| City of College Springs |
712-582-3531 |
Serves College Springs and Some Areas of Rural Page County |
| City of Essex |
712-379-3444 |
Serves Essex and Some Areas of Rural Page County |
| Southwest Sanitation |
712-542-3751 |
Serves Clarinda, Yorktown, Shambaugh and Braddyville |
| Shenandoah Sanitation |
712-246-3350 |
Serves Shenandoah, Coin and Rural Page County |
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