Form BOE-501-HG Fillable Hazardous Waste Generator Fee Return

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Your account will be closed as of the date entered For consolidated ( 13 PENALTY [multiply line 12 by 10% (0 10) if payment is made after the due date shown above] $) (10 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) $) (14 INTEREST $ ) (15 TOTAL AMOUNT DUE AND PAYABLE (add lines 12 13 and 14) $) (Based on amounts of hazardous waste generated (BOE USE ONLY ) (CLEAR) CLEAR (COLUMN A CLASSIFICATION OF GENERATING SITES (Based on amounts of hazardous waste generated during the calendar year or portion thereof) 14 INTEREST: One month's interest is due on the total fee for each month or fraction of a month that payment is delayed after the due date The adjusted monthly interest rate is ) (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) (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 (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 6 ) (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 ) (TOTAL NUMBER OF SITES BY CATEGORY Add total fees separately for each category in its respective column and bringthis amount forward to column B on the Hazardous Waste Generator Fee Return Line 7 ) (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 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 $ 13 Penalty [multiply line 12 by 10% (0 10) if payment is made after the due date shown 14 INTEREST $ 14 INTEREST: One month's interest is due on the total fee for each month or fraction of a month that 15 TOTAL AMOUNT DUE AND PAYABLE (add lines 12 13 and 14) 15 $ 1999 9 2 000 tons 2 2 Generators which generate less than 5 tons 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 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 4 Generators which generate an amount equal to or more than 499 9 5 5 Generators which generate an amount equal to or more than50 tons but less than 250 tons 5 tons but less than 25 tons 50 to 500 to 6 6 Generators which generate an amount equal to or more than 6591 5 of the Revenue and Taxation Code 7 7 Generators which generate an amount equal to or more than500 tons but less than 1 000 tons 8 8 Generators which generate an amount equal to or more than 9 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] ACCOUNT NUMBER accounts use the enclosed Schedule G to indicate the date each site last generated waste if hazardous waste is no 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 due and payable on line 15 is a credit include a letter with your return requesting the amount be refunded to you 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 HG (S1B) REV 20 (4 13) BOE 501 HG (S1F) REV 20 (4 13) BOE 501 HG (S2B) REV 20 (4 13) BOE 501 HG (S2F) REV 20 (4 13) BOE USE ONLYRA B/A AUDREG calculated with weight tickets CLASSIFICATION OF GENERATING SITES 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 examined by me and to the best of my knowledge and belief is a true correct and complete return EXEMPTIONS FROM THE GENERATOR FEE falls on a Saturday Sunday or legal holiday returns postmarked on the next business day are considered timely Facility Fee returns and payments that are mailed must be postmarked on or before the due date shown on the return If the due date FILING INSTRUCTIONS 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 RETURN HAZARDOUS WASTE GENERATOR FEERETURN INSTRUCTIONS 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 Law late payment will result in a 10 percent (0 10) penalty and interest at an adjusted annual rate established under section Line 2 Line 2 Line 3 Line 4 Line 5 Line 6 Line 7 Line 8 Line 9 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 longer being generated at that site Make check or money order payable to State Board of Equalization Multiply the number of sites per category by the fee for that category Total the fees due in column D Note: The conversion above provides a general guideline Due to the characteristics of your waste the tonnage may be NUMBER number of sites by category and bring this amount forward to column B on the Hazardous Waste Generator Fee Return OF SITES operators who pay the Facility Fee are not subject to the Generator Fee for the facility site or call 1 855 292 8931 Mandatory EFT accounts must pay by EFT or ePay Be sure to sign and mail your return P = Pound0 0005 (Pounds)Y = Yard1 35 (Soil) paid If delinquency charges were paid do not include those amounts in the credit If after claiming the prepayment the total payment is delayed after the due date The adjusted monthly interest rate is Payments: You can make your payment by paper check Online ACH Debit (ePay) or by credit card To use ePay go to our 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 PREPAYMENT CREDIT (LINE 11) READ INSTRUCTIONS return with a remittance payable to the State Board of Equalization Under section 43155 of the Hazardous Substances Tax RR QS FILEREF SACRAMENTO CA 94279 6009 SCHEDULE G GENERATOR FEE SCHEDULE 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 STATE OF CALIFORNIA 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 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 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 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 weight are indicated in boxes 11 and 12 of the manifest YOUR ACCOUNT NO

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