Radioactive Substances Act 1993 (as amended) MODULAR APPLICATION FORM SECTION 3 RADIOACTIVE WASTE CHARACTERISATION, ACCUMULATION AND DISPOSAL Details of the radioactive waste to be accumulated and/or disposed of 3a. Provide a brief overview of the radioactive waste that you are applying to receive, accumulate and/or dispose of, indicating how it has been generated and its main radioactive and hazardous properties and how you intend to manage it (accumulate, treat and dispose of it). (see guidance note on p16) Click here to enter text. 3b. Indicate if you are applying to accumulate radioactive waste (see guidance note on p16) Type of radioactive waste accumulated Gaseous Tick if applicable (if any boxes below are ticked, complete section 4) ☐ Liquid ☐ Solid ☐ 3c. Do you intend to receive and/or dispose of radioactive waste from other premises? (see guidance note on p16) Yes ☐ No ☐ If YES, give details: Click here to enter text. Section 3: 1 of 2 3d. Indicate the disposal routes that you are applying for (see guidance note on p17) Type of radioactive waste for disposal Gaseous Disposal Routes Tick where applicable Discharge to the environment ☐ complete section 5 Other: please describe in box below Liquid Discharge to the environment ☐ ☐ complete section 6 Transfer to a waste permitted person ☐ complete section 7 Transfer to a named person (outwith UK) ☐ complete section 7 Other: please describe in box below Solid Transfer to a waste permitted person ☐ ☐ complete section 7 Transfer to a named person (outwith UK) ☐ complete section 7 Disposal to sea (for offshore industry only) Other: please describe in box below If OTHER please provide further detail in this box Click here to enter text. Gaseous Click here to enter text. Liquid Click here to enter text. Solid Section 3: 2 of 2 ☐ complete section 8 ☐