Clive Facility Forms

Clive Bulk Waste

Waste Profile & Attachments

This zipped file contains the Radioactive Waste Profile Record and supporting attachments. The Waste Profile enables EnergySolutions to evaluate wastes for acceptance based on physical, radiological, chemical, and hazardous characteristics of the waste. A completed and signed copy of the Waste Profile must be submitted for every waste stream that is shipped to EnergySolutions' Bulk Waste Disposal and Treatment Facilities.

SNM Exemption Certification

The SNM Exemption Certification form must be submitted with the Radioactive Waste Profile Record if the waste contains uranium enriched in U-235 or any of the following radionuclides: U-233, Pu-236, Pu-238, Pu-239, Pu-240, Pu-241, Pu-242, Pu-243, or Pu-244.

PCB Waste Certification

The PCB Waste Certification form must be submitted with the Radioactive Waste Profile Record if the waste contains PCBs regulated for disposal per 40 CFR 761.

5 Working-Day Advanced Shipment Notification

The 5 Working-Day Advanced Shipment Notification form must be submitted to EnergySolutions' Scheduling department at least five working days prior to the desired date of the shipment's arrival. This form must include the date and revision number of the most recently approved Radioactive Waste Profile Record.

Clive Containerized Waste

Certified Containerized Waste Profile Record

This file contains the Certified Containerized Waste Profile Record. For the Certified Waste Generator Program, EnergySolutions will review each generator's procedures regarding radioactive waste characterization, packaging, and transportation for adequacy in complying with EnergySolutions' license conditions and waste acceptance criteria. Particular attention will be given to radiological characterization, free liquid management and inspections, void space minimization procedures, QA/QC program, and recent inspection reports completed by the generator's primary radioactive waste management regulatory agency. EnergySolutions' review and certification of a generator's radioactive waste management program will include an assessment of the required documentation and procedures identified in Section 4 of the Certified Containerized Waste Profile Record. A completed and signed copy of this form must be submitted with the required documentation in order to become qualified as a Certified Generator.

Advanced Shipment Notification Form

The Advanced Shipment Notification Form must be completed and emailed or faxed to EnergySolutions' CWF Operation's Department in order to request a shipment delivery date (see the CWF WAC for contact information). The CWF Operations' Department will return the Advanced Shipment Notification Form with a unique CWF Shipment ID Number when the shipment delivery schedule is approved.

Work Status Report

(For Licenced Health Care Provider)