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HomeMy WebLinkAboutMINUTES - 04131999 - SD9 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on by the following vote: AYES: SUPERVISORS wIGIA, UILKEMA, GERBER, i,ESAi;hNIER and CANCIA ILLA NOES: NONE ABSENT: N1 3N,E ABSTAIN NONE RESOLUTION NO. 99/170_ SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective May 1, 1999. 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 Dumber 93/195 April 14, 1993 and Resolution #93/215 of April 23, 1993. 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 May 1, 1999, is established as follows: Reason for proposed rate changes: 1. Hospital Inpatient: A 5% increase in Room & Board rates is proposed to cover Board awarded employee cost-of-living adjustments and other inflationary increases. 2. Mental Health Program: A 3.5% increase in Rehab option rates is proposed to reflect changes in the State [dept. of Mental Health Schedule-of-Maximum-Allowances (SMA). 3. Community Substance Abuse Services. Driving Under the Influence Program rate increase of 10% is proposed to cover increased costs and to mare the Program self-sufficient. Methadone Maintenance increases revise current fees as authorized by the State of California. Outpatient Perinatal Services increase revises current fee as authorized by the State of California. 4. Home Health Agency: No changes proposed. 5. Health Plan: Proposed changes by the Health Plan's actuary to reflect inflationary increases of medical care provided. 6. Public Health: The major changes in the Public health Pees for FY 1999-00 are in the area of Immunization Services. The increases are primarily the result of increased vaccine costs over the last year and a half of approximately 15% to 20%, plus the increased staffing costs and COLA for the nurses who administer the injections. There are also new vaccines being offered for Typhoid (oral), Lyme vaccine and Pneumococcal vaccine. 7. Environmental Health: The programs administered by the Environmental Health division are fee supported and as such, program fees are set in an amount sufficient to meet the cost of the programs. Hazardous Materials Programs— AB2135 (Business Plan) fees— Overall increase approximately 5% to cover Board awarded COLA's and other inflationary increases. Underground Storage Tanks (UST)fees— Overall increase of approximately 20%. ✓ Accidental Release Preventive Program (ARP)— No increase in fees. • Incident Response Program — Hourly Rate increase to $100 from $90 to cover Board awarded COLA's and other inflationary increases. • Hazardous Waste Generator fees— Ido change. Environmental Health Division— �' Solid Waste (LEA) — Recommended fee increase 9.1% ($1.20/ton from $1.10lton) Mandatory diversion of solid waste to a recycling process will decrease the tonnage at the transfer stations and landfills. Current staffing levels are required by the Integrated California Waste Management Board (CIWMB) to maintain Local Enforcement Agency (LEA) certification. Landuse -- Program fees have not been increased since 1995. The hourly,rate is recommended to be set at $109/hr from $90/hr. The fee increase is recommended to reduce county subsidy and support one additional Board approved position to meet current demand for well inspections, etc. V Retail Food/Consumer Protection Programs— Recommended revenue increase of 10%. Fees have not been increased since 1995. Five (5) additional inspectors positions have been approved by the Board of Supervisors to, amongst other things, increase the frequency of health inspections of restaurants, public pools, etc. 41941@ ° �plo+se l;: s ADDENDUM RESOLUTION 99/170 ADDENDUM TO ITEM SD.9 Agenda April 13, 1999 On this date, the Board of Supervisors considered a resolution. amending itemized professional and service rate chanes for Contra Costa.County Health Services, effective May 1, 1999. By request of the Health Services Director, item number S "EMS: No changes proposed" is deleted, to be presented to the Board of Supervisors in the form of a proposed ordinance at a later date. Having concluded discussion on the matter, the Board took the following actions: CLOSED the public hearing, ADOPTED Resolution No. 99/170, the Amended Schedule of Itemized Professional and Service Rate Charges for Contra Costa Health Services, as amended. Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Page 2 tjospital.-Inpatlent Current Daily Rate for Recommended Daily Rate for Routine Room and Board Routine Room and Board Service Pediatrics $ 788 $ 830 Medical Ward $ 735 $ 775 Transitional Care Unit $ 735 $ 775 Nursery Bassinet $ 522 $ 550 Intensive Care $2,146 $ 2,250 Total U!:Ltt_Rate TotalUnitRate Obstetrics Fixed all inclusive @ Routine Delivery $4,267 No change Routine Delivery with $5,904 No change Tubal 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 test 3. Nutrition Class 4. Early Pregnancy Class 5. Labor and Delivery Care, including C-Section include 6. Back-up consultation services for complications of pregnancy, labor and delivery (does not 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 post-partum check with Family Physician, including birth control counseling. 