TRANSMITTAL of OMAHA LEAD SITE 

PAINT STABILIZATION FILE FOLDER 

SAID #: f^r^44 ' Date: 9.'0C\ . O R 

Address: \'^Q Q ^ ?> 5 fK/^ ^ 

Remediation Contractor: PROFESSIONAL ENVIRONMENTAL ENGINEERS Year: 2009 

PAINT STABILIZATION 

PROPERTY FILE FOLDER DOCUMENTS 

ideo of property (DVD) 

Executive Summary 

B"-"^ Signed Access Agreemem for subject property 

[Hy^ Painting Agreement 

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

tr^y^ Photographs QC€. QX\A^'Di^ 

0..-^-^ Satisfactory restoration signed by Property Owner 

B ^ Property close-out check list signed by EPA 

^ y Property information from Douglas County Assessor's Office 

\iy ^ confirmation that lead pamphlet "Renovate Right" was received by P0_ 

n 

D 

D 

Professional Environmental bngineers Signature { Date 

y7^47!h X^^.^-L^ /:i/s/of 

EPA Signature "Dat e 

Superfuncl 
PROFESSIONAL 

2505 North 24'", Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE 68110 

"Providing cost-effective environmental solutions" ^^^ JJ°^) 504-4688 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Lead Base Stabilization Omaha, Nc 

Close Out Report 

2009 

SAiD# 5344 

1322 S. 35 Ave. 

• Dates worked: 08/04 to 08/07 2009 

• Pre property condition: Large house with wood siding and had painted wood trims, 

house paint was flaking off in some areas, House had 4 different colors on detailed 

areas ofthe home Garage was also wood siding with flaking paint. Owner stated he 

just had another contractor bid painting his home for $7500 and we contacted him just 

in time. Owner supervised entire paint job and kept painters working on his property 

longer than normally anticipated. He was really particular and made sure all his detail 

work was done to his satisfaction. 

• Problems encountered: None 

• Owner request/concerns: Owner wanted leftover paint, but all paint was used up 

during stabilization. Owner settled for color numbers to reorder more paint in the 

future for touch ups. 

• Inspection/closeout dates. Owner signed 08/13 EPA inspected 08/11 2009 No Issues. 
PROFESSIONAL 

2505 North 24'", Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE 68110 

(402) 504-4688 "Providing cost-effective environmental solutions" Fax (402) 504-3281 

Consulting • Engineering Design • RemeciiAtion » Ahmemeiit • Emergericv Responfae 

EPA Close-Out Form 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-06) 

SAID: f^rJ>MM 

Property Address: I'^SQ . S '3 S f[jf_. 

Owner's Name: (iScv'^' ^ P^UL^ ScWe-C 

Performance Standards/Close-Out Criteria 

YES NO 

1. Was the entire structure(s) painted with the exception ofthe 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 t / 

garages. 

2. Was all scraping and other preparation work completed satisfactorily? 

i X 

3. Were all required areas ofthe structure(s) primed as needed and painted with 

two top coats? y

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

t y 

5. Are all ofthe areas where contaminated materials have been spilled thoroughly y vacuumed/ cleaned? 

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 y ^ 

other generated debris? 

7. Is the grass area that surrounds the structure(s) in reasonably good condition? 

1 / 

8. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, 

barrier tape, etc. properly removed? t ^ 

9. Is there any evidence of property damage that was done by the contractor? Any 

\ y property damage needs to be completed prior to the EPA Close-Out. 

10. Are there any property items that were temporarily re-located by the contractor y that need to be moved back? 

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

been left unresolved? 

y

Other Considerations/Property Owner Discussions/Additional Work that is Required: 

diJ ^ ^ <

EPA COR Signature 

' Date 
PROFESSIONAL 

2505 North 24^ Suite 219 ENVIRONMENTAL ENGINEERS, INC. Omaha, NE 68110 

(402) 504-4688 "Providing cost-effective environmental solutions" Fax (402) 504-3281 

Consulting • Engineering Design • Remediation • Abatement • Emergency Response 

Property Owner Close-Out Form 

(Lead-Based Paint Stabilization EPA Contract EP-R7-08-06) 

SAID: 

^m- Property Address: /'S^ZZ ^ ^ 3 ^ ^ ^ ^ 

Owner's Name: "^C /> ^ '^v>g ^tU/ ^ 

Performance Standards/Ciose-Out Criteria VES NO 

I. Was the entire structure(s) painted with the exception ofthe 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 H. garages. 

