Scanned from a Xerox multifunction device001 (12) · 2/1/2012 · Scanned from a Xerox...
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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
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