10. Three return well-baby visits with Family Physician. ANCILLARY SERVICES ............................ Recommended Dep artment ffilling_Unit Current Rate Rate Anesthesiology I st Hour $ 400.00 no change Each Add'I 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 $ 12.16 no change Laboratory (Hasp & PH Lab) Relative Value Units $ 2.54 no change Rehab. Therapy OT/PT 30-Minute Intervals $ 137.55 no change Speech 30-Minute Intervals $ 137.55 no change Cardiopulmonary Relative Value Units $ 12.50 no change Delivery Room 15-Minute Intervals $ 98.00 no change Surgery Recovery Room I st Hour $ 400.00 no change Each Add'I 15 Minutes $ 100.00 no change Operating Room I st Hour $ 800.00 no change Each Add'I 30 Minutes $ 350.00 no change Cast Room Unit $ 150.00 no change RESOLUTION 99/170 Amending Itemized professional and Service Rate Charges for Contra Costa County Health Services Page 3 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 EEC Cost Plus 35% No change Blood Bank Cost Plus 35% No change Prosthesis Cost Plus 5% No change Laboratory Cost Plus CHS No change (CIMS; Collection and )dandling of Specimens) Family Practice Professional Use of New Patient Component Treatment Current Recommended Rate Room Rate Brief no change Expended $ 35.00 $ 45.00 $ 80.00 no change $ 55.00 $ 50.00 $ 105.00 Detailed $ 74.00 $ 50.00 $ 124.00 no change Comprehensive 1 $100.00 $ 50.00 $ 150.00 no change Comprehensive 2 $ 125.001 $ 50.00 $ 175.00 no change Established Minimal $ 17.00 $ 45.00 $ 62.00 no change Brief $ 30.00 $ 50.00 $ 80.00 no change Expanded $ 42.00 $ 50.00 $ 92.00 no change Detailed $ 60.00 $ 50.00 $ 110.00 no change Comprehensive 1 $ 95.00 $ %00 $ 145.00 no change Cental Care Per Fee Schedule. Speclaf Others Professional Use of Co® portent Treatment Current-.Rate Recommended Rate New Patient Room - Brief $ 35.00 $ 78.00 $113.00 no change Expanded $ 55.010 $ 91.00 $146.00 no change Detailed $ 74.00 $ 104.00 $178.00 no change Comprehensive 1 $"112.010 $117.00 $229.00 no change Comprehensive 11 $139.00 $117.00 $256.00 no change RESOLUTION, 991170 Amending itemized Professional and Service Rate Charges for Contra Costa County Health Services Page 4 Professional Use of Component Treatment Current Rate Recommended Rate Room 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 $ 64.00 $1034.00 $ 168.00 no change Comprehensive € $103.00 $117.00 $ 220.00 ;no change Emergency 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 $106.00 $ 175.00 $ 281.0}0 no change Comp Admit HX $144.00 $ 215.00 $ 359.00 no change & PX Photocopying Unit of Current Rate Recommended Rate Service Copy-Subpoena Reg, Per Page $ .10 no change Copy-All Other Papers Per Page $ .25 no change Microfilm Per Page $ .25 no change Staff Time Per Hour $ 16.00 no change Postage Actual Charge Cafeteria Avg. Charge $ 4.50 no change MENTAL HEALTH PROGRAM SERVICES Unit of Current Rate Recommended Rate Service - Daily Room Rate Per Day $ 885.00 no change (Includes Professional Component) Rehab Option Rates Mental Health Services One Minute $ 2.18 $ 2.26 Case Management One Minute $ 1.70 $ 1.76 Medication Support One Minute $ 4.06 $ 4.20 Crisis Intervention One Minute $ 3.27 3.39 Crisis Stabilization 1 Hour Increment $ 79.00 $ ',82.00 Day Care, Intensive Full Day $ 170.00 $176.00 Day Care, Intensive Half Day $ 121.00 $126.00 Day Care, Habilitative Full Day $ 110.00 $114.00 Day Care, Habilitative Half Day $ 71.00 $ '73.00 Adult Residential Patient Day $ 125.00 $129.00 Crisis Residential Patient Day $ 256.00 $265.00 Unit of Current Rate 'Recommended Rate Service Residential Treatment Alcohol/Drug Residential Tx Day $ 60.00 no change Perinatal Residential Tx Clay $ 120.00 no change Day Treatment Perinatal Day Treatmen Visit $ 100.00 no change Drug Free Outpatient Clinic Treatment Individual Intake/Assessment Visit $ 60.00 no change Individual Counseling Visit $ 60.00 no change Collateral Service Visit $ 60.00 no change Group Counseling Visit $ 36.00 no change RESOLUTION 99/170 Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Page 5 Substance Abuse Program Services Unit of Current Rate Recommended Rate Service Acupuncture Treatment Visit $ 60.00 no change Medical Assessment/ Physical Exam Visit $ 100.00 no change Outpatient Drug Free (Composite State Charge) Visit 60.00 no charge Outpatient Perinatal Visit $ 80.00 $ 100.00 Perinatal Croup Counseling Visit $ 48.00 no change PC 1000 Drug Diversion Program Bogrd_Rate Assessment Person $ 40.00 no change Level I Person $ 310.00 no change Level 11 Person $ 510.00 no change Level 111 Person 860.00 no change Level IV