Your account will be closed as of the date entered For
( TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Line 6 )
(10 Total amount of fees (add lines 3 through 9 in column D) $)
(11 Less prepayment credit $)
(12 Total fee due (subtract line 11 from line 10) $)
(13 PENALTY [multiply line 12 by 10% (0 10) if payment is made after the due date shown above] $)
(15 TOTAL AMOUNT DUE AND PAYABLE (add lines 12 and 13) $ )
(ACCOUNT NUMBER)
(Based on amounts of hazardous waste generated
(BOE USE ONLY)
(checkbox)
(CLEAR) CLEAR
(COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 2 Generators which generate less than 5 tons COLUMN B NUMBER OF SITES (do not list tonnage) )
(COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 3 Generators which generate an amount equal to or more than 5 tons but less than 25 tons COLUMN B NUMBER OF SITES (do not list tonnage) )
(COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 4 Generators which generate an amount equal to or more than 25 tons but less than 50 tons COLUMN B NUMBER OF SITES (do not list tonnage) )
(COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 5 Generators which generate an amount equal to or more than 50 tons but less than 250 tons COLUMN B NUMBER OF SITES (do not list tonnage) )
(COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 6 Generators which generate an amount equal to or more than 250 tons but less than 500 tons COLUMN B NUMBER OF SITES (do not list tonnage) )
(COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 7 Generators which generate an amount equal to or more than 500 tons but less than 1 000 tons COLUMN B NUMBER OF SITES (do not list tonnage) )
(COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 8 Generators which generate an amount equal to or more than 1 000 tons but less than 2 000 tons COLUMN B NUMBER OF SITES (do not list tonnage) )
(COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 9 Generators which generate an amount equal to or more than 2 000 tons COLUMN B NUMBER OF SITES (do not list tonnage) )
(column B x C)
(COLUMN C AMOUNT OF FEES )
(COLUMN C AMOUNT OF FEES )
(COLUMN C AMOUNT OF FEES )
(COLUMN C AMOUNT OF FEES )
(COLUMN D TOTAL FEES DUE (column B x C) )
(COLUMN D TOTAL FEES DUE (column B x C) )
(COLUMN D TOTAL FEES DUE (column B x C) )
(COLUMN D TOTAL FEES DUE (column B x C) )
(DATE)
(do not
(DUE ON OR BEFORE)
(DUE)
(EMAIL ADDRESS)
(Enter the date of last generation:)
(Instructions on Reverse)
(NAME)
(PERIOD)
(PRINT NAME AND TITLE)
(PRINT) PRINT
(ROW 1 GENERATING SITE ADDRESS )
(ROW 1 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 1 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 1 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 1 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 1 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 1 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 1 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 1 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 10 GENERATING SITE ADDRESS )
(ROW 10 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 10 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 10 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 10 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 10 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 10 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 10 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 10 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 10 SUB NUMBER EPA NUMBER )
(ROW 2 GENERATING SITE ADDRESS )
(ROW 2 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 2 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 2 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 2 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 2 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 2 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 2 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 2 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 2 SUB NUMBER EPA NUMBER )
(ROW 3 GENERATING SITE ADDRESS )
(ROW 3 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 3 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 3 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 3 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 3 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 3 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 3 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 3 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 3 SUB NUMBER EPA NUMBER )
(ROW 4 GENERATING SITE ADDRESS )
(ROW 4 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 4 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 4 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 4 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 4 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 4 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 4 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 4 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 4 SUB NUMBER EPA NUMBER )
(ROW 5 GENERATING SITE ADDRESS )
(ROW 5 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 5 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 5 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 5 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 5 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 5 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 5 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 5 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 5 SUB NUMBER EPA NUMBER )
(ROW 6 GENERATING SITE ADDRESS )
