39-LL Radioactive Waste Report(Part2).doc

MARYLAND DEPARTMENT OF THE ENVIRONMENT

2500 Broening Highway • Baltimore Maryland 21224

410-631-3345 • 1-800-633-6101 (within Maryland) • http://www.mde.state.md.us

Hazardous Waste Program, Regulations/Permitting Division

Calendar Year 2008, Low Level Radioactive Waste Management Annual Report

Part 1, Identification

Materials Users License Number

Generator Name

Shipper ID Number

Facility Address

City

State

Zip Code

County

Generator Type

Facility Contact Person

Title

Department

Telephone Number

Fax Number e-mail

Part 2, Did Not Manage (Please check one of the two boxes)

For calendar year 2008, as of inventory date ________________ I certify that low-level radioactive waste was OR was not MANAGED at this facility.

Part 3, LLRW ON SITE Summary (To Convert millicurie (mCi) to megabecquerel (MBq) multiply the number of millicuries by 37)

For Calendar Year 2008, as of inventory date ________________this facility managed low level radioactive waste on site as described below:

Managed on site, As of inventory date __________________.

Storage until decay below regulatory concern Awaiting pickup for transport Totals

Total Number of Packages

Total Volume (in cubic feet)

Total Activity (List Units in which Activity is being

Reported)

If there was any LLRW held until decay, how many days during this calendar year was the package held the longest stored there? _______days.

Part 4, LLRW OFF SITE Summary applicable not applicable

For calendar year 2008, as of inventory date ________________, for LLRW MANAGED OFF SITE for this facility:

I am submitting copies of NRC forms 540 & 541 OR I am completing the information required below

Total Number of Shipments

Total Number of Packages

Total Volume (in cubic feet)

Total Activity (List Units in which Activity is being

Reported)

Part 5, Signature & Date

Name of Person completing this report

Title

Signature

Date

� EMBED Word.Picture.8 ���

Attachment 39

Attachment 39

_952165625.doc