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

## SAI D # : 153^ 1 Date : ^-c^Q-^) ^ Address : QP,\ \S 3 3 ^ t Remediatio n Contractor: PROFESSIONA LENVIRONMENTA LENGINEER S Year : 200 9 PAIN T STABILIZATIO N PROPERT Y FIL EFOLDE RDOCUMENT S uy Vide o o f property (DVD ) y ^ Executiv e Summar y ^y ^ Signe dAcces s Agreemen t fo r subjec t propert y S'^""" ^ Paintin g Agreemen t D Settlemen t document s (i.e. , fo r ddmag e o r to replac e plants , etc. ) y ^ Pliotograpli s pfg ^ ^ AAp/igf " B^"' ^ Satisfactor y restoratio n signe d j y Propert y Owne r Siy ^ Property close-ou t chec k lis t signe db y EP A S-"" ^ Property informatio n fromDougla s County Assessor' s Offic e CS—'" ^ _confirmatio n tha t lea dpamphle t "Renovat e Right " wa s receive dby P O D D 

### D

Professional Environmentai Engineer s Signalure Date 

# ^^^/UXJJLG ^

# p^/// 9 Ignature Date ' 3009438 3 Superfun d

## PROFESSIONA L ENVIRONMENTA L ENGINEERS , INC . ''' ' 'oirN E es?! ' "Providin g cost-effectiv e environmenta l solutions " , . !^°o ! c«!'ooo ? ^

Fa x(402 ) 504-328 1 Consultin g • Engineenn g Desig n • Remediatio n • Abatemen t • Emeigenc yRespons e



### Lea dBas e Stabilizatio n Omalia , Ne Clos e Ou t Repor t 200 9 SAID #1532 1 281 1 S 3 3 S t

•Date s worked : 06/2 9 t o 07/0 1 200 9 •Pr e propert y condition : damag e t o fron t ste p bricks , porc hcarpe t rippe dexposin g woo dunderneath . Bac k doo r ha ddamag e fro mdo g scratching ; Garag e pain t wa s in poo r conditio n an dwa s flaking off . •Problem s encountered : Non e •Owne r request/concerns : N/ A •Inspection/closeou t dates : Owne r signe d07/08 , EP A 07/14/0 9 No 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 " Fa x(402 ) 504-328 1 Ccrsuliin g • Engireenn g Oos i ly i • Remer l .ntio n • Ah.itenipn t • Emngonr yRfisnon.^-. p 

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

# A3^ / Propert y Address : f-zxYj/ l ~^
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## Owner' s Name : ^ C grf- f l0^ll<Ger " j T ^ Performanc e Standards/Close-Ou t Criteri a YE S N O 1 . Wa s th e entir e structure(s ) painte dwit hth 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 , all trim , porches , bo x beams , columns , rails , andexterio r surface s o f garages . 

# y 2 . Wa s all 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 yea r product/quality ? y 5 . Are al ! ofth e area s wher e contaminate dmaterial s hav e been spille dthoroughl y vacuumed / cleaned ? _ t ^ 

### 6 . Di dth e contracto r co l leet/vacuu mall 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 

# y othe r generate ddebris ? 7 . I s th e gras s are athat surround s th e structure(s ) i n reasonabl y goo dcondition ? y 

### 8 .Are all item s suc ha s polyethylen e sheeting , ladders , pain t brushes , cones , ^ 

### barrie r tape , etc . properl y removed ? 9 . I s ther e any evidenc e o f property damag e tha t wa s don e b y th e contractor ? Any y property damag e need s t o b e complete dprio r to th e EPA Close-Out . 10 . Ar e ther e any property item s that were temporaril y re-locate dby th e contracto r y 

### that nee dt o b e move dback ? 11 . Are there any (Icnown) lingerin g issue s withth e property owner(s ) tha t hav e 

## y bee n lef t unresolved ? Olher Considerations/Properl y Owne r Discussions/Additional Wor k

tha t i s Required : 

# mh 7 EP A CO RSignatur e Dat eJul-08-200 9 02:3 0 P M Mutua l o f Omah a 402351124 7 1/ 2 Ju l 0 8 O S 11:50 a Igi t Servica s Corporatio n 40 2 40 3 083 2 P- 2 