Person $1,220.00 no change Driving Under the Influence Proor„ A 1st Offender (Level 1) Person $404.00 $ 445.00 1st Offender (Level 11) Person $ 598.00 $ 655.00 .2nd Offender Person $1,434.00 $1,577.00 Methadone Maintenance Dose-AOD Gose $ 5.56 $ 7.28 Dose- LAAM Dose New $ 16.41 Dose - Perinatal Dose New $ 8.23 Individual Counseling -AOD 10 Minutes $10,53 $ 12.35 Individual Counseling - LAAM 10 Minutes New $ 12.35 Individual Counseling - Perinatal 10 Minutes New $ 17.37 Croup Counseling -AOD 10 Minutes $ 3.61 no change Croup Counseling - LAAM 10 Minutes New $ 8.61 Croup Counseling - Perinatal 10 Minutes New $ 5.08 HOME HEALTH AGENCY Unit of Recommended 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 Unit of Recommended Service_ Current Rate Rata Medicare Premium Senior Health Basic Individual $ 41.00 no charge Senior Health Individual $ 55.00 no change Senior Health Plus 40 Individual $ 88.00 $ 79,00 Senior Health Plus 50 Individual $ 93.00 $ 75.00 Commercial Croup and Monthly Premium $ 1'17.08 $ 128.00 Individual Premium for Health Care Casts Monthly Revenue Requirement 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 If 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 I% cumulative per month. RESOLUTION 99/170 Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Page 6 PUBLIC HEALTH immunization Recommended Unitof Service Current Rates Rate Typhoid Each (injection) New $ 45.00 (Ages 2 & over) Each (Oral) $ 35.00 no change Yellow Fever Each $ 45.00 $ 55.00 Meningococcal Each $ 55.00 $ 65.00 Immune Globulin Each $ 20.00 no change Stamping of Int'l Each $ 5.00 no change Travel Cards Childhood 12& over-2 doses Immunizations required- 0-5 years Each Free no change 6 years & over Each person $ 7.00 no change Not to exceed $13.00 per family Chickenpox 1- 5 years Each Free no change Each person, not to no change 6 -18 years exceed $13.00 per $ 7.00 family 19 years & over Each dose, unwaivable $ 55.00 no change 2 doses Measles Vaccine 13 months— 18 years $ 5.00 no change (21"' shot) Over 18 years, unless $ 26.00 no change enrolled 1 st year college or equivalent, or outbreak where State recommends. Lyme Vaccine Each, Unwaivable New $ 75.00 15 - 70 years Immunization Record Each $ 5.00 no change (Duplicate) Flu Immunization Each $ 5.00 no change Elderly Flu Shot Requested $ 5 00 no change Pneumococcal Each New $ 5.00 Hepatitis A: 2-18 years Each $ 35.00 no change 19 years & older Each $ 60.00 no change Hepatitis B: Birth - 5 years Each Free no change 6 years - 19 years Each Free $ 7.00 20 years & over Each Cost $ 45.00 (not to exceed $13-00 +$15.00 Admin. per family) Occupational Risk Each series $155.00 no change Post Blood Titers Each $ 40.00 no change T.B. Skin Testim Includes reading but $ 10.00 no change P.P.D no charge for contacts RESOLUTION, 99/170 Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Page 7 lmmunlzatlon (cont.) Recommended Unit of Service Current Rates Rate Sexually Transmitted Clinic attendance for $ 20.00 no change Disease any sexually transmitted disease Nutrition Services Per hour- Occupational Health Consultation fee $ 52.00 no change Services Each Cost + 10% no change Lab Tests Rabies (low risk Each Cost f 10% no change animal test on Each $ 80.00 no change request) Health Education Material Each Cost + 10% no change (i.e., videos; posters, pamphlets, T-shirts, etc.) Vital Statistics - (certified copies) Death and Fetal $ 9.00 $ 8.00 Death Birth - General Public $ 18.00 no change Birth - Government $ 9.00 no change Agency Permit for Disposition of Human Remains - Regular $ 7.00 no change -After Hours $ 10.00 no change - Cross Filing $ 10.00 no change NVIRON E ,TAL HEALTH alVI.SI-ON GENERAL PROGRAM SECTION - SERVICE FEES/PENALTIES _Current Fees Recommended Fees Application Fee (Non-refundable) $ 30 no change Violation Reinspection Fee 90 $ 109 Special Services Fee at Hourly Rate with Minimum: One-Hour Charge: $ 90/hr $ 109/hr 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 Pian Review and Site Evaluation Fees for Community Development Services Health Officer Appeal Hearing $ 270 no change Overtime Charges (After Normal Business Hours) $ 115/hr $ 135 /hr Second reinspection of verified complaints will be charged to the property owner/responsible party. A $109 fee will be charged for verified complaints at permitted and fee exempt 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 $135 per hour. RESOLUTION 99/170 Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Page 8 Penalties. Penalties will be imposed for delinquent payments as provided in County Ordinance No. 93-58, Article 413-3.1206. Ordinance Code of Contra 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 lave and/or this code. CONSUMER PROTECTION / RETAIL FOOD PROGRAM Consumer Protection/Retail Food fees are applicable to the Environmental Health permit year beginning March 1, 2000. Environmental