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
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Method of Payment:
Update Name from Above
Name on Account:
Name on Card:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
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