TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID: 39424 Date: 12/26/2008 

Address: 6321 N 32 ST 

Stabilization Contractor: Prudent Technologies Year: 2008 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

a^ Video of property (DVD) 

H Executive Summary 

W Signed Access Agreement for subject property 

m Painting Agreement 

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

D Photographs 

4 Satisfactory restoration signed by Property Owner 

D Property close-out check list signed by EPA 

sf' Property information from Douglas Coimty Assessor's Office 

D 

D 

D 

^ignatur^ Date 

40310445 

IIIII IIIII nil I 

Superfund 
PROPERTY SUMMARY 

Date: 12/29/08 LBP STABILIZATION EPA CONTRAT EP-R7-08-07 Month of: December 

Property Address: 6321 N 32 ST SAID: 39424 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE. 

A.2 Issues Resolved: NONE. 

A.3 Unique Findings: NONE. 

A.4 Other Relevant Information: 

Access Date: 11/05/08 

Work Began: 11/10/08 

Closeout Date: 11/13/08 

Enclosures; 

1. Pre-Video 

2. Post-Video 

3. Property Status Form 

4. Signed Access Agreement 

5. Pre-Renovation Form 

6. Paint Match Form 

7. Tracking Form 

8. Douglas County Assessor Property Information Page 

9. EPA Property Closeout form 

10. Property Completion Agreement 

TECHNOLOCIES, INC. 
KNVIRONMDnALA 

OONSTRUCnON 

TECHNOLOGnSS,INC. SERViCBS 

Property Status Form 

Address:C^'b^I lA. 3p^*^ . Date: y^-t^-c^t 

Phone: ^5^4^^-^,.^^;.^,^^^^^^^^^ ^ 

Plant & Pemianent Landacapinp To Rcmii^^ ^p f^^^ 

Item# 

Description and Locadon 

OnMq) 

J 

Ptt»Eri8tmy Ccm&tion of StmchiMa 

Does your Basement have a history of leaking? Yes - ~ NoX 

Itan# Descnption & Location 

On Map 

Propeity Owner Pnident Boq)loyee 

Sigoatme:. I2^u ^ Signature: ji<-X / 
^ m^M' 

Prodeot Technologies, Inc. (Prudent) is under contract (Contract # EP-R7-08-07) yritfa the U. S. 

Environmental Protection /^enc y (EPA) to stabilize Lead Basod Pa ^ (LBF) at a number of properties 

located in Omaha, Nebraska, including the property located at U?-^!!! M . .^ ^ ^ . 

The EPA requests your permission to allow Prudent to perform LBP Stabilization at this propeity. By 

signing this form, the proper^ owner grants pennission to Prudent to perfonn activities related to LBP 

Stabilization including scraping paint and painting of the referenced property. Further, die owner/tenant 

verifies ttat they have received tiie LBP pamphlet '^Renovate Right.** 

If yon have any questions about the LBP stabilization planned for your property, please contact Prudent's 

/^itm|i^idrnfae Clerk for tiie Lead Based Pahit Stabilization, Mrs, Deborah Akcreie^lnli««Mi, 

at (402) S(M»1004. General questions about the Omaha Lead Site cleanup can be directed to the EPA 

Public Infomiation Centers at (402) 731-3045 (South Omaha office) or (402) 991-9583 (North Omaha 

ofBce). 

' (Please Print Name) 

PimiMvOiHigSteiilnm: /hu/ l Y /V/o^ :>QO Q 

(Signirtim) CDtte) 

PROPERTY INFORMATION 

(To be coapleted Iqr rciideit nd/o r property oirncr - plcaie prIaO 

Rtnltr 

rREMTALiPROPERIYOWMBOBY: 

iMMBraimmiaAHPRggfc SCjjnQ y 

0«INeRf81ILB>H0NENUMBER.HOME: i^3 i TO > Vfiy f WDRK; J )_ 

NUHBER OP OCCUPANTS UNDER 7 YEAR8 OLD 3 L : NUMBER OP OCCUPANTS 7 YEARS OLO AND OLOER: .Jl ^ 

IIUIIBER0P€iaU)RENUNDER7YeAR8OU)WH0PLAYINTHEYARDF0R9HOUR8ORNK)REPER^^ ^ 

00IIMEKT80R8PECIALIN8TRUCT1ON8: (LE DOOS, ENTRY QATES, ETC.) 

