ML20353A290
| ML20353A290 | |
| Person / Time | |
|---|---|
| Site: | Westinghouse |
| Issue date: | 12/18/2020 |
| From: | Westinghouse |
| To: | Office of Nuclear Material Safety and Safeguards |
| Shared Package | |
| ML20353A275 | List:
|
| References | |
| LTR-RAC-20-94, EPID L-201-RNW-0016 | |
| Download: ML20353A290 (27) | |
Text
WESTINGHOUSE NON-PROPRIETARY CLASS 3 3 to LTR-RAC-20-94 Date: December 18, 2020 Enclosure 13 Response to Request for Additional Information LTR-RAC-19-64, Manifests for HFSS#2 Soil Remediation
@ Westinghouse Westinghouse Electric Company Nuclear Fuel Columbia Fuel Fabrication Facility 5801 Bluff Road Hopkins, South Carolina 29061 USA SCDHEC, BLWM Direct tel : 803.647.1920 Kim Kuhn Direct fax: 803.695.3964 2600 Bull Street e-mail : j oynerdp@westinghouse.com Columbia, SC 2920 I Your ref:
Our ref: LTR-RAC-19-64 August 8, 2019
Subject:
Manifests for HF Spiking Station #2 Soil Remediation Mrs.Kuhn:
ln accordance with the Department's letter dated March 7, 2019, the following summary of manifests is provided as a record of the soj] remediation performed on HF Spiking Station #2. All of the soil removed during the remediation of the spiking station was transported by Hittman Transport Services and received by Energy Solutions, LLC Disposal Site in Clive Utah.
Manifest/ Description/# of drums Weight Shipping Energy Solutions Shipment (HF spiking station #2 unless
{lbs) Date Received Date Number otherwise noted) 16 soil drums-spiking station*
0857-08-0223 19,343 6/ 11 /2019 7/2/2019 8 soil drums-bollard project 0857-08-0222 43 soil drums 28,427 4/23/2019 5/21/2019 0857-08-022 l 44 soil drums 28,389 4/23/2019 5/21 /2019 0857-08-0220 41 soil drums 26,783 4/23/2019 5/21 /2019 0857-08-0219 44 soil drums 28,602 4/23/2019 05/21/2019 0857-08-0218 44 soil drums 28,603 2/19/2019 03/26/2019 0857-08-0217 3 8 soil drums 25,867 2/19/2019 03/26/2019 25 soil drums 0857-08-0216 27,586 2/1 9/2019 03/26/2019 18 concrete drums 25 soil drums 0857-08-0214* 23 ,717 12/28/2018 1/25/2019 I 1 concrete drums 0857-08-0213 36 soil drums 23 ,718 12/28/2018 1/25/2019 0857-08-0212 36 soil drums 23 ,760 12/28/2018 1/25/2019 21 soil drums 0857-08-0211 23 465 12/28/2018 1/25/2019 15 concrete drums
- Manifest number 0857-08-02 15 was used to ship other low level radioactive materials from the site that are unrelated to the HFSS remediation.
© 201 9 Westinghouse Electric Company LLC All Rights Reserved
Page 2 of2 Ourref: LTR-RAC-19-64 August 8, 2019 Please contact me with any questions regarding the submitted information.
Respectfully
~
Principal Environmental Engineer Westinghouse Electric Company, CFFF 803.497.7062 (m) cc: E. W ills, EH&S Manager N . Parr, Environmental Manager D . Cauley, URRS Engineering Technician ENOVIA Records
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FORM 0.: CF-83-154 REV1SION: I SEA/LAND CONTAINER INVENTORY LISTING PAGE: !OF J EFFECTIVE DA TE: 02-05-04 CONTAINER BEING FILLED:
DATE BEGAN FILLING:
ALL WEIGHTS IN POUNDS Keep this record sheet in the desk in LL WB while this container is being filled.
Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- Net Weight REMINDER:
Weight Weight Gms U23 5 date each move container to entry flatbed before 29,000 gross lbs. exceeded
~ ,1 Container Tare Weight Drums added per pick list
- 1i, -Soil d.,. "'n"\..!o I '-I Jp3 Hoppers Total Weight for Shipment
- Example: hoppers, drums, loose material, etc.
l1tD This doC\lmen t is the prop,cny of and con1ains Proprietary Information owned by Westinghouse Elecl ric Compa ny LLC and/or its subcontracior.1aM l\lppliers. lt is trarum it.u:d lo you in oonfidenoe and trust., and you agree lo treat this document in strkLaeeordance with the terms and conditions of the.agreement underwhic.h it was l)rovided to yoo ,
0 2007 Weslinghouse Electric Company l LC, All Rights Re,crvol
oHwPJ:.N LO. fljUMBER FORM540 EnergySolullons. LLC 5. SHIPPER - NAME ANO FACtLITY a IMIIIFlaST NUMBER UNIFORM LOW-LEVEL RADIOACTIVE Weallnghouu Eloc:trla Co., LLC
&801 BLUFF RO HOPKINS. SC 2.SG81 DIS7-ot-0222:
D COLLECTOR 7, FORM5'1OAND~aA FOMl 541 AN0541A FOFI.M 5,42 ANO S42A PAOJ: 10f N°""
I I
PAGE(S)
PAGE(S)
PAGE(S)
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WASTE MANIFEST D PROCESSOR 0B67-0B-0222 I
AOOITJONA!.. ENFORMA llON >>ana PA.GE(S)
SHIPPING PAPER Ulah Cenara w SilB ~ ' Psrm~ No. SHIPri.!UIT ~.tUr-JIBER [2l GENERATOR TYPe D. I..V,."11 !:i lbHC.~
- Name IIAd aciitl,y CONTACT
- 1. EMERGENCY TELEPHONE NUMBER t*ncJuoe Area C,od&) 02(17 001421 D8S7-0S.022Z (Specify/ EnergySoluUons, LLC FC Transoortatlon Cnmnllance TElePHOIIE NUMBER Clive Disposal Site (Bulk-Waste Facility) 1=n1uNE 1-800-424-9300 CONTACT Interstate 80, Exit 49
.. ('1dudoAlHCode) {lneluda Area Codo)
ORGANIZATION E.W. CAUlEV JR
- (803) 847-.3903 Cllve, UT 84029 L. l'3 2.'.J nb 1435 1884-0165 WE!:STINOI-IOUSE ELECTRIC Co., L\.C SIGNATURE: - A~tl>OJILwJ oo,~e Acicnow/odglrtQ was.!~ t<<JttJpl DATE
- 0. CAAfl:IER - NOJTI&Bnd Adm-OH EPA LO, NUMllER 2 IS 1111$ AN "V<.CLUSIVE use- SHIPME.Nn 3. TOTAL NUMBER OF HrTTMAH TNR0000:S41iH ~ /1,.1 - sh.. , //q l2l PACKAGES tDElnlFW 1 15110 011..- C tetk Rd 10. CERlif lON YES ON THIS MANIFEST O1k Ridge. TN 37830 SHIPPING DATE NO 04/23/21lf9 lffif110lo<.0nilJl:~ff~-*-*-***-°"*""""""""*"'
1ro In proper ccndi&lc:n fot tranSpOn.iwcn rdfV (0 the eppllc:e le ,egulalion& Cl tho Otp;a:tmenl ofTAn3potlulk.ll"I.
... DOES EPA REGULATED WASTE REQUIRING A 121 NO YES EPA MANIFEST NUMBER CONTAOf
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t(U-5) 220.5017 THIS SHIPMENT?
54c.NATURE; - Ac,C/,odlad~ ,.C',lcn0wtod.:ltn17 .,..SllltldCOipl OATE~ AUTHORIZED !ffliNATVRE OAT£ 11--t*s,"~*t.\.lniOllt,lumbGf.__.,
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OOTLI\BEI.
TRANSPORT PHYSICAL ANO IS.
lm!IVIOUAL
!~7* <;,!~.~;:tblac." barow 16.
TOTAL PAC,KAGE ACTMTY LBNSCO 18.. TOTAL WEIGHT OR\IOUR,aE lll11l-4t111
- 19. IOENTlFtCATlON HUMBERO!=
and ilff/ .rdaoMI WommUori) "RAOIOACTI\/E" INDEX CH*MICAL FORM RADIONUCUDE S MBQ mCI " " \ CLAS1l (U1e epproprlel,e lfflil.s) PACKAGE
/
UN 2912, R.adioactive tlllllerial, low specific oclivity (LSA-1), 7, NA NA SOLID URANIUM OXIDE IJ.23~ U-236 U-236 U-236 7.3326E+02 1.9818E+01 LSA*I 28427 LBS; ESUU300001-
\,,, 1300 FT3 0222 Fisslc Excepted LLW soil ( 43 soil dn1ms) I 20FT SEAVAN/ESU U300001 FORCONSJGNE-f Ut:IE. Ot~LV 20. TE~MS M<O CONDITIONS
'Thi odclnill slaocct rn*nm:a s t rHldU* w[th:
E.W. C11ulsy J r -- Reco1d Waste Desc1iption Inadequate A. HAZAAOOUS MA11: R\Al$: Goni:n.iltlr represonta & wmmnh lhal Wl.,$[0 Mlll(Jt~l _ ja (or) ~ 11 ~ a hazqdow was It as oor-,od "1 i!IO Cf.R 261. 1/kiaro lh111 m.tt11ial I& :e hn.ardoull WBala, lhla lhipment rt llSo eccqnpun'ied by a lil!pllfl\a atld comp(IIIUIICI haz.ardous was.1& m.al'WHI,. ~ will\ Iha ~ I ! land,dJ:pm.al re,!tictlon no1~ ~'Of 6801 Bluff Rd Hopkins, SC 19051 -- Contamination or Leakage Delecled eo1tmc-,t.1on as IBqlWed ~ 40 cm ~a1.
(803) 647*l90l
-- Une~pec\ed Exposure Rales Detected 8. TITLE: Upon ,t!tmp1nnce m Iha d'isposill silo by Enorgy:Soulons, llC, and al ilpptc,prieto rtQuWQIV <<1ulhcrt18s. Ille to Iha W.uta MalBrial Whlth (:(fto,nu to G'ener810f"a ltlpl'OfonlOUont. Ml'WI r;hal ~ transft< rrorn Gen&ralllll' and be votlod in Ent1gy$Olutloos, LLC
-- Labels, Markings, etc. Inadequate C. aa WASTE MA.TE.RIAL:' Gena rator repre:senb and warr.mts Iha\ dab IOl Corlh In thl.s (UNIFORM LOW-lEIJa. RAOIOAC°Tl"E WASTE! MANIFES1} are 1'ue al'ld ccrrtrd In M
-- Container lnlagrity Inadequate Olher 0.
nHpad:. and In iiK(;Qld:lfle& wl:h o!I ;pplcablo $0"4ilmmo,1Ui1l .....,1, nJ.a'- f&llUlatiom and 9-o,gySoMjOmi LLC'e fiei,llt:, 11censl!.
tNOEMNIFtCATION: Gcn01.1or fJQf88!1!1 la Indemnify' E1J111U)'SOluticn$, LLC, lb oir,crn., employea and agents aoolm,t -all lo:5Sall and liabilily 'Whilaoever if $4.11.h, losses OJ l~I:,
raMJlb from Lbo f---6 Clf tho Waslo Miil!et"ial la ccnfocm in ~ I materielfKpecta to the da1a Wppl9d on~ (UHIFORriA LOW.UVl!L AAOIOAClrvE WA$ T£ MANIFEST,) Of rt lhls 7 No VlolaUons Detected on this Shipment °'
~mcnl reu, to ,n$8( *h* .slalderd:. prosailed by 1M Oet:iaritnenl of Trat.spoN,1ion at,,/ gove,nmanial ageney hBYlng ).u:dlctlon OYtr ,Uoh mat1ar11..
