ML19235A019

Jackson Community College

ML19235A019
Person / Time
Site:	07001228
Issue date:	08/05/2019
From:	Zarczynski S Toxco Materials Management Ctr
To:	John Baker Chase Environmental Group
Tran F
References
613633
Download: ML19235A019 (6)

Text

Mrs. Janet Baker Chase Environmental Group 200 Sam Rayburn Parkway Lenoir City, TN 37771

Dear Mrs. Baker:

ToxcoMaterialsManagementCenter (TMMC) 109 Flint Road, Oak Ridge, TN37830 Phone: 865-482-5532 Fax: 865-482-5605 August 5, 2019 In compliance with the requirements of l O CFR 20, Appendix G,Section III, C. l the attached signed shipping manifest copies are your notice of receipt and acceptance of the radioactive materials specified on the manifests. (Shipment A190280).

Manifest Number T0-2019-219 T0-2019-226 -

Stt~:Ju\\..t T0-2019-235 T0-2019-237 T0-2019-244 This is acknowledgement ofreceipt only.

Sincerely, Digitally signed by Sarah 5

h Zarczynski a r a DN: cn=Sarah Zarczynski, o-~Toxco Materials Management Z

k

• Center, ou, a rczyn 5 I emaif=sarahz@toxcommc.com, c=US Date: 2019.08.05 13:39:31 -04'00' Sarah Zarczynski Administrative Assistant Date Received 8-5-19 8"5-'l9 8-5-19 8-5-19 8-5-19

HM NRC FORM 54-0 UNIFORM LOW-LML RADIOACTIVE WASTE MANIFEST SHlPPING PAP!:R EMERGa.~CYT:£1..E.~HONi NtJMRF.. {lNCLtJOil: AREA CODE}

!aoc-424-9300 fcor..TACT Janet Baker

CANlZA'l10!4 CHEMTREC WSDS #: CHEN01 RAD Customer#: 4395

~,:i1Jc!IH;~\\Oll>.t\\lSli"SHl!>W~

TM. NOMSER OF

}

[ l

• x YES NO

,GSS !OONT!F:t:O SMANJ~

• ,l>>U'~10

[ ]YES

[x] NO EPA MANIF£$T NUt.dlER

,"o;;.,f~;l,IWWt!if

.\\GCQjl/111.W'tle~

11. U.S. DEPAATME!'iT OF TRM'SPORTAT!CN DESCRlPrtCW

{~in;,roper~l'IQMMo, hnuni c:,n. UN to iwmbi!r.

>>J"4:.£.fiYDd_dltll:lri::ll.~lltlfih\\

UN.2910 Radioactive material, excepted package-quantity of material, 7 e p~il with Vial of aqueous liquid for disoosal Emergency Response Gulde

Reference:

161 Generator: Jackson College NIA DOTIABEL

-~~

NIA

6. CARRr'* NAMe AND ADDRESS SJ Transportation Co., Inc.

PO Box169 Woodstown, NJ OS098 CttEMIC,.1. Efl:_R~

Liquid!Oxide AAl:tr,::Nl,J_c_LJ_~.:2_

Co-SO Generator CertffiC!ltion Statement PAGE 1 _1..J'P.Gl:(S)

OF

_1JAGE:(S)

....l_?A(;E(S)

~PAG5:(S)

a. Manifest Number

{Utl!ltrkrnuTlbc,or,all~lli:m.pa;~)

T0-2019-226 Conw.ct for d'l$?osal, i:m, properly c!i:wsJlied, sft! fl'\\ prcpcr cor,d!UQn rortrans.portntfon s~rd!ng to f<<-

DATE 17 14, 'TO'rf;l WEICHT TOTAL PACKAGE L.SJI.ISCO """"""""

ACTMTY rN M!m Cl.ASS m* /<1 16,l(J N'JME(S'R C.i;

?ACAACE 2.01E*01 NIA 0.019 TO-LS-E-~9-274 The constituents of the waste manifested herein are known to the generator. There are no EPA RCRA, pathogenic or other hazards present other than thQSe specificaffy fisted on t'1e Ferm 541.

l!!fss~--

CONSIGNEE ORIGINAL (MUST ACCOMPANY WASTE IN TRANSIT)

HM NRC FORM 540

5. SHIPPER* NAME AND FACIUTY SHIPPER ID#

PAGE 1 _1_PAGE{S)

Chase Environmental Group, Inc.

NIA NRCFON.!k1ANCS<11-.i..

OF

_1_PAGE(S)

UNIFORM LOW-LEVEL RADIOACTIVE 11450 Watterson court X lcoLLecm*

....,.,.M,,.,...,o,.,,

.....LJ'AGE.{SJ WASTE MANIFEST Louisvifle, KY 40299 le*oc.ssos

=......,o,,.,,.r,""

l:ila!L.PAGE(S)

SH1PPING PAPER USSR PERMIT NUMBER iSH',PMENT 1J..

