Aquaculture Pond Survey!

Just complete one form per pond. Click on Submit when ready to send.

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Pond name:

Client:

Address:

Phone #:

FAX #:

Your E-mail:

Your Name::

AM Distributor:

Description

Surface area:acres. Average depth:ft.

Water source:

Outflow: as % of total water in lake/pond

Species cultivated:

Stocking density: %

Length of growing cycle, in months:

Describe Location: (Describe pond location in words, including location of inflow and outflow, earthen or concrete bottom, biological filters, aerator placement, etc.)

Site Conditions

Offensive odor? Yes No If yes, is it strong? Yes No

Character of odor: Ammonia? YesNo Rotten eggs (sulfide)? YesNo

Describe water color and appearance:

Runoff: YesNo If yes, give source:

Sludge (composition, distribution & thickness)

Describe any of the following added to the pond and when added:

Chemicals:

Pesticides:

Disease treatments:

Check any of the following that are present:

Waterfowl:

Algae Describe algae:

Aquatic plants: Describe plants:

Recent fish mortalities: Describe:

Mechanical aeration:

Describe other treatment used and when applied:

Standard Water Quality Parameters

Dissolved Oxygen at Noon: ppm

pH: at what temperature?

Alkalinity:ppm

Chloride: ppm

Nitrite (NO2): ppm

Carbon dioxide: ppm

D.O. before dawn

FC

Hardness:ppm

Ammonia Nitrogen (NH3): ppm

Nitrate (NO3): ppm

Temperature:For C

Additional (Optional Tests)

Chlorine (free): mg/L

Copper:mg/L

Lead: mg/L

Tributyl tin: mg/L

Detergents: mg/L

Sulfite: mg/L

FOG: mg/L

Ammonia Salt/NH4: mg/L

BOD: mg/L

Chlorine (total): mg/L

Iron: mg/L

Mercury: mg/L

Cyanide: mg/L

Phenol: mg/L

Hydrocarbons: mg/L

Phosphate: mg/L

COD: mg/L

Pesticides tested:

Name:Result mg/L

Name:Result mg/L

Name:Result mg/L

Name:Result mg/L

For Additional Assistance, Fax us a Drawing of Your Lake/Pond

Any additional comments?

We usually add all people who inquire about our products to our newsletter mailing list, which is kept for in-house use. We do not ever sell or trade names of our clients, and rarely contact by e-mail more than once a month.

Mailing list: YES NO

for a version of this form to print and fill in with a pen

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Pond name:
Client:
Address:
Phone #:
FAX #:
Your E-mail:
Your Name::
AM Distributor: