HomeMy WebLinkAboutMINUTES - 06132000 - SD10 Restating Itemized Profession, d Service Rate Charges For Centra Costa He Services
TIME BOARD OF SUPERVISORS
OF CONTRA COSTA COUNTY CALIFORNIA
Adopted this Order on: June 13 , 2000 By the following Vote:
AYES: SUPERVISORS GIOIA, UILKEMA, DeSAULNIER, CANCIAMILLA and GERBER
NOES: NONE
ABSENT. NONE
ABSTAIN: NONE Resolution No. 2000\ 304
SUBJECT: Restating Itemized Professional and Service Rates for Contra Costa
County Health Services Effective July 1, 2000.
The Health Services Department has submitted a recommendation to restate schedule of itemized
service rate charges and fees for County Health Services adopted by Board Resolution Number
2000/221 dated May 9, 2000.
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 restated schedule of itemized rate charges for the Health Services Department
effective July 1, 2000 is established as follows:
Reason for proposed rate changes:
1. Hospital Inpatient: 10% rate increase to keep gross charges higher than expected Medi-Cal
payments. Per State M-Cal waiver granted by HCFA, payments must not exceed gross
charges.
2. Mental Health Program: 3 - 4% rate increase to keep gross charges in excess of FY 00-01
expected Short-Doyle M-Cal payment levels.
3. Community Substance Abuse Services: 10% increase in Driving Under the Influence
Program fees is required to pay for employee COLA awards and other inflationary cost
increases. Methadone maintenance rates are being increased to the level set by the State
Department of Health Services.
4. Home Health Agency: No Changes Proposed
5. CCHP: Increase aggregate monthly premium for individuals and commercial enrollees to level
recommended by the Plans actuary.
6. Public Health: Minor fee increases reflecting the higher cost of vaccine.
7. Environmental Health Programs: Implements separate rates for ice cream push carts.
8. Hazardous Materials Programs: No Changes Proposed.
9. EMS: No Changes Proposed
Resolution: 2000\ 304 (1)
Restating Itemized Professions d Service Rate Charges For Contra Costa He Services
Hospital Inpatient
Service Current Daily Rate For Recommended Daily Rate for
Routine Room and Board Routine Room and Board
Pediatrics $ 913 $ 1,000.00
Medical Ward $ 853 $ 950.00
Transitional Care Unit $ 853 $ 950.00
Nursery Bassinet $ 605 $ 675.00
Intensive Care $ 2,475 $ 2,750.00
Service Total Unit Rate Total Unit Rate
Fixed all inclusive @
Obstetrics $ 4,267.00 $ 4,700.00
Routine Delivery with Tubal Legations $ 5,904.00 $ 6,500.00
Prior or Primary C-Section $ 9,632.00 $ 10,600.00
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
6. Back-up consultation service for complications of pregnancy, labor and delivery (does
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 post-partum check with Family Physician, including birth control counseling.
10. Three return well-baby visits with Family Physician.
ANCILLARY SERVCES
Department Billing Unit Current Rate Recommended Rate
Anesthesiology 1st Hour $440.00 $485.00
" " Each Add'I 15 min. $110.00 $120.00
Pharmacy Cost Plus % Avg Wholesale Price No Change
Administration Fee
Central Supply Cost Plus % Cost Plus 400% No Change
Radiology Relative Value Units $ 46.75 $ 51.50
EKG Relative Value Units $ 13.38 $ 14.75
Laboratory(Hasp&PH Lab) Relative Value Units $ 2.79 $ 3.10
Rehab. Therapy
OT( PT 30 minute intervals $151.31 $166.50
Speech 30 minute intervals $151.31 $166.50
Cardiopulmonary Relative Value Units $ 13.75 $ 15.25
Delivery Room 15 minute intervals $108.00 $120.00
Surgery Recovery Room 1't Hour $440.00 $485.00
Operating Room 1't Hour $880.00 $975.00
ii ii Each Add'I 15 minutes $110.00 $120.00
Cast Room Unit $165.00 $180.00
Resolution: 2000\ 304 (2)
Restating Itemized Professions d Service Rate Charges For Contra Costa He Services
Professional Component Charges Per Relative Value Unit Based
Upon The California Medical Association Relative Value Studies
Department 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
Department Current hate Recommended Rate
Nuclear Medicine Cost Plus 35% No Change
BEC 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
CURRENT RATES RECOMMENDED RATES
New Patient Professional Use of Treat- Combined Professional Use of Treat- Combined
Component ment Room Rate Component ment Room Rate
Brief $ 35.00 $45.00 $ 80.00 $ 35.00 $ 50.00 $ 85.00
Expanded $ 55.00 $50.00 $105.00 $ 55.00 $55.00 $110.00
Detailed $74.00 $50.00 $124.00 $ 74.00 $55.00 $129.00
Comprehensive 1 $100.00 $ 50.00 $150.00 $100.00 $ 55.00 $155.00
Comprehensive 2 $125.00 $ 50.00 $175.00 $125.00 $ 55.00 $180.00
