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Take a moment to tell us about your lake by filling out this form. We will respond to you shortly.

Thank you.

Name:
Title:
Address:
City:
State:
Zip:
Country:
Referred By:
Email:
Phone:
Is this an existing lake?	Yes No
How old is the lake?	yrs
Is there water in it right now?	Yes No
Is it losing water?	Yes No
If yes, how much is it losing per day?	vertical inches
Approximate Size:	sq. feet or acres
Average Depth:
Slope Angle (ie. 3:1, 2:1, etc.)?
Is there ground water present in the lake?	Yes No
Has anyone attempted to seal the lake before?	Yes No
If yes, with what?
Has there been any testing done on the soil?	Yes No
If yes, what were the results?
Is the site around the lake established?	Yes No
If Yes, is there accessibility to the lake without damaging the existing surroundings?	Yes No
What are the soils like in the area?	Clay? Yes No Sand? Yes No
Are there any fish in the pond/lake?	Yes No
Please describe any structural problems: (Rock layers, sinkholes, evidence of leaking of flowing water through a dam, etc. )
Do you have a permanent water source to fill the pond other than rainfall?	Yes No
Additional Comments: Please include any other important information about your lake here.
Thank you for taking the time to fill out this form. The Sales Team at Seepage Control, Inc.

ESS-13 is pumped or poured directly into the water at a pre-determined application rate. The seepage in your ski lake will decrease 60% to 90% initially, and this original rate will continue to improve with time.

The ESS-13 “Spray-On Formulation” can save 75% or more off the installation costs of other lake sealing methods.

Spray-On Method

Address:
7301 W. Boston St.
Chandler, AZ 85226 USA

Toll Free Phone:
1.800.214.9640
Local Phone:
480.763.1180
Fax: 480.763.1182