UTAH COUNTY HEALTH DEPARTMENT FEE SCHEDULE

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1 Fee Schedule Page 1 of 12 UTAH COUNTY HEALTH DEPARTMENT FEE SCHEDULE Adopted by the Utah County Board of Health ( ) Date Rulon Barlow, Chair Date change adopted by BOH Requested changes that have not been adopted yet are lined out or are in yellow. VITAL RECORDS Search and issuance of certified copy of birth, 1905 to present: Five years centered on request year $15.00 Each additional five years $15.00 Search of entire file from 1905 $50.00 Stillbirth Certificate $12.00 Expedite FAX fee for records not on State database $10.00 Credit Card Use Fee, Vitalchek (Expedite $10 + Vitalchek $5.50) $15.50 Federal Express Handling Current Fee Amendments to correct information on birth certificate, record over 1 year old $20.00 Amendments to correct information on birth certificate, record under 1 year old $15.00 Duplicate copies requested with initial search $8.00 Heritage Birth Certificate only (obtained from SLC) $22.00 (may vary as set by State Health Department) Package Deal (obtained from SLC) $ Certified Birth Certificates, and a Heritage Birth Certificate (may vary as set by State Health Department) Includes new copy of record if correction is done within 90 days Search and issuance of certified copy of certificates of death, fetal death, acknowledgement of paternity, 1905 to present: Five years centered on requested year $13.00 Search of entire file from 1905 $50.00 Replacement death certificate fee (per copy within 90 days) $1.00 Burial Transit Permit $5.00 Amendments to correct information on death cert., over one year $20.00 Duplicate copies requested with initial search $8.00

2 Fee Schedule Page 2 of 12 HEALTH PROMOTION / INJURY CONTROL Court-referred Tobacco Prevention Education Classes $25.00 Finger-Stick Cholesterol Evaluation $7-$10.00 (depending on type) Highway Safety Bike Helmet Education and Use $10.00 Bike Helmet Visors $2.00 Locking Clips $1.00 Highway Safety Car Seats Car Seat Check Donation Up to $10.00 Car Seat Education and Low Cost Sale $25.00 (must be eligible) Through a grant funded program reduced rates are available for WIC, Medicaid, and Horizon eligible clients as long as funds are available.

3 Fee Schedule Page 3 of 12 ENVIRONMENTAL HEALTH Note: All fees are doubled if establishment opens without a permit, or if building starts without a permit for a septic system. FOOD SERVICE Definitions Class 1, 1-10 seats or under 1,000 sq. ft. Class 2, seats or 1,001-3,000 sq. ft. Class 3, seats or 3,001-5,000 sq. ft. Class 4, 76+ seats or over 5,000 sq. ft. New Permit Class 1 $ Permit Class 1 $ Permit Class 1 Elementary & Middle School $ New Permit Class 2 $ Permit Class 2 $ New Permit Class 3 $ Permit Class 3 $ Permit Class 3 Junior & Senior High School $ New Permit Class 4 $ Permit Class 4 $ Seasonal Permit $55.00 ** Seasonal Permit $60.00 ** Permit Renewal Class 1 $ Permit Renewal Class 2 $ Permit Renewal Class 3 $ Permit Renewal Class 4 $ Plan Review Class 1 $ & Plan Review Class 1 $ & Plan Review Class 1 Elementary & Middle School $ & Plan Review Class 2 $ & Plan Review Class 2 $ & Plan Review Class 3 $ & Plan Review Class 3 $ & Plan Review Class 3 Junior & Senior High School $ & Plan Review Class 4 $ & Plan Review Class 4 $ & Temporary Food Permit $ $5/day Temporary Food Permit $ $10/day Temporary Food Permit Late Fee $25.00 (Application less than 2 business days) Temporary Food Permit In Field Non-permitted $ /day + late fee $ Permit fee

4 Fee Schedule Page 4 of 12 Required, Requested, or Follow-up Inspection $80.00 Follow-up Inspection $85.00 Food Establishment List $40.00 Food Establishment List $45.00 Payment overdue: Payment overdue: 10% for each 30 days late. 20% for each 30 days late. ** A Seasonal food service establishment is a facility that does not meet the definition of a permanent food service establishment, has a limited menu, has hard plumbing, is in one location, and does not operate more than 90 days each calendar year. & Food establishments that open without providing plans will be assessed double the permit fee + the plan review fee prior to a pre-opening inspection. This applies only to new or remodeled facilities. & If request plan review within 3 business days, double the plan review fee. Food establishments that fail to complete the renewal process within 60 days will have their permit revoked. The owner/operator will need to apply and pay for a new permit. 1/28/08 Food Handler Permit (three years) $ /28/08 Food Handler Permit on line course (three years) $ service fee Food Handler duplicate $5.00 Food Safety Manager Certification (three years) $ /28/08 Reciprocal Food Handlers Card $15.00 Temporary Mass Gathering Plan Review $ Plan Review $ Late Plan Review $ Late Plan Review $ Inspection $50.00 per hour * Late Inspection $50.00 per hour, plus $ Events lasting longer than 7 days Negotiated fee * Weekends, Holidays, and after normal business hours $75.00 per hour Daycare Inspection $60.00 per inspection Duplicate copy $5.00 School Inspection (effective July 1, 2008) School Lunch Inspection Elementary School $110.00

