* Facility Type:	Academic Industry Government Medical Utility
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If other facility locations are included in this responses, please list them in the spaces here:
1.               If your facility has a U.S. Nuclear Regulatory Commission (NRC) License Number, please enter that here.  If all radioactive materials are possessed under an NRC General License, indicate “GL.”   2.               Do you generate LLRW which, due to the short half-life of it's isotopes, may be stored for decay and eventually disposed as nonradioactive waste? YES NO For all remaining questions, DO NOT include: (1) waste that is stored for decay which can then be disposed as non-radioactive waste or (2) sealed sources which can be returned to the manufacturer. 3.     A.      In 2008, did your facility generate radioactive waste that requires disposal in a licensed LLRW disposal facility? YES NO B.     Do you anticipate generating LLRW in the future? YES NO C.     Is your facility storing any radioactive material or waste, generated prior to 2008, that is now awaiting disposal? YES NO If you answered “NO” to 3A, 3B AND 3C, it is not necessary to complete the rest of the survey. Please click the “Submit Form” button at the bottom of this page. If you answered “YES” to 3A ,3B, OR 3C, please complete all remaining questions that are appropriate and applicable. WASTE MANAGEMENT 4.      A.     Please estimate the volume of LLRW generated in calendar year 2008 that has been disposed, or will require disposal, in a licensed LLRW disposal facility. Total Cubic Feet B.     If known, break down the total volume entered in 4A into waste classes.  Appendix 1 provides a description of waste classes.  NOTE:  The sum of the entries below should equal the answer in question 4A.    Class A  Class B   Class C   Mixed  Don’t Know 5.                 Use the following table to characterize the LLRW generated in calendar year 2008.  Please indicate the volume, total activity and principle radionuclides for each waste stream that has been disposed or will require disposal in a licensed LLRW facility.  The estimated volume for all waste streams reported should equal the total cubic feet volume reported in 4A.  Click here for a description of waste streams.   A.        Dry Active Waste K.         Rubble, Sand, Soil, etc. B.        Medical Generators L.         Sludge C.        Aqueous Liquids M.        Evaporator Concentrates D.        Organic Liquids (not oils) N.        Air Filter Media, Cartridges E.        Oils O.        Liquid Filter Media, Cartridges F.        Animal Carcasses P.        Ion Exchange Resins G.        Biological Waste (exclude animal carcasses) Q.        Sealed Sources H.        Ash R.        TENORM I.          Activated Equipment or Shielding             (radioactive by irradiation) S.        Other (describe) J.         Contaminated Hazardous Material                 Waste Stream Estimated Volume (Cubic Feet) Total Activity (millicuries) Principle Radionuclides A B C D E F G H I J K L M N O P Q R S A B C D E F G H I J K L M N O P Q R S A B C D E F G H I J K L M N O P Q R S A B C D E F G H I J K L M N O P Q R S A B C D E F G H I J K L M N O P Q R S   6.                 Please estimate the volume (in cubic feet) of LLRW that your facility will generate in each of the next five years. If you are unsure of Waste Class, enter as Class A.          2009 2010 2011 2012 2013 Class A           Class B           Class C           Mixed             7.               Check each waste management method currently used, either by you at your facility, or by an off-site waste processor, to manage your LLRW  Decay to background Curtailment of LLRW generation (elimination or substitution of activities previously generating LLRW)  Return to manufacturer or supplier  On-site incineration  Off-site incineration  Off-site treatment with return for storage  Controlled release pursuant to 10CFR20  Brokerage storage for decay  Refrigerated or frozen, prior to disposal  “Green is clean”  Non-compacted prior to licensed disposal  Other (Please describe)           Compacted prior to licensed disposal  Solidified prior to licensed disposal  Dewatered prior to licensed disposal   8.                 If your facility uses a waste brokerage service (a company which packages and collects waste) so that you do not have to deal with a disposal site directly, please provide the name of the company(s) and the state(s) where the broker(s) is located   9.                 If your facility shipped waste off-site for treatment or processing prior to disposal (incineration, compaction, etc.), identify the waste processor(s) and the state(s) where the processor(s) are located.   WASTE DISPOSAL 10.              Please estimate the volume of waste shipped for disposal (either directly or through a broker or processor) at a licensed LLRW disposal facility in calendar year 2008. Total Cubic Feet 11.              Please identify the volume (in cubic feet) of waste sent to the following disposal sites during calendar year 2008:                       Energy Solutions, LLC  (Barnwell, South Carolina)                     Energy Solutions, LLC  (Clive, Utah)                     U.S. Ecology   (Richland, Washington)                     Other (please identify)                     Don’t know     WASTE IN STORAGE 12.     A.      Please estimate the cubic feet of LLRW, currently in storage, that will require disposal in a licensed LLRW disposal facility. Total Cubic Feet B.     If known, break down the total volume entered in 12A by waste class.  Note: The sum of the entries below should equal the answer in question 12A.                   Class A  Class B  Class C  Mixed  Don’t Know C.     What percentage of the waste in storage was generated in calendar year 2008? % 13.              What difficulties, if any, are you experiencing in your effort to ship stored wastes for disposal?  Please explain:   14.              The Energy Solutions disposal facility in Barnwell, South Carolina ceased accepting waste from Michigan generators in July 2008.  This facility was formerly the only option for disposal of Michigan’s Class B and C wastes.                 A.  Are you now storing Class B or C wastes specifically as a result of the loss of access to the Energy Solutions disposed facility?  YES NO                B.  Please explain any impact this loss of access has had on your facility and any steps taken to address the issue.   15.              Please provide any other comments or explanations that will help us understand your responses to this survey, or any other information you wish to share with us.   Before submitting, please print a copy for your records using your internet browser print button.