Cl!!tlfRATORT'tPE ISPE'Cl'Y1 l!. CONSlGNE. &!tf\\ME ANO FACILITY AOORESS

,. ZMERGENCvteLE?HON5 """se o*cwoEAREA coDE)

T-KY003-L 19 I NIA TOXCO, Inc.

a. Manifest Number

(!,J~a d"li-.$ m.mbm" en.al! e:intlrtuarior: Pti!Jnl Contact Rick Low T0-2019-226 800-424-9300 CONTACT TELEPHONE#

109 Flint Road oeGAN12At10.-

Janet Baker ae5-25Q..4593 Oak Ridge, TN 37830 Telepho~e Number (!nciude area code) 665-482-5532 CHEMTREC WSDS #: CHEN01 RAD Customer#: 4395

6. CARRIER N... ME AND ADDRESS EPA ID#

S!GNATURE*AulhOrtloii ctm$1Ql'lC!# aeknow!t1tlglf!Q ~

~l Date

!.~N$AX'OQ;\\IS~\\/$t"~l'WEW,T

[ l YES PAC¥.>.Ges u,em,e,eo 1

PO Box 169

"""'"'"G DATE 1 O. Certification r

rorAL NUMBER oF 1*

SJ Transportation Co., Inc.

NJD071629976

[ X ]

NO ON >HIS MANIFEST Wood$town, NJ 08098 7118/2019

,:his ls 1o cortify thatlhe herein-named mo!ellals *"' acoepiable for dlspo>al, are prnper:y cl,ssit.ed,

... Jio~£"4.Mem.t.til>

( ] YES l'EPA MAN!FES'r NUMBER CO~ACT TELEPHONE#

dewlbed, paclrag&d, martced,.ai,d l1be!od, and are-in. prope.r condition. for transportation accordirig-to

"""""'"""'"""'~

f X J NO Kevin Elder 656-769-2741 the *PPll.. ble regulallo,,. of the Department of Transoortotion and lhe Commission.

s,~- ~/J OAlJ,/8--ll ~~JTITLS l_~b_

N/A 1~,\\!ff~i;~l't,ti:ttr~

1 t, V.$, OEPARTM;NT OF TAANS.PORiATlON OESCR!PTlON

{ifle!!,.'Qlng ~~pi(tg l'lQ.trul:, h~r<! :tu~. UN IO.nv:nilm'.,

in::i.1!!f 11d~litlfutr.iali"!'J UN291 o Radioactive material, excepted package.

12 VG,! T

-,47 OCT f.ASf;;t. I TRANSPORT PHYSfCAt.ANO CHEMICAL FORM

'°lt.ttl!OAC'fl\\.'a" lNOEX NIA NIA Liquid/Oxide

-,,G/

JtWf'Vfl)UAL.

~NUCU0£S Co-60

- I,.

11 iOTAL?ACKAGE LSAiSCO ACTIVITY IN MBq CLASS 2.01E*01 NIA 18, l'OTAL WEIG~

ORVOUA£ m3 0.019 DAT2_...,_/,1-/'2_

19,10 NUMBER OF PACKAGE TO-LS-E-19-274 X !limited quantity of material, 7 One pail v.ith vial of aq_ueous liquid for disposal Emergency Response Guide

Reference:

161 Generator: JacKson College Generator Certification Statement:

The constituents of the waste manifested herein are known to the generator. There are no EPA RCRA. pathogenic or other hazards present other than those specifically listed on the Form 541.

/!flt2-1s. i:F!~{) ~f))()d/Uce i2/;d8 CONS:GNEE ORIGINAL (MUST ACCOMPANY WASTE IN TRANS!i)

NKe, fvRM ~41 US NUCLE.AR REGULATORY COMMISSION

'i. MANlrr::~

u ALS

2. MANIFE,:;T NUMSER NIJMSUOF 1'1£'TWAST£ HE't'WASiE SPECIAL NUCLEAR MATERIAL (grams)

UNJFORM LOW-LEVEL RADIOACTIVE

"°'-"""° WGHT~u U-233 U-235 Pu TOTAL T0-2019-226 WASTE MANIFEST 1

0.019 'l NP NP NP NP 3,

CONTAINER AND WASTE DESCRIPTION 0.7 PAGE 1 OF 1 PAGE/S)

ACTIVITY (MBQ/mCi)

SOURCE 4, SHIPPER WIME ALL NUCL!OES

'll'lmUM c.. 14 TCC9$

~129 (kg)

Chase Environmental Group 2.01E-01 MBa NP NP NP NP O.OOE+OO SHIPPER ID NUMBER 5.44E-03 mCi NA DISPOSAL CONTAINER DESCRIPTION WASTE DESCRIPTION FOR EACH WASTE TYPE IN CONTAlNER 1&.WASTE 5.CCNTAINER a

7 a

9.SURFAOf.

