ML19095A324

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Appendix E, 540-541s at Site, 7321-01-0096
ML19095A324
Person / Time
Site: 07000371
Issue date: 03/01/2018
From:
Cabrera Services
To:
NRC Region 1
Shared Package
ml051740240 List: ... further results
References
Download: ML19095A324 (3)
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Text

NA na Solid Oxides NA 32200 LBS; 486 FT3 GFLU002120 U-234 U-235 U-238 1.9488E+01 (5.2671E-01)

RQ, UN 3077, Environmentally Hazardous Substance, solid, nos, 9, III (Asbestos) soil and debris FOR CONSIGNEE USE ONLY FORM 540 (03-06) 20.

TERMS AND CONDITIONS A.

HAZARDOUS MATERIALS: Generator represents & warrants that Waste Material __ is (or) is not a hazardous waste as defined in 40 CFR 261. Where the material is a hazardous waste, this shipment is also accompanied by a separate and completed hazardous waste manifest, along with the appropriate land-disposal restriction notice and/or certification as required by 40 CFR 268.1.

B.

TITLE: Upon acceptance at the disposal site by EnergySolutions, LLC, and all appropriate regulatory authorities, title to the Waste Material which conforms to Generator's representations herein shall thereupon transfer from Generator and be vested in EnergySolutions, LLC C.

WASTE MATERIAL: Generator represents and warrants that all data set forth in this (UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST) are true and correct in all respects and in accordance with all applicable governmental laws, rules, regulations and EnergySolutions LLC's facility license.

D.

INDEMNIFICATION: Generator agrees to indemnify EnergySolutions, LLC, its officers, employees and agents against all losses and liability whatsoever if such losses or liability results from the failure of the Waste Material to conform in all material respects to the data supplied on the (UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST,) or if this shipment fails to meet the standards prescribed by the Department of Transportation or any governmental agency having jurisdiction over such matters.

Record Waste Description Inadequate Contamination or Leakage Detected Unexpected Exposure Rates Detected Labels, Markings, etc. Inadequate Container Integrity Inadequate Other No Violations Detected on this Shipment FORM 540 UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST SHIPPING PAPER EnergySolutions, LLC

1. EMERGENCY TELEPHONE NUMBER (Include Area Code) 800-424-9300 ORGANIZATION Chemtrec contract # CCN3584
2. IS THIS AN "EXCLUSIVE USE" SHIPMENT?

YES NO

3. TOTAL NUMBER OF PACKAGES IDENTIFIED ON THIS MANIFEST

=====>

1 4.

DOES EPA REGULATED WASTE REQUIRING A MANIFEST ACCOMPANY THIS SHIPMENT?

YES NO If "Yes," provide Manifest Number=====>

EPA MANIFEST NUMBER

5. SHIPPER -- NAME AND FACILITY Cabrera Services for GE/UNC 71 Shelton Ave.

New Haven, CT 06511 Utah Generator Site Access Permit No.

0209001622 CONTACT Wade Fillingame SHIPMENT NUMBER na SHIPPER I.D. NUMBER GE/UNC 17-04 COLLECTOR PROCESSOR GENERATOR TYPE (Specify)

FC TELEPHONE NUMBER (Include Area Code) 865-300-5789

6. CARRIER -- Name and Address Greenfield Logistics 8731 Sandy Parkway Suite 107 Sandy, UT 84070 EPA I.D. NUMBER UTR000005728 SHIPPING DATE 06/13/2017 CONTACT Shane Johansen TELEPHONE (Include Area Code) 801-676-1575 SIGNATURE --

Authorized carrier acknowledging waste receipt DATE

7. FORM 540 AND 540A FORM 541 AND 541A FORM 542 AND 542A ADDITIONAL INFORMATION PAGE 1 OF PAGE(S)

PAGE(S)

PAGE(S)

PAGE(S)

8. MANIFEST NUMBER (Use this number on all continuation pages) 7321-01-0096
9. CONSIGNEE - Name and Facility EnergySolutions, LLC Clive Disposal Site (Bulk Waste Facility)

Interstate 80, Exit 49 Clive, UT 84029 CONTACT Security Department TELEPHONE (Include Area Code)

(801)649-2175 Authorized consignee acknowledging waste receipt SIGNATURE --

DATE

10. CERTIFICATION This is to certify that the herein-named materials are properly classified, described, packaged, marked, and labeled and are in proper condition for transportation according to the applicable regulations of the Department of Transportation.

