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HomeMy WebLinkAbout01-03219 -""~'""'~""'- - ~ If" ~ ,. '''~ ,~.," ,~~ ~' .~-". .. ","'-'~' "~,,,,^~, oiir..~~ . COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF ENVIRONMENTAL PROTECTION, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. ..a 6/- Docket No.: 3'2-lq ~ Date Entered: JAVAD BIG DELI 1212 WOODBINE AVENUE PENN VALLEY, PA 19072, Defendant CERTIFIED COPY OF LIEN To the Prothonotary of Said Court: Pursuant to Section 308(e) of the Radiation Protection Act, Act of July 10, 1984, P.L. 688,35 P.S. ~ 7110.308(e); this is a Certified Copy of Lien for civil penalties to be entered of record by you and indexed as judgments are indexed. Date of Final Amount of Amount Paid Assessment Assessment (i!...!!llil Total Due 12/15/95 $1,560.00 $00.00 $1,560.00 04/21 /98 $1,560.00 $00.00 $1,560.00 04/21/98 $1,560.00 $00.00 $1,560.00 10/29/98 $1,560.00 $00.00 $1,560.00 Total Filing Fee $6240.00 The undersigned c;ertifies that the above civil penalties are due and payable under the provisions of the Radiation Protection Act, ~u.fsuant t.o Section 308.(el of said law,35 P.S. ~ 710.308(e),a copy of said assessment or assessments are attached hereto and made a parrt hereof. The above cIvil penalties shall constitute a judgment in favor of the Commonwealth upon the property of said defendant from the date entered and docketed of record. Date ~j1$L/ s: 2 Y.OI David J. Allard, Director Bureau of Radiation Protection Department of Environmental Protection ORIGINAL TO BE RETAINED BY PROTHONOTARY . , -' -,' ;-,m"~fr:!l~~'0:,;r,:'!~~i;{,j(h~i!$.1:?l~'t-vJ1it'''';i'ji",,s.!>it,*,,;c1::\'t';''(.ic~,..~.j;);;',.;-,,-,j;,;j<,,~"..;: ,di;Jilb~:io'~.' "';:''';'*''''0"0.'*i~fiM.'lii,rg!o,;j~,:titi-!lil:!iJi~5~~_m~~~-'$..~~. OJ :; a: o ~ ~ e: <0 :J on ~ :J "- ~ e: " E ~ ~ e: w - o " .g COI OM ZN <0 'c <0 on > ~> c::: ~ e: e: o OJ Eo.. E ,.:. o ~ u 5 _ 0 ou t-o :J e: o~ U lii ".c -:5 E .sG .c- " 0 :E >- ;; ~ 0 ~ " .....0-0 ffi s.oo E -E ill ~ e Q5 :J "- > -,-" _ 0 ~ OOJ.c >.S! +-' 0.0 :::: e: U 00 -cQ)~ Q) -5 10 :s .s 5> Q:; -c 'w u" " Q) ;,;::: -0 Q) J: ct.!::! +-'Q):J+-' .!Q: Q) 0 0 .cue: .!Q: CI)" on .c co .- 1-.c-5-5 o Z ~ OJ "" " o o ~ ~ " 0 ~.c e: 0. 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Room 240. 2471 North 54th Street, Philadelphia, PA 19131 1.0. 1101-14729 Notice of Civil Penalty Assessment The Commonwealth of Pennsylvania, Department of Environmental Protection (UDepartment") assesses a civil penalty as follows: ".' A. Javad Eigdeli is a Dentist doing business at Room 240, 2471 North 54th Street, Philadelphia, PA 19131. B. Jayad Bigdeli, D.D.S., owns and operates one or more radiation-producing machines containing one tube(s) . C. On September 1, 1995, the Department mailed a radiation source invoice to Javad Bigdeli, D.D.S. advising that an annual registration fee for radiation-producing machines in the amount of $75.00 for 1995 was due and owing to the Department within 15 days from the date of receipt of the invoice. D. On November 14, 1995, the Department sent Javad Bigdeli, D.D.S. a letter advising that if it did not receive payment of the required fee within ten business days from the date of the letter, the Department would proceed with enforcement action. E. On December 15, 1995 the Department mailed to Javad Bigdeli, D.D.S. a Notice of Violation letter advising ,that failure to pay the required annual registration fee is a violation of the Radiation Protection Act and regulations promulgated thereunder. The letter further stated that if payment of the required registration fee was not received within ten business days from the date of the letter, the Department would issue a civil penalty assessment. F. Pursuant to 25 Pa. Code Sections 218.11 and 218.12, which were promulgated pursuant to Sections 301 and 401 of the Radiation Protection Act, 35 P.S. Sections 7110.301 and 7110.401, Javad Bigdeli, D.D.S. is required to pay, within 15 days of receipt of the invoice. an annual fee in the amount of $75.00 for re- registration of the radiation-producing machines. G. Despite repeated demands, Javad Bigdeli, D.D.S., has failed to pay the required registration fee. H. Pursuant to the Department's authority under Section 308 of the Radiation Protection Act, 35. P.S. Section 711D.308{e), the Department hereby assesses aaainst Javao Ri_rrrlpl i. n. n, ~ ;:!,...i 'wi 1 . ,~ ,-, " '''' ,-. J"~ ",'^" .'; M ~",'~"_", ",",'-',;;'," ""-.""-'""""~'Ii',-,~';"~IIi.