Established
Minimal $ 17.00 $45.00 $ 62.00 $ 17.00 $ 50.00 $ 67.00
Brief $30.00 $ 50.00 $ 80.00 $ 30.00 $ 55.00 $ 85.00
Expanded $42.00 $50.00 $ 92.00 $ 42.00 $ 55.00 $ 97.00
Detailed $60.00 $50.00 $110.00 $ 60.00 $ 55.00 $115.00
Comprehensive 1 $95.00 $ 50.00 $145.00 $ 95.00 $ 55.00 $150.00
Specialty/Others
Brief $ 35.00 $ 78.00 $113.00 $ 35.00 $ 85.00 $120.00
Expanded $ 55.00 $ 91.00 $146.00 $ 55.00 $100.00 $155.00
Detailed $ 74.00 $104.00 $178.00 $ 74.00 $115.00 $189.00
Comprehensive 1 $112.00 $117.00 $229.00 $112.00 $130.00 $242.00
Comprehensive 11 $139.00 $117.00 $256.00 $139.00 $130.00 $269.00
Established
Minimal $ 17.00 $ 58.50 $ 75.50 $ 17.00 $ 65.00 $ 82.00
Brief $30.00 $ 78.00 $108.00 $ 30.00 $ 85.00 $115.00
Expanded $42.00 $ 91.00 $133.00 $ 42.00 $100.00 $142.00
Detailed $64.00 $104.00 $168.00 $ 64.00 $115.00 $179.00
Emereency Room Visits
Brief $ 38.00 $ 60.00 $ 98.00 $ 38.00 $ 65.00 $103.00
Limited $ 50.00 $ 85.00 $135.00 $ 50.00 $ 95.00 $145.00
Expanded $ 81.00 $130.00 $211.00 $ 81.00 $145.00 $225.00
Detailed $106.00 $175.00 $281.00 $106.00 $190.00 $296.00
Comp Admit Hs&PX $144.00 $215.00 $359.00 $144.00 $235.00 $379.00
Resolution: 2000\ 304 (3)
Restating Itemized Professions' d Service Rate Charges For Contra Costa He, Services
Dental Per Fee Schedule
Photocopying
Unit of Service Current Rate Recommended Rate
Copy-Subpoena Req 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
Average Charge $ 4.50 No Change
Mental Health Program Services
Daily Room Rate
Includes Professional Component
Unit of Service Current Rate Recommended Rate
Per Day $960.00 No Change
Rehab Option Rates
Mental Health Services One Minute $ 2.26 $ 2.33
Case Management One Minute $ 1.76 $ 1.82
Medication Support One Minute $ 4.20 $ 4.32
Crisis Intervention One Minute $ 3.39 $ 3.50
Crisis Stabilization 1 Hour Increment $ 82.00 $ 85.00
Day Care, Intensive Full Day $176.00 $182.00
Day Care, Intensive Half Day $126.00 $130.00
Day Care, Habilitative Full Day $114.00 $118.00
Day Care Habilitative Half Day $ 73.00 $ 76.00
Adult Residential Patient Day $129.00 $134.00
Crisis Residential Patient Day $265.00 $276.00
Substance Abuse Program Services
Residential Treatment
Unit of Service Current Rate Recommended Rate
Alcohol/Drug Detox Day New $ 60.00
Alcohol/Drug Residential Tx Day $ 60.00 No Change
Perinatal Residential TX Day $ 120.00 No Change
Youth/Alcohol/Drug Residential TX Day New $240.00
Day Treatment
Perinatal Day Treatment Visit $ 100.00 $ 70.00
Drug t=ree Outpatient
Unit of Service Current Rate Recommended Rate
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
Acupuncture Treatment Visit $ 60.00 No Change
Medical Assessment/Physical Exam Visit $ 100.00 No Change
Resolution: 2000\ 304 (4)
Restating Itemized Professions d Service Rate Charges For Contra Costa He Services
Unit of Service Current Rate Recommended Rate
Outpatient Drug Free
(Composite State Charge) Visit $ 100.00 No Change
Perinatal Group Counseling Visit $ 48.00 No Change
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 $1220.00 No Change
Driving Under The Influence Program
1't Offender (Level l) Person $ 445.00 $ 490.00
1st Offender (Level II) Person $ 655.00 $ 724.00
2nd Offender Person $1,577.00 $1,756.00
Methadone Maintenance
Dose -AOD Dose $ 7.28 $ 7.37
Dose - LAAM Dose $ 16.41 $ 19.20
Dose - Perinatal Dose $ 8.23 $ 8.49
Individual Counseling-AOD 10 Minutes $ 12.35 $ 13.62
Individual Counseling-LLAM 10 Minutes $ 12.35 $ 13.62
Individual Counseling-Perinatal 10 Minutes $ 17.37 $ 22.83
Group Counseling-AOD 10 Minutes $ 3.61 No Change
Group Counseling-LAAM 10 Minutes $ 3.61 No Change
Group Counseling-Perinatal 10 Minutes $ 5.08 $ 5.57
Home Health Agency
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 Plan
Medicare Premium
Senior Health Basic Individual $ 41.00 No Change
Senior Health Individual $ 55.00 No Change
Senior Health Plus 40 Individual $ 79.00 No Change
Senior Health Plus 50 Individual $ 75.00 No Change
Commercial Group and Individual Monthly Premium for Health $ 148.00 $ 175.00
Premium Costs
Monthly Revenue
Requirement
Rate Amendments: Authorize the Health Services Director or his designee to establish specific
premium rates for commercial group and individuals including Senior Health Members; use the
"community rating by class" rate determination process for large groups; include an additional
monthly premium factor for administrative costs loading; increase the revenue requirement as
appropriate by an amount not to exceed 1% cumulative per month.
