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HomeMy WebLinkAboutRESOLUTIONS - 01011998 - 1998-195 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on April 14, 1998 by the following vote: AYES: Supervisors Uilkema, Gerber, DeSaulnier and Rogers NOES: hone ABSENT: Supervisor Canciamilla ABSTAIN: None RESOLUTION NO. 98/195 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective March 1, 1998. 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 adopted by Board Resolution Number 97/142 March 18, 1997. The County Administrator has reviewed and recommended adoption of this proposed amendment. These recommendations have been considered by the Board and IT IS BY THE BOARD RESOLVED that an amended and restated schedule of itemized rate charges for the Health Services Department effective March 1, 1998, is established as follows: HOSPITAL INPATIENT Current Daily Rate for Recommended Daily Rate for Eervice Routine Roomn�,d Board Routine Room and Beard Pediatrics $ 788 no change Medical Ward $ 738 no change Transitional Care Unit $ '735 no change Nursery Bassinet $ 522 no change Intensive Care $2,146 no change Total Unit Rate Total U it Rate Obstetrics Fixed all inclusive @a Routine delivery $4,267 no change Routine delivery with tubal $5,944 no change ligation Prior or primary C-Section $9,632 no change 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 5. Labor and Delivery Care, including C-Section 6. Back-up consultation services for complications of pregnancy, labor and delivery (does not include transfer and care at high risk facility if necessary for mother or baby). 7. Neonatal care, including nursery care and pediatric consultation, if needed. 8. One PHN home visit. 9. One postpartum check with Family Physician, including birth control counseling. 10. Three return well-baby visits with Family Physician. Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 2 ANCILLARY SERVICES Recommended Department Billing Unit CU[r.�lt Rate Rate Anesthesiology 1st Hour $ 400.00 no change Each Add'l 15 Minutes $ 100.00 no change Pharmacy Cost Plus % Avg. Wholesale Price no change Admin Fee no change Central Supply Cost Plus % Cost plus 400% no change Radiology Relative Value Units $ 42.50 no change EKG Relative Value Units $ 12.18 no change Laboratory (Hose & P.H. Lab) Relative Value Units $ 2.54 no change Rehab. Therapy OT/PT 30-Minute Intervals $ 187.55 no change Speech 30-Minute Intervals $ 137.55 no change Cardiopulmonary Relative Value Units $ 12.50 no change Delivery Room 15-Minute Intervals $ 88.00 no change Surgery Recovery Room 1st Hour $ 400.00 no change Each Add'i 15 Minutes $ 100.00 no change Operating Room 1 st Hour $ 800.00 no change Each Add'i 30 Minutes $ 350.00 no change Cast Room Unit $ 150.00 no change PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES Current Rate Recommended Rate Medicine $ 7.20 no change Surgery $175.90 no change Radiology $ 10.00 no change Anesthesiology $ 38.30 no change OUTSIDE SERVICES AND SUPPLIES_ Current Rate Recommended Rate Nuclear Medicine Cost Plus 35% no change EEG Cost Plus 35% no change Blood Bank Cost Plus 35% no change Prosthesis Cost Plus 35% no change Laboratory Cost Plus CHS no change (CHS: Collection and Handling of Specimens) OUTPATIENT VISITS Family Practice Professional Use of Component Tr a mgnt Roam Current Rate Recommended Rate New Patient Brief $ 35.00 $ 45.00 $ 80.00 no change Expended $ 55.00 $ 50.00 $ 105.00 no change Amending Itemized Professional and Service Rate Changes for Contra costa County Health Services Fuge 3 Family Practice (cont.) Professional Use of Recommended Qmpgnent Treatment Room Current ate Bite Detailed $ 74.00 $ 50.00 $ 124.00 no change Comprehensive l $ 100.00 $ 50.00 $ 150.00 no change Comprehensive ll $ 125.00 $ 50.00 $ 175.00 no change Established Minimal $ 17.00 $ 45.00 $ 82.00 no change Brief $ 30.00 $ 50.00 $ 80.00 no change Expanded $ 42.00 $ 50.00 $ 92.00 no change Detailed $ 80.00 $ 50.00 $110.00 no change Comprehensive i $ 95.00 $ 50.00 $145.00 no change Dental Care Per Fee Schedule SRggiabir-0the Professional Use of Recommended Component. Treatment Room Curret Rates Now Patient Brief $ 35.00 $ 78.00 $ 113.00 no change Expanded $ 55.00 $ 91.00 $ 148.00 no change Detailed $ 74.00 $ 104.00 $ 178.00 no change Comprehensive i $ 112.00 $ 117.00 $ 229.00 no change Comprehensive it $ 139.00 $ 117.00 $ 256.00 no change Established Minimal $ 17.00 $ 58.50 $ 75.50 no change Brief $ 30.00 $ 78.00 $ 108.00 no change Expanded $ 42.00 $ 91.00 $ 133.00 no change Detailed $ 84.00 $ 104.00 $ 188.00 no change Comprehensive l $ 103.00 $ 117.00 $ 220.00 no change Emargeogy„Room Visits Brief $ 38.00 $ 60.00 $ 98.00 no change Limited $ 50.00 $ 85.00 $ 135.00 no change Expanded $ 81.00 $ 130.00 $ 211.00 no change Detailed $ 108.00 $ 175.00 $ 281.00 no change + Comp Admit HX & PX $ 144.00 $ 215.00 $ 359.00 no change P g jggoina Unit of Current Recommended Servjr„ Bata Elk Copy-Subpoena Req. Per Page $ .10 no change Copy-All Other Papers Per Page $ .25 no change i a Microfilm Per Page $ .25 no change Staff Time Per Hour $ 18.00 no change Postage Actual Charge Cafeteria Avg. Charge $ 4.50 no change Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 4 CREEKSIDE CARE CENTER Unit of Recommended Service Current State Rate Daily Room Rate Per Day $ 200.00 delete CREEKSIDE CARE CENTER ANCILLARY SERVICES Recommended De2artment Current Rate__ Rate Pharmacy Cost Plus 300% delete Supplies Cost Plus 300% delete Laboratory Cost Plus 300% delete X-Ray Cost Plus 300% delete Physical Therapy Cost Plus 300% delete Occupational Therapy Cost Plus 300/o delete Speech Therapy Cost Plus 300% delete Oxygen Cost Plus 300% delete MENTAL H ALTH PROGRAM SERVICES Unit of Recommended ;service Current Rate Rate Dally Room Rate Per Day $ 885.00 no change (Includes Professional Component) Rehab O2tion Rates Mental Health Services One Minute $ 2.18 no change Case Management One Minute $ 1.70 no change Medication Support One Minute $ 4.06 no change Crisis Intervention One Minute $ 3.27 no change Crisis Stabilization One Hour Increment $ 78.00 no