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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 Pool Operator Permit
Please put N/A for any fields that are not applicable
Name
Address
Phone Number
Email Address
Tooele County Pool Name(s)
Certified Pool Operator Certificate #
Date of Issue
If you have additional documents to send, please email them to
eh@tooeleco.gov.
E-Signature
Date
Certified Pool Operator Permit:
$10.00
Item Subtotal:
$10.00
Total:
$10.00
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