Chapter 9.49 — ENVIRONMENTAL HEALTH SERVICE FEES

ENVIRONMENTAL HEALTH SERVICE FEES

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Food Program $ Rate/Frequency
Food facility with food preparation (i.e. restaurants, delicatessens):
0–49 seats 442/year
50–149 seats 619/year
>150 seats 760/year
Hotel/motel continental breakfast only 256/year
Bar 475/year
Bakery 475/year
Cafeteria 475/year
School cafeteria other-warehouse 398/year
Commissary 475/year
Satellite food distribution facility 239/year
Restricted food service transient occupancy establishment (bed and 475/year
breakfast)
Cottage food operation Class A 66/year
Cottage food operation Class B 264/year
Farmers market (certified) 239/year
Produce stand 239/year
Farm stand 264/year
Produce vehicle 119/year
Food borne illness investigation 118/hour
Vending machines (per machine)*
1–5 at location 23/year
6 or more at one location 13/year
*Excludes machines with food or beverage which are not potentially hazardous pursuant to
Health & Safety Code (HSC) Section 113938.
Mobile food facility:
Mobile food facility (basic cart) with packaged non-potentially 199/year
hazardous or commercially packaged frozen foods (i.e. produce,
baked goods, packaged ice cream bars, packaged frozen meat)
Mobile food facility (intermediate cart) with packaged potentially 231/year
hazardous food (i.e. hot food sales), sales of raw fish

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Food Program $ Rate/Frequency
Mobile food facility (advanced cart) with non-potentially 264/year
hazardous food preparation, preparation of hot dogs or coffee-
based drinks with milk as an ingredient (i.e. snow cones, fresh
popped popcorn, cotton candy, churros)
Mobile food facility (deep fat fryer, and/or cooked to order carts) 475/year
Single operating site mobile food facility w/non-potentially 133/year
hazardous food
Single operating site mobile food facility w/potentially hazardous 199/year
food
Mobile support unit 239/year
Mobile food facility (Food Preparation Unit) 657/year
Food bank/pantry 133/year
Temporary food facility:
Temporary food facility operating at a weekly or monthly 398/event
community event less than 25 consecutive or non-consecutive
days in any 90-day period
Temporary food facility—low risk single event 34/event
Temporary food facility—low risk annual fee 173/year
Temporary food facility—high risk single event 99/event
Temporary food facility—high risk annual fee 493/year
Community event organizer:
2–5 temporary food facilities 177/event
6–15 temporary food facilities 295/event
16–25 temporary food facilities 413/event
26+ temporary food facilities 649/event
Swap meet prepackaged food stands 221/year
Swap meet/flea market organizer fee:
2–5 facilities 194/year
6–15 facilities 321/year
16—25 facilities 451/year
26+ facilities 710/year
Retail market (grocery store):
<300 sq. ft. (Pre-packaged, non-hazardous food) 33/year
<2,000 sq. ft. 356/year
2,001–6,000 sq. ft. 475/year

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Food Program $ Rate/Frequency
6,001–15,000 sq. ft. 715/year
15,001–30,000 sq. ft. 1,002/year
>30,001 sq. ft. 1,174/year
Licensed health care facility:
16-99 beds 475/year
100-199 beds 715/year
200+ beds 955/year
Plan checks:
Prepackaged food/equipment remodel (2.5-hour minimum, each 295/each
additional hour at hourly rate)
Unpackaged food, food preparation (7-hour minimum, each 826/each
additional hour at hourly rate)
Hazard analysis critical control point (HACCP) plan review 413/each
(3.5-hour minimum, each additional hour at the hourly rate)
Re-inspection fee 118/hour
Multiple food establishment fees:
Fees shall be set on any premises with multiple food establishments operating under the same
business name/ownership, and shall pay the following fees: 100% of annual fee for the type
of establishment with the highest prescribed fee, and 70% of each remaining fee. Mobile food
facilities and retail food vehicles shall not be included as multiples and shall pay the standard
fees.

