ML18313A149

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OMB 3150-0165, NRC Form 542A
ML18313A149
Person / Time
Issue date: 06/26/2019
From: Lloyd Desotell
Division of Decommissioning, Uranium Recovery and Waste Programs
To:
L DESOTEL DUWP
Shared Package
ML18313A143 List:
References
OMB 3150-0165
Download: ML18313A149 (1)


Text

NRC FORM 542A (MM-YYYY)

NRC FORM 542A (MM-YYYY)UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST MANIFEST INDEX AND REGIONAL COMPACT TABULATION (Continuation)

U.S. NUCLEAR REGULATORY COMMISSION

2. MANIFEST NUMBER PAGE(S)PAGE OF 3.GENERATOR IDENTIFICATION NUMBER 4.GENERATOR NAME PERMIT NUMBER (IF APPLICABLE)

AND TELEPHONE NUMBER GENERATOR FACILITY ADDRESS PREPROCESSED WASTE (OR MATERIAL)

VOLUME (m )

MANIFEST NUMBER(S) UNDER WHICH WASTE (OR MATERIAL)

RECEIVED AND DATE OF RECEIPT WASTE CODE P = PROCESSED C = COLLECTED ORIGINATING COMPACT REGION OR STATE AS PROCESSED/COLLECTED TOTAL 11.D. VOLUME (m )C. ACTIVITY (MBq)B. SNM (g)A. SOURCE MATERIAL (kg)5.6.7.3 8.9.10.3 APPROVED BY OMB: NO. 3150-0165 EXPIRES: (MM/DD/YYYY)

Estimated burden per response to comply with this information collection request: 45 minutes. 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 Information Services Branch (T-6 A10M), 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

Budget, Washington, DC 20503. If a means used to imp ose an information collection does not display a currently vaild OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.

Instructions: See NUREG/BR-0204 for detailed instructions for completing this form:

http://www.nrc.gov/reading-rm/doc-collections/nuregs/brochures/br0204/