(ROW 6 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 6 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 6 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 6 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 6 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 6 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 6 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 6 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 6 SUB NUMBER EPA NUMBER )
(ROW 7 GENERATING SITE ADDRESS )
(ROW 7 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 7 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 7 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 7 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 7 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 7 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 7 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 7 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 7 SUB NUMBER EPA NUMBER )
(ROW 8 GENERATING SITE ADDRESS )
(ROW 8 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 8 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 8 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 8 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 8 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 8 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 8 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 8 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 8 SUB NUMBER EPA NUMBER )
(ROW 9 GENERATING SITE ADDRESS )
(ROW 9 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 0 to 4 9 tons Line 2 )
(ROW 9 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 1000 to 1999 9 tons Line 8 )
(ROW 9 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 2000 plus tons Line 9 )
(ROW 9 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 25 to 49 9 tons Line 4 )
(ROW 9 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 250 to 499 9 tons Line 6 )
(ROW 9 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 5 to 24 9 tons Line 3 )
(ROW 9 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 50 to 249 9 tons Line 5)
(ROW 9 INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW 500 to 999 9 tons Line 7 )
(ROW 9 SUB NUMBER EPA NUMBER )
(SCHEDULE G GENERATOR FEE SCHEDULE FEDERAL (Instructions on Reverse) ROW 1 SUB NUMBER EPA NUMBER )
(TELEPHONE (AREA CODE))
(TELEPHONE)
(text)
(text)
(text)
(TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Line 2 )
(TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Line 3 )
(TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Line 4 )
(TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Line 5 )
(TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Line 7 )
(TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Line 8 )
(TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Line 9 )
(YOUR ACCOUNT NO )
[ FOID ]
1 000 tons but less than 2 000 tons
1)Used oil removed from motor vehicles that is recycled by a recycler permitted by the Department of Toxic Substances
10 Total amount of fees (add lines 3 through 9 in column D) 10 $
1000 to
11 Less prepayment credit 11 $
12 Total fee due (subtract line 11 from line 10)12 $
13 Penalty [multiply line 12 by 10% (0 10) if payment is made after the due date shown
14 Interest does not apply to this program INTEREST 14
15 TOTAL AMOUNT DUE AND PAYABLE (add lines 12 and 13) 15 $
1999 9
2 000 tons
2 Generators which generate less than 5 tons 2
2)Waste that is generated recycled and used onsite and not transferred offsite at any time
249 9
25 to
25 tons but less than 50 tons
250 to
250 tons but less than 500 tons
3 Generators which generate an amount equal to or more than
3)Aqueous waste treated in a treatment unit operating or which subsequently operates under a permit by rule conditional
4 Generators which generate an amount equal to or more than
499 9
5 Generators which generate an amount equal to or more than
5 tons but less than 25 tons
50 to
50 tons but less than 250 tons
500 to
500 tons but less than 1 000 tons
6 Generators which generate an amount equal to or more than
7 Generators which generate an amount equal to or more than
8 Generators which generate an amount equal to or more than
9 Generators which generate an amount equal to or more than
94279 0088 You may also visit the BOE website at www boe ca gov or call the Taxpayer Information Section at 1 800 400 7115 (TTY:711);
999 9
A Schedule G is enclosed for taxpayers who are currently reporting more than one generating site under a single Board of
above]
According to 42 U S C section 6961 federal departments instrumentalities and agencies are subject to state regulation
ACCOUNT NUMBER
Add total fees separately for each category in its respective column and bring
Always write your account number on your check or money order Make a copy of this document for your records
AMOUNT OF
appropriate fee category for each site on an attachment
authorization or conditional exemption However hazardous waste generated by the treatment unit is subject to the
BEFORE PREPARING
BOARD OF EQUALIZATION
BOARD OF EQUALIZATION
BOE 501 FHG (S1B) REV 16 (4 13)
BOE 501 FHG (S1F) REV 16 (4 13)STATE OF CALIFORNIA
BOE 501 FHG (S2B) REV 16 (4 13)
BOE 501 FHG (S2F) REV 16 (4 13)STATE OF CALIFORNIA
BOE USE ONLYRA B/A AUDREG
calculated with weight tickets
CLASSIFICATION OF GENERATING SITES
concerning disposal or management of hazardous waste including the payment of the Hazardous Waste Generator Fee
consolidated accounts use the enclosed Schedule G to indicate the date each site last generated waste if hazardous
