On April 2, 2024, the NRC issued a notice of violation to Trinity Health Grand Rapids Hospital (licensee) for a Severity Level (SL) III problem. The SL III problem consisted of two violations. The first violation involved the licensee’s failure to control technetium-99m contaminated waste located in an unrestricted hospital waste collection area, as required by Title 10 of the Code of Federal Regulations (10 CFR) 20.1802. The second violation involved the licensee’s failure to make surveys as required by 10 CFR 20.1501 to assure compliance with 10 CFR 20.2001(a)(1), which requires a licensee to dispose of licensed material only by transfer to an authorized recipient as provided in 10 CFR 20.2006 or in the regulations in part 30, 40, 60, 61, 63, 70, and 72. Specifically, the licensee failed to survey hospital waste in accordance with hospital procedures to prevent the disposal of residual technetium-99m in solid waste through transfer to an unauthorized recipient.