Aquaculture Pond Survey

(Use one form per pond)

Date: ________________

Pond Name_______________________________________________________________________________

Client: ______________________________________________________________________________

Address: ______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Phone: __________________________________________ FAX:____________________________

E-Mail: _____________________________________________________________________________

Service Representative:___________________________________________________________________

 Description



Surface Area: ______ acres Average Depth: ____ ft.

Water Source:__________________________________ Outflow:(as % of total water in lake / pond) _____________%

Species Cultivated________________________________________________________________________

Stocking density:___________________%

Location:(Describe pond location in words or with a diagram, on the back of this page, for your reference.)


Site Conditions


Offensive odor? no yes How strong? ______ Ammonia? no yes Sulfur? no yes


Water color and appearance:

__________________________________________________________________________________________

__________________________________________________________________________________________


Runoff: no yes Source:_______________________________________________________________

__________________________________________________________________________________________

Sludge (composition, distribution & thickness):

__________________________________________________________________________________________

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Chemicals / pesticides / disease treatments added to pond and when:

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Waterfowl:_____________________ Algae:________________________________________________

Aquatic plants:___________________ Recent fish mortalities?_______________________________

Mechanical aeration? _______________

Describe other treatments and when applied:

__________________________________________________________________________________________

__________________________________________________________________________________________


Standard Water Quality Parameters



Dissolved Oxygen - Noon: _____ ppm D. O. Before dawn: ______ ppm

pH: ______ @ ______F

Alkalinity: ______ ppm

Hardness:______ ppm

Chloride: ______ ppm

Ammonia Nitrogen (NH3):______ ppm

Nitrite (NO2): ______ ppm

Nitrate (NO3): ______ ppm

Carbon dioxide:______ ppm

Temperature: ______F 

Additional (Optional) Tests


Chlorine (free): ______ mg/l Chlorine (total): _____ mg/l

Copper (total soluble): ______ mg/l

Iron: ______ mg/l

Lead: ______ mg/l

Mercury: ______ mg/l

Tributyl tin: ______ mg.l

Cyanide:______ mg/l

Detergents: ______ mg/l

Phenol:______ mg/l

Sulfite: ______mg/l

Hydrocarbons_____mg/l

Pesticides (name chemical tested______________________________________)_______ mg/l

FOG_____ mg/l

Phosphate:______ mg/l

Ammonia Salt (NH4): ______ mg/l

BOD:______ mg/l

COD: ______ mg/l

Pond Recommendations

(Use one form per pond)



Client Name:________________________________________________________

Name of Pond:______________________________________________________



Water Chemistry Adjustment:

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Mechanical Treatment (Aeration, etc.):

____________________________________________________________________

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Alken Clear-Flo® Treatment:

____________________________________________________________________

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Follow-up and Other comments:

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

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____________________________________________________________________ 

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Draw a sketch of the pond. Be sure to indicate concrete or earthen bottom, location of inflow/outflow, special characteristics:



















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