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{{#Wiki_filter:UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST CONTAINER AND WASTE DESCRIPTION  (CONTINUATION)
{{#Wiki_filter:APPROVED BY OMB: NO. 3150-0166 Estimated burden per response to comply with this information collection request: 3.3 hours. 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 regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0166), Office of Management and EXPIRES: 12/31/2019 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 information collection.
NRC FORM 541A (01-2017)U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 541A  (01-2017)
NRC FORM 541A                                                                                                                                                                                                  U.S. NUCLEAR REGULATORY COMMISSION                                  2. MANIFEST NUMBER (01-2017)
: 2. MANIFEST NUMBER PAGE(S)PAGE OF 3.WASTE DESCRIPTION FOR EACH WASTE TYPE IN CONTAINER DISPOSAL CONTAINER DESCRIPTION 5.CONTAINER IDENTIFICATION NUMBER/GENERATOR ID NUMBER(S)
UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST CONTAINER AND WASTE DESCRIPTION (CONTINUATION)
CONTAINER DESCRIP-TION (See Note 1) 6.VOLUME (m  )WASTE AND CONTAINER WEIGHT (kg)SURFACE RADIATION LEVEL SURFACE CONTAMINATION 7.8.9.10.3 (µSv/hr)ALPHA 2 MBq/100cm (mSv/hr)BETA-GAMMA WASTE CLASSIFI-CATION AS-Class A Stable AU-Class A Unstable B-Class B C-Class C 16.WASTE DESCRIP-TOR (See Note 2) 11.APPROXIMATE WASTE VOLUME(S) IN CONTAINER 12.13.SORBENT SOLIDIFICATION, STABILIZATION, MEDIA (See Note 3)
Instructions: See NUREG/BR-0204 for detailed instructions for completing this form: http://www.nrc.gov/reading-rm/doc-collections/nuregs/brochures/br0204/                                                                              3.
CHEMICAL FORM/
PAGE                                  PAGE(S)
CHELATING AGENT 14.WEIGHT%CHELATING AGENT IF > 0.1%PHYSICAL DESCRIPTION CHEMICAL DESCRIPTION RADIOLOGICAL DESCRIPTION 15.INDIVIDUAL RADIONUCLIDES AND ACTIVITY (MBq) AND CONTAINER TOTAL; OR CONTAINER TOTAL ACTIVITY AND RADIONUCLIDE PERCENT Instructions: See NUREG/BR-0204 for detailed instructions for completing this form:
OF DISPOSAL CONTAINER DESCRIPTION                                                                                                                  WASTE DESCRIPTION FOR EACH WASTE TYPE IN CONTAINER                                                                                                    16.
http://www.nrc.gov/reading-rm/doc-collections/nuregs/brochures/br0204/
WASTE
APPROVED BY OMB: NO. 3150-0166 EXPIRES:  12/31/2019 Estimated burden per response to comply with this information collection request: 3.3 hours. 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 regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0166), Office of Management and  
: 5.                6.          7.              8.            9.                10.      SURFACE                            PHYSICAL DESCRIPTION                      14.              CHEMICAL DESCRIPTION                        15.                          RADIOLOGICAL DESCRIPTION                                  CLASSIFI-CONTAMINATION                                                                                                                                                                                                                            CATION SURFACE                                        11.        12.                    13.
 
CONTAINER    CONTAINER                        WASTE RADIATION                MBq/100cm 2            WASTE SORBENT                                                          WEIGHT                                                                                              AS-Class A IDENTIFICATION  DESCRIP-      VOLUME            AND                                                                        APPROXIMATE          SOLIDIFICATION,                                                                                                                                                              Stable LEVEL                                        DESCRIP-                                                                                                    %                        INDIVIDUAL RADIONUCLIDES AND ACTIVITY (MBq) AND NUMBER/        TION                      CONTAINER                                                                          WASTE            STABILIZATION,                  CHEMICAL FORM/                                                                                                                          AU-Class A GENERATOR                      (m 3)        WEIGHT                                                            TOR                                                                                              CHELATING                        CONTAINER TOTAL; OR CONTAINER TOTAL ACTIVITY                            Unstable
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 information collection.}}
(µSv/hr)                        BETA-                      VOLUME(S) IN            MEDIA                      CHELATING AGENT ID NUMBER(S)  (See Note 1)                      (kg)                            ALPHA                                                                                                                                AGENT                                    AND RADIONUCLIDE PERCENT                                  B-Class B GAMMA                        CONTAINER                                                                                                                                                                                    C-Class C (mSv/hr)                                    (See Note 2)                                                                                            IF > 0.1%
(See Note 3)
NRC FORM 541A (01-2017)}}

Latest revision as of 21:20, 4 November 2019

NRC Form 541A - Uniform Low-Level Radioactive Waste Manifest Container and Waster Description (Continuation)
ML13083A183
Person / Time
Issue date: 01/31/2017
From:
NRC/OCIO/GEMSD/IMSB
To:
References
Download: ML13083A183 (1)
v • d • e


Text

APPROVED BY OMB: NO. 3150-0166 Estimated burden per response to comply with this information collection request: 3.3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br />. 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 regarding burden estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0166), Office of Management and EXPIRES: 12/31/2019 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 information collection.

NRC FORM 541A U.S. NUCLEAR REGULATORY COMMISSION 2. MANIFEST NUMBER (01-2017)

UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST CONTAINER AND WASTE DESCRIPTION (CONTINUATION)

Instructions: See NUREG/BR-0204 for detailed instructions for completing this form: http://www.nrc.gov/reading-rm/doc-collections/nuregs/brochures/br0204/ 3.

PAGE PAGE(S)

OF DISPOSAL CONTAINER DESCRIPTION WASTE DESCRIPTION FOR EACH WASTE TYPE IN CONTAINER 16.

WASTE

5. 6. 7. 8. 9. 10. SURFACE PHYSICAL DESCRIPTION 14. CHEMICAL DESCRIPTION 15. RADIOLOGICAL DESCRIPTION CLASSIFI-CONTAMINATION CATION SURFACE 11. 12. 13.

CONTAINER CONTAINER WASTE RADIATION MBq/100cm 2 WASTE SORBENT WEIGHT AS-Class A IDENTIFICATION DESCRIP- VOLUME AND APPROXIMATE SOLIDIFICATION, Stable LEVEL DESCRIP-  % INDIVIDUAL RADIONUCLIDES AND ACTIVITY (MBq) AND NUMBER/ TION CONTAINER WASTE STABILIZATION, CHEMICAL FORM/ AU-Class A GENERATOR (m 3) WEIGHT TOR CHELATING CONTAINER TOTAL; OR CONTAINER TOTAL ACTIVITY Unstable

(µSv/hr) BETA- VOLUME(S) IN MEDIA CHELATING AGENT ID NUMBER(S) (See Note 1) (kg) ALPHA AGENT AND RADIONUCLIDE PERCENT B-Class B GAMMA CONTAINER C-Class C (mSv/hr) (See Note 2) IF > 0.1%

(See Note 3)

NRC FORM 541A (01-2017)

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