change Day Care, Intensive Full Day $ 170.00 no change Day Care, Intensive' Half Day $ 121.00 no change Day Care, Habilitative Full Day $ 110.00 no change Day Care, Habilitative Half Day $ 71.00 no change Adult Residential Patient Day $ 125.00 no change Crisis Residential Patient Day $ 256.00 no change SUBSTANCE ABUSE PROGRAM SERVICES Unit of Recommended -Service Current Rate Rate Residential Treatment Admission Fee Person $ 35.00 Residential Treatment Month $1,800.00 delete Alcohol/Drug Residential Tx Day new $ 60.00 Perinatal Residential Tx Day new $ 120.00 Day Treatment Perinatal Day Tx Visit new $ 100.00 Amending itemized Professional and Service mate Changes for Contra Costa County Health Services u Page 5 SUBSTANCE ABUSE SERVICES (cont.) Unit of Recommended Current Rate Rate Drug Free Outpatient Clinic Treatment Individual Intake/Assessment Visit $ 180.00 $ 60.00 Individual Counseling Visit $ 90.00 $ 60.00 Collateral Service Visit $ 90.00 $ 60.00 Group Counseling Visit $ 30.00 $ 36.00 Acupuncture Treatment Visit $ 30.00 $ 60.00 Medical Assessment/ Physical Exam Visit $ 90.00 $100.00 Outpatient Drug free (Composite State Charge) Visit $ 90.00 $ 60.00 Outpatient Perinatal Visit new $ 80.00 Perinatal Group Counseling Visit new $ 48.00 PC 1000 Drug Diversion Program Board Rates Assessment Person $ 40.00 no change Level I Person $ 310.00 no change Level 11 Person $ 510.00 no change Level III Person $ 860.00 no change Level IV Person $ 1,220.00 no change Driving Under the Influence_Program 1 st Offender (Level 1) Person $ 404.00 no change 1st Offender (Level 11) Person $ 593.00 no change 2nd Offender Person $ 1,434.00 no change Methadone ai tenance Maintenance Visit $ 10.00 delete Dose Dose new $ 5.66 Individual Counseling 10 Minutes new $ 10.53 Group Counseling 10 Minutes new $ 3.61 HOME HEALTH AGENCY Unit of Recommended Service Service Current Rate Rate Skilled Nursing Visit $ 154.00 no change Physical Therapy Visit $ 169.00 no change Speech Pathology Visit $ 170.00 no change Occupational Therapy Visit $ 169.00 no change Medical Social Service Visit $ 223.00 no change Home Health Aides Hour $ 79.00 no change HEALTH FLAN Unit of Recommended Service Current Date Rate Medicare Premium Senior Health Basic Individual $ 41.00 no change Senior Health Individual $ 55.00 no change Senior Health Plus 40 Individual $ 88.00 no change Amending Itemized Professional and service Rate Changes for Contra Costa County Health services Page 6 H ALTH PLAN (cont.) Senior Health Plus 50 Individual $ 93.00 no change Commercial Group and Individual Premium Monthly Revenue Monthly Premium $ 105.98 $ 117.03 Requirement for Health Care 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" nate determination process for large groups; include an additional monthly premium factor for administrative cost loading; increase the revenue requirement as appropriate by an amount not to exceed 1% cumulative per month. PUBLIC HEALTH Recommended Descry Current RateBak Family Plannina Pregnancy Test $ 15.00 Non Eligible New membership-first year $ 100.00 Non Eligible Annual membership renewal $ 90.00 Male visits and-supplies $ 10.00 Chip Screenina Children up to 2 years of age over 200% of poverty $ 10.00 Children between 2 and 12 years of age over 200% of poverty $ 15.00 12 years of age and older over 200% of poverty $ 20.00 Scoliosis Screenina Each (agreement with school district) $ 1.50 Immunization Typhoid (ages 2 & over) Each $ 35.00 no change Yellow Fever Each $ 45.00 no change Meningococcal Each $ 55.00 no change Immune Globulin Each $ 20.00 no change Stamping of International Travel Cards Each $ 5.00 no change Childhood Immunizations 0-5 years Each Free no change 6 years & over Each person, not to exceed $ 7.00 no change $13.00 per family Chickenpox 12 mo. -4 yr. Each Free no change 5 yr. - born after Each person, not to exceed $`3.00 1/1/1983 per family $ 7.00 no change All others Each dose, unwaivable, 12 & over $ 55.00 no change two does required no change Measles Vaccine (second Each under 200% of poverty $ 5.-00 no change shot) Each over 200% of poverty $ 26.00 Amending Itemized Professional and Service Rate Changes for Contra Costa county Health Services r Page 7 PUBLIC NEAP(cant.) Recommended Descri t�ion Current Rate Bale Immunization Record (duplicate) Each $ 5.00 no change Flu Immunization Each $ 5.00 no change Elderly Flu Shot Requested $ 5.00 Hepatitis A: Each $ 85.00 no change 2-18 years Each $ 80.00 no change 19 years & older Hepatitis B: Birth - 5 years Each Free no change 8 years - 18 years Each person, not to exceed Free $ 7.00 $18.00 per family 19 years Each $ 15.00 no change 20 years & over Each cost plus $ 45.00 $15.00 Admin. Occupational Risk Each series $155.00 no change Post Blood Titers Each $ 40.00 no change T.B. Skin Testing Includes reading but no $ 10.00 no change P.P.D charge for contacts Venereal Disease Clinic attendance for any $ 20.00 no change sexually transmitted disease $ 52.00 no change Nutrition Services Per hour consultation fee Cost + 10% no change ccu ational Health Svc Each Cost + 10% no change Lab Tests Each Rabies (low risk animal test $ 80.00 no change on request) Each Cost + 10% no change Health EduQation Material (i.e., videos, posters, pamphlets, t-shirts, etc.) Vital Statistics (certified copies) $ 9.00 no change Death and Fetal Death $18.00 no change Birth - General Public $ 9.00 no change Birth - Government Agency Permit for Disposition of Human Remains $ 7.00 no change - Regular -After Hours - Cross Filing Amending Itemized Professional and Service mate Changes for Contra Costa County Health Services Page 8 EN IR N ENTAL HEALTH Current Recommended aga Fee CF..FNER.A PROGRAM SECTION — SERVICE FEES/PE-NALTIES Application Fee (Non-refundable) $ 30.00 no change Violation Reinspection Fee $ 90.00 no change Special Services Fee at Hourly Rate with Minimum: One-Hour Charge: $90.00/hr no change Variance Requests Violation Administrative Hearings Field and Office Consultations Non-Routine Site Evaluations Non-Routine Field Inspections and/or Reinspections Two-Hour Charge: Plan Review Fees for Permit Fee Exempt Facilities Plan Review and Site Evaluation Fees for Community Development Services Health Officer Appeal Hearing $270.00 no change Overtime Charges (After Normal Business Hours) $135.00/hr $115/hr Second reinspection of verified complaints will be charged to the property owner/responsible party. A $90.00 fee will be Charged for verified complaints at permitted facilities. NOTE: Additional charges will be Incurred after the minimum hourly charges have been expended. Services provided after normal work hours will be charged at $115.00 per hour. Penalties Penalties will be imposed for delinquent payments as provided in County Ordinance No.