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Dominion Resources Services, Inc.
5000 Dominion Boulevard, Glen Allen, VA 23060 Web Address: www.dom.coni CERTIFIED MAIL RETURN RECEIPT REQUESTED May 23, 2012 NESHAP Asbestos Coordinator EPA Region III 1650 Arch Street Philadelphia, Pennsylvania 19103 Asbestos Program Virginia Department of Labor and Industry Powers-Taylor Building 13 South Thirteenth Street Richmond, VA 23219 RE: SURRY POWER STATION: NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS (NESHAP) SUBPART M-NATIONAL EMISSION STANDARD FOR ASBESTOS, WASTE SHIPMENT RECORD NOTIFICATION To. the NESHAP Coordinator:
By letter dated March' 8, 2012, Dominion notified the Environmental Protection Agency and the Virginia Department of Labor and Industry that Surry Power Station had not received the final waste, shipment record (WSR) for the January 26, 2012, shipment of radiologically contaminated asbestos waste (RCAW), shipment number D2012-02. Pursuant to 40 CFR 61.150 (d)(4), this serves as the notification that Dominion's Surry Power Station has received a disposal site copy of the final WSR for shipment number D2012-02 from Energy Solutions, Clive Disposal Site, in Clive, Utah (Enclosure 1).
If you have any questions or concerns, please contact Anikka Moore at (804) 273-2988.
Sincerely, Cathy C. ayllr Director, Electric Environmental Services Enclosures
May 23, 2012, Page 2 of 2 Cc: j/US Nuclear Regulatory Commission Attention: Document Control Desk Washington, DC 20555 Docket Nos. 50-280 and 50-281 License Nos. DPR-32 and DPR-37 NRC Residents Surry Power Station 5570 Hog Island Road Surry, VA 23883 Docket Nos. 50-280 and 50-281 License Nos. DPR-32 and DPR-37
DOMINION C,-HP-1072.050 NUCLEAR HEALTh PHYSICS Revision 9 Page 53 of 53 (Page 1 of 4)
Attachment 9 ASBESTOS WASTE SHIPMENT RECORD GENERATOR
- 1. Work site name and mailing addmas Owner's name Ship-ent Nubrxx "Dominion Donion SurTy Power Station 5570 Hog islaad Rd.
Surry, VA 23883 71 D2012-02 2 Opeaor's name and adOpe s telephone num-ber Insulation Speccialties inc., PO Box 127, 501 Westover Aye, Hopewoli, VA 23860 j(804) 459-1555
- 3. Waste Diaposal Site (WVDS) arme, mailing adriess, an*d physical site location 1 VDS =laphor-mmimbe" EnergySolutions- Clive Disposal Site- Containerized Waste Facility Interstate 80 Exit 49, Clive, UT 84029 _(435) 884-0155
- 4. Naroria a ss of ir-aponsPole agea-cy Department of Labor and Industry, 13 South ThIrteenth Street, Richmond, Virginia 23219 S. Descq-ip ofratere-iL-s
- ,- 'ýý11 4 "1 6. Cn-iers no. andtyp-, . Total quantitym3 (yd')
_* (AA-e..9" r .T_0-
- . , . (8) metal boxmco-,taining "BA" bags _ --
- 8. Spmial handl-ing in*stnacdUs and additional infonnation Intermediate processor: Energy Solutions, 1560 Bear Creek Rd, Oak Ridge, TN 37830. (865)220-1589 9, OPERATOR'S CERTIFICATION:
"hervydeclare that the ooni.ats, of this consignment am fially and aceuriaely describl:-nbve by propc.-e*sippitg name, are classifiad, pac*ked, markke, labeled, and are in all reapez.ts in prop-r condition fbr na-anport by highway according to applicable international and govearria-mt rgulatiors.
Printre.or *e*nim and title Siýmnatre w=11 Ia' Year Mark A, Young/Genmeral Foreman _ 01/26/201 2 T'RANSPO.. 'ER0 10, Tr.poren- 1 (acktowiedpnenofreeeptofzaeials)
Pr-ited or typed name and..titl e i.5ti) i' PI " / / Telenn mbe-4 W~ 4-a~A&r-AD Printed or typed name and title k~a5ZOn
_ ,g,*g7"£n.__T,4 2
,/776 yz37
- 1. Transporter 2 (ack owle,.gmeri~t of rezeint of mrater'ials)__........___
Signature
, D" DISPOSAL SITE 12 Disreparey indication a*9e3
- 13. Wasto disposal sire owner or operator C*edfication ofrrceipt of asbestos teialscoved bythis marnfest excpt as noted in i=en 12.
namorety,.
m and title Signtm Ma EtvL, 'r mo,*,*.,*.. r~o.** ¢- -* \¢ I" 2o