Any person required to pay any fee, obtain any medical waste permit, or obtain any medical waste registration, as set forth herein, who is aggrieved by the decision of the county’ s department of environmental health may appeal the decision to the board of supervisors within ten days following the effective date of the decision, by writing to the clerk of the board. Upon receipt of such request, the clerk shall request a report and recommendation from the county’ s department of environmental health and shall set the matter for hearing at the earliest practical date. At the hearing, the board may hear additional evidence and may affirm, modify, or reject the decision of the county’ s department of environmental health. Providing such decision does not conflict with the Medical Waste Management Act, the decision of the board shall be final. The time during which the appeal is pending shall not be included in determining the delinquency date as defined in Section 6.52.060 of this chapter. (Prior gen. code 3-260.6)