ML12271A463
| ML12271A463 | |
| Person / Time | |
|---|---|
| Site: | Callaway  |
| Issue date: | 05/13/2010 |
| From: | Schultz D State of MO, Dept of Natural Resources |
| To: | Office of Nuclear Reactor Regulation |
| References | |
| ULNRC-05893 | |
| Download: ML12271A463 (4) | |
Text
MISSOURI DEPARTMEHT OF NATURAL RESOURCES HAZARDOUS WASTE PROGRAM P.O.BOX175 JEFFERSON CITY, MISSOURI 55102 15111751-3176 FACILITY
SUMMARY
REPORT PART I I certify under penalty of Jaw that I have personaUy examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true. accurate. and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.
PRINT NAME SIGNATURE or AUTHOR!
fluw [)sj,_
Denise D. Schultz PI!J.
DATE I
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COPYING FORM, ATTACH SITE IDENTIFICATION LABLE OR MISSOURI DEPARTMeNT OF NATURAL RESOURCES HAZARDOUS WASTE PROGRAM P.O.BOX176 JEFFERSON CITY, MISSOURI65102 15731 751-3176 FACILITY
SUMMARY
REPORT PART I CHECK HER£ IF NO WASTE WAS MCEIVED FROM OFF.SITE, ANO NO WASTE WAS GENERATED ANO MANACJI!D ON.s!TE (DO NOT COMPUTE PART R)
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents and that based on my Inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment PRINT NAME SI~TURE_ or AlfT 1
HO IZED Denise 0. Schullz
/...1!.Mi)j U, MONR*HWF*1
MISSOURI DEPARTMENT OF NATURAL RESOURCES HAZARDOUS WASTE PROGRAM P.O.BOX176 JEFFERSON CITY, MISSOURI65102 (573\\ 751*3176 FACILITY
SUMMARY
REPORT PART I
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COPYING FORM, ATTACH SITE IDENTIFICATION LABLE OR I certify under-penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.
PRINT NAME JURE or AUTH RIZED P DATE Barbara J Miler 11-15-2010
IIISSOURI DEPARTMENT OF NATURAL RESOURCES HAZARDOUS WASTE PROGRAM P.O. IIOX 171 JEFFERSON CITY, IIISSOURII5102 151S\\ 111-3171 FACILITY
SUMMARY
REPORT PART I COPYING FORM, ATTACH SITE IDENTIFICAnON LABLE OR 1 certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.
DATE I I ~(