Resolution: 2000\304 (5)
Restating Itemized Professiona" i Service Rate Charges For Contra Costa Her Services
Public Health
Immunization
Unit Of Service Current Rates Recommend Rate
Typhoid Each (Injection) $ 45.00 No Change
(Ages 2 & Over) Each (oral) $ 35.00 No Change
Yellow Fever Each $ 55.00 $ 65.00
Meningococcal Each $ 65.00 $ 75.00
Immune Globulin Each $ 20.00 No Change
Stamping of International travel cards Each $ 5.00 No Change
Childhood Immunizations
Birth to 18 years Each(not to exceed$13.00 per family) $ 7.00 No Change
Chickenpox (12 months and over; 2 doses required)
12 months -18 years Each(not to exceed$13.00 per family) $ 7.00 No Change
19 years & over Each dose,unwaivable 2 doses $ 55.00 No change
Measles. Mumps and Rubella Vaccine
12 months and over 1st shot Each(not to exceed$13.00 per family) $ 5.00 $ 7.00
2nd Shot Each unwaivable Over 18 years, $ 26.00 No Change
unless enrolled 1st year college or
equivalent,or out break where State recommends.
Lyme Vaccine
15 - 70 years Each unwaivable $ 75.00 No Change
Flu Vaccination
6 months and over Each $ 5.00 No Change
Pneumococcal 23 Valent Vaccination
2 years and over Each $ 5.00 No Change
Hepatitis A
2 - 18 years Each(not to exceed$13.00 per Family $ 7.00 No Change
19 years & older Each Unwaivable $ 60.00 No Change
Hepatitis S
Birth to 18 years Each(not to exceed$13.00 per Family) $ 7.00 No Change
19 years & over Each Unwaivable $ 45.00 No Change
Tuberculin PPD Test Each Unwaivable New $ 10.00
CHS/TAP/ Sunshine Clinics
(Not applicable to school-based clinics and Juvenile Hall)
Weliness Examinations, Sports and School Physicals
0 - 3 years Each $ 70.00 No Change
4 - 6 years Each $ 90.00 No Change
7 - 18 years Each $ 75.00 No Change
Return Clinic Visits Each $ 60.00 No Change
Resolution: 2000\304 (6)
J-0/0
Restating Itemized Professiona' i Service nate Charges For Contra Costa Hes Services
Unit Of Service Current Rates Recommend Rate
Family Planning Private Pay
New Each per year $ 100.00 No Change
Return Each per year $ 90.00 No Change
Occupational Risk Each Series $ 155.00 No Change
Post Blood Titers Each $ 40.00 No Change
Sexually Transmitted Disease Clinic Attendance $ 20.00 No Change
Nutrition Services Per hour $ 52.00 No Change
Occupational Health Each Cost + 10% No Change
Lab Tests Each Cost + 10% No Change
Rabies Test Each $ 80.00 No Change
Health Education Each Cost + 10% No Change
Material (videos, pamphlets) Each $ 8.00 No Change
Vital Stats Certified Conies
Death & Fetal Death Each $ 8.00 No Change
Birth — General Public Each $ 18.00 No Change
Birth — Government Agency Each $ 9.00 No Change
Permit For Disposition of Human Remains
Regular Each $ 7.00 No Change
After Hours Each $ 10.00 No Change
Cross Filing Each $ 10.00 No Change
Environmental Health Division
General Program Section - Service Fees & Penalties
Current Rates Recommended Rate
Application Fee (Non-refundable) $ 35.00 No Change
Violation Re-Inspection Fee $ 115.00 No Change
Special Services Fee at Hourly Rate With Minimum.
One - Hour Charge: $ 115.00 No Change
Applicable to:
Variance Requests
Violation Administrative Hearings
Field and Office Consultations
Non-Routine Site Evaluations
Non-routine Field Inspections (and/or) Re-inspections
Special Services Fee at Hourly Rate With Minimum:
Current Rate Recommended Rate
Two - Hour Charge:
Health Officer Appeal Hearing $ 292.00 No Change
Overtime Charges (After Normal Business Hours) $ 146.00 No Change
Applicable to:
Plan Review Fees for Permit Fee Exempt Facilities
Plan Review and Site Evaluation Fees for Community Development Services
Second re-inspection of verified complaints will be charged to the property owner/responsible
party. A $115.00 fee will be charged for verified complaints at permitted and fee exempt facilities.
Resolution: 20001 304 (7)
S, /0 -/,?--,:
Restating Itemized Professiona' I Service Rate Charges For Contra Costa Her Services
NOTE: Additional charges will be incurred after the minimum hourly charges have been
expended. Services provided after normal work hours will be charged at $146.00 per hour.