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Organic Waste/Edible Food Recycling $ Rate/Frequency
Facilities meeting the definition of a Tier 1 facility or a Tier 2 118/year
facility (MCC § 9.06.030) that already have a permit and a
scheduled inspection shall pay in addition to the Health Permit Fee
Facilities meeting the definition of a Tier 1 facility or a Tier 2 236/year
facility (MCC § 9.06.030) shall obtain a Health Permit and shall
pay the following fees
Housing Program $ Rate/Frequency
Hotel/motel:
Confirmed complaint 118/hour
Clearance of substandard housing/posted building 955/each

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Public Water System Program $ Rate/Frequency
State small water systems (5–14 connections) 291/year
Permit application—Initial 194/each
Public well construction permit and installation inspection (no 806/each
water samples)
Private Water System Program $ Rate/Frequency
Domestic well permit and installation inspection (to include 836/each
bacteriological and chemical water samples)
Other well permits and installation inspections 283/each
Domestic surface water system approval 806/each
Low temperature geothermal well permit (per site) 329/each
Monitoring and test well permits 252/each
Each additional monitoring/test well per assessor's parcel 48/each
number/project
Soil boring and test hole permits 252/each
Each additional soil boring/test hole per assessor's parcel number/ 48/each
project
Out-of-service well permit 221/each
Reconstruction of existing well permit 221/each
Water well destruction permits:
Permit obtained with well construction permit 58/each
Permit obtained without construction permit 221/each
Permit obtained after 30 days of date on written notice* 705/each
Monitoring well permit (first) 221/each
Each additional well per assessor's parcel number/project 58/each
* When a violation letter is issued requiring a well to be destroyed under permit by a specific
date, the higher fee will be charged if the permit is obtained more than 90 days past the
destruction due date indicated in the violation letter.

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Public Swimming Pool Program $ Rate/Frequency
Public pool (year-round) 715/year
Public pool (seasonal) 356/year
Each additional pool per site or facility 159/year
Reopening of closed pool 475/each

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Public Swimming Pool Program $ Rate/Frequency
New pool plan check: (5.5-hour minimum, each additional hour at 649/each
the hourly rate)
Pool renovation plan check (3-hour minimum, each additional hour 354/each
at the hourly rate)
Water activity park 1,192/year
Liquid Waste Program $ Rate/Frequency
Septic tank/chemical toilet cleaning business 239/vehicle/year
Sewage system permit (new or repair) 592/each
Special sewage system permit 950/each
Septic tank abandonment permit 473/each
Septic tank abandonment permit with new system 239/each
Reclamation wastewater permit 239/year
Greywater permit 354/year
Zone of benefit sewage inspection 118/hour
Sludge Program $ Rate/Frequency
Sludge Management Plan 2,544/each
Sludge Site 1,906/each
Permit Sludge Appeal 955/each
Sludge Monitoring 118/hour
Solid Waste Program $ Rate/Frequency
Facilities/Operation Notification Registration Full Permit
Agricultural material composting operation 381/year — —
Green material composting operations and facilities 381/year — —
Biosolids composting facility — — 6,808/year
Research composting operation 381/year — —
Chipping and grinding operations 381/year 760/year 2,382/year
Construction inert demolition processing operations
Small volume 381/year — —
Medium volume — 760/year —
High volume — — 2,382/year
Agricultural waste disposal permit (per facility) — — 381/year

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Wrecked, Abandoned Vehicle Program $ Rate/Frequency
Abandoned vehicle 118/hour*
Abandoned vehicle removal <14,000 pounds 145/each
Abandoned vehicle removal >14,000 pounds 291/each
* If the responsible party for the vehicle is determined.

