### TRANSMITTA Lo f OMAH A LEA D SIT E PAIN T STABILIZATIO N FIL E FOLDE R SAI D # : f^r^44 ' Date : 9.'0C\ . O R Address : \'^Q Q ^ ?> 5 fK/^ ^ Remediatio n Contractor : PROFESSIONALENVIRONMENTALENGINEER S Year : 200 9 PAINT STABILIZATIO N PROPERT Y FIL E FOLDERDOCUMENT S ideo of propert y (DVD ) Executive Summar y B"-" ^ Signe dAcces s Agreeme mfo r

subjec t propert y [Hy ^ Painting Agreemen t D Settlemen t documents (i.e. , fo r

damage o r

t

o replac e plants , etc. ) tr^y ^ Photograph s QC€ . QX\A^'Di ^ 0..-^- ^ Satisfactor y restoratio n signe dby Property Owne r B ^ Property close-ou t chec k lis t signe dby EP A ^y Property informatio n fromDougla s Count y Assessor' s Offic e \iy ^ confirmatio n that leadpamphle t "Renovat e Right " wa s receive dby P0 _ 

## n D D



### Professional Environmenta l bngineer s Signature { Date 

# y7^47! hX^^.^-L ^ /:i/s/of EPA Signatur e "Dat e
Superfunc l

# PROFESSIONA L 250 5 Nort h24'" , Suit e 21 9 

# ENVIRONMENTA L ENGINEERS , INC . Omaha , N E 6811 0 

## "Providin g cost-effectiv e environmenta l solutions " ^^ ^

JJ°^ ) 504-468 8 Consultin g • Engineerin g Desig n • Remediatio n • Abatemen t • Emergenc yRespons e



### Lea dBas e Stabilizatio n Omaha , Nc Clos e Ou t Repor t 200 9 SAiD #534 4 132 2 S . 3 5 Ave .

•Date s worked : 08/0 4 t o 08/0 7 200 9 •Pr e propert y condition : Larg e hous e withwoo dsidin g an dha dpainte dwoo dtrims , hous e pain t wa s flakin g of f in som e areas , Hous e ha d4 differen t color s o n detaile d area s ofth e hom e Garag e wa s als o woo dsidin g wit hflakin g paint . Owne r state dh e jus t ha danothe r contracto r bi dpaintin g hi s hom e fo r $750 0 an dw e contacte dhi mjus t i n time . Owne r supervise dentir e pain t jo b an dkep t painter s workin g o n hi s propert y longe r tha n normall y anticipated . H e wa s reall y particula r an dmad e sur e all hi s detai l wor k wa s don e t o hi s satisfaction . •Problem s encountered : Non e •Owne r request/concerns : Owne r wante dleftove r paint , bu t all pain t wa s use du p durin g stabilization . Owne r settle dfo r colo r number s t o reorde r mor e pain t i n th e futur e fo r touc hups . •Inspection/closeou t dates . Owne r signe d08/1 3 EP A inspecte d08/1 1 200 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 Consultin g • Engineerin g Desig n • RemeciiAtio n » Ahmemeii t • EmergericvResponfa e 

## EP A Close-Out For m (Lead-Base dPain t Stabilizatio n EP A Contrac t EP-R7-08-06 ) 

## SAID: f^rJ>M M Propert y Address : I'^SQ . S '3 S f[jf_ . Owner' s Name : (iScv'^' ^ P^UL ^ ScWe- C 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 , al l trim , porches , bo x beams , columns , rails , andexterio r surface s o f t / 

### garages . 2 . Wa s all scrapin g an dothe r preparatio n wor k

complete dsatisfactorily ? iX 

### 3 .Wer e al l require darea s ofth e structure(s ) prime da s neede dandpainte dwit h y tw o to p coats ? 4 . Wa s th e pain t product s utilize dequivalen t to a3 0 yea r product/quality ? t y 

### 5 . Are al l ofth e area s wher e contaminate dmaterial s hav e been spille dthoroughl y 

### y vacuumed / cleaned ? 6 . Didth e contracto r collect/vacuu mall fallin g andscrape dpaint chip s on th e entir e property , roadways , alleyways , publi c acces s area s andals o remov e any y ^ 

### othe r generate ddebris ? 7 . I s th e grass are athat surround s th e structure(s ) i n reasonabl y goo dcondition ? 1 / 

### 8 . Are all item s suc ha s polyethylen e sheeting , ladders , paint brushes , cones , barrie r tape , etc . properl y removed ? t ^ 

### 9 . I s ther e an y evidenc e o f property damag e tha t wa s don e b y the contractor ? An y \ y 

### property damag e need s t o b e complete dprio r t o th e EP A Close-Out . 10 . Are ther e an y property item s tha t wer e temporaril y re-locate dby th e contracto r 

