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

APPROVED BY OMB: NO. 3150-0165 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 EXPIRES: (MM/DD/YYYY) 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.

NRC FORM 542A U.S. NUCLEAR REGULATORY COMMISSION 2. MANIFEST NUMBER (MM-YYYY)

UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST MANIFEST INDEX AND REGIONAL COMPACT TABULATION (Continuation) 3.

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

4. 5. 6. 7. 8. 9. 10. 11. AS PROCESSED/COLLECTED TOTAL MANIFEST NUMBER(S) UNDER ORIGINATING GENERATOR GENERATOR NAME GENERATOR PREPROCESSED WASTE CODE WHICH WASTE (OR MATERIAL) COMPACT A. SOURCE IDENTIFICATION PERMIT NUMBER (IF APPLICABLE) FACILITY WASTE (OR MATERIAL) P = PROCESSED B. SNM C. ACTIVITY D. VOLUME RECEIVED AND DATE REGION MATERIAL NUMBER AND TELEPHONE NUMBER ADDRESS VOLUME (m3 ) C = COLLECTED (g) (MBq) (m3 )

OF RECEIPT OR STATE (kg)

NRC FORM 542A (MM-YYYY)