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Hazardous Material Waste Program $ Rate/Frequency
Underground storage tanks:
Operating permit—underground storage tanks (UST)* :
New or existing facility and first tank 660/year
Each additional tank 119/year
Existing facility with < 3,000 gallons total capacity 409/year
Permanent closure (per tank) 1,032/each
Temporary closure (per tank) 1,032/each
Major modification permit (per facility) 1,032/each
Minor modification permit (per facility) 386/each
Installation permit (per facility) 1,032/each
Each additional tank 148/each
Remediation 118/hour
* Includes business plan fee
Hazardous waste generators:
Small quantity generators (less than 2,199 pounds/month) 239/year
Large quantity generators (greater than 2,200 pounds/month) 955/year
Small quantity generators of waste oil, oil filters, radiator fluid 133/year
only (less than 2,199 pounds/month)
Large quantity generators of waste oil, oil filters, radiator fluid 159/year
only (greater than 2,200 pounds/month)
RCRA large quantity hazardous waste generator 1,112/year
Tiered permits:
Conditionally exempt 174/year
Conditionally authorized 698/year
Permit by rule 698/year
Business plans:

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Hazardous Material Waste Program $ Rate/Frequency
Hazardous material storage permit: (For storage of any hazardous material above these
threshold limits – 500 pounds solid; 55 gallons liquid; or 200 cubic feet of gas at standard
temperature and pressure (STP). The threshold for an asphyxiating non-flammable gas or
medical gas (oxygen or nitrous oxide) is greater than or equal to 1,000 cubic feet; the
threshold for an irritant or sensitizer solid or liquid is 5,000 pounds.
1–5 chemicals 159/year
1–5 chemicals (large volume/high risk)* 317/year
6 or more chemicals 317/year
6 or more chemicals (large volume/high risk)* 556/year
* If business stores greater than 2,000 pounds, 220 gallons or 800 cubic feet of gas at STP
and/or stores any acutely hazardous material.
California Accidental Release Program (Cal/ARP) Risk
Management Plan (RMP)
RMP application review and approval (3 hours minimum, each 354/each
additional hour at hourly rate)
Cal/ARP annual operating fee 1,587/year
Remedial action/oversight of hazardous waste site 118/hour
Hazardous material/waste investigation/response 118/hour
Aboveground storage tank program
10,001–100,000 gallons 308/year
100,001–1,000,000 gallons 308/year
1,000,001–10,000,000 gallons 308/year
10,000,001–100,000,000 gallons 308/year
Medical Waste Program $ Rate/Frequency
Small quantity generators (with no on-site treatment) 76/year
Small quantity generators on-site treatment (less than 200 pounds/ 149/year
month)
Common storage facility serving:
2–10 generators 303/year
11–49 generators 752/year
50 or more generators 1,509/year
Large quantity generator (200 or more pounds/month):
Acute care hospital
1–99 beds 1,814/year

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Medical Waste Program $ Rate/Frequency
100–99 beds 2,598/year
200–250 beds 3,319/year
251 or more beds 4,224/year
Acute care hospital with onsite treatment pays the additional fee
of:
1–99 beds 907/year
100–250 beds 1,509/year
251 or more beds 3,017/year
Specialty clinic (surgical, dialysis, etc.) 1,055/year
Skilled nursing facility:
1–99 beds 830/year
100–199 beds 1,055/year
200 or more beds 1,207/year
Acute psychiatric hospital 608/year
Intermediate care facility 907/year
Primary care clinic 1,055/year
Clinical laboratory (licensed) 608/year
Health care service plan facility 1,055/year
Veterinary clinic or hospital 608/year
Medical/dental/veterinary office 608/year
Large quantity generator with on-site treatment additional fee 907/year
(except for acute care hospitals)
Plan review for on-site treatment 118/hour
Limited quantity haulers
1—4 haulers 119/year
Each additional hauler over 4 (25 max total) 43/year
Tattooing, body piercing, permanent cosmetics, or ear piercing:
Body art facility permit 715/year
Practitioner annual registration fee 100/year
Ear piercing notification fee (one-time) 49/year