5 Fee Schedule Page 5 of 12 Middle School $ Junior and Senior High School $ Plan Review Elementary School $ Middle School $ Junior and Senior High School $ Environmental Assessment/Inspection Site Assessment Site Assessment $ $30.00/hr for each hour or partial hour over 2 hours $ $30.00/hr for each hour or partial hour over 2 hours Non-permitted Facility Inspection $80.00 Non-permitted Facility Inspection $85.00 File Search $20.00 Radon Education and Testing $10.00 Lead Swabs $2.00 SWIMMING POOLS New Seasonal Permit $ # Swimming Pool Permit $ # New Year Round Permit $ # Renewal Seasonal Permit $ # Renewal Year Round Permit $ # Plan Review $ Plan Review Within 10 business days $ Plan Review Within 3 business days $ Re-inspection $80.00 Re-inspection $85.00 Swimming Pool List $40.00 Swimming Pool List $45.00 Sampling fee per sample $16.00 Re-sample fee $25.00 Certification Course $ Certification Course $ CPO Manual $40.00 CPO Manual $45.00 CPO Renewal $40.00 CPO Renewal $45.00 Certification Transfer (w/certification from other areas) $25.00 Certification Transfer (w/certification from other areas) $30.00 NSPF CPO Certification $40.00

6 Fee Schedule Page 6 of 12 # Payment overdue: 10% for each 30 days late. # Payment overdue: 20% for each 30 days late. Pools that open without a permit will be assessed double the permit fee + the plan review fee. Pools that do not submit plans will be assessed the plan review fee prior to a preopening inspection. TANNING SALONS New Permit 1-2 beds $85.00 # New Permit 3+ beds $ # Renewal 1-2 beds $85.00 # Renewal 3+ beds $ # Permit 1-2 beds $90.00 ^# Permit 3+ beds $90.00 ^# Certified Operator Fees (three years) $15.00 ^ Base fee of $90.00 for 1 bed, plus $25.00 for each additional bed. # Payment overdue: 10% for each 30 days late. # Payment overdue: 20% for each 30 days late. Salons that open without a permit will be assessed double the permit fee. BODY ART New Facility Permit $ # Renewal Facility Permit $ # Facility Permit $ ^# Annual Technician Registration $25.00 # ^ Base fee of $ for first station, plus $25.00 for each additional station # Payment overdue: 10% for each 30 days late. # Payment overdue: 20% for each 30 days late. Facilities that open without a permit will be assessed double the permit fee.

7 Fee Schedule Page 7 of 12 DRINKING WATER Water Collection of Water Samples Water Sample $ Lab fees $ Lab fees WASTEWATER System Permit (***) $ System Permit (***) $ Alternative at Grade (***) $ (*) Alternative at Grade (***) $1, (*) Alternative in Fill (***) $1, (*) Alternative in Fill (***) $1, (**) Packed Bed Media (Initial) $ Alternative Packed Bed Media (***) $ Packed Bed Media (Annual Permit) $ Lab fees Alternative Packed Bed Media (Annual) $ Lab fees Gray Water $80.00/year Alternative Gray Water $85.00 Repair Permit (Inspection) $80.00 Repair Permit (Inspection) $85.00 (If percolation test/soil profile or other onsite visit is necessary, an additional $85.00 for each visit may be charged for the repair permit.) Water Monitoring (**) $ $25/hole Holding Tanks (include 1 st annual inspection fee) $ $80/year Holding Tank Annual Inspection fee (****) $80.00 Holding Tank Annual Inspection fee (****) $85.00 Septic Tank Abandonment Permit Septic Tank Locating fee $ Subdivision Feasibility Base Fee/Plat $ $40/each perc test Subdivision Feasibility Plat $ $50/each perc test Liquid Waste Hauler (****) $ $25/vehicle Liquid Waste Hauler (****) $ $25/vehicle Liquid Waste haulers operating without a permit will be assessed double the permit fee. Non-permitted vehicles will be assessed double the permit fee. Site Evaluation/Percolation Test $80.00 Site Evaluation/Percolation Test $85.00 Extra Inspections $80.00 Extra Inspections/visits $85.00 Loan Clearance file search (5 days) $80.00 Loan Clearance file search (5 days) $85.00 Loan Clearance file search (2 days) $ Loan Clearance file search (2 days) $ (*) Includes $80.00 per year for 5 years of monitoring. (*) Includes $85.00 per year for 5 years of monitoring.