## PROFESSIONA L 250 5 Nort h a*" , Suit e 21 9 

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

### "Providin g cost-effectiv e environment s solutions " Fa x{402 } 504-328 1 Consultin g • Engineenn g Desig n • Remedlalia n • Atjatamen t • Emargenc yRespons e Propert y Owne r Close-Ou t For m (Lead-Base dPain t Stabilizatio n EP A Contrac t EP-R7-08-06 ) SAID : 

# i53« _ Property Address : o^g , 1 1 S "^ 3 ?^ V Owner' s Name : ^Q-H " VOCA\\ef^ r , J r" Performanfr e Standards/Oose-Ou t Criteri a YE S N O 1 . Wa s th e entir e atructure(s ) painte dwithth e exceptio n ofth e stated , exclude d areas ? Thi s woul dinclud e paintin g o f othe r associate dfeatures includin g fascia , eaves , siding , ai l trim , porches , bo x beams , columns , rails , an dexterio r surface s o f 1 / garages . 2 . Wa s al l scrapin g aa dothe r prepaiatio n wor k

complete dsatisfactorily ? 3 . Wei B al l requiredarea s o f tfa e stnicture($ ) prime da s neede dan dpainte dwith l / tw o to p coats ? 4 . Wa s th e pain t product s utilize dequivalen t t o a3 0 year produot/qxiality ? 5 . Ai e 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 &llin 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 ? 7 . I s th e gras s are atha t sunround s th e stnicture(s ) i n reasonabl y goo dcondition ? 

# -r 8 . Ar e al l item s suc ha s polyethylen e sheeting, ladders , pain t brushes , cones , barrie r tape , etc . properly removed ? 9 . I s there an y evidenc e o f propert y damag e tha t wa s don e b y th e contractor ? An y / property damag e need s t o b e comptete dprio r t o th e EPA Close-Out . 10 . Ar e ther e an y property item s tha t wer e temporaril y re-locate db y th e contracto r that nee dt o b e move dbadk ? 11 . Ar e ther e an y (known ) lingerin g issue s withth e property owner(s ) that hav e bee n lef t uraesolved ?

Professional EnviromtlQata l Engineer s Representativ e Dat e

# S 

# s^-i ^ CONSENT OF RACCES S T O PROPERT Y OMAH A LEA D SIT EREMEDIALACTIO N - LEAD-BASE D PAINT STABILIZATIO N PROPERT Y ID : /9?>2. ) PROPERT Y ADDRESS : 2^i ( S Q 7^ ^ AT ^ OWNE RNAME :

.. ' • 7 

### DAYTIMEPHONE : TdZ

- 2> ^ -'IplfS ^ CEL LPHONE : Hfb2 ^ - L?5f l -^ h^S ' E-MAIL : sof^gji^ar^^d.j;! ^ Qj^n(\ ^ OWNER' S ADDRES S I FDIFFERENT 