Control (DTSC) "Motor vehicle" includes locomotives vessels and self propelled off road equipment whether or not the
disposal
DUE ON OR BEFORE
during the calendar year or portion thereof)
EMAIL ADDRESS
EPA NUMBER GENERATING SITE ADDRESS
Equalization tax account number To complete Schedule G check the appropriate box for the category which reflects the total
equipment moves or is permitted to move on public highways
Every federal entity that produces hazardous waste must file this return Fee returns and payments that are mailed must be
examined by me and to the best of my knowledge and belief is a true correct and complete return
EXEMPTIONS FROM THE GENERATOR FEE
Facility operators who pay the Facility Fee are not subject to the Generator Fee for the facility site
FEDERAL FILING REQUIREMENTS
FEDERAL LIABILITY FOR THE FEE
FILING REQUIREMENTS
from the main menu select the option Special Taxes and Fees
G = Gallon0 00417 (Water)T = Ton1 0 (2 000 lbs )
GENERAL
generated in this state Be sure to include non manifested Treated Wood Waste in the total tonnage Multiply the number of
generating sites in column B by the amount of fees in column C and enter the amount of fees due in column D
generator fee
HAZARDOUS WASTE GENERATOR FEE
HAZARDOUS WASTE GENERATOR FEE RETURN FEDERAL
HAZARDOUS WASTE GENERATOR FEE RETURN FEDERAL INSTRUCTIONS
However the Federal Government is not liable for interest imposed by the California Revenue and Taxation Code
I hereby certify that this return including any accompanying schedules and statements has been
If you are reporting for more than one site please use the enclosed Schedule G or provide the site address EPA number and
If you did not receive a Schedule G and have more than one generating site to report please make a supplemental attachment
If you need additional information please contact the State Board of Equalization Special Taxes and Fees P O Box 942879 Sacramento CA
INDICATE THE APPROPRIATE FEE CATEGORY IN THE COLUMNS BELOW
late payment will result in a 10 percent (0 10) penalty and interest at an adjusted annual rate established under section 6591 5 of
Line 2
Line 3
Line 4
Line 5
Line 6
Line 7
Line 8
Line 9
list tonnage)
listing the generating site address EPA number and generating category for each site
Make check or money order payable to State Board of Equalization
Note: The conversion above provides a general guideline Due to the characteristics of your waste the tonnage may be
NUMBER
number of sites per category by the fee for that category Total the fees due in column D
OF SITES
of sites by category and bring this amount forward to column B on the Hazardous Waste Generator Fee Return Multiply the
P = Pound0 0005 (Pounds)Y = Yard1 35 (Soil)
paid If a penalty was paid do not include the amount in the credit If after claiming the prepayment the total amount due and
payable on line 15 is a credit include a letter with your return requesting the amount be refunded to you
Payments: You can make your payment by paper check Online ACH Debit (ePay) or by credit card To use ePay go to our
PENALTY 13 $
PERIOD
Please check this box if sites below include Treated Wood Waste
Please check this box if you no longer generate hazardous waste at this site Enter the date of last generation:
Please select the appropriate fee category in column A on the front of the return for each site where hazardous waste was
PO BOX 942879
postmarked on or before the due date shown on the return If the due date falls on a Saturday Sunday or legal holiday returns
postmarked on the next business day are considered timely This return must be filed even if you are not liable for the fee
PREPAYMENT CREDIT (LINE 11)
READ INSTRUCTIONS
RETURN FEDERAL INSTRUCTIONS
return with a remittance payable to the State Board of Equalization Under section 43155 of the Hazardous Substances Tax Law
RR QS FILEREF
SACRAMENTO CA 94279 6011
SCHEDULE G GENERATOR FEE SCHEDULE FEDERAL
SIGNATURE PRINT NAME AND TITLE
Some accounts were required to file a prepayment by August 31 If you paid a prepayment enter on line 11 the amount of fee
SPECIAL TAXES AND FEES
SUB NUMBER
SUMMARY OF GENERATING SITES (SCHEDULE G)
TELEPHONE
The fee is calculated for each site's generation of waste regardless of the waste's final disposition for example recycling or
The Generator Fee is imposed on each site that generates (produces) hazardous waste of 5 tons or more in each calendar year
the Revenue and Taxation Code
this amount forward to column B on the Hazardous Waste Generator Fee Return
To calculate the tonnages obtain the information from your copy of the Uniform Hazardous Waste Manifest Total quantity and
To convert a unit of measurement to tons take the appropriate factor from below and multiply by your total quantity
tonnage Add any generating sites which are not included on the schedule by EPA number and site address Total the number
tonnage of hazardous waste generated at each site Be sure to include non manifested Treated Wood Waste in the total
TOTAL FEES
TOTAL NUMBER OF SITES BY CATEGORY
Under section 43152 7 of the Hazardous Substances Tax Law every site that generates hazardous waste is required to file a
UNIFORM HAZARDOUS WASTE MANIFEST
waste is no longer being generated at that site
website at www boe ca gov click on the eServices tab and log in to make a payment To pay by credit card go to our
website or call 1 855 292 8931 Mandatory EFT accounts must pay by EFT or ePay Be sure to sign and mail your return
weight are indicated in boxes 11 and 12 of the manifest
YOUR ACCOUNT NO