## TRANSMITTA Lo f OMAH A LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R 

# SAID# : HOO'^ ^ Date : > j QO Jo ^ Address : 3S6 S "Nkv^porV

- A^t ^ Remediatio n Contractor : PROFESSIONA LENVIRONMENTALENGINEER S Year : 200 9 PAINT STABILIZATIO N PROPERT Y FIL E FOLDE RDOCUMENT S aVideo o f propert y (DVD ) 5K Executiv e Summar y Qy ^ SignedAcces s Agreemen t fo r

subject propert y Q

r

Painting Agreemen t D Settlemen t document s (i.e. , fo r

ddmage o r

t

o replac e plants , etc. ) e

r

Photograph s 6e^e ^ OA A /?ff ^ 10'^^ Satisfactor y restoratio n signedby Propert y Owne r Sy ^ Propert y close-out chec k

lis t signedb y EP A ^ r Propert y information fro mDouglas Count y Assessor' s Office "^y ^ confirmation tha t lea dpamphle t "Renovat e Right " wa s receivedb y P0 _ D D D



## Professiona l Environmenta l Engineers Signatur e Dat e



# • ngMifs^^^-^- ^ Da i Signatur e 3005619 6 Superfun d250 5 Nort h 24*
. Suit e 21 9 Omaha , N E 6811 0 (402 ) 504-468 8 Fa x(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 Report 200 9 SAID#4007 1 255 5 Newport Ave

•Date s worked : 07/11/0 9 t o 07/11/0 9 •Pr e propert y condition : Hous e ha dstee l sidin g an dha dpainte dwoo dtrim s an dal l woo dside dgarage , Painte darea s wer e poo r wit hflaking paint . •Problem s encountered : None •Owne r request/concerns : N/ A •Inspection/closeou t dates : Owne r signe d07/15 , EP A 07/17/0 9 N o issues .

# PROFESSIONA L 250 5 Nort h 24»> , Suit e 21 9 

# ENVIRONMENTA L ENGINEERS , INC
. Omaha , N E 6811 0 (402 ) 504-468 8 

### "Providin g cost-effectiv e environmenta l solutions " Fax(402 ) 504-328 1 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc yRespons e



# 1£P A Piupul) ! Owne r

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

## SAID : UOfcP- l Propert y Address : ;0f;55 v ^\^J^p)g>^' ^ J^ ^ Owner' s Name : CnrD \RCftif* . | 1>m\ ^ ^P^]^rh^ S 

## CU L Performanc e Standards/Close-Ou t Criteri a YE S 1 . Wa s th e entir e structure(s ) painte dwithth e exceptio n o f th 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 

## i X garages . 2 . Wa s al l scrapin g an dothe r preparatio n work complete dsatisfactorily ? ^ y 3 . Wer e al l require darea s o f th e structure(s ) prime da s neede dan dpainte dwith tw o to p coats ? u- ^ 4 . Wa s th e pain t product s utilize dequivalen t t o a3 0 year product/quality ? ^ y 5 . Ar e al l o f th e area s wher e contaminate dmaterial s hav e bee n spille dthoroughl y vacuxmied / cleaned ? i ^ 

### 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 an y 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 ? ^ 

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

## x y 9 . Isthereanyevidenceofpropert y damag e tha t wa s don e b y th e contractor ? An y propert y damag e need s t o b e complete dprio r t o th e EP A Close-Out . 10 . Ar e ther e an y propert y item s tha t wer e temporarily re-locate db y th e contracto r tha t nee dt o b e move dback ? 11 . Ar e ther e an y (known ) lingerin g issue s withth e propert y owner(s ) tha t hav e bee n lef t unresolved ? Comments : 

## A^t^^.^^7L-.vy^^i^^^?^^^^:^g<^g ^ 

# 7 

# 'ki M (O
. ^P/\ : ^Pwpcit y Owne r

Signatur e Dat e N O

s ^ ^

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## Professiona l Environmenta l Engineer s Representativ e Dat eP. 1 402691934 9 Ju l 16 09 03;27 p Fringe s Salo n PRC F ENVI R ENGINEER S n/e5/200 2 05:32 , 31*531806 8 

# PROFESSIONA L 250 5 Nort h2A \SUt D 21 9 

# ENVIRONMENTA L ENGINEERS , INC
. Omaha , NE 6811 0 (402)SO«-468 3 

### "Providin g cost-effectiv e environmenta l sotut/ons " Fa x(402 ) 504-328 1 ConauMn g • EnginMrin q D«slg n • RemadMro n > Abammont ' Emefgenc yRespon M 

