(a)Postclosure permit small facility Manages 0 5 tons (1 000 pounds) or less of hazardous waste
(b)Postclosure permit medium facility Manages more than 0 5 (1 000 pounds) but less than 1 000
(c)Postclosure permit large facility Manages 1 000 or more tons of hazardous waste during any
(DTSC) to establish capacity and/or type If a facility's allowable capacity changes or is initially established as the result of certification or permit
(Sm Qty )
[ FOID ] YOUR ACCOUNT NO
1 000 tons of hazardous waste
1 500 gallons per calendar month or total volume of solid hazardous waste treated is less than 3 000
1 Disposal facility (if you are a government agency please see instructions on reverse) 1 $ $
10 Postclosure permit facility within the first five years of the
10(a) SMALL
10(b) MEDIUM
10(c) LARGE
100 000 pounds per calendar month or any liquid or solid hazardous waste is stored for more than one
11 Postclosure permit facility beyond the first five years of the
11(a) SMALL
11(b) MEDIUM
11(c) LARGE
12 Calculate prepayment due (must not be less than 50% (0 50) of the highest permitted fee category) 12 $
13 Penalty [multiply line 12 by 10% (0 10) if payment is made after due date shown above] PENALTY 13 $
14 Interest does not apply to this program INTEREST 14
15 TOTAL AMOUNT DUE AND PAYABLE (add lines 12 and 13) 15 $
2 Large onsite treatment facility 2
3 Large offsite treatment facility 3
4 Small treatment facility 4
5 Minitreatment facility 5
50 percent (0 50) of the applicable fee See "Return Preparation" below An annual return will be due and payable on the last day of February
6 Large storage facility 6
7 Small storage facility 7
8 Ministorage facility 8
9 Standardized permit facility (enter fee for appropriate category) 9(a) SERIES A
9(b) SERIES B
9(c) SERIES C
9(d) SERIES C
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);
A facility fee is due from the facility operator for a facility that has been issued a postclosure permit The fee is due based upon the
Always write your account number on your check or money order Make a copy of this document for your records
AMOUNT OF
an adjusted annual rate established under section 6591 5 of the Revenue and Taxation Code
and type of facility as specified in the permit Interim Status Document (ISD) or Federal Part A Application If your facility qualifies for more than
ANNUAL
applicable rate in column B for the proper fee category
applicable rate in the column B for the proper fee category
BEFORE PREPARING
BOARD OF EQUALIZATION
BOE 501 FFP (S1B) REV 13 (4 13)
BOE 501 FFP (S1F) REV 13 (4 13) STATE OF CALIFORNIA
BOE 501 FFP (S2) REV 13 (4 13)
BOE USE ONLY
but less than 500 000 gallons liquid hazardous waste or greater than 100 000 pounds but less than 500
calendar year
category until you have been approved by DTSC to operate according to a standardized permit Otherwise you should report under
CLASSIFICATION OF FACILITY SITES
CLEAR PRINT
close
DEFINITIONS FOR HAZARDOUS WASTE FACILITY FEE PREPAYMENT FORM FEDERAL
Disposal facility A facility used for the disposal of hazardous waste
due date falls on a Saturday Sunday or legal holiday returns postmarked on the next business day are considered timely
DUE ON OR BEFORE
during any one month of the current fee period and submit a certification or permit modification to the Department of Toxic Substances Control
during any one month of the reporting period
effective
EMAIL ADDRESS
Enter in column B the rate for the highest category at which your facility is permitted for the current calendar year If you are a
Equalization Under section 43155 of the Hazardous Substances Tax Law late payment will result in a 10 percent (0 10) penalty and interest at
examined by me and to the best of my knowledge and belief is true correct and complete
exceed 10 000 pounds per calendar month
exceed 5 000 gallons per calendar month or total volume of solid hazardous waste treated does not
FACILITIES THAT CEASE TO OPERATEFacilities engaged in treatment and storage owe the highest fee to which the facility has ever been subject for the reporting period immediately
FEDERAL LIABILITY FOR THE FEE
FEE DUE
FEE RATE
FILING REQUIREMENTS OF SCHEDULE
FIRST PREPAYMENT
following the current year Fee returns and payments that are mailed must be postmarked on or before the due date shown on the return If the
following the period during which the facility ceased actively treating or storing waste Disposal facility must pay two times the fee for the
from the main menu select the option Special Taxes and Fees
gallons of liquid hazardous waste or greater than 500 tons of solid hazardous waste or any liquid or solid
GENERAL
government agency operating a disposal facility which did not dispose of hazardous waste during the reporting period enter $10 000
HAZARDOUS WASTE FACILITY FEE PREPAYMENT FORM FEDERAL BOARD OF EQUALIZATION
HAZARDOUS WASTE FACILITY FEE PREPAYMENT FORMFEDERAL INSTRUCTIONS
hazardous waste is stored for more than one calendar year
hazardous waste or less than 30 000 pounds solid hazardous waste
highest rate
I hereby certify that this form including any accompanying schedules and statements has been
identified in lines 1 through 11
If you need additional information please contact the State Board of Equalization Special Taxes and Fees P O Box 942879 Sacramento CA
If your permit ISD or Federal Part A does not state the facility capacity and/or type report at the highest level at which the facility operated
