ML20247K878

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Certificate of Disposition of Matls:Matls Disposed of by Burial.Manifest from Chemical Nuclear Sys,Inc to Us Ecology, Inc Encl
ML20247K878
Person / Time
Site: 07002626
Issue date: 04/11/1989
From: Bachelor L
ARMY, DEPT. OF
To:
Shared Package
ML20247K772 List:
References
87342, NUDOCS 8908010087
Download: ML20247K878 (10)
v • d • e


Text

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e t AC Face 314 U.S. NUCLE AR REGULATORY COMMISSION armovgo e, o 111 423 3190 4028

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$ EZ $5%'"ilL*,'i CERTIFICATE OF DISPOSITION OF MATEnlALS io C,R io m "**

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l (Att items MUST be completad, pioner pnnti LICENste haut 440 acomESS LICEN$t Numeta RNM1745 Headquarters U.S. Army Armament, Munitions and Chemical Command ATTN: AMSMC-SFS 31 May 89 Rock Island, IL 61299-6000 THE LICENSEE OR ANY INDIVIDUAL EXECUTING THis CERTIFICATE ON BEHALF OF THE LICENSEE CERTIFIES THAT:(Checa aw/orcorngNyne av nRpraF!sete stents) wo v.)

A. MATE RIALS DAYA (Chace one and canalese, e nacoeurYJ

] 1. 40 MATERIALS MAVE EVER BEEN POSSESSED On PROCURw BY THE LICENSEE UNDER THl3 LICENSE.

OR

2. ALL MATERIALS PROCURED AND/OR POSSESSED BY THE LICENSEE UNDER THE LICENSE NUMSER CITED ASOVE MAVE BEEN TRANSFERRED ON Daft to ansCM MAS NRC LICSN88 NWedSSR OR

] 3. ALL MATERIALS PROCURED AND/OR POSSESSED OY THE LICENSEE UNDER THE LICENSE NUMSER CITED A80VE HAVE Daig to WMcCM ma$ UCENS4 Numegn 333ygo ev Tug gTayg 08 AN AGREEMENT STATE PURSUANT TO SECTION 274 OF THE ATOMIC ENERGY ACT OF 1954. AS AMENDED, AND THE ENERGY REORGANIZATION gn ACT OF 1974.

4 M ATERsALS Mt #E BEEN DISPOSED OF IN THE FOLLOWING MANNER. (Decrear eses /c apossieroceavw-,#aoastions/ pace a needed, uar rne severse of

,,,,-.,,..,t._,,,

See attached disposition record.

B. OTHER DATA v

1 OUR LICENSE HAS NOT YET EXPIRED: PLEASE TERMINATE iT.

2. WAS A RADIATION SURVEY CONDUCTED TO CONFtRM THE A8SENCE OF LICENSED RAF.<0 ACTIVE MATERIALS AND TO DETERMtNE WHETHER ANY A

_ CONTAMINATION REMAINS ON THE PREMISES COVERED BY THE LICENSEP (Chart W, sc?O9010037 090511 S. THE RESULTS ICheet on.i I

ARE ATTACHED OR

_gj PDR h WERE FORWARDED TO NRC ON roares 3.

THE PERSON TO SE CONTACTED REGARDING THE l 4 FORMATION PROVIDED ON THt$ FORM

*' Katheryn LaFrenz N d M N 965 4.

Mall ALL FUTURE CORRESPONDENCE REG ARDING THIS LICENSE TO Jieadquarters, U.S. Army Armament, Munitions and Chemical Command, ATTN: AMSMC-SFS Rock Island IL 61299-6000 a

e 0.3 / ' * ' /

"'"#'** 'Ac'#

RETURN TD DIRECTOR OtVtSION OF FUEL CYCLE AND MATERIQOMT lo ri ic~ 'uai L SAFETY g

g OFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDS S,

U S NUCLE AR REGULATORY COMMISSION PAINTED Namt ANOf7LE w ASHiNGTON. DC rosss Chief.of Staff f

t o - 7,

e 4

MANIFEST FROM CHEM NUCLEAR SYSTEMS, INC.

DEPARTMENT.OF DEFENSE CONSOLIDATION FACILITY TO US ECOLOGY, INC, HANFORD RESERVATION, RICHLAND, WA 1

00NTML N0.87 3 4 2

==

U$Esolog, me.

.. F.O. Box $33 16471

' Richland. Waar.ington 99352 509/377 7411 CHEM NUCLEAR SYSTEMS, INC RICHARD Tf1ATCHER DOD CONSOLIDATION FACILITY

'TWO OSBORN ROAD SNELLING SC 29812 USEcohlgy Nuclear US Ecobgy, Inc.

en American Ecology company This is to certify that the waste shipment described below was received for disposal at the US Ecology Richland, Low-Level Radioactive Waste-Disposal Pacility.

Tt'i s certification satisfies. the Acknowledgement of Receipt of Waste Conditions of the State of Washington Radioactive Materials License WM-IO19-2 issued to US Ecology, Inc.

BATES NUMBER 16471 GENERATOR NUMBER: SCR-99-001-6362 SHIPMENT NUMBER:

0801 DATE RECEIVED:

04/20/B h,

[]

DATE: 04/22/88 SIGNAT URE :

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Discrepancies (if any) between wastes listed on the manifest and waste materials received in the shipment:

NONE NOTE: This certification does not necessarily imply that the vaste has been buried.

You will be advised if any problems with the shipment are encountered during the burial process.

Any inquiries to this acknowledgement should be :!irected to LM Nolan, Facility Radiation Safety Officer.

l CONTROL NO.8 7 3 4 2 m_______.____.

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