- 93-58, o.93-58, Article 413-3.1206. Ordinance Code of C ntra Cosa County. Section 414.4.1019 Enforcement- Penalties. Any person violating this chapter or regulations issued hereunder, by failing to submit plans, obtain necessary inspections and approvals, or pay fees, or by commencing or Continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a penalty and remain subject to other applicable penalties and enforcement procedures authorized by the state law and/or this code. CONSUMER PROTECTION/RETAIL FOOD PR GRAM These fees are applicable to the Environmental Health permit year beginning March 1, 1998. Environmental Health Permit Fee: Recommended Category Units Qapagily Current Fees && Restaurants Seats 0-25 $ 328.00 no change Restaurants Seats 26-49 $ 418.00 no change Restaurants Seats 50-149 $ 497.00 no change Restaurants Seats 150 + $ 565.00 no change (NOTE. Restaurants with drive-up window-base seating + $50.00) Drive-In/Take-Out $ 452.00 delete Drive-In/Take-Out & Restaurant $ 520.00 delete Drive Through only new $ 328.00 Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 9 F.NVIIRONMENIAL HEALTH (cont.) CbNSUMER PROIECTIQN PROGRAM (cont.) Current Recommended Fees EM Vending Machines Machines 1-4 $ 90.00 no change Each add'I machine over 4 4+ 17.00 no change Tavem/Cocktail Lounge Bar $ 361.00 no change Snack Bar $ 361.00 no change Commissary $ 452.00 no change Cart Commissary $ 200.00 no change Catering $ 452.00 no change Itinerant Food Facility Special Events Per Food Booth $ 62.50 no change Retail Food Markets Square Foot < 2,000 $ 305.00 no change Retail Food Markets Square Foot 2,001-4,000 $ 351.00 no change Retail Food Markets Square Foot 4,001-6,000 $ 497.00 no change Retail Food Markets Square Foot >6,000 $ 565.00 no change Incidental Retail Food Mkt Square Foot <50 $ 53.00 no change Incidental Retail Food Mkt Square Foot >50 $ 131.00 no change Certified Farmer's Food Mkts(CFM) Booths 1-25 $ 160.00 no change Certified Farmers Food Mkts(CFM) Booths 26-45 $ 270.00 no change Certified Farmer's Food Mkts(CFM) Booths 46+ $ 360.00 no change Certified Farmer's Market (CFM) with Food Vendors Qlte$ory Units- .QaPacily Food vendor booths 1-5 CFM Fee + new $ 90.00 Food vendor booths 6-10 CFM Fee + new $ 180.00 Food vendor booths 11-+ CFM Fee + new $ 270.00 Wiping Rags Business $ 169.00 no change Roadside Stands $ 169.00 no change Food Salvager $ 475.00 no change Food Processing Establish. Square Foot <2,000 $ 305.00 no change Food Processing Establish. Square Foot 2,001-4,000 $ 351.00 no change Food Processing Establish. Square Foot 4,001-6,000 $ 497.00 no change Food Processing Establish. Square Foot >6,000 $ 565.00 no change Food Demonstrator $ 159.00 no change Retailer Food Vehicle (Delivery & Peddlers) $ 181.00 no change Mobile Food Prep Units $ 339.00 no change Retail Food Vehicles (including catering trucks) $ 181.00 no change Bakery Square Foot < 2,000 $ 305.00 no change Bakery Square Foot 2,001-4,000 $ 351.00 no change Bakery Square Foot 4,001-6,000 $ 497.00 no change Bakery Square Foot > 6,000 $ 565.00 no change Wholesale Food Square Foot <2,000 $ 305.00 no change Wholesale Food Square Foot 2,001-4,000 $ 351.00 no change Wholesale Food Square Foot 4,001-6,000 $ 497.00 no change Wholesale Food Squre Foot > 6,000 $ 565.00 no change Ice Plant $ 130.00 no change Recreational Water Park One System $ 678.00 no change Each Add'i System $ 339.00 no change Amending itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 10 ZNVIggNMgNjAL HEALTH (cont.) CONSUMER pROT TION EROGRAM (cont.) Current Recommended am Fee Pool-Apt, Motel, Hotel Multi-Use $ 393.00 no change Each Add'I Pool $ 113.00 no change Spa-Apt, Motel, Hotel Multi-Use $ 339.00 no change Each Add'I Spa $ 113.00 no change Peg Exempl Actiyftieg (Permit Fetes Qnly): Food Facilities Public Schools/ Municipal/Non-Profit No Fee no change Pools Public Schools/Municipal Non-Profit No Fee no change Spas Public Schools/Municipal Non-Profit No Fee no change Prorating Fees: Commencement of a new business: The full annual fee shall be paid if the activity starts during March through May; three-fourths if during June through August; one-half if during September through November; and one-fourth if during December through February. Discontinuance or sale of a business—the portion of the annual fee available for refund: If the entity ceases to do business during March through May, three fourths; during June through August, one-half; during September through November, one-fourth; and if during December through February, zero. Owners of businesses requesting a prorated refund must do so in writing within thirty days of sale or discontinuance of business. In the case of a business that has been sold, the owner must include in the written request for a refund the name, address and telephone number of the person to whom the business was sold. SOLID WASTE PROGRAMS Current Recommended . egs Fee Local Enforcement Agency Program: Solid Waste Tonnage Fee $1.00/ton $1.10/ton ;olid Waste as 'Fill Fes: Closed$ Illegal and Abandoned Sites Annual Inspection •2 Hours $ 180.00 no change Quarterly Inspections- 8 fours $ 720.00 no change Monthly Inspections- 16 Hours (see Note (a) below) $1,440.00 no change Blosolld Facility Sites Annual Inspection-2 Hours $ 180.00 no change Quarterly Inspections - 8 Hours $ 720.00 no change Monthly Inspections- 18 Hours $1,440.00 no change NOTE(a): Any inspection conducted over and