FllRl.l:.tO(IXl-061
FORM NO.: CF-83-154 REVISION: l SEA/LAND CONTAINER INVENTORY LISTING PAGE: I OF l EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED: =bS~u_u-2a':>~d)=------(_ _ __ _
DATE BEGAN FILLING: J* 22* 1"1 ALL WEIGHTS IN POUNDS Keep this record sheet in the desk in LL WB while this container is being filled.
Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added* Net Weight REMINDER: Gms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs. exceeded Container Tare Weight 15~0 l*Z2*/Cf Drums added per pick list
- IS .So~{J,~ms ,3~\ l"l qz.1 \ *li *lCf Hoppers 1a ~.* I o\r~
l6 .sci l J.ru.MS t.i,U,i 12.1>
- 21
=1f "IZ7 Si J *).8* 1'1 Total Weight for Shipment
- Example: hoppers, drums, loose material, etc.
This document is the propert~ or and con1ain.s Prapric1ary (nformation owned by Wcs1inghousc Electric: Company LLC :e.nd/or its Sllbcontnctou-11.nd suppliers. It is transmitted 10 you in confide~ and cruse, and you agree to treat chis documenl in strict accordance with the terms and conditions of the asrcement under which il v..1s pro,..idtd to you.
02007 Westinghouse Electric Company LLC, All Rights Remv<d
SHIPt"a:R LD. NUM8CR FORM 540 EnorgySolutlons, LLC S.. SHIPPER-NAME ANO FACILITY 8.. MANJFEST NUMBER 0857*01-0211 7. FORM540AN06'klA. PAGE !OF 1 PAGE(SI Westlngh~aa El*clfkCo., LLC (U.a thl, n..wnbor Ol'IG* ~ o n UNIFORM LOW-LEVEL RADIOACTIVE 6801 BLUFF RC HOPfflNS, SC 29061 D COUEC'?OO FOAM 541 ANO 541A FOl<M 5<2 ANO 5'2A N.MG 1 PACE(SJ PAGE($)
p.age$J WASTE MANIFEST D PROCESSOR ADDlllONAL INFORMATION Ncirt11 PAGc(S) 0857-08-0221 1, EMERGENCY TELEPHONE NUMBER SHIPPING PAPER (lnduds N'E!'s Coda)
Vtah Ocn1tl6l0f Silo Acasia PIUmil No.
0207001 '421 I ~rnPr,!!i;lfT HUM!lsn (2) GENERATOR TYPE ou1.oa.02z1 /Si>e<ilyJ FC
- 9. L.;VN:)ISNEI::
- tfarmt ilM- *a.c1my e.torgySolutfons, LLC CONTACT Trans ~ortatlon Com*IJancc
- ~=
- Clive Disposal Site (Bulk Waste Facility) 1-800-424* 9300 CONTACT nvNEHUMDER 11:U:PHOHE (lnck.ldo /Vea Code) Interstate 80, Exit 49 {Jndudo Aro, Cooo)
E.W. CAULm' JR ORGANIZATION 1*0.1) 647-1903 Clive, UT 84029 1. 13:i:1.nc '435'884-0155 WESlltlGHOUSE ELECTRlt C0,1 llC 6IGNA1URE - AurlJOIUed c:onsrgnoe fl;J00V.i,dtjng w.iurct roca>pl OME e, CAARIER - Nllma 11Jid Adrlra:U EPA 1.0. N~,ilBER
- 2. IS n-us At~ EXCLUSIVE Use' SHIPMEtn; 3. TOTAL NUMBER OF HITTMAf* TNR00003491G ~ A, l- 5/r;.,1 /fq NWeh:i:a.:i~~
PACKAGES lllENTlFIEO 1560 Beat Ctll!Ok Rd J2l 1 10. GERTFICATION VfS ON TMtS MANIFESt o._1c Ft1t:teci, m :>1030 SHIPPING OATE NO lll'lis is to c;uJlll)' tnal Che qe~fd. packaged, mllt.od, Bl'ICI kWIIHIII al\d wP 0412312011 4, DOES Ef'A RECUIJ\TED ~ VEG l;f/1 flWflfEoT NUMOEJ'!
TELEPHONE ..... .....,__,"
Thi, e1ltQ ~ m lhBI " Is '
- s to ...... loMof"'90op--olT*-*Oon.
, and !Abe'md end are In proper ~iPn ror WASTE: Rl=.OUIRING A MANI.CEST ACCOMPANV 1-/0 CQNTI\CT
.rc-rrP*ck*U lln<luda At** Codol IIam;panalklll1Brt:1<lls Cl&Olorogl.ll111lo,w. * ,-q~
~ 14Dl10CFRP00&20m'ldfll,ortlq\,lf¥OCOOI 11816)220..!611 T.,08 &HlPMEl<M If 'Ye,,.. J:flMdB Manltu\ Nutnbet *-
Slv*~* Rl::- ,..,.,_,u..,. Cltffllll *011'*--;,-*lllil w..st* tUQCll,pr -*- ~*nu.,=u E.W. Couley JR u'~"'2110111i:¢rl~
n, 3127/2019
- 11. U.S. DEPARTMENT OF TAANSrORTATION OC.$CfUPl10N 1.C ,,. 1 . fo.
Sae conal..;;...,e block bolow 18, [)18. TOTAL WE1GHT 1a: IOl:Nl'lflCATION (w;Wlng proper *~Jno namo-. tta1ard c&a.s.s. UN ID number, OOTLA8EL TRAl!SPORT PHYSJCA.l.AND INDIVIDUAL TOTAL PACKAGE ACTIVITY L~ OR\/OLUMll ,1UMB!;ROF ood eny OWil:ionDt .-.rOfmallMl HRADmA.CTIVE" INDEX CHEMICAi. FORM RAOIONVCllDES MBq CIASS {llso oppr09()11!e unll!I) PACKACte
/mer "-
UN 2912, Radioactive moterial, low specific activity (LSA*l), 7, NA NA SOUD URANIUM OXIDE U,234 u.235 U,2111 U-23B 1.6148E+03 (4.3641E, LSA-1 28389 LBS; ESUU300502-Fissle Exc,:ptcd LLW soil (44,oil drums) 1300 FT3 0221 20FT SEAVANIESU U300502 FOR CONSIGNEE USE ONL.Y 20. TERMS AND CONDlTIONS Ibll ar1mnal ,ranad ni.agll115! rn1ld1t5 wilh' e.w. C11ulov Jr -- Record Waste Description Inadequate A. HAZAAOOUS MATaUALS: Ganvral0f fepl'G14tnl.S & w ~ \hP4 WD'1a Mal<<lal_ it (Of)f_ Jt; l"Oe ,ii NPtdOUS:W.11119.es defined In '40 CFR 261_ IM'laro LhO molerlat It e hozord!Mni Wii=to,. lhls stilpmffl! la alao accompenlod bye 1eparale and complo!Dd hRlll'dov; WO$ICI ~ . along wUh Iha apflfCfMb!o lilnd-dl&pgwl ruslrlc;1Jon 110\ieo a:nd'lor no1 Blul!Rd Conlamlnalion or Leak;,ge Delecled H opkin
- SC 2iOG1 1803) '47.,003
-- Unexpected Exposure Races Detected .. c.11ilialUol'l a reQ\hdb',' <40 CFR.2E8.1 ,
in'I.E: Upon ~tonto 01 Iha dlspo,ol i,1.,o by Entro)'SOU~ LLC, ei,d al appmpriate ft91llllaly aiulh~ mo 10 lho Wltale M.Morlal whidl oonforms ra:p<esenrmkioc: hlrelrl &hall lhereupori lrwl5fct f,wn 081"1Bmlor end bl ve5led In Enmvvsc,IUloor,, LLC
'° Gt.rwn\ot"t.
-- Labels, Markings, etc. Inadequate C, WASTE MATERIAL:: G'9rMUIIIC1r ropre&Ml:!i rand wo<<Ol'l1.:11 that t'I dote 10i. lorth in lhh (UNIFORM lOW.LEVa. RAOIO~CTIVE WASTE MANtr-EST) are true end com,d In ol
,,~1:,
Contalner Integ rity Inadequate OUler D.
rei11P111:t.s eld n aco.:intance v.11h sll lllpplleeb'A OO'(O~cinlel U.Ws, ~ . reQWllans DnLI En11gySmJClanl U.G's r~s1.
fllOEMNIFlCATIOM: Ganerator ~ s IO lndomnlfy EnorwScilJliom, LLC, IL, offleors, emploo,,Hs and mgfftt agtiml flll Jo:,1 1311d tiabl'tlly whal.!oater it stld1 fo3stt o, IIDbHy results from lhs faiufe ol 1110 W-a1ile b.\alertaf \0 C0f\f°'11'1 in all 1Htetiel rotPed,:$ lo 1he data wppli9d on lhe [UNIFORM I.Ow.LEVEL RAOPOACilVf WA.STE MANIFEST,) or ff 11\'iS
. / No Violations Detected on this Shipment ,ihlpment Colla IO metl 11he , 1and.i<<is praseribtd by the Oop4111Mnl cf Transp011atian ar ul'IY goviwnm~ :,goney havln;Juri&dleib\ a,.,er such mallGB.
FORM NO.: CF-83-154 REVISION: 1 SEA/LAND CONTAINER INVENTORY LISTING PAGE: l OF 1 EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED: <<;.su~3ooSoZ..
DATE BEGAN FILLING: / * /(:;~/9 ALL WEIGHTS IN POUNDS
- Keep this record sheet in the desk in LL WB while this container is being filled.
Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- Net Weight REMINDER: Gms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs.exceeded Container Tare Weight '7/00 Drums addedJer pick list l
- I 619 ~ y(..l f'\15 7320 , ~ '/7..0 l*lt*f?
Hoppers I'i ~o ~ ( rums 16 So~ldrul'l'\S I.Dfc'3(o 732,:?,
- - .:.<)
- !~
05 b 3i Total Weight for Shipment
- Example: hoppers, drums, loose material, etc.