## Propert y Owne r

Closc-Ou t Fonn (Lead-Base dPain t StabUizatic mEP A Contrac t EP-R7-0S-O6 ) Property Address : ^fSS^ S "^kygfiOr- f Af^ . Performanc e Standank/CkMe-Ov l Criteri a YE S IS O I. Wa s At e entir e structure(s ) painte dwit hth e exceptio n of th e stated , exclude d areas ? Thi s woul dinclud e paintir g of oilier associate dfeatoce s includin g jasda , eaves , siding , al l trim » poichcs , bo x beams , coiunms , rails , an dexterio r surfitce s of 

# y 2. Wa s al l scrapin g an dotbg r preparatio n work coinpLetedsatisJ6tctorily ? 3. Wer e al l require darea s of th e smictui«(s ) prime d as neede dan dpainte dwith 

### y tw o to p coats ? 4. Wa s th e pain t product s utilize deqnivalen t to a 30 year produd/cpiali ^ 

### y 5. Ar e al lof di e area s whexc contaminate dmaterial s hav e bee n spille dthoroughl y 

### y vacuumed / cleaned ? 6. Di dth e contracto r collectAractnu n al l felling an dscrape dpain t drip s on th e entir e property , roadways , alleyways , publi c acces s area s an dals o remove an y 

# y othe r generate ddebris ? 7. Is th e ^ras s are athat surround s th e stnictuteCs ) in reasonabl y poo dcondition ? 

### y 8. At e al l item s suc h as polyethylen e sheeting , ladders , pain t brushes , cones , 

### y barrie r tapc p etc . properl y removed ? 9. Is tbei e an y evidenc e ofpropeiQ r damag e tha t wa s don e by di e confiactor ? An y 

## y propert y damag e need s to be complete dprio rto di e EP A Ckise-Out . 10 . Ai e ther e an y propel ^ item 9 tha t wer e temporaril y re-locate d by th e contracto r tha t nee dto be move dbadi ? ^ 

### 11 . Ar e ther e an y (known ) lingerin g issue s wit hth e piqperi y owner(s ) tha t hav e ^ 

### bee n lef t unresolved ? Conxnents 

# 0­ ^-jr-o i Pr6e0rty Owne r Signatur e 

# y-j^-o Q fe'ssiona ^e^ifaK . Professiona l l^pi^nmenta l Engineer s Representativ e

### P. 2 402691934 9 Ju n 0 9 0 9 05;01 p Fringe s Salo n / ^ ^



# CONSENT OF R ACCES S T O PROPERTY OMAH A LEA D SITE REMEDIA LACTIO N - LEAD-BASE D PAINT STABILIZATIO N PkQPKaTYlO : ^^7 7 mOPBRT Y ADDRESS : «3S3 y AJin.jrxyrTf

- /$> ^ OWNERNAME ; iWERNAME ^ DAYTIMtraONB : ^09 > '?6?tf

- O^l U CELL.PHCm£ : OWNM' S ADDRES S I FDlfFEMWT : \S^:i- \\i)fK)

- Q^A^ . KA-^//.: ^ 7) ^ 

## ^ ^

4 ^

(^//<fTENANT' S NAME I P APPLICABLE : i^C&^h ^ DAYTIMK PHONE : CELLPHONE : E-MAIL : Prortsuioiui l Enviraameata l EagiBCcn , la c (PE ) te andc r coatrae l (#EP-R7-09-06 ) wit htfa * U ^ BaiviroBianta l Pratectto n Agea o QOfA ) to itabiliz e leadtiacedpajat (LEP ) M retideniia t sttvftin t n t aaambc r « f propertie s locate di n 0«aba , NebnudU LTb e paio i subHixktio n wor k

i c bfiin g dno c t o protec t tb e coi l cteiaiip s tha t were perfitnae db y EP A eonlnieton . Pain t slabilfaati M activitk s wil t iadade : icrapiD g a t cradu d« r IMciB g LB PIto mstnictim* , apj^lkatti w of aprim e coat aa d tw o (2 ) Gtmt s o f paiat . Moviag part s o f windot n aa ddoor s <rena t indade dan dwil l no t b e addrcfwd .
' Vov r coopcratian u retiuestadi agiviag pamtalo at o (fai l EP A coatracto r <FC ) t o eate r aa dbav e acco w to thf aptuper ^ to r th e pnrpo< aoTjtakilisia s ba d-base dpain t a