~;_ . I. The amount of the civil penalty was calculated as follows: a. Severity classification: Level III b. Culpability classification: Negligent c. Total civil penalty assessment: $1,560 Payment of the civil penalty should be made by means of certified check or money order in the amount of $1560.00 made payable to Department of Environmental Protection and sent to Department of Environmental Protection, P.O. Box 8455, Harrisburg, PA 17105-8455. The Department reserves its right to assess additional civil penalties for the continued failure to pay the required registration fee. If any person liable to pay a civil penalty fails to pay it, the amount of the penalty, together with interest and costs, will be a lien in favor of the Commonwealth upon the real and personal property of the person after the lien has been entered and docketed by the prothonotary of the county where the property is located. Any person aggrieved by this action may appeal, pursuant to Section 4 of the Environmental Hearing Board Act, 35 P.S. Section 7514; and the Administrative Agency Law, 2 Pa. C.S., Chapter SA to the Environmental Hearing Board, P. O. Box 8457, 400 Market street, Harrisburg, PA 17105-8457, (717) 787-3483. TDO users may contact the Board through the Pennsylvania Relay Service, (800) 654-5984. Appeals must be filed with the Environmental Hearing Board within 30 days of receipt of written notice of this action unless the appropriate statute provides a different time period. Copies of the appeal form and the Board's rules of practice and procedure may be obtained'from the Board. The appeal form and the Board's rules of practice and procedure are also available in Braille or on audiotape from the Secretary to the Board at (717) 787-3483. This paragraph does not, in and of itself, create any right of appeal beyond that permitted by applicable statutes and decisional law. Dated: /y/eu-d-. J. 4, I q '18' 151 r( i"vlri C \\ DV'h/L Keith C. Kerns Acting Director Bureau of Radiation Protection jWt;:;;(~;~j.;1~p~\\i~~~~~k~~;~~~~ ::1;' " :: , ',' ,t i'. /; " ,;,' ,w." ~"-, '" -. ". .~'" i'-~"'jr"i:< .' ' """""""ilj COMMOWWEAt'l'H OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF RADIATION PROTECTION CERTIFIEP MAIL z 193 637e07 In the Matter of: Javad Bigde1i, P.P.S. Room 240, 2471 N. 54th street Philadelphia, PA 19131 I.D. #01-14729 Notice of Civil Penalty Assessment The Commonwealth of Pennsylvania, Department of Environmental Protection (~DepartmentP) assesses a civil penalty as follows: A. Javad Bigdeli is a dentist doing business at Room 240, 2471 N. 54th St., Philadelphia, PA 19131. B. Javad Bigdeli, D.D.S. owns and operates one or more radiation-producing machines containing Qne tube(s). c. On January 29( 1998, the Department mailed a radiation source invoice to Javad Bigdeli, D.D.S. advising that an annual registration fee for radiation-producing machines id the amount of $75.00 for 1997 was due and owing to the Department within 15 days from the date of receipt of the invoice. D. On March 12, 1998, the Department sent Javad Bigdeli, D.D.S. a letter advising that if it did not receive payment of the required fee within ten business days from the date of the letter, the Department would proceed with enforcement action. E. On April 21, 1998 the Department mailed to Javad BigdeU, D.D.S. a Notice of Violation letter adviSing that failure to pay the required annual registration fee is a violation of the Radiation Protection Act and regulations promulgated thereunder. The letter further stated that if payment of the required registration fee was not received within ten business days from the date of the letter, the Department would issue a civil penalty assessment. F. Pursuant to 25 Pa. Code Sections 218.11 and 218.12, which were promulgated pursuant to Sections 301 and 401 of the Radiation Protection Act, 35 P.S. Sections 7110.301 and 7110.401, Javad Bigdeli, D.D.S., is required to pay, within 15 days of receipt of the invoice, an annual fee in the amount of $75.00 for re- registration of the radiation-producing machines., G. Despite repeated demands, Javad Bigdeli D.D.S., has failed to pay the required registration fee. H. Pursuant to the Department's authority under Section 308 of the Radiation Protection Act, 35 P.S. Section 7110.308(el, the Department herebv assesses B0ninst Javan Btadeli. D.D.S.. ~ ~ivil ,; ^ . v .' ,'"?",,,~ > 1, ",""~-,,,- ,> -'.-- I. The amount of the civil penalty was calculated as follows: a. Severity classification: Level III b. Culpability classification: Negligent c. Total civil penalty assessment: $1,560 Payment of the civil penalty should be made by means of certified check or money order in the amount of $1560.00 made payable, to Department of Environmental Protection and sent to Department of Environmental Protection, P.O. Box 8455, Harrisburg, PA 17105-8455. The Department reserves its right to assess additional civil penalties for the continued failure to pay the required registration fee. If any person liable to pay a civil penalty fails to pay it, the amount of the penalty, together with interest and costs, will be a lien in favor of the Commonwealth upon the real and personal property of the person after ,the lien has been entered and docketed by the prothonotary of the county where the property is located. Any person aggrieved by this action may appeal, pursuant to Section 4 of the Environmental Hearing Board Act, 3y P.S. Section 7514; and the Administrative Agency Law, 2 Pa. C.S., Chapter 5A to the Environmental Hearing Board, P. O. Box 8457, 400 Market Street, Harrisburg, PA 17105-8457, (717) 787-3483. TDD users may contact the Board through the Pennsylvania Relay Service, (800) 654-5984. Appeals must be filed with the Environmental Hearing Board within 30 days of receipt of written notice of this action unless the appropriate statute provides a different time period. Copies of the appeal form and the Board's rules of practice and procedure may be obtained from the Board. The appeal form and the Board's rules of practice and procedure are also available in Braille or on audiotape from the Secretary to the Board at (717) 787-3483. This paragraph does not, in and of itself, create any right of appeal beyond that permitted by applicable statutes and decisional law. Dated: 7/30/9' i" K~ K~ /s/ Keith C. Kerns Acting Director Bureau of Radiation Protection ~ , ;': ;:f,~-\,h.:,1-:~'; :;~:~j~.;~,~\1;,u;:~~:;<:~~~':~}~~?!