NRC Form 540A

NRC FORM 540A

U.S. NUCLEAR REGULATORY COMMISSION

(3-95)

UNIFORM LOW-LEVEL RADIOACTIVE
WASTE MANIFEST
11. U.S. DEPARTMENT OF TRANSPORTATION DESCRIPTION
(Including proper shipping name, hazard class, UN ID number,
and any additional inforation)

NRC FORM 540A (3-95)

12.
DOT LABEL
"RADIOACTIVE"

13.
TRANSPORT
INDEX

14.
PHYSICAL AND
CHEMICAL FORM

8. MANIFEST NUMBER
(Use this number on all continuation pages)

PAGE
15.
INDIVIDUAL
RADIONUCLIDES

16.
TOTAL PACKAGE
ACTIVITY IN SI UNITS

17.
LSA/SCO
CLASS

OF

18. TOTAL WEIGHT
OR VOLUME
(Use appropriate units)

PAGE(S)
19. IDENTIFICATION
NUMBER OF
PACKAGE