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Home My WebLink AboutRESOLUTIONS - 01011993 - 1993-452 c 14, BOARD OF SUPERVISORS OF CONTRA COSTA COI NTY� CALIFORNIA Adopted this Carder on July 20, 1993hy the following vote: AYES: SupervisorsPowers Bishop, McPeak, Torlakson NOTES: None ABSENT: Supervisor Smith ,.. :... ABSTAIN: None RESOLUTION NO. 931452 SUBJECT: unending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Ef'f'ective ,July 20, 1993. The Health Services Department has submitted a recommendation to amend the schedule of Itemized'service rate charges and fees and restate unchanged rates for County Health Services adapted by Board Resolution Number 92/807 dated November 17, 1992, Number 92/852 dated December 15, 1992 and Number 93/81 dated February 23 1998. The County Administrator hes reviewed and recommended adoption of this proposed amendment. These recommendations'` have been considered by the Board and Cf IS BY THE BOARD RESOLVED that an amended and restated schedule of Itemized rate charges for the Health Services'Department effective July 20, 1993 is established as follows: Hid PITA„ INPATIE . Daily Rate for Routine ,mom Rgorn andI e�rd� Medical Ward $ 625 Nursery Bassinet $ 436 Intensive Care $ 1,825 Totat Unnft Rage Obstetrics Fixed all inclusive @ Routine delivery $ 4,464 Routine delivery with tubal ligation $ 5,464 Prior or primary C-Section $ 8,544 @ Services included: 1. Medical/Social intake and orientation with Medical Social Worker. 2. Choice of Family Practice Physician a. all required lab 'work b. all required lab tests 3. Nutrition Class 4. Early Pregnancy Class 6. Labor and Delivery Care, including C-Section 7. Back-up consultation services for complications of pregnancy, labor and delivery!(does not include transfer and care at high risk facility 9 necessary for mother or baby) 8. Neonatal care, including nursery care and pediatric consultation, if needed. 9. One PHN home visit: 10. One postpartum check with Family Physician, including birth control counseling. 11. Three return well-baby visits with Family Physicians. No rate change RESOLUTION 931452 ANCILLARY SERVICES DEPARTMENT BILLING UNIT CHARGE Anesthesiology 15-Minute Intervals $67.00 Pharmacy Cost Plus % Cost plus 60% Central Supply Cost Plus % Cost plus 400°k Radiology Relative Value Units $30.00 * EKG Relative Value Units $9.70 * Laboratory (Hasp. & P.H.`Lab) Relative Value Units $2.30 * Rehab. Therapy OT/PT 30-Minute Intervals $131.00 Speech30-Minute Intervals $131.00 Cardiopulmonary Relative Value Units $10.00 * Delivery Room 15-Minute Intervals $89,00 Surgery Recovery Room 1st Hour $290.00 Each Add'i 15 Minutes $67.00 Operating Room Each 15 Minutes $105.00 Cast Room Univ $105.00" PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE CHARGE Medicine $6.80 Surgery $167.50 Radiology $7.50 Anesthesiology $36.50 OUTSIDE SERVICES ANDS PPLIa QHAR E Nuclear Medicine Cost Pius 35% EEG Cost Plus 351% Blood Bank Cost Plus 35% * Prosthesis Cost Plus 35% * Laboratory Cost Plus' CHS (CHS - Collection and Handling of Specimens) CHARGE Professional Use of Outpatient Visits Cam oe nent Treatment Room TA New Patient Brief $35.00 $45.00 $80.00 Expanded $46.00 $45.00 $91.00 Detailed $62.00 $45:00 $107.00 Comprehensive 1 $80.00 $45.00 $125.00 Comprehensive Ei $104.00 $45.00 $149.00 No rate change 2 ..,::: :, AMBULATORY'`CLINIC RATES-(cont.) CNARCE Professional Use of OW1122jient Visits Component Treatment Room TOTAL Established Minimal $15.00 $45.00 $60.00 Brief $21.00 $45.00 $66,00, Expanded $31.00 $45.00 $76.00: Detailed $40.00 $45.00 $85.00 Comprehensive 1 $60.01 $45.00 $105.00 Comprehensive 11 $77.00 $45.00 $122.00 Dental Care Per Fee Schedule >Em2rggncy Room Visits Brief $36.00 $63.00 $99.00 Limited $48.00 $75.00 $123.00 Expanded $77.00 $100.00 $177.00 Detailed' $101.00_ $150.00 $251.00 Comp Admit HX &''PX $137.00 $200.00 $337.00 UNIT OF PhotocoI2ving SERVICE CHARGE Copy Per Page $.10 Microfilm Per Page $.25 Staff Time Per Hour $16.00 * Postage Actual Charge * MENTAL HEALTH PROGRAM SERVICES UNIT OF SERVICE QAC Daily Room Rate Per day $720.00 (INCLUDES Professional Component) Rebb Option Rates Mental Health Services One minute $1.91 Case Management One minute $1.46 Medication Support' One minute $3.54 Crisis Intervention One minute $2.86 Crisis Stabilization 4 hr. increment $240.00 Day Care, Intensive Full day $149.00 Day Care, Intensive Half day $106'.00 Day'Care,` iyabilitative Full day $96.00 Day'Care, Habilitative- Half day $62.00 Adult Residential Patient day $107.00 Crisis Residential Patient day $220.00 Alt Payor Collateral' Visit $158.00 Assessment ;Visit $268.00 Individual visit $192.00 Group Visit $124.00 Medication Visit $164.00 Crisis visit $421.00 Day Care„.Intensive/Adult visit $190.00 Day Care, Intensive/Child Visit $118.00 Day Care, Habiltative Visit $99.00 Case Management Staff Hours $122.00 * No rate change 3 ...................... ............ .......... .............................................................. .................... ............... .................. .................... .............. ............. MENTAL-HEALTH PROGRAM SERVICES Wgnt.) DETOXIFICATION-SERVICE UNIT OF Medical Detoxification SERVICE CtJARGE Services (21-day procedure) New Patient (1st 7 days) Visit $16.50 New Patient (days B-12) Visit $10.50 Readmitted Patient (days 1-12) Visit $10.50 Physician Re-examination Visit $20.00 DRUG ABUSE PROGRAM SERVICES UNIT OF Residential Treatment SERVICE CHARGE AdmissionFee Person $35-00 Residential Treatment Month $2,400.00 Drug Free Outpatient UNIT OF ClinicTreatment SERVICE CHARGE Individual Intake/Assessment Visit $165.00 Individual Counseling Visit $107.00 Collateral Service Visit $107.00 Group Counseling Visit $42.00 Acupuncture Treatment Visit $73.00 Medical Assessment/ Physical Exam Visit $107.00 Outpatient Drug Free (Composite State Charge) Visit $107.00 Outpatient Methadone Maintenance Visit $10.00 ALCOHOL PROGRAM SERVICES Alcohol Information for UNIT OF Referral-Service (AIRS) SERVIC CHARQE Individual Intake/Assessment Visit $165-00 Individual Counseling visit $107.00 Collateral Service visit $107.00 Group Counseling Visit $42.00 Medical Assessment/Physical Exam Visit $107.00 Outpatient Drug Free Visit $107.00 (Composite State Rate) Driving Under the UNIT OF Influence-Program SERVICE CHARGE 1st Offender (Level 1) Person $350.00 1st Offender (Level 11) Person $550.00 2nd Offender Person $1,300.00 No rate change 4 ......................... ;.;.;.p.#,: :-.. .. ......... r. ....... OP P. M .............. HOME H ALTS ACEbICY UNIT OF � SIERME CHARGE Skilled NursingVisit $147.00 Physical Therapy Visit $141.00 Speech'Pathology, Visit $146.00 Occupational Therapy Visit $140.00 Medical Social Service Visit $205.00 Home Health'Aides Hour $79.00 HEALTH'PLAN UNIT OF i r m QE CHAS Senior Health Basic Individual $41.00 Senior Health Individual $55.001 Senior Health Plus 40 individual $88.00 Senior Health Plus 50 Individual $93.00 Commercial Croup and UNIT OF Individual Premium 3JERVICE CHABG Monthly Revenue Requirement Monthly Premium for $95.86 Health Care Service Costs RATE AMENDMENTS: Authorize the Health Services director or his designee to: establish specific premium rates for commercial groups and individuals including Senior Health members; use the "community rating by class" rate determination process for large groups; include an additional monthly premium factor for administrative cast loading; increase the revenue requirement as appropriate by an amount not to exceed 1% cumulative per month. DLL Eamil, Pia nine CHAR„ E QESC IPTIQN Pregnancy Test $14.00 Nan Eligible $80.00 * New membership - first year Non Eligible $75.00 * Annual membership renewal Male visits and supplies $9.00 $10.00 * Children up to 2 years of age over 200°k of poverty $15.00 * Children between 2 and 12 gears of age over 200% poverty $20.00 * 12 years of age and older over 200% of poverty Scoliosis Screening $1.50 Each (agreement with school district) Immunization a. Typhoid $10.00 * Each b. Stamping of Inter- national Travel Cards $5.00 * Each C. Childhood Immunizations $5.00 * Each person, not to exceed' $10.00 per family * No rate change 5 ......................................................................................- ................ ............................. ......... ........... ................................................ PUBLIC HEALTH -(CQ Ut. CHARGE DESCRIPTION Immunization (cont) d. Measles Vaccine (second shot) $5.00 * Each under 2000 of poverty $26.00 * Each over 200'0% of poverty e. immunization Record (duplicate) $5.00 * Each f. Flu Immunization $5.00 * Each g. Elderly Flu Shot $5.00 Requested h. Hepatitis B 1 - 19 yrs. old Cost Each 20 yrs. & older Cost plus $15.00 Admin.* Each Occupational Risk $155.00 Each series T.B. Skin Testing (P.P.D) $10.00 Includes reading but no charge for contacts Venereal Disease $20.00 Clinic attendance for any sexually transmitted disease NLdrftion Services $52.00 Per hour consultation fee Occupational Health Services Cost + 10% Each Lab Tests Quantitative VDRL $6.50 Each Qualitative VDRL $6.00 Each Saline wet mount $16.00 Each KOH wet mount $16.00 Each Gram stain $16.00 Each Darkfield $26.00 Each Beta lactamese screen $12.50 Each Screen 1 organism $19.50 Each Chlamydia Culture - Iso $18.00 * Each Chlamydia - EIA $16.50 * Each Chlamydia direct $13.50 * Each KOH fungus $16.00 Each Herpes direct $18.50 Each Herpes Iso $28.50 Each Treponema MHA-TP $20.50 Each Hepatitis tests B. surface antibody' $16.50 * Each B. core antibody $18.50 * Each B. surface antigen $18.00 * Each A IGM Antibody $17.50 * Each Anti HBC-IGM $17.00 Each E Antigen $18.00 Each E Antibody $18.00 Each Routine culture - Other $47.00 Each Anaerobic Culture $47.50 Each HIV - EIA $14.00 Each HIV - Confirmatory $30-00 Each Rabies (Low Risk Animal Tests $80.00 Each - on Request) Health-Education Material (i.e.: videos, posters, pamphlets, t-shirts, etc) Cost plus 10% No rate change 6 WOR M R! . ... . ...... .. 0. PUBLIC-HEALTH (cont.) VITAL STATISTICS Certified Cogies Charge Death and Fetal Death $8.00 Birth - GeneralPublic $15.00 Birth - Government Agency $8.00 PerMit for Dispo,gitian of_Human ,Remgin5 Charge Regular $7.00 After Hours $7.00 * Cross Filing $10.00 ENVIRONMENTAL'HEALTH GENERAL I PROGRAM SERVICE FEES Application Fee $25.00 * Violation Reinspection Fee $90.00 Special Services Fee at Hourly Rate with a Minimum One Hour Charge $90.00 Variance Requests Violation Administrative Hearings Field Consultations Non-Routine Site Evaluations Non-Routine Field Inspections and/or`Reinspections Special Services Fee at Hourly Rate with a Minimum Two Hour Charge $180.00 Plans Review Fees for Permit Fee Exempt Facilities Plans Review and Site Evaluation Fees for Community Development Services NOTE: Additional charges will be incurred after the minimum hourly charges have been expended. Services provided after normal work hours will be charged at one and one-half times the above hours rate. CONSUMER PBQTECTION PROGRAM - these fees are applicable to the Environmental Health permit year beginning March 1, 1994 Environmental Health Permit Fee: QWegof . nit Sat Charge Restaurants Seats 0-25 $312.00 Restaurants Seats 26-49 $398.00 Restaurants Seats 50-149 $473.00 Restaurants Seats 150+ $538.010 Vending Machines Machines 1-4 $ 86.00 Vending Machines Ea. add,'I mach. over 4 4+ $ 16.00, Tavern/Cocktail Lounge Bar $344.00 Snack Bar $344.00 Drive-In/Take-Out $430.00 Drive-In/Take-Out & Restaurant Combination $495.00 Commissary $430.00 Catering $430.00 Itinerant Fond Facility Special Events per food booth $ 80.00 Retail Food Markets Sq-Ft <2,000 $290.00 Retail Food Markets Sq.Ft. 2,000-4,000 $334.00 * No rate :change 7 ENVIRQbIMENTAL HEALTH (c CONSUMER PROTECTION PROGRAM (cortt } Environmental Health Permit Fee (cont.): Cigeogry UnAts a t Charge Retail Food Markets Sq.Ft. 4,001.6,000 $473.00 Retail Food Markets Sq.Ft- >6,000 $538.00 Incidental Retail Food Markets Sq.Ft. <50 $50.00 Incidental Retail Food Markets Sq.Ft. <100 $125.00 Certified Farmer's Food Markets Booths 1-25 $180.00 Certified Farmer's Food Markets Booths 26-45 $270.00 Certified Farmer's Food Markets Booths 46+ $360,00 Wiping Rags Business $161.00 Roadside Stands $161.00 Food Salvager $452.00 Food Processing Establishment Sq.Ft. <2,000 $290.00 Food Processing Establishment Sq.Ft. 2,000-4,000 $334,00 Food Processing Establishment Sq.Ft. 4,001-6,000 $475.00 Food Processing.Estabtlshment Sq.Ft. >6,000 $538.00 Food Demonstrator $151.00 Retailer Food Vehicle (Del +& Ped) $172.00 ; Mobile Food Prep Units $325.00 Retail Food Vehicles (Ind CAT.Trk) $172.00 Bakery Sq.Ft. <2,000 $290.00 Bakery Sq.Ft. 2,000.4,000 $534.00 Bakery Sq.Ft. 4,001-6,000 $473.00 Bakery Sq.Ft, >6,000 $538.00 Wholesale Food Sq.Ft. e 2,000 $290.00 Wholesale Food Sq.Ft. 2,000-4,000 $334,00 Wholesale Food Sq.Ft. 4,001-6,000` $473.00 Wholesale Food Sq.Ft. >6,000 $538.00 Ice Plant $124.00 Septic Tank,Chemical Toilet Cleaner Business $172.00 Septic Tank,Chemical Toilet Cleaner Vehicle/ea $65.00 Pool-Apt, Motel,Hotel Multi-Use $323.00 Each Add'l Pool within Same Location $108.00 Spa-Apartment, Motel, Hotel Multi-Use $323.00 Each Add'I Spa within Same Location $108.00 Local Small Water Systems Connections 2-14 $100.00 Community Water Systems Connections 15-24 $250.00 Community Water Systems Connections 25-99 $400.00 Community Water Systems Connections 100-199 $500.00. Non-Community Water Systems $300.00 SOLID WASTE PROGRAMS Local Enforcement Agency Program: Charge Solid Waste Tonnage Fee $1.00/ton* Solid Waste Facility Permit Application/Review Fee (see NOTE) $900.00 NOTE: Permit application/review fee includes 10 hours of service time,thereafter,additional time is charged at the normal or overtime:hourly rate. Household Hazardous Waste Program: Solid Waste Tonnage Fee $2.12/ton* * No rate change 8 _i Ef,F M 'NNts'3N4E• 3ujP:#aNir? 3M3i ..' Ei:al`Ml 3 IrF_s'Npl 31 ..33! 3rp 3 .. ?#iHauu:'3 !I:E:####eUin##�:#3 bEr:u»i:lo-....:::n....mu..c.:ar: :..... ... '1 '.. '... .. :. ! ::E.; l,.,. s a:: if ..,,r,.: ENVIBONMENI&HEALTH Wofiz:l Medical Waste: Qal= QH6 ?.. Small quantity generatorwith onsite treatment $129.00 Limited quantity hauler` $65.00 tl'Lmon =[age facilities Serving 2-10 generators $129.00 Serving 11-49 generators $312.00 Serving 50 or more generators $618.00 I[an5kr Elation Less than 200 lbs. per month $177.OD 2DO lbs. or more per month $355.00 latient Facilities & OLdl2 tent linin: Acute Care Hospitals; 1-99 meds $753.0 100-199 beds $1,074.1 ` 200-250 beds $1,252-00 251 or more beds $11752.003 Specialty Clinics $441.0303 Skilled Nursing Facilities: 1-99 beds $341.003 100-199 bed $441.01 200 or more beds $497.00 Acute Psychiatric Hospital $247.003 intermediate Care $371. 