This also certifies that the materials are classified, packaged, marked, and labeled and are in proper condition for transportation and disposal as described in accordance with the requirements of 10 CFR Parts 20 and 61, or equivalent state regulations.

AUTHORIZED SIGNATURE TITLE DATE

11. U.S. DEPARTMENT OF TRANSPORTATION DESCRIPTION (Including proper shipping name, hazard class, UN ID number, and any additional information) 12.

DOT LABEL "RADIOACTIVE" 13.

TRANSPORT INDEX 14.

PHYSICAL AND CHEMICAL FORM 15.

INDIVIDUAL RADIONUCLIDES 16.

TOTAL PACKAGE ACTIVITY MBq 17.

LSA/SCO CLASS

18. TOTAL WEIGHT OR VOLUME (Use appropriate units)
19. IDENTIFICATION NUMBER OF PACKAGE 1

1 None mCi None Digitally signed by Wade Fillingame DN: cn=Wade Fillingame, o, ou, email=wfillingame@cabreraservices.com, c=US Date: 2017.06.20 15:18:57 -04'00'

GFLU002120/7321-01 2-B 13.7620 14605.6753

<1.0000E-03

<0.0000

<0.0000 29,22-HJL 13.7620 100 100 Oxides/none na U-234 U-235 U-238 Subtotal 1.8692E+01 1.4110E-01 6.5512E-01 1.9488E+01

[8.1483E-05 kg]

[1.7600E+00 g]

[5.2076E-02 kg]

AU 5.0519E-01 3.8134E-03 1.7706E-02 5.2671E-01 486.0000 16.1000

<1.0000E-01

<100.0000

<1000.0000 486.0000 4.49100E+01 3.39000E-01 1.57400E+00 Total SNM Source 1.9488E+01

[1.7600E+00 g]

[5.2158E-02 kg]

5.2671E-01 Shipment Totals 13.7620 14605.6753 SNM Source 1.9488E+01

[1.7600E+00 g]

[5.2158E-02 kg]

5.2671E-01 486.0000 16.1000 Note 1: Container Description Codes. For containers/

waste requiring disposal in approved structural over-packs the numerical code must be followed by "-OP."

1. Wooden Box or Crate
2. Metal Box
3. Plastic Drum or Pail
4. Metal Drum or Pail
5. Metal Tank or Liner
6. Concrete Tank or Liner
7. Polyethlene Tank or Liner
8. Fiberglass Tank or Liner
9. Demineralizer
10. Gas Cylinder
11. Bulk, Unpackaged Waste
12. Unpackaged Components
13. High Integrity Container
19. Other. Describe in Item 6, or additional page FORM 541 (03-06)

NOTE 2: Waste Descriptor Codes. (Choose up to three which predominate by volume.)

20. Charcoal
21. Incinerator Ash
22. Soil
23. Gas
24. Oil
25. Aqueous Liquid
26. Filter Media
27. Mechanical Filter
28. EPA or State
32. Mixed Bed Ion-exchange Media
29. Demolition Rubble
30. Cation Ion-exchange Media
31. Anion Ion-exchange Media
33. Contaminated Equipment
34. Organic Liquid (except oil)
35. Glassware or Labware
36. Sealed Source/Device
37. Paint or Plating
42. Biological Material (except
38. Evaporator Bottoms/Sludges/
39. Compactible Trash
40. Noncompactible Trash
41. Animal Carcass
43. Activated Material
59. Other. Describe in item 11, or additional page Solidification
90. Cement
91. Concrete (encapsulation)
92. Bitumen
93. Vinyl Chloride
94. Vinyl Ester Styrene
99. Other. Describe in item 13, or additional page 100. None Required.