~~';;:',' " ',;,', -"" ,,~-. '-,; ""'''''',<;r-,.;,-".~\t:-& t:bMMoNwEA1.TH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF RADIATION PROTECTION CERTIFIED MAIL z 193 637 806 In the Matter of: Javad Bigdeli, D.D.S. Room 240, 2471 N. 54th street Philadelphia, PA 19131 I.D. 1101-14729 Notice of Civil Penalty Assessment The Commonwealth of Pennsylvania, Department of Environmental Protection (UDepartment") assesses a civil penalty as follows: "i A. Javad Bigdeli is a dentist doing business at Room 240, 2471 N. 54th St., Philadelphia, PA 19131. B. Javad Bigdeli, D.D.S. owns and operates one or more radiation-producing machines containing one tube(s). c. On May 9, 1997, the Department mailed a radiation source invoice to Javad Bigdeli, D.D.S. advising that an annual registration fee for radiation-producing machines in the amount of $75.00 for 1996 was due and owing to the Department within 15 days from the date of receipt of the invoice. D. On March 12, 1998, the Department sent Javad Bigdeli, D.D.S. a letter advising that if it did not receive payment of the required fee within ten business days from the date of the letter, the Department would proceed with enforcement action. E. On April 21, 1998 the Department mailed to Javad Bigdeli, D.D.S. a Notice of Violation letter advising that failure to pay the required annual registration fee is a violation of the Radiation Protection Act and regulations promulgated thereunder. The letter further stated that if payment of the required registration fee was not received within ten business days from the date of the letter, the Department would issue a civil penalty assessment. F. Pursuant to 25 Pa. Code Sections 218.11 and 218.12, which were promulgated pursuant to Sections 301 and 401 of the Radiation Protection Act, 35 P.S. Sections 7110.301 and 7110.401, Javad Bigdeli, D.D.S., is required to pay, within 15 days of receipt of the invoice, an annual fee in the amount of $75.00 for re- registration of the radiation-producing machines. G. Despite repeated demands, Javad Bigdeli D.D.S., has failed to pay the required registration fee. H. Pursuant to the Department's authority under Section 308 of the Radiation Protection Act, 35 P.S. Section 7110.308(e), the Department hereby assesseS against Javad Bigdeli, D.D.S., a civil 'i<::-.': , '.',;" ,: "= ,,,-," '"--M ,,_:._~.""'~ "'i.";'>'P'''"!,j ;~~ ,""'--'-' ", I. The amount of the civil penalty was calculated as follows: ',', a. Severity classification: Level III b. Culpability classification: Negligent c. Total civil penalty assessment: $1,560 Payment of the civil penalty should be made by means of certified check or money order in the amount of $1560.00 made payable to Department of Environmental Protection and sent to Department of Environmental Protection, P.O. Box 8455, Harrisburg, PA 17105-8455. The Department reserves its right to assess additional =~vil penalties for the continued failure to pay the required registration fee. If any person liable to pay a civil penalty fails to pay it, the amount of the penalty, together with interest and costs, will be a lien in favor of the Commonwealth upon the real and pe~5onal property of the person after the lien has been entered and cccketed by the prothonotary of the county where the property is located. Any person aggrieved by this action may appeal, pursu~t to Section 4 of the Environmental Hearing Board Act, 35 P.S. Section 7514; and the Administrative Agency Law, 2 Pa. C.S., Chapter 5A to the Environmental Hearing Board, P. O. Box 8457, 400 Market Street, Harrisburg, PA 17105-8457, (717) 787-3483. TDD users may ccntact the Board through the Pennsylvania Relay Service, (800) 654-5984. Appeals must be filed with the Environmental Hearing Board within 30 days of receipt of written notice of this action unless ~~e appropriate statute provides a different time period. Cop~es of the appeal form and the Board's rules of practice and procecure may be obtained from the Board. The appeal form and the Board's rules of practice and procedure are also available in Braille or en audiotape from ,the Secretary to the Board at (717) 787-3483. This paragraph does not, in and of itself, create any right of aFpeal beyond that permitted by applicable statutes and decisiona~ law. Dated: 7(.101'1;>' \-~" l\.v-w~ /s/ Keith C. Kerns Acting Director