ML13083A182

NRC Form 541 - Uniform Low-Level Radioactive Waste Manifest Container and Waste Description

ML13083A182
Person / Time
Issue date:	01/31/2017
From:	NRC/OCIO/GEMSD/IMSB
To:
References
Download: ML13083A182 (1)

Text

APPROVED BY OMB: NO. 3150-0166 Estimated burden per response to comply with this information collection request: 3.3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br />. This uniform manifest is required by NRC to meet reporting requirements of Federal and State Agencies for the safe transportation and disposal of low-level waste. Send comments regarding burden estimate to the FOIA, Privacy, and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0166),

EXPIRES: 12/31/2019 Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.

NRC FORM 541 U.S. NUCLEAR REGULATORY COMMISSION 1. MANIFEST TOTALS 2. MANIFEST NUMBER (01-2017) NUMBER OF NET WASTE NET WASTE PACKAGES/ SPECIAL NUCLEAR MATERIAL (grams)

DISPOSAL VOLUME WEIGHT UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST CONTAINERS (m 3) (kg) U-233 U-235 Pu TOTAL 3.

CONTAINER AND WASTE DESCRIPTION PAGE OF PAGE(S)

Additional Nuclear Regulatory Commission (NRC) Requirements for Control, Transfer and Disposal of Radioactive Waste 4. SHIPPER NAME ACTIVITY (MBq) SOURCE ALL NUCLIDES TRITIUM C-14 Tc-99 I-129 (kg)

Instructions: See NUREG/BR-0204 for detailed instructions for completing this form: SHIPPER I.D. NUMBER http://www.nrc.gov/reading-rm/doc-collections/nuregs/brochures/br0204/

DISPOSAL CONTAINER DESCRIPTION WASTE DESCRIPTION FOR EACH WASTE TYPE IN CONTAINER 16.

WASTE

5. 6. 7. 8. 9. 10. SURFACE PHYSICAL DESCRIPTION 14. CHEMICAL DESCRIPTION 15. RADIOLOGICAL DESCRIPTION CLASSIFI-CONTAMINATION CATION SURFACE 11. 12. 13.

CONTAINER CONTAINER WASTE MBq/100cm 2 SORBENT AS-Class A RADIATION WASTE WEIGHT IDENTIFICATION DESCRIP- VOLUME AND APPROXIMATE SOLIDIFICATION, Stable LEVEL DESCRIP-  % INDIVIDUAL RADIONUCLIDES AND ACTIVITY (MBq) AND NUMBER/ TION CONTAINER WASTE STABILIZATION, CHEMICAL FORM/ AU-Class A GENERATOR (m 3) WEIGHT TOR CHELATING CONTAINER TOTAL; OR CONTAINER TOTAL ACTIVITY Unstable

(µSv/hr) ALPHA BETA- VOLUME(S) IN MEDIA CHELATING AGENT AND RADIONUCLIDE PERCENT ID NUMBER(S) (See Note 1) (kg) AGENT B-Class B GAMMA CONTAINER C-Class C (mSv/hr) (See Note 2) IF > 0.1%

(See Note 3)

NOTE 1: Container Description Codes. For containers/ NOTE 2: Waste Descriptor Codes. (Choose up to three which predominate by volume.) NOTE 3: For solidification media that meet disposal site structural stability requirements, the numerical code must be followed by "-S."

waste requiring disposal in approved structural overpacks, For all solidification media, the vendor (manufacturer) and brand name must also be identified in item 13. Code 100=NONE REQUIRED.

the numerical code must be followed by "-OP." 20. Charcoal 29. Demolition Rubble 38. Evaporator Bottoms/Slud ges/Concentrates

1. Wooden Box or Crate 9. Demineralizer

21. Incinerator Ash 30. Cation Ion-exchange Media 39. Compactible Trash Sorption Solidification

22. Soil 31. Anion Ion-exchange Media 40. Noncompactible Trash

2. Metal Box 10. Gas Cylinder

23. Gas 32. Mixed Bed Ion-exchange Media 41. Animal Carcass 60. Speedi Dri 64. Safe T Sorb 69. Chemsil 30 74. Petroset 89. Other. 90. Cement 94. Vinyl Ester Styrene

3. Plastic Drum or Pail 11. Bulk Unpackaged Waste

24. Oil 33. Contaminated Equipment 42. Biological Material (except animal carcass) 61. Celetom 65. Safe N Dri 70. Chemsil 50 75. Petroset II Describe in 91. Concrete 99. Other. Describe

4. Metal Drum or Pail 12. Unpackaged Components

25. Aqueous Liquid 34. Organic Liquid (except oil) 43. Activated Material 62. Floor Dry/ 66. Florco 71. Chemsil 3030 76. Aquaset item 13, or (encapsulation) in item 13, or

5. Metal Tank or Liner 13. High Integrity Container additional

26. Filter Media 35. Glassware or Labware 59. Other. Describe in item 11, Superfine 67. Florco X 72. Dicaperl HP200 77. Aquaset II 92. Bitumen additional page

6. Concrete Tank or Liner 19. Other. Describe in item 6, page

27. Mechanical Filter 36. Sealed Source/Device or additional page 63. Hi Dri 68. Solid A Sorb 73. Dicaperl HP500 93. Vinyl Chloride 100. None Required

7. Polyethylene Tank or Liner or additional page

28. EPA or State Hazardous 37. Paint or Plating

8. Fiberglass Tank or Liner NRC FORM 541 (01-2017)