Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
Application For Decontamination of Chemically Contaminated Property Permit
Please put N/A for any fields that are not applicable
DEQ Certification Number
If you have additional documents to send, please email them to email@example.com.
Property to be decontaminated:
Owner's Phone Number
'Please Select Method of Payment to Continue'
Method of Payment:
Update Name from Personal/Organizational Information
Name on Account:
Name on Card:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
CORE Business Technologies
DBA Secure Instant Payments. All rights reserved.
SIP Version 3.22.16528; (API: 2.22)