HomeMy WebLinkAboutMINUTES - 05152007 - SD.3 I
E�L
A. Contra I
TO: BOARD OF SUPERVISORS �-'T- -\- �
FROM: William Walker. M.D.. Health Services Director : s M Z Costa
County
DATE: May 15. 2007 -
SUBJECT: Hearing on Fee Increases in the Health Services Department S P 3 I
SPEC= F._4 I -:c R 4EC '.1`-.1EJ_. 2 -._: --IST=101. CN
RECOMMENDATION:
Conduct a public hearing on the proposed amendment to the itemized Professional and i
Service Rates for Contra Costa County Health Services Department effective June 1.
2007.
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FISCAL IMPACT:
Increase fees assessed to businesses by approximately $1.2 million (18° ) in order to
fund expected direct program cost increases in FY 2007-08. i
BACKGROUND/REASON(S) FOR RECOMMENDATION: j
The Environmental Health Division is experiencing increased costs throughout the
Division, which impacts the stability of the programs administered. The cost increase -
will impact the ability to provide services in all of the Division's programs: Solid Waste
Management. Land Use. Consumer Protection. and the Plan Check Program. Fees
charged to businesses are structured to recover the full cost of services provided. As a
result of these cost increases. an overall fee increase of 18% is needed to fund the
increased costs.
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the Chair Closed the public hearing, there -were-no public speakers. ADOPrM Resolution 2007/283.
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THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Resolution on Mq 15, by the following vote:
AYES: GIOIA. UILKEMA. BONI;-LA. GLOVER.&PI=PHO
NOES: NONE
ABSENT: NONE
ABSTAIN: NONE
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Resolution No. 2007 / ✓�
SUBJECT: AMEND the Itemized Professional and Service Rates for Contra Costa County
Health Services effective June 1. 2007.
The Health Services Department has submitted a recommendation to amend the schedule of
itemized service rate charges and fees, and to restate unchanged rates for County Health
Services adopted by Board Resolution Number 2004 / 233 dated May 18, 2004.
These recommendations have been considered by the Board and IT IS BY THE BOARD
RESOLVED that the schedule of itemized rate charges for the Health Services Department
effective June 1. 2007 are established as follows:
Reason for proposed rate changes:
1. Hospital: No changes proposed.
2. Mental Health Program: No changes proposed.
3. Alcohol and Other Drugs: No changes proposed.
4. Contra Costa Health Plan: No changes proposed.
5. Public Health: No changes proposed.
6. Environmental Health: Increase Environmental Health rates to reflect increased salary and
fringe benefit expense and full staffing.
7. Hazardous Materials Programs: Adjust (reduce) Hazardous Materials rates to reflect lower
than expected costs.
8. Emergency Medical Services: No changes proposed.
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I hereby eeFtity inat IN@ i4 a tFu®and eeFFeet
copy of an action taken and entered on the
minutes of the Board of Supervisors on the
date shotum.
ATTESTED: K" Is. ?-007
JOHN CULL ',Clerk of the Board
B�f S��isols andCounty ounty Administrator
Deputy
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HOSPITAL INPATIENT
Service Current Daily Rate For Recommended Daily Rate For
Routine Room and Board Routine Room and Board
Pediatrics $ 2.500.00 No Change
Medical Ward $ 2.300.00 No Change
Transitional Care Unit $ 2.300.00 No Change
Nursery Bassinet S 1.600.00 No Change ;
Intensive Care S 6.400.00 No Change
Psychiatric Unit S 2.100.00 No Change
Service Total Unit Rate Total Unit Rate
Fixed all inclusive
Obstetrics $ 8.700.00 No Change
Routine Delivery with Tubal Legations $ 12.000.00 No Change
Prior or Primary C-Section $ 19,000.00 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
6. Back-up consultation service for complications of pregnancy. labor and delivery (does not include
transfer and care at high-risk facility. if necessary, for mother or baby)
7. Neonatal Care. including nursery care and pediatric consultation. if needed
8. One PHN home visit
9. One post-partum check with Family Physician. including birth control counseling
10. Three return well-baby visits with Family Physician
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ANCILLARY SERVICES
Department Billinq Unit Current Rate Recommended Rate
Anesthesiology V* Hour S 1.258.00 No Change
Anesthesiology East Add'] 15 min. S 282.00 No Change
e
Pharmacy Cost Plus %
12-0%A-9 W-oiesaie Pr ce No Chan
y Plus Acm r st,atior. Fee g
Central Supply Cost Plus % Cost Plus 400% No Change
Radiology Relative Value Units S 121.00 No Change
EKG Relative Value Units S 35.00 No Change
Laboratory (Hose & PH Lab) Relative Value Units S 9.00 No Change
Rehab. Therapy
OT/ PT 30 Minute Intervals S 389.00 No Change
Speech 30 Minute Intervals S 389.00 No Change
Cardiopulmonary Relative Value Units S 37.00 No Change
Delivery Room 15 Minute Intervals S 282.00 No Change
Surgery Recovery Room 1" Hour S 1.258.00 No Change
Operating Room 1s` Hour $ 2.300.00 No Change
Operating Room Each Add'I 30 Minutes $ 1.000.00 No Change
Cast Room Unit $ 422.00 No Change
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(2)
Professional Component Charges Per Medicare R.B.R.V.S. Amounts
Department Current Rate Recommended Rate
Medicine R.B.R.V.S. :a Plus 30%,. No Change
Surgery R.B.R.V.S. Plus 30% No Change
Radiology R.B.R.V.S. Plus 30% No Change
Anesthesiology R.B.R.V.S. Plus 30% No Change '
_al Resource based re:ative value system
Outside Services And Supplies
Department Current Rate Recommended Rate
Nuclear Medicine Cost Plus 35% No Change
EEG Cost Plus 35% No Change
Blood Bank Cost Plus 35% No Change
Prosthesis Cost Plus 35% No Change
Laboratory Cost Plus CHS No Change
CHS: Collection and 'Handling of Specimens
OUTPATIENT VISITS
Family Practice
Current Rates Recommended Rates
Professional Use of Treat- Combined Professional Use of Treat- Combined
Component ment Room Rate Component ment Room Rate
New Patient
Brief S 35.00 S 50.00 S 85.00 No Change
Expanced S 57.00 S 55.00 S 112.00 No Change
Detailed S 84.00 S 55.00 S 139.00 No Change
Comprehensive 1 S 125.00 S 55.00 S 180.00 No Change
Comprehensive 2 S 162.00 S 55.00 S 217.00 No Change
Established
Minimal S 17.00 S 50.00 S 67.00 No Change i
Brief S 30.00 S 55.00 S 85.00 No Change
Expanded S 43.00 S 55.00 S 98.00 No Change
Detailed S 69.00 S 55.00 S 124.00 No Change
Comprehensive S 110.00 S 55.00 S 165.00 No Change I
Specialty/Others
Professional Use of Treat- Combined Professional Use of Treat- Combined
Component ment Room Rate Component ment Room Rate
New Patient
Brief S 35.00 S 85.00 S 120.00 No Change
Expanded S 57.00 S 100.00 S 157.00 No Change
Detailed S 84.00 S 115.00 S 199.00 No Change
Comprehensive 1 S 125.00 $ 130.00 S 255.00 No Change
Comprehensive 2 $ 162.00 $ 130.00 S 292.00 No Change
Established
Minimal S 17.00 S 65.00 $ 82.00 No Change
Brief $ 30.00 S 85.00 $ 115.00 No Change
Expanded S 43.00 S 100.00 $ 143.00 No Change
Detailed $ 69.00 S 115.00 $ 184.00 No Change
Comprehensive $ 110.00 S 130.00 $ 240.00 No Change
(3,
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Emergency Room Visits !
