Loading...
HomeMy WebLinkAboutRESOLUTIONS - 06271995 - 95-303 > t , f ,. THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on June -2 T,_,z 9 9 5 by the following vote: AYES: Supervisors Rogers , Desaulni.er, Torlakson and Bishop NOES: None ABSENT: None ABSTAIN: Supervisor Smith RESOLUTION NO. 95/303 SUBJECT: Amending Itemized Professional and Service Rate Charges for Contra Costa County Health Services Effective July 1, 1995. The Health Services Department has submitted a recommendation to amend the schedule of itemized service rate charges and fees and restate unchanged rates for County Health Services adopted by Board Resolution Number 95/232 dated May 23, 1995. The County Administrator has reviewed and recommended adoption of this proposed amendment. These recommendations have been considered by the Board and IT IS BY THE BOARD RESOLVED that an amended and restated schedule of itemized rate charges for the Health Services Department effective July 1, 1995, is established as follows: HOSPITAL INPATIENT Daily Rate for Routine Service Room and Board Pediatrics $ 788 * Medical Ward $ 735 * Transitional Care Unit $ 735 * Nursery Bassinet $ 522 * Intensive Care $2,146 * Total Unit Rate Obstetrics Fixed all inclusive @ Routine delivery $ 4,267 Routine delivery with tubal ligation $ 5,904 Prior or primary C-Section $ 9,632 @ Services included: 1. Medical/Social intake and orientation with Medical Social Worker. 2. Choice of Family Practice Physician a. all required lab work b. all required lab tests 3. Nutrition Class 4. Early Pregnancy Class 5. Labor and Delivery Care, including C-Section 6. Back-up consultation services for complications of pregnancy, labor and delivery (does not include transfer and care at high risk facility if necessary for mother or baby). 7. Neonatal care, including nursery care and pediatric consultation, if needed. 8. One PHN home visit. 9. One post-partum check with Family Physician, including birth control counseling. 10. Three return well-baby visits with Family Physician. *Rate Change ANCILLARY SERVICES Department Billing Unit Charge Anesthesiology 1st Hour $400.00 * Each Add'I 15 Minutes $ 100.00 * Pharmacy Cost Plus % Avg. Wholesale Price + Admin Fee Central Supply Cost Plus % Cost plus 400% Radiology Relative Value Units $ 42.50 * EKG Relative Value Units $ 12.16 * Laboratory (Hosp & P.H. Lab) Relative Value Units $ 2.54 * Rehab. Therapy OT/PT 30-Minute Intervals $ 137.55 * Speech 30-Minute Intervals $ 137.55 * Cardiopulmonary Relative Value Units $ 12.50 * Delivery Room 15-Minute Intervals $ 98.00 Surgery Recovery Room 1st Hour $400.00 * Each Add'I 15 Minutes $ 100.00 Operating Room 1st Hour $800.00 * Each Add'I 30 Minutes $350.00 * Cast Room Unit $ 150.00 PROFESSIONAL COMPONENT CHARGES PER RELATIVE VALUE UNIT BASED UPON THE CALIFORNIA MEDICAL ASSOCIATION RELATIVE VALUE STUDIES Charge Medicine $ 7.20 Surgery $175.90 Radiology $ 10.00 Anesthesiology $ 38.30 OUTSIDE SERVICES AND SUPPLIES Charge Nuclear Medicine Cost Plus 35% EEG Cost Plus 35% Blood Bank Cost Plus 35% Prosthesis Cost Plus 35% Laboratory Cost Plus CHS (CHS: Collection and Handling of Specimens) OUTPATIENT VISITS Family Practice Professional Use of Component Treatment Room Total New Patient Brief $ 35.00 * $ 45.00 * $ 80.00 * Expanded $ 55.00 * $ 50.00 * $ 105.00 * Detailed $ 74.00 * $ 50.00 * $ 124.00 * Comprehensive 1 $ 100.00 * $ 50.00 * $ 150.00 * Comprehensive II $ 125.00 * $ 50.00 * $ 175.00 * *Rate Change 2 Family Practice (cont.) Professional Use of Component Treatment Room Total Established Minimal $ 17.00 * $ 45.00 * $ 62.00 * Brief $ 30.00 * $ 50.00 * $ 80.00 * Expanded $ 42.00 * $ 50.00 * $ 92.00 * Detailed $ 60.00 * $ 50.00 * $ 110.00 * Comprehensive 1 $ 95.00 * $ 50.00 * $ 145.00 * Dental Care Per Fee Schedule Specialty/Others Professional Use of