j outUiu do o th e propcrtj ' idmtUle dabove , B y sigaia g thi s docnnMiit I agree t o allo w « aEP Acontncto r t o coadac t • soil deuu p a t wa

y propert y iSolhywia e amipletio o « r (eBd-4iaie dpab t stobiliatioB . I uodentati dtlia t th e atabOfzatlo acootracto r ca n no t provid e assaraace s Cha t (he soil cleaau p coBtmcto r will b e boon dto . I farthe r uadcntaa dtha t tb e soi l cleanR p cotitracto r wil l uik e al l reaiaaabl e cflbrt s t o sddrci e coneera s tha t I , u th e propert y owtMr, ou y bav * regardiii s soi l eleaiiup a l a y property . I full y underrtaa d(ba t b

y atgaia s 1hi > Coaaea t fbr Aoccai , (1 ) thi s acca awil l reaai o v aeCTec t lurt H th e wor k

ha s bee m latiaCictBril y eonpletcd , (2 ) (ha t th e Propert y Owoc r o r Tenant , if applieabla , wil l b e ghrea(h e Hi—ri*f ; an dUrha a Drvelapnwat (inn> ) aa dEP A pampkkt , "Renovat e Right , Impordn t LeadHaan I iafonaatioi t lo r FtaiiUcs , Da y C» n Providers , aa dSchools" , (3 ) th e Property Owae r o r teaaa t wil l MSOV C al l obstracthM n Dn msHrihce s t o b e painted , (4 ) will abid e b y healt han daallftt y evidaae e provide db y EPA . ( ^ wB l allo w photograph r of propert y befor e an dafte r th e paia t stabHizatia n work , (£ > will b e caataete dh y aP E repreeeautiv c approxIflBatd y 4 8 hon n i aadvaae e o f aUrtJo g work , C7 ) v^tt no t i o obiitroE t o r tampe r wit han y o f th e LB P atahlKaatiO H actioBe,'aad<*) wil l pardctpai e i aflaal propert y iiipeotiD n aa d sign th e Completio n Agreemea t an dPropert y Owner SatiifactiD B Survey . Shoul dyou hav e an y qoetthn u aboa t th e plane dLeadBased4'ata t siahiUaatio ajc^iti o fo r yon r pnifierty , pleo M conlac t ProlleiikiBa l Enviroameata l EoeUeers , Inc . Proiee t f&uotigtt , Willi e Cla y A t 40 ? TOi Ifi WGeaen dqacsthu u abou t th e Omah aLea dSite cleanup ca n toe ditecte dt o Pnalett aFraaee-Itetts , EP A Remedial Projec t MaaaQcr 4Q2-731-24S4 , o r th e EP A Publi c iDformattoB Ceater s a t 4I12-99I-9S U (fivti ^ Omah aoCBoe ) o r 402-731-304 5 (Sout hOauhaofflcc) . Q

S Yes , i gna t access tanqrfinpartirai d wiaatw n Hi e pMi^h M Q lls,lda«ot8iaittacc«staiiwpia|iartyan4iM i "aaaomliWelliCtbnpaitBm:aad(nfiwn«IIOMfarFainiHee,Cbl U BiwoHw^aBpidit'lUMvalenBhChipertutlea d kitamalio n b rfwMu , ChU e Ca n PanMsis , an d Sdwots. "
Dat a SPecUU . tHSntUCTMN B AND^OOMSaCXATKM S BgeeiESt^i E t^s-.g e Maz/eez& a Sa33NI9N 3 WlAN aJOM d 50/S 0 39««iP. 3 402691934 9 Ju n 0 9 0 9 05:02 p Fringe s Salo n



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## IAOIB E T O TH E OOUM B tISIB > ABOVE
. ONC E MUmii e BBSINS ^

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### Dougla s County Accoun t Infomiatio n Pag e 1 of 4 

# ^^7 / Dougla s County , Nebrask a Propert yRecor d - R175021000 0 Prin t Repor t NE W Featur e - Parce l Dimension s availabl e @ scal e 0-5 0 f t wes t of 52n d S t - Vle W O n 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 COL E CARO L R I 1582 1 WES T DODG E R D #16 3