Health Permit Fee: Category Units Capacity Current Fees', Recommended Fee Restaurants Seats 0-25 $ 328 $ 360 Restaurants Seats 26-49 $ 418 $ 460 Restaurants Seats 50-149 $ 497 $ 547 Restaurants Seats 150 + $ 565 $ 622 (Note: Restaurants with drive-up window-base seating + $50) Drive Through only $ 328 $ 361 Vending Machines Machines 1-4 $ 90 $ 109 Each add'I machine over 4 4+ $ 17 $ 19 Tavern/Cocktail Lounge Bar $ 361 $ 397 Snack Bar $ 361 $ 397 Commissary $ 452 $ 497 Cart Commissary $ 200 $ 220 Catering $ 452 $ 497 Special Events Per Food Booth $ 62.50 $ 69 Retail Food Markets Square Foot < 2,000 $ 305 $ 336 Iltinerant Food Facility Retail Food Markets Square Font 2,001-4,000 $ 351 $ 386 Retail Food Markets Square Foot 4,001`6,000 $ 497 $ 547 Retail Food Markets Square Foot >6,000 $ 565 $ 622 Incidental Retail Food Mkt Square Foot <50 $ 53 $ 58 Incidental Retail Food Mkt Square Foot >50 $ 131 $ 144 Certified Farmer's Food Mkts (CFM)Booths 1-25 $ 180 $ 198 Certified Farmer's Food Mkts (CFM)Booths 26-45 $ 270 $ 297 Certified Farmer's Food Mkts (CFM)Booths 46+ $ 360 $ 396 Category Units Capacity Current Fees Recommended Fee Certified Farmer's Market (CFM) with Food Vendors: Food vendor booths 1-5 CFM Fee+ $ 90 $ 99 Food vendor booths 6-10 CFM Fee+ $ 180 $ 198 Food vendor booths 11+ CFM Fee+ $ 270 $ 297 Wiping Rags Business $ 169 $ 186 Roadside Stands $ 169 $ 186 Food Salvager $ 475 $ 523 Food Processing Establish. Square Foot <2,000 $ 305 $ 336 Food Processing Establish. Square Foot 2,001-4,000 $ 351 $ 386 Food Processing Establish. Square Foot 4,001-6,000 $ 497 $ 547 Food Processing Establish. Square Foot >6,000 $ 565 $ 622 Food Demonstrator $ 159 $ 175 Retailer Food Vehicle (Delivery & Peddlers) $ 181 $ 199 Mobile Food Prep Units $ 339 $ 373 Retail Food Vehicles (including catering trucks) $ 181 $ 199 Bakery Square Foot < 2,000 $ 305 $ 336 Bakery Square Foot 2,001-4,000 $ 351 $ 386 Bakery Square Foot 4,001-6,000 $ 497 $ 547 Bakery Square Foot 6,000 $ 565 $ 622 Wholesale Fond Square Foot <2,000 $ 305 $ 336 Wholesale Food Square Foot 2,001-4,000 $ 351 $ 386 Wholesale Food Square Foot 4,001-6,000 $ 497 $ 547 Wholesale Food Square Foot > 6,000 $ 565 $ 622 RESOLUTION- 99/170 Amending Itemized Professional and Service Rate Chargee for Contra Costa County Health Services Page 9 Cateaory Units_ Ca achy Current Fees Recommended Fee Ice Plant $ 130 $ 143 Recreational Water Park One System $ 678 $ 746 Each Add'I System $ 339 373 Pool-Apt, Motel, Hotel Multi-Use $ 393 $432 Each Add1 Pool $ 113 $ 124 Spa-Apt, Motel, Hotel Multi-Use $ 339 $ 373 Each Add1 Spa $ 113 $ 124 Fee Exempt Activities (Permit Fees Only Food Facilities/ Public Schools No Fee no change Municipal/Non-Profit Pools / Public Schools No Fee no change Municipal/Non-Profit Spas/ Public Schools No Fee no change Municipal/Non-Profit Small Water Systems Permits: Non-community surface water system $ 315 $ 324 Non-community, non-transient ground water system $400 $ 412 Non-community, non-transient ground water with treatment system 400 $ 412 Non-community, non-transient surface water system $ 400 $ 412 Non-Community, transient $ 315 $ 324 Community ground water system (15-24 connections) $ 263 $ 412 Community ground water system (15-24 connections) $ .263 $ 412 with treatment Community ground water system (25-99 connections) $ 420 $ 433 Community ground water system with treatment (25-99 connections) $ 420 $ 433 Community surface water system (25-99 connections) $ 420 $ 433 Community ground water system (100-199 connections) $ 525 $ 541 Community ground water system with treatment (100-195 connections) $ 525 $ 541 Community surface water system (100-199 connections) $ 525 $ 541 Local small water system $ '135 $ 139 State small water system $ 230 $ 237 Non-community ground water system with food preparation $ 315, $ 324 Non-community ground water system with treatment $ 3'15 $ 024 Non-community around water system, prepackaged food only $180 $ 135 Recommended Cateoory current Fees' Fee Public Water Systems - plans Review: New community water system (1) $ 500 $ 515 New non-community water system $ 300 $ 309 Amended permit because of ownership change t'} $ 150 $ 155 Amended permit because of system change (') $ 254 $ 258 Enforcement actions pertaining specifically to $ 90Ihr. $ 1091hr small water systems Profiting 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. (End of Consumer Protection/Retail Food Programs Fees.) RESOLUTION, 99/170 Amending Itemized Professional and Service Rate Charges for Contra Costs County Health Services Page 10 SOLID WASTE PROGRAMS Current Recommended Fees Fee Local Enforcement Agency Program: Solid Waste Tonnage Fee $1.101ton $1.20/ton Solid Waste Facility Fees. Closed Illecial and Abandoned Sites i Annual Inspection - 2 Hours 180 $ 218 Quarterly Inspections - 8 Fours $ 720 $ 872 Monthly Inspections - 16 Hours (see Note (a) below) $1,440 $1,744 Biosolid Fcult r Sites Annual Inspection - 2 Hours $ 180 $ 218 Quarterly Inspections - 8 Fours $ 720 $ 872 Monthly Inspections - 16 Hours $1,440 $1;744 NOTE(a):Any inspection conducted over and beyond the routine inspection is subject to the hourly Pate of$109/hour. Biosolid Facility Application and Review Fee With public hearings - 10 hours $ 900 $1,090 Without public hearings - 5 hours (see Dote (b) below) $ 450 $ 545 Solid Waste Facility Permit Application/Review Fee (see note (b) below) $ 900 $1,090 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/hr $ 109/hr Cateaoi-y Capacity Current Fees Recommended Fee Medical Waste: Plan review(new facility/treatment system/permit revision $ 360 $ 486 Additional review (per hour) $ 90 $ 109 Health Care Service Plan Facility $ 463 no change Medical/DentaiNeterinary Clinic (> 200 lbs./month) $ 360 no change Medical/DentaiNeterinary Clinic (< 200 lbs./month) $ 45 no change Medical/DentaiNeterinary Clinic (< 200 lbs./month) $ 135 no change with on-site treatment Wtth,an site� e ical.waste,_tre tm rtt.Systems..ILe:t.AutcsclM:..!ncinMratur 4t94k St rfliZ46. add�tior�al fees r�qulred; Additional fee $ 60 $ 73 Primary Care Clinic $ 463 no change Intermediate Care Facility $ 390 no change Acute Psychiatric Care $ 360 no change Acute Gare Hospital (251 + beds) $ 1,840 no change Acute Care Hospital (200-250 beds) $ 1,315 no change Acute Care Hospital (100-199 beds) $ 1,'128 no change Acute Care Hospital (1-99 beds) $ 791 no change Skilled Nursing Facility (> 200 lbs./month) $ 360 no change Skilled Nursing Facility (< 200 lbs./month) $ 45 no change Skilled Nursing Facility (< 200 lbs./month) $ 135 no change with on-site treatment Specialty Clinic (> 200 lbs./month) $ 463 no change Clinical Lab (> 200 tbs./month) $ 360 no change Clinical Lab (< 200 lbs./month) $ 45 no change Clinical Lab (< 200 lbs./month) $ 135 no change with on-site treatment Biomed Producer (> 200 lbs./month) $ 360 no change Biomed Producer (< 200 tbs./month) $ 45 no change Biomed Producer (< 200 lbs./month) $ 135 no change with,-o.n.-site.treatment Biomed Producer (> 200 lbs./month) $ 450 no change with,erg-5ite,_tretment, Common Storage Facility (50 + generators) $ 360 no change Common Storage Facility (11-49 generators) $ 180 no change Common Storage Facility (2-10 generators) $ 135 no change RESOLUTION 99/170 Amending itemized Professional and Service Fete Charges for Contra Costa County Health Services Page I I Catea Current Fee Recommended I=ee Limited Quantity Hauling Exemption $ 75 no change Reinspection Fee (per hour) $ 90 $ 109 Certification Application Fee $ 30 no change TATTOOING BODY PIERCING AND PERMANENT CQ$METICS Current Fees Recommended Fee 1. Facility Annual Fee New $ 2001 2. Practitioner's Annual Registration Fee New $ 25 LAND USE PROGRAMS Penalties: Penalties will be imposed for delinquent payments as provided it County Ordinance No. 93-58, Article 413-3.1206. Ordinance Code of Contra Costa County. Section 420-6.707 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 ether applicable penalties and enforcement procedures authorized by the state law and/or this code. 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 non-refundable $30 application fee. At , indicates when an additional or separate$30 initial application fee is required. Inspection and travel time exceeding the hours provided in the service fees set below or provided for services not listed will be charged at the rate of$109 /hr during normal business hours and at the rate of$135 /hr after normal business hours. GENERAL: Wells and Steil 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 baring is an encased 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 Fees Fee Individual Sewage Disposal Systems: Standard System Construction Permit $ 390 $ 435 Site evaluation (two hour minimum charge) $ 180 $ 218 Plan review - includes building additions $ 90/hr $ 109/hr Individual Wells and Soil Borings Permit for construction and/or reconstruction for $ 299 no change individual wells includlncg monitoring wells Site evaluation (minimum one-hour charge) ( ) $ 90/hr', $ 109/hr Permit for soil borings (per parcel) $ 299 no change RESOLUTION 99/170 , J Amending itemized Professional and Service Rate Charges for Centra Costa County Health Services Page 12 Rev.04109 Current Recommended' Fees Fee Review of an existing individual water system/well t'} $ 90/lir $ 109 Inspection permit for abandoning and seating of well $ 165 $ 182 (fee includes only one hour staff time)] Inspection permit for abandoning and sealing of well when No Charge no change done at game insl2ection of replacement well Flan Review $ 90/hr $ 109/hr AC.TERNATIVE SYSTs=M CONSTRUCTION PERMIT $ 597 $ 657 Annual Operation Permit $ 180 $ 218 {$109 /hr if ver two hours) Re-inspection /Cancellation / Rescheduling New $ 109/hr without -hour confirmed notice Septic system abandonment permit $ 120 $ 139 (fee includes onl l cur staff timet Minor repair permit $ 120 $ 139 (fee includes only one hour staff time) Percolating test $ 611 $ 734 Soil profile evaluation $ 180 $ 218 Subdivisions— Land Use Projects: Community Development Department (CDD) Report $ 90/h€ $ 109/hr reviewed for land use permits, rezoning, developmental plans, EIR review; lot line adjustments, and CDD variance requests. Environmental health review of CDD applications $ 30 no change Liquid Waste Disposal Permits: Septic tank/chemical toilet cleaner— business $ 270 $ 327 Septic tank/chemical toilet cleaner—vehicle $ 90 $ 109 OTHER PROGRAMS Paan 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. The initial fee for an "exempt facility" or a minor remodeling plan check is $248/hr. Each additional hour is $109/hr. Ordinance Cod f Contra-Go sta County, Section 4144.1019 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. Current Deposit Recommended Requirement De sit Public Pool (minimum deposit) $ 1,017 $ 1,296 Public Pool Complex (minimum deposit) $ 1,017 $ 1,296 Additions to original complex: Each pool, spa, wading, therapy, or diving pool $ 339 $ 373 Bathhouse $ 339 $ 373 Recreational water park complex (minimum deposit) 5 times the annual pool permit RESOLUTION 99/170 Amending Itemized Professional and Service Efate Charges for Contra Costa County Health Services Page 13 HAZARDOUS MATERIALS PROGRAMS DIVISION CERTIFIED UNIFIED PROGRAM (CUPA) FEE SCHEDULE: The setting of fees authorized by California Code of Regulations (CCR), Title 27, section 15210 and Health & Safety Code 25404.55. HAZARDOUS MATERIAL AB2185 PROGRAM: 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 sixth month after December 31'°of the current calendar year. Pee 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 Pees: (Calendar Year 1998) Number of Em&oyees Lbs..9f Material Current Pees Recommended Pee N/A <1 K *(A) $ 135 no change 0-4 > 1 K - < 10K $ 144 no change 5-9 > 1 K - < 10K $ 192 $ 197 10-19 > 1 K - < 10K $ 239 $ 247 0-4 >_ 10K - < 100K $ 287 $ 295 5-9 >_ 10K - < 100K $ 335 $ 345 10-19 > 10K - < 100K $ 383 $ 395 0-4 > 100K- < 250K $ 431 $ 517 5-9 > 100K - < 250K $ 479 $ 575 10-19 > 100K - < 250K $ 527 $ 632 0-4 >_ 250K - < 500K $ 575 $ 689 5-9 > 250K - < 500K $ 622 $ 747 10-19 > 250K - < 500K $ 670 $ 804 >20 and < 10K $ 456 $ 431 >20 and > 10K - < 100K $ 942 No change >20 and >_ 100K - < 250K $ 1,876 No change >20 and >_ 250K - < 500K $ 3,513 No change N/A > 500K - < 2.5M $ 8,408 $ 8,934 N/A > 2.5M - < 10M $16,564 $ 17,599 N/A >10M - < 100M $27,125 $ 28,820 N/A >100M - < 113 $36,166 $ 38,426 N/A >1 B - < 5B $45,207 $ 48,032 N/A > 513 $80,032 $ 85,034 All marine terminals and tank farms with $22,725 $ 24,145 secondary containment storing greater than or equal to 10 million pounds of hazardous materials. All oil refineries and Class 1 off-site $87,307 $ 94,728 hazardous waste disposal sites 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 Coo shall be multipled 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 Ownership- New Owng Operator: A Business Plan is required from a new owner/operator from the start of the business activity to December 31st. 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. RESOLUTION 99/170 Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services 'age 14 Discontinuance or Sale gf Business: Upon discontinuance or sale of a business, the owner/operator is required to file a Business Plan 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 based on the prior year's Business Plan or a revised Business Plan approved by the Hazardous Materials Program Director. For businesses that discontinue doing business during a calendar year, the AB2185 fee will be prorated based on the prior year's Business Plan or a revised Business Plan approved by the Hazardous Materials Program Director. The fees shall be non-transferable, 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 plans beyond a 30-clay notice of violation - 50% of fee. 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. UNSTAFFED REMOTE FACILITY Current Recommended FeLes Egg 1. Exemption Processing Fee New $ 100 2 Initial Notification or Inventory Change New $ 100 Processing Fee ACCIDENTAL RELEASE PREVENTION PROGRAM (ARPP) 1. Fee Imposed. The California Accidental Release Prevention Program (CaIARP)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 fellows= FEE $200 + [(TC-TBS x $200 )1TRF] xRF TC - Total cost of the County's CaIARP program. TSS m Total number of stationary sources in the County. TRF = "Total Risk Factor," or the sum of the Stationary SourceModified Chemical Exposure Indexes ("SSMCEI") of all stationary sources in the county. RF - "Risk. Factor," or a stationary source SSMCEL 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. & 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, if a stationary source handles one regulated substance in one process the fee is $500. If a stationary 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. RESOLUTION 99/170 Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Page 15 An annual administrative fee of$75 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 1999-2000 is $48,000. 