2. Was all scraping and other preparation work completed satisfactorily? 2£. 3. Were all required areas ofthe structure(s) primed as needed and painted with 

two top coats? 

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

5. Are all ofthe areas where contaminated materials have been spilled thoroughly 

vacuumed/ cleaned? 

6. Did the contractor collectyvacuum all falling and scraped paint chips on the 

entire property, roadways, alleyways, public access areas and also remove any X other generated debris? 

7. Is the grass area that surrounds the structure(s) in reasonably good condition? 15 UIC grtiss area mat surrumius inc structure's; m rea ^__ 

8.,. Are all items such as polyethylene sheeting, ladders, paint brushes, cones, y barrier tape, etc. properly removed? 

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. X 

10. Are there any property items that were temporarily 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? V 

Comments: 

Date 

'^-/3-oy 

Professional En^onmental Engineers Representative Date 
CONSENT FOR ACCESS TO PROPERTY 

OMAHA LEAD SITE REMEDIAL ACTION - LEAD-BASED PAINT STABILIZATION 

PROPERTY ID: .S3)V V PROPERTY ADDRESS: /3c^gP .^ . ^S'^^A^yJ- ^ 

O^E R NAME: rrp , 

DAYTIME PHONE: 4^2'??I-P99 ^ 

CELLPHONE: ^6;> - 9(>^-030 P E-MAIL: b C b u./'^ cit T €• L>'f>^;/. Cyi / ^ 

OWNER'S ADDRESS IF DIFFERENT: 

TENANT'S NAME IF APPLICABLE: 

DAYTIME PHONE: 

CELL PHONE: E-MAIL: 

Professional Environmental Engineers, Inc. (PE) is under contract (#EP-R7-08-06) with the U.S. Environmental Protection 

Agency (EPA) to stabilize lead based paint (LBP) on residential structures at a number of properties located in Omaha, 

Nebraska. The paint stabilization work is being done to protect the soil cleanups that are being performed by EPA contractors. 

Paint stabilization activities will include: scraping ofcracked or flaking LBP from structures, application ofa prime coat and two 

(2) coats of paint. Moving parts of windows and doors are not included and will not be addressed. 

Your cooperation is requested in giving permission to this EPA contractor (PE) to enter and have access to this property for the 

purpose of stabilizing lead -based paint as outlined on the property identified above. 

By signing this document I agree to allow an EPA contractor to conduct a soil cleanup at my property following completion of 

lead-based paint stabilization, ifthe soil cleanup has not already been performed. I understand that the stabilization contractor 

can not provide assurances that the soil cleanup contractor will be bound to. I further understand that the soil cleanup 

contractor will make all reasonable efforts to address concerns that I, as the property owner, may have regarding soil cleanup at 

my property. 

Yes, I have rea^t^i 

Signature of Property Owner Date 

I fully understand that by signing this Consent for Access, (1) this access will remain in effect until the work has been 

satisfactorily completed, (2) that the Property Owner or Tenant, if applicable, will be given the Housing and Urban Development 

(HUD) and EPA pamphlet, "Renovate Right, Important Lead Hazard information for Families, Day Care Providers, and 

Scliools", (3) the Property Owner or tenant wili remove all obstructions from surfaces to be painted, (4) will abide by health and 

safety guidance provided by EPA, (5) will allow photography of property before and after the paint stabilization work, (6) will be 

contacted by a PE representative approximately 48 hours in advance of starting work, (7) agree not to obstruct or tamper with 

any ofthe LBP stabilization actions, and (8) will participate in final property inspection and sign the Completion Agreement and 

Property Owner Satisfaction Survey. 

Should you have any questions about the planed Lead Based-Paint stabilization activities for your property, please contact 

Professional Environmental Engineers, Inc. Project Manager, Willie Clay At 402-504-4688. General questions about the Omaha 

Lead Site cleanup can be directed to Pauletta France-Isetts, EPA Remedial Project Manager 402-73I-24S4, or the EPA Public 

Information Centers at 402-991-9583 (North Omaha office) or 402-731-3045 (South Omaha office). 

/ N . Yes, I grant access to myj lty and was given the pamphlet D No, I do not grant access to my property and I was 

"Renoy mation for Families, Child given the pamphlet "Renovate Right, Important Lead 

Information for Families, Childe Care Providers, and Schools.' 