3 Primary Care $441.00 Clinic Laboratory; $247.00 Health Care Service Plan Facility $441.00 Veterinary Clinic or Hospital $247.00 Medical/Dental/Veterinary Office $247.00 (200 lbs. or more per month) RANT PROGRAM Rodent Bait Cost plus 25% LAND USEPRQQBAM Deggriplion CHARG Water Hauling Water Hauler Business $172.00 Water Hauling Vehicle $65.00 /Vehicle Sewage Disposal Systems and Water Wells Subdivisions Proposing to Use ln�tyldufil agno pApQfiat,SySIOM and Site evaluation, per lot, 2-4 lots $180.00 Site evaluation, 5 or more lots, maximum $1,000.00 Percolation tests, per lot or building site (5 hopes rain.) $581.E3 * No rate change 9 ENVIRONMENTAL HEALTH (cont) SAND USE PROGRAM (cont 1 Description QHARGE Sewage Disposal Systems and Water Wells (cont.): Subdivisions Proposing to Use Individual Sewage Disposal Svstms and Water (cont.) Each add'I percolation test $581.00 Appeal (hearings called pursuant to Section 420-6.513) $145.00 Subdivisions Proposing to Use Individual.Sewage Dis op sal Systems Site evaluation, per lot, 2-4 lots $135.00 . Site evaluation, 5 or more lots $800.00 Percolation tests, per lot or building site $581.00 Each add'I percolation test $581.00 Appeal (hearings called pursuant to Section 420-6.513) $145.00 Individual Sewage Disposal Systems Layout, permit and inspection of each individual sewage disposal system $387.00 Percolation test $581.00 Each add'I percolation test $581.00 Abandonment or sealing of septic tank; Permit No fee Inspection time (minimum 1 hr. charge) $ 90.00 Appeal (hearings called pursuant to Section 420-6.513) $145.00 Minor repair/rebuilding Permit No fee Inspection time (minimum one hour charge) $ 90.00 Subdivision Proposing to Use Wells Site evaluation, per lot, 2-4 lots $135.00 Site evaluation, 5 or more lots, maximum $800.00 Appeals '[except hearings called pursuant to Section 414-4.1017(a)] $145.00 Individual Wells Layout, permit and inspection of ea, individual water system/well (see note) $242.00 Permit for monitoring well borings per parcel $242.00 Abandonment or sealing of well; Permit No fee Inspection time (minimum one hour charge) $90.00 * ` Appeal [except hearings called pursuant to Section 414-4.1017(x)] $145.00 NOTE: Well permit fee includes up to 21h hours inspection and travel time, thereafter, additional time is charged at the normal or overtime hourly rate. * No rate change 10 .:,- gN1lIRONMENTAL HEALTH, ant.) LANG} USE PROGRAM (cont.) public 1+or systems Piims Boxiew New Community Water System $500,00 New Non-Community Water System $303.00 Amended permit because of ownership change $150,1 Amended permit because of system change $250.00 HAZAgpOUS MATERIAL QRQG:BA 1tl -these fees are applicable to the calendar year and are billed to the businesses in the fourth month following the close of the calendar year Fee structure for businesses required to submit a "Hazardous Material Business Plan" under Federal' Sara Title III Program and the California'Hazardous'Materials Release Response and Inventory Program (AB 2185). Hazardous Material Inventory Fees; Number of C"l gye2s lbs. o ,Matgrial Fee -- 1 - 4 and < 500K $183 5 - 9 and < 500K $340 10 - 19 and < 500K $456 < 20 and > 500K & < 2.5M $7,644 < 20 and > 2.5M & < 5M $15,058 < 20 and > 5M $.29,558 y 20 and < 10K $458 20 and a 10K - < 100K $856 > 20 and > 10OK - < 250K $1,705 �: 20 and > 250K - < 500K $3,194 20 and > 500K - < 2.5M' $7,644 ?- 20 and 2: 2.5M - < 51U1 ,' $15,058 2: 20 and a 5M` $29,889 All oil refineries and all Class i off-site hazardous waste disposal sites $29,889 Each year the fee will cover the period commencing'January 1 through December 31. New handlers starting business after'July 1 of any calendar year will be assessed a six (5) month fee the first year. The fees.shall be noh-traristerrable, non-refundable and set'on ;a facility basis. Pursuant to Section 25535.2 an additional administrative fee of $90.00/hr. for staff review time will be assessed for each risk management prevention program submitted by owner or operator of a facility for certification. Additional administrative fees of 25% may be assessed for; 1. Failure to respond to inquiries relating to compliance with these resolutions 2. Late filing of business plans, beyond a 90-day notice of non-compliance 3. Failure to pay the fee in a timely manner. The administering