NWLEPG: Northwest Local Environmental Protection Group Menu My county

Information Form for Water Testing

Private Wastewater & Domestic Water Well

Print and fill by hand

A PDF to print and fill in by hand.

Download printable PDF: Information Form for Water Testing

PDF, 2 pages, 28 KB

What it is for

Complete this form and return it with your water sample.

Where to return it

Northwest Local Environmental Protection Group

350 S. Range, Suite #4
Colby, KS 67701