This document is the property of a.nd con1ains Proprietary Information owned by Westinghouse Electric Company LLC and/or its subcontractors,nd suppliers. It is transmitted to you in confidence and trust., and you agree to treat this document in strict accord.a nee with the terms and conditions of 1hc agreement under \\tiich i1 was provided to you.
0 2007 Westinghouse Elcwie Company 1.1.C, All Rights Reserved
SHIPPER L . NUM6E.R FORM 540 EnergySoluUons, LLC S. SHIPPER - NAME ANO ~ACILrTY 8. MANIFEST NUMOEFl 01!157.0S-0220 7. FOi:ui'I 540 ANO SIIOA PAGE 10F 1 PAC"(SJ Wolllfl9ho-mu1 EJac:IIlc Co., LLC CUH lhis fU1100r Qf1 elt*COl'lillruallon UNIFORM LOW-LEVEL RADIOACTIVE 51J01 BLUFF RO HOPKI NS, SC 29061 D COLLECTOR FORM $4 ~ ANO 541A FORM 542 AHO &42A 1 PAGE{S)
Nono PACE(S)
.....1 WASTE MANIFEST D PROCESSOR AOOO'JONAL INFORMATION NM* PAGE(S) 0857-00-0220 SHIPPING PAPER l2J GENERATOR TYPE 9 , '-'Vf'f..)ll..>{'ll;C
- N.llil1'li' and Facilily'
- 1. EMERGENCY TELEPHONE NUMBER 1-800-424-9300 (lncludoAma.:00.)
UW. c;.~ralor Site /\<<&:n P8ffll~ No.
0207 Ol!f 421 CONTACT I SHIPMENT NUMBER 06S7..Q8..0120 (-)
fEU:PUONE NUMOC.R FC En&rgySolutions, LLC Cllvo Disposal Site Interstate 80, Exit 49 (Sulk Waste Facility)
CONTACT Transnortatlon Comnllance TELEPHONE (tnwdo Alva CodoJ l lncul4 At.. Cod<>)
ORGA.Ntu.TtON E.W. CAULEY JR (803) 8-47..J'903 Clive, UT 84029 U'Z.'J.'J 11'-/ 14351884-0165 W£S11NGHOUSE ELECYASC CO,. UC StGNATVRE- AuthOdzt1~QOn~8C'Mo~WO&f&rocoi;>t DAT E
- 6. CARRIER - Nltrnlil ,;w,d A<ldltKS EPA 1.0. NUMBER
- 2. IS "IHIS AH ""EXCLUSIVE USE" SHIP.,ENT7 3. TOTAl NUMBER OF IOTIWlN lNRD00034686 ~~ A. ) - 5/')../ //Cf J2l :s P.-\C~Ges IDENTIFJ.ED 1 15i0 BHr Ct.Ok ftd 10. LP K I:tcATION ON THIS MA.NIF"EST O ::ik R klta.. nl 37&30 SHIPPING DATE
- ffls IS to coctity that me n111mnariled ma<eilifs *
- propert)' C:IUMteU, <Jncmeu, J)8Ctf.8111<1, m~~. 81,:I labeled end
~=:::,, CW2ll20t t oco In p,o,-, condlllon ror r ~
- cl 11111' ~ ot Trat'l!lf'.IOd*Uon.
tzl NO lt°M$P'OISl!Uofl IIClOOrdirlo to ltl4I tiptllie,oblt,
. TELEPHONE This also eert&s lhat Iha matmbts ant cLauinad, pacbi;Jtld'. matked. Otld labolod crid art ii proQQt condilion for OOES e.PA Rl!CULATGO YES EPA IMNIF'E&"T NUMBl=R CONTACT WAST!'. REQUIRING A (1"'1ude Ar** Codol * ~ - Or<l OIJJ)OIOl6*del<(l)O<lll1-* wllll lhe re~emonlS 0110 Cfft ran, 20*nd51, O<0QW'1111efll
-~
JdfP,u;k*H *IAII* ,_QIM&lonll.
MMIFfST ACCOMPMY l (llil) UC-11817 i l-41~ (U4Wt,4(i NTI' 11'-Yas,.* pmo,i~ f,IMilltlSI NUMO*t _...._.,> 01U. *~*_,n._ - 1'1111' ~n.ieo ~11":I ................ ....,ll'lg ""'~* , .......,,..
- *- ~
~::*c~~~;:1.1oe" URRS Englt1otr1ng
~~ , c ll'1712D19 fl. U.s:-tl'E:PARii-1.c.N Of l'RAN.!:iPORTJ TION DCSCRkPTION 12. 13. ,. a. .. ,O,W
"'- 17. Hl,. IU l l'ILV1olt:.l~I t9. IOf:NTIFICATION
{~lr?Q p-opor ~ f i g MIT10. Nit~ cl&s1, UN 10 numbl!i1 DOTLAOet TIWlSPOllT PHVSIG,\I_ANO lNDIV[OUAL TOTAL PACl<A.Gt: ACTIVITY LSAISCO OAVOLUME NUMBEl'lOF and any adii!IDMl.-iform ~lon) "RADIOACTIVE" INDEX CHEMICAL FORM RADIONUCLIOES MBq CLASS {Ust ~op{"11h11a1it5) PACKAGE
/ mCI "
UN 2912, Radioaclive material, low specific activity (LSA*l), 7, NA NA SOLID URANIUM OXIDE U-234 U-236 U-235 U-23S 6.6173E+02 j\.1 .78841:+oy LSA-I 26783 LBS; ESUU300602-Fissle Excepted LLW soil (4 1 soil drums) 1300FTJ 0220 20FT SEAVAWESU U300602 roR i,,;1,JN.-:llON.EE USE ONL'I' 20. TERMS AND CONDIT10NS n,o 2Ckalo1111roood manlfott fe-&ldOJ 'l':'ilb*
E.W,C.aulayJr -- Record Wasle Descrlp!lon Inadequate A. HAZARDOUS tMTcRIAl8: Gene:talO' rcp,eSMts & wManlS thN W~,h* Mcrlvr~ _ b: (ot) t,,.. is not II hazardous wa&to 11s ~ o llfl ~o c:FR 261. ~ o lho materal ls 11 Muwdous waste, lhls ~*nt It erto a,eeomptrrt!MI by a ~11r:,lt1 8t'ld c0<<1plol.ct h*io,rdou, waste mri~ afoog with lhe appropri.lo IMd-~PQNII re11tic:lion notice andtar H01 Cluff Rd
~opklrw. SC 29061 -- Contamination or Leaka,e Detected certitiCDtlOO a reqdled by 40 CFft 268, 1.
/,803 ) 647*390:l
-- Unexpected Exposure Rates Detected Labels. Ma*ings. elc. Inadequate B. TITLE: U p o n ~ el !ho dlSpOsal sll.a br; En&10'J'Sorutioos, UC,~ all OPPtOPf'ia!f reguloloty aull'Kri:IH, UUa kl Iha w.asto Mole,~ \l'hich o:mfornu lo Gc¥lorAIOr'*
reproAfllalions horoln *t'l&U lhereupoc, lramfe, from Generate, 1111d be Y8JleO lr, EntfgySolutbu. LLC
-- C. WAS'l'C MATERIAl.~ Genen:itor repre,enU, Md warrtnLs ~ t oll ~lt ~Ci f0f1h in lhil (UNIFORM lOW-LEVEl RADIOACTIVE WAS1c. MANIFEST) ac* truo m 00frec:I In ab Container Integrity lnade~uate r85J)OCl5 BOO in aoccrdanoe wilh al ec>Pbble QOVl!.rrvnental I~. ruiat. nig,MtiOf\s ond EncrQTSOlAioM l..U:'s fdlly icm5a.
Other D. fN0EN.Nlf lCATION: Generelc:w ogreos lO rr>>emnil'y Enetm,SolutioM, LlC, ilJ;: oWiecrs, ~ - a n d ~ Gg<Wls:I al lonu and llobi~ whcl1S0e'Y'Cr ir sud\ 1()$!,H 0, Dablil)'
resulls.lcorn lhe faAlre ol lhe WHW Ma~lal to confOffl\ h a n materiel rt'Pt(:I.S lo ll'lc d41111 supp(tt<lon 1hc (~IFORM lOW.-LEVEt.RAOIOACTIVE WASTE MANIFEST,)otif lt'tl5
-:;,No Violations Detected on this Shipment ah:PY,ant '3111 Ill mtl.eC IM l(ondatds presaibed by Iha Oepa,tmcnt of Tran~al'lon Ol any pomtr'ltinlal ag..-.c.yNY'njljurisdictkXI r:Hr# SUCh molten.
-i'l)RMS<O (03-001
FORM NO.: CF-83-154 REVISION: I SEA/LAND CONTAINER INVENTORY LISTING PAGE: I OF 1 EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED:
DATE BEGAN FILLING:
ALL WEIGHTS IN POUNDS
- Keep this record sheet in the desk in LL WB while this container is being filled.
- Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- et Weight REMINDER: Gms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs. exceeded Container Tare Weight 72.co Drums added per pick list
- ,s so,lc\ru. -, I '-ID j2,.oo -
Total Weight for Shipment
- Example: hoppers, drums, loose material, etc.
This documenl is the property of and conl3ins Proprietary information owned by Westinghouse Elec1ric Company LLC and/or its subeontractorund supp!icn. It is transmitted to you in confidence and trust, and you agree lo l!eat thi$ document in strict accordance with the terms and conditions of the agreement under '5'hich ii was provided lo you, 0 2007 Wcstinghoo,c Electric Company LLC, All Righls Reserved
'-t!RX:L
~,,.,.. PEii 1.D, NUrttvi. r FORM540 E~arayScluUons, LLC 5, BUIPPCR - NAME ANO r:'AClLln' ll. r.\ANIP"ESTtUJVIO.EA Wit31[11~* eli:let:rw.;I C11.,. 1..lC
' OH7.08,D21i 'l. FOflM 0..DAND £40A PAGE 1 or I P/\OE(S)
(\J.., Uli 11U11tliot on 1111 CIDnl!"lliililln UNIFORM LOW-LEVEL RADIOACTIVE &801 BlUl'PA.O IIOl'KIOS. SC -1 D 001.lECTOR FORM $4, ANO S.tA FORM6<2AND ,._
1 PA<IE(S)
-PMlE(S)
-)
WASTE MANIFEST 0 PIIOCESSDR ADornotcAL &W-ORMA110H t i - PM:c(S) OSST*Oll-0219 I . EMERGENCY TELEPHONE NUMBER SHIPPING PAPER llf.ld4idoAr'NIJfNIJJ Utah GtMIPlar Su Ac,;n,. PM11~ No.