Current Rates Recommended Rates
Professional Use of Treat- Combined Professional Use of Treat- Combined
Component ment Room Rate Component ment Room Rate
Brief $ 50.00 S 110.00 S 160.00 No Change i
Limited $ 80.00 S 160.00 S 240.00 No Change i
Expanded $ 120.00 S 230.00 S 350.00 No Change
Detailed $ 370.00 S 630.00 $1.000.00 No Change
Comp Admit HS & PX $ 500.00 S1.000.00 $1.500.00 No Change
Unit of Service Current Rate Recommended Rate
Dental Per Procedure Per Fee Schedule No Change
Photocopying
Copy - Subpoena Req Per Page S .10 No Change
Copy -All Other Papers Per Page S .25 No Change
Microfilm Per Page $ .25 No Change
Staff Time Per Hour S 19.20 No Change i
Postage Actual Charge
Cafeteria Average Charge $ 4.50 No Change
MENTAL HEALTH PROGRAM SERVICES
Unit Of Service Current Rate Recommended Rate
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Rehabilitation Option Rates
Mental Health Services One Minute S 3.17 No Change
Case Management One Minute $ 2.46 No Change
Medication Support One Minute S 6.41 No Change
Crisis Intervention One Minute S 4.74 No Change
Crisis Stabilization 1 Hour Increment S 115.28 No Change
Day Care. Intensive Full Day S 246.82 No Change
Day Care. Intensive Half Day S 175.75 No Change
Day Care. Habilitative Full Day S 160.03 No Change
Day Care. Habilitative Half Day S 102.54 No Change
Adult Residential Patient Day S 181.13 No Change
Crisis Residential Patient Day $ 371.35 No Change
Rates for Behavioral Service Contract Providers that are part of the Contra Costa Mental Health
Managed Care Provider Network are set at the fee payment level specified in each outgoing Fund
Contract.
ALCOHOL AND OTHER DRUGS SERVICES
Unit Of Service Current Rate Recommended Rate
Residential Treatment
Alcohol/Drug Detox Day S 75.00 No Change
Alcohol/Drug Residential TX Day S 75.00 No Change
Perinatal Residential (Dyad) TX Day S 126.00 No Change
Perinatal Residential (Non-Dyad) TX Day S 84.00 No Change
Youth/Alcohol/Drug Residential TX Day S 272.00 No Change
Discovery House A/D Residential Day S 110.00 No Change
Day Treatment
Perinatal Day Treatment Visit S 87.00 No Change
Unit Of Service Current Rate Recommended Rate
(4)
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Non-Residential Services
Individual Intake/Assessment Visit S 78.00 No Change
Individual Counseling Visit S 78.00 No Change
Collateral Service Visit S 78.00 No Change
Crisis Intervention Visit S 78.00 No Change
Group Counseling Visit S 37.00 No Change
Acupuncture Treatment Visit S 73.00 No Change
Medical Assessment/Physical Exam Visit S 105.00 No Change
Drug Screening Visit $ 31.00 No Change
Addiction Severity Index (ASI) Testing Visit $ 73.00 No Change i
Perinatal Services
Individual Counseling Visit S 115.00 No Change
Perinatal Group Counseling Visit S 57.00 No Change
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Adolescent Services j
Individual Counseling Visit S 176.00 No Change
Group Counseling Visit S 75.00 No Change '
PC 1000 Drug Diversion Program Board Rates
Level I Person S 500.00 No Change
Level 11 Person S 800.00 No Change
Methadone Maintenance
Dose —ACD Dose $ 10.12 No Change
Dose — LAAM Dose S 23.45 No Change
Dose— Perinasal Dose S 12.43 No Change '
Individual Counseling —AOD 10 Minutes S 13.68 No Change
Individual Counseling — LAAM 10 Minutes S 13.68 No Change
Individual Counseling — Perinatal 10 Minutes S 22.28 No Change
Group Counseling —AOD 10 Minutes S 3.82 No Change
Group Counseling — LAAM 10 Minutes S 3.82 No Change
Group Counseling — Perinatal 10 Minutes S 6.60 No Change
CONTRA COSTA HEALTH PLAN
Unit Of Service Current Rate Recommended Rate
Medicare Premium
Senior Health Basic Individual S 54.00 No Change
Senior Health Plus Individual S 84.00 No Change
Commercial Group and Individual Monthly Premium for $ 238.50 No Change
Health 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.
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PUBLIC HEALTH
Service Unit Of Service Current Rate Recommended
Rate
Travel Immunization (_Non-b"Jaivab'.e Fees)
Consult/Admin Fee Per Visit S 20.00 No Change
Typhoid (Ages 2 & Over) Per Dose (Injection) S 60.00 No Change
Typhoid (Ages 6 & Over) Per Dose (Pkg-Oral) S 50.00 No Change
Yellow Fever Per Dose S 85.00 No Change
Meningococcal Per Dose S 90.00 No Change
Immune Globulin Per Dose $ 40.00 No Change
Rabies Vaccine (Human) Per Dose S 160.00 No Change !
