San Juan County Health Department
735 S 200 W Suite 2, Blanding, UT 84511
Phone: (435) 587-3838
Self-service Water Sample
NOTE: In order to do a self-service sample, you must come to our office to pick up the sample container, take the water sample yourself, and bring it back to us for shipping within the timeframe designated by the Environmental Health Director.
Personal Info Form
Contact Phone Number
Address of sample location
City of sample location
DISCLOSURE: If the results of the test are not intended solely for the sample taker, we are not responsible and do not assume liability for any improperly taken samples or for samples taken at locations other than that specified. We do not guarantee anything with self-service water samples. If you have any questions please contact Ronnie Nieves at 435-587-3838.
Processing Fee Rates:
2.5% ($1.50 min)
(1.5% surcharge 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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SIP Version 3.22.16245; (API: 2.22)