# C^ w ^ ^ pavos i TENANT' S NAM EI FAPPLICABL E DAYTIM EPHONE : 

# ^4 ^ CEL LPHONE : E-MAIL : Professiona l Environmenta l Engineers , Inc . (PE ) i s unde r contrac t (#EP-R7-08-06 ) wit hth e U.S . Environmenta l 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 worl i i s bein g don e t o protec t th e soi l cleanup s tha t wer e performe db y EP A contractors . Pain t stabilizatio n activitie s wil l include : scrapin g ofcracke do r flaldn g LB Pfro mstructures , applicatio n of aprim e coa t an d tw o (2 ) coat s o f paint . Movin g part s o f window s an ddoor s ar e no t include dan dwil l no t b e addressed . You r cooperatio n i s requeste di n givin g 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 nth e propert y identifie dabove . B y signin g thi s documen t I agre e t o allo w a n EP A contracto r t o conduc t asoi l cleanu p a t my propert y followin g completio no f lead-base dpain t stabilization . I understan dtha t th e stabilizatio ncontracto r ca nno t provid e assurance s tha t th e soi l cleanu p contracto r wil l b e boun dto . I furthe r understan dtha t th e soi l 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 propert y owner , ma y hav e regardin g soi l cleanu p a t my property . I fully understan dtha t b y signin g thi s Consen t fo r Access , (1 ) thi s acces s wil l remai n i n effec t unti l th e wor k ha s bee n satisfactoril y completed , (2 ) tha t th e Propert y Owne r o r Tenant , i f applicable , wil l b e give nth e Housin g an dUrba n Developmen t (HUD ) an dEP A pamphlet , "Renovat e Right , Importan t Lea dHazar dinformatio nfo r Families , Da y Car e Providers , an dSchools" , (3 ) th e Propert y Owne r o r tenan t will remov e al l obstruction s fro msurface s t o b e painted , (4 ) will abid e b y healt han dsafet y guidanc e provide db y EPA , (5 ) will allo w photograph y o f propert y befor e an dafte r th e pain t stabilizatio n work , (6 ) will b e contacte db y aP Erepresentativ e approximatel y 4 8 hour s i nadvanc e o f startin g work , (7 ) agre e no t t o obstruc t o r tampe r wit han y ofth e LB Pstabilizatio n actions , an d(8 ) wil l participat e i n final propert y inspectio n an d sig n th e Completio n Agreemen t an dPropert y Owne r 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 fo r you r property , pleas e contac t Professiona l Environmenta l Engineers , Inc . Projec t Manager , Willi e Cla y A t 402-504-4688 . Genera l question s abou t th e Omah aLea dSit e cleanu p ca n b e directe dt o Paulett aFrance-Isetts , EP A Remedia l Projec t Manage r 402-731-24S4 , o r th e EP A Publi c Informatio n Center s a t 402-991-958 3 (Nort hOmah aoffice ) o r 402-731^04 5 (Sout hOmah aoffice) . ^ Yes , I gran t acces s to m y propert y an dw ngive n the pamphle t D No , I d o no t gran t acces s t o m ypropert yand ! wa s "Renovat e Righ t Importan t Lea dInformatio n fo r Families , Chil d ghre n th e pamphle t "Renovat e Right , Importan t Lea d Car e Providere , an dSchools. ' bifbrmaUo n fb rFamlliet , Child e Car e Providere , an d Schools. ' Slgnahir e Dat e SPECIA L INSTRUCTION S AN D CONSIDERATION S

## • €@oiiiroin}iniiii@in i © f(^©©©opt J © fL®iid l FsouupCiiidf i Z^( t b o 3 3 Sr rapcQEi E ^/0 C PROPERT YADDRES S O F OVtfNE R I F DIFFEREN TTHA N PROPERT YBEIN G PAINTED : PROPERT YADDRES S ZI P COD E I hav e reoeivBd a oop yo fIh e pamphlet , RenoMBt o %Af cImportan t Laa d Hasar d Inhumatio n Fo rFamllha , C h M Car a PnvUar a An d School a informin g m e o fth e potentla l risk o fth e lea d hazan J exposur e from renovatio n activit yt o li e perfonne d o n duueliin g unit . I reoeive d thi s pamphle t befor e th e wori cbegan .
/^PMNTE D NAM E O F RECIPIEN T^ DAT E

8alf«Ceiflflcatlo n Optio n (Fo rTenant-Occupie d Dwalllng i Only ) I fth e lea d pamphle t wa s delivere d bu t a tenant signatur e wa s no t obtainable , yo u ma yOhed cth e appropriat e bo x below : \

j RalUia l T o Sig n - 1 oeriH ytha t I hav e mad e a goo d fait h effor t b delive rth e pamphtet , renovat e right importan t tead hazar d Infonnatto n forfamiltes , chil d car s provfator s an d schoote ; to th e renta l dwellin g uni t liste d abov e a t th e dat e an d tim e Indicate d an d tha t th e oraupan t refuse d to sig n th e oonfhmatte n o frscelp L I furthe roertH ytha t I hav e telt a (X)pyo fth e pamphle t a t th e uni t wH h oocupan l 

# D Unavaltabt o Fo rSignatur e - 1 (»rtif ytha t I hav e mad e a goo d fait h effor t to delive rth e pamphtet , renovat e right: importan t tead hazan l infonnatto n forfamilies , chil d car e pravUer s an d schools , to ttie rsnta l dwellin g un Kliste d belo wan d ttiat ttte occupan t wa s unavallabt e to sig n ttie oonflmiatto n o freceip L I furthe rcertif yttiat I hav e teft a (X)pyo fttta pamphtai t attti e uni t b yslidin g I t unde rth e doo ro rsomewher e o n ttie premises .
EOFreUON i ATTEMPTE D DEUVBT rDAT E AN D TOVI E LEA D PRINTE D NAM E O F reUON CERTIFYM O PAMPHLE TDBJVER Y

