542A NRC Form 542A

NRC FORM 542A

U.S. NUCLEAR REGULATORY COMMISSION

2. MANIFEST NUMBER

(3-95)

UNIFORM LOW-LEVEL RADIOACTIVE WASTE MANIFEST

3.

PAGE

MANIFEST INDEX AND REGIONAL COMPACT TABULATION
4.

5.
GENERATOR
IDENTIFICATION
NUMBER

6.
GENERATOR NAME
PERMIT NUMBER (IF APPLICABLE)
AND TELEPHONE NUMBER

7.
GENERATOR
FACILITY
ADDRESS

8.
PREPROCESSED
WASTE
(OR MATERIAL)
VOLUME
(m3 )

NRC FORM 542 (3-95)

MANIFEST NUMBER(S) UNDER
WHICH WASTE (OR MATERIAL)
RECEIVED AND DATE
OF RECEIPT

9.
WASTE CODE
P = PROCESSED
C = COLLECTED

10.
ORIGINATING
COMPACT
REGION
OR STATE

11.

OF

PAGE(S)

AS PROCESSED/COLLECTED TOTAL
A. SOURCE
MATERIAL

B. SNM

C. ACTIVITY

D. VOLUME

(kg)

(g)

(MBq)

(m3 )