Survey of Recreational &/or Decorative Lake or Pond!

Pond name:
Client:
Address:
Phone #:
FAX #:
E-mail:
Client Contact:
AM_Distributor:

Description

Surface area:acres. Average depth:ft. Water source: Outflow: as % of total water in lake/pond 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 Sulfur? 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

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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