Component Treatment Room Total New Patient Brief $ 35.00 * $ 58.50 * $ 93.50 * Expanded $ 55.00 * $ 71.50 * $ 126.50 * Detailed $ 74.00 * $ 84.50 * $ 158.50 * Comprehensive 1 $ 112.00 * $ 97.50 * $209.50 * Comprehensive II $ 139.00 * $ 110.50 * $249.50 * Established Minimal $ 17.00 * $ 58.50 * $ 75.50 * Brief $ 30.00 * $ 78.00 * $ 108.00 * Expanded $ 42.00 * $ 91.00 * $ 133.00 * Detailed $ 64.00 * $ 104.00 * $ 168.00 * Comprehensive 1 $ 103.00 * $ 117.00 * $220.00 * Emergency Room Visits Brief $ 38.00 $ 60.00 $ 98.00 Limited $ 50.00 $ 85.00 $ 135.00 Expanded $ 81.00 $ 130.00 $ 211.00 Detailed $ 106.00 $ 175.00 $ 281.00 Comp ,Admit HX & PX $ 144.00 $ 215.00 $ 359.00 Photocop"ing Unit of Service Charge Copy-Subpoena Req. Per Page $ .10 Copy-All Other Papers Per Page $ .25 Microfilm Per Page $ .25 Staff Time Per Hour $ 16.00 Postage Actual Charge Cafeteria Avg. Charge $ 4.50 REGENCY HILLS CONVALESCENT HOSPITAL Unit of Service Charae Daily Room Rate Per Day $ 193.00 *Rate Change 3 ANCILLARY SERVICES Department Charge Pharmacy Cost Plus 300% Supplies Cost Plus 300% Laboratory Cost Plus 300% X-Ray Cost Plus 300% Physical Therapy Cost Plus 300% Occupational Therapy Cost Plus 300% Speech Therapy Cost Plus 300% Oxygen Cost Plus 300% MENTAL HEALTH PROGRAM SERVICES Unit of Service Charge Daily Room Rate Per Day $ 805.00 (Includes Professional Component) Rehab Option Rates Mental Health Services One Minute $ 2.10 Case Management One Minute $ 1.61 Medication Support One Minute $ 3.91 Crisis Intervention One Minute $ 3.16 Crisis Stabilization One Hour Increment $ 75.00 Day Care, Intensive Full Day $ 164.00 Day Care, Intensive Half Day $ 117.00 Day Care, Habilitative Full Day $ 106.00 Day Care, Habilitative Half Day $ 68.00 Adult Residential Patient Day $ 119.00 Crisis Residential Patient Day $ 243.00 Medical Detoxification Services (21-Day Proced.) New Patient (1 st 7 Days) Visit $ 16.50 New Patient (Days 8-12) Visit $ 10.50 Readmitted Patient (Days 1-12) Visit $ 10.50 Physician Re-examination Visit $ 20.00 DRUG ABUSE PROGRAM SERVICES Unit of Service Charge Residential Treatment Admission Fee Person $ 35.00 Residential Treatment Month $2,400.00 4 DRUG ABUSE PROGRAM SERVICES (cont.) Unit of Service Charge Drug Free Outpatient Clinic I reatment Individual Intake/Assessment Visit $ 165.00 Individual Counseling Visit $ 108.00 Collateral Service Visit $ 108.00 Group Counseling Visit $ 42.00 Acupuncture Treatment Visit $ 108.00 Medical Assessment/ Physical Exam Visit $ 108.00 Outpatient Drug Free (Composite State Charge) Visit $ 108.00 Maintenance Visit $ 10.00 DRUG ABUSE PROGRAM SERVICES (cont.) Unit of Service Charge PC 1000 Drug Diversion Prograrrr Board Rates Assessment Person $ 40.00 Level Person $ 310.00 Level 11 Person $ 510.00 Level III Person $ 860.00 Level IV Person $ 1,220.00 ALCOHOL PROGRAM SERVICES Unit of Service Charge Alcohol Information for Referral Service (AIRS) Individual Intake/Assessment Visit $ 165.00 Individual Counseling Visit $ 108.00 Collateral Service Visit $ 108.00 Group Counseling Visit $ 42.00 Medical Assessment/ Physical Exam Visit $ 108.00 Outpatient Drug Free (Composite State Rate) Visit $ 108.00 Driving Under the Influence Program 1 st Offender (Level 1) Person $ 404.00 1 st Offender (Level 11) Person $ 593.00 2nd Offender Person $1,434.00 *Rate Change 5 HOME HEALTH AGENCY Unit of Service Service Charge Skilled Nursing Visit $ 147.00 Physical Therapy Visit $ 141.00 Speech Pathology Visit $ 146.00 Occupational Therapy Visit $ 140.00 Medical Social Service Visit $ 203.00 Home Health Aides Hour $' 79.00 HEALTH PLAN Unit of Service Charae Medicare Premium Senior Health Basic Individual $ 41.00 Senior Health Individual $ 55.00 Senior Health Plus 40 Individual $ 88.00 Senior Health Plus 50 Individual $ 93.00 Commercial Group and Individual Premium Monthly