020f0G1 4.11 I Stll'MEHT........,.
oa.s,.oa.1:12.1 B 121 GISNERATORTII'
't (Spt,t:N'y} PC
- I .. "'vn~c-,,.,...,_._ .. ** --'I EnorgySoloUcns, LLC CONTACT Tmnsoortatlon Comoll*n*e Cllvo Olsposal Site (Bulk Waste Faclllty) , .. _,. ....... Nt:
1-800-424-9300 CONTACT
.,tnL~PHOr,.IE NUMH£!R lnterstato 80, Exll 49 l.....,.....,.c_)
OR1lAHtZATlON W£STINGl!OOH lLECTmC Cl>, U.C o.
E.W.CAlll.(Y JR CARRIEA----
. '(--"" C-)
CIO>) .......,
El'~LO. t..-*R CIiva, UT 84029 Slil'_, ___
-.;,. _A~\ -
AvlhOtibld~------~ ~*121/Jq L/~'1:J.D'l. ,. "55
- 2. IS "!MIS AN "llXCLU31VE USE'"~
"'"'" 3. TOMI. ffUMBl:R OF PACKAG1!8 IDe.N'TfF"JEO HITTMAN bt1MC:: r ttlt 1lilll'-000034elll 10ctt1.l)l'\halr~~::z5rr 1511111 Rd
{21 YES ON TH1S M,\N\Ff!..ST 1
OAk ~d1].13 1 TH l7!1~0 SHIPPINGll/\TI'.
'1 0, c~R IFICATlClN
~""-"'"'"'""*!,""""""*m*r...,_,.,. ____
lf r--ol NO -=> 04/Ul21Uf
- ..,~~~u lh1s II w. -~~ propaJ ~ G I i lao.p.dm~~,.,~
M
... bl~
k.od..AlXl...,.,..o'.-i'\P,OOWCIDfdidankw OOE3 EPA R 04,AATl!D WASTE0:£0UIIUNCA
~ S T ADCONPNtt EPA ~ f f ~
CONTACT ,,,,..-co.r.,
~ ~ ~--K~--
10Cfll 1'111'2D*111G1, CW.,qolj1llnl 1-**
l{WJUI -R2Q...&a n' THra SHR1ENT1 U"'Yes,'"prlMOI MriOJt ~r----.-.
SIGN,\ r...,< * -- ~'"'9,emipf .-.... ,.,.,...___ **n,nJ\ I '-'"II:.
lJ:27121)1!1 E.W. C11ul'1JR ~~E11;lnN\{I a:""_,.,.;.:*_._...._,_., bolftW S'tia f
- 11. U.S. 01:.PAH I MC.NT -vr *rv""".iPORTATION 01::SCFHPTtON 12. 1S. 14. ~ fa. ,v,AL'INc.u~ 1U. IQaNr..--,luN
('nclLdila-~mmo,-do<t,lJNID-. DOTI.ABEi. PH'fll!CAL""" TOTAi. PACK.<GE OCTM1Y I.SNSCO OllVOU/lo!E HUMSEHOF
~
"""SPORT QEMICM.FOOl,I INDMDUAI.
fW>IOWCUll£S
/ -a ......._ CIASS (U>o_.... ....., PACAA!;E UN 2912, Radiooctl*c m*tcrial, low "Jl*clfic activity (LSA-0, 7, NA NA SOLID URANIUM OXIDE U,2l4 U-l.lll u-m U-2J8 1.4691E*03 ,3.97O6E+o1) LSA-J 2aeo2LBs; ESUU300311
- Flssle Excepted LLW ,oil (44 soil drum,) 1300 FT3 0219 2OFT SEAVANIESU 03D0311
--..,.,. CQNS1Gkc.f; ....,.._ - - 20. tt".RMS NG CONDffiOHS Jbt prtgfn;rlJ:IP!!f'd rDPWnl nasM!1:1'11HU l!.W,ClMi>yJr' -- Record Wa$1e Deocnplion lnadeqw,te A.
- ~-=
HAZAROOIJSW.TEllW.&:: G.ntt.allO"t~&watr.U~WilMMlltnlll_ {OP')t,.lilnd ~ hiwnbaw.lWaa~ft1'0CfR261, ""'-*lftilmaW!.:ltha
~;!::a~~R *~~t.ompanled *~snic*
ti,, 1,1 and GOl'tlfP*~ ltaurdoua; wml* m11n1Cnl MW,a *11h lhe eppmplU* ""'6,d:,pm,al rtdictlon notu and/or 6301 Bluffl{i::9 HopkJ111,, SC li! 8-n61 -- Contamlnolion or L.eakage Det octud (IIO~l847*)903
- - labels. Mar1tw,gs, etc. lnadequal&
Une*pecled Etpt>5uro Rates Detected a. ,.._,.~....,_.-.,
Tine: \.lpan~ I _ _ __, .. .....,,.,_u.c N-Clfsposiltlio b'; CMl'g)l~lutbM, U.C, lrld d,..-op,151* ~ eulhirllt;I. W.Wlf'8 WM.I* .-,.lftLII. 'lltiic.tliit;tdatm* lo Generct:<<'il
-- C. YMT!MATERJAL:
,.,_...,., _ ~gprllCClifUW'ld'll!IIINfflbl*dlla11111.blhiJ
_ .. _ _ _ _ _ , ~ -.~ . (\.M=Of\Mt.QW.l..f\,'£i,.~~UN,df"£ST)nM.,_,~i'.'I-l.lt>focillr-
-- Other Ccn!ainer ln!eg~ly lnodequate
- 0. INOEMNlfltCA1"I01,t GtillltA!<<SCl[11:ff11Dlndemn(l)'~kn.LLC,b~1,,~,..._~....._1Q!M11,1 .. bss.fl.ltldM~~~,lr-..:hklllesor~'I limill r,r.m 'Ibo fallnl Of tri* w.ni Material lo ~om, kl ;U m,l,Ofl. ftlP9elt !O Cho dllf* Alllipp\lDd oo 11111 '1,INIFOMI L0W-lEVe.l. MOIOACTL\IE WA&"fe MANIFEST,] Of If lhil11
~ No Violations OolOcted on lllls Shlpmenl ahlpman! laillll lo ma11 lM 11.ffld~ ~ b1 the Oi:p.BflmN'lld Trampo,1a00na, n~ gcwt111V1181'1La.1 ~ hlWQ~dicttll'IOYtradl maH!n.
t--Qff.MS4Dl-'.MIDJ
FORMNO.: CF-83-154 REVISION: I SEA/LAND CONTAINER INVENTORY LISTING PAGE: I OF I EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED:
DATE BEGAN FILLING:
ALL WEIGHTS IN POUNDS
- Keep this record sheet in the desk in LL WB while this container is being filled.
- Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- Net Weight REMINDER: Gros U235 Weight Weight date each move container to entry flatbed before: 29,000 gross lbs. exceeded Container Tare W Drums added per Hoppers Total Weight for Shipment
- Example: hoppers, mums, loose material, etc.
Thi:s docume nt i-~ the prop-crty of and contains Proprietary In format ion owned by Westinghouse Erectri-c Company LLC and/or its subcontra-ctou and SIJ ppllcrs. his transmitted to you in confidence and trust, and you ssree ta treat 1his document in strict !IGCord1mce with the terms end conditions of the agreeme nt underwh[Ch it was provided to you.
0 2007 Westinghouse Electric Co mpany LLC, All Right, Resmal
SHI.P RI.
- NUMBER B. UANIFEST NU,,,WF:R FORM540 ;i(-silii>pm-.:.ClfM1E ANO F.Aell.IT.Y 0867*08-0218 '7. FOflMSo10ANOS40A PAGE I OF I PAGE(S) (UN Ou raNrlboroi all cotili"IU9'11on
~ ~ ~ - t . C o . L\.O 1-,..
.;;::co:c.:.LLE:..::Cc;TO:..R_ __ -I FORM 5'11 AllO .. ,A 1 rAGE(S) pogo,)
UNIFORM LOW- FORM s.2.v;o 642A Ni,no PAGE(S)
- l'-HOPK!Mf,\: SCZG061 WAST -.:;~..t: -
~.* ,.a*~
D PRDCeSSOR Nona PAGl::{S) 0867-~~-0218
~--~ - ! . . in.t~SlleAcce1tP.ermt1No. GHlPIIIEl<T NUl,mER 0 GENEAATOR lYPE EnorgySoluUons, LLC CO!<TACT
- 1. EMERGENCY TELEPHONE NU , . *~~1421 CS57-Ca.c21a {Sper:1/yJ FC Trans ortallo Corn llance Clive Disposal Site , (Bulk Waste Factuty) ~TELEPH
- 1-B00-424-9300 . CONTACT
- . ON~NUMSER lriteislille 80, Exit 49 --t a,. 1
(,._ArtllCodo) (lndl.ldo hBfJ Codt1)
ORGANIZATION
"'-""-----'I l!.W.CAUIJ!)' JR (Oo.3)W'O-l CliVEI, UT 84029 . _., / CA 7 435 84-01
-"..-------t 6. CARR1ER ;_ Hmne..-JAd:nH S'A 1,0, NUMSER HITTNIAIII ' TNRQCl0034BH
' jl80"Bnr Oraak Rd Oak Rid 111, nn7830
.....~,,........_..,_
- . -OEP: _ 0
- - *~~- _*;
,\.
.0 . o . 12.
CONTACT .
J,11Pa.ek611
.13.
e 1/2t/2010
- 18. pENTIF lON
- (l~pN>l!Oroll~nne,hazard*cias,,IJH1Dmml>Er, OOTLA.SEL TRANSPORT PKYSICAl.ANO NUMUEROI'
' .,.,...,~~) 'l'ADIOACTIIIE"' NOEX CH!!MICI\I. FORM IIIBq PACl<AGE UN 2912, Radioacth:,:malx:rial, l~w specific nctivity ([.SJ\*1), 7, NA SOLID URANIUM OXIDE IJ.l34 1.8540E+03 28603LBS; 0857-08*0218 Fis:slc Excepted LLW soil . . 1300 FT3 20FT SEAVANIESU U300004 FO!t NLY 20. =MS ANO CONDfflONS Tho o fnimldtt\'f)tf,
- Record Waste Description lnooequate A. HA.?AAOOUS Ml\lERIALS: Gonwa10r 1epm~11 & WQ(tlntl tM, Wa1ta M.e.tl?'.tfnl _11!1 (OQ £._ t* not a hll:mdous risle a IME'lt\lild h 1110 CFR 261 . Wtca'O lhe matnrtal Iii 1
~ wute_ lhis :&lipmenl rs etso act.Dlf\penled by a separO and compreuwl hlUll'dOu.1 was.le mdM1. almg wilh mo 1ppn:,pnale lilnCklitposal rH111cilon notlCG lnlUor
~~~f.:'.ll~'
Hopldn,,sc 29061 Contamlnallon or Leakage Delecled C!Qrtitiea.tlon 11 ,equrrea by ,4() CFR 268.1.