beyond the routine inspection is subject to the hourly rate of$90.001haur Amending Itemized Prones tal and Service Rate Changes for Contra Costa County Health Services Page 11 ENVIRONMENTAL HEALTH (cont) SOLID WASTE PROGRAMS (cont.) Recommended Curmot Fees Fee Biosolid Facility Application and Review Fee With public hearings - 10 hours $ 900.00 no change Without public hearings - 5 hours (see Note (b) below) $ 450.00 no change Solid Waste Facility Permit Application/Review Fee (see note) $ 900.00 no change NOTE (b): Permit application/review fee includes 10 hours of service time. An additional deposit fee may be required when initial deposit has been expended. Mandatory Service Exemption $ 90.00/hr no change Medical este: Plan review (new facility/permit revision/new treatment system) $ 360.00 no change Additional review(per hour) $ 90.00 no change Health Care Service Plan Facility $ 463.00 no change Medical/DentalNeterinary Clinic (> 200 lbs./month) $ 360.00 no change Medical/DentalNeterinary Clinic (< 200 lbs./month) $ 45.00 no change Medical/DentalNeterinary Clinic {< 200 lbs./month) with on-site $ 135.00 no change treatment W/ON-SITE MEDICAL WASTE TREATMENT SYSTEMS(i.e.,AUTOCLAVE,INCINERATOR,STEAM STERILIZER)ADDITIONAL FEE REQUIRED. Additional fee $ 60.00 no change Primary Care Clinic $ 463.00 no change Intermediate Care Facility $ 390.00 no change Acute Psychiactric Care new $360.00 Acute Care Hospital (251 + beds) $1,640.00 no change Acute Care Hospital (200-250 beds) $1,315.00 no change Acute Care Hospital (100-199 beds) $1,128.00 no change Acute Care Hospital (1-99 beds) $ 791.00 no change Skilled Nursing Facility. (> 200 lbs./month) $ 360.00 no change Skilled Nursing Facility {< 200 lbs./month) $ 45.00 no change Skilled Nursing Facility 200 lbs./month) w/on site treament new $135.00 Specialty Clinic (> 200 lbs./month) $ 463.00 no change Clinical Lab (> 200 lbs./month) $ 360.00 no change Clinical Lab (< 200 lbs./month) $ 45.00 no change + Clinical Lab (< 200 lbs./month)w/on site treatment $ 135.00 no change Biomed Producer (> 200 lbs./month) $ 360.00 no change Biomed Producer ( 200 lbs./month) $ 45.00 no change Biomed Producer (< 200 lbs./month) with on-site $ 135.00 no change treatment Biomed Producer (> 200 lbs./month)with on-site ' treatment $ 450.00 no change Common Storage Facility (50 + generators) $ 649.00 $360.00 Common Storage Facility (11-49 generators) $ 360.00 $180.00 Common Storage Facility (2-10 generators) $ 270.00 $135.00 Limited Quantity Hauling Exemption $ 75.00 no change Reinspection Fee (per hour) $ 90.00 no change Certification Application Fee $ 30.00 no change Amending Itemized Professional and Service Rate Changes for contra Costa County Health Services Page 12 ENVIRONMENTAL HEALTH_(cont) LAND USE ENGRAMS FEES FOR THE INSTALLATION OF INDIVIDUAL SEWAGE. DISPOSAL SYSTEMS, WATER WELLS AND SUBDIVISIONS OF LAND In order to obtain approval for installation or repair of systems, the following fees must be paid prior to any inspection or investigation of an individual parcel or minor subdivision. IMPORTANT: Permit fees include a nonrefundable $30.00 application fee and up to 2.5 hours of Inspection and travel time. Thereafter,time is charged at the rate of$90.00/hr. or$115.00 after normal business hours. AM indicates when an additional or separate $30.00 initial application fee is required. Current Recommended Q$neral: Fgps Fee Individual Wells and Soil Borings Permit for construction and/or reconstruction for individual wells, Including monitoring wells $ 272.00 $ 259.00 Site evaluation (minimum one-hour charge) $ 90.00/hr no change Permit for soil borings (per parcel) $ 272.00 $ 299.00 Review of an existing individual water system/well $ 90.00/hr no change Inspection permit for abandoning and sealing of well (fee includes only one hour staff time) $ 120.00 $ 155.00 Inspection permit for abandoning and sealing of well when done at same inspection of replacement well No Charge no change Plan Review $ 90.00/hr no change ALTERNATIVE SYSTEM CONSTRUCTION PERMIT $ 597.00 no change *Annual Operation Permit $ 150.00 no change ($90.00/hr if over two hours) Wells and Soil Borings: A well is any artificial excavation constructed by any method for the purpose of extracting water from, or injecting water or other liquid into the ground, for observation of groundwaters for any reason, for the exploration of the subsurface of the earth, for removal of substances from soil or groundwater, or for cathodic protection. This definition shall not include oil or gas wells or geothermal wells constructed under the jurisdiction of the State Department of Conservation except when such wells are converted to use as a well. This definition includes environmental and geotechnical wells. A soil boring is an uncased artificial excavation constructed by any method for the purpose of obtaining information on subsurface conditions or for the purpose of determining the presence or extent of contamination in subsurface soils or groundwater. This definition includes environmental and geotechnical borings, test holes, test wells and exploration holes. Current Recommended Individual Sewage Disposal Systems: Fees EM Standard System Construction Permit $ 279.00 $ 390.00 Site evaluation (two hour minimum charge) '> $ 90.00 $ 180.00 Plan review- includes building additions $ 90.00/hr no change Reinspection, cancellation/rescheduling without 8-hr confirmed notice $ 90.00 no change Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 13 ENVIRONMENTAL HEALTH (cont.) LAND USE PROGRAMS (cant) Current Recommended Tikes Eee Septic system abandonment permit (fee includes only $ 120.00/hr no change one hour staff time) Minor repair permit (fee includes only one hour staff time) $ 120.00/hr no change Percolating test $ 811.00 no change Soil profile evaluation $ 180.00 no change Subdivisions - Land Use Projects: Community Development Department (CDD) report reviewed $90.00/hr no change for Land Use Permits, rezoning, developmental plans, EIR review, lot line adjustments, and CDD variance requests. Environmental health review of CDD