10...S.llf!FAOE PHYSICAL DESCRlPTION

14. CHEMJCAlC-eSCRIPnoN 15, RAOIOLOGtCAt. DESCRIPTION Cl.MS lC:ENTlF!CATION c<l'fl'/dWe_R WMTEAND IV,OIATlON CON'ri<.Mb"i/\\'t'IOM 1~.WASiE, 1t~*

13. SORa:elt..'T WEIGH.!

w::iiv!OUN. RA!OW:JCL!DES ANO ACrr!WiY (MEie) ANO AS-A STABLE NUMi3ER1 QE.SCRIFTION

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,eve.

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CONTAINE!tl'O':'At: OR CONTJJNE!'l fOTAt.ACn\\JrrY AU-A UNS"" A8LE GENERATOR (SMN>;)lth (m3)

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STAalUZAT',Cli CKEI.AT!NG.~li'.NT

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{kg) mS\\1/hr OAMMA

{S<t1tN11ta2)

(m3)

MECAA1$a.Nolll:3l IF>0,1%

Nuclide MBa mCi C.cti\\SSC TO-LS-E-19-27 4 3

0.019 I

<5.0

<3.67E-6

<3.67E-5 25 0.019 89 Oxide/NP NP Co-60 2.01E-01 5.44E-03 NA 2006 Absorbent Pads Package total 2.01E-01, 5.44E-03 I

NOTE 1: Conl<Jir.er Oe:.cf.ption Codee. For cont.i!nG.rs.'

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tne l'\\umierie3 c:od1:i must be !of,Qwed by "OP"'.

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NRCFORM542 U,$. NUCLEAR REGULATORY COMMISSJON 1,

WASTE 001.LECTORIPROCESSOi,

2. MAMF!:sr NUMSER (5-19118)

NAME SHIP?ER VsE ONLY UNIFORM LOW-LEVEL RADIOACTIVE Chase Environmental Group, Inc.

T0-2019-226 WASTE MANIFEST

DENTIFICATION NUMBER T-KY003-L19

3.

MANIFEST INDEX AND REGIONAL COMPACT TABUI.ATIDN SHll"PlNG DATE PAGE_\\.. OF _*1_PAGE(S)

List all original "PROCESSED WASTE" bef<>re "COLLECTED WASTE",

7/16/2019

4.

5.

7, a.

9.

,o.

11, AS PROCESSC:OICOLLEC1'EO TOTAL G!:NER:ATOR GSNSR.ATOR NAME CENSRATOR

?~EPl'tocesse:o WASTE Clt!ONA;;lNC lOE,'*fflf!CATlON F'ERMIT NUMBER FACILITY WAST£

~=Qiw.>.$rf CODE -

A SOURCE 8.SNM C,ACTIVl"l'Y O. VOLUME NUMBER ANO TELEPHONE NUMBER AOO~ESS (ORMATSR.!l\\l..}

j0$l~T!!:l!:W.}

OR MA1'1:'.fUA1.

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N::Ouie'IU

$Tl!;/'!;

(M8q)

(m3)

(m...!t)

QF-~ECf:IPT (kg)

(g) 2006 Jackson College 21 i 1 Emmons Road 0.019 NA C

Ml 0.00E+OO NP 2.01 E-01 0.019 Jackson, Ml 49201 517-936-8626 TOTALS OF ALL PAGES (NRC !'ORI/I$ S4ZANO S42A)

O.OOE+OO O.OOE+OO 2.01E-01 1.90E-02 t~FM~ro(>Jll!iel

Song, Taehoon From:

Tran, Frank Sent:

To:

Cc:

Thursday, August 22, 2019 7:00 PM Song, Taehoon; Pavon,Sandy Tomczak, Tammy

Subject:

Attachments:

Dear IM Center,

FW: NOWR T0-2019-226 T0-2019-226.pdf Please add the attachment and the email to ADAMS for Jackson College. This is an additional information for one of my licensing action.

Thank you for your help, Frank From: Shauna King [sking@chaseenv.com]

Sent: Thursday, August 22, 2019 12:15 PM To: DeMarcoChrisJ@JCCMI.EDU; Tran, Frank

Subject:

[External_Sender] NOWR T0-2019-226 Please see attached copy of the signed NRC Form 540, acknowledging receipt at Toxco MMC in Oak Ridge, TN, of the low-level radioactive material shipped from Jackson College, Jackson, Ml., on July 18, 2019. If you have any questions concerning this shipment please call us to-free at 877-389-2124.

We appreciate the opportunity to be of service to Jackson College, and look forward to working with you again.

Thank you, Shauna King Chase Environmental Group Inc.

200 Sam Rayburn Parkway I Lenoir City, TN 37771 Phone: 865-816-60151 Fax: 865-816-6251 I E-Mail: sking@chaseenv.com<mailto:sking@chaseenv.com>

www.chaseenv.com<http://www.chaseenv.com/>

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