Hepatitis A Per Dose S 70.00 No Change
Adult Immunization (Non-Waivable Fees — 19 years & Over)
Tetanus Per Dose S 20.00 No Change
Hepatitis B Per Dose $ 65.00 No Change
Adult Pneumococcal Per Dose S 20.00 No Change
Varicella Per Dose S 70.00 No Change
Per Dose
MMR 9 yeas&over. �r.`ess enrolled S 35.00 No Change
1'year co!ege o'egjiva-ert.o-
ou:hrea<whe-i S:ate.ecc•rrlends
Flu Vaccination !
6 months and over Per Dose $ 10.00 No Change
Child &Adolescent Immunizations Birth — 18 years (Fees Waivable if unable to pay)
Birth through 18 years Eac,c-i!c:.a:c 3
Ch:c•e-i Per Fam'.y Per Vis —Aly NL;-rher o` Per Visit S 10.00 No Change
Sic:se
Maximum Each Family— Over 3 i
Children 1No:tc Exceec 5,1De,Far:y Per Per Visit $ 30.00 No Change
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Includes the following Immunizations:
Age Dosa e
Dptheria, Tetanus. Per•.ussis (DtaP) 2 months & older 4 doses required
Te:arus (Td) Age ' throug^ 18
Polio ;IPV) 2 rror.;hs &older 4 doses required
Haemcprilus In`luenzae B 2 mor.tns &older 1 dose required for child care under age
5. 4 doses recommended
Pediat-ic Pneurn,ococca' 2 moni s &older 4 doses recommended
Meas es. Mumps. Rubella ;MMR) 12 months & older 2 doses required
Ch;--ke^ Pox (Va,icella) 12 months & older) 12 doses required
He-natitis A 24 months & older 2 doses recommended
Hepatitis B At birh & older 3 doses recommended
Service Unit Of Service Current Rate Recommended
Rate
Tuberculin PPD Test Per Test $ 10.00 No Change
Nutrition Services Per Hour S 60.00 No Change
Occupational Health Per Exam Cost + 10% No Change
Public Health Laboratory
Lab Tests Per Test Cost + 10% No Change
Rabies Test (animal) Per Test S 80.00 No Change
Health Education Each Cost + 10% No Change
Material (Videos. Pamphlets) Each S 8.00 No Change
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Service Unit Of Service Current Rate Recommended
Rate
Tobacco Retailer's Licensing and Education
Retailer's License Fee Each License S 160.00 No Change
Annual Fee fo-regulatory Activities
and Inspections
License Hearing Fee Each Hearing S 348.00 No Change
License Suspension or Revocation.
Hearings
Re-Inspection Fee Each Re-Inspection S 112.00 No Change
For Retailers with Suspended or
Revo{ed Licenses I
Vital Stats Certified Copies !
Death Each $ 15.00 No Change
Fetal Death Each S 11.00 No Change
Birth — General Public Each S 20.00 No Change
Birth — Government Agency Each S 11.00 No Change
Permit For Disposition of Human Remains
Regular Each S 11.00 No Change
After Hours Each S 11.00 No Change
Cross Filing Each S 14.00 No Change
ENVIRONMENTAL HEALTH DIVISION
Current Rate Recommended Rate
General Program Section —Service Fees & Penalties
Application Fee (Non-refundable) S 35.00 No Change
Violation Re-Inspection Fee S 123.00 /HCLr S 158.00 /Hour
Special Services Fee at Hourly Rate with Minimum
One-Hour Charge S 123.00 /H--Lr S 158.00 /Hou
Applicable to: i
Variance Requests
Violation Administrative Hear.ngs
Field and Office Consu:tatio^s
Non-Routine Site Eva ua-ions
Non-Rout:r.e Field Inspections (and.'or) Re-Inspections
Two-Hour Charge
Health Officer Appeal Hearing S 312.00 S 392.00
Appi°cable to:
Plan Review: Fees for Permit Fee Exempt Facilities
Plan Review:and Site Evaluation Fees`or Community Development Services
Second re-inspection of verified complaints will be charged to the property owr.erresponsible party. A 5158.00
fee will be charged for verified comolants at permitted and fee exempt facilities. NOTE: Additional charges will be
incurred after tl e minimum hourly charges have been expended. Services provided after normal work hours will
be charged a:S 190-00 per hour.
Penalties: Pena'ties wilt be imposes for delinque payments as provided it County Ordinance No. 93-58: Article
413-31.1206.
Ordinance Code of Contra Costa County Section 414-4.1019
Enforcement— Penalties: Any person violating ;his chapter or reguations issued hereunder. by failing to submit
pians. obtain necessary inspections and app-ovais. or pay fees. or by commencing or continuing construction or
remoceiing in violation hereof. shall pay triple the appropriate fee as a pena:ty and remain subject to other
appicabie pena ties and enforcement procecures authorized by the state law and/or this code. j
Consumer Protection / Retail Food Program
Consumer Protection / Retail Food fees are applicable to the Environmental Health permit year
beginning July 1. 2006.
