Nrc Form 540 PDF Details

Ensuring the safe transportation and disposal of low-level radioactive waste is a critical responsibility, managed with stringent oversight by the U.S. Nuclear Regulatory Commission (NRC). At the heart of this regulatory framework is the NRC Form 540, a document designed to standardize the reporting requirements for both federal and state agencies. This uniform manifest form is built to be comprehensive, catering to a diverse array of needs and scenarios linked to low-level waste handling. With sections detailing everything from emergency contact numbers to certifications by the shipper that the waste is properly classified and prepared for transport, NRC Form 540 ensures that each step of the disposal process is thoroughly documented. Additionally, it includes specific fields for the Department of Transportation, underscoring the collaborative nature of safe waste management practices. While the form carries an estimated completion burden of 45 minutes, its role in maintaining public and environmental safety cannot be overstated. Notably, compliance is mandatory only if the form displays a valid Office of Management and Budget (OMB) control number, symbolizing its relevance and authority within the regulatory landscape. Through meticulous record-keeping and adherence to these protocols, NRC Form 540 serves as a cornerstone in the safe and responsible stewardship of low-level radioactive materials.

QuestionAnswer
Form NameNrc Form 540
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnrc540 nrc full blank froam pdf form

Form Preview Example

APPROVED BY OMB: NO. 3150-0164

Estimated burden per response to comply with this information collection request: 45 minutes. This uniform manifest is required by NRC to meet reporting requirements of Federal and State Agencies for the safe transportation and disposal of low-level waste. Send comments regarding burden

estimate to the FOIA, Privacy and Information Collections Branch (T-5 F53), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by internet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0164),

EXPIRES: 12/31/2016

Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.

 

NRC FORM 540

U.S. NUCLEAR REGULATORY COMMISSION

(01-2014)

UNIFORM LOW-LEVEL

 

 

RADIOACTIVEWASTE MANIFEST

 

SHIPPING PAPER

1. EMERGENCY TELEPHONE NUMBER (Include Area Code)

ORGANIZATION

2.IS THIS AN "EXCLUSIVE USE" SHIPMENT? 3. TOTAL NUMBER OF

PACKAGES IDENTIFIED

YES

 

NO

ON THIS MANIFEST

 

 

 

=====>

 

 

 

EPA MANIFEST NUMBER

4. DOES EPA REGULATED

 

 

WASTE REQUIRING A

 

YES

 

 

MANIFEST ACCOMPANY

 

 

 

 

THIS SHIPMENT?

 

NO

 

If "Yes," provide Manifest Number

 

 

 

5. SHIPPER - NAME AND FACILITY

USER PERMIT NUMBER

SHIPMENT NUMBER

 

 

CONTACT

6. CARRIER - Name and Address

CONTACT

SIGNATURE - Authorized carrier acknowledging waste receipt

SHIPPER I.D. NUMBER

COLLECTOR

PROCESSOR

GENERATOR TYPE (Specify)

TELEPHONE NUMBER

(Include Area Code)

EPA I.D. NUMBER

SHIPPING DATE

TELEPHONE NUMBER

(Include Area Code)

DATE

7. NRC FORM 540 AND 540A

PAGE 1 OF

 

PAGE(S)

8. MANIFEST NUMBER

 

(Use this number on all continuation pages)

NRC FORM 541 AND 541A

 

 

PAGE(S)

 

 

 

NRC FORM 542 AND 542A

 

 

PAGE(S)

 

 

 

 

ADDITIONAL INFORMATION

 

 

PAGE(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

9. CONSIGNEE - Name and Facility Address

 

 

CONTACT

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER (Include Area Code)

 

 

SIGNATURE - Authorized consignee acknowledging waste receipt

DATE

 

 

 

 

 

10. CERTIFICATION

This is to certify that the herein-named materials are acceptable for disposal, are properly classified, described, packaged, marked, and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation and the Commission.

AUTHORIZED SIGNATURE

TITLE

DATE

 

 

 

11.U. S. DEPARTMENT OF TRANSPORTATION DESCRIPTION (Including proper shipping name, hazard class, UN ID number, and any additional information)

12.DOT LABEL

"RADIOACTIVE"

13. TRANSPORT

INDEX

14.

PHYSICAL AND

CHEMICAL FORM

15.

INDIVIDUAL RADIONUCLIDES

16.

TOTAL PACKAGE

ACTIVITY IN SI UNITS

17.LSA/SCO

CLASS

18.TOTAL WEIGHT

OR VOLUME

(Use appropriate units)

19.IDENTIFICATION

NUMBER OF

PACKAGE

FOR CONSIGNEE USE ONLY

NRC FORM 540 (01-2014)

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Stage no. 1 of filling out Nrc Form 540

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Filling out section 2 in Nrc Form 540

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