in column B for line 1 only
interest imposed by the California Revenue and Taxation Code
January 1 1994 you will be deemed to have ceased activity when you have actually ceased the activity and notified DTSC of your intent to
Large onsite/offsite treatment facility Treats land treats or recycles 1 000 or more tons of hazardous
Large storage facility Stores 1 000 or more tons of hazardous waste
Line 10 If the reporting period is within the first five years of the postclosure period select the appropriate facility size and enter the
Line 11 If the reporting period is beyond the first five years of the postclosure period select the appropriate facility size and enter the
Line 12 Enter the amount of prepayment being paid The amount must not be less than 50 percent (0 50) of the applicable fee due as
Line 13 If your fee return is postmarked after the last day of February of the current year a penalty is due The penalty is 10 percent (0 10) of
Line 15 Add lines 12 and 13
Line 9 Enter the applicable fee in column B if you are operating under a standardized permit Please note that you cannot report in this
Lines 10and 11
Lines 1thru 8
liquid hazardous waste or less than 100 000 pounds solid hazardous waste
Make check or money order payable to State Board of Equalization
management of hazardous waste including the payment of the Hazardous Waste Facility Fees However the Federal Government is not liable for
Ministorage facility Stores 0 5 tons (1 000 pounds) or less of hazardous waste
Minitreatment facility Treats land treats or recycles 0 5 tons (1 000 pounds) or less of hazardous waste
modification the fee that is due for the fee period in which the change occurs is the higher fee If a facility's type changes as the result of a
Offsite facility A hazardous waste treatment facility that is not an onsite facility
one category (full permit standardized permit or postclosure permit) during the fee period the amount due is the fee for the category with the
one month of the reporting period
Onsite facility A hazardous waste treatment facility at which hazardous waste is produced andwhich is owned by leased to or under the control of the producer of the waste
Payments: You can make your payment by paper check Online ACH Debit (ePay) or by credit card To use ePay go to our
permit or ISD modification any change in the facility fee will be effective the fee period following the one in which the modification becomes
PO BOX 942879
postclosure period (enter fee for appropriate category)
pounds per calendar month
Prepayments of the fee are due and payable by the last day of February and August of the current year The prepayments must not be less than
prepayments on or before the last day of February and August of the calendar year with a remittance payable to the State Board of
RA B/A AUD REG
READ INSTRUCTIONS
reporting period immediately following the period during which the facility ceased disposal activity If your facility ceased activity on or after
RETURN PREPARATION
RR QS FILE REF
SACRAMENTO CA 94279 6015
Series A Standardized Permit (Storage) Total facility storage design capacity is greater than 500 000
Series A Standardized Permit (Treatment) Line 9 Total influent volume of liquid hazardous waste treated is greater
Series B Standardized Permit (Storage) Total facility storage design capacity is greater than 50 000 gallons
Series B Standardized Permit (Treatment) Total influent volume of liquid hazardous waste treated is greater
Series C Small Quantity (Storage) Total facility storage design capacity is less than 15 000 gallons liquid
Series C Small Quantity (Treatment) Total influent volume of liquid hazardous waste treated is less than
Series C Standardized Permit (Storage) Total facility storage design capacity is less than 50 000 gallons
Series C Standardized Permit (Treatment) Total influent volume of liquid hazardous waste treated does not
SIGNATURE PRINT NAME AND TITLE TELEPHONE
size of the facility Definitions of facility sizes are attached
Small storage facility Stores more than 0 5 tons (1 000 pounds) but less than 1 000 tons of hazardous
Small treatment facility Treats land treats or recycles more than 0 5 tons (1 000 pounds) but less than
SPECIAL TAXES Aa ND FEES
STATE OF CALIFORNIABOARD OF EQUALIZATION
than 5 000 gallons but less than 50 000 gallons per calendar month or total volume of solid hazardous
than 50 000 gallons per calendar month or total volume of solid hazardous waste treated is greater than
The annual Hazardous Waste Facility Fee is imposed according to Health and Safety Code section 25205 2 based upon the allowable capacity
the appropriate facility category listed on lines 1 through 8
the fee due on line 12
The following definitions apply to the facility's allowable capacity during any one month as stated in yourpermit ISD or Federal Part A If no capacity is stated you must report based on your actual operations
tons of hazardous waste during any one month of the reporting period
tons solid hazardous waste
Under 42 U S C section 6961 federal departments instrumentalities and agencies are subject to state regulation concerning disposal or
Under section 43152 12(a) of the Hazardous Substances Tax Law every facility operator who owes the facility fee is required to file two
waste
waste treated is greater than 10 000 pounds but less than 100 000 pounds per calendar month
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