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Environmental Health Permit Fee
Category Units Capacity Current Fees Recommended
Fees
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Restaurants Seats 0 -25 $ 406.00 S 503.00
Restaurants Seats 26-49 S 520.00 S 645.00
Restaurants Seats 50-149 S 617.00 S 765.00
Restaurants Seats 150 + S 702.00 S 870.00
NOTE: Restaurants with crive-4p window(base seating + S57)
Drive Through Only , Restaurant To Go Only S 407.00 $ 505.00
Vending Machines Machines 1 -4 S 123.00 S 153.00
Each Machine Machines Over 4 S 21.00 S 26.00
Tavern / Cocktail Lounge Bar $ 427.00 S 529.00 I
Snack Bar $ 427.00 S 529.00
Commissary $ 561.00 S 696.00
Cart Commissary S 249.00 S 309.00
Catering S 561.00 $ 696.00
Multi-Event Facility (up to 15 hours) Hours S 123.00 noir S 158.00 icor
Special Events Per Food Boot- S 78.00 $ 97.00
Retail Food Markets Square Foot < 2.000 S 379.00 $ 470.00
Retail Food Markets Square Foot 2.001-4.000 S 436.00 $ 541.00
Retail Food Markets Square Foot 4.001-6.000 S 617.00 $ 765.00
Retail Food Markets Square Foot > 6.000 S 702.00 $ 870.00
Incidental Retail Food Markets $ 163.00 S 202.00
Certified Farmers' Market (CFM)with Food Vendors
Certified Farmers' Food Markets Booths 1 -25 $ 224.00 S 278.00
Certified Farmers' Food Markets Booths 26 -45 $ 335.00 S 415.00
Certified Farmers' Food Markets Booths 46 + S 447.00 S 554.00
Non Agricultural
Food Vendor Booths 1 - 5 CFM Fee + S 164.00 S 203.00
Food Vendor Booths 6 - 10 CFM Fee + S 224.00 $ 278.00
Food Vendor Booths 11 + CFM Fee + S 335.00 $ 415.00
Wiping Rags Business S 210.00 S 260.00
Roadside Stands S 210.00 S 260.00
Food Salvager S 590.00 S 732.00
Food Processing Establishment Square Foot < 2.000 S 379.00 S 470.00
Food Processing Establishment Square Foot 2.001-4.000 S 436.00 S 541.00
Food Processing Establishment Square Foot 4.001-6.000 S 617.00 S 765.00
Food Processing Establishment Square Foot > 6.000 $ 702.00 S 870.00
Food Demonstrator $ 197.00 S 244.00
Retail Food Vehicle Mellve &Pedd'.e s) $ 225.00 S 279.00
Mobile Food Prep Units 5C$ 421.00 S 522.00
Retail Food Vehicles Irelud na Cate-,TrLcks,. 225.00 S 279.00
Vehicle Commissary ;Fee Exer..:),i No Fee No Change
Ice Cream Push Carts 1 -4 S 65.00 eacr S 81.00eaor
Ice Cream Push Carts 5 - 10 S 60.00 eacr. S 74.00eaer
Ice Cream Push Carts > 10 S 55.00 each S 68.00eacr
Bakery Square Foot < 2.000 S 379.00 S 470.00
Bakery Square Foot 2.001-4.000 S 436.00 S 541.00
Bakery Square Foot 4.001-6.000 S 617.00 S 765.00
Bakery Square Foot > 6.000 S 702.00 $ 870.00
Wholesale Food Square Foot < 2.000 S 379.00 $ 470.00
Wholesale Food Square Foot 2.001-4.000 S 436.00 S 541.00
Wholesale Food Square Foot 4.001-6.000 S 617.00 S 765.00
Wholesale Food Square Foot > 6.000 S 702.00 S 870.00
Ice Plant Square Foot S 162.00 S 201.00
Swap Meet-Flea Market Pre-pkgd Food Stand Square Foot <20.000 sq ft S 1.000.00 $1.240.00
Swap MeetiFlea Market pre-pkgd Food Stand Square Foot >20.000 sq ft S 2.000.00 $2.480.00
Recreational Health
Recreational Water Park One System S 842.00 $1.044.00
Each Additional System _S 421.00 S 522.00
Poo: -Apartment. Motel. Hotel Multi-Use S 487.00 S 604.00
Each Additional Pool S 140.00 S 174.00
Spa -Apartment. Motel. Hotel Multi-Use $ 421.00 S 522.00
Each Additional Spa $ 140.00 $ 174.00
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Category units Capacity Current Fees Recommended
Fees
Fee Exempt Activities (Permit Fees Only
Food Facilities / Public Schools No Fee No Change
Municipal / Non Profit:
Pools / Public Schools No Fee No Change
Spas / Public Schools No Fee No Change
Small Water System Permits
Non-Community, surface water system $ 340.00 S 422.00 i
Non-Community. non-transient ground water system S 433.00 $ 537.00
Non-Community, non-transient ground water system, with treatment S 433.00 $ 537.00
Non-Community, non-transient surface water system S 433.00 $ 537.00
Non-Community, transient $ 340.00 S 422.00
Community ground water system 15-24 co-riect S 433.00 S 537.00
Community ground water system with treatment 15-24 correct. S 433.00 S 537.00
Community ground water system 25-99 correct. S 455.00 S 564.00
Community ground water system with treatment 25-99 cc-rec-. S 455.00 $ 564.00
Community surface water system 25-99 cc-irec:. $ 455.00 $ 564.00
199
Community ground water system 100- S 568.00 S 704.00
„ornect.
Community ground water system with treatment 100-199S 568.00 S 704.00
correct.
199
Community surface water system 100- S 568.00 S 704.00
CC nC2C:.
Local small water system $ 146.00 S 181.00
State small water system $ 249.00 S 309.00
Non-Community ground water system with food preparation S 340.00 S 422.00
Non-Community ground water system with treatment S 340.00 $ 422.00
Non-Community ground water system. prepackaged food only S 0.00 No Change
Public Water System - Plans Review
New Community water system $ 541.00 S 671.00
New Non-Community water system S 324.00 $ 402.00
Amended permit because of ownership change S 163.00 $ 202.00
Amended permit because of system change S 271.00 No Change
Enforcement actions pertaining specifically to small water systems S 123.00 .11--Lr S 158.00MOU
Pro-Rating Fees i
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.
Permanent 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 per-
manent discontinuance of business. In the case of a business that has been sold, the owner must include in I
the written request for a refund the name. address and telephone number of the person to whom the busi-
ness was sold.
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SOLID WASTE PROGRAMS
Category Units Capacity Current Fees Recommended
Fees
Local Enforcement Agency Program
Solid Waste Tonnage Fee S 1.20 :tor No Change
Solid Waste Facility Fees
Closed. Illegal and Abandoned Sites
Annual Inspection 2 Hours S 246.00 $ 316.00
Quarterly Inspection 8 Hours S 984.00 S1.264.00
Monthly Inspection See No:e:a;lBecr 16 Hours S1.968.00 S2.528.00
Bio-Solid Facility Sites
Annual Inspection 2 Hours S 246.00 S 316.00
Quarterly Inspection 8 Hours S 984.00 S1.264.00
Monthly Inspection 16 Hours $1.968.00 S2.528.00
NOTE (a): Any Inspection conducted over and beyond the routine inspection is subect to the hourly rate of
S'23.00 an hcur.
Bio-Solid Facility Application and Review Fee
W:t^ Public Hearings 10 Hours S1.230.00 $1.580.00
Withou' Public Hearings _see Note Be cvr_� 5 Hours S 615.00 S 790.00
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Solid Waste Facility Permit
Application/Review Fee _see No:e_b Be cw. S1.230.00 S1.580.00
Mandatory Garbage Service Exemption S 123.00 ihojr S 158.00 hoi-
NOTE (b}: Permlt appication ..'review fee includes 10 hours of service time. An additional deposit fee maybe
required wish ;ni:ia deposit has been expended.