Revenue Monthly Premium $ 105.98 Requirement for Health Care Costs RATE AMENDMENTS: Authorize the Health Services Director or his designee to establish specific premium rates for commercial groups and individuals including Senior Health members; use the "community rating by class" rate determination process for large groups; include an additional monthly premium factor for administrative cost loading; increase the revenue requirement as appropriate by an amount not to exceed 1% cumulative per month. PUBLIC HEALTH Charge Description Family Planning Pregnancy Test $ 15.00 Non Eligible $ 80.00 New membership -first year Non Eligible $ 75.00 Annual membership renewal Male visits and supplies $ 9.00 Child Screening $ 10.00 Children up to 2 years of age over 200% of poverty . $ 15.00 Children between 2 and 12 years of age over 200% of poverty $ 20.00 12 years of age and older over 200% of poverty Scoliosis Screening $ 1.50 Each (agreement with school district) Immunization *Rate Change 6 PUBLIC HEALTH (cont.) Charge Description Typhoid $ 10.00 Each Stamping of International Travel Cards $ 5.00 Each Childhood Immunizations $ 5.00 Each person, not to exceed $10.00 per family Measles Vaccine (second $ 5.00 Each under 200% of poverty shot) $ 26.00 Each over 200% of poverty Immunization Record (duplicate) $ 5.00 Each Flu Immunization $ 5.00 Each Elderly Flu Shot $ 5.00 Requested Hepatitis B 1-19 yrs. old Cost Each 20 yrs & older Cost plus $15.00 Each Admin. Occupational Risk $155.00 Each series T.B. Skin Testina P.P.D. $ 10.00 Includes reading but no charge for contacts Venereal Disease $ 20.00 Clinic attendance for any sexually transmitted disease Nutrition Services $ 52.00 Per hour consultation fee Occupational Health Svc Cost + 10% Each Lab Tests Cost + 10% * Each Rabies (low risk animal tests on request) $ 80.00 Each Health Education Material Cost + 10% (i.e., videos, posters, pamphlets, t-shirts, etc.) Vital Statistics (certified copies) Death and Fetal Death $ 9.00 Birth - General Public $ 16.00 Birth - Government Agency $ 9.00 Permit for Disposition of Human Remains - Regular $ 7.00 - After Hours $ 7.00 - Cross Filing $ 10.00 *Rate Change 7 *Rate Change 8 ENVIRONMENTAL HEALTH (cont.) CONSUMER PROTECTION PROGRAM (cont.) Owners of businesses requesting a prorated refund must do so in writing within thirty days of sale or discontinuance of business. In the case of a business that has been sold, the owner must include in the written request for a refund the name, address and telephone number of the person to whom the business was sold. SOLID WASTE PROGRAMS Local Enforcement Agency Program: Solid Waste Tonnage Fee $1.00/ton Solid Waste Facility Permit Application/Review Fee (see note) $ 900.00 NOTE: Permit application/review fee includes 10 hours of service time. An additional deposit fee may be required when initial deposit has been expended. Medical Waste: Permit/Plan review (new facility/permit revision) $ 360.00 * Additional review $ 90.00/hr * Health Care Service Plan Facility $ 463.00 Medical/Dental/Veterinary Clinic (> 200 lbs./month) $ 360.00 * Medical/Dental/Veterinary Clinic (< 200 lbs./month) $ 45.00 * Primary Care Clinic $ 463.00 Intermediate Care Facility $ 390.00 Acute Psychiatric Hospital $ 360.00 * Acute Care Hospital (251 + beds) $ 1,840.00 Acute Care Hospital (200-250 beds). $ 1,315.00 Acute Care Hospital (100-199 beds) $ 1,128.00 Acute Care Hospital (1-99 beds) $ 791.00 Skilled Nursing Facility (> 200 lbs./month) $ 360.00 * Skilled Nursing Facility (< 200 lbs./month) $ 45.00 * Specialty Clinics $ 463.00 Clinical Lab (> 200 lbs./month) $ 360.00 * Clinical Lab (< 200 lbs./month) $ 45.00 * Biomed Producer (> 200 lbs./month with on-site treatment) $ 450.00 * Biomed Producer (> 200 lbs./month) $ 360.00 * Biomed Producer (< 200 lbs./month with on-site treatment) $ 360.00 * Biomed Producer (< 200 lbs./month) $ 45.00 * Common Storage Facility (50 + generators) $ 649.00 Common Storage Facility (11-49 generators) $ 360.00 * Common Storage Facility (2-10 generators) $ 270.00 * Transfer Station (> 200 lbs./month) $ 373.00 Transfer Station (< 200 lbs./month) $ 360.00 * Limited Quantity Hauling Exemption $ 90.00 * Reinspection Fee (per hour) $ 90.00 * Certification Application Fee $ 30.00 * Solid Waste - Mandatory Service Exemption $ 90.00/hr * *Rate Change 10 ENVIRONMENTAL HEALTH (cont.) LAND USE PROGRAMS FEES FOR THE INSTALLATION OF INDIVIDUAL SEWAGE DISPOSAL SYSTEMS, WATER WELLS AND SUBDIVISIONS OF LAND In order to obtain approval for installation or repair of systems, the following fees must be paid prior to any inspection or investigation of an individual parcel or minor subdivision. IMPORTANT: Permit fees include a non-refundable $30.00 * application fee and up to 2-1/2 hours of inspection and travel time. Thereafter, time is charged at the rate of$90.00/hr. or the time and 1/2 overtime rate after normal business hours. A(') indicates when an additional or separate $30.00 * initial application fee is required. General: Fee Percolation test $ 611.00 * Individual_Wells: Fee Permit for construction and/or reconstruction for individual wells, including monitoring wells $ 272.00 * Site evaluation (minimum one-hour charge)(') $ 90.00/hr Permit for soil borings (per parcel) $ 272.00 * Review of an existing individual water system/well $ 90.00/hr Inspection permit for abandoning and sealing of well (fee includes only one hour staff time) $ 120.00 * Inspection permit for abandoning and sealing well when done at same inspection of replacement well No Charge Wells and Soil Borings: A well is any artificial excavation constructed by any method for the purpose of extracting water from, or injecting water or other liquid into the ground, for observation of groundwaters for any reason, for the exploration of the subsurface of the earth, for removal of substances from soil or groundwater, or for cathodic protection. This definition shall not include oil or gas wells or geothermal wells constructed under the jurisdiction of the State Department of Conservation except when such wells are converted to use as a well. This definition includes environmental and geotechnical wells. A soil boring is an uncased artificial excavation constructed by any method for the purpose of obtaining information on subsurface conditions or for the purpose of determining the presence or extent of contamination in subsurface soils or groundwater. This definition includes environmental and geotechnical borings, test holes, test wells and exploration holes. Individual Sewage Disposal Systems: Fee Permit $ 297.00 Site evaluation (one hour minimum charge) $ 90.00/hr Reinspection $ 90.00 Septic system abandonment permit (fee includes only one hour staff time) $ 120.00/hr Minor repair permit (fee includes only one hour staff time) $120.00/hr Subdivisions- Land Use Projects: Community Development Department (CDD) report reviewed $ 90.00/hr for Land Use Permits, rezoning, developmental plans, EIR review, lot line adjustments, and CDD variance requests. 4 Rate Change 11 ENVIRONMENTAL HEALTH (cont.) LAND USE PROGRAMS (cont.) Liquid Waste Disposal Permits: Fee Septic tank/chemical toilet cleaner- business $ 270.00 Septic tank/chemical toilet cleaner- vehicle $ 90.00 Small Water Systems Permits: Non-community surface water system $ 315.00 Non-community, non-transient ground water system $ 400.00 Non-community, non-transient ground water with treatment system $ 400.00 Non-community, non-transient surface water system $ 400.00 Community ground water system (15-24 connections) $ 263.00 Community ground water system with treatment (15-24 connections) $ 263.00 Community surface