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CLOSURE PLAN CalRecycle 504(Rev.6/14) Page 3 of 4 "Destination Charge"represents the total cost of tipping fees or disposal fees for all loads of waste tires transferred from the cleanup site to the destination facility. The Destination Charge shall be computed using the following formula: Destination Charge($)=MT x TF Factor"MT"is described above. Factor"TF" ($per load)represents the cost to deposit waste tires at the destination facility. This may be a tipping fee or a disposal fee. If the fee is expressed in dollars per ton then this number must be multiplied by the weight of the load in order to yield dollars per load. The tipping fee should be based on the form of the waste tires(e.g.,shreds vs.whole). Closure Cost Estimate Worksheet Con't "Loading Cost"represents the total cost of loading all loads of tires into vehicles at the closure facility and unloading the vehicles at the final destination. The Loading Cost shall be computed using the following formula: Loading Cost($)=MT x LC Factor"MT" is described above. Factor"LC"($per load)represents the unit cost to load one vehicle with waste tires at the closing facility,and to unload the same waste tires at the final destination. This cost includes operational expenses,which covers wages for workers and pro rated expenses for rental or lease of equipment and machinery. "Administration Cost"($)represents the total cost of administration activities for the entire closure operation. This cost shall include the wages for personnel overseeing the cleanup activities and other operating expenses for the entire project. "Security Cost"($)represents the total cost of security arrangements for the entire closure operation. This is the cost to secure the site and restrict public access. This cost covers the expenses for the entire cleanup operation and includes installation of a site fence, installation or repair of lighting,and wages for security guards,etc. Notes: 1. Total Closure Cost Estimate will vary according to the facility's design and operation as presented in the Operation Plan, Form CalRecycle 501 (6/14). 2. All costs will be added and then multiplied by the contingency factor of 1.2 to estimate the Total Closure Cost for the cleanup. 3. Any deviations from the above formula must be explained. 4. Complete a separate closure cost estimate worksheet if the waste tires are to be transported to more than one point of destination OPERATOR CERTIFICATION: 1 certify that this document and all attachments were prepared under my direction or supen?ision. I have inquired of the person or persons who manage the system or those persons directly responsible for gathering the information, and certify that the information submitted is, to the best of my knowledge and belief,true,accurate and complete. Facility Operator or Agent ftnatm: