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I State of California-California Environmental Proteclio"Agcncy DepaMwya ofTatoc Su6ehoeea c-O`ol SADDLE B - FEES SUMMARY AEET A. EPA ID NUMBER VERIFICATION FEE (1994/95) 1. Name of Organization: SPRECKELS SUGAR COMPANY, INC. 2. Enter the total number of California employees in your entire organization: 220 3. Enter the EPA ID Number Verification Fee Rate from the table below: $ 200 Number of Employees EPA ID Fee Rate 1 through 49 No Fee 50 through 74 $150.00 75 through 99 $175.00 100 through 249 $200.00 250 through 499 $225.00 500 or more $250.00 Fees Not to Exceed$5,000.00 1 4. Enter the total number of EPA ID numbers held by your organization: 5. Calculate your EPA ID number fee: (Multiply Line 3 by Line 4) g 200 6. Total EPA ID Number Verification Fee Due: (Enter the dollar amount from Line 5 above, OR "$5,000.00", whichever amount is less.) $ 200 B. MANIFEST FEE (Calendar Year 1993) 1. Enter the dollar amount from line 7 on your Schedule A-Manifest Fee Calculation Sheet. If your organization has more than one EPA ID number, enter the total of all dollar amounts from line 7 on all your Schedule A- Manifest Fee Calculation Sheets. $ 120 C. GRAND TOTAL OF EPA ID NUMBER VERIFICATION AND MANIFEST FEES 1. Add Line A6 and Line BI and enter total fee due. $ 320 Make your check payable to "DTSC" for the amount reported on line C1. Return payment with the following documents: o Verification Questionnaire for each EPA ID number o Schedule A-Manifest Fee Calculation Sheet for each EPA ID number o Schedule B -Fees Summary Sheet o Multiple EPA ID number list, if applicable THIS SECTION FOR DFPARTNMNTS USE ONLY CHECK NO: S AMOUNT: DATE: CID NO: 12560055: 12560092: 12560035: 12560091: 12560045: 12560093: UNCLEAR: AMT DUE: DTSC 11948(3/95) l2