water system (15-24 connections) $ 263.00 Community ground water system (25-99 connections) $ 420.00 Community ground water system with treatment (25-99 connections) $ 420.00 Community surface water system (25-99 connections) $ 420.00 Community ground water system (100-199 connections) $ 525.00 Community ground water system with treatment (100-199 connections) $ 525.00 Community surface water system (100-199 connections) $ 525.00 Local small water system $ 135.00 * State small water system $ 230.00 * Non-community ground water system $ 315.00 Non-community ground water system with treatment $ 315.00 Public Water Systems - Plans Review: New community water system (') $ 500.00 New non-community water system $ 300.00 Amended permit because of ownership change $ 150.00 Amended permit because of system change (') $ 250.00 Enforcement actions pertaining specifically to small water systems $ 90.00/hr Plan Check : Plan check deposit fees 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. Ordinance Code of Contra Costa County, Section 414-4.1019 Enforcement- Penalties. Any person violating this chapter or regulations issued hereunder, by failing to submit plans, obtain necessary inspections and approvals, or pay fees, or by commencing or continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a penalty and remain subject to other applicable penalties and enforcement procedures authorized by the state law and/or this code. *Rate Change 12 ENVIRONMENTAL HEALTH (cont.) HAZARDOUS MATERIAL SECTION — SERVICE FEES HAZARDOUS MATERIAL AB2185 PROGRAM: These fees are applicable to the calendar year and are billed to the business in the fourth month following the close of the calendar year. Fee structure for businesses required to submit a "Hazardous Material Business Plan" under Federal Sara Title III Program and the California Hazardous Materials Release Response and Inventory Program (AB 2185). Hazardous Material Inventory Fees: Number of Employees Lbs. of Material Fee 0-4 > (A) 500K $ 183.00 5-9 < 500K $ 340.00 10-19 and < 500K $ 456.00 220 and < 10K $ 456.00 - .,20 56.00 *220 and 2 10K - < 100K $ 856.00 220 and 2 100K - < 250K $ 1,705.00 220 and 2 250K - < 500K $ 3,194.00 N/A 2 500K - < 2.5M $ 7,644.00 N/A 2 2.5M - < 10M $ 15,058.00 * N/A 2 10M - < 100M $ 24,659.00 * N/A 2 100M - < 1B $ 32,878.00 * N/A 21B - < 5B $ 41,097.00 * N/A 2 5B $ 72,756.00 * All marine terminals and tank farms with secondary containment storing greater than or equal to 10 million pounds of hazardous materials $ 20,659.00 * All oil refineries and all Class 1 off-site hazardous waste disposal sites $ 72,756.00 * (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. An annual AB2185 fee will be computed on the inventory of hazardous material listed in the Business Plan then prorated by the number of months covered by the Business Plan. Discontinuance or Sale of Business: Upon discontinuance or sale of a business, the owner/operator is required to file a'Business Plan for the period between the ending date of the preceding business plan to the month in which the business activity ceased or the business was sold. The annual AB2185 fee will be computed on the inventory of hazardous material listed in the Business Plan then prorated by the number of months covered by the Business Plan. The fees shall be non-transferrable, non-refundable and set on a facility basis. 13 ENVIRONMENTAL HEALTH (cont.) HAZARDOUS MATERIAL AB2185 PROGRAM (cont.) Additional administrative fees of 25% may be assessed for: 1. Failure to respond to inquiries relating to compliance with these resolutions. 2. Late filing of business plans, beyond a 30-day notice of non-compliance. 