("'1147-3903 Unexpected Exposure R~tes Detected a Tm.f: Upon ~ptanoe 81 lM dbpcmd 11118 by EnofVYSalullam. LLC1 ind a l ~
- regu\ltOfY tulllodloo. aGo to ltu1*Wfflo Ma1.erialwt1ic:h aonrorm110 Go.ne.ratoc'a r,pree.enblbnl-bernfn .&l:tan ~ IJMifer from Ganenltol' In.cl bll VMll<I In EneflWSo'lutlotts, LLC .
Labels, Malkings, etc. Inadequate C. WASTE MATEltlAl! ~nDr.llOr<lll!l;.,,ta BlldWIITilll~ <lwtal dalaoe<fcnh lnlt!Ts (UNIFORM LOW-I.EV£\. RADJOACTIVI: )WISlEMI\Nl""l!T) 1110 IIIIOOlldcom>d klall Container Integrity Inadequate re'l'*~*""" ln_,.onoo,ollh oil 1pplloOl,ogovammonlalhrn, ne,, rogii11ilonoandEnot9YSclull""'LlQII ladllfy-*o.
Other D. INDEMNIF,lCATION: Oenenrtotll'1'tf)I to lndomlllt, ~Cb.ill~ LLC-, 11s arfle;tn, amployoel e,n_d IQl!lnll ogahlle11 klt1M l:'nl Unl:,la)I 'fllhlilll(leVflr IJ &RJffl ll>>aee ot BabllJ4i'
. ,_,,. rrom U\o !alln or lho W..,. Molorl*I IOcorl°"" In aUm&lerial napeclo lO lh data tul)l)llod on 1/oo (IJNIFORld lOW-UV!:UWllOACTIVE WAST!! MANIFESTJ orll Uu No VlolaUons Deteded on this Shipment 61itpiMnlron. IO.,... lho llanderd>pn,o,:ri,od t,ylho o.i,,,,,mont<IT'""-1atloocir"11' goYGfflllUlllilll ,-h**!igJll1odi(jlO(\worlUdlm1U...,
FO ((XHJO)
FORMNO.: CF-83-154 REVISION: [
SEA/LAND CONTAINER INVENTORY LISTING PAGE: l OF 1 EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED: E.S uu '?,oo oo' DATE BEGAN FILLING:
ALL WEIGHTS IN POUNDS Keep this record sheet in the desk in LLWB while this container is being filled.
Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- et Weight REMINDER: Gms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs. exceeded Container Tare Weight 7320 Drums added per pick list
- \'5 Sc:,il dv~s '7 l'SS' Hoppers lS .so: J,v.MS soi ON~
, 32 t -
Total Weight for Shi ment
- Example: hoppers, drums, loose material, etc.
I This document is the property of and contains Proprietary Information owned by Westinghouse Electri c Company LLC and/or its subcontractors and sup pliers. It is transmitted to you in confidence and trust, and you agree to treal this document in strict accordance with the terms and conditions of the agreement under v.b ich it *was provided to )'OlL 0 2007 Westinghouse Electric Company LLC, All Rights Reserve,i
r FORM540
\h-e.x 23..,.,..-Pt;H I.U ** ~..,.,.Ul:N
- 0. MANIFEST NUMBER En&'l Solutions, LLC 5. SHIPPER- NAME AND FACR.JTY 0H7.09*C217 7. FORM 6'40/.ND IWJA PAOE10F 1 PAGE[S)
WHIJngtlOutO Eleclr'IC-CO._ LLC (Ua9 Ulls numbe, on all canl1tWJ;ilJOn UNIFORM LOW-LEVEL RADIOACl VE FORM 541 AND 541A 1 PAGE(S) 5101 Bl\lFF" RD HO:>IONS, SC :llU.ll1 COll..ECTOll FORM 542 AND 542A NonoP/\GE(S) pao<>>l WASTE MANIFEST P110CES60R ADDmONAL INFORMAllON llooo PAGE(S) 0857-08-0217
- 1. EMERGENCY TELEPHQNE NUMBER SHIPPING PAPER (nciudJ.f'I Ced,}
ULoh Gone"'°' SIie A<au P<mlR No.
'1207041421 I SHIPMENT NUMBER 0857.01..0217 121 GENEAATORTil'E
/ s,,,,df,) FC
- 9. CONo,~i,EE- Natnu ona r-'leilll)'
EnergySolullons, LLC CONTACT Transooruilion Co-~ 11ance 1-800-424-9300 TELEPHONe NUMBcll Cllve Dlspo~al Site (Bulk Waste F~clllty] TELEPHONE coirr,cr Interstate 80, EXII 49 (incllldo ma Co<o)
OR~IZATION - ! ,W. CAU\.BY JR (h,c1ud* ,.,_. C<de) 1003)64740M CIiva, UT 84029 1 t'<I ;glb 14351884*0166
. WeSTINGHOUSE E~ECTRIC CO. U.C
- ~TU(/ Aulh':J,~CfJ:/1 wmef<<lll[pl' CA~
2~ JS n11s AN "EXCt.USlVE USE"' SHIFhENTI' 3. TOTAi. NUMBER OF PACKAGES IOENTIFlfD
- e. CARRIER - Niimo .and AddrGU HITTMAN 11560 Be.1r Crook Rd
£PA LO. NUUBER TNIW... 34886 I~
- ~ ?lze:. wJ:J .
r21 ~ f<O ON'THIS MANiFEST 1
OU Rlclgo-, Ttt 37D:JO S-HlPPING DATE 0Vtoti010 IUJJS ISloce,U{yU'latlh01-w.rnL"l)ed mr1,(naloopl)pWQ)nfi~~~?=*
- 10. t.~KuflCA
~ ,..,,., QB~.. - ~ p..~~**-... cll, 111a, -11111j,ld aJ'ICI
~ulallons at~ Dq,.artmrAot r,wn~
TELEPHONE TNt cariill.,. lhat , a- iifl ~:~ nd labolod and em '1 rIJJlldilJonlor 4, DO!eS l;/'A ftEG\11,;\Tl:O WAaTE fUEQU11'1NO I\.
MANiF.EST ACCOMPAfl'f
~ YEO NO l!l'IIMN<IFES! NUM9fK CO.~TACT
.1onr~ (i"""do At.. Code) 1p)U) 22o-581'7 Uampollallenllll<h~41t!rt
.... ~ . 6 ' ,l,.. '-; ,
- j ~
rn,otaol10Cr'RPW~ano o,,or ...,..nl THIS SHIPMENT? DATE 11¥01.,"'p,oy'ldo M;nJost: NIJmber:e..!ll*l!I-'$>
- 11. U.8.DEP,,,.,MEN , vr nv,,ISPOATATIQNutSORiPTION 12.
S~T
( ~
13.
odgl,,g was/a n>Qlfpl
{ &!$<}-;!'YI':>' - \ .JJ?~,9-/Cf 15.
AUIHORIZED 31GNATURI:
S,W.CUli,yJR SM
~~'
UR 9lnr.\lngI 16-. 1u1ALw.t:l1,,t,HT 11l&J20l9 19.. IDaUUIGAI ION
~
II<
~ g pt0par1h1>1>1nonomo. lmOlddm. UN 10 numb<<, DOTLMIEL TRANSP"OITT PHYSlCALM'D INOIVIOUAL TOTAi. PACKAGE ACTIVITY ORVOLUl>IE N111ae11pF and any wJlll'OOW iiforinelfon) '1WJIOACTIVE" INOEX CHEMICAL FORM AAIJIONUCUOES Ml!q mCl , CLASS (Uoaappopct,'9 unll>) PACJ(AGE I
UN 2912, RJ>dioactive material, low specific activity (LSA-1), 7, NA NA SOLID URANIUMOXIDE U-2J4 11-235 U-238 U-23B 4 .8533E+02 '-1.3117E-t-OJ L.SA*I 25867LBS; 0857-08-0217 Fis.sic Excepted LLW soil 1300 FT3 20FT SEAVANJESU U300505 r
FOR CONSIGNEE USE OOLV 20. TERMS AND CONDmONS Th* c,dgtn:i] argood r;,:,,11nlfo11t rnnfda~ With*
E..W.CtuJsyJI' -- Record Waste Descrlptlon Inadequate A. I-IAZAAOOUS MATERtAl.S; Genara\cr 11't,reunla & w ~ that Wasta Metertal_ls (o,} .!(, 18 n0I ta: ha:tardouS wuto H ttorined In 1.0 CFR 261 , 'N!C!f'G the mellrla1 t, II h.u:an:lwS wasto, lhis sh'ipmOol is al9o ecc:xitnpllnlod by a ~opaiite and COftlC)lslod hamrdo1..0weste ffl&n(fe&I.SOflll wtlh !hi, ~i.\l.o Jand.¢9osal r1slttitlon nollC3 811d/or
- 5Btn Bluff Rd HoiJkl'ns, SC 2SOB1
., - -. Unexpected ConlamlnaUon or Leakage D!Jtect,;d ""llOcallonM,oqulrodby OCFRZ!B.1
- a11.....,..;..,
(elOJ)MT-:3110:J
-- Labels, Markings,~poaure Rates Detected . a. TITlE: Uponeocop!OMe a\ lhO olSpOUI silo by ~IJllon,, 1.1.C, ond naprOl..rlotinna ho,w, *holl \haroupon O'onmr ftOII Gon,rmor'""' DB VMIOI-~ lo ccnfolmo G<lnonitn
-- Container Integrityate.Inadequate*
lnadequala C, WASTEMA'reRtAl.: Gtner1tor111pmsan~ltldwarrunt11JJe.tulldataR1lrorthlnlhb(UNIF01Wl.OW-l.EVELRAD10AOTIVe.WASTEMANJFE8.1}.et0.lnloand00~ctlne!J
--* Other 0.
1911ipacl* illld' in o:ccn:fUl01J wilheD 11:pPACabltgovonunontsl lawa1 !Wla, r~atbw and Enfr'GYSoJU!bnt I.LCI faedly lk:Gmo..
IIIOEMNIFICATIOII: o.nora..-- \o n!amnlfy Ena,g)ISolulilns, LLC. ils croc.r., omp!oy*os aild ..... og,nt al b,,os arul iablblywha-..,Q **"' b>.!osor llol*IIY flllWII from u,e*rallure aJ ttdt wasto t.14A01bl to 00flfonn II\ 1111 m1lDl'tll toapoclt to tho dala l\.q)~ c,n th* (UNIFORM LOWLEVEL RADIOACTIVE WASTEMAN.lFffl,) crlll\t9
{ No Violations Detected on ttts Shipment ~ent ran, lo""" th* >1andan!s prescribed by Iha 0opu1men1 orTnwp011aUon ~ any go-ivmmanlal"ll""'f h>v!ng ju,iiofdlan...,. aJ<I, mat!ots.