Date Signature Date 

SPECIAL INSTRUCTIONS AND CONSIDERATIONS 
;.. 13^^ g. 35' ^ Ar. wx. n\^r)\Q^ 

CMD 

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HOUSE TlUM__J&i. JQQUJOR U]k 

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PORCHL JOOUHL 

JQOLOK. 

(CXMPUIB ALL SKnOI W YEi^ NCV OR NON-APfUGABU) 

PMsertaKiicHRiRBDONm 
* Douglas County Account Information Page I of3 

^„5a^i i 

Douglas County, Nebraska Property Record - R0702470000 

Print Report 

NEW Featura - Parcel Dimensions available @ scale 0-50 ft west of 52nd St - VJBW O n Ma P Information is valid as of 2009-6-16 Treasurer's Tax Report 

New Feature ••••- • Auto Sales Search 

Owner 

BUESCHER BRIAN 

ETAL 

1322 8 35 AVE 

OMAHA NE 68105-0000 

Property Informatio n -^'2> ^ Key Number 0247 OOOO 07 3 ^ 

Account Type: Residential 

Parcel Number 0702470000 

Parcel Address: 1322 8 35 AV 

OMAHA NE 68105-0000 

Legal Description: BOULEVARD TERRACE LOT 6 BLOCK 2 46 X 123.2 

Value Informatio n 

Land Improvement Total 

2009 $6,000.00 $146,000.00 $152,000.00 

2008 $6,000.00 $146,000.00 $152,000.00 

2007 $6,000.00 $146,000.00 $152,000.00 

2006 $6,000.00 $121,900.00 $127,900.00 

2005 $6,000.00 $121,900.00 $127,900.00 

2004 $6,000.00 $121,900.00 $127,900.00 

Sales Informatio n 

Sales Date: 2007-04-16 

Deed Type: WD Book: 2007 Page: 054463 

Price: $152,000.00 

Grantor KOHN JEFFREY T ETAL 

Grantee: BUESCHER BRIAN ETAL 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 2002-08-02 

Deed Type: WD Book: 2218 Page: 

617 

Price: $178,000.00 

Grantor 

http://douglasne.mapping-online.eom/DouglasCoNe/static/accoimtinfo.j sp?accoimtno=R070... 7/8/2009 
» ( Douglas Coimty Account Information Page 2 of3 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 1996-07-09 

Deed Type: Book: \ 2038 Page: 532 

Price: $88,000.00 

Grantor. 

Grantee: 

Valid/invalid: Valid 

Exclusion Reason: 

Sales Date: 1995-02-07 

Deed Type: Book: 2001 Page: 200 

Price: $77,000.00 

Grantor 

Grantee: 

Vaiid/lnvaiid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.12 5658.0 1.0 123.0 46.0 No 

Improvemen t Informatio n 

Building 1 

ajfe".. 2iy2STORyiM:iNlSHeD 

'1 

w ; 

P S wal l 50 11 

i r / j a p 

-TTf' 

aa.„ .::i 

_5yC»ygJWRjARgyMW|g|_ 

Square Footage: 2100.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Good 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R070... 7/8/2009 
MC Services, LLC 

Property Address Date 

/2M. Start Date z-^/yy ^ End Date ?;" 7-0? 

Amount Of P 

Prime (Gallons) 

Poly (Boxes) o2 

Paint (Color) fAr//n Amount (Gallons) 

/5 

Paint (Color) ^^^^g" Amount (Gallons) 

Paint (Color) M r-h Amount (Gallons) 

Paint (Color) f.V'y Amount (Gallons) 1^ 

Paint (Color) Amount (Gallons) 
Professional Enwiroiimemai Enaineets. inc. 

2505 N. 24th street Tel: 402-504-4688 Toll-free: 1 888 781 3999 

Omaha, NE 68110 Fax:402-504-3281 vvwvv.pe-engrs.com 

Rcmcilintion o linw'ronnient.tl Consulting o Abnieinentof Haa.vduus Mateii;\ls s liinergency Response 

HubZonc, SDB, MBE, DBE certified with moie than 20ye.-ii^ experience! 

FAX SHEET 

TO: iScigcx fl/je^^hpr FROM: H\^^'^H ^^'(^^^'^(^ 

COMPANY # OF PGS: 3 ­f Coupr 

^"Mo - m ^ DAT.1 

PHONE: RE: Ya^ity)c'^ -Cor 

gPA (Pa^A^ ?,'{oLh\\\2^\ion 

D Urgent D For Review D Please Comment D Please Reply D Please Recycle 

• Comments: 

Professional, Cosi-Effedive Solutions!