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 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.
Consumer Protection / Retail Food Program
Consumer Protection / Retail food fees are applicable to the Environmental Health permit year
beginning March 1, 2001
Environmental Health hermit Fee:
Category Units capacity Current Fees Recommended Fee
Restaurants Seats 0 - 25 $ 360.00 No Change
Restaurants Seats 26 - 49 $ 460.00 No Change
Restaurants Seats 50-149 $ 547.00 No Change
Restaurants Seats 150 + $ 622.00 No Change
(NOTE: Restaurants with drive-up window (base seating + $50)
Drive Through Only $ 361.00 No Change
Vending Machines Machines 1 -4 $ 109.00 No Change
Each Machine Over 4 4 + $ 19.00 No Change
Tavern/Cocktail Lounge Bar $ 397.00 No Change
Snack Bar $ 397.00 No Change
Commissary $ 497.00 No Change
Cart Commissary $ 220.00 No Change
Catering $ 497.00 No Change
Special Events Per Food Booth $ 69.00 No Change
Retail Food Markets Square Foot <2,000 $ 336.00 No Change
litinerant Food Facility
Retail Food Markets Square Foot 2,001 -4,000 $ 386.00 No Change
Retail Food Markets Square Foot 4,001 - 6,000 $ 547.00 No Change
Retail Food Markets Square Foot >6,000 $ 622.00 No Change
Incidental Retail Food Mkts Square Foot $ 144.00 No Change
Certified Farmer's Food Mkts (CFM)Booths 1 - 25 $ 198.00 No Change
Certified Farmer's Food Mkts (CFM)Booths 26 - 45 $ 297.00 No Change
Certified Farmer's Food Mkts (CFM)Booths 46 + $ 396.00 No Change
Certifled Farmer's Market (CFM) with Food Vendors:
Food Vendor Booths 1 - 5 CFM Fee + $ 99.00 No Change
Food Vendor Booths 6 -10 CFM Fee + $ 198.00 No Change
Food Vendor Booths 11 + CFM Fee + $ 297.00 No Change
Wiping Rags Business $ 186.00 No Change
Roadside Stands $ 186.00 No Change
Food Salvager $ 523.00 No Change
Food Processing Establish Square Foot <2,000 $ 336.00 No Change
Food Processing Establish Square Foot 2,001 -4,000 $ 386.00 No Change
Food Processing Establish Square Foot 4,001 - 6,000 $ 547.00 No Change
Food Processing Establish Square Foot >6,000 $ 622.00 No Change
Resolution: 2000\ 304 (g)
Restating Itemized Professions d Service Rate Charges For Contra Costa He, Services
Category Units Capacity Current Fees Recommended Fee
Food Demonstrator $ 175.00 No Change
Retailer Food Vehicle (Delivery&Peddlers) $ 199.00 No Change
Mobile Food Prep Units $ 373.00 No Change
Retailer Food Vehicles(including catering trucks) $ 199.00 No Change
Bakery Square Foot <2,000 $ 336.00 No Change
Bakery Square Foot 2,001 -4,000 $ 386.00 No Change
Bakery Square Foot 4,001 - 6,000 $ 547.00 No Change
Bakery Square Foot >6,000 $ 622.00 No Change
Wholesale Food Square Foot <2,000 $ 336.00 No Change
Ice Cream Push Carts 1 - 4 New $ 58.00
Ice Cream Push Carts 5 - 10 New $ 53.00
Ice Cream Push Carts > 10 New $ 48.00
Wholesale Food Square Foot 2,001 -4,000 $ 386.00 No Change
Wholesale Food Square Foot 4,001 - 6,000 $ 547.00 No Change
Wholesale Food Square Foot >6,000 $ 622.00 No Change
Ice Plant $ 143.00 No Change
Recreational Water Park One System $ 746.00 No Change
Each Additional System $ 373.00 No Change
Pool-Apartment, Motel,Hotel Multi - Use $ 432.00 No Change
Each Additional Pool $ 124.00 No Change
Spa Apartment,Motel, Hotel Multi-Use $ 373.00 No Change
Each Additional Spa $ 124.00 No Change
Fee Exempt Activities (Permit Fees Only):
Food Facilities / Public Schools No Fee No Change
Municipal I Non Profit
Pools / Public Schools No Fee No Change
Municipal/Non-Profit
Spas / Public Schools No Fee No Change
Small Water System Permits.-
Non-Community,
ermits:Non-Community,surface water system $ 324.00 No Change
Non-Community,Non-transient ground water system $ 412.00 No Change
Non-Community,Non-transient ground water system,with treatment $ 412.00 No Change
Non-Community,non-transient surface water system $ 412.00 No Change
Non-Community,transient $ 324.00 No Change
Community ground water system (15- 24 connections) $ 412.00 No Change
Community ground water system with treatment (15- 24 connections) $ 412.00 No Change
Community ground water system (25- 99 connections) $ 433.00 No Change
Community ground water system with treatment (25- 99 connections) $ 433.00 No Change
Community surface water system (25- 99 connections) $ 433.00 No Change
Community ground water system (100-199 connections) $ 541.00 No Change
Community ground water system with treatment (100-199 connections) $ 541.00 No Change
Community surface water system (100-199 connections) $ 541.00 No Change
.Local small water system $ 139.00 No Change
State small water system $ 237.00 No Change
Non-Community ground water system with food preparation $ 324.00 No Change
Non-Community ground water system with treatment $ 324.00 No Change
Non-Community ground water system,prepackaged food only $ 115.00 per hour No Change
Public Water System - Plans Review:.