AOTHORnYFORBNVIROMMBNTAL RESPONSB ACTIOra; The •ethrttet tobe Implementedby EPA 0 ^ 

cTCERCLA. 42 UJ.C 9604. BPA'i risM ofaooeu to the propeity bpnvided te b Seetlon 104(0) of CBRCLA. 42 Uj ^ 

to<ldetenBtatafflie need fbr feipoia^<vcliooitagortddt««iyntpQnieiotfon ander (hU 
Current Sample Pre-Renovation Fonn 

eifeoawunlR April soi a 

CoiMnMlioit.of Ptctlpt of Lsad Pamphlvt 

W^)w6noMiiacop f <*^penv*isx.BBnovaiB Right: imponam Laad H ^ 

Myrnatftxt Ibr f^rnflto. C/dtf Oare/^ovlbim antf Sc ^ 

th9 patanaal ttaK or the lead han d eMp08utB frorn f«novadon aclMty to te 

perfcimed In riiy dwellng tjnRJ rBoe^«d this parnphlet betotB tta 

Rfniednemedr recipient Oate 

Signature of ledpiert 

SaN^OertHleallon Option (for tenaniKxxwplad dweHbigs only) — 

tf the lead peniphlet was delveied btjt a tenant Signature woe not oiJtalnable. 

you may check the appnpriate box below. 

Q ReAMl to eign—I certny that I have inade a good 1 ^ effCrt to deliver the 

perrv3hH Berxivais f%ht: irnportsm Lead NSEeartf Mb^

CMtf care AoiMare and Schoob, to the rerital dweOrig utit lis M 

date aiid llnM lndk»ted arxl that the occuparrt refused to sign the coi^ftrnatlo^ 

of reoeipl I ftrtier oertif/that I heve left a copy of the peirphlet at the umt with 

thaoocMxnt 

Q UnavailaUe ftr eignatura - 1 certify that I have trade a good faflh etibrt to 

deOver the panqjhiet, f^dnoi«te Rfgfit* frrqxrtarn Laad HB ^ 

Pmtn,CWCmpmvltkt9mdS(:lwol8.^VKmi(Ma^ 

below and that the occi^sarn was iravaHable to sigr) the (xxifirmation of recel^ 

i titheroQrtliy that I have left a copy of the pamphlet at the t ^ by sliding it 

underthedoor. 

mniBd name of person certiiyfng Attempte Altenpted delh<ei dellveiyy 

date and time 

lead pamphlet delivery

ijJc^ 

Signature of person oettitying lead pamphlet dellvQiy 

DA^X ^ \^^ un \ 

UNtAddtaes 

Note RsgsRilng Mailing Option-> As an altemativs to delvay m person, you 

may mal the lead pempNet to the owner and/or tenant. Pamphlet must be mated 

at laaat 7 deys betare renovation (Pocivnent wfth a certificate of moling from the 

^ 
,v^^ 

- A \^.U/^^ ^ ft \ T ^ ' 

. o - Mt> I ^ C b/-^^W paifit match .-fecm: 

>^'^ paint matching form: . ^ — 

property address :U1>1^ ^ ^^^H . BVID: m^:zi4 

.wu-P.^^--)^-*^-^*-^ color: ^ i Area: vuiwi. ^ ^ 

Explanation: 

Area: color: 

Explanation: 

Area: color: 

Explanation: 

Area: color: 

c ^V ^- ^ 

Explanation: 

Area: color: 

Explanation: 

f+/o 

rv ^ r

A -:a ^ ^— - Pao« 1 
A0G6SS iNPORHfiiTioNTiKAOnHQ SHEET 

SB s^aoa ^^JoSRl^iL-yuS i 

noMOmiay: ^f^ ^ VJO<^S-^, 

OwrMMNQt Homat s"c?:i-^y/1>" V*rK 
lyuugiod v^uiuii;' /\i;i;uuiii xiuuiiiiiiuuii rage i oi J 

Douglas County, Nebraska Property Record - R0604500002 

Print Report 

NEW Feature - Parcel Dimensions availabie @ scale 0-50 ft west of SOth St - Vle W O n Ma p Information is valid as of 2008-9-4 Treasurer's Tax Report 

