permissio n t o thif l EPA contracto r (PE ) t o ente r an dhav e acceK s tn thi s pmpert y fo r tb e purpos o of stabllinB RhMK l -base dpain t a s ontlinc do n th e propert y identifie dabov e K

y signin g thi s documen t I agre e t o allo w a n EP A contractb s t o conduc t u itoi i cleanu p a t m y propert y followhi g completio n of load-batw dpain t xtabiloatiou , i f th e soi l cleanu p ha s no t alread y bee n performed
. 1 undentan dtha t th e stabilbatio n contracto r cun no t provid e assurance s tha t th e soi l cleanu p contracto r will b e boun dto . 1 farthe r nnderstan dtha t th e ao U cleaau p contracto r wil l miik c all rcanonabl e effbrtt t o addre.sf i concern s tha t I , s ath e propert y owner , ma y hav e regardin g soi l dcAnu p a t m

y property . ^ Y«.lh i Bimundeiila^th o 9graliireo l Proport y tUt a I foD y anderstaD dtha t by signin g thi s Consen t fo r Access , (1 ) thi s acces s wil l remai n in elTcc t unti l th e work ha s bee n satisfactoril y comphited , (2 ) tha t th e Propert y Owne r o r Tenant , i f appliotble , will b e glvo o th e Housin g an dUrba n Developmen t (HUD ) an dEPA pamphlet
. "Renovat e Right , Importan t Lea dHnzar dinformatio n Ib r Families , Day Car e Providers , an d Schools" , O ) th e Propert y Owne r o r tenan t wil l remov e al l obstruction s fro mRnrfnce s t o b e painted , (4 ) wil l abid e b y healt h .an d safet y guidanc e provide dby EPA , (S ) wil l allo w photogr»ph y o f propert y befor e an dafte r th e pain t stabilizatio n work , (6 ) wil l b e contacte db y aPK representativ e approiimatel y 4 8 hour s i n advanc e o f starttn g work , (7 ) agre e no t t o obstruc t o r tampe r with an y o f th e LB P stabilizatio n actions , an d(8 ) wil l participat e i n flnal propert y inspcetki n an dsig n th e Completio n Agreemen t an d Propert y Own ^ SatisCsetion Survey
. Shoul dyo u hav e an y quortion s abou t th e plane dLeadBased-Pain t stabitoEaUon activitie s fo r you r proporty , pleas e contac t Professional Eavlronmcata l Engineem , Inc
. Projec t Manager , Willi e Clay A t 402-S04-468S
. Genera l qnestioB S abou t th e Omah a Lea dSit e cleanu p ca n b o directe dt o Paulett aFrance-Isetts , EPA Remedia l Projec t Manage r 402-731-2454 , o r th e EPA Publi c Informatio n Center s a t 402-991-958 3 (North Omah aoffice ) o r 402-731-304 5 (Sout h Omah aoffice)
. 

# t YOB , I gran t ooeec s to m ypropert yan d wa s give n th e pamphle t 0 No,ldonotgmntacces8tomypro|Mrtyaiidlw n "l^ovit e Right , bnpoitan t Lee d Intoimatto n fo rFsmllles , O M ghren th e pamphlet-Renovat e R^ , hnportant Lsa d Can > Providers , an d Sclppls. ' tntbimaiio n fo rFamiliee
. ChHiie Cai e PnvMers , and Schools. ' 

# M M JSd.s;i.o 1 Slgnahir a S^natiir e SPECIA L INSTRUCTION S AN D CONGIOeRATIQN S I ' d 89B3ee B ot i d2E:S 0 B O L l 3n d

### PASN T STABBLIZATIO W PRE-PROPERT Y PAIN T MATC H ASSESSMEN T PROPERT Y ADDRESS : 1^7 ? '^H'lnr^A. y - DATE : ^- ^ fft-A ^ BVID :

AREA(S ) TO B E PAINTlD : HOUS E PROPER : ^ ^
HOUS E TRIM : 

# y e : s .COLOR : /^A'/^/ V )/ ?


### GARAGE : iJOU'^/^PP/'C/l ^ M

. COLOR :
GARAG E TTOM : f
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. COLOR:
.
PORCH : • o COLOR : 

## , S^g>cV ^

• ^ PORC H TRIM : 

## .y£ ^ COLOR : f)^W ^
(COMPLET E AL L SECTION , YES , NO , O R NON-APPUCABLE )



### 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 SlONATURE : 

# ^. M

2 ' d BSBzee s 

## o u deeis o 6 0 L I Sn u

## Dougla s Count y Accoun t Information Page 1 of 2 : * 

# 3^ ^ Dougla s County , Nebrask a Propert yRecor d - R152591G00 0 Prin t Reoor t NE W Featur e - Parce l Dimension s avaUabl e ( 3 scal e 0-5 0 H wes t o f 52n d S t - Vle W O n Ma O Informatio n i s vali d a s o f 2009-8- 3 Treasurer' s Ta xReoor t Ne w Featur e • ^ - ^ * 4 Aut o Sale s Searc h Owne r LITTLEJOH N BRIA N ETA L 192 2 BINNE Y S T OMAH A N E 68110-000 0 Propert yInformatio n Ke yNumbe r 259 1 OOO O 1 5 Accoun t Type : Residentia l Parce l Numbe r 152591000 0 J Parce l Address : 

## 192 2 BINNE Y ST " 300C" M -OMAHAN E 68110-000 0 Lega l Description : KOUNTZ E PLAC E LO T 9 BLOC K1 0 5 0 X 12 4 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $4,800.0 0 $53,600.0 0 $58,400.0 0 200 8 $4,800.0 0 $53,600.0 0 $58,400.0 0 200 7 $4,800.0 0 $56,000.0 0 $60,800.0 0 200 6 $4,800.0 0 $56,000.0 0 $60,800.0 0 200 5 $4,800.0 0 $56,000.0 0 $60,800.0 0 200 4 $4,800.0 0 $17,800.0 0 $22,600.0 0 Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 4 6200. 0 1. 0 124. 0 50. 0 N o Impro t vemen Informatio n Buildin g 1



## http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl5..
. 8/11/2009

### Dougla s County Accoun t Informatio n Pag e 2 of 2

192 2 Binne y

—WT — lli r

JTIOS * F l ir l K I

21 « Stoc vUnfi n

CLIC KTO ENLARG E IMAG E Squar e Footage : 1715. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : l Fai r

Buil t As : 2 1/ 2 Stor yUnfi n Cond o Squar e Footage : 0. 0 HVAC : Centra l Ai rt o Ai r Rooms : 7. 0 Exterior : Fram e Aluminu m Units : 1. 0 Interior : Drywal l Baths : 2. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

Roo f Type : Hi p Stories : 2. 5 Floorcover : Allovi/anc e Foundation : | Bloc k -t - Sprinkle rSquar e Footage : I 0. 0

_ L Yea r Percen t Adjuste d Yea r Yea rBuil t Physica l Ag e Remodele d Remodele d Buil t 196 5 

### 196 5 4 4 Detai l Typ e Detai l Descriptio n Unit s Ad d O n Unfinishe d Atti c W/floo r 860. 0 Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 ft 871. 0 Fixtur e Additiona l Fixture s 1. 0 Fixtur e Bas e Fixture s 1. 0 Fixtur e Bat h Ful l 2. 0 Porc h En d Scree n 240. 0 Porc h Ope n Sla b 75. 0



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R l 5..
. 8/1 1 /200 9