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* Name         Date  
 Company *Email  
* Address
* City      * State   *Zip
Phone Fax
 
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Pond Description
# of ponds: Approx. surface area of pond(s): A. B. C.
Pond Shapes

 
Other please describe.
Average pond depth Maximum depth
How far do shallow areas extend into pond?
 
Water Analysis
Does pond surface become covered with algae? Yes No  What %
Have you experienced any of the following?
Freeze outs Foul odors Lack of clarity Excessive weeds
Other problems
Have you used chemicals to deal with these problems? Yes No
Do you plan to use them in the future? Yes No
Do fertilizers run off into your pond? Yes No
Pond water source Ocean River/Stream Well Runoff
Pond uses Aesthetic Irrigation Drainage/Runoff Recreation
 
Aerator Information
Is your goal water quality improvement? Yes No
Are aesthetics important?: Yes   No
Do you want a fountain spray pattern?: Yes No
If answered "No" above, is your pond bottom “equipment friendly”?: Yes No
Do you want a lighting option?: Yes No
Will aerator(s) operate year-round?: Yes No
What is your budget?: When do you expect to purchase?:
Do you have any existing aerators, or experience with aerators?:
 
Technical Information
Is electricity available at pond(s)?: Yes No
If "Yes"  50Hz 60Hz
 Voltage:    Phase:    Amps:     Buried wire size:
If "No", Distance from electrical source to pond in feet:
 
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