OMAH AN E 68118-000 0 

# i Gqi-pgo^ ' & Propert yInformatio n Ke yNumbe r 502 1 000 0 1 7 Accoun t Type : Residentia l Parce l Number : 175021000 0 Parce l Address : 255 5 NEWPOR T A V OMAH AN E 68112-000 0 Lega l Description : MINN E LUS ALOT 2 BLOC K1 0 4 4 X 12 0 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $5,700.0 0 $48,100.0 0 $53,800.0 0 200 8 $5,700.0 0 $48,100.0 0 $53,800.0 0 200 7 $5,700.0 0 $56,200.0 0 $61,900.0 0 200 6 $ 5,700.0 0 $ 56,200.0 0 $ 61,900.0 0 200 5 $ 5,700.0 0 $ 56,200.0 0 $ 61,900.0 0 200 4 $ 5,700.0 0 $ 30,100.0 0 $ 35,800.0 0 Sale s Informatio n Sale s Date : 2008-08-0 6 Dee d Type : Q C Book : 200 8 Page : 07942 6 Price : $0.0 0 Granto r Pin k Propertie s Grantee ; Col e Caro l B Valid/Invalid : Invali d Exclusio n Reason : Famil ySal e Sale s Date : 2007-07-1 3 Dee d Type : Q C 

### Boo* ; 200 7 Page : 08054 4 Price : $0.0 0 Granto r COL E CARO L R 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R175. .. 6/9/200 9

### Dougla s County Accoun t Informatio n Pag e 2 of 4
Grantee ; Valld/lnvalld : Exclusio n Reason : Sale s Date : Dee d Type : Price : Grantor : Grantee : Valid/Invalid : Exclusio n Reason : Sale s Date : Dee d Type : Price : Granto r Grantee : Valid/Invalid : Exclusio n Reason : Sale s Date : Dee d Type : Price : Granto r Grantee : Valid/Invalid : Exclusio n Reason : Sale s Date : Dee d Type : Price : Grantor : Grantee : Valid/Invalid : Exclusio n Reason : Sale s Date : Dee d Type : PIN KPROPERTIE S LL C Invali d Famil ySal e 2007-06-1 1 W D Book : 200 7 Page : 06663 0 $0.0 0 DEMESQUITAELLI S ETA L COL E CARO L Invali d
2006-10-1 7 Q C Book : 200 6 Page : 12104 3 $0.0 0 HSB C MORTGAG E SERVICE S IN C HOUSEHOL D FINANC E COR P II I Invali d Corporatio n T o Corporatio n 2006-10-1 3 W D Book : 200 6 Page : 12104 4 $52,500.0 0 HOUSEHOL D FINANC E COR P II I DEMESQUITAVICKI L Vali d
2006-05-2 5 TR D Book : 200 6 

### 1 Page : 05812 4 $0.0 0 STEFF I ASWANSO N T R HSB C MORTGAG E SERVICE S IN C Invali d Sal e t o Mortgag e - Ban k 1997-04-1 4 

# D 1 Book : 206 3 Page : 73 2 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accoimtinfo.jsp?accoimtno=R175. . . 6/9/200 9

## M C Services , LL C Propert y Address056 6 WvfOpOf V ^V ^

. Dat e ^- ~ N^'D^ ^ Star t Dat e n-li-QO \ En d Dat e H ' I \-OO , 

## Amoun t O f Prim e An d Pain t Use d Prim e (Gallons )

Pol y(Boxes ) Pain t (Color ) Pain t (Color ) Pain t (Color ) ^ 

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## Professiona l Environmenta l Engineers , Inc
. INTERVENCI6 N D E SEGURIDA D Nombr e de l Provecto:7R^' S W^jQ^Pr V Av C Fech a d e l a Intervencion : I" " \ ("" O M , Peligro s d e Salu d Primordial : Preocupacione s Primordiale s d e H & S : Tarea s Diarias : 1
. 

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. c\gcio\r>o \ Equip o Usad o e n e l Luga rd e Traabjo : Casc o Duro >( ^ Bcaler a J^ ^ Gafa s d e Segurida d y i Elevadore s y ^ Zapato s GFC I ^<' ~ Guante s d e Trabaj o ___,^^

_Chaleco s d e Segurida d 3< ^ Generadore s . V Otr o Equip o Usto par a Respuest a d e Emergenci a a Disposiclo n Inmediata : Conduci rReunio n Diari a d e Segurida d V ^ Estuch e d e Primero s Auxilio s ^ Procedimiento s d e Emergenci a V Polftic a d e Salu d ySegurida d d e l a Companf a 3< 1 GFC I e n siti o ^ Deficiencias :
Accione s Corretivas :

Interventor : /2/^< < f e ^//r.^eS > Fecha : / ' ' ^ l Superviso rde l Sitio : Fecha:
.