applications $ 30.00 no change Liquid Waste Disposal Permits: Septic tank/chemical toilet cleaner- business t'} $ 270.00 no change Septic tank/chemical toilet cleaner-vehicle{'} $ 90.00 no change Small Water Systems Permits: Non-community surface water system $ 315.00 no change Non-community, non-transient ground water system $ 400.00 no change Non-community, non-transient ground water with treatment system $ 400.00 no change Non-community, non-transient surface water system $ 400.00 no change Non-Community, transient new $ 315.00 Community ground water system (15-24 connections $ 283.00 no change Community ground water system $ 283.00 no change with treatment (15-24 connections) Community ground water system (25-99 connections) $420.00 no change Community ground water system with treatment (25-99 connections) $420.00 no change Community surface water system (25-99 connections) $420.00 no change Community ground water system (100-199 connections) $ 525.00 no change Community ground water system with treatment (100199 connections) $ 525.00 no change Community surface water system (100-199 connections) $ 525.00 no change Local small*water system $ 135.00 no change State small water system $ 230.00 no change Non-community ground water system with food preparation $ 315.00 no change Non-community ground water system with treatment $ 315.00 no change Non-community ground water system, prepackaged food only $ 180.00 delete Public Water Systems -Plans Review: New community water system (') $500.00 no change New non-community water system $300.00 no change Amended permit because of ownership change $150.00 no change Amended permit because of system change {'} $250.00 no change Enforcement actions pertaining specifically to small water $ 90.00/hr no change systems Amending itemized Professional and Service date Changes for Contra Costa County Health services Page 14 ENViRQNMENTAL HEALTH (cont'd) LANG USE PROGRAMS (cont'd) Plan Check Plan check deposit fees except those specifically listed, are three times the annual permit fee. This includes plan check and all applicable inspections and consultations. An additional deposit fee may be required when initial deposit has been expended. If deposit is not expended a refund will be issued. Qrdi ance Code of Cgntra Costa County. Section 414-4.1019 Enforcement- Penalties. Any person violating this chapter or regulations issued hereunder, by failing to submit plans, obtain necessary inspections and approvals, or pay fees, or by commencing or continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a penalty and remain subject to other applicable penalties and enforcement procedures authorized by the state law and/or this code. Deposit Recommended .Ri1grit— Deposit-- Public Pool (minimum deposit) new $ 1,017.00 Public Pool Complex (minimum deposit) new $ 1,017.00 Additions to orginal complex: Each pool, spa, wading, therapy, or diving pool new $ 339.00 Bathhouse new $ 339.00 Recreational water park complex (minimum deposit) Five times the annual pool permit H6Z6RGOUS MATE _ IAF L A52185 PROQRAM: AB2185 fees for a current calendar year are based upon the following year's projected business plan inventory of hazardous material and are billed to the business in the fifth month after December 31 of the current calendar year. Fee structure for businesses required to submit a "Hazardous Material Business Plan" under Federal Sara Title ill Program and the California Hazardous Materials Release Response and Inventory Program (AB 2185). Hazardous Material Inventory Fees: Number of Current Recommended Emplgyggs Lbs. of Material Fees hm 0-4 >(A) <500K $ 183.00 delete 5-9 <500K $ 340.00 delete 10-19 and <500K $456.00 delete N/A <1 K*(A) new $ 135.00 0-4 >_ 1 K- < 10K new $ 144.00 5-9 > 1 K- < 10K new $ 192.00 10-19 >1K- < 10K new $ 239.00 0-4 >10K- < 100K new $ 287.00 5-9 >_10K- <100K new $ 335.0,0 10-19 >10K- <100K new $ 383.00 0-4 >100K- <250K new $ 431.00 5-9 >100K- <250K new $ 479.00 10-19 >100K- <250K new $ 527.00 0-4 >250K- <500K new $ 575.00 5-9 2250K- <500K new $ 622.00 10-19 2250K- <500K new $ 670.00 Amending Itemized Profen., inai and Service Rate Changes for Contra Costa County Health Services Pape 15 ENVIRONMENTAL HEALTH (cont.) HAZARDOUS MATERIAL AB2185 PR RAM (cont.) Number of Current Recommended Employees Lbs. of Material Fees Fee a20 and < 10K $ 456 no change a20 and a 10K- < 100K $ 856 $ 942 a20 and a 100K- < 250K $ 1,705 $ 1,876 a20 and a 250K- < 500K $ 3,194 $ 3,513 NIA a 500K- < 2.5M $ 7,544 $ 8,408 N/A a 2.5M - < 10M $15,058 $15,554 N/A a 10M - < loom $24,659 $27,125 N/A a loom - < 1B $32,878 -$36,166 N/A a 113 - < 5B $41,097 $45,207 N/A a 5B $72,756 $80,032 All marine terminals and tank farms with secondary containment storing greater than or equal to 10 million pounds of hazardous materials $20,659 $ 22,725 All oil refineries and all Class 1 off-site hazardous waste disposal sites $72,736 $ 87,307 Liquefied carbon dioxide (CO2) shall be assigned a risk factor of 10%. In summing the total pounds of hazardous material at a given facility as part of the fee determination, the pounds of liquid CO2 shall be multiplied by 10% and that amount used in the calculation of the aggregate pounds for the site. (A) Quantity at any one time during the reporting year equal to, or greater than, a total weight of 500 pounds or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for compressed gas. Partial Year OwneMhir, - New Owner/Qe� rator: A Business Plan is required from a new owner/operator from the start of the business activity to December 31. An annual AB2185 fee will be computed on the inventory of hazardous material listed in the Business Plan then prorated by the number of months covered by the Business Plan. Discontinuance or Sale of Business: Upon discontinuance or sale of a business, the owner/operator is required to file a Business Pian for the period between the ending date of the preceding business plan to the month in which the business activity ceased or the business was sold. The annual AB2185 fee will be computed on the inventory of hazardous material listed in the Business Plan then prorated by the number of months covered by the Business Plan. The fees shall be non-transferrable, non-refundable and set on a facility basis. " Additional administrative fees will be assessed for: 1. Failure to respond to inquiries relating to compliance with these resolutions, 25% of fee. 2. Late filing of business pians, beyond a 30-day notice of violation, 50% of fee. Amending itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 16 ENVIRONMENTAL HEALTH (cant.) 3. Failure to pay the fee within terms of the invoice, 25% of fee. The administering agency reserves the right to adjust the fees dependent on total program cost 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. RMPP PROGRAM. 