San Juan County Health Department
735 S 200 W Suite 2, Blanding, UT 84511
Phone: (435) 587-3838
Recertification For Well / Septic
Home Owner's Name
Location of Home
Contact Phone Number
Contact Person if different than owner
Approval letter to go to the following:
Select Requested Services
*There will be a travel surcharge of $0.56 per mile if the inspection is more than 15 miles from Blanding or Monticello.
**If this applies to you, please enter the number of miles from Blanding or Monticello (whichever is closer) in the quantity box below. Please do not enter anything if you are less than 15 miles from either Blanding or Monticello.
For Example, if your inspection is 20 miles from Monticello please enter "20" in the quantity box below.
Bacteriological Water Test ONLY:
Processing Fee Rates:
2.5% ($1.50 min)
(4% for foreign cards)
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
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