New Community water system $ 515.00 No Change
New Non-Community water system $ 309.00 No Change
Amended permit because of ownership change $ 155.00 No Change
Amended permit because of system change $ 258.00 No Change
Enforcement actions pertaining specifically to small water systems $ 115.00 per hour No Change
Pro-Rating-Fees.-
Commencement
ro-Rating- 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.
Resolution: 2000\ 304 (9)
Restating Itemized Professiona I Service Rate Charges For Contra Costa Her Services
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 pro-rated 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
Local Enforcement Agency Program:
Solid Waste Tonnage Fee $ 1.20 /ton No Change
Solid,Waste Facility Fees:
Closed. Illegal and Abandoned Site
s
Annual Inspection —2 Hours $ 230.00 No Change
Quarterly Inspections — 8 Hours $ 920.00 No Change
Monthly Inspections — 16 Hours (see Note(a)below) $1,840.00 No Change
Rio-Solid Facility Sites
Annual Inspection — 2 Hours $ 230.00 No Change
Quarterly Inspections —8 Hours $ 920.00 No Change
Monthly Inspections — 16 Hours $1,840.00 No Change
NOTE (a): Any inspection conducted over and beyond the routine inspection is subject to the
hourly rate of$109 an hour.
BI-Solid Facility Agpllcatlon and Review Fee
With Public Hearings — 10 Hours $1,150.00 No Change
Without Public Hearings — 5 Hours(see Note(b)below) $ 575.00 No Change
Solid Waste Facility Permit
Application / Review Fee (see Note(b)below) $1,150.00 No Change
NOTE (b): Permit application / review fee includes 10 hour of service time. An additional deposit
fee may be required when initial deposit has been expended.
Mandatory Service Exemption $ 115.00 per hour No Change
Medical Waste:
Plan review(new facility/treatment system/permit revision $ 436.00 No Change
Additional review(per hour) $ 115.00 No Change
Health Care service Plan Facility $ 463.00 No Change
Medical/DentalNeterinary Clinic (>200 Ibs./month) $ 360.00 No Change
Medical/DentalNeterinary Clinic (<200 lbs./month) $ 45.00 No Change
With on-site treatment (<200 lbs./month) $ 135.00 No Change
With on-site treatment medical waste treatment systems, i.e. $ 73.00 No Change
Autoclave, incinerator, Steam Sterilize additional fees required:
Primary Care Clinic $ 463.00 No Change
Intermediate Care Facility $ 390.00 No Change
Acute Psychiatric Care $ 360.00 No Change
Acute Care Hospital (251 + beds) $1,840.00 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
Resolution: 2000\304 (10)
Restating Itemized Professiona' i Service Rate Charges For Contra Costa Her Services
Category Capacity Current Fees Recommended Fee
Skilled Nursing Facility (>200 lbs./month) $ 360.00 NO Change
Skilled Nursing Facility (<200 lbs./month) $ 45.00 No Change
With on-site treatment (<200 lbs./month) $ 135.00 No Change
Specialty Clinic (>200 lbs./month) $ 463.00 NO Change
Clinical Lab (>200lbs./month) $ 360.00 No Change
Clinical Lab (<200 lbs./month) $ 45.00 No Change
With on-site treatment (<200 lbs./month) $ 135.00 No Change
Bio-med Producer (>200 lbs./month) $ 360.00 No Change
Bio-med Producer (200 lbs./month) $ 45.00 No Change
With on-site treatment (<200 lbs./month) $ 135.00 No Change
Bio-med Producer with onsite treatment (>200 lbs./month)
Common Storage Facility (60 + generators) $ 360.00 No Change
Common Storage Facility (11 -49 generators) $ 180.00 No Change
Common Storage Facility { 2— 10 generators) $ 135.00 No Change
Limited Quantity Hauling Exemption $ 75.00 No Change
Re-inspection Fee (per hour) $ 115.00 No Change
Certification Application Fee $ 30.00 No Change
Tattooina, Body Piercing and Permanent Cosmetics
Facility Annual Fee $ 200.00 No Change
Practitioner's Annual Registration Fee $ 25.00 No Change
Land Use Programs
Penalties: Penalties will be imposed for delinquent payments as provided in County Ordiance No.
93-58, Article 413-3.1206.
Ordinance Code of Contra Costa County Section 420.5.707
Enforcement- Penalties: Any person violating this chapter or regulations issued hereunder, by
failing to submit plans, obtain necessary inspections and approval, 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.
