Water Pump Installation Report

This form must be complete in FULL and submitted within 30 days after a new pump is installed on a well.

Water Pump Report

  1. 310 E. Torrance Ave, Pontiac, Illinois
    Livingston County Health Department
  2. INSTALLATION REPORT FOR WATER WELL PUMPS
  3. Complete within 30 days and sent to Livingston County Health Department
  4. Type of Installation:
  5. How Attached to Casing:
  6. Captive Air:
  7. Pump Equipment Disinfected:
  8. Leave This Blank:

  9. 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