Single Use Bag Annual Report

On May 14, 2014 the City of Santa Barbara’s Single-Use Carryout Bag Ordinance went into effect for Tier 1+2 stores. The ordinance prohibits certain stores from providing single-use plastic carryout bags to customers at the point of sale and requires a 10-cent charge for each paper bag provided to customers. The ordinance also requires Tier 1+2 stores to submit an annual report.

You will need the following information in order to submit your report:
- Number of paper bags your store sold during the reporting period.
- Amount of money collected for paper bags during the reporting period.
- Any special efforts your store made to promote use of reusable bags.

Reporting Tiers:
Tier 1 - Large grocery stores and stores with a pharmacy - 10,000 square feet of retail space or larger
Tier 2 - Smaller grocery stores, drug stores, pharmacies, convenience food stores, and food marts

If you have any questions, please contact Lorraine Cruz Carpenter at LCruz_Carpenter@SantaBarbaraCA.gov or 564-5669.

Job Title

Store Name

Phone Number

Total Number of Paper Bags Sold to Customers (#)

Total Amount of Money Collected for Paper Bags ($)

Describe any efforts in the last year to promote customer use of reusable bags.

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I hereby certify that the responses to this form are complete and accurate, to the best of my knowledge.

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