# y tha t nee dt o b e move dback ? 11 . Are ther e an y (known ) lingerin g issue s wit hth e propert y owner(s ) tha t hav e 

# y been lef t unresolved ? Other Considerations/Property Owner Discussions/Additional Wor k

tha t i s Required :

^ < 

# diJ ^ EP A CO RSignatur e ' Date

## 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 

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

# ^m

- Property Address : /'S^ZZ ^ ^ 3 ^ ^ ^ ^ Owner' s Name : "^ C / > ^ '^v> g ^tU/ ^ Performanc e Standards/Ciose-Ou t Criteri a VE S N O I . Wa s th e entir e structure(s ) painte dwithth 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 , al l trim , porches , bo x beams , columns , rails , an dexterio r surface s o f 

# H . garages . 2 . Wa s al l scrapin g an dothe r preparatio n wor k

complete dsatisfactorily ? 

# 2£ . 3 . Wer e al l require darea s ofth e structure(s ) prime da s neede dan dpainte dwith tw o to p coats ? 4 . Wa s th e pain t product s utilize dequivalen t t o a3 0 yea r product/quality ? 5 . Ar 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 collectyvacuu 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 any 

## X othe r generate ddebris ? 7 . I s th e grass are atha t surround s th e structure(s ) i n reasonabl y goo dcondition ? 1 5 UI C grtis s are ama t surrumiu s in c structure's ; mre a^_ _ 

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

## y barrie r tape , etc . properl y removed ? 9 . I s ther e an y evidenc e o f property damag e that wa s don e by th e contractor ? An y property damag e need s t o b e complete dprio r t o th e EP A Close-Out . 

## X 10 . Ar e ther e an y property item s that wer e temporaril y re-locate db y th e contracto r that nee dt o b e move dback ? 

# X 11 . Are ther e any (known ) lingerin g issue s withth e property owner(s ) tha t hav e bee n lef t unresolved ? 

# V Comments :

Dat e 

# '^-/3-o y Professional En^onmenta l Engineer s Representativ e Dat e

# CONSEN T FO RACCES S T O PROPERT Y OMAH A LEA D SIT E REMEDIA LACTIO N - LEAD-BASE D PAIN T STABILIZATIO N PROPERT Y ID : .S3)V V PROPERT Y ADDRESS : /3c^g P . ^ . ^S'^^A^yJ- ^ O^E RNAME : rr p , DAYTIM EPHONE : 4^2'??I-P99 ^ 

### CELLPHONE : ^6; > - 9(>^-030 P E-MAIL : b C b u./' ^ cit T € • L>'f>^;/ . Cy i / ^ OWNER' S ADDRES S I FDIFFERENT : TENANT' S NAM E I FAPPLICABLE : DAYTIM EPHONE : CEL LPHONE : E-MAIL : Professiona l Environmenta l Engineers , Inc . (PE ) i s unde r contrac t (#EP-R7-08-06 ) withth 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 din Omaha , Nebraska . Th e pain t stabilizatio n wor k i s bein g don e t o protec t th e soi l cleanup s tha t ar e bein g performe db y EPA contractors . Pain t stabilizatio n activitie s wil l include : scrapin g ofcracke do r flaking LB Pfro mstructures , applicatio n of aprim e coa t an dtw 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 n th 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 n of lead-base dpain t stabilization , ifth e soi l cleanu p ha s no t alread y bee n performed . I understan dtha t th e stabilizatio n contracto r ca n no 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 m

y property .

Yes , I hav e rea^t^ i Signatur e o f Propert yOwne r Dat e 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 in 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 n th e Housin g an dUrba n Developmen t (HUD ) an dEPA pamphlet , "Renovat e Right , Importan t Lea dHazar dinformatio n fo r Families , Da y Car e Providers , an d Scliools" , (3 ) th e Propert y Owne r o r tenan t wil i remov e al l obstruction s fro msurface s t o b e painted , (4 ) wil l abid e b y healt han d safety guidanc e provide db y EPA , (5 ) wil l allo w photograph 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 aP E representativ e approximatel y 4 8 hour s i n advanc e o f startin g work , (7 ) agre e no t t o obstruc t o r tampe r with an y ofth e LB P stabilizatio n actions , an d(8 ) wil l participat e in final propert y inspectio n an dsig n th e Completio n Agreemen t an d Propert 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 a Lea dSit e cleanu p can b e directe dt o Paulett aFrance-Isetts , EPA Remedia l Projec t Manage r 402-73I-24S4 , o r th e EP A Publi c Informatio n Center s a t 402-991-958 3 (Nort hOmah aoffice ) o r 402-731-304 5 (Sout hOmah aoffice) . / N . Yes , I gran t acces s t o my j lt yan d wa s give n th e pamphle t D No , I d o no t gran t acces s t o m ypropert yan d I wa s