Bureau of Radiation Protec~:'on ~ ~' .' h -oj;- , ~ ";/j!1; "' ~ -', ,,,- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF RADIATION PROTECTION CERTIFIED MAIL Z 193 637 874 i In the Matter of: Javad Bigdeli, D.D.S. Room 240, 2471 N. 54th Street Philadelphia, PA 19131 I.D. No. 01-14729 Notice of Civil Penalty Asse~sment The Commonwealth of Pennsylvania, Department of Environmental Protection ("Department") assesses a civil penalty as follows: A. Javad Bigdeli is a dentist doing business at Room 240, 2471 N. 54th St., Philadelphia, PA 19131. B. Javad Bigdeli, D.D.S., owns and operates one or more radiation-producing machines containing one tube(s) . C. On September 16, 1998, the Department mailed a radiation source ,invoice to Javad Bigdeli, D.D.S., advising that an annual registration fee for radiation-producing machines in the amount of $75.00 for 1998 was due and owing to the Department within 15 days from the date of receipt of the invoice. D. On October 6, 1998, the Department sent Javad Bigdeli, D.D.S., a letter advising that if it did not receive payment of the required fee within ten business days from the date of the letter, the Department would proceed with enforcement action. E. On October 29, 1998 the Department mailed to Javad Bigdeli, D.D.S., a Notice of Violation letter advising that failure to pay the required annual registration fee is a violation of the Radiation Protection Act and regulations promulgated thereunder. The letter further stated that if payment of the required registration fee was not received within ten business days from the date of the letter, the Department would issue a civil penalty assessment. F. Pursuant to 25 Pa. Code Sections 218.11 and 218.12, which were promulgated pursuant to Sections 301 and 401 of the Radiation Protection Act, 35 P.S. Sections 7110.301 and 7110.401, Javad Sigdeli, D.D.S., is required to pay, within 15 days of receipt of the invoice, an annual fee in the amount of $75.00 for re- registration of the radiation-producing machines. G. Despite repeated demands, Javad Bigdeli D.D.S., has failed to pay the required registration fee. H. Pursuant to the Department's authority under Section 308 of the Radiation Protection Act, 35 P.S. Section 7110.308(e), the . .};\\;:~~: ,i\:,~:h,~::: ,i.~ ?:;_;:~' \ :~3~':~~:,,(. '. , .~ - ~~'- :d, ,~" -" ,,~ ~, ,; ~ ,"", "', -'~r I. The amount of the civil penalty was calculated as follows: a. Severity classification: Level III b. Culpability classification: Negligent c. Total civil penalty assessment: $1,560 Payment of the civil penalty should be made by means of certified check or money order in the amount of $1,560.00 made payable to Department of Environmental Protection and sent to the Department of Environmental Protection, P.O. Box 8455, Harrisburg, PA 17105-8455. The Department reserves- its right to assess additional civil penalties for the continued failure to pay the required registration ~ee. If any person liable to pay a civil penalty fails to pay it, the amount of the penalty, together with interest and costs, will be a lien in favor of the Commonwealth upon the real and personal property of the person after the lien has been entered and docketed by the prothonotary of the county where the property is located. Any person aggrieved by this action may appeal, pursuant to Section 4 of the Environmental Hearing Board Act, 35 P.S. Section 7514; and the Administrative Agency Law, 2 Pa. C.S., Chapter 5A to the Environmental Hearing Board, P. O. Box 8457, 400 Market Street, Harrisburg, PA 17105-8457, 717-787-3483. TDD users may contact the Board through the Pennsylvania Relay Service, (800) 654-5984. Appeals must be filed with the Environmental Hearing Board within 30 days of receipt of written notice of this action unless the appropriate statute provides a different time period. Copies of the appeal form and the Board's rules of practice and procedure may be obtained from the Board., The appeal form and the Board's rules of practice and procedure are also available in Braille or on audiotape from the Secretary to the Board at 717-787-3483. This paragraph does not, in and of itself, create any right of appeal beyond that permitted by applicable statutes and decisional law. Dated: :3/18/1999 &i' /s/ David J. Allard Director Bureau of Radiation Protection ~ "'-' ,..l-, ,,' w "' j'~ -', o ,-"",,- :"~-'t~~Jit< IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION, Plaintiff Docket No. vs. Term, JA V AD BIGDELI 1212 WOODBINE AVENUE PENN VALLEY, PA 19072, Defendant PRAECIPE FOR APPEARANCE To The Prothonotary Of Said Court: Kindly enter my appearance on behalf of the plaintiff, Commonwealth of Pennsylvania, Department of Environmental Protection. ~-4 ,U/~ Stuart M. Bliwas Assistant Counsel Attorney ID #10242 Commonwealth of Pennsylvania Dept of Environmental Protection Office of Chief Counsel General Law Division P.o. Box 8464 Harrisburg, P A 17105-8464 (717) 787-1956 ~'" C,__-' '.. " j'-<.. ,~' ;(L;;;~~;~;;;' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF ENVIRONMENTAL PROTECTION, Plaintiff Docket No. vs. JA V AD BIGDELI 1212 WOODBINE AVENUE PENN VALLEY, P A 19072. Defendant CERTIFICATE OF RESIDENCE I hereby certify that the name and address of the person to receive notice of this judgment, or last knoWn address of the defendant is: JA V AD BIGDELI 1212 WOODBINE AVENUE PENN VALLEY, P A 19072 ~~,~ Stuart M. Bliwas Assistant Counsel Attorney ID #10242 Dept of Environmental Protection Office of Chief Counsel P.O. Box 8464 Harrisburg, P A 17105-8464 (717) 787-1956 :,_",:_-, .._."