8 Fee Schedule Page 8 of 12 (**) One visit per quarter for one year. (***) Plus $25.00 State New System fee. (***) Plus $25.00 State fee. (****) Payment overdue: 10% for each 30 days late. (****) Payment overdue: 20% for each 30 days late. Permit revoked after 60 days past due. NOTE: Installation without a permit is double the permit fee. WASTE TIRES Transporter/per vehicle $75.00 Processor Permit 0-15 tons/day $ Processor Permit tons/day $ Processor Permit tons/day $ Processor Permit 701+ tons/day $ Tire Pile/Tire Processor Assurance: 0-15 tons per day maximum $5, tons per day maximum $10, tons per day maximum $20, Over 700 tons per day $50, UNDERGROUND STORAGE TANK UST Closure/Installation per tank $ UST Closure/Installation per tank $ UST System Upgrades per tank $85.00 (Additional inspections for such things as Cathodic Protection, tank lining, spill buckets, overfill protection, piping closures, installations or improvements, any other services requiring inspection or notification.) Hazardous Waste Remediation $60.00 Hazardous Waste Remediation $85.00 Land Farming Application $60.00 Land Farming Application $85.00 Leak Inspection $20.00/tank (per site inspection, excluding the initial site inspection)

9 Fee Schedule Page 9 of 12 EMISSIONS CONTROL (Environmental Health) Station Certification $ Station Certification (Temporary) $50.00 Station Certification at new location $50.00 Station Expired Renewal $75.00 Station Recertification (annual) $25.00 Mechanic Certification $20.00 Mechanic Certification Course $ Mechanic Recertification (annual) $10.00 Mechanic Recertification (after expiration) $30.00 Mechanic Handbook $15.00 Air Pollution Control Fee $1.00 Certificate of Compliance (12/1/94) $2.25 Certificate of Compliance, Gas (duplicate) $1.00 Certificate of Compliance, Diesel (duplicate) $5.00 Diesel Inspection Fee (2/1/96) $15.00 Diesel Air Pollution Fee (2/1/96) $1.00 Emissions Inspection Fee (12/2/94) $15.00 New Station sign $20.00 Tamper Detection Class (mandatory) $50.00 Tamper Detection Class (voluntary) $25.00 VIR (duplicate) $1.00 Prices also for diesel I/M.

10 Fee Schedule Page 10 of 12 COMMUNITY HEALTH - NURSING Blood Sugar $5.00 Cancer Screening Breast Exam & PAP (Women ages 35-64)-Sliding $0-$40.00 Fee Scale Cholesterol Screening $+.+ Conferences or Training Pharmaceutical Booths $25-$50.00 EMS HIV only $+.+ EMS Testing (Hep. B, Hep. C., & HIV) $+.+ 5/19/08 Episodic Acute Sliding Fee Scale $+.+ 5/19/08 Family Planning $+.+ 5/19/08 Family Planning (Established Client) $+.+ Family Planning Depo-Provera $+.+ Family Planning Oral Contraceptive Refills $+.+ 5/19/08 Hemoglobin $+.+ HIV (Counseling and Test) $+.+ HIV Ora-Quik $+.+ HIV Ora-Sure $+.+ Immigration Physical Adult $85.00 Immigration Physical Children (14 and under) $45.00 Immigration Chest X-ray (if indicated) $ /19/08 Lead Screening $+.+ Liver Function Test (Lab) $+.+ Liver Function Test (Finger Stick) $15.00 Non STD Blood Testing Hepatitis B Antibody $+.+ Hepatitis B Antigen $+.+ Hepatitis C Antibody $+.+ Other Physical Examinations Child Health Exam Sliding Fee Scale $0-$30.00 Adults (non-dot) $30.00 Adults (DOT) $40.00 Scouts and Sports $30.00 PAP or PSA $+.+ PKU Screening $+.+ Pregnancy Test $7.00 Prescription (Rx) Service (Malaria) (each Rx) $11.00

11 Fee Schedule Page 11 of 12 Printed Material Home Visiting Administrative Book $+.+ Home Visiting Welcome Baby Manuals $+.+ Home Visitor Guide $+.+ Record Search Fee $5.00 STD/Gonorrhea and Chlamydia $+.+ RPR $+.+ 5/19/08 Serocult Screening $+.+ 5/19/08 Strep Screening $+.+ Other STD $+.+ Urine Dip $5.00 X-Ray $30.00 CPR Training (County employees only) $+.+ Renewal (County employees only) $+.+ Book $15.00 CPR Card $3.00 5/19/08 $+.+ The fee will be our cost per test and materials rounded up to the next whole dollar plus $11.00 administration fee. Immunizations 1) Government provided Vaccines for Children for State required vaccines for children on Medicaid and CHIP, Alaskan Native/American Indian children, uninsured children, and children whose insurance does not fully pay (underinsured) for immunizations. 5/19/08 Administration fee per vaccination is $ For payment made at the time of service, administration fee per vaccination is $ ) For insurance-covered vaccines, the fee will be our cost per dose of the vaccine rounded to the highest dollar plus a $15.00 administration fee per dose of the vaccine. 3) For non-insurance covered vaccines, the fee will be our cost of the vaccine rounded to the highest dollar plus a $12.00 administration fee per vaccination paid at the time of service.

12 Fee Schedule Page 12 of 12 WOMEN, INFANTS, AND CHILDREN (WIC) Record Search Fee $5.00

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