agency reserves the right to adjust the fees dependent on total program cast and may :adjust individual facility fees within the above schedule when the Health Officer determines that the fee is not equitable based on health risk. * No rate change 11' ENVIRONMENTAL HEALTH (cont) ' BISK MANAGEMENT PREVENTION PROGRAM (RMPP) Pursuant to Health and Safety Code section 25535.2, annual fees are established to be collected from each business which may be required to submit an RMPP pursuant to Health and Safety Code article 2 (section 25531 et seq.). The fee assessed is based on the risk ranking assigned to the business as follows: ,Risk Banking Ann u lie Greater than 400 $13,000 200-400 $6,500 100-199 $3,250 1-99 $650 0 $260 If it is determined that a particular business will not be required to prepare an RMPP (as explained in the RMPP exemption policy), the annual fee will be reduced to $65 to cover administrative processing expenses. To determine if a facility is exempt, there is a one time fee of$500 per acutely hazardous material per process. If a business is anon-profit business, their fee will be 10/ of the fee based upon the business' 'risk ranking. For each additional substantially ,identical facility, the business will be charged full price for the first facility and 10% of that fee'for each additional facility. A delinquency charge in the amount of$75.00 shall be assessed for failure to pay the fee within 30 calendar days following the date of mailing by;the Director of Health Services. UN r2ROUND STORAGE TANK PROGRAM Underground Storage Tank Annual Permit anks which do not have n containment and continuguamonitoring equipment): ,REFS DESCRIPTION $120.00 Single tank of 1,000 galloris or less used solely in connection with the occupancy of a residence (a) First tank of 50,000 gallons or less $210.00 Basic fee for tank of 50,000 gallons or less $440.00 Each tank of 50,000 gallons or more (a) In addition to the basic fee, a surcharge of $125 is applicable on the tank at each site with or without secondary containment;which has the earliest installation date. Underground Storage Tank Annual Permit installed after January 1, 1984 nk which have n continuous' ni rin i n FEES DESCRIPTION $ 60.00 * Single tank of 1,000' gallons or less used solely in connection with the occupancy of a residence (a) First tank of 50,000 gallons or less $170.00 Each additional tank of 50,000 gallons or less $300.00 Each tank of 50,000 or more (a) In addition to the basic fee, a surcharge of $125 is applicable on the tank at each site with or without secondary containment;which has the earliest,installation date. No rate change 12 : ..., ,: :: ::, ENVI O NMENTAL HEALTH UNDERGROUND SIQRAGIE TANK PROGRAM j�coo.Q Undl1roroundLih Inggillgion Plan ReyigVL1 i n In addition to the applicable State surcharge prescribed by or pursuant to the taw, the following fees shall be collected: fM DEECBIPTIQN $450.00 New tank facility, first tank $ 90.00 Each additional tank Llj)dgrground l r FEEB FRIPT QN $1207.00 Single tank of'1,000 gallons or less,'located at a residence and used solely in connection with the occupancy of that residence $280.00 Pint tank at a site $120.00 Each additional tank Ins.oCctign and elan,Review fgr P1210a, RppIgggMent pr Modification f,U DESQBIPTIQU $330.00 Plan review and inspection of pipe replacement or repair, including the installation of overfill protection equipment and corrosion control devices f!jjrmft Armondment ter Transfer EES QESCRIPTIQN $ 60.00 Permit amendment or transfer fee Undemmund —Tank!Modifiration. Elepairt Linirmit ffM bF.S!Q_RIPTIOIN $260.00 Includesreview and inspection not exceeding four hours of staff time $ 90.00 * For each additional hour or fraction thereof of staff time Contaminad age Fee EEO L?ESCRtPTION $ 90.00 * Each hour or fraction