__L""'~Jl~_,",;_'~,,c:"';j"'"'," ,_ \ _ ,_ _'..; _ ,.. ""',, -__ ,,,__" '_"n ""_'_".""M;~"'"~'.'~""~"'~_ ' ~"""'IMli~~~">ti\ih''';}6il'~,",[,''{''~'"S""~,,,,,,,-~",~m,,*,,jl''''<!~.;t!l>'lr,~i!IWiii_"""'~ ~~W01__ - ""<:' -s< I~ ..>t, (~~ ~ ft) \) " ~,~ t'-~ t- ~ :f)'$ ~ ~ t ~ r ~ ~ u,\ , t ,\ \) ....... C) ~ ~:- ~\1 OJ :::::::.> '- 5~~ ~ L_ :.< -~ -~ ., ",~ ~_"'~fl~_o' ~>_~""'_"'"""'.r',_~'-"',,_~,_~^,'"~' "~~". ,,__ " ii f~:.) ji 'I I I :1 'I :1 II "I ;-1 " " , I I i, il , I 'I ,I 'I :1 I ~'V c.:', r-o ~~) -'IF ;-1 ...:~ ..1> '-) :< ~~\ . '-;'? -:11 Lv ", ,"."" "'!;.~ 41 " ~~" .~~~ ~- > , ~ - "". " lO::lt ' ',- ,,,,,,' ~ D;., WRIT OF EXECUTION and/or ATTACHMENT .COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) NO'01 321Q CIVIL lIK TERM CIVIL ACTION - LAW - TO THE SHERIFF OF Cumberland , COUNTY: To satisfy the debt, interest and costs due Carmonwealth of Pennsylvania Department of Environmental Protection PLAINTlFF(S) from ,]nvnc1. Bi.gdel i 2471 N 54th Street, Suite 240. Philadelphia, Pa. 19131 DEFENDANT(S) (1) You are directed to levy upon fhe property of the defendant(s) and to sell (2) You are also directed to allach fhe property of the defendant(s) not levied upon in the possession of ThE> PE>nnsylvania Dental Service Co~ration t/a Delta Dental of pennsylvania 1 Delta Drive, Mechanicsburg, Fa. 55 united-.Concordia_DentaLPlani'Lof....l?ennaylwmin Tnc. lROO C;pntE>r Street Camp Hill, Pa. 17089 (;II.RNTSHRRS "8 fn11nw8: 11.11 PTYlPf'rty of the above named defendant including. without limitation, all savinqs and checkinq accounts, ~S) as follows: c"rtificates of de,posit. depqsits and all debts and other obliqations CMinq frem the above !mlWRn~€85ff1i~eetmh~f!ta'f\f~~~~~fW~'W~e.n issued; (b) fhe garnishee(s) is/are enjoinel:l from paying any debt to or for fhe account of fhe defendant(s) and from delivering any property of fhe defendant(s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to allachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/herthat he/she has been added as a garniSheE! alld is enjoined as above stated. L.L. Due Prothy Other Costs $0.50 Amount Due $6,240.00 ~tp pf 6 percent per annum fran 5/25/01 ems C 121.80 Ally's Comm % Ally Paid n _ ')0 Plainfffl Paid 1 00 Dale: Octoh"r 2. 2001 Curtis R. Lonq Prothonotary, Civil Division by 1y'~ t2 ~ Deputy REQUESTING PARTY' Commonwealth of Penna. Name Stllnrt M. Bliwas.Esq.. Dept of Environmental Protection Asst. Counsel Address: p Q ~"fl,4h4 Hnrrishlrg. Fa. 17105-8464 Attorney for: Plaintiff Telephone: (717) 787-1956 Supreme Court 10 No. ~~~~~i!;liti~i!illff,j.~~""",d,""';,,,:,,,,,,;,,,,,~ .;< ;-,>('t<i,}jihi.~;,;~;",';!cil~~i'Af.l.m"Uii!il,*;Millill;i~,~~Ill-1J '--"~' "-~,Ili~"'"--~j.!itl ~ ~ ~ ~ ~ ~ R. Thomas Kline,Sheriff, who being duly sworn according to law, states this Writ is returned ABANDONED, no action taken in six months. Sheriffs Costs: Docketing Poundage Advertising Law Library Prothonotary Mileage Misc. SurchMge 30.00 Levy 40.00 Post Pone Sale Garnishee 18.00 2.33 .50 1.00 9.10 18.00 11!'!,\'!i3 Sworn and Subscribed to before me this lb ~ day of0 P"{ -"~-I 2002 A.D. ~. _ a. 'J1.ldh.,,~ pr onotary \rll;\~,I'/'.-"'1 i ~~ 1[:, \\,J 02 Z ~U:Oih . !4111~4!IH'~' Advance Costs: Sheriff's Costs: 150.00 118.93 31. 07 Refunded to Atty on 7/1/02 l' q ~J ~ ,P..!\...; Z 1:10 l-n,;~:;J ,". _;n::~j@ \.60 I,; I: G C1 . :! l>> ';.) h fi -C) 1,1 I s l1:l:h!l ~ =, ~ Ib!k. (i 1) VL,. 3?.!>>]JL ~ /2 "7/0'; . ~ " ~'. '" '"' ~ > ~~~' ,., '~.==roi:~~" .. . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION, Plaintiff v. No. 2001-03219 JAVAD BIGDELI 2471 N 54TH STREET, SUITE 240 PHILADELPHIA, PA 19131 Execution No. Defendant and THE PENNSYLVANIA DENTAL SERVICE CORPORATION T/A DELTA DENTAL OF PENNSYLVANIA 1 DELTA DRIVE MECHANICSBURG, PA 17055 and UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. 1800 CENTER STREET CAMP HILL, PA l7089 Garnishees PRAECIPE FOR WRIT OF EXECUTION TO THE PROTHONOTARY: Issue Writ of Execution in the above matter, (I) Directed to the Sheriff of Cumberland County, Pennsylvania; (2) against Javad Bigdeli, defendant(s) ; (3) and against The Dental Service Corporation t/a Delta Dental of Pennsylvania, and United Concordia Dental Plans of Pennsylvania, Inc. garnishee (s) ; -1 ,-. "" "J~_" ~......... """"'~jJgj,]~~~,., :~jt"~i~ "''"~ . .. as a lis pendens against the real property of the defendant(s) in the name of the garnishee(s} as follows: All property of the above named defendant, including, without limitation, all savings and checking accounts, certificates of deposit, deposits and all debts and other obligations owing from the above named garnishee to the above named defendant. Amount Due: Interest at a rate of 6 percent per annum from May 25, 2001 (Costs To Be Added By Prothonotary) $ 6,240.00 $ 124.80 Total amount due with costs as endorsed hereon $ $ ~~/~ Stuart M. Bliwas, Assistant Counsel Attorney for Plaintiff Commonwealth of Pennsylvania Dept of Environmental Protection General Law Division P.O. Box 8464 Harrisburg, PA 17105-8464 (717) 787-1956 Dated: (-V$-O I .', '~'i'~'~''-''~~~~''@,n;f"''Jg<,j~?'';~,k]H~I'''';:M.