Tooele Health Department
             
Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435) 277-2444
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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Routing Number:
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Expiration Date:
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