~uru'll~0(03.00)
FORMNO.: CF-83-154 REVISIO : I SEA/LAND CONTAINER INVENTORY LISTING PAGE: I OF I EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED: Esuu~oo5oS DATE BEGAN FILLING:
2* I\* Ii ALL WEIGHTS IN POUNDS Keep this record sheet in the desk in LL WB while this container is being filled.
Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- et Weight REMINDER: Gros U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs.exceeded Container Tare Weight 75bD 12.* l\*1~
Drums added per pick list
- 3g ::,o*, Idr\!N\S
- 11307 ~5 ~G:,, rt£ l~ *tl*l8 Hoppers Total Weight for Shipment
- Example: hoppers, drums, loose material, etc.
This document is the property of and contains Proprietary Information owned by Westinghouse Electric Company LLC and/or its subcontracforund suppliers. h is transmitted to )'OU in confidence and trust. and you agree to treat this doc.ument in strict eccord.ance with the terms and condi1ions of the agreement under which it WilS provided co you.
0 2007 Wcs1inghouse Elcetric Company LLC, All Rights Remved
I /
- 77'~
\\, Q..x 2:S S1-t 1PPER 1,0 , NUM11i:R FORM 540 S. 61-iWPER - NN'1.E AND FAClLrTY 8. MANlfe:ST NUMB!:R Cl"S57..0S-OZ1& , 7. FORM ~<0 /\NO 5'fflA PAGE1 OF 1 PAGE{S)
UNIFORM LOW-LEVEL RADiOACTIVE :\~':ffi;;';JJoctr1c Co.. LLC, 0 COLLECTOR fORM 5<11\ND 541A 1 PAGE(S)
(!Jsio INS l'IUmblir on all conllraJa!l:i.n pogas)
HCPKINS, SC 2UC61 FORM 542 ANO $12A No"" PAGE(S)
WASTE MANIFEST PROCESSOR ADDm mW. INFORMA.TION 0857-08-0216 I
NQnit PAGe(S)
SHIPPING PAPER 12] *
- C-***u*=~
- NBll\OOMrloiuly
- 1. EMERGt::Nl;Y TELEPHONE NUMB1:R (/IICiVO,/VOO C" ~
Ucatt G81"10R1.IIK Sikl Accasa PBmlll No.
0207 001 421 Sl*UF'ME1n *NUMBER oest-0&-021e GEN~AATOR'TVPe (S//<<IM FC EnergySolutlons, LLC ~ CONTACT Transnom,tlan Comollance CIiva *OIsposal Sile (Bulk Waste Fac!llty)
J,./'3) S I 1-800-424-9300 TELEPKONE NU"1B5R TEW'*ONE CCM"ACT
{ln""'eM>aC....) Interstate 80, E><lt 49 ~ ~-M,~Code)
ORGANiZAnoN ' E.W. CAULEY JR (803) 847-3903 Clive, UT 84019 (436)884-01 55 WESTINGHO\JSE ELEC1RIC CO.. ll.C SIGNATU~Lc.ktY:wdldQills}w41sJerece(pl DATE 3 / ze,., 1?t!'}Jl"'f
- 6. CARRIER - Namo and Adclr9a, EPA 1.0. NUMBER
- z. IS n us AN "EXCl.USlVE ust-SHIPfillENT? 3. TOTAL N1.IMBER OF PA.r.:KAOE.S IOENTlFIE.D Hlm&AN fs*o e1111u- CtHk Rd TNR0000348'!8 - __,.,
1 10, Ccftl"!FICATIO,;,,i 121 YES NO ON THIS MAN If EST
-=->
0*:C Ahtgo, T~ 37B3I) SHIPPING DATE 11211912019 l l h $ ; > l o " " ' ~ - l ~ d o * " " " ' ° "*P""'ll""-""'"'.._"""_-,-.,-.a atelnprapbro:m
- rortrnn:,pqrtoi oto thl p11CC1DtaregU1atr0nsdlh!tOs~en!ofTfill'\:r,ortatlo11.
- 4. DOES EPA REGUV.TED WASTf f!EQUIRING A 121 NO Yl:S EPA MANJFEST IUABER COOTACT TEl.EPKONE (lfd;d'a Aten Coda) ll\bebDecrtil"1C1, t1 lransportelio,,
11
, ~a
- 1 I In ---
cf,m~od1nnC1 Sabere1SMdoralnpn,perconcl'itl0nror 1h lho ,.qlJIJainml,i"Qf10 C,-R P;,rts 20 andttt, otGqUl\,olonl MANIJ:'EST ACCOMPANY
.l>ffPocttott
-t!HIIII 2!ttl481? tlBIAfegtJr,llora ** , , ~
T'r US SH1PMEHT?
ll"'(o,,*PfOYl(lo Muwat NUfflber _..,. "'II~ TUNE -
,~ . . . _
- ~ *- c e . , ~ ~ " ' l : * * - P f DA 1*
~-\C\
,ex. Ei,W, C11.u loy JR iGNA1uRt s,e em1fll11 nc& lnck bolow
~ l/ ~~;;;~ gln,.rlng DATE 1/%tti2019
- 11. u.$. Ot:PARTl\lfITT OF T,-,,.1ro,,m '"'TIOfll OE:SCRIPIION
,,.
- 14. 18. TOTAL V'iEIGHT 19. !O,ttu lFI~ tu.~
~
-~
(n:lud1na ?'01)et$h~ ISfl'IB, hamd d11.n, UN ID number, DOT LAllEI. TRAIISPORT PHYSIC/\!. AIID IHDlll!OUAL TOTAL PACKAGE AC'TIVtlY LSNSCO ORVOWME NUMBEAOF 81'\d an-, additional Wotmallon)
~
PACKAGE "AADIOACT!VE" - CHErmcAl. FO!Th,I RADICNUCUOES MOq
/ mCI " \ CLASS (1.11,9*-iaLo~)
UN 2912, Radloactivo ma~ri~I, low specific activity (LSA*I), 7, NA NA SOLID URANJUM OXIDE lJ-234 11-235 U-231 U-23B 7.8S72E+02 2.1236E-t01 LSA-I 27586 LBS; ESUU300222 Fis.sic Excepted LLW soil '- * / 1300 FT3 20FT SEAMAN r\lR \;ONSiG!"M:c USE ONLY 20. TERMS ANO CQNOm ONS Iba 0I19!!!!I 1199~ m:aaf11n1w!Qi1 :t!!Yl' E..W. CoiJT*)'Jt - - - Record Waste Desaiptlon Inadequate I\. HAZARDOUS MATERIALSi t3nrmrnlorrepre1enls.&wanlll'I~ INIIW.tldt1 ~tnriat _ l1(0t)~lsnotatiaz.vdouswa;te Bl dliitinlld kl OCf'R 2a1. V.'her&the-ms11¥ta&II o haltird0USWMLe, thl31 shipment [1 aliO eooompan.ted by B IO~Oo.nd ccmp[d,.ed~woalG1T~&t,, akng Wptl U\oeppn:p,ietelon:d-di~posa.lrel1rfefon ncilcaondtor 5801 BIUffRd "
Hopk!ns, SC 2.9061 - - Conlaminaflon or Leakage Detected oor11!1CQ11on .. mqui,od by 40 CFR268.I. * ,
(8431 G47-0103
-- Labels, Markings, etc. Inadequate Unexpected E/<l)osure Rates Detected ll "Tl'TlE.: Uponao::eptanco ctU,,1 dbponl sh b'/ ~0111\b\s. t LC. 8Jl08llappropr\1Le~~lus,.lltelolnoWaste MatltfaLwhkh_conformato 6'tnffllt0fi rcpresonlMiona hoceln ah11II ~ tran:slor~rom Generator and be vated In Emwm,Soluttons. LlC
-- C. WASTE 111\TERIAI.: --"11* ..-,Swa,m,t,, lhal ell do'.ao1M 1011!1 In 11\11 (UNtfORM LOW-1.EVa RAl)IOACIM,WAS'lf.MA/<IFESl] "'" Wo)lnd cxm>!'lla ell
-- Container 1riteg:ri1Y lnadequalB roapect, IUld ~ IIOXltden.ce Yillh aS SWlba~o g , o ~ k-N,, I\JIOS, l'eJJ!,llatt)n, e n d ~ U.C'a racmy &ema.
-f Other No Vlolayons Detected on!ht Shipment D.
==~~:!:.ci.c""U:.':"'~r1e1~:.Y!:~~=*~~:;:-~~="£,d~:::1~:~*~=:==~~:~~'.)~
,blpmont ralt< II> maeflho BliM\IIOnh pru-od ~ ll>o Doparlm!!f'O al 1'nlnll9Mflll0n'" "'11 gOYOmonr.t 1>;1encyhowg i,.,1,~etl011 ovir,IIU<II OJ~I~
- FORM 540 (CG-06}
FORM NO.: CF-83-154 REVISIO : I SEA/LAND CONTAINER INVENTORY LISTING PAGE: I OF l EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED: E6U\.\ 2,0oz.2-z..
DATE BEGAN FILLING: 01
- O '-f * (C, ALL WEIGHTS IN POUNDS Keep this record sheet in the desk in LL WB while this container is being filled.
- Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- Net Weight REMINDER: Oms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs. exceeded Container Tare Weight I* 'f*l'f Drums added per pick list
- l'i to.Jc;~c("UMIS ca1Lf2 ts, f.,D2. , . -1*11 Hoppers.:25 Soi (d.rc4M.S l\ 'itJ..\ - .;17 S g1, *'I* C, Total Weight for Shipment
- Example: hoppers, drums, loose material, etc.
This document is the property ofand conlains Proprietary lnformi!.tion owned by Westinghouse Electric Company LLC and/or its subcontnctorsa_nd suppliers. h i.s transmitted co you in confidence and trust, and you agree to tre.a.t 1his document in strict accordance with the terms and tonditions: of the agreement unden hich it ,vas provided to you, 0 2007 Westinghouse Electric Company LLC. All Righcs Rescrvld
_,_\ " -
ON\r>*EK'U1, """'~ 8. W\N1FEST NUMeER
.FORM~40 - ... -, ~ w , j -~!lltii'~i:li.ni' 111&1,4\Ul:!14 1. FOIIM540AND~II PAOEt'OF 1 PAGE(S)
UNll'.tlRM J,,(,)W~'7ta::i8AD'IOAC'tn'fe: ~ :;' *, .) *'.; :~~ (ll-s:* lhil- number en al e a ~
- ':!It .* , . 0 COUECTOII FORM 6"1 AND 6"111 1 P..I.Gf(S) S,O"QH)
- ~ FQRM 6"2 ANO 5'l2A N... P,\QEIS)
WASTE-!WA.Nlf!!:$"1 0 1'R0!)£53oo *cesr-na.0214
- . APDJllONP.l INfOAMATION Nono P,\CE(S)
- 1. 'EMERGEIIIC¥ 'fEL.t=r11u1111:; NOMBER
.SHIP~ING*IMI'~
'!'.....,...R"""-"""""
.wii'~.sie~,.,;,,.""' .