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 $35.00 application fee. A (1) indicates when
an additional or separate $35.00 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 changed at the rage of$115.00 an hour during normal business hours and at the rate of
$146.00 an hour after normal business hours.
General
Wells and Soil Borings:
A well is any artificial excavation constructed by any method for the purpose of extracting waster
from, or injecting water or other liquid into the ground, for observation of ground-waters 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
Resolution: 2000\3o4 (11)
Restating Itemized Professiona I Service Rate Charges For Contra Costa He. Services
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 geothermal 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.
Individual Sewage Disposal System:
Current Rate Recommended Rate
Standard System Construction Permit $ 460.00 No Change
Site evaluation (two Hour minimum change) (i) $ 230.00 No Change
Plan review— includes building additions $ 115.00 per hour No Change
Individual Wells and Soil Borings:
(Permit for construction and/or reconstruction for $ 299.00 No Change
individual wells including monitoring wells)
Site evaluation (minimum one-hour charge) (1) $ 115.00 per hour No Change
Permit for soil borings (per parcel) $ 299.00 No Change
Review of an existing individual water system well (1) $ 115.00 No Change
(Inspection permit for abandoning and sealing of well $ 182.00 No Change
fee includes only one-hour staff time)
(Inspection permit-for abandoning and sealing No Charge No Change
of well when done at the same inspection of replacement well)
Plan Review $ 115.00 No Change
Alternative system Construction Permit $ 657.00 No Change
Annual Operation Permit $ 218.00 No Change
Annual Operation Permit over two hours $ 115.00 per hour No Change
(Re-inspection/Cancellation/Rescheduling without $ 115.00 per hour No Change
8 — hour confirmed notice)
(Septic system abandonment permit $ 145.00 No Change
fee includes only one-hour staff time)
Minor repair permit (fee includes only one hour staff time) $ 145.00 No Change
Percolating test $ 734.00 No Change
Soil profile evaluation $ 230.00 No Change
Subdivisions — Land Use Projects:
(Community Development Department (CDD) $ 115.00 per hour No Change
Report reviewed for land use permits; re-zoning;
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 (1) $ 345.00 No Change
Septic Tank/ chemical toilet cleaner—Vehicle(1) $ 115.00 No Change
Other Programs:
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.
Resolution: 2000\ 304 (12)
Restating Itemized Professiona t Service Rate Charges For Contra Costa He, 3ervices
The initial fee for an "exempt facility" or a minor remodeling plan check is $248. Each additional
hour is $115.00 per hour.
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 approval, 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 Requirement Recommended Deposit
Public Pool (minimum deposit) $1,296.00 No Change
Public Pool Complex (minimum deposit) $1,296.00 No Change
Additions to original complex:
Each pool, spa, wading, therapy, or diving pool $ 373.00 No Change
Bathhouse $ 373.00 No Change
Recreational water park complex (Minimum Deposit--5 times the annual pool permit)
Hazardous Materials Programs Division
Certified Unified Program (CUPA) Pee 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 31st of the current calendar year Fee structure for businesses required to submit a
"Hazardous Material Business Plan" under Federal Sara Title 111 Program and the California
Hazardous Materials Release Response and Inventory Program (AB 2185).
Hazardous Material Inventory Fee: (Calendar Year 1999)
Number Of Employees LBS. Of Material Current Fees Recommended Fee
N/A < 1 K *A $ 142.00 No Change
0 to 4 > 1 K < 10K $ 151.00 No Change
5 to 9 > 1K - < 10K $ 207.00 No Change
10 to 19 > 1 K - < 10K $ 259.00 No Change
0 to 4 > 10K - <100K $ 311.00 No Change
5 to 9 > 10K - <100K $ 362.00 No Change
10 to 19 > 10K - <100K $ 415.00 No Change
0 to 4 >100K - <250K $ 543.00 No Change
5 to 9 >100K - <250K $ 604.00 No Change
10 to 19 >100K - <250K $ 664.00 No Change
0 to 4 >250K - <500K $ 723.00 No Change
5 to 9 >250K - <500K $ 784.00 No Change
10 to 19 y250K - <500K $ 844.00 No Change
> 20 and < 10K $ 453.00 No Change
> 20 and > 10K - <100K $ 989.00 No Change
> 20 and >100K - <250K $ 1,970.00 No Change
> 20 and >250K - <500K $ 3,689.00 No Change
N/A >500K - <2.5 M $ 9,381.00 No Change
N/A >2.5M - < 10M $18,479.00 No Change
N/A >10M - doom $30,261.00 No Change
N/A >100M - < 1B $40,347.00 No Change
N/A > 1B - < 5B $50,434.00 No Change
N/A > 5B $89,286.00 No Change
Resolution: 2000\ 304 (13)
SS 201�0 (,/-13-cAdy°
Restating Itemized Professiona' J Service Rate Charges For Contra Costa Her Services
All marine terminals and tank farms with secondary $25,352.00 No Change
containment storing greater than or equal to 10M
pounds of Hazardous Materials.