Medical Waste
Plan Review (new facility/treatment system/permit revision) S 469.00 No Change
Additional Review S 123.00 hoi- $ 158.00 ho.ir
Health Care Service Plan Facility S 498.00 No Change
Med ical/Denta'!Neteri nary Clinic >200 bsrTooth S 387.00 No Change
Medical/Dental/Veterinary Clinic <200 •bsrmonth $ 48.00 No Change
Med/Dental/Veterinary Clinic :h c-i-site:rex-nert systems <200 bs rl.or-h $ 145.00 No Change I
Addtnl fee for large quantity generators :r on-site 4-eatment S 81.00 No Change
Primary Care Clinic S 498.00 No Change
Intermediate Care Facility S 419.00 No Change
Acute Psychiatric Care S 387.00 No Change
Acute Care Hospital Beds 251+ $1.978.00 No Change
Acute Care Hospital Beds 200-250 $1.414.00 No Change
Acute Care Hospital Beds 100-199 $1.213.00 No Change
Acute Care Hospital Beds 1-99 S 850.00 No Change
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Skilled Nursing Facility >200 ibsilronth S 387.00 No Change
Skilled Nursing Facility <200 bsrmor-h $ 48.00 No Change
Skilled Nursing Facility with or-s:e vestmert <200 bs rror-h $ 145.00 No Change
Specialty Clinic >200 icsr,cr.:=, S 498.00 No Change ;
Clinical Lab >200 lbs mo-itn S 387.00 No Change
Clinical Lab <200 ;bsrmonth S 48.00 No Change
Clinical Lab wttt:ci-site:real cert <200 'bsxmonth $ 145.00 No Change
Bio-Med Producer >200 bs:M^--:h S 387.00 No Change
Bio fed Producer <200 io=_mc,th S 48.00 No Change
Bio-Med Producer;:•ti on-sae neat:-ei- <200 ibs ro-itn S 145.00 No Change
Bio-Med Producer ;•itj o^-sae t:eatr en: >200 lbs:r011th S 484.00 No Change
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Category Units Capacity Current Fees Recommended
Fees
Common Storage Facility Generators 50+ $ 387.00 No Change
Common Storage Facility Generators 11-49 S 194.00 No Change
Common Storage Facility Generators 2-10 S 145.00 No Change
Limited Quantity Hauling Exemption S 81.00 No Change
Re-Inspection Fee S 123.00 .hour S 158.00 it-our
Certification Application Fee $ 35.00 No Change
Tattooing, Body Piercing and Permanent Cosmetics
Facility Annual Fee S 200.00 No Change
Body Art Registration Fee S 25.00 No Change
Land Use Programs
Penalties: Pena:ties will be imposed for defncuent payments as provided in County Ordinance No. 93-58.
Ar c e 413-3.1206.
Ord'^ance Code o`Co^tra Cesta County Section 420-6.707
Enforcement- Penalties: Any person violating this chapter or regulations issued 'hereunder. by failing to submit
Plans. obtain necessary Inspectmons and approval. or pay fees. or by commehcina or continuing construction or
remcde!:ng v olation hereo`. sial: pay triple the appropr'ate fee as a penalty and remain subject to other
applicable penalties and en`orcement 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 instal.aticn or repair of systems. the following fees must be paid prior to any
inspection or invest gation of an i^dividua' parcel or miner subdivision.
IMPORTANT: Permit fees include a non-refundable S35.00 app€icaticn fee. Inspection and travel time exceed-
ing the .^ours orovided in the service fees set below or provided for services not listed will be charged at the rate
of$158 00 per hour d rir.g normal bus.ness hcurs and the rate of 3156.00 per hour after normal business hours.
Current Fees Recommended
Fees
GENERAL:
Individual Sewage Disposal Systems
Preliminary Investigation
Site evaluation (two hour minimum charge) S306.00 S 413.00
Percolation test-contractor with staff review S306.00 S 413.00
Soil profile evaluation S306.00 S 413.00
Standard/Conventional Systems
Construction Permit (includes 1 hour Plan Review) S541.00 S 730.00
Additional Plan Review S123.00 :hour S 158.00 Dur
Re-Inspection/Cancellation/Rescheduling •: ,oLt=1: !rr�-ec ictce 5123.00 roe- S 158.00 -,oar
Alternative Systems I
Initial Plan Review S281.00 $ 351.00
Construction Permit S771.00 $1.041.00
Additional Plan Review S123.00 hou• $ 158.00mcur
Re-Inspection,`Cancellation/Rescheduling S123.00 rox S 158.00 -io,r
Annual Operation Permit S240.00 $ 324.00
Related Septic System Activities
Plan Review- Building Additions S281.00 $ 351.00
Septic System Abandonment Permit ,io..ides 5 hour sta",-rel S242.00 S 327.00
Minor Repair Permit :°nV!u::es• ro,,-stat Jmei S174.00 S 235.00
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Wells and Soil Borings
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A we] is any art`icial excavWion constructed by any method for the purpose of extracting water from. or injecting
water or other!qu d into the ground. for obse: Wion of groundwaters for any reason. for the exploration of the
subsurface of tine earth. for removal of substances from soi;or g-ojndwater. dewatering. or the cathodic protec-
tion. This definitor shall not include oil or gas welts or geotherma wells constructed under the jursdiction of the
State Deparment of Conservation except when such wells are converted to use as a well. This definition in-
c'udes environmenta' and aeotechr.ical we:ls.
A soil borina is an uncased a of c a excavation constructed by any met^od for,he purpose of obtaining
in`ormation or subsurface cond'.ticns or for tre purpose of determining the presence or extent of contamination in
subsurface soils or grourmwa'.er. This definition Inc.udes environmental and geotechnical borings. dewatering
wel:s. test holes test welts and exp;oration holes.
Current Fees RecommendedFees
Individual Wells and Soil Borings
Permit for construction and/or reconstruction for individual $358.00 $ 483.00
wells. including monitoring wells
Site Evaluation miiirrrcc- • -ic!.r cha ate, S158.00 Thou- $ 193.00 rrou-
Permit for soil borings Pe-Pa-cel; V S329.00 S 444.00
Review of an existing water well _rt-11Tui11 hourc-iarge; S158.00 11 cur S 193.00 nour
Inspection permit for abandoning and sealing of well $220.00 S 297.00
'Fee-rnc:uces 1 hoi•of sae" ime
Inspection permit for abandoning and sealing of well No Fee No Change
when done at same inspection of replacement well
Subdivisions — Land Uses Projects
Community Development Department (CDD) report reviewed for
land use permits: rezoning: developmental plans: EIR $ 123.00 inc-_r S 158.00 sour
Review; Lot Line adjustments: and CDD variance requests
Environmental Health review of CDD applications S 35.00 S 47.00
Liquid Waste Disposal Permits
Sewage Pumper Company S413.00 S 558.00
Sewage Pumper Vehicle $ 135.00 S 182.00
Portable Toilet Pumper Vehicle $ 135.00 S 182.00
OTHER PROGRAMS
Plan Check
P an Check deposit fees. except those specifically listed. are three tames the annual permit fee. This includes
plan check and a°I applicable ;inspections and consultations. An additional deposit fee may be required when
in-ia'. deposit has been expended. If depesi; is not expended. a refund will be issued.
