Closed Loop Well System Construction Report

Complete and Submit Within 30 days of Geothermal Well Completion

Closed Loop Well System Construction Report (Geothermal)

  1. 310 E. Torrance Avenue, Pontiac, Illinois 61764
    Livingston County Health Department
  2. CLOSED LOOP WELL SYSTEM CONSTRUCTION REPORT

    Complete and Submit Within 30 days of Geothermal Well Completion

  3. HVAC Contractor (if different from above)
  4. Antifreeze Installed By
  5. Trace Wire/Locators Used?
  6. DRILL LOG
  7. Grout Information
  8. Bentonite:
  9. Sand:
  10. Graphite:
  11. Method:
  12. System Location
  13. Leave This Blank:

  14. This field is not part of the form submission.

  1. Environmental Health


    Mailing Address
    310 E Torrance Avenue
    Pontiac, IL 61764

    Phone: 815-842-5916
    Fax: 815-842-4070