All oil refineries and Class 1 off-site hazardous $99,464.00 No Change
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 (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 Ownership- New Owner/ operator:
A Business Plan is required from a new owner/ operator from the start of the business activity to
December 31 st. An annual AB2185 fee will be computed on the inventory of hazardous material
listed in the Business Plan, then pro-rated 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 Plan
for the period between the ending date of the proceeding 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 pro-rated 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 — day 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.
UN-Staffed Remote Facility
Current Fees Recommended Fees
1. Exemption Processing Fee $ 113.00 No Change
2. Initial Notification or Inventory Change Processing Fee $ 113.00 No Change
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 follows:
Fee $200 + [(TC —TSS x $200 ) TRF] x RF
TC = Total cost of the County's CalARP program
TSS = Total number of stationary sources in the County
Resolution: 2000\304 (14)
Restating Itemized Professiona J Service Rate Charges For Contra Costa He, Services
TRF = "Total Risk Factor," or the sum of the Stationary Source Modified
Chemical Exposure Indexes ("SSMCEI°) of all stationary sources in the county
RF - "Risk Factor," or a stationary source SSMCEI
The TRF for the County and 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 CALARP 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 $500.00 per regulated substance per
process. (For example, if a stationary source handles one regulated substance in one
process the fee is $500.00. if a stationary source handles one regulated substance in two
different processes the fee is $1,000.00). If a stationary source does not handle any
regulated substance in a process but stores regulated substances in a warehouse, the
review fee is $500.00 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$75.00 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 1999-2000 is $48,000.00. 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 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$75.00 or 10% of the
full fee for each additional substantially identical stationary source
6. Ikon-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$75.00 or 10% of the full fee based on the stationary source's risk ranking.
7. Pro-Rata Refunds: The fiscal year begins on July 1st. 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.
Industrial Safety Ordinance Fee
The fee schedule will be determined by the formula listed below:
Fee = 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 CALARP 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
Resolution: 2000\3o4 (15)
Restating Itemized Professiona J Service Rate Charges For Contra Costa He; Services
*Incident Investigation Fee Current Fees Recommended Fees
$ 100.00 per hour No Change
*(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.
Underground Storage Tank Program
Underground Storage Tank Annual Permit:
Description Current Fees Recommended Fees
Single tank of 1,000 gallons or less used solely in $ 120.00 $ 196.00
Connection with the occupancy of a residence
First tank of 50,000 gallons or less (a) No Change
Basic fee for tank of 50,000 gallons or less $ 250.00 $ 333.00
Each tank of 50,000 gallons or more $ 484.00 $ 579.00
(a) In addition to the basic fee, a surcharge of$150.00 is applicable on the tank at each site 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:
New Tank Facility, first tank $ 520.00 No Change
Each additional Tank $ 105.00 No Change
Underground Storage Tank Removal, Temporary Closure or Abandonment:
Description Current Fees Recommended Fees
Single tank of 1,000 gallons or less, located at a $ 139.00 No Change
Residence and used solely in connection with the
occupancy of that residence.
First Tank at a site $ 323.00 No Change
Each additional tank $ 139.00 No Change
Inspection and Plan Review for Piping Replacement or Modification:
Plan review and inspection of pipe replacement $ 381.00 No Change
or repair, including the installation of overfill
protection equipment and corrosion control devices
leak detection and monitoring equipment.
Permit Amendment or Transfer:
Permit amendment or transfer fee $ 69.00 No Change
Underground Tank Modification. Repair or Lining Permit:
Includes review and inspection not exceeding four $ 305.00 No Change
hours of staff time
For each additional hour or fraction thereof of $ 113.00 No Change
staff time
Resolution: 2000\ 304 (16)
Restating Itemized Professiona' I Service Rata Charges For Contra Costa Hes' `" Services
Description Current Fees Recommended Fees
Contaminated Site Fee:
Each hour or fraction thereof of service delivered $ 113.00 No Change
Monday through Friday between 8:00 a.m. and
5:00 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
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.
Re-inspection or Time Use:
Each hour or fraction thereof of staff time, Monday $ 113.00 No Change
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 inspection or four hours of onsite.
time is required in the case of tank installations
C. More than one re-inspection is required to determine
Compliance; and /or
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:
Each hour or fraction thereof of staff time, Monday $ 113.00 No Change
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 responsible for the
following actions:
Penalty
a.) Failure to file and report change in owner- $500.00 No Change
ship or operator of an underground tank(s)
This penalty is in addition to those that may be imposed under any other underground tank
regulation.
Incident Response:
Each hour or fraction thereof of service time $ 113.00 No Change
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.
Resolution: 2000\304 (17)
Restating Itemized Professiona' I Service Rate Charges For Contra Costa Her' Services
Description Current Fees Recommended Fees
Hourly rate for service time after 5:00 p.m. until $ 140.00 No Change
8:00 a.m.
Hazardous 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:
1) Less than 5 tons $ 99.00 No Change
2) 5 or more tons, but less than 25 tons $ 188.00 No Change
3) 25 or more tons, but less than 50 tons $ 1,507.00 No Change
4) 50 or more tons, but less than 250 tons $ 3,766.00 No Change
5) 250 or more tons, but less than 500 tons $18,832.00 No Change
6) 500 or more tons, but less than 1000 tons $42,064.00 No Change
7) 1000 or more tons, but less than 2000 tons $56,496.00 No Change
8) 2000 or more tons $75,328.00 No Change
Reporting forms post marked after March 1St will be assessed a late fee of 50%.