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 fees assessed is based on the risk ranking assigned to the business as follows: Recommended Risk Rank' Annual Fee Fel Greater than 400 $15,600.00 delete 200-400 $ 7,800.00 delete 100-199 $ 3,900.00 delete 1-99 $ 780.00 delete 0 $ 312.00 delete RMPP PROGRAM REPLACED BY THE ARPP PROGRAM ACC112ENTAL RELEASE PREVENTION PROGSAM (ARPP) The ARPP Program has replaced the Risk Management Prevention Program. The California ARPP fees for Contra Costa County will be assessed from stationary sources that handle regulated substances. The collection of fees for the ARP Program is authorized by Health & Safety Code, Chapter 6.95, Section 25535.5 and 25404.5. 1. Fee Imposed. The California Accidental Release Prevention Program (CalARP) fees for Contra Costa County are hereby imposed and assessed upon all stationary sources that handle regulated substances. 2. Amount. The fee for a stationary source shall be determined as follows: FEE= $200.00 + [(TC-TSS x $200.00)ITRF] xRF TC Total cost of the County's CaIARP program. TSS = Total number of stationary sources in the County. TRF = 'Total Risk Factor,"or the sum of the Stationary Source Modified Chemical Exposure Indexes ("SSMCEI") of all stationary sources in the county. RF w "Risk Factor," or a stationary sources SSMCEI. The TRF for the County and the RF of a stationary source ("SSMCEI") shall be determined pursuant to the Contra Costa County Health Services Department's California Accidental Release Prevention Program Relative Risk Determination Methodology, attached hereto as Exhibit A and incorporated herein by this reference. 3. Exempt Stationary Sources. A stationary source may apply for an exemption from preparing a Risk Management Plan under the California Accidental Release Prevention Program. The exemption may be granted if the Health Services Director or his designee determines, at his or her sole discretion, that the potential for an off-site consequence from the stationary source is remote. If a stationary source has not paid the annual CaIARP fees pursuant to this resolution, the stationary source shall pay an exemption review fee upon submittal of an exemption application. The exemption application fee shall be $500 per regulated substance per process. (For example, ii a stationary source handles one regulated substance in one process the fee is $500. If a stationary Amending Itemized Professional and Service Rate Changes for Contra Costa County Health Services Page 17 ENVIRONMENTAL HEALTH (cont.) source handles one regulated substance in two different processes the fee is $1000.) If a stationary source does not handle any regulated substance in a process but stores regulated substances in a warehouse, the review fee is $500 per warehouse where the regulated substances are stored. If an exemption is not granted, all of the exemption application fee shall be credited towards the CalARP fees assessed upon the stationary source pursuant to this resolution. An annual administrative fee of$65.00 is hereby assessed upon all stationary sources that handle regulated substances on site but are exempt from preparing an RMP pursuant to this resolution. 4. Maximum Fee. The maximum fee to be charged to any one stationary source for fiscal year 1997-1996 is $40,000.00. This maximum fee shall increase by a factor of 10% per year. 5. Multiple Stationary Sources. Companies that have multiple stationary sources that are substantially Identical, as determined at the sole discretion of the Director of Wealth Services, or his designee, may be assessed a reduced fee. The fee for such a company shall be the full fee for the first stationary source, plus the greater of$65.00 or 10% of the full fee for each additional substantially identical stationary source. 6. Non-Profit Organizations. If a stationary source is owned by a non-profit organization (Internal Revenue Service Code tax-exempt status number 501 C), the fee shall be the greater of $65.00 or 10% of the full fee based on the stationary source's risk ranking. 7. Pro-Ratan Refunds. The fiscal year begins on July 1. if during a fiscal year a stationary source discontinues handling a regulated substance, a pro-rata refund shall be issued. This refund will be based on the pro-rated portion the fee attributable to the regulated substance. 8. Definitions. The terms used in this resolution shall have the meanings ascribed to them in the Health and Safety Code Article 2, §25535.5 and §25404.5. 