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 Health 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$75 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$75 or 10% of the full fee based on the stationary source's risk ranking. 7. Pro-Rata Refunds. The fiscal year begins on July 1 st. 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 §3 25404.5. INt7tJSTRIAL SAFETY ORDINANCE FEE: The fee schedule will be determined by the formula listed below: FEF =1/3 ARP + (ARP/TRF) OMB FEE =The regulated source's fee for Chapter 450-8 of the County Ordinance Code ARP =The regulated source's fee for the CaIARP program TRF =The sum of all of the regulated sources' CalARP Program fees that are regulated by Chapter 450-8 of the County Ordinance Code. OMB = Costs of the Ombudsperson position • Incident Investigation Fee: Recommended Current Fees Fee New $100/hr! * (Charged to a regulated source when an incident is investigated by the Contra Costa Health Services department.) Pro-Rata-Fee: If the regulated source CalARP program fee changes, the Industrial Safety Ordinance fee will be adjusted accordingly. UNDERGRQUND STORAGE TANK PR®GRAM Undraround Storage Tank Annual Permit: Recommended Fees Current Fee Descdption No change $ 120 Single tank of 1,000 gallons or less used solely in connection with the occupancy of a residence (a) (a) First tank of 50,000 gallons or less', $ 250 $ 210 Basic fee for tank of 50,000 gallons or less $ 484 $ 440 Each tank of 50,000 gallons or more (a) In addition to the basic fee, a surcharge of$150 is applicable on the tank at each site which has the earliest installation date. Und r round Stora Tank Installation plan Reviewnd Inspection: In addition to the applicable State surcharge prescribed by or pursuant to the law, the following fees shall be collected: Recommended Fees Curren_t Fee Description $ 495 $450 New tank facility, first tank $ 100 $ 90 Each additional Tank RESOLUTION 99/170 Amending Itemized Professional and Service Rate Charges for Centra Costa County Health Services Page 96 Under-ground -Storage Tank Removal,-Tem2o[M Closure or Abandonment Recommended 1=ee Current Fees Descri on $ 132 $120 Single tank of 1,000 gallons or loss, located at a residence and used solely in connection with the occupancy of that residence. $ 303 $280 First tank at a site. $ 132 $120 Each additional tank. Ins ection and Plan Review for Pi2ing Re la ement or Modification: Recommended Fees Current Fees Description 363 $ 330 Plan review and inspection of pipe replacement or repair, including the Installation of overfill protection equipment and corrosion control devices, leak detection and monitoring equipment. Permit Amendment or Transfer: Recommended Fees Current Fees Description $ 66 $ 60 Permit amendment or transfer fee. Underground Tank Modification Repair or Lining Permit: Recommended Fee Current_-Fees Description $ 200 $ 260.00 Includes review and inspection not exceeding four hours of staff time. $ 100 $ 90 For each additional hour or fraction thereof of staff time. Contaminated Site Fee: Recommended Fee Current Fees Description $ 100 $ 90 Each hour or fraction thereof of service delivered Monday through Friday between 8:00 a.m. and 6:001 p.m. 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 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. Reinspection or Time Use: Recommended Fee Current Fees Descri2 on $ 100 $ 90 Each hour or fraction thereof of staff time, Monday through Friday between 8:00 a.m. and 5:00 p.m. 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; and/or d. Inspections consultation or other services related to underground storage of hazardous substances or hazardous materials or wastes are provided and said services are not otherwise cove-red by this ordinance. Document Search: Recommended Fee Current Fees Description $ 1010 $ 901 Each hour or fraction thereof of staff time, Monday through Friday between 8.00 a.m. and 5.00 p.m., 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. Penalty: The following penalty shall be applied and collectible from parties responsiblefor the following actions: a) Failure to ale and report change In ownershipPgna y or operator of an underground tank(s) $500 This penalty is in addition to those that may be imposed under any other underground tank regulation. RESOLUTION 99/1701 Amending itemized Professional and Service Rate Charges for Centra Costa County Health Services Page 17 INCIDENT RESPONSE: Recommended Fee Current Fees Descriation $ 100 $ 