~l~''li''!0t.;)~i~~fldi~_il"p>'~ ... ", t. t t '-ii:l!:Iil~- ,,,,.. ".....""1l""~ :--. ~ a :r rr; n ~:c.~ J~8: r;~ J~F;' '''::> "- - c _.~" ~ ..... ..... ~ C" I-' ..() t' ...:) ..... '" "'<l. F .. '" '" J." 'vi . 1.., -t> ..... ~ ~ 6 0 " e. ~ B ] ~~ L~' -::::1 -, '. ~ ~4 t., ? ill .. ~~-; 5J -< r:::- ~ ., ..... ~ ~ g ~k. :"', ~'li0'~;t, 1\ I: H i'l i 1:; r l' ~ " H 1'1 ~ "" r [ ,,--<= ~~ ' , """' "~'!Ii~~~.ii- SHERIFF'S RETURN - GARNISHEE CASE NO: 2001-03219 P -CO~ONWEALTH OF PENNSLYVANIA COUNTY OF CUMBERLAND ENVIRONMENTAL PROTECTION DEPT VS BIGDELI JAVAD And now GERALD WORTHINGTON ,Sheriff or Deputy Sheriff of Cumberland County of Pennsylvania, who being duly sworn according to law, at 0014:20 Hours, on the 3rd day of October , 2001, attached as herein commanded all goods, chattels, rights, debts, credits, and moneys of the within named DEFENDANT BIGDELI JAVAD , in the hands, possession, or control of the within named Garnishee UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA INC 1800 CENTER ST CAMP HILL, PA 17011 Cumberland County, Pennsylvania, by handing to SALLY MCCOY (PARALEGAL) personally three copies of interogatories together with 3 true and attested copies of the within WRIT OF EXECUTION and made the contents there of known to Her . Sheriff's Costs: Docketing Service Affidavit Surcharge So .00 .00 .00 .00 .00 .00 00/00/0000 Sworn and subscribed to before me this i;;""5 day of C9~ ..J_l A.D. (l,'i"o (J /J.-"PU", J~7;( ~~onotary I BYA~W~ Deputy S iff ~~."'~ , iUlliili.:t ~~ ",,' '-'"":'k',;J SHERIFP'S RBTURN - GARNISHEE CASE NO: 2001-03219 P ~ ' ~ \ COMMONWEALTH OF PENNSLYVANIA COUNTY OF CUMBERLAND ENVIRONMENTAL PROTECTION DEPT VS BIGDELI JAVAD And now GERALD WORTHINGTON ,Sheriff or Deputy Sheriff of Cumberland County of Pennsylvania, who being duly sworn according to law, at 0011:25 Hours, on the 3rd day of October ,2001, attached as herein commanded all goods, chattels, rights, debts, credits, and moneys of the within named DEFENDANT BIGDELI JAVAD in the hands, possession, or control of the within named Garnishee THE PENNSYLVANIA DENTAL SERVICE CORP., T/A DELTA DENTAL OF PENNSYLVANIA I DELTA DRIVE MECHANICSBURG, PA 17055 Cumberland County, Pennsylvania, by handing to KIM MCCOY (PERSONNEL MGR) personally three copies of interogatories together with 3 true and attested copies of the within WRIT OF EXECUTION and made the contents there of known to Her . Sheriff's Costs: Docketing Service Affidavit Surcharge .00 .00 .00 .00 .00 .00 So answers: ~~'i1"~a6 R. Thomas Klin~ ' ~ Sheriff of Cumberland County 00/00/0000 Sworn and subscribed to before me By ~L,)~ . Deputy eriff this /.2- g;> day of (p.~ .:Mer A.D. ~(L~~ Pr t onotary I - ~.~~..;.' ----, -, , ~l,.' .: ,. ~.'<'M'.'- .~"';'''''-':%i~i' . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION, Plaintiff v. No. 2001-03219 JAVAD BIGDELI 2471 N 54TH STREET, SUITE 240 PHILADELPHIA, PA 19131 Execution No. Defendant and THE PENNSYLVANIA DENTAL SERVICE CORPORATION T/A DELTA DENTAL OF PENNSYLVANIA I DELTA DRIVE MECHANICSBURG, PA 17055 UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. ISOO CENTER STREET CAMP HILL, PA 170S9 Garnishees ANSWERS TO INTERROGATORIES IN ATTACHMENT THE PENNSYLVANIA DENTAL SERVICE CORPORATION T1A DELTA DENTAL OF PENNSYLVANIA To: The Pennsylvania Dental Service Corporation t/a Delta Dental of Pennsylvania and United Concordia Dental plans of Pennsylvania, Inc., (Garnishees) You are required to file answers to the following interrogatories within twenty (20) days after service upon you. Failure to do so may result in judgment against you: . ...........,"-' '-J ,"' <~' ,_c , <' """"" , "~'-"'-""<'l!iiil~1\fi;' I. At the time you were served or at any subsequent time did you owe the defendant any money or were you liable to him on any negotiable or other written instrument, or did he claim that you owed him any money or liable to him for any reason? If so, state the exact amounts. ANSWER: No. 2. At the time you were served or at any subsequent time was there in your possession, custody or control or in the joint possession, custody or control of yourself and one or more other persons any property of any nature owned solely or in part by the defendant? If so, describe all such property with specificity and give the exact locations thereof. ANSWER: No. 3. At the time you were served or at any subsequent time did you hold legal title to any property of any nature owned solely or in part by the defendant or in which a defendant held or claimed any interest? If so, describe all such property with specificity and give the exact locations thereof. ANSWER: No. -2- . -, ~ ^ ~. ~L_ ~ '~'1 < '.