3. Failure to pay the fee in a timely manner. The administering agency reserves the right to adjust the fees dependent on total program 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. RISK MANAGEMENT PREVENTION PROGRAM (RMPP) Pursuant to Health and Safety Code Section 25535.2, annual fees are established to be collected from each business which may be required to submit an RMPP pursuant to Health and Safety Code Article 2 (Section 25531 et seq.). The fee assessed is based on the risk ranking assigned to the business as follows: Risk Ranking Annual Fee Greater than 400 $15,600.00 * 200-400 $ 7,800.00 * 100-199 $ 3,900.00 * 1-99 $ 780.00 * 0 $ 312.00 * If it is determined that a particular business will not be required to prepare an RMPP (as explained in the RMPP exemption policy), the annual fee will be reduced to $65 to cover administrative processing expenses. To determine if a facility is exempt, there is a one-time fee of$500 per acutely hazardous material per process. If a business is a non-profit business, their fee will be 10% of the fee based upon the business' risk ranking. For each additional substantially identical facility, the business will be charged full price for the first facility and 10% of that fee for each additional facility. A delinquency charge of 25% * shall be assessed for failure to pay the fee within 30 calendar days following the date of mailing by the Director of Health Services. UNDERGROUND STORAGE TANK PROGRAM Underground Storage Tank Annual Permit: (Tanks which do not have secondary containment and continuous monitoring equipment) Fees Description $120.00 Single tank of 1,000 gallons or less used solely in connection with the occupancy of a residence (a) First tank of 50,000 gallons or less •Rate Change 14 ENVIRONMENTAL HEALTH (cont.) UNDERGROUND STORAGE TANK PROGRAM (cont.) $210.00 Basic fee for tank of 50,000 gallons or less $440.00 Each tank of 50,000 gallons or more (a) In addition to the basic fee, a surcharge of$125 is applicable on the tank at each site with or without secondary containment; which has the earliest installation date. Underground Storage Tank Annual Permit Installed After January 1. 1984: (Tanks which have secondary containment and continuous monitoring equipment) Fees Description $ 60.00 Single tank of 1,000 gallons or less used solely in connection with the occupancy of a residence (a) First tank of 50,000 gallons or less $170.00 Basic fee for tank of 50,000 gallons or less $300.00 Each tank of 50,000 gallons or more (a) In addition to the basic fee, a surcharge of$125 is applicable on the tank at each site with or without secondary containment; which has the earliest installation date. Underground Storage Tank 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: Fees Description $450.00 New tank facility, first tank $ 90.00 Each additional tank Underground Storage Tank Removal, Temporary Closure or Abandonment: Fees Description $120.00 Single tank of 1,000 gallons or less, located at a residence and used solely in connection with the occupancy of that residence $280.00 First tank at a site $120.00 Each additional tank Inspection and Plan Review for Piping Replacement or Modification: Fees Description $330.00 Plan review and inspection of pipe replacement or repair, including the installation of overfill protection equipment and corrosion control devices Permit Amendment or Transfer: Fees Description $ 60.00 Permit amendment or transfer fee Underground Tank Modification. Repair or Lining Permit: Fees Description $260.00 Includes review and inspection not exceeding four hours of staff time $ 90.00 For each additional hour or fraction thereof of staff time 15 ENVIRONMENTAL HEALTH (cont.) UNDERGROUND STORAGE TANK PROGRAM (cont.) Contaminated Site Fee: Fees Description $ 90.00 Each hour or fraction thereof of service delivered by the County Health Services Department in connection with the characterization or remediation of site contaminated by