The initia: fee fcr an 'exempt facilay or a minor remodeling plan check is S667.00. Each additior:al hour is
S158.00 per hour.
Ordinance Code of Contra Costa County, Section 414-4.1019
Enforcement— Penalties: Any person violat'r.g this chapter or regulations issued hereunder. by fading to
submit plans. op:ain necessary inspections and approval. or pay fees. or by commencing or continuing
cons±r cion or remodeling in violation hereof. shall pay triple the appropriate fee as a penalty and remain subject
to ct! e-applicable pena tes anc enforcement procedures authorized by the State Law andror this code.
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HAZARDOUS MATERIALS PROGRAMS DIVISION
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Certified Unified Program (CUPA) Fee Schedule
The setting of fees authorized by Cal forn:a Code of Regilat ons (CCR). Titre 27. section 15210. and Health & Safety
Code 25404 55.
Hazardous Material AB 2185 Program
AB 2'.85 fees for a current calendar year are based upon trie following years projected business plan inventory of
hazardous material and are billed to the business in the sixth month after December 3151 of the current calendar year
fez s ructure for businesses required to submit a ,Hazardous Materia;s Business Plan" under Federal Sara Title III
P ogram and the California Hazardous Materials Release Response and Inventory Pr-gram (AB 2185).
HAZARDOUS MATERIAL INVENTORY FEE i
Previous 12 months ended December 31
Number of Employees LBS. Of Material Current Fees Recommended Fees
N/A < 1 K *(A) S 121.00 S 96.00
0 to 4 >_ 1 K- < 10K S 128.00 S 101.00
5 to 9 > 1 K- < 10K S 176.00 S 139.00
10 to 19 >_ 1 K- < 10K $ 220.00 S 174.00
0 to 4 >_ 10K - < 100K $ 489.00 $ 347.00
5 to 9 >_ 10K- < 100K S 510.00 $ 403.00
10 to 19 >_ 10K- < 100K S 585.00 S 462.00
0 to 4 >_ 100K - < 250K $ 765.00 $ 604.00
5 to 9 > 100K- < 250K $ 852.00 $ 673.00
10 to 19 >_ 100K- < 250K S 936.00 $ 739.00
0 to 4 > 250K- < 500K S 1.019.00 S 805.00
5 to 9 >_ 250K - < 500K S 1.105.00 S 873.00
10 to 19 >_ 250K - < 500K S 1.190.00 $ 940.00
> 20 and < 10K $ 638.00 S 504.00
> 20 and >_ 10K- < 100K S 1.394.00 S 1.101.00
> 20 and >_ 1 o0K - < 250K S 2.777.00 $ 2.194.00
> 20 and >_ 250K - < 500K S 5.199.00 $ 4.107.00
N/A >_ 500K- < 2.5M $ 13.223.00 S 10.446.00
N/A >_ 2.5M - < 10M S 26.047.00 S 20.577.00
N/A >_ 10M - < loom S 50.182.00 $ 39.644.00
N/A > 100M - < 113 S 66.907.00 $ 52.857.00 i
N/A >_ 113 - < 513 S 83.635.00 S 66.072.00
N/A >_ 56 $148.063.00 S116,970.00
All marine terminals and tank farms with secondary
containment storing greater than or equal to 1 OM S 35.735.00 S 28.231.00
pounds of Hazardous Materials
All oil refineries and Class 1 off-site hazardous S164.941.00 $130.303.00
waste disposai sites
Liquefied carbon dioxide (CO2) s^all be assigned a risk factor of 10%. In summing the total ponds of hazardous
material at a given facil3y as part of the fee determination. the pounds of Lquid CO2 shall be multiplied by 10% and :
that amount used in the calcilation of the aggregate poinds for the site.
(A) Quantity at any ore time during the reporting year equal to. or greater than.. a total weigh`.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 ownerroperator from the start of the business activity to December 3151. An
annual AB 2185 fee wi'I de computed on the `r:vertory of hazardous material listed in the Business Plan. then pro-
rated by t^e number of months covered by the Business Plan.
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Discontinuance or Sale of Business
Upon discontinua^ce or sale of a business. the ovine^operator is required to file a Business Paan for the period i
between the erding Cate of tre proceeding business plan to the mont^ in which the business activity ceased or the
busi^ess was sold. Tre annul AB 2185 fee will be computed on the inventory of hazardous material listed in the
Busi^ess Plan 'nen oro-rated baseC on the prior years Business Plan or a revised Business Plan approved by the
Hazardous Materials Procram Director.
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For businesses that discontinue doing business during a calendar year. the AB 2185 fee wi l be pro-rated based on
the prior year's Business Plan or a revised Busi-iess Plan approved by the Hazardous Materials Program Director.
T"e Fees shall ce no^transferable. non-refundable and set on a facility basis.
Additional Administrative Fees Will Be Assessed For:
1. Fa;l.:re to respond to inquiries relating to compliance with these resolut.ors-25% of fee.
2. Late f°Ina of business plans beyond a 30-day notice of violation -50% of fee.
s. Failure to pay the fee within terms of the invo'ce-25% of fee.
The administering agency reserves the right to adjust the fees dependent on total program cost and may adjust
.rdividua'. facility fees within the above schedule when the Health Officer determines that the fee is not equitable
based on health risk.
Current Fees Recommended Fees
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Un-staffed Remote Facility
1. Exemption Processing S 130.00 S 146.00
2. Initial Notification or Invertory Change Processing S 130.00 S 146.00
Accidental Release Prevention Program (ARPP)
1. Fee Imposed: The Califorria Accidental Release Prevention Program (CaIARP) Fees for Contra Costa County
are hereby imposed and assessed upon all stationary sources that handle regu;ated substances.