9. Authority. This resolution and the imposition of fees hereunder are authorized in part by Health & Safety Code, Chapter 6.95, §25535.5 and §25404.5. UNDERGRQUND SIOMGE TANK P OSAM Underground Storage Tank Annual Permit: (Tanks which do not have secondary containment and continuous monitoring equipment) Recommended Current .F -Em 12escription $120.00 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 $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. ti Underground round Storage Tank Annual Permit Installed After January 1 1984: (Tanks which have secondary containment and continuous monitoring equipment) Recommended Current as Fee, Detention no change $ 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 Amending itemized Professional and Service late Changes for Contra Costa County Health Services Page 18 ENVIRONMENTAL EALTH(cont.) Recommended Current E22 _Fees escri tp ion no change $170.00 Basic fee for tank of 50,000 gallons or less no change $300.00 Each tank of 50,000 gallons or more no change (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 Installation Plan Review and Inspection: In addition to the applicable State surcharge prescribed by or pursuant to the law, the following fees shall be collected: Recommended Rate Fees Desedglion no change $450.00 New tank facility, first tank no change $ 90.00 Each additional Tank Underground Storage Tank Removal. Temporry.Closure or Abandonment: Recommended Current Fee FgMs Desadption no change $120.00 Single tank of 1,000 gallons or less, located at a residence and used solely in connection with the occupancy of that residence no change $260.00 First tank at a site no change $120.00 Each additional tank Inspection and Plan Review for Piping Replacement or Modification: Recommended Current Fee Feesscri to ion no change $330.00 Plan review and inspection of pipe replacement or repair, including the installation of overfill protection equipment and corrosion control devices $ 135.00 new First Tank $ 45.00 new Each Additional Tank Permit Amendment Qr Transfer: Recommended Current EAR _ Deficriplion no change $ 60.00 Permit amendment or transfer fee jjn_ derground Tank Modification. Repair or Lining Pte: Recommended Current EM Fees_ Descrig n no change $260.00 Includes review and inspection not exceeding four hours of staff time no change $ 90.00 For each additional hour or fraction thereof of staff time Contaminated Site Fee: Recommended Current EM Fees j?escription no change $ 90.00 Each hour or fraction thereof of service delivered by the County Health Services department in connection with th( characterization or remediation of site contaminated by discharge of a hazardous substance, material or waste, If the owner, operator, or other responsible person in chargf Amending Itemized Professional and Service Rate Changes for Contra Costa county Health Services Page 18 ENVIRONMENTAL HEALTH (cont.) of the site requests assistance from 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 _Reinslaection or Time Use: Recommended Current Fee , -Eggs Descriptn ion no change $ 90.00 Each hour or fraction thereof of staff time provided shall be charged in 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 UNDER ROUND STORAGE TANK PROGRAM (cont.) 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 Document Search: Recommended Current Fee Fees Desgrintion no change 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. Eanalties: The following penalties shall be applied and collectible from parties responsible for the following actions: PenaltL n a) Failure to pay any fee in a timely manner 25% penalty b) Failure to file and report change in ownership or operator of an underground tank(s) $500.00 These penalties are in addition to those that may be imposed under any other underground tank regulation. INCIDENT RESPONSE Recommended Current fA Fitas Description no change $ 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 or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety. This includes responses to illegal drug labs. no change $115.00/$135.00* In addition to the regular hourly rate, a charge for overtime (1-1/t or 2 times the regular hourly rate) as applicable and for Contra Costa County Health Services r Paye 20 ENVIRONMENTAL HEALTH (Cont.) for the cost of emergency vehicles used in connection with the remediation of site Contamination EMERGENCY IIIc DiCAL riERVICES AGEbICY EmIlmengy MediQ01 Technician (EMJ) Current Fees _Recommended Fee Initial Certification/Rooertification * $ 15.00 no Change PAM Acc;reditation/R"wreditation * $ 55.00 no Change Mobile Intensive Care Nurse (MICN) Current Fees Recommended Fep Authorization/Re-authorization * $ 25.00 no Change EMR Continuing Education Provider** $100.00 no Change • Renewal trees may be waived for employs"of a service provider with an approved,i w4mse program for nmkintsininy required renewal records. Fee may be waived fbr non-commercial providers offering continuing education at no charge to Contras Costa County EMS System responders. 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 10%during the next twelve-month period, except those fees set by Federal/State statute or regulation shall be effective concurrent with the date specified in the applicable statute or regulation regardless of the amount of increase or decrease. fee Adjustment: 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. On this date, fallowing public hearing and testimony by John Wolfe, 820 Main Street, Martinez, representing the Contra Costa Taxpayers ' Association, IT IS BY THE BOARD ORDERED that the fee changes for various programs and services in the Hospital and clinics, Public Health, Home Health Agency, Mental Health and Substance Abuse Divisions of the Health Services Department are APPROVED with the exception of the Hazardous Material AB2185 Program fees on pages 14 and 15; and the hearing on the fee changes in the Hazardous Materials Department AB2185 fees is CONTINUED to April 28, 1998, at 11 a.m. in the Board chambers . I hereby certify that this is a true and correct cc: County Administrator copy of an action taken and entered on the Health Services Director minutes of the Board of Supervisors on the Health Services Administration date shown. County Counsel ATTESTED: County Auditor PHIL BATkrsnd , Clerkof the Board of er'viCou ty dministrator By Deputy EXHUBTT A CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT CALIFORNIA ACCIDENTAL RELEASE PREVENTION PROGRAM RELATIVE RISK DETERMINATION METHODOLOGY 1. INTRODUCTION. The Centra Costs County Health Services Department uses the Chemical Exposure Index ("CEI")', as modified, to rank the relative potential of acute health hazard to people from possible chemical release incidents.The Modified CEI ("MCEI") Is used by the Department for the purpose of assessing stationary source fees. The MCEI formula Is Intended to provide a relatively simple method for comparing relative chemical toxic hazards, resulting In fees that fairly reflect the hazard potential of the facilities in the County. The MCEI accounts for the following six factors that could Influence the magnitude of a potential regulated substance exposure: 1. The potential health hazard posed by the regulated substance measured by the toxic endpoint and the vapor pressure (volatilization driving force) of the material. 