Hyperphosphatemia is a serum phosphate concentration > 4.5 mg/dL (> 1.46 mmol/L). Causes include chronic kidney disease, hypoparathyroidism, and metabolic or respiratory acidosis. Clinical features may be due to accompanying hypocalcemia and include tetany. Diagnosis is by serum phosphate measurement.
Fire Chief  Michael Kain. Fire Chief Michael Kain is a life long resident of the valley. He currently oversees operations, fire suppression, EMS services, training, facility management, and fleet. Fire Chief Michael Kain was hired by the Selma Fire Department in 1987 as a Firefighter/Paramedic. He has promoted to each rank within the Selma Fire Department.
Selma, Fresno County Sales Tax Rate. Details. The sales tax in Selma is 8.48%, which is higher than average for cities in Fresno County (7.98%) and higher than average for California (7.75%). Selma is one of 53 cities in Fresno County with a distinct sales tax as listed by the California Board of Equalization. See all cities in Fresno County.