2. Amount: The fee for a stationary source shall be determined as follow&
Fee = $200 - ;(TC-TSS x $200) TRF] x RF
TC = To-.al cost of the County's CaIARP program
TSS = Total numoe-of stationary sources in the County
TRF = 'Total Risk Factor,° or the sum of the Stationary Source Modified Chemical Exposure
Indexes (SSMCEI) of ail stationary sources in the County
RF = "Risk Facto.-.' or a stationary source SSMCEI
The TRF for Vie Ccunty and RF of a stationary source SSMCEl; shat ce determined pursuant to the Contra
Costa County Health Services Depai-tment's California Accidental Release Prevention Program Relative Risk
Determination Me:hoeology. 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
Maragement Pian urder the California Accidental Release Prevention Program. The exemption may be
grantee f t^e Heath 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 -as not paid the arnua CaIARP fees pursuant to this reso!ution. the stationary source
shat: pay an exemption review fee upon submittal of an exemption application. The exemption application fee
shat; oe $5CC.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 S'.000.00). If a stationary source does not handle any regulated substance i
in a process but stores regulated substances in a warehouse. the review fee is $500.00 per warehouse where
the regulafed substances are stored.
If an exerr.ption is not granted. al; of the exemption application fee shall be credited toward the CaIARP fees
assessed upon the stationary source pursuant to this resolutic-1.
An annuai admin.strative fee of S75.00 is hereby assessed upon ail stationary sources that handle regulated
substances on site but are exempt from preparing an RMP aursuar.;to this resolution.
4. Multiple Stationary Sources: Companies that have multiple stationary sources that are substantially identical.
as determined at-he sole ciscre-on of the Director of Health Services. or his designee. may be assessed a
recuced fee. The fee for such a company shall be the full fee for the first stationary source. plus the greater of
S75.00 or iC of t^e frill fee fcr each addit oral substantially identical stationary source.
5. Non-Profit Organizations: If a stationary source is owned oy a non-profit organization (Internal Revenue
Service Cede ;ax-exempt status rimber 501 C). the fee shall be the greater of S75.00 or 10% of the full fee
based on the stationary sources risk ranlc;ng.
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6. Definitions: Tr.e to ms used 'n this resolut:o^ shall have the meanings ascribed to them in the Hearth and
Safety Code Ar•.icle 2. §25535.5 and §25404.5.
7. Authority: This resclut.on and the imposition o`fees hereunder are authorized in part by Health & Safety
Code. Chapter 6.95. § 25535.5 and §25404.5.
Unannounced Inspection Program
Fee Imposed: The Unannounced Inspection Program fees for Centra Costa County are hereby imposed and
assessed upon all stationary sources that handle regulated substances and that must submit a Risk
Management Plan to the U.S. EPA.
2. Amount: The fee for a statiorary source shall be determined as follows:
Fee = $200 + (TC—TSS x $2001 TRF] x RF
TC = Total cost of the County's Unannounced Inspection Program
TSS = Total number of stationary sources in the County
TRF = 'Total Risk Factor." or the sum of the Stationary Source Modified Chemical Exposure
Indexes (SSMCEI) of all stationary sources in the County
RF = `Risk Factor' or a stationary source SSMCEI
The TRF`or the CoLnty RF of a stationary source (SSMCEI) shall be determined pursuant to the Contra Costa
County Hea'th Services Departments Cal`orn a Accidental Release Prevention Program Relative Risk
Determinat o^ Methodology, attached hereto as Exhibit A and ir.co-porated here`r. by this reference.
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3. Definitions: The terms used in this resolut on shat have the meanings ascribed to them in the Health and
Safety Code Chanter 6.95 §25404.5.
4. Authority: This resolution and tr.e imposition of fees here::nder are authorized in part by Health & Safety
Code. Chapter 6.95. §25535.5 and §25404.5.
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Industrial Safety Ordnance 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
Current Fees Recommended Fees
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Incident Investigation FeeS 130.00 :hear S 146.00 ..hour
" Charged to a regula-ted source when an incident is investigated by the Contra Costa Health Services Department
Underground Storage Tank Program
Underground Storage Tank Annual Permit
Single tank of 1.000 gallons or less used solely in S 322.00 No Change
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 S 548.00 No Change
Each tank of 50.000 gallons or more S 953.00 No Change
(a) In addition to the basic fee. a surcharge of S2G0.00 is applicable on the tank at each site that has the earliest
installat.or. date. i
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Underground Storage Tank Installation Plan Review and Inspection
In addition to tte applicabie State surcharge presc-ibed by or parsuant to the law, the following fees shall be
co'lected:
Description Current Fees Recommended Fees i
New Tank Facility. first tank S 856.00 No Change
Each additional tank $ 173.00 No Change
Underground Storage Tank Removal, Temporary Closure or Abandonment
Single tank of 1,000 gallons or less, located at a
residence and used solely in connection with S 229.00 No Change
the occupancy of that residence
First tank at a site S 531.00 No Change
Each additional tank $ 229.00 No Change i
Pro-Rata Fee
For Urderground Storage Tank ins:al`atio:;s du^no the permit peeiod cf July is through the following June 30th, the
Anal Perm; Fee s'qall be prom-ed for the number of months the lark was instaCed during the permit period.
Inspection and Plan Review for Piping Replacement or Modification
Plan review and inspection of pipe replacement or
repair. including the installation of overfill protection $ 627.00 No Change
equipment and corrosion control devices. leak
detection and monitoring equipment.
Permit Amendment or Transfer
Permit amendment or transfer fee S 113.00 No Change
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Underground Tank Modification, Repair or Lining Permit
Includes review and inspection not exceeding four $ 502.00 -Lark No Change
hours of staff time
For each additional hour or fraction thereof of staff S 130.00 $ 146.00
time
Contaminated Site Fee
Each hour or fraction thereof of service delivered
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 S 130.00 S 146.00
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.
Re-inspection or Time Use
Each hour or fraction thereof of staff time Monday
through Friday between 8:00 a.m. and 5:00 p.m. S 130.00 S 146.00
shall be charged in the following cases:
a. More than one inspection or two hours of onsite
time :s required in 'L-!e case of tank removals
b. More than two .rspect ors or four hours of onsite '
time :s required in t^e case of tank insallat:ons
C. More :han one re-inspection is required to
determine compliance; ar.d!or
d. Insoector. consultation or other services related to
underground storage of hazardous substances or
hazardous materias o wastes are provided and
said services are not otnenvise covered by:his
ordinance
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Description Current Fees Recommended Fees
Document Search
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. S 130.00 S 146.00
lending institute or other commercial enterprise for
services performed in complying with document
research requests for these enterprises.
Penalty: The following penalty shall be apol.ed and collectible from parties responsible for the following actions:
Penalty
a. Failure to file and report change in ownership S 500.00 No Change
or operator of an underground tank(s)
This penalty :s in add:ton to those that may be imposed under any other underground tank regulation.
