ML13149A467

Worcester Polytechnic Institute, Letter Dtd 5/6/2013 from Toxco Materials Management Center, A13270 Worcester Poly Institute MHF-LS Nowr

ML13149A467
Person / Time
Site:	05000134
Issue date:	05/06/2013
From:	Low R Toxco Materials Management Ctr
To:	Curley M NRC Region 1, Worcester Polytechnic Institute
References
Download: ML13149A467 (2)

Text

Toxco

Toxco Materials Management Center (TMMC) 109 Flint Road, Oak Ridge, TN 37830 Phone: 865-482-5532

Fax: 865-482-5605 5/6/013 Mr. Michael Curley Worcester Poly Institute 100 Institute Road Worcester, MA01609

Dear Mr. Medenciy:

The attached signed shipping manifest copies are your notice of receipt and acceptance of the radioactive materials specified on the manifests. The following manifests have been assigned the incoming shipping number of A13270 Manifest Number WPI-2013-0502-001 This is acknowledgement of receipt only.

Sincerely, Date 5/6/2013 Attachments - Signed NRC 540

Estimated burden per'responso to comply with this information collection request: 45 mMutes. 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 APPROVED BY OMB: NO. 3150.0164 regarding burden estimate to the Records and FOIA/Privacy Services Branch (7-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by Interne e-mall to infocolleots.resourceenrc.gov, and to the Desk Officer, Office of Information and Regulatory Affeirs, EXPIRES: 08/31/2013 NE01340202, (3150-0184), 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 NRC FORM 540

U.S. NUCLEAR REGULATORY COMMISSION (8-2010)

UNIFORM LOW-LEVEL RADIOACTIVE -

WASTE MANIFEST

SHIPPING PAPER

5. SHIPPER - NAME AND FACILITY Worcester Poly Institute 100 Institute Road

Worcester, MA 01609 SHIPPER I.D. NUMBER A13270

7. NRC FORM 540 AND 540A PAGE 1 OF 1 PAGE(S)

NRC FORM 541 AND 541A

1 PAGE(S)

NRC FORM 542 AND 542A

None PAGE(S)

ADDITIONAL INFORMATION

None PAGE(S)

8. MANIFEST NUMBER (Use this number on al continuation pages)

WPI-2013-0502-001 0 COLLECTOR

. PROCESSOR 5 GENERATOR TYPE (Specify) A USER PERMIT NUMBER NA SHIPMENT NUMBER WPI-2013-0502-001

9. CONSIGNEE - Name and Facility Address Toxco 109 Flint RD Oak Ridge, TN CONTACT Rick Low

1. EMERGENCY TELEPHONE NUMBER

(Inclada Area Cede) 1800-424-9300 CONTACT Michael Curley TELEPHONE NUMBER (IncJude Area Code) 508-831-5064 TELEPHONE NUMBER (Inducer Area Code) 865-48 ORGANIZATION

Chen*. code MHO

8. CARRIER - Name and Address Southern Pines Trucidng, Inn 423 Fran Wort Road Monaca, PA 15081 EPA I.D. NUMBER SIGNATURE _~Ao horved... - . :....0,,.*- ing waste

' -.1111I1"

-I109. 1 -,A.

DAT

2. IS THIS AN "EXCLUSIVE USE" SHIPMENT?

3 YES NO

3. TOTAL NUMBER OF PACKAGES IDENTIFIED

• ON THIS MANIFEST '

.m>

SHIPPING DATE 4111/- 10. CERTIFICATION 000/0/-

05/03/2013 This ,* u * %Orli; * - rein-named materials are properly classified, d scribed, packaged, rked, and labeled and

*,* n for transportation accordin to the applicable regulations of the Department of Transportation.

TM - so certifies that the materials are classified, packaged, marked, an labeled and are in proper condition for transporta tion and disposal as described in accordance with the applicable requirements of 10 CFR Parts 20 and 81, or equivalent te, r7ulatio * . *

4.

DOES EPA REGULATED WASTE REQUIRING A

121 YES NO MANIFEST ACCOMPANY THIS SHIPMENT?

If "Yes," provide Manifest Number'.

EPA MANIFEST NUMBER CONTACT Mike Meta kl TELEPHONE NU. '

,......i01110" (Include Are ' -

• 724-987-1644 SIGNATURE - Authorized ca Sir ackno lodging waste receipt

, ' e....

DATE 37' 3 - 3

• IT/

LE LI/4 / b &I.,' kV

.,.,:c_

DATE

//4

11. U.S. DEPARTMENT OF TRANSPORTATION DESCRIPTION (Including proper shipping name, hazard dos, UN ID number, and any additional Informatio )

12.

DOT LABEL "RADIOACTIVE"

13.

TRANSPORT INDEX

14.

PHYSICAL AND CHEMICAL FORM

15.

/

INDIVIDUAL RADIONUCLIDES T* PACKAGE

/ CTIVITY (MBq)

17.

LSAISCO CLASS

18. TOTAL WE HT OR VOLUME (Use appropriate units)

19. IDENTIFI ATION NUMBER OF PACKAGE Radioactive material, excepted package-limited quantity of material, 7, UN 2910

'NA :

N/A Solid Oxide Co-60 Cs-134 Cs-137 Eu-152 Eu-154

Fe-55 NI-63

Zn-65 4.6407E+02 N/A 26045 LBS; 600 FT3 MHFU-40501 6

(COMPACTIBLE TRASH, NONCOMPACTIBLE TRASH)..

FOR CONSIGNEE USE ONLY ,

NRC FORM 540 (8-2010)