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Animal Confinement Facility Program $ Rate/Frequency
Cow dairy fees * (based on the number of milk cows):
Less than 300 milk cows 204/year
300–699 milk cows 408/year
700–1,499 milk cows 664/year
1,500 + milk cows 1,225/year
Feedlots goat dairies 460/year
Hog/swine/horse/sheep/lamb animal confinement facilities 308/year
Poultry (facilities with potential to discharge) 460/year
Retention pond/settling basin construction permit fee 460/each
* Facilities certified under a quality assurance program approved by the State Water Resources
Control Board will receive a 25% fee reduction. Annual fees will be charged for facilities that
are required to be regulated through waste discharge requirements.

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Miscellaneous Fees $ Rate/Frequency
Photocopy charges per page (if greater than 50 pages) In addition, .26/copy
copies in excess of 50 pages may be charged for filing and copying
time at the hourly rate.
Environmental sampling (lab cost plus):
Water 54/per event
Soil 54/per event
Sludge 54/per event
Plant 54/per event
Manure 54/per event
Hazardous Waste 54/per event
Other sample type handling fee 54/per event

Services And Costs Not Specifically Described

A service fee based on a per hour fee of $118.00 or $177.00 for overtime or costs (cleanup, laboratory costs, etc.) may be charged for services or costs rendered by personnel or contractors of the Division of Environmental Health that are necessary to the performance of their duties as required by law, not specifically described in this Ordinance (e.g. smoking enforcement, drug lab response, solid waste, and other types of environmental health activities).

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Inspection Frequency $ Rate/Frequency
Facilities, as identified below, which are assessed an annual operating permit fee and then
receive less than the minimum inspection frequency, will be exempt from fees the next fiscal
year, if adequate staffing was available during the period of time that the inspection(s) were
missed.
Food facility:
Restaurant 1/year
Market 1/year
Mobile food facility 1/year
Hotel/motel Inspected on a complaint
basis only
Public pool:
Seasonal 1/year
Year round 2/year

Pro-Rated Fees For New Businesses

The annual fee shall be pro-rated by month except for mobile food facilities, mobile support units, temporary food facilities, and state fees.

Reinspection Fees

A reinspection is a follow-up inspection. A fee may be charged for each reinspection needed to ensure or confirm correction of documented violations.

Except when otherwise specified, all services in this Ordinance, which are charged at an hourly rate, are 1-hour minimum and charged in half hour increments thereafter.

Late Fees/Failure To Obtain Permit/Suspended And Revoked Permit Fees

Any fee not paid within 30 days of the initial billing will incur a penalty of 25% of the initial fee. If the fees are not paid within 60 days of initial billing, the initial fee will be doubled. Fees not paid after 90 days of the initial billing will be forwarded to Revenue and Reimbursement.

Any person who fails to obtain any required construction and/or operating permit prior to commencing work or operation may be subject to closure of the facility or stoppage of work and must pay the original permit fee and a penalty of three times the regular or full annual permit fee.

Late Fees/Failure To Obtain Permit/Suspended And Revoked Permit Fees

The suspended permit reinstatement fee shall be $460.00 in addition to the fee for reinspection.

In order to reopen a facility after permit revocation, the full annual fee and reinspection fee must be paid.

As a condition for the issuance of a permit, the permittee must have clearance from the appropriate planning agency to operate. Failure to obtain the appropriate clearance from the planning agency will result in suspension of the permit.

Consumer Price Index Adjustment

All Environmental Health fees referenced in this section, with the exception of Stateestablished surcharges, shall be adjusted as of July 1 of each year based on the percentage change in the Consumer Price Index, All Urban Consumers (All Items), for the West Urban area, with the Standard Reference Base (December 1996=100), or closest corresponding reference base as may be updated, and as published by the United States Department of Labor, Bureau of Labor Statistics. The "annual average" percentage published by the Bureau of Labor Statistics will be used to determine the maximum annual increase. This percentage, which is calculated at the end of each calendar year, is available in January following the end of the previous calendar year. If reasonable program costs exceed the maximum annual increase, an additional fee increase may be established by ordinance of the Board of Supervisors. Fees will be rounded to the nearest whole dollar.