Note 1A: Bulk Packaging Description Codes.

(Choose one code as may be applicable.)

A Gondola B Intermodal C End-Dump D Roll-off E Seavan Hazardous animal carcass)

Concentrates NOTE 2A: Specific Waste Descriptions (Choose all applicable codes.)

G Dewatered H Solid I Combustible J Non-combustible K Air Filtration Filters L Asbestos Note3: Solidification and Stabilization Media Codes. (Choose up to three which predominate by volume.) For media meeting disposal site structural stability requirements, the numerical code must be followed by "-S." and the media vendor and brand name must also be identified in Item 13. Code 100=NONE REQUIRED.

FORM 541 UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST EnergySolutions, LLC CONTAINER AND WASTE DESCRIPTION Additional Nuclear Regulatory Commission (NRC) Requirements for Control, Transfer and Disposal of Radioactive Waste

1. MANIFEST TOTALS NUMBER OF PACKAGES/

DISPOSAL CONTAINERS NET WASTE VOLUME NET WASTE WEIGHT SPECIAL NUCLEAR MATERIAL (grams)

U-233 U-235 Pu Total 1

13.7620 11249.0915 5.

CONTAINER IDENTIFICATION NUMBER/

GENERATOR ID NUMBER(S) 6.

CONTAINER DESCRIPTION (See Note 1 &

Note 1A) 7.

VOLUME (m3)

DISPOSAL CONTAINER DESCRIPTION 8.

WASTE AND CONTAINER WEIGHT (kg) 9.

SURFACE RADIATION LEVEL (mSv/hr)

(mrem/hr) 10.

SURFACE CONTAMINATION (MBq/100 cm2)

ALPHA BETA-GAMMA 11.

WASTE DESCRIPTION FOR EACH WASTE TYPE IN CONTAINER PHYSICAL DESCRIPTION WASTE DESCRIPTOR (See Note 2 &

Note 2A) 12.

APPROXIMATE WASTE VOLUME(S) IN CONTAINER (m3) 13.

SOLIDIFICATION OR STABILIZATION MEDIA (See Note 3)

CHEMICAL DESCRIPTION 14.

CHEMICAL FORM/

CHELATING AGENT WEIGHT CHELATING AGENT IF > 0.1%

RADIOLOGICAL DESCRIPTION 15.

ALL NUCLIDES 1.9488E+01 ACTIVITY TRITIUM C-14 Tc-99 I-129 SOURCE (kg)

NP NP NP NP 5.2158E-02 NP 1.7600E+00 1 Container NP 1.7600E+00

2. MANIFEST NUMBER 7321-01-0096
3. PAGE 1

OF 1

PAGE(S)

4. SHIPPER NAME SHIPMENT ID NUMBER GE/UNC 17-04 Cabrera Services for GE/UNC INDIVIDUAL RADIONUCLIDES AND ACTIVITY (MBq) AND CONTAINER TOTAL; OR CONTAINER TOTAL ACTIVITY AND RADIONUCLIDE PERCENT
16. WASTE CLASSIFI-CATION AS-Class A Stable AU-Class A Unstable B-Class B C-Class C 486.0000 m3 ft3 12.4000 kg ton NP NP NP NP 5.2671E-01 MBq mCi RADIONUCLIDES mCi MBq (FT3)

(dpm/100cm2)

(ft3)

(ton) 5.7494E-05 pCi/gm (kg)

(tons)

U-234 1.8692E+01 5.0519E-01 U-235 1.4110E-01 3.8134E-03 U-238 6.5512E-01 1.7706E-02 UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST ISOTOPES REPORT Isotope (MBq)

(mCi)

Total Activity For Manifest # 7321-01-0096 EnergySolutions, LLC

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