90 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. $ 124 $115 Hourly rate for service time after 5:00 p.m. until 8:00 a.m. HAARCJf3US WASTE GENERATOR: Every generator which produces hazardous waste shall pay a fee for each generator site for each calendar year, or portion thereof. Generators are required to report the amount of waste generated on a Hazardous Waste Generator Fee form provided by Hazardous Materials Programs Division. HAZARDOUS WASTE GENERATED: Current Recommended Feet Fees 1) Less than 5 tons $ 90 No change 2) 5 or more tons, but less than 25 tons $ 171 No change 3) 25 or more tons, but less than 50 tons $ 1,370 No change 4) 50 or more tons, but less than 250 tons $ 3,424 No change 5) 250 or more tons, but lesss than 500 tons $17,120 No change 6) 500 or more tons, but leas than 1000 tons $34,240 No change 7) 1000 or more tons, but less than 2000 tons $51,360 No change 8) 2000 or more tons $68,480 No change Reporting forms postsmarked after February 15'x-, will be assessed a late fee of 10% per month, u to a maximum of 30%. Onsite Treatment l=ees: Permit-By-Rule (Fixed Units) New Conditional Authorization New Conditional Exemption and Commercial Laundry New Conditional Exemption — Limited New DELINQUENT PAYMENT PENALTY: A 25% delinquent payment penalty will be assessed to any fee or service rendered if not paid within the payment terms or payment due date stated on the invoice. NQ OF CERTIFIED MNIFIED PR +GRAM CLIPA EEE SCHEDULE, EMERGENCY MEDICAL„SERVICES.AGENCY Emergency Medical Technician tEMT-1 Current Fees Recommended 1=ee Initial Certification/Recertification $ 15 No change P ram dic Accreditation/Re-accreditation $ 35 No change Mobile Intensive Care Nurse (MICN1 Authorization/Re-authorization $ 25 No change' EMS Continuing Education Provider** $100 No change' Renewal fees may be waived for employees of a service provider with an approved, in-house program for maintaining required renewal records. Fee may be waived for non-commercial providers offering continuing education at no charge to Centra Costa County EMS System responders. R.ESOLUTION 99/170 Amending itemized Professional and Service Rate Charges for Contra Crista County Health Services Page 18 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 fes. 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 cast effective to do so. Original: County Administrator cc: Health Services Director Health Services Administration County Counsel County Auditor Contact: Patrick Godley, CFO (370-5005) C:SWINDL3W51DESKT'JFnitart°s Dc \ttar'81iCarf's1FtateCharges.doc I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: Phil Batchelor,Cle iofthe Board of Supervisors and County Administrator Bys .., ,. ' :a _r Deputy RESOLUTION 99/170 BOARD OF SUPERVISORS , CONTRA COSTA COUNTY , CALIFORNIA AFFIDAVIT OF %AILING In the Matter of Notice of Hearing of the Health Services Department regarding fees. I declare under penalty of perjury that I am nows ' and at all Mmes herein mentioned have been , a citizen of the United States , over age 18; and that today I deposited in the United States Postal Service in Martinez , California , postage fully prepaid , a Certified Copy of Notice of Hearing. to the following . DENNIS J. RAZZARI SEECO'i FINANCIAL & CONSTRUCTIAON, INC, DAVIDON HOMES ATT\.CEORGIA OLVE€ A 1600 SOUTH MAIN STREET :;5tt 4(3"I PORT CHICAGO H��'�' AI'AL\L*T CREEK CA 94596 PO BOA: 41113 CO'NCOR.D CA 94524-411.', JEFF L.Ati'RE\CE BRADDOCK & LOGA`ti 4155 BLACKHAAA'K PLAZA CIRCLE STE 20; David Lennon DANN*ILLS CA 94506 Hofmann Company P.C . Box 9137 ,ALBERT D. SEENO CO'N'STRUCTION CO. Concord, CA 94522 ATTN: LEGAL DEPT. 40:11 PORT CHICAGO HIGHNVA)' CONCORD CA 9451'24 GU's' BJERKE Robert Selders )4ON4E BUILDERS ASSN O NIORTHERN CALIFORNIA Director of Forward Planning PO BOX 5160 Western', Pacific Housing SAN' RANION' CA 94593-5160 121.03 Central Boulevard Brentwood, CA 94513 I declare under penalty of perjury that the foregoing is true and corrtct. Dated April 1, 1999 , at Martinez, California . epu y er i`; -30-1999 1?:16 HEALTH 3 SERVi CES ADMIN. 9� 370 5098 P.03/03 Ng-fice Of FlublirEHeadnQ Notice is hereby given that the Contra Costa County Beard of Supervisors will hold a public hearing to consider increasing certain fees for various programs and services In the Ulewing Divisions of the Health Services Department: Hospital and Clinics; Mental Health; Substance use; Home Health Agency. Contra Costa Health Plan; Public Ksa th; and Environmental Health. The hearing will be hold on Tuesday, Aprll 13, 10913 at 9.00 a,m. in the Board Clambers, 661 Pine Street, Martlr€ez. The proposed fee schedule is on file with the Clary of the Board at 651 Pine Street, and with the Health Servicas Department at 20 Allen Street, Martinez. g� Dated: March 30, 199 William B. Walker, M.D., f4eaft dices Director Contra Com County Health ServVens D*Partrnent