(Ord. 1762 § 1, 2005; Ord. 1797, 2006; Ord. 1804, 2007; Ord. 1820 § 1, 2007; Ord. 1847 § 1, 2008; Ord. 1862 § 1, 2009; Ord. 1871 § 1, 2010; Ord. 1885 § 1, 2011; Ord. 1898 § 1, 2012; Ord. 2022 § 1, 2022)

All clinical fees will be set at the published Physician Medicare Fee Schedule. In those cases where there are no published rates in any of these programs, fees will be established at costs plus the administrative fee applicable to the service provided as detailed in the Physician Medicare Fee Schedule.

Clinical fees may be discounted or waived when grant special funding is available to cover the costs of program services.

Clients who do not have insurance and do not otherwise qualify for grant funded programs may qualify for discounted services based on the department of public health's sliding fee schedule. Eligibility for the sliding fee schedule is based on client income disclosure and Federal Poverty Level Guidelines.

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All Clinical Services
Income less than 100% federal poverty level 0%
Income less than 200% federal poverty level 25%
Income less than 250% federal poverty level 50%
Income less than 300% federal poverty level 75%
Income more than 300% federal poverty level 100%

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All Clinical Services
California Childrens Service (CCS)—Medical Therapy Unit
X3908 Physical therapy initial treatment State
X3910 Physical therapy treatment State
X3920 Physical therapy initial evaluation State
X3922 Physical therapy evaluation State
X3926 Physical therapy initial case conference State
X3930 Physical therapy case conference State
X3928 Physical therapy consultation State
X3932 Physical therapy field visit State
X3934 Physical therapy mileage State
X3936 Physical therapy unlisted services State
X4110 Occupational therapy initial treatment State
X4112 Occupational therapy treatment State
X4110 Occupational therapy initial evaluation State
X4102 Occupational therapy evaluation State
X4104 Occupational therapy initial case conference State
X4106 Occupational therapy case conference State
X4114 Occupational field visit State
X4116 Occupational therapy mileage State
X4118 Occupational therapy unlisted services State
Other Fees
Birth and death certificates State
Disposition of remains permit State
Photocopy charge per page 0.25 per page
Photocopy of medical record file with written release 15.00
Car seat class 25.00 per attendee
Car seat class—violators 50.00 per attendee
Car seats Cost
Each additional car seat 25.00
Patient medical marijuana identification card 100.00
Patient medical marijuana identification card, Medi-Cal 50.00
Caregiver medical marijuana identification card 100.00
Caregiver medical marijuana identification card, Medi-Cal 50.00

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All Clinical Services
Emergency medical marijuana identification card 100.00
Emergency medical marijuana identification card, Medi-Cal 50.00

Waiver of Fees

The director of public health may waive any clinical or other fee on a case-by-case basis or for specific events if such waiver is determined to be in the best interest of protecting and promoting the public health of the county. All fees shall be waived for any persons identified as a contact in relation to an epidemiological investigation and who is mandated by health department staff to present for medical treatment for the subject communicable disease. All fee waivers must be documented in writing either for specific events or in the individual medical record.

Collection of Fees

Clinical and other fees not collected at the time of service will be billed to the responsible party through a monthly billing cycle for three months, if not paid earlier, at which time any delinquent account greater than $25 will be forwarded to revenue and reimbursement. Delinquent accounts of $24.99 or less will be considered uncollectible.

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Emergency Medical Services Fees
American Heart Association – Basic Life Support (BLS) Course for $ 75.00
Healthcare Providers
American Heart Association Heart Saver CPR, Automated External 75.00
Defibrillator (AED) and First Aid Course
Emergency medical dispatcher (EMD) authorization/reauthorization 50.00
Emergency medical technician (EMT) certification/recertification 50.00
Emergency medical technician paramedic (EMT-P) accreditation 100.00
(initial and lapsed only)
Emergency medical technician paramedic intern authorization 100.00
Mobile intensive care nurse (MICN) authorization/reauthorization 100.00
Mobile intensive care field nurse (MICFN) authorization/ 100.00
reauthorization
Duplicate certification/authorization/ accreditation card 15.00
Late fee for certification/recertification/ accreditation/reauthorization 15.00
Re-test following failed test 30.00

Contractor Payments for LEMSA Procurement Costs of Competitively Bid Exclusive Ground Ambulance Service

The successful bidder (contractor) to a competitively bid request for proposals (RFP) for exclusive provider of ground ambulance service shall reimburse the local EMS agency (LEMSA) for a portion of its expenses related to conducting the competitive procurement, monitoring contract compliance, managing the agreement and for the provision of medical direction, the cost of which shall be equally shared between the LEMSA and contractor 50% / 50%. The contractor's portion of the shared fee shall be payable to the LEMSA within 60 days of commencement of the competitively bid agreement.

Annual Air and Ground Ambulance Service Provider License Fee

The air and ground ambulance service provider license fee is subject to an annual county staff time cost evaluation conducted through county cost system.

Merced County Ground Ambulance Breach Events and Penalties

The Merced County EMS agency may impose a fine of up to $500 per incident for any minor breach of the ground ambulance service provider agreement not specifically addressed in the following table:

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Breach Event Criteria Penalty
Failure to provide timely Operational and response time reports $50.00 per report per day received after
operational reports are due on specific date after close of specified due date
month
Failure to leave completed 100% of LEMSA approved interim $50.00 for every instance when the
PCR at receiving facility patient care report (an abbreviated interim patient care report at a
patient care report) will be left at the minimum, is not left at the receiving
receiving facility prior to departure of facility prior to crew departure. A
the ambulance crew. 100% of the penalty of $100.00 for every completed
completed PCRs will be provided to PCR not provided to the facility within
receiving facility within 24 hours 24 hours of patient delivery
Response and transport by a All 9-1-1/emergency calls shall be $1,000.00 for every incident in which a
BLS unit when the priority responded to by an ALS ambulance and BLS ambulance responds and transports
level calls for the patient to be the patient transported in the ALS unit a patient that requires an ALS
transported by an ALS unit ambulance
Failure to provide timely Quality improvement and clinical data $50.00 per report or data submission
quality improvement data and and reports are due on specific date per day received after specified due
reports after close of month date
Failure to provide timely Unusual occurrence reports are due $100.00 per report per day received
unusual occurrence reports within a specific time from date of the after the specified time frame from the
occurrence as defined in LEMSA date of the occurrence
policies and procedures
Failure to respond to an The contractor shall respond to all LEMSA shall impose a minimum fine
emergency request for a official requests for a response from the of $10,000.00 for each failure to
response from a county PSAP county PSAP. Failure to respond is respond to an official call by the
defined by the contractor not sending an contractor. Failure to respond will be
ambulance en route to an emergency defined as any call originating from
request. county PSAP for which the contractor
fails to dispatch and no ambulance
responds. Prior to imposition of this
penalty, LEMSA will conduct an
investigation of the incident

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Breach Event Criteria Penalty
Improper certification Staffing an ambulance with improperly $250.00 per call responded to by
certified personnel improperly certified employee

Merced County Ground Ambulance Response Time Requirements and Penalties

All licensed ground ambulance service providers are subject to the following response time requirements:

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Priority Level Compliance High Call Density (A) Low Call Density (B)
Priority 1 90% ≤ 10:59 ≤19:59
Priority 2 90% ≤ 10:59 ≤19:59
Priority 3 90% ≤ 19:59 ≤29:59
Priority 4 90% +/- 15 minutes (scheduled) or ≤:59:59
Priority 5 90% +/- 15 minutes (scheduled) or ≤:89:59