New Feature -•-+- * Auto Sales Search 

Owner 

WEST JR RANDY S 

ETAL 

6321 N 32 ST 

OMAHA NE 68111-0000 

Property Informatio n 

Key Number: 10450 0002 06 

Account Type: Residential 

Parcel Number: 0604500002 

Parcel Address: 6321 N 32 ST 

OMAHA NE 68111-0000 

Legal Description: ; BELVEDERE ADD LOT 17 BLOCK 2 N 97.75 FT LT 17 97.75 X 122 

Value Informatio n 

2008 

2007 

2006 

2005 

2004 

2003 

Land 

$7^000.00 

$7,000^00 

$7io6oToo 

$7,000.00 

$7,000.00 

$7,000.00 

j Improvement 

I $69,600.00 

I _ $71,060.00 

j $71,066.06 

$71,000.00 

$52,900.00 

$52,900.00 

Total 

$76,600.00 

$78,660.00 

$78,000.00 

$78,000.00 

$59,900.00 

$59,900.00 

Sales Informatio n 

Sales Date: ; 2008-05-28 

Deed Type:

Price:

 \ WD 

 \ $74,000.00 

Book: j 2008 Page: 052654 

Grantor: TIMM MATTHEW D ETAL 

Grantee: WEST RANDY S ETAL 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: i 2002-01-17 

X "T Deed Type: l WD Book: ' 2204 Page: j 718 

Price: I $64,500.00 

Grantor: 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accoiintno=R06... 10/1/2008 
L»ougias uounty Accountiniormation rage z oi J 

Grantee: 

Vaiid/invaiid: ; invalid 

Exclusion Reason: ; Financing Sellor/Special 

Sales Date: i 1999-03-26 

Deed Type: \ D \ 

Price: ; $53,000.00 

Grantor: \ 

Grantee: 

Valid/invalid: ' Valid 

Exclusion Reason: j 

Land Information 

Acres SF Units 

0.27 11956.0 1.0 

Improvement Informatio n 

Building 1 

CLICK TO ENLARGE IMAGE L..-

Square Footage: 1500.0 

Perimeter 0.0 

Unit Type: 

Built As: 1 1/2 Story Fin 

HVAC: Central Air to Air 

Exterior: Frame Vinyl 

interior: ; Drywall 

Roof Cover: j Composition Siiingle 

Roof Type: ! Gable 

Floorcover: Allowance 

Book: ; 2118 Page: ; 301 

; Depth Width Vacant 

122.6 98.0 No 

I l.'2 iKc«\- fin 

f • 

h-i 

..Ss." 

: i ••rr;;) 1;, 

:• i"- -rr,-

CLICK TO ENLARGE IMAGE ZZZJ 

Percent Complete. ; 100^% 

Quality: j Average 

Condition: i Average 

Condo Square Footage: : 0.0 

Rooms: ; 5.0 

Units: M.O 

Baths:! 1.0 

Bedrooms: i 3.0 

Stories: ! 1.5 

Foundation: i Block 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R06... 10/1/2008 
L .•.wvwuj.ii. xijj.\^iiixaiiuxi Fagei of 3 

YearBuilt 

1925 

Detail Type 

Appliance 

Appliance 

Basement 

Basement 

Fixture 

Fixture 

Garage 

User 

i 

1 Sprinider Square Footage: "­. 0.0 

Year 

Remodeled 

Percen* 

Remodeled 

Adjusted Year Built Bh.„.v.«, A„ ^ Physical Age 

0 1 0% 1925 1 84 

i_. — — i 

1 Detail Description ; Units 

' Allowance \ 1.0 

Fireplace Masonry 1.0 

Bsmnt Block 8 ft ' '"'"" "~'"i ~"l'624.0 

i Walkout l '^. o 

1 Base Fixtures i 1.0 

Bath Full _ j _ __ i.o_ 

Basement Single 

Finished Attic '"" i '""" 476^0' 

http://dougIasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R06... 10/1/2008 
Prudent Property Close-Out Form (Lead-Based Paint Stabilization) 

SAID:. :?wj/ 

PropertyAddra«; fio2iO\ hi . '^'^'I?/^ * ­ ^ ^

Owner's Name: /"i^^ > >^ Qd^iJ ^ <^SU ^ 

Performance Standards/ciose-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. A 

2. Was all scraping and other preparattion woric completed satisfactorily? X 

3. Were all required areas of the structure(s) primed as needed and painted with two top coats? X 

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

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

thoroughly vacuumed/cleaned? 

X 

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? 

X 

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? 

1 

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 temporatily re-located by the contractor 

that need to be moved back? 

X 

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

Other Considerations?property Owner Discussions?Additional Work that is Required Y. 

/f c % 9 

////7/ce 

PrucTent Re^fesentatlve