Onsite Treatment Fees:
Permit By Rule (Fixed Units) $ 1,027.00 per facility
Conditional Authorization $ 1,027.00 per facility
Conditional Exemption and Commercial Laundry $ 38.00 per year
Conditional Exemption — Limited $ 38.00 first year only
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.
ENC?OF CERTIFIED UNIFIED PROGRAM MPA) FEE SCHEDULE
Emergency Medical Services Agency
Emergency Medical Technician (EMTI)
Description Current Fees Recommended Fees
Initial Certification / Re-Certification* $ 30.00 No Change
Replacement Card $ 10.00 No Change
Paramedic
Accreditation / Re-Accreditation* $ 50.00 No Change
(Re-accrediation applies only if initial Accreditation lapses)
Mobile Intensive Care Nurse (MICN)
Authorization / Re-Authorization* $ 50.00 No Change
EMS Continuinu Education Provider **
4 year $ 100.00 No Change
Non - Emergency Ambulance Service Permit
3 year county—wide $1,500.00 No Change
Resolution: 2000\304 (18)
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Resolution: 20001
Description Current Fees Recommended Fess
Emergsncy/Ambulance Service Permit For:
Each Emergency Response Area (3 —year) $1,500.00 No Change
EMS Aircraft Classification $ 250.00 No Change
SIMS Aircraft Authorization
2 YEAR $1,300.00 No Change
Non - Emergency Paramedic Transfer Proaram
1 year including up to 50 transfers $3,000.00 No Change
Fee for each transfer over the first 50 /year $ 50.00 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 participants, or for providers offering continuing education to in-house employees only.
Waiver: The Health Officer or his designee may waive any 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 outweighthe County financial interests in collecting the fee.
Fee Amendments: The Health Services Director or his designee my 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 statue or regulation regardless of the amount of the amount of increase
or decrease.
Fee Adjustment: The Health Services Director or his designee '. authorized to adjust, waive or
compromise the fee amount in those cases in which he determines that it is cost effective to do so.
I hereby certify that this is a true and correct copy of
Original: County Administrator an action taken and entered on the minutes of the
g y Board of Supervisors on the date shown.
ATTESTED: June 13-- 2 c o o ,
cc: Health Services Director PHIL BATCHELOR,Clerk of the Board
Health Services Administration of Supero' and CauntyAdm inisfrator
County Counsel
County Auditor BY '�$p�Y
Contact: Patrick Godley, CFO (370-5005)
(10)
PROOF OF PUBLICATION
(2015.5 C.C.P.) N4T1cHEARING
suc
STATE OF CALIFORNIA oldies Is r Cos
a Co that
the Cants Costas County
County of Contra Costa hold spu8bi o'a 1%dng will
consider Inoreaeing oery
1 am a citizen of the United States and a resident of the tain fees for various pro-
and services In the
County aforesaid; I am over the age of eighteen years, and Hesith Smlcss Depart-
not a party to or interested in the above-entitled matter. ment.
The hearing will be hold on
I am the Principal Legal Clerk of the Contra Costa Times, a Tuesday June f�2 at
Board
newspaper of general circulation, printed and published at Chambers at 6111 pins I Alien Street in Martinez.
2640 Shadelands Drive in the City of Walnut Creek, County Street In Martinez.
of Contra Costa,94598. The proposed fee sched. William 19.Walker M.D.
ule Is on file with the Clerk Health,Sarvioes Dlerotor
of the Board at 66i Pink ContrsCoateCountyY
And which newspaper has been adjudged a newspaper of Street and with the Health Health Services Depart-
general circulation by the Superior Court of the County of Services Department at 20 Mont CCT 8501
Contra Costa,State of California, under the date of October Publish May 23,2060
22,1934.Case Number 19764.
The notice, of which the annexed is a printed copy (set in
type not smaller than nonpareil),has been published in each
regular and entire issue of said newspaper and not in any
supplement thereof on the following dates,to-wit;
May 23
all In the year of 2000
1 certify (or declare) under penalty of perjury that the
foregoing is true and correct.
Executed at Walnut Creek,California.
On this 23 day of May, 2000
.. ... .............
Signature
Contra Costa Times
P O Box 4147
Walnut Creek,CA 94596
(925)935-2525
Proof of Publication of:
(attached is a copy of the legal advertisement that published)
NOTICE OF PUBLIC HEARING
Notice is here by given that the Contra Costa County Board of Supervisors will hold a
public hearing to consider increasing certain fees for various programs and services in
the Health Services Department.
The hearing will be held on Tuesday June 13, 2000 at 9:15 a.m. in the Board Chambers
at 651 Pine Street in Martinez.
The proposed fee schedule is on file with the Clerk of the Beard at 651 Pine Street and
with the Health Services Department at 20 Allen Street in Martinez.
William B. Walker, M.D.
Health Services Director
Contra Costa County Health Services Department
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