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NSSI 336.225 WASTE PROFILE FORM

DRUM NO
 
WASTE TYPE CODE CONT SIZE
(gal)
WT
(lb)
WASTE STREAM NAME NUCLIDES
(H-3/C-14/I-125)
TOTAL ACTIVITY
(mCi)
CONCENTRATION
µCi/g or ml

WASTE TYPES:

02. SCINTILLATION VIALS
02P SCINTILLATION PLATES/FILTERS
02B DRY WASTE
04. BULK SCINTILLATION LIQUIDS

This to certify that the listed wastes have been surveyed to assure that the limits specified in subsection(a) of Section 336.225 have not been exceeded and that all labels, tags, and other markings which could indicate the material or content is radioactive have been removed or otherwise obliterated or obscured.

GENERATOR SIGNATURE
TITLE
Name
DATE