.. :~ oofo, .
- I'StflPMElfl'NtlMSER oif;l'.oa-Oil*
@ C!ENEAATOR ll'PE (S/l<<IM F'C
- i,, ..,.,,,.i, ""~1 ........ .. Nama llnll roc::iully EnergySolutlons, LLC COITTAOT inn- ..
1;:1!()0'424,,9301) . > .. Tft..-Hur,E NUt,IOER Clive Dlsposql Site (BulltWa:llc Fa~mty) JELEPn-~
'* OO;+ff~i. . (Include~ COde) lntel'lltate 80, Exit <49 lirdudJI ~* Ccclol
<5RGANW\'IJ'OM ,- e,~, CAUL.i!-bJil
-* -.~..... *-' ~) 141-3903 Clive, UT 84029 I I.<. It-1 G., 1435JBRA-"'66 Wl!ll'nNGHouse aecnuc.ce. LLO .. ~-***-. -~ ~)Elr.;tl,miiind~ EPA 1,0. MIJMBEF( 81v1v-11wfle-z2~:~~~ wnfott}Q)fpJ OAT~ l:id,q
.2, IS'THISJ\11 'EXCI.\J~IVl/. U3E" S!IIPMElli7 3. TOTAL NUMBER OF
~8 A * *
. ~Y£S P.<CIC,I\GE$10£NT!flED ONntlS-IFEST
'°?=C...<<Rd
- c..,ltta,i,i, nlmao $11\P.PIHo DATE I/ r llJ: <,iaRTlflCATIUN TtiS ts~ at1u17u1tl U1C! t,ctfln~neme ... *'J"'-'" p~egw, OlMu:u, anu loiJUe~(I !!t!d
' °"'"':-;;;;,..;; ~ * - C,tJ,.... ,_..,
""'r:""'~1t;;f. ;.,, p':l:.i'e,,.
- NO 12/~12011 '611,e,gu!Heftf.d IM~lcfTnntp)lt.alkx\.
... oOEs EPA RECtJLATED TtA.oPHunE Tina ~Ila< m m.l kod. ondlobolod '""'oie 1:1 pn>1,.rcondilm lot
~yi;s EPA MAHJrl;$'r NUMBER ~ONT/ICT IJWUp(!(UlllanBOCI I In oqulttnm'IISOl'10~Ff\Pll1JZOendtn, or~.!anl WAS1e REQUIRl!!O A NO* llnwlo 111** CodeJ MA.t{IFEST AcCOMPANY n-ll9 SI-IIP ..,"Ekn J.ir.* -
,,.,.._ __~u-,.,~ 1(H5Jlll)<481T
..1a.t.,,Q:putaliorw,* ' .,. ' ' fl, v'V" I l
~ !"(og,* t1rtllldMhllf""1 Nuntbe1 , ... ,.. ~IG"'11~~*- '""~ nu
- -*c.. . . .,.,__ i~~ .... --3/4a ""'~
,-J , t.tlr:ln.cl7111 1." U.S. Ol;P~TMEr1, vr- PN-l~POr,, ,,. ON DES'"'1ur ION ,~ ,._ 10. 1, - 16-. TOTAL WEJGHT \9, \uc"tll'IUITION (lno/udlnQ propoi *hi>f>lnll*- hatoid .in,._ U~ 10 ""'1b.,, Ootl.AeEI. TIWlSPCRT PK'ISICAI. AtlO l~IOUAL TOTAL PACt<,\GE ACTIYll'I LSNSCQ ORVOLUr,\E NWB£ROF trd-;Yi4diriono! in!-"1) '!WlroMTIW' 1Noex C~"1,'.l!:I\LFO~ AADIOtllJCU0ES Mllq rnC\ \ ClAflS (Ut ;opp/Gpriatounfts) P.\Cl<AGe I
tJ.1112912, Iwlioac1ive f/l&erial, low spe,:ific~otivity (LSA-1). 7, NA NA SOLID URANIUM OXIDE JJ,234 U-236 u-µs U*238 4.1633E+-02 1,1225E+01 LSA~ 28436 LBS; 0857.08-0214 Fissle Exceptel(. LLW soil j\., _ 1300FT3 ZOF.T SEAVAN/ESU U300129 FOR CO~SIGNEE USE ONLY 20. 'TERMS ANO COIIOITIONS Iba att'gm.l **9!1MI mlntlul lEl!b.i ~lb*
e.w. CaattY Jr -- Recom Waste Description Inadequate ... fiAZ,ARaous MA1ERIAlS: Gfflllator repire5el"l(s & walr.lt'tl$ th 91. WOIIO Me14f411 _ 1s {ot) £. ii riol a hPUltdO'ld wo=ila 41 "rltlld ln-tO CFR 261. Whr&N VW rn.JWWII 1, a n ~ Watt a. lhls lhfpner'II is Bi:,o eccompenktd by 11 ~ralO e n d ~ Nu:ardoua w111te m1nll'int. GICl'IQ! with Iha iapp-opttaill ta"4-di,p0.NI rnl1':ll01'1 noliOo ancuo, 5801 Bluff Rd
- - Contaminatllln or Leatage Detected Hop)dn.,$C:'2:P,1 il03)647~903 * -- Unexpecled.Exposure Rotes Detecled .. certr-ation H roqund by 40 CfR 268.1.
TITUi; Upon aoeeplll"l00 81 l b ~ ~ alt* bf EnartNSOMloo,., U.C, 1nd' fll approp,iale teQUl tot,, ,aUINlrliea. lille~ lha \NBtt6 Mall.,.lsf.~
repre-.entatlcns hereEn ahall U\tnltJpOn l,aftll'er tarn ~ m t d be'tHlod In Enc.rgy$oluGoir'11,, LL,;: '
~ s lo Gantr,iort
-- Container Labels, Markings, etc. Inadequate C. WASTE MAlERIAL: Gf.lntfal0r tept'OSGl'I.IS tncS 'PffldJ 111,1 atJ da1a sel (Orth In 1h11 (UH!fORM LOW-L.aiEL RADIOACTIVE WA~TE MANIFEST) ar* IN.* -,cf m'IIICl h d
-- Olher Integrity Inadequate 0.
rtipedl and fo 11ccordanc:6 y,il'\ lll'I *PS>lleable O(NCll'r\m,u\tal i-Hf_ Nl4S, rooultUoM lll'ld a,,.,gySOl\lllons UC'* tar.AtiiconM.
tNOf.NINlflCATION: Genecator IIGl41U tofMomnlt; ENtgySolutldns., U.C. Is ofkpts; empkfyetsand aQOtll:t IQill~ ,4 IOu.el llfld lletil!l)ft1Wto*,,_ It Mich lauH er Cabllily rosulldton'I the fj~ra oflhe We.eta Materbl locanfncm ii, ell mtlttlll rospeds lo \hO daC* ~ an 0- {UNIFORM LOW-LEVELR.ACMOACTIVE WASTE MANIFEST,) ortf thl:,
J No V,olatlons Detected on lhls &hlpment thlprnont falc lom... Wt 1,1.andGrd, ~ by 11'1& Dtpa,1mant cl Tt-n.,potW!llot\ or any go<NMlt(ltal flg11N:J hlMno I ~ fN'1 5UCh m*IIMS.
~l.nVft 64{) (00-06)
FORM NO.: CF 154 REVISION: I SEA/LAND CONTAINER INVENTORY LISTING PAGE: l OF I EFFECTNE DATE: 02-05-04 CONTAINER BEING FILLED: ES'--lU Joo 12.q DATE BEGAN FILLING: - -12* -'I*/~
ALL WEIGHTS IN POUNDS Keep this record sheet in the desk in LL WB while this container is being filled.
- Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- Net Weight REMINDER: Gms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs. exceeded Container Tare Weight IZ*9*1 Drums added per pick list
- l\ t>SLl 'i o-z.. 5 \'-\2. n ~z-i.
Hoppers fi p', r\- c:\1\1..'ft'\S }\ft',~ 23117 Total Weight for
- Shi ment
- Example: hoppers, drums, loose material, etc.
This dm:umcnl is the prop-eny ofand conr-n.ins Proprietary Information owned by Weslinghouse Electric Company LLC and/or lts subcontractors and S{lpp!ters. It is tr.msm iued to you in-confidence and lrust. and you agree co treat this document in strict accordimcc wich the terms and conditions of the agreement under -wh ich ii was provided to you .
0 2007 Westinghouse Electric Company LLC, All Rights Reservo!
i:0~s4,0 -
.t.*
,i \
?'.Sicfl1*-=** ,u~ :-,. )llpfl"l!ll.-rwil;.-IIOf,\Cll!Y
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I. Ll>JtlfHT NUM8EII
,tJ.Nlf.'ORM*1 .~l-OA¢f~. :~
- W...i,\;tii,,MEI-Co.U.C OUJ.Gll.420 1. fORM ~ANDS-l'ORM*** AND 041-PAGlHOf I PAGE(SJ 1 PAGE(SJ _,
tusoU'flnumDilWa.*~MJl:l'i
'WA.~E'. i,. ':';;,** . '
- llilP~t.
- -R'D . i;i:~OII O *colleCTOR D *Jioi:*sson FORldli42At,iD 542.\ Nono PAG£(6J 0llli7-118-0213
.$tfl~#~---,, . i.q,r,'~ -~.W-P-No. I lln7-*
8lll'MEIITNUUIIER @
Gl:NBIIITDRlVl'E .ElleflWS<>lullons,U.C ADOITIOIIAL INFOIIW,T10N
~ ... PAGl-(S)
COIITIC"
- 1. EM..ERG~Y T~yNl;;Nli/l',\l:IES 1:80_0-4~4-93"~ .. * -. .,
~
-- oilll' lill "nj " ~
TEUPkONE...,..= Cljvo Disposal Sito (BUik Wut* Faelllly)
Trans......,.. on Comllllanco
,w.....,..~
1 IWNJ~*
,....,..,...., lnt11.rotate BO, El<ll ~9 w,w,c-uw JR (lrdlJdo Ar.. Codt)
.OROll~TlON !:llw, UT .84029 } ,:z: l'-iU.....,.,...,,. (""'-"*-Codol
/AU\RRl..()*H
'L tSTJtl!l~'E<CI.USIIIEIIS.,._
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-. 8.*c,IIU!ll!R**;...,IBI~ EPA lD. IIUl,IIIER ..,y,.,..-?I:1-dL... DAlE,J.