2. The vapor quantity available for dispersion based on the largest single container of the regulated substance. 3. The distance to the nearest receptor. 4. The degree of dispersivity and vapor density as related to the molecular weight of the substance. 5. The number of processes using regulated substances at a stationary source. 6. Accident history. lFor information regarding the Chemical Exposure Index,see 'Dow Chemicals Chemical Exposure Guide,'published by the Center for Chemical Process Safety,American institute of Chemical Engineers, 1994, New York, New York. CCCHSD CsIARP Program Relative Risk Determination Methodology Paye 2 II. MODIFIED CHEMICAL EXPOSURE INDEX(MCEI) DETERMINATION METHODOLOGY. A. Regulated Substance MCEI. A'Regulated Substance MCEI" Is determined for each regulated substance handled at a stationary source In quantities above the threshold quantities established by the regulations for the California Accidental Release Prevention Program. The MCEI for a Regulated Substance is determined by multiplying the applicable scale numbers for the various risk factors (Subsection B), as follows: 1. 2. 3. 4. 5. Regulated Largest Distance Molecular Modified Substance x Single x Scale No. x Weight : Chemical Exposure Scale No. Container Scale No. index Scale No. B. Determination of Risk Factor Scale Numbers. 1. Regulated Substance Scale Number. Both the concentration at which a material is acutely toxic and the vapor/partial pressure that creates the driving force to volatilize and maintain the material In the atmosphere affect this scale number. For purposes of this scale number, the toxic endpoints, In parts per million, are used as the toxicity measurement. Volatility Is measured by the vapor/partial pressure In mm Hg a 250C (millimeters of Mercury at 25 degrees Centigrade), up to a maximum of 760mm Hg. The Regulated Substance Scale factor Is determined by multiplying the toxic endpoint concentration by 760, and dividing that number by the vapor/partial pressure in mm Hg. The Regulated Substance Scale factors are assigned the following Regulated Substance Scale Numbers. Regulated Substance Scale Factor Regulated Substance Scale Number 0- .99 5 1.0-9.9 4 10.0-99.0 3 100-999 2 1,000- 1000,000 1 >100,000 0 For flammable substances and for sulfuric acid in a mixture with a flash point•c 73°F, the Regulated Substances Scale Number of two (2) Is assigned. 2. Largest Single Container Scale Number. The Scale Number for the largest single r r CCCHSD WARP Program Relative Risk Detenninatlon Met Mology Page 3 container is determined by taking the Logio of the maximum amount of regulated substance, In pounds, stored In a single container at the stationary source. 3. Distance Scale Number. This factor quantifies the distance between the point of release and the public or environmental receptor. The term 'public receptor" means"offsite residences, Institutions (e.g., schools, hospitals), industrial, commercial and office buildings, paries or recreational areas Inhabited or occupied by the public at any time without restriction by the stationary source where members of the public could be exposed to toxic concentrations, radiant heat or overpressure, as a result of an accidental release.` (See 19 Cal. Code Regs. Division 2 Chapt.4.5) The term "environmental receptor"means"natural areas such as national or state parks,forests, or monuments, officially designated wildlife sanctuaries, preserves, refuges or areas, and federal wilderness areas,that could be exposed at any time to toxic concentrations, radiant heat, or overpressure greater than or equal to the endpoints, as a result of an accidental release and that can be identified on local U.S. Geological Survey maps.' (See 19 Cal. Code Regs. Division 2 Chapt.4.5) Distance Scale Number 41,000 ft. 4 1,000-5,279 ft. 3 1 mile -5 miles 2 >5 miles - 15 miles 1 >15 miles 0 4. Molecular Weight Scale Number. The density of the vapor is directly related to the molecular weight and inversely affects the rate of dispersion. Therefore, regulated substances have been assigned the following scale numbers based upon their molecular weight Molecular Weight Scale Number >45 4 34 -45 3 23 -33 2 15-22 1 <15 I 0 Exceptions. The above formula does not apply to substances such as ammonia and hydrogen fluoride, which form heavier-than-air vapor clouds due to the formation of aerosols (ammonia) and strong intermolecular forces (hydrogen fluoride). These regulated substances are assigned Scale Number 4. C. Stationary Source MCEI. A stationary sourare0s MCEI Is obtained by adding the Regulated Substance MCEI for each regulated substance handled at the stationary source, and multiplying that number by Process Scale Number for the stationary source. If there has been level-throe amts (as defined by the Community Warning System) in the last three years, CCCHSD CWARP Program Relative Risk Determination Methodology Page 4 the MCEI will be Increased by a factor of 10%for each level-three accident in this time period. 1. Process Scale plumber. The relative risk far an accidental release from a stationary source} Is directly related to the amount of handling of regulated substances at the source. A stationary source's MCEI uses the number of California Accidental Release Prevention Program covered processes at a stationary sources as a determination of this factor. Number of Processes Scale Number >10 4 f- 10 3 3-5 2 0-2 1 2. Accld$nt History Scale Factor. A factor of 1.1 will be used for each level three incident occurring in a rolling three-year period. The first accident In this time period will have a factor of 1.1. If there have been two level three accidents, the factor will be 1.2, etc. Date: w:�►,�.uerM�m.w�n 4