"Reno y matio n fo rFamilies , Chil d give n th e pamphle t "Renovat e Right , Importan t Lea d Informatio n fo rFamilies , Child e Car e Providers , an d Schools. ' Dat e Signatur e Dat e SPECIA L INSTRUCTION S AN D CONSIDERATION S

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### * Dougla s County Accoun t Informatio n Pag e I of 3 

# ^„5a^i i Dougla s County , Nebrask a Propert yRecor d - R070247000 0 Prin t Repor t NE W Featur a - Parce l Dimension s availabl e @ scal e 0-5 0 f t wes t of 52n d S t - VJB W O n Ma P Informatio n i s vali d a s o f 2009-6-1 6 Treasurer' s Ta xRepor t Ne wFeatur e ••••- • Aut o Sale s Searc h Owne r BUESCHE R BRIA N ETA L 132 2 8 3 5 AV E OMAH AN E 68105-000 0 Propert yInformatio n 

# -^'2 > ^ Ke yNumbe r 024 7 OOO O 0 7 

# 3 ^ Accoun t Type : Residentia l Parce l Numbe r 070247000 0 Parce l Address : 132 2 8 3 5 A V OMAH AN E 68105-000 0 Lega l Description : BOULEVAR D TERRAC E LO T6 BLOC K2 4 6 X 123. 2 Valu e Informatio n Lan d Improvemen t Tota l 

### 2009 $6,000.0 0 $146,000.0 0 $ 152,000.0 0 200 8 $ 6,000.0 0 $ 146,000.0 0 $ 152,000.0 0 200 7 $ 6,000.0 0 $ 146,000.0 0 $ 152,000.0 0 

### 200 6 $ 6,000.0 0 $ 121,900.0 0 $ 127,900.0 0 200 5 $ 6,000.0 0 $ 121,900.0 0 $ 127,900.0 0 200 4 $ 6,000.0 0 $ 121,900.0 0 

### $127,900.00 Sale s Informatio n Sale s Date : 

### 2007-04-1 6 Dee d Type : W D Book : 200 7 Page : 

### 05446 3 Price : $152,000.0 0 Granto r KOH N JEFFRE YT ETA L Grantee : BUESCHE R BRIA N ETA L Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 2002-08-0 2 Dee d Type : W D Book : 221 8 Page : 

### 61 7 Price : $ 178,000.0 0 Granto r 

### http://douglasne.mapping-online.eom/DouglasCoNe/static/accoimtinfo. j sp?accoimtno=R070.. . 7/8/200 9» ( 

### Dougla s Coimt y Accoun t Informatio n Pag e 2 of 3 Grantee : Valid/Invalid : Vali d Exclusio n Reason : Sale s Date : 

### 1996-07-0 9 Dee d Type : Book : \ 203 8 Page : 53 2 Price : $88,000.0 0 Grantor . Grantee : Valid/invalid : Vali d Exclusio n Reason : Sale s Date : 

### 1995-02-0 7 Dee d Type : Book : 200 1 Page : 20 0 Price : $ 77,000.0 0 Granto r Grantee : Vaiid/lnvaiid : Vali d Exclusio n Reason : Lan d Informatio n Acre s S F Unit s Dept h Widt h Vacan t 

### 0.1 2 5658. 0 

### 1. 0 123. 0 

### 46. 0 N o Improvemen t Informatio n Buildin g 1 ajfe". . 2iy2STORyiM:iNlSHe D 

## ' 1 w; P S wal l 5 0 1 1
i r / j a p -TTf ' aa. „ 

## .:: i

_5yC»ygJWRjARgyMW|g| _ Squar e Footage : 

### 2100. 0 Percen t Complete : 

### 100.0% Perimete r 0. 0 

### Quality : Goo d 

### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R070. . . 7/8/200 9

### M C Services , LL C Propert yAddres s Dat e 

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# Dat e z-^/yy ^ En d Dat e 

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# 7-0 ? Amoun t O f P Prim e (Gallons )

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# o 2 Pain t (Color ) Amoun t (Gallons ) 

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# / 5 Pain t (Color ) Amoun t (Gallons ) 

# ^^^^g " Pain t (Color ) Amoun t (Gallons ) 

# M r- h Pain t (Color ) Amoun t (Gallons ) 

# f.V' y 

# 1 ^ Pain t (Color ) Amoun t (Gallons )

# Professiona l Enwiroiimemai Enaineets . inc . 250 5 N . 24thstree t Tel : 402-504-468 8 Toll-free : 1 88 8 78 1 399 9 Omaha , N E 6811 0 Fax:402-504-328 1 vvwvv.pe-engrs.co m Rcmcilintio n o linw'ronnient.t l Consultin g o Abnieinento f Haa.vduu s Mateii;\l s s liinergenc y Respons e HubZonc , SDB , MBE, DB Ecertifie dwit hmoi e tha n 20ye.-ii ^ experience ! 

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## • Comments :

Professional , Cosi-Effediv e Solutions !