Incident Response I
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 i
a hazardous substance. material or waste. if the
owner. operator or other responsible person in S 130.00 S , 146.00
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.
Hourly rate for service time after 5:00 p.m. until 8:00 $ 158.00 $ 170.00
a.m. and Saturday. Sunday and County holidays.
Hazardous Waste Generator
Every generator that predjces hazardous waste shall pay a fee`or 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 i
Reporting fora. orovidea. by Hazardous Materials Programs Divisior.
Current Fees Recommended Fees
Hazardous Waste Generated
1. Less than 5 tons S 151.00 No Change
2. 5 or more tones. but less than 25 tons S 287.00 No Change
3. 25 or more tons. but less than 50 tons S 2.305.00 No Change
4. 50 or more tons. but less than 250 tons S 5.760.00 No Change
5. 250 or more tons. but less than 500 tons $ 28.806.00 No Change i
6. 500 or more tons. but less than 1.000 tons $ 57.613.00 No Change
7. 1.000 or more tons. but less than 2.000 tons $ 86.419.00 No Change
8. 2.000 or more tons S 116.953.00 No Change
Onsite Treatment Fees
Permit By Rule (Fixed Units) S 1,363.00 :facility No Change
Conditional Authorization S 1.363.00 .facisty No Change
Conditional Exemption and Commercial Laundry S 50.00 ;year No Change
Conditional Exemption — Limited S 50.00 :year No Change
Administrative Penalties
1. A 25/o del.ncuert payrrer penalty wi'I be assessed to any fee or service rendered if not paid within the payment
terms or payment,die date stated on the invoice.
2. Late filing of a Hazardous Waste Generator Repo-tirg form beyond a 30-day Notice of Violation—50% of fee.
END OF CERTIFIED UNIFIED PROGRAM (CUPA) FEE SCHEDULE
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EMERGENCY MEDICAL SERVICES AGENCY
Description Current Fees Recommended Fees
Emergency Medical Technician (EMT1)
Initial Certification y Re-Certification" S 30.00 No Change
Replacement Card S 10.00 No Change
Paramedic
Accreditation / Re-Accreditation* $ 50.00 No Change i
Re-accred tation applies on.y if int"al accreditaticr lapses;
EMS Continuing Education Provider
4 year S 100.00 No Change i
Non-Emergency Ambulance Service Permit
3 year Countywide S 1.500.00 No Change
Emergency /Ambulance Service Permit For:
Each Emergency Response Area (3 year) S 1.500.00 No Change
EMS Aircraft Classification S 250.00 No Change
EMS Aircraft Authorization
2 year S 1.800.00 No Change
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Non-Emergency Paramedic Transfer Program
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 waved for emp ogees of a service provider with an approved. in-house program for
mainta:ninc rec;uired renewal records.
** Fee may be waved for nor-commercial providers offering courses at no charge to participants. or for providers
cfferina courses to in-house employees only.
Waiver: The Health Officer or his designee may waive any of these fees in any individual case in which he
de:ermir:es that the advanceme^t and protector of the public health will be better served thereby and that these
considerations cutt.veigh the County financ-al interests in collecting the fee.
Fee Amendments: The Health Services Director or his designee may increase or decrease as needed any specific
fee by not more than 1.03,'_ during the next twelve-month period. except those fees set by Federal 1 State statute or
I shall be effective concurrent•w✓th t..e date specified in the applicable statute or regulation regardless of the
amour:of the ircrease or decrease.
Medicaid Waiver: To..-.sure comoliarce with the Medicaid waver granted by the Center for Medicare and Medicaid
Services to the State of California. the Hearth Services Director or his designee is granted the authority to increase
inpatient razes for services at CCRMC to the leve: necessary'o ensure customary charges for services exceed
expected Med;-Cal payments.
Fee Adjustment: The Health Services D rector or his designee is authorized to adjust. waive or compromise the fee
amount .; those cases in which he determines that:t is cost effective to do se.
I he•eby certi y Ta-:Hs is a t--,e and cored:copy c`an ac:ion taken a'Id
e,:ered on the miiruttessof:Fe Boa c Cf SLPeery sor,on the date snow:
ATTESTED Mom 15i -24Z/
JOHN C LLEN-Clerk of:he Boa-d c`Supervisors a-id
CGun y F -I 7,st :or
•,v � . Deputy
Orcina: Coucty Acminstrator By
CC: Health Services Director
Heath Services Chief Operating Officer
Healti^: Services Comrcl er
County Auditors Office
RESOLUTION NO. 2007/.83
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PROOF OF PUBLICATION
(2015.5 C.C.P.) P� .
STATEC= F?
CA-I=O , +.
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COL-AV Of Contra CC•s:z
a.- a Ctize. of .ne �ncec Stases arc a residert of -.-.e a._•esaid;^Vzrr. c .. : .e ac_e of e a`.teen .ears.
and -ot a ^aGV to c- r:erested in :.e ao #e-en J:ed
.'a::er.
1
I an- :.e Pri-C€pa. Leca Cler< o` the Cor._ra Costa -i-res. '
a :�e.vspape• o genera- cixL a-or. printed and pub.ishe-d
at 2640 Shace axs Cris e n :.a C tf of "'al-it Creek,
Of--cntra Cesta,
And :. . ne-;soaoer has been acfLdger-'
c a nesoa_per C
ce-era^Ci-CL at.o- ` .he Suoer or Court of t.e Ccurt' o
Con-3 Cos: S: of CaSforn a, ;. �. the case of
Oztcoer 22, -_34=,.ase Rurr..ber 1978'.
-he nz-- ' r the arnexed .s a pr n:ec copy, :se:i.
'ape r.-t s-nal.ertha- rcnparei ^as teen p„cl.sf ed �n
rq --
'e =!a' a- e.t.re Issue of sa.d re`:soa--er a r no:
^
am, sLopler.e.t th_rac`on:^a fe ln- evmg dates,
1.
el: .r:he`,ear of 2007
=y .- ..CCla '
re ,ender periar ^.f oe- .- tha:
fc_eg-cwg :s true andcorect.
=xecc:ed at "_a-r_t -,eek- CzI-or^�„
Gntnis �1 ca' cf 'Ia`- �
^ature
Centra Ccsta -.-es
Box 4147
-inL- Cree<, C:: 9459e
[=25: 335-2525
Proz-o`: Pub'.cati-.c.:
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iattacned ; a ccp' c`. the:eca. ads-ar..ser.en:that
pub is:edi
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NOTICE OF
PUBLIC HEARING
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