thereof of service delivered by the County Health Services Department in connection with the characterization or remediation of site contaminated by discharge of a hazardous substance, material or waste, if the owner, operator, or other responsible person in charge Of the site requests assistancefrom the County or where an inspection Or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety * No rate change 13 ENVIRONLAENIAL HEALTH (cont.) U'NDERGRQUND STORAGE 16NK PROGRAM (cont.) Reingpej2ion or Time Use FEES DESQRIPTION $ 90.00 * Each hour or fraction thereof of staff time provided shall be chargedin the following cases; a. More than one inspection or two -hours of onsite time is required in the case of tank removals b. More than two inspections or four hours of onsite time is required in the case of tank installations c. More than one reinspection is required to determine compliance d. inspection, consultation or other services related to underground storage of hazardous substances or hazardous "materials or wastes are provided and said services are not otherwise covered by this ordinance. Dgcum2pl Sgarch DESCRIPTION $ 90.00 * Each hour or fraction thereof of staff time shall be charged to any consulting firm, realtor, lending institute or other commercial enterprise for services performed in complying with document research requests for these enterprises. EMERG1QY REIJEON E $90.00 * Each hour or fraction thereof of service time delivered by the County Health Services Department in connection with the characterization or remediation of site contamination by discharge of a hazardous substance, material or waste, if the owner, operator or other responsible person in charge of the site requests assistance from the County orwhere an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety $135.00/$180.00 * In addition to the regular hourly rate, a charge for overtime (11h or 2 times the regular hourly rate) as applicable and for the cost of emergency vehicles used in connection with the remediation of site contamination EMEBGENSY MEDICAL SERVICESlAGEUCY r9e Medical ni ion-1. MT-'1) _FEE Certification $15.00* Recertification $15.00* Last/Stolen Credit Card $10.00* Fmergengy Me ill Technician-!! f__�_ ara_meedic) Certification and Accreditation $50.00* Recertification and Reaccreditation $40.00* Certification or Recertification Only $35:00* Mobile intensive Care Nutse (.MICN) Authorization $25.00* Reauthorization $20.00* No rate change 14 N£u ....:�m sr.€ s Nlk 3iv€ -exp.a .. .... " ... �'#:xF'S'3€:i':x:!!fi4 lBN6 x€€B�'€' #E�fp'€':BjEB�'€� 'p98xs'4.,y!€; WAIVER: The Health Officer or his designee may waive any of these fees in any individual case in which he determines that the advancement and protection of the public health will be better served thereby and that these considerations outweigh the County financial interests in collecting the fee. FEE AMENDMENTS: The Health Services Director or his designee may increase or decrease as needed, any specific fee by not more than 5% during the next twelve month period, except those fees set by Federal/State statute or regulation shall become effective concurrent with the date specified in the applicable statute or regulation regardless of the amountof increase or decrease. The Health Services Director or his designee is authorized to adjust, waive or compromise the fee amount in those cases in which he determines that it is cost effective to do so :vw Orig County Administrator cc: health Services Director Health Services Administration County Counsel i hereby certify that 11119 is#true#nd coned copy of an action taken and entered on the minutes of the County Auditor saar,4 of suPWA on dw,ate+• Contact: George Washnak (370-5036) ATTEST Pi�iii.9A AELOR,' Of3hs9oard Of OW Count►AdmiftWMto bWAM RESOLUTION NO. 93/452' 15