~-; 4. At the time you were served or at any subsequent time did you hold as fiduciary any property in which the defendant held an interest? If so, describe all such property with specificity and give the exact locations thereof. ANSWER: No. 5. At any time before or after you were served did the defendant transfer or deliver any property to you or to any person or place pursuant to your direction or consent and if so what was the consideration thereof? If so, describe all such property with specificity, give the exact locations of all such property and describe with specificity, all such consideration, including, without limitation, the exact amounts. ANSWER: No. -3 - "-' ~ ,,-'- .' ; ~ .,,J. .~ "; ;;.:"-~""'^"'f'fi~" 6. At any time after you were served did you pay, transfer or deliver any money or property to the defendant or to any person or place pursuant to his direction or otherwise discharge any claim of the defendant against you? If so, give the exact amounts and describe all such property with specificity, including the exact location thereof. ANSWER: No. -4- ,> ~ ~..~. ","" . . , " I"", ~ " h" ....,~;,,~ I . 7. Describe, in detail all accounts receivable, contract rights, and other obligations, whether pecuniary or not, owing from you to defendant, and describe in detail, all documents and other papers which pertain, relate to. or evidence such accounts receivable, contract rights and other obligations. including but not limited to the dates, individual signers, and specific contents of all such documents and other papers. Attach to your answer to these interrogatories copies of all documents and other papers which have been described in your answer to interrogatory No. 7 ANSWER: Delta does not have any claims from Dr. Javad Bigdeli, nor does Delta owe Dr. Javad Bigdeli any money for claims incurred to date. A copy of Dr. Javad Bigdeli's participatin9 dentist agreement with Delta is attached. ~~r~ Stuart M. Bliwas, Assistant Counsel Attorney for Plaintiff Commonwealth of Pennsylvania Dept of Environmental Protection Office of Chief Counsel General Law Division POBox 8464 Harrisburg, PA 17105-8464 717-787-1956 Dated: f --- VO ~cJ/ -5- ", , '" .~ VERIFICATION Understanding that false statements herein are made subject to the penalties of IS Pa. C.S. ~ 4904, relating to unsworn falsification to authorities. I verify that I Whitney Sherbocker (name of person signing verification) am an authorized The Pennsylvania Dental Service Corporation t/a representative of't'fi'e Delta Dental of Pennsylvania, ~J't, garnishee, that I hold the title of Manager, Administration , and that the facts set forth in answers to Interrogatories in Attachment are true and correct to the best of my knowledge, information and belief. ~.c&) Dated: oel-: Ii-I 2001 -6- "'; ,;.,'~ ;~4''"1"c' . OO~k@~lil!,~_~"~"'2<;Wli;Mt~i~,..i;>.f."ioiIld;;N4';J,'\!i'''kJi''~1","--",i;;,o~"'E,'i"','~~J.\"k",*",I:j);u.;';-"_'lit.",":-'\.t$,,,,'j,j""-&W:"'illilll\;\,~!l;iil'>l.iMIMlI<I&W,~<d~.~!IIl~~" .LA:~ . , ; ~ i :' 3d I" II J n::> Z Z 1:\0 ...-V ,\..1; iI"; , ' ''', ,~. , l~' c il,i ^..,,< ,:, ,~ ':)\:1:10 ;1;11\;;;, - .~- ~ ~~ ,:1: ~:;j Ii ;;; ;J I': ::1 ~, 'i ~ , " ,,; 'mI'.~~ - < ''''"';'''''''. , J" ~ " ~~ ~I ~ . ~ ~. PARTICIPATING DENTIST AGREEMENT This AGREEMENT made the day of by and between Delta Dental of Pennsylvania, hereinafter ,called Delta, and the undersigned, hereinafter called Dentist. Delta groups or Delta subscribers hereinafter mean either groups or subscribers under contract to. or covered by contracts with Delta, or another Delta Dental Plan for which Delta is providing administrative services. 1.. When this agreement bec.omes e.ffective, Dentist shall be a Participating Dentist of Delta and shall be duly registered a s such. 2. Dentist shall be eligible to become and entitled to vote for a Director of Delta for his district and to participate in the utilization review program of Delta. 3. of Delta. Dentist shall receive a Participating Dentist Manual describing practices and procedures 4. Delta shall make every effort to increase the number of Delta groups in Dentist's District, and, to consult with Dentist with regard to potential groups. 5. Dentist ,shall submit to Delta an initial Confiden,tial Fee Listing and may file additional Confidential Fee Li:stings ....henever he makes a general revision of his fees, certified by him to be current and consis~ent with charges gener~lly made by him in his pr.actice, which filing shall be used periodically by Delta to calculate the Usual, Customary and Reasonable Fee of Dentist. 