discharge of a hazardous substance, material or waste, if the owner, operator, or other responsible person in charge of the site requests assistance from the County or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety Reinspection or Time Use: Fees Description $ 90.00 Each hour or fraction thereof of staff time provided shall be charged in the following cases: a. More than one inspection or two hours of onsite time is required in the case of tank removals b. More than two inspections or four hours of onsite time is required in the case of tank installations c. More than one reinspection is required to determine compliance 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: Fees Description $ 90.00 Each hour or fraction thereof of staff time shall be charged to any consulting firm, realtor, lending institute or other commercial enterprise for services performed in complying with document research requests for these enterprises. Penalties: The following penalties shall be applied and collectible from parties responsible for the following actions: Penalty a) Failure to pay any fee in a timely manner 25% penalty b) Failure to file and report change in ownership or operator of an underground tank(s) $500.00 These penalties are in addition to those that may be imposed under any other underground tank regulation. 16 ENVIRONMENTAL HEALTH (cont.) INCIDENT RESPONSE Fees Description $ 90.00 Each hour or fraction thereof of service time delivered by the County Health Services Department in connection with the characterization or remediation of site contamination by discharge of a hazardous substance, material or waste, if the owner, operator or other responsible person in charge of the site requests assistance from the County or where an inspection or an emergency response is necessary to verify compliance with State and County regulations or to assure public safety. This includes responses to illegal drug labs. $135.00/$180.00 In addition to the regular hourly rate, a charge for overtime (1-1/2 or 2 times the regular hourly rate) as applicable and for the cost of emergency vehicles used in connection with the remediation of site contamination EMERGENCY MEDICAL SERVICES AGENCY Emergency Medical Technician (EMT-1) Fee Certification $15.00 Recertification $15.00 Lost/Stolen Credit Card $10.00 Emergency Medical Technician-P (Paramedic) Certification and Accreditation $50.00 Recertification and Reaccreditation $40.00 Certification or Recertification Only $35.00 Mobile Intensive Care Nurse (MICN) Authorization $25.00 Reauthorization $20.00 WAIVER,: The Health Officer or his designee may waive any of these fees in any individual case in which he determines that the advancement and protection of the public health will be better served thereby and that these considerations outweigh the County financial interests in collecting the fee. FEE AMENDMENTS: The Health Services Director or his designee may increase or decrease as needed, any specific fee by not more than 10% during the next twelve-month period, except those fees set by Federal/State statute or regulation shall be effective concurrent with the date specified in the applicable statute or regulation regardless of the amount of increase or decrease. The Health Services Director or his designee is authorized to adjust, waive or compromise the fee amount in those cases in which he determines that it is cost effective to do so. :mg 1 hereby certify that this Is a true and correct Copy of Orl Administrator an action taken and entered on the minutes of the 9 `r Coun+., Board of Supe, u tsors on the date shown. cc: Health Services Director ATTESTED: 1. lqcqfl Health Services Administration PHIL WICHELOR,Cierk of the Board County Counsel super and Cou dministrator County Auditor Byoil >Deputy Contact: Patrick Godley (370-5005) 17