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TOTAL PACICA.GUCTMlV "*
LIW$CO
- t'llg 1tl 1\ol1illoL'W2:11Jn ORVOWl,!E lU. __ .,.,, ,_,,,-~
NUMBl!ROF ond _,,. l<ldillonol,Womi"""'I "RAOIOJ\CTIIIE" IN!J!1X CHet,,ICAI. FOl!M IWIION\JCoiOE$ r,,eq
/ ,.Q.....__. CIAGS !U,.~*unl*J PACl<NJU UN 29 J2, Rodlbacfivc 1natcrlal, I.ow ,;pcciJ:io acllvity CJ.SA-I), 7, NA NA SOLID URANIUM ox,oe U-234 u.m U-231 U-2GI 2.11761802 7.n31E+OO LSA-1 21143GLBS; Ol57-08-0213 Flsslc &cxw,I. LLW soll I 1300FTl 20FT SEAVANIESU U30048B
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- 20. TEIWS .v<O CONDITIONS M,UARDCIUSl.\ltf'RW.lt ~ , . . . . . . . & ...rwta,'141\VuM,Mlll!lerW _lll,t-,:!_t:1.Rll. ..;..._.'liilMeda&,M
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-- C011tillllar lntegr~y lnodequala Labels, Marklnga, ato. lnadoquoto C. WAll't'E MATEIUAL: Gtnanllorr~ w,cl WltfAnla lhat lJ;lldttl Htfl;ifih in N (lJNV"ORM llJN.UV£\.. RJ.Olo.\CTl\r'E: WArre MAklfUll ... Wt nmrrlllCl.,,:iN-
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- II. UIIIOIHl'ICATION:--IO-~W:,u-.-,...--~d-----*--"'- ,,_..,,.,._~UC"lladl,"'-
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FORMNO.: CF-83-154 REVISION: I SEA/LAND CONTAINER INVENTORY LISTING PAGE: I OF l EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED:
DATE BEGAN FILLING:
ALL WEIGHTS IN POUNDS
- Keep this record sheet in the desk in LL WB while this container is being filled.
- Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- Net Weight REMINDER: Oms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs.exceeded Container Tare Weight Drums added per pick list
- . h Hoppers {0;1-.Jfflf Total Weight for Shipment
- Example: hoppers, drums, loose material, etc.
This document is 1he property of and contains Proprietary lnfonnation owned by Westinghouse Electric Compan)' LLC and/or its subcontracc<rs and suppliers. rt is 1ransmined to you in confidence and crust, and you agree to treat this docurnent in strict accordance with the terms and conditions of the agm::menc undet which it was provided to you.
0 2007 Westinghouse Electric Company LLC, All Rights Rcwnd
- FORM540 8. MANIFEST HUMBER
(.~1hf1int.1mbermalfcon1ftil,adon P,,00,)
0857-llB-0212 11 , v.S. uc.rN31MCNT OF *~~~rvnt1A,,..,,....,:,--illf!!'ll!,lff *
(lncMl!ng-ll!llli>l1111""'"** hazMldatt, UN IO...,,bor, "*
OOTIJ\99.
T!W<SPORT Pl<YS,C/J.AND 10.
INDIVIDUAL 1&,
TOTAL PACKAGE AOYMlY 17.
1$NSCO
- 15. '""'!',.,._ nwlGhT OR VOWME Ui 1m::ru 1FICATION
!<UM.SER OF oodWTf-lon.,I~) 'RPDIOACTIIIE' lliDEX CKEMlCAI. F0"'4 RAIJIONUCI.IOES MBQ /' mCI \ CLASS (UM ~iQle uril~) PACYJ,,CE UN 2912, Radioactive*m,terin~ low spoclfic activi1.y (LSA*I), 7. I'll\ NA sot.to URANIUM Oll]D~ u-n* Z.8761E+02 _?,7731E+o.,. LSA*I 28438 LBS; 0857*08-0212 Fissle Excepted, LLW soil *- 1300'FT3 20FT SEAVAN/ESU 0300542
- un \,l,Vl1.:lfUl~EE use ONLY 20. lERMll A:NO CONDITIONS Thp ortAlnal l!lantd monif*t re tda, Wl!ft! Record Waste Descrtpllon lnadequale A HAZAROO\J9114ATERJAt.S: Gentr.dot 1&Pfltf8rlll & Wll'tMt.$p-ial ~le fi'alllrial_ is (or) ~Is nol a "3~s WH1CI n dtlfnad h 40 GFR 261. "M"lllte iho malor11l J, a E.W, Cauley Jr ttaz~ Vrellit, dis snlpmtnt ii 1b0 a:::00111JIOllfed bf a sooarote lll"ld compr.lad ~ wuta tllilnl"1,, ~ .ti tM app,opriel* land.cfi1p)S81 T1~lr.llon no,io. ilt'ldfgr 58018fuff'Rd Contamination or Leakage Detected cel'lfflaUlon a fequ~ by40 Cfl\ 268.1, ttol)f<<011 1 SC 21011 (BO>)G4To310l Une*peCl,ed El<posure Rates Dete cled a rm.e Upon.aeceptala ll~disp,M~soobvE'oetl:l~LLC, ancran ~ i a t o 'OGJJ!al<!'IY~lltmJlo,, IIIIQ(OIJ'leWIMO MAUIMlwfll.chc.cp(LYm1-COGe~
n i p , ~ hlRm llhalt UW,1upon 1r1ndr:r from G~9r end be vu!ed IA l:Aw'QySoMJons,, LLC Labels, Marking*. ele. lnai!equate Ni~*
C. WASTEMATERW.: G"ener@rfOf)IOM1Jhlllndws,,_.lillhe.lS1-salfOtlhlnlhl1(UMFORMLOW-lEIJELRADIOACl)Ve'NJI.SlE~ffESn ia\rUOandcornd.,~
__ Container lnlegrlly Inadequate ~itds and In aCCOR:Sant. ~lh an appbble QOYOMrnoin.1 ~ Mio., ~ulelloos ao:I Eool'QY'SonAIOl'II U.C'efoeercv bnH.
O. tNOEJ,OORCATION; Gonaretor 1r,1ree, to lt$ml')fy ErwgyS~ LLC. n. offlaut, employ~ *l'ld ~ egtlntl all lo.es ancl liability 'l!Mlsosvor II su:.h loqG1 'er l!abl!ly
~Iller rautts ltom lh& flllb.l'o cl Materb* la oaf'lform In ~ MIIIMIJ taapcds ta Iha dolia ~ o d on O,e(\JNlFORtd LOW-lEVEl. RAOIOACTN'e WA.STe MA.NtF'EST,) or U' Ws
__ No Vlolellon$ Oetscf.ed on lhls Shipment r;l'lilfflonll'at!slomfll!!IIU'lel~ph:l,audbyt.l,e~dTra,tKpoltlllllonorDl'fl'90V0"1ffltnlalSQf!r')ql't\3WIQlu1~oversuchmQJln
FORM NO. : CF-83-154 REVISION: l SEA/LAND CONTAINER INVENTORY LISTING PAGE: l OF l EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED: E.St.\lA :3oo5"~'2.
DATE BEGAN FILLING: - - -1i
-11*u, r ALL WEIGHTS IN POUNDS
- Keep this record sheet in the desk in LL WB while this container is being filled.
- Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- Net Weight REMINDER: Gms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs. exceeded Drums added per pick list
- 3 Li S~Q~ I Glrv.~ :) 3,,760 Hoppers Total Weight for Shipment
- Example: hoppers, drums, loose material, etc.
This document is the propeny of and contains Propri etary Info rmation owned by Westinghouse Electric Company LLC and/or its subcont ractors am suppliers. h is transmitted to you in confidence and trust, and you ilgrct to treat this document in strict accordance with the terms and conditions of the agreement undec11hjch it was provided to you.
0 2007 Westinghouse Electric Company LLC, All Rights Reserved
FORM540* . \\ ..
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1, EMERG~CY'rELe:'l:iyr,ii;"NU"1(11;1:1 .. -- ,,mrGOI~- I=:~ (~1Y/ f9 El1orgySclutlOIIIJ, LLC Clive Disposal Site CONT.-cl" fuMn,1-llon Cnmnffonco 1-sQo-,211,93 _ TE"'"'-'*m,,,.,E; t4UM~ (Bolk \l\laote Faclllty) 1Si.i::.P1 * ..,,-..:
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AAIJtONLIC<IDfil, TOTAL PACl<AG"E A<ITI'IITY mQ uwsco ClASS OR VOLUME (USB~llfflj II.~ ,, . .. ,...... ..- ~
NUMStR:OP Pl,Cl<AGt MB~
/ '\
lJN 2!112. Radklooli>le maU!rlaJ, low sp<clllc, aaivicy (LSA*I). 7, NA NA SOL.JO URANll.llo'! OXIDE ~ 11-Zll 11-2311 u-z,e 7,T21&E+01 ,._ 2.0llllet-0, LSA-1 2843& LBS; 0857.QB.0211 Fi""l* l,xcepltd, LL W soil 1300"3 .
20FT SEAVANIESU U300101 vnvuniSlGJ'r,IE.t: u:i:E.UNl.Y 20. Ta!MII...,,, c;o$101110NS n,, sn:Wo,t eftntd mPnlft!l 1'ft:!dni '!ftll*
e.w.-=--k -- Recool Waste Oemlptlon lnado,qu;,le ... ...~ O-_ _ _ , , _ . . .... _..M-III_M('rl!'.:_IO"°'*--.,-o40Cl'R:&1. - - - - * *
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lldolaoolblt l"3)MT-3103 Unexpe cled Exposure Ra!es Dele~ed a. TITLE! u...,_.....,..,,..._..,,111.,-LLC.and .. ,""""'1ot 1fQU1'iol\'**ll..w.., uu.1ottew...,Mo!Dtl<ll'l\ltJIOO_IO_
-- Container Label$, Markin9$,
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orq~ogo,q"""1 flADIQ.\CTfVE
! ~ - -WASTE - ~IFESTJ c,tlf 11'l11 7 No Voolallons Oetectad on 1h13 Shipment t-~540{w.uir
FORM NO.: CF-83-154 REVISION: 1 SEA/LAND CONTAINER INVENTORY LISTING PAGE: l OF I EFFECTIVE DATE: 02-05-04 CONTAINER BEING FILLED:
DATE BEGAN FILLING:
ALL WEIGHTS IN POUNDS
- Keep this record sheet in the desk in LL WB while this container is being filled .
- Forward to Engineering when input is complete.
Total Accumulated Gross Weight Operators Gross Tare initial and Items Added
- et Weight REMINDER: Gms U235 Weight Weight date each move container to entry flatbed before 29,000 gross lbs. exceeded Container Tare Weight Drums added per pie *
- JS o~
Hoppers Total Weight for Shipment
- Example: hoppers, drums, loose material, etc:
l)
This document is chc p,openy ofand contains Proprietary Information owned by We.stinshousc Elce1ric Company LLC and/or its subconlraeto.'$ and suppliers It is transmitte<I to you in confidence and 1n1s[, and you agree co treat this document in strict accordanc.c wilh the terms and conditions oft-he agreement under Mich it was pro,.,ided to you_
C) 2007 Westinshouse Electric Company LLC, All Rights Reseo.d