6. Dentist shall submit claims on a claim form from which Delta shall verify eligibility and coverage. If a cIai'm for covered services is for an amount in excess of a sum determined by Delta, a prerequisite for approval, but not to the detriment of the subscriber, shall be that Dentist submit a claim form to Delta for predetermination of eligibility and coverage before he provides the service for which claim will be made. l() (J) '" C '" _J :.::> -- 7. Delta shall provide prompt claim service to the extent that, unless special review is warranted, payment shall be made by Delta ....ithin thirty (30) days of receipt of an approved claim, and if not so paid within thirty (3D) days, Delta shall furnish written notice of the reason for non-payment: . ' B. Delta shall make every effort to assure that Dentist shall have ready access to its offices and personnel during business hours ....ith regard to claims and .the operating procedures of Delta. 9. Delta subscribers shall be treated ....ith the same quality and charged consistent ....ith the balance of Dentist's practice. All services provided on behalf of Delta shall be in accordance with the best dental practice in the community at the time, with regard to quality of service and appropriateness of treatment. 10. Dentist shall accept as full payment for services provided to Delta subscribers his charged fee, not to exceed his Usual, Customary and Reasonable fee as calculated by Delta from his filed fee and those of other Participating Dentists of Delta. 11. For services provided to a Delta subscriber covered as a benefit in a Delta group contract for the subscriber, Dentist shall only charge the subscriber the difference, if any, bet......een the payment made by Delta for such service and the Usual, Customary and Reas6nable fee for such service, as calculated by Delta, or the actual fee charged, whichever is less and shall not charge or accept an additional amount for such services. 12. Services are not covered by Delta when quality or appropriateness of treatment are deleterious to the subscriber's health, as measured by the best dental practice in the community at the time. Dentist shall not charge subscriber until services do meet such community standard. 13. Dentist shall, receive all payments' fl'om Delta for service to Delta subscribers directly from Delta. 14. Dentist shall cooperate '-nth Delta in its claims evaluation activities and with the Dental Affairs Committee in its assigned functions, and be bound by the terms and conditions of the Bylaws of Delt. as they apply to the obligations of Delta to its subscribers and receipt of a copy of the Bylaws is here......ith acknowled~ed by Dentist. , i~~~ilhffl;m~~iilli;\W_!!il",il,-;jI:!I,k"W;<~';:;,~1l-W",~~\",''''';fh;A:;jti"-,'f!'bM,)HH;,:;ith)',j$;l;,.,i:&;i~..;l;iiiU;~iilliaii~~~l!li.ll!ilJj 'Iillil>lliti~ -< "" ..""',. , 'Ilid- ,~~~-... 15. Dentist will cC1ffiply ,,:with Title VI of the Civil Rights Act of 1965 (P. L. 81>-352) and the Regulations of the Office of, ECj1I1C1ffiic Opportunity issued pursuant to that Title (45 C.F.R. Part 1010) and all simil~r laws to th~ en~ that no person shall. on the grounds of race. color, or national origin. be ex,c::luded from p,rt~c:~pation In9 be denied the benefits of. or be otherw-ise subjected to discrimination: under any ptogr,~;m or activity to which Delta subscriber is entitled. Dentist hereby gives assuranCe tnat he will imm~diately take any measures to effectuate this Section. 16. Tht term of this Ag,teement shall be one year from its effective date and the Agreement shall be renewable from year to year upon compliance with its provisions. 17. Delta may terminate this Agreement only with the approval of the Pennsylvania Department of Health. 18. Dentist may terminate this Agreeme.nt on thirty (30) days written notice to Delta. 19. In the event Dentist terminates this Agreement while providing services to a Delta subscriber, the Agreeme-nt shall not terminate as to those services until they are completed and payment on aCcount of them has been made by Delta. 20. This. Agreement s.hall be effective only on receipt by Delta, of an initial Confidential Fee Listing from Dentist. IN WITNJ2SS WHEREOF, on the day and year first above written, the parties hereto, their heirs, administrators, successors and assigns, hereto agree to be bound hereby. DENTIST: DELTA DENTAL OF PENNSYLVANIA ~,~. -- i1~ \ Signature _~ 'B~~J-. President TAV"AC Please Print ts}"G-~~L.t Name \)~ - Cl2.'12/4 _L PA License No. CM 198305 " , .1 II'.! . 'I I ~ - ~ o .. " ,_ ,,_ 'lc" "_~,', h' ,~ k """"'k. CERTIFICATE OF SERVICE AND NOW, this Jr day of October, 2001, I, Whitney Sherbocker, of The Pennsylvania Dental Service Corporation tJa Delta Dental of Pennsylvania, hereby certify that I have this day served a true and correct copy of the foregoing Answers to Interrogatories in Attachment by first class mail, postage prepaid, addressed to the parties or counsel of record as follows: Stuart M. Bliwas, Assistant Counsel Commonwealth of Pennsylvania Department of Environmental Protection Office of Chief Counsel General Law Division P. O. Box 8464 Harrisburg, PA 17105-8464 DELTA DENTAL OF PENNSYLVANIA By: ~1ilii1~~~j.wi!E!.~~IiiJ;(j;iJ,tl1i~~lli;Mli!ml~ii.ii#""li'i<"':~~'ii&i!.,,)j"S":!""'M'~](~i~~~_~_!I1illi1iEllll11ill\lllOll;' ~ ~~,< ~ '~~- ~".alilo.l"jlillii ' " ","-"-;>'.., _, ~ ~ ~ "'~_-...u_ l;> 0 C> ~ C s: 0 ._, -0,.,., n m"I,. T 2fT! ...... Hi;TI _::J:J &; :~~ \,0 :~~ -< ;:;-~ <C.: ""D ~~~ 3>0 :L :So >c: Cd u ~ 'C-I 0::> ~ .r