All licensed ground ambulance service providers are subject to the following response time outlier penalties:

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Priority Level High Call Density Low Call Density (A) Penalty per Outlier
Priority 1 > 17:59 > 29:59 $1,500.00
Priority 2 > 17:59 > 29:59 $1,000.00
Priority 3 > 29:59 > 39:59 $750.00
Priority 4 > 29:59 late for scheduled > $500.00
89:59 for non-scheduled
Priority 5 > 29:59 late for scheduled > $1,000.00
119:59 for non-scheduled

Measured monthly, ground ambulance response time requirements and penalties:

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9-1-1 Calls—Priority 1, 2 and 3 responses for each of the Emergency Response Zones (ERZ)
Compliance % Penalty
≥ 89% < 90 % $5,000.00
≥ 88% < 89 % $7,500.00
< 88% $10,000.00

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Non-Emergency Responses – Priority 4 Responses
Compliance % Penalty
≥ 89% <90 % $4,000.00
≥ 88% <89 % $6,000.00
< 88% $7,500.00

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CCT Transports – Priority 5 Responses
Compliance % Penalty
≥ 89% <90 % $4,000.00
≥ 88% <89 % $6,000.00
< 88% $7,500.00

(Ord. 1613 § 3, 1998; Ord. 1762 § 1, 2005; Ord. 1797, 2006; Ord. 1804, 2007; Ord. 1847 § 1, 2008; Ord. 1863 § 1, 2009; Ord. 1933 § 1, 2015; Ord. 1950 § 1, 2017; Ord. 1985 § 1, 2019)

All fees will be set at the published Physician Medicare Fee Schedule. For those services where no Medicare rate is established, fees will be at the greater of Central California Alliance for Health or Medi-Cal rates. In those cases where there are no published rates in any of these programs, fees will be established at costs plus the administrative fee applicable to the service provided as detailed in the Physician Medicare Fee Schedule.

All laboratory fees are subject to the sliding fee scale when added with clinic visit, pharmaceutical and other charges.

Health Screening Certification:

The Merced County Public Health Laboratory may impose application/review/approval fees for the certification of operations of Non-Diagnostic General Health Assessment (NGHA) screenings within the county, which are addressed in the following table:

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NGHA Charge
Single event $45.00
Multiple event $100.00
Each additional site w/filing $25.00
Each additional program w/filing $20.00
Added site after filing $30.00
Added program after filing $25.00
Consultation (per hour) $35.00

Waiver of Fees

The director of public health may waive any laboratory fee on a case-by-case basis or for specific events if such waiver is determined to be in the best interest of protecting and promoting the public health of the county. All laboratory fees shall be waived for any persons identified as a contact in relation to an epidemiological investigation and who is mandated by Health Department staff to present for medical treatment for the subject communicable disease. All fee waivers must be documented in writing either for specific events or in the individual medical record.

(Ord. 1985 § 1, 2019; Ord. 1950 § 1. 2017; Ord. 1933 § 1, 2015; Ord. 1863 § 1, 2009; Ord. 1847 § 1, 2008; Ord. 1804, 2007; Ord. 1797, 2006; Ord. 1762 § 1, 2005; Ord. 1613 § 3, 1998)

If any section, subsection, sentence, clause, word, or phrase of this ordinance is held to be unconstitutional or otherwise invalid for any reason, such decision shall not affect the validity of the remainder of this chapter. The board of supervisors hereby declare that they would have passed the ordinance codified in this chapter, and each section, subsection, sentence, clause, word or phrase thereof, irrespective of the fact that one or more sections, subsections, sentences, clauses, words, or phrases may be declared invalid or unconstitutional. (Ord. 1950 § 1, 2017; Ord. 1985 § 1; 2019)