ATUR E 0FPER80 N CERTIFYIN G LEA D PAMPHLE T Not e OigBnfln g BIslHn g Opiio n - a s a n aNsmaflv B to dsfiuer yk i person , yo u ma yma i ttie tead pamphte t to ttie owna r and/ortenan L Parophtat mus t b e malte d a t teast 7 day s befor e lanovatton . (Di)Guinem«#ao8rtlflcSbofmallngframihepoa t

CONFIRMATION O F RBCEIP TO P LEAD PAMPHLE T08/0 6'A

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### Douglas Count y Accoun t Information Pag e 1 of 3 

# /S32 / Dougla s County , Nebrask a Propert yRecor d - R140967000 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 - VJe W Of l 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 WALKE R J R SCOTT ' 5 0 ETA L / ^ 281 1 S 3 3 S T OMAH AN E 68105-000 0 Propert yInformatio n Ke yNumbe r 096 7 OOO O 1 4 

# Co5C»-Uc\ S S^.H- ^ 6e\ \ Accoun t Type : Residentia l



## . / jDODCNd^^^ (K^C^Cj^lrx i Parce l Numbe r 140967000 0 Parce l Address : 281 1 S33S T OMAH AN E 68105-000 0 Lega l Description : ILE R AD D LO T1 5 BLOC K3 5 0 X 114. 5 Valu e Informatio n Lan d Improvemen t Tota l 200 9 $ 6,000.0 0 $ 80,900.0 0 $ 86,900.0 0 200 8 $ 6,000.0 0 $ 80,900.0 0 $ 86,900.0 0 200 7 $ 6,000.0 0 $ 80,900.0 0 $ 86,900.0 0 200 6 $ 6,000.0 0 $ 79,900.0 0 $ 85,900.0 0 200 5 $ 6,000.0 0 $ 79,900.0 0 $ 85,900.0 0 200 4 $ 6,000.0 0 $ 79,900.0 0 $ 85,900.0 0 Sale s Informatio n Sale s Date : 1998-10-0 1 Oee dType : Boolr ; I 210 3 Page : 62 8 Price : $ 83,500.0 0 Grantor : Grantee : Valid/invalid : Vali d Exclusio n Reason : Sale s Date : 1997-05-2 8 Dee d Type : Book : 206 1 Page : 48 3 Price : $67,000.0 0 Grantor . 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R140.. . 6/9/2009

### Douglas Count y Accoun t Information Page 2 of3 Grantee : Valid/invalid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 0.1 3 5700. 0 

### 1. 0 114. 0 50. 0 

### N o Improvemen t Informatio n Buildin g 1
TW O STOR Y I -i*f:M t , u a 9'i

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73(IOt, F CLIC KTO ENLARG E IMAG E S^!ii2£SLSSSUSSSL . Squar e Footage : 1456. 0 Percen t Complete : 100.0 % Perimete r 0. 0 Quality : Averag e Uni t Type : Condition : Averag e

Buil t As : 2 Stor y Cond o Squar e Footage : 0. 0 HVAC : Force d Ai r Rooms : 7. 0 Exterior : Fram e Sidin g Units : 1. 0 Interior : Drywal i Baths : 1. 0 Roo f Cover : Compositio n Shingl e Bedrooms : 3. 0

Roo f Type : Gabl e Stories : 2. 0 Floorcover : Allowanc e Foundation : Bloc k Sprinkle rSquar e Footage : 0. 0 Yea rBuil t Yea r Remodele d Percen t Remodele d Adjuste d Yea r Buil t Physica l Ag e 191 0 0 % 191 0 9 8 Detai l Typ e Detai l Descriptio n Unit s Applianc e Allowanc e 1. 0 Basemen t Bsmn t Bloc k 8 ft 720. 0 

### littp://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R140.. . 6/9/2009IGI T Propert yAddres s p l ^ I ( S ' ^ 3 ^T ~ Dat e p ^ I /fS(c7/9 ^ Star t Dat e [i?-'l^~0 ^ En d Dat e '^ ^ b\-CQ \ 

### Amoun t O f Prim e An d Pain t Use d Prim e (Gallons ) i^ \ Pol y(Boxes ) tP ^ Pain t (Color ) \J)\f l /[ ^

Amoun t (Gallons ) 'S d ^ { Pain t (Color ) t^ P f | c< ^ c a > / Amoun t (Gallons ) Q / Pain t (Coior ) fig g^g , Amoun t (Gallons ) Q y flc y / Pain t (Color ) Amoun t (Gallons ) Pain t (Color ) Amoun t (Gallons )