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New Mexico

Environment Department

Hazardous Waste Bureau

MS-M992

Los Alamos National LabP O Box 1663

Los Alamos, NM 87545Attn: Cindy Maze

February 1, 2012

Invoice # - HWB-LANL-11-045

Quantity Item Item Cost Total Cost

Permit Modification Request for the Addition of the Transuranic Waste Facility at Technical Area 63 to the Los Alamos National Laboratory Hazardous Waste Facility Permit, August 18, 2011

1 Storage in Containers - Renewal or Modification $24,000.00 $24,000.00

Total Fees $24,000.00

Adjustment

$24,000.00Pay This Amount

$0.00

Make Checks Payable to: NMED/HWB

Mail Checks and Invoice to:

New Mexico Environment Department, HWBAttn: James Valdez2905 Rodeo Park Drive East, Bldg 1Santa Fe, NM 87505

State of New Mexico Use Only:

Date Received:Check Number:Amount Received:

james.valdez
Text Box
PAID BY SUPPLEMENTAL FEE AGREEMENT FEBRUARY 1, 2012