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Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
www.tooelehealth.org
eh@TooeleCo.gov
Application For Waste Transporter Permit
Please put N/A for any fields that are not applicable
Name of Company
Contact Person
Phone Number
Location
Email Address
Mailing Address
County Vehicle Registered In
Type of Waste To Be Transported
Permit:
$50.00
Quantity:
Item Subtotal:
$0.00
Total:
$0.00
Vehicle License Number
Unit Number
Model
Make
Year
Body Capacity
Facility Waste To Be Delivered To
If permitting multiple units please attach a spreadsheet outlining the license plate, unit number, model, make, year, and capacity of each truck.
If you have additional documents to send, please email them to
eh@tooeleco.gov.
Applicant's E-Signature
Date
'Please Select Method of Payment to Continue'
Payment Information:
Method of Payment:
Credit/Debit Card
eCheck
Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Payment method will be collected on external device
Change Payment Method
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Name of Company
is required
Contact Person
is required
Phone Number
is required
Location
is required
Email Address
is required
Mailing Address
is required
County Vehicle Registered In
is required
Type of Waste To Be Transported
is required
Applicant's E-Signature
is required
Date
is required
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