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NSSI/RECOVERY SERVICES, INC.
WASTE PROFILE FORM

SUPPLEMENTAL RADIOACTIVE WASTE PROFILE FORM

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DRUM NO. WASTE TYPE CONT SIZE
(gal)
WASTE STREAM NAME NUCLIDE TOTAL ACTIVITY (mCi) CONCENTRATION
(As applicable) uCi/milliliter uCi/gram
THE ABOVE LISTED RADIOACTIVE WASTE MATERIAL(S) HAVE BEEN PROPERLY CLASSIFIED AND PACKAGED IN ACCORDANCE WITH 10 CFR PART 71 SUBPARTS A THROUGH G.

WASTE TYPES:

02. SCINTILLATION VIALS
02P. SCINTILLATION PLATES
02D. SCINTILLATION DRY WASTE
04. BULK SCINTILLATION WASTE
06. URANIUM/THORIUM COMPOUNDS
07. DRY NON-COMPACTED
07C. DRY COMPACTED
07N. DRY NON-COMPACTABLE
17. COMPRESSED GAS CYLINDERS
35. NORM SOLIDS/LIQUIDS
36. NORM WITH RCRA CODES
37. MIXED WASTE LAB PACKS
38. MIXED WASTE BULK LIQUIDS

This to certify